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Acyline + testosterone undecanoate is a combination hormonal regimen developed by the University of Washington for use as a male contraceptive. The regimen utilizes acyline, a potent gonadotropin-releasing hormone (GnRH) receptor antagonist, to suppress the hypothalamic-pituitary-gonadal axis. This suppression inhibits the secretion of luteinizing hormone (LH) and follicle-stimulating hormone (FSH), effectively halting endogenous testosterone production and spermatogenesis. To compensate for the loss of endogenous testosterone and prevent symptoms of hypogonadism, a novel oral formulation of testosterone undecanoate (TU) is co-administered as androgen replacement therapy. This specific combination was evaluated in Phase 2 clinical trials to determine the pharmacokinetics and efficacy of oral TU in maintaining serum testosterone levels within the physiological range while sperm production is suppressed.
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