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LABELS · 366a5e88-4a23-46b0-94e5-e7f7deb7acbe

Testim

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Preserved label snapshot, not confirmation of a current approved indication. Approval/withdrawal status must be checked for the exact disease, setting and regimen.

Label effective date
2025-07-15
Captured
2026-09-09T23:37:42.544548+00:00
Current indication reconciliation
Not reconciled
Boxed warning in this label
  1. WARNING: SECONDARY EXPOSURE TO TESTOSTERONE Virilization has been reported in children who were secondarily exposed to testosterone gel [see Warnings and Precautions ( 5.1 ) and Adverse Reactions ( 6.2 )] . Children should avoid contact with unwashed or unclothed application sites in men using testosterone gel [see Dosage and Administration ( 2.2 ) and Warnings and Precautions ( 5.1 )]. Healthcare providers should advise patients to strictly adhere to recommended instructions for use [see Dosage and Administration ( 2.2 ), Warnings and Precautions ( 5.1 ), and Patient Counseling Information ( 17 )]. WARNING: SECONDARY EXPOSURE TO TESTOSTERONE See full prescribing information for complete boxed warning. Virilization has been reported in children who were secondarily exposed to testosterone gel ( 5.1 , 6.2 ) Children should avoid contact with unwashed or unclothed application sites in men using testosterone gel ( 2.2 , 5.1 ) Healthcare providers should advise patients to strictly adhere to recommended instructions for use ( 2.2 , 5.1 , 17 )

Indications and usage: exact source text

  1. 1 INDICATIONS AND USAGE TESTIM is indicated for testosterone replacement therapy in adult males for conditions associated with a deficiency or absence of endogenous testosterone: Primary hypogonadism (congenital or acquired): testicular failure due to cryptorchidism, bilateral torsion, orchitis, vanishing testis syndrome, orchiectomy, Klinefelter's syndrome, chemotherapy, or toxic damage from alcohol or heavy metals. These men usually have low serum testosterone concentrations and gonadotropins (follicle-stimulating hormone [FSH], luteinizing hormone [LH]) above the normal range. Hypogonadotropic hypogonadism (congenital or acquired): gonadotropin or luteinizing hormone-releasing hormone (LHRH) deficiency or pituitary-hypothalamic injury from tumors, trauma, or radiation. These men have low testosterone serum concentrations but have gonadotropins in the normal or low range. Limitations of Use: Safety and efficacy of TESTIM in men with “age-related hypogonadism” (also referred to as “late-onset hypogonadism”) have not been established. Safety and efficacy of TESTIM in males less than 18 years old have not been established [see Use in Specific Populations ( 8.4 )] . Topical testosterone products may have different doses, strengths, or application instructions that may result in different systemic exposure [see Dosage and Administration ( 2 ) and Clinical Pharmacology ( 12.3 )] . TESTIM is an androgen indicated for testosterone replacement therapy in males for conditions associated with a deficiency or absence of endogenous testosterone: Primary Hypogonadism (Congenital or Acquired) ( 1 ) Hypogonadotropic Hypogonadism ( 1 ) Limitations of Use : Safety and efficacy of TESTIM in men with “age-related hypogonadism” have not been established. ( 1 ) Safety and efficacy of TESTIM in males less than 18 years old have not been established. ( 8.4 ) Topical testosterone products may have different doses, strengths, or application instructions that may result in different systemic exposure. ( 1 , 12.3 )
Full extracted label fields
application numbers
  1. NDA021454
boxed warning exact
  1. WARNING: SECONDARY EXPOSURE TO TESTOSTERONE Virilization has been reported in children who were secondarily exposed to testosterone gel [see Warnings and Precautions ( 5.1 ) and Adverse Reactions ( 6.2 )] . Children should avoid contact with unwashed or unclothed application sites in men using testosterone gel [see Dosage and Administration ( 2.2 ) and Warnings and Precautions ( 5.1 )]. Healthcare providers should advise patients to strictly adhere to recommended instructions for use [see Dosage and Administration ( 2.2 ), Warnings and Precautions ( 5.1 ), and Patient Counseling Information ( 17 )]. WARNING: SECONDARY EXPOSURE TO TESTOSTERONE See full prescribing information for complete boxed warning. Virilization has been reported in children who were secondarily exposed to testosterone gel ( 5.1 , 6.2 ) Children should avoid contact with unwashed or unclothed application sites in men using testosterone gel ( 2.2 , 5.1 ) Healthcare providers should advise patients to strictly adhere to recommended instructions for use ( 2.2 , 5.1 , 17 )
brand names
  1. Testim
current indication status
not_reconciled
dailymed set url
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=9f2aae1f-898d-4955-be31-678e0cf85395
generic names
  1. TESTOSTERONE
id
366a5e88-4a23-46b0-94e5-e7f7deb7acbe
indications and usage exact
  1. 1 INDICATIONS AND USAGE TESTIM is indicated for testosterone replacement therapy in adult males for conditions associated with a deficiency or absence of endogenous testosterone: Primary hypogonadism (congenital or acquired): testicular failure due to cryptorchidism, bilateral torsion, orchitis, vanishing testis syndrome, orchiectomy, Klinefelter's syndrome, chemotherapy, or toxic damage from alcohol or heavy metals. These men usually have low serum testosterone concentrations and gonadotropins (follicle-stimulating hormone [FSH], luteinizing hormone [LH]) above the normal range. Hypogonadotropic hypogonadism (congenital or acquired): gonadotropin or luteinizing hormone-releasing hormone (LHRH) deficiency or pituitary-hypothalamic injury from tumors, trauma, or radiation. These men have low testosterone serum concentrations but have gonadotropins in the normal or low range. Limitations of Use: Safety and efficacy of TESTIM in men with “age-related hypogonadism” (also referred to as “late-onset hypogonadism”) have not been established. Safety and efficacy of TESTIM in males less than 18 years old have not been established [see Use in Specific Populations ( 8.4 )] . Topical testosterone products may have different doses, strengths, or application instructions that may result in different systemic exposure [see Dosage and Administration ( 2 ) and Clinical Pharmacology ( 12.3 )] . TESTIM is an androgen indicated for testosterone replacement therapy in males for conditions associated with a deficiency or absence of endogenous testosterone: Primary Hypogonadism (Congenital or Acquired) ( 1 ) Hypogonadotropic Hypogonadism ( 1 ) Limitations of Use : Safety and efficacy of TESTIM in men with “age-related hypogonadism” have not been established. ( 1 ) Safety and efficacy of TESTIM in males less than 18 years old have not been established. ( 8.4 ) Topical testosterone products may have different doses, strengths, or application instructions that may result in different systemic exposure. ( 1 , 12.3 )
indications and usage tables exact
    is original packager
    1. true
    manufacturer names
    1. Endo USA, Inc.
    matched search terms
    1. tumors
    package ndcs
    1. 66887-001-05
    product ndcs
    1. 66887-001
    product types
    1. HUMAN PRESCRIPTION DRUG
    recent major changes exact
    1. ------------------------RECENT MAJOR CHANGES----------------------------- Warnings and Precautions, Venous Thromboembolism (5.3) 07/2025 Warnings and Precautions, Blood Pressure Increases (5.5) 07/2025 Warnings and Precautions, Cardiovascular Risk (5.5) Removed 07/2025 Warnings and Precautions, Venous Thromboembolism (5.3) 07/2025 Warnings and Precautions, Blood Pressure Increases (5.5) 07/2025 Warnings and Precautions, Cardiovascular Risk (5.5) Removed 07/2025
    record type
    complete_spl_indications_section_candidate
    routes
    1. TRANSDERMAL
    rxcuis
    1. 1597129
    2. 1597132
    source batch
    file
    /private/tmp/cancer-full-research/indications/raw/labels-00100.json
    meta
    disclaimer
    Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. We may limit or otherwise restrict your access to the API in line with our Terms of Service.
    last updated
    2026-09-09
    results
    limit
    100
    skip
    100
    total
    830
    sha256
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    url
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    source url
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    spl effective date
    2025-07-15
    spl effective time
    20250715
    spl set id
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    spl version
    29
    substance names
    1. TESTOSTERONE
    uniis
    1. 3XMK78S47O
    verification flags
    1. oncology_keyword_candidate_not_clinically_classified
    2. spl_text_not_verified_identical_to_latest_approved_label
    3. individual_indications_not_split_or_reconciled
    Drugs@FDA application source records
    1. application number
      NDA021454
      payload
      all indexed label documents
      1. Appl No
        021454
        Application Docs Date
        2002-10-31 00:00:00
        Application Docs ID
        15513
        Application Docs Title
        0
        Application Docs Type ID
        2
        Submission No
        1
        Submission Type
        ORIG
      2. Appl No
        021454
        Application Docs Date
        2009-10-01 00:00:00
        Application Docs ID
        15514
        Application Docs Title
        0
        Application Docs Type ID
        2
        Submission No
        8
        Submission Type
        SUPPL
      3. Appl No
        021454
        Application Docs Date
        2014-06-23 00:00:00
        Application Docs ID
        15515
        Application Docs Title
        0
        Application Docs Type ID
        2
        Submission No
        21
        Submission Type
        SUPPL
      4. Appl No
        021454
        Application Docs Date
        2015-05-13 00:00:00
        Application Docs ID
        15516
        Application Docs Title
        0
        Application Docs Type ID
        2
        Submission No
        23
        Submission Type
        SUPPL
      5. Appl No
        021454
        Application Docs Date
        2011-11-30 00:00:00
        Application Docs ID
        36979
        Application Docs Title
        0
        Application Docs Type ID
        2
        Submission No
        14
        Submission Type
        SUPPL
      6. Appl No
        021454
        Application Docs Date
        2013-09-09 00:00:00
        Application Docs ID
        36980
        Application Docs Title
        0
        Application Docs Type ID
        2
        Submission No
        16
        Submission Type
        SUPPL
      7. Appl No
        021454
        Application Docs Date
        2016-11-01 00:00:00
        Application Docs ID
        45747
        Application Docs Title
        0
        Application Docs Type ID
        2
        Submission No
        24
        Submission Type
        SUPPL
      8. Appl No
        021454
        Application Docs Date
        2019-05-15 00:00:00
        Application Docs ID
        58736
        Application Docs Title
        0
        Application Docs Type ID
        2
        Submission No
        27
        Submission Type
        SUPPL
      9. Appl No
        021454
        Application Docs Date
        2020-12-01 00:00:00
        Application Docs ID
        65451
        Application Docs Title
        0
        Application Docs Type ID
        2
        Submission No
        30
        Submission Type
        SUPPL
      10. Appl No
        021454
        Application Docs Date
        2020-12-01 00:00:00
        Application Docs ID
        65452
        Application Docs Title
        0
        Application Docs Type ID
        2
        Submission No
        31
        Submission Type
        SUPPL
      11. Appl No
        021454
        Application Docs Date
        2021-08-22 00:00:00
        Application Docs ID
        68432
        Application Docs Title
        0
        Application Docs Type ID
        2
        Submission No
        25
        Submission Type
        SUPPL
      12. Appl No
        021454
        Application Docs Date
        2021-08-22 00:00:00
        Application Docs ID
        68433
        Application Docs Title
        0
        Application Docs Type ID
        2
        Submission No
        34
        Submission Type
        SUPPL
      all submission records
      1. Appl No
        021454
        Review Priority
        STANDARD
        Submission Class Code ID
        12
        Submission No
        1
        Submission Status
        AP
        Submission Status Date
        2002-10-31 00:00:00
        Submission Type
        ORIG
        Submissions Public Notes
      2. Appl No
        021454
        Review Priority
        STANDARD
        Submission Class Code ID
        3
        Submission No
        8
        Submission Status
        AP
        Submission Status Date
        2009-09-18 00:00:00
        Submission Type
        SUPPL
        Submissions Public Notes
      3. Appl No
        021454
        Review Priority
        N/A
        Submission Class Code ID
        21
        Submission No
        14
        Submission Status
        AP
        Submission Status Date
        2011-11-22 00:00:00
        Submission Type
        SUPPL
        Submissions Public Notes
      4. Appl No
        021454
        Review Priority
        STANDARD
        Submission Class Code ID
        3
        Submission No
        16
        Submission Status
        AP
        Submission Status Date
        2013-08-30 00:00:00
        Submission Type
        SUPPL
        Submissions Public Notes
      5. Appl No
        021454
        Review Priority
        STANDARD
        Submission Class Code ID
        4
        Submission No
        19
        Submission Status
        AP
        Submission Status Date
        2014-01-02 00:00:00
        Submission Type
        SUPPL
        Submissions Public Notes
      6. Appl No
        021454
        Review Priority
        N/A
        Submission Class Code ID
        21
        Submission No
        20
        Submission Status
        AP
        Submission Status Date
        2014-05-01 00:00:00
        Submission Type
        SUPPL
        Submissions Public Notes
      7. Appl No
        021454
        Review Priority
        STANDARD
        Submission Class Code ID
        3
        Submission No
        21
        Submission Status
        AP
        Submission Status Date
        2014-06-19 00:00:00
        Submission Type
        SUPPL
        Submissions Public Notes
      8. Appl No
        021454
        Review Priority
        STANDARD
        Submission Class Code ID
        4
        Submission No
        22
        Submission Status
        AP
        Submission Status Date
        2015-04-09 00:00:00
        Submission Type
        SUPPL
        Submissions Public Notes
      9. Appl No
        021454
        Review Priority
        901 REQUIRED
        Submission Class Code ID
        3
        Submission No
        23
        Submission Status
        AP
        Submission Status Date
        2015-05-11 00:00:00
        Submission Type
        SUPPL
        Submissions Public Notes
      10. Appl No
        021454
        Review Priority
        STANDARD
        Submission Class Code ID
        3
        Submission No
        24
        Submission Status
        AP
        Submission Status Date
        2016-10-25 00:00:00
        Submission Type
        SUPPL
        Submissions Public Notes
      11. Appl No
        021454
        Review Priority
        STANDARD
        Submission Class Code ID
        3
        Submission No
        25
        Submission Status
        AP
        Submission Status Date
        2021-08-20 00:00:00
        Submission Type
        SUPPL
        Submissions Public Notes
      12. Appl No
        021454
        Review Priority
        STANDARD
        Submission Class Code ID
        3
        Submission No
        27
        Submission Status
        AP
        Submission Status Date
        2019-05-10 00:00:00
        Submission Type
        SUPPL
        Submissions Public Notes
      application number
      NDA021454
      approval interpretation
      Application linkage and approved submission are not indication-level current approval verification
      current indication status
      not_reconciled
      has approved submission record
      true
      latest approved submission date
      2025-07-11
      latest label selection rule
      max FDA ApplicationDocsDate, including all ties; posting date is not approval date and latest indexed document may be incomplete
      latest posted label documents
      1. Appl No
        021454
        Application Docs Date
        2025-07-11 00:00:00
        Application Docs ID
        82847
        Application Docs Title
        0
        Application Docs Type ID
        2
        Submission No
        36
        Submission Type
        SUPPL
      official application record
      Appl No
      021454
      Appl Public Notes
      Appl Type
      NDA
      Sponsor Name
      ENDO OPERATIONS
      openfda application present
      true
      products
      1. Active Ingredient
        TESTOSTERONE
        Appl No
        021454
        Drug Name
        TESTIM
        Form
        GEL;TRANSDERMAL
        Product No
        001
        Reference Drug
        1
        Reference Standard
        1
        Strength
        50MG/5GM PACKET
        marketing status
        1. Prescription

    Source passages and status connections

    Passage classifications are automated and are not treatment recommendations. Connections apply only to their recorded indication scope.

    Passage 1 · positive indication candidate
    application numbers
    1. NDA021454
    brand names
    1. Testim
    classification reasons
    1. explicit_positive_indication_predicate
    2. no_tumor_directed_keyword_in_positive_statement
    clinical review status
    pending
    content role
    positive_indication_candidate
    context span
    end
    620
    end exclusive
    true
    exact text
    1 INDICATIONS AND USAGE TESTIM is indicated for testosterone replacement therapy in adult males for conditions associated with a deficiency or absence of endogenous testosterone: Primary hypogonadism (congenital or acquired): testicular failure due to cryptorchidism, bilateral torsion, orchitis, vanishing testis syndrome, orchiectomy, Klinefelter's syndrome, chemotherapy, or toxic damage from alcohol or heavy metals. These men usually have low serum testosterone concentrations and gonadotropins (follicle-stimulating hormone [FSH], luteinizing hormone [LH]) above the normal range. Hypogonadotropic hypogonadism (co
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    duplicate text group
    dup-7b4873ae7163cc721d93
    extraction review status
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    generic names
    1. TESTOSTERONE
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    qualifier mentions
    1. context exact
      TESTIM is indicated for testosterone replacement therapy in adult males for conditions associated with a deficiency or absenc
      kind
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      end exclusive
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      exact text
      adult
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    regulatory links
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      source defined aliases
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        exact text
        1 INDICATIONS AND USAGE TESTIM is indicated for testosterone replacement therapy in adult males for conditions associated with a deficiency or absence of endogenous testosterone: Primary hypogonadism (congenital or acquired): testicular failure due to cryptorchidism, bilateral torsion, orchitis, vanishing testis syndrome, orchiectomy, Klinefelter's syndrome, chemotherapy, or toxic damage from alcohol or heavy metals.
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        spl effective date
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        spl set id
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        spl version
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        structured fields status
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        structured indication
        age
        Source null
        approval pathway
        Source null
        biomarker and test
        Source null
        disease stage
        Source null
        limitations
        Source null
        line
        Source null
        prior therapy
        Source null
        regimen
        Source null
        tumor histology
        Source null
        use intent
        non_oncology_or_unclear_candidate
        Passage 2 · unclassified context
        application numbers
        1. NDA021454
        brand names
        1. Testim
        classification reasons
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        clinical review status
        pending
        content role
        unclassified_context
        context span
        end
        786
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        true
        exact text
        ed): testicular failure due to cryptorchidism, bilateral torsion, orchitis, vanishing testis syndrome, orchiectomy, Klinefelter's syndrome, chemotherapy, or toxic damage from alcohol or heavy metals. These men usually have low serum testosterone concentrations and gonadotropins (follicle-stimulating hormone [FSH], luteinizing hormone [LH]) above the normal range. Hypogonadotropic hypogonadism (congenital or acquired): gonadotropin or luteinizing hormone-releasing hormone (LHRH) deficiency or pituitary-hypothalamic injury from tumors, trauma, or radiation. The
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        duplicate text group
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        generic names
        1. TESTOSTERONE
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        label id
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        positive predicate support span
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              These men usually have low serum testosterone concentrations and gonadotropins (follicle-stimulating hormone [FSH], luteinizing hormone [LH]) above the normal range.
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                                                TESTIM is an androgen indicated for testosterone replacement therapy in males for conditions associated with a deficiency or absence of endogenous testosterone: Primary Hypogonadism (Congenital or Acquired) ( 1 ) Hypogonadotropic Hypogonadism ( 1 ) Limitations of Use : Safety and efficacy of TESTIM in men with “age-related hypogonadism” have not been established.
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                                                    ( 1 ) Safety and efficacy of TESTIM in males less than 18 years old have not been established.
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                                                    of Use : Safety and efficacy of TESTIM in men with “age-related hypogonadism” have not been established. ( 1 ) Safety and efficacy of TESTIM in males less than 18 years old have not been established. ( 8.4 ) Topical testosterone products may have different doses, strengths, or application instructions that may result in different systemic exposure. ( 1 , 12.3 )
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                                                          ( 8.4 ) Topical testosterone products may have different doses, strengths, or application instructions that may result in different systemic exposure.
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                                                          ess than 18 years old have not been established. ( 8.4 ) Topical testosterone products may have different doses, strengths, or application instructions that may result in different systemic exposure. ( 1 , 12.3 )
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                                                                ( 1 , 12.3 )
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                                                                biomarker and test
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                                                                disease stage
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                                                                limitations
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                                                                line
                                                                Source null
                                                                prior therapy
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                                                                regimen
                                                                Source null
                                                                tumor histology
                                                                Source null
                                                                use intent
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                                                                Preserved source evidence · Not medical advice