High-strength testosterone undecanoate compositions
The present disclosure is drawn to pharmaceutical compositions and oral dosage capsules containing testosterone undecanoate, as well as related methods. The capsule includes a capsule shell and a capsule fill. The capsule fill can include a solubilizer and about 14 wt % to about 35 wt % testosterone undecanoate based on the total capsule fill. The oral dosage capsule is such that when a single oral administration to a male subject of one or more capsules with a total testosterone undecanoate daily dose of about 350 mg to about 650 mg it provides a ratio of serum testosterone C max to serum testosterone C ave of about 2.7 or less. In yet another embodiment, a method for providing a serum concentration of testosterone within a target serum testosterone concentration C ave range for a male subject is provided.
1. A method for replacement therapy in a male having a condition associated with a deficiency or absence of endogenous testosterone said method comprising:
orally administering to a male identified as having a morning serum testosterone level of less than 300 ng/dL a daily dosing regimen of a pharmaceutical composition comprising about 14 weight % (wt %) to about 35 wt % testosterone undecanoate and a carrier comprising oleic acid, polyoxyl 40 hydrogenated castor oil, and borage seed oil, that provides about 480 mg testosterone undecanoate to said male per day; and
orally administering to the male, following a determination of the male's serum testosterone level at from 1-8 hours after a single dosage of the pharmaceutical composition at steady state during the daily dosing regimen, a daily dosing regimen of a pharmaceutical composition comprising about 14 wt % to about 35 wt % testosterone undecanoate and a carrier comprising oleic acid, polyoxyl 40 hydrogenated castor oil, and borage seed oil, that provides within plus 40% of about 480 mg of testosterone undecanoate to said male per day when the serum testosterone level determined indicates said male needs a dosage increase, to provide a serum testosterone C ave in said male in the range of from about 300-1100 ng/dL.
2. The method of claim 1 , wherein said pharmaceutical composition comprises about 20% testosterone undecanoate and about 53% oleic acid.
3. The method of claim 1 , wherein said pharmaceutical composition comprises about 20% testosterone undecanoate and about 16% polyoxyl 40 hydrogenated castor oil.
4. The method of claim 1 , wherein said pharmaceutical composition comprises about 53% oleic acid and about 16% polyoxyl 40 hydrogenated castor oil.
5. The method of claim 1 , wherein said pharmaceutical composition comprises about 20% testosterone undecanoate, about 53% oleic acid and about 16% polyoxyl 40 hydrogenated castor oil.
6. The method of claim 1 , wherein determining the serum testosterone level of the male is at about 6 hours after a single dosage of the pharmaceutical composition.
7. The method of claim 1 , wherein said orally administering is once in the morning and once in the evening.