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Effect of Testosterone in Men With Erectile Dysfunction

Androgen Modulation of Response to Selective Phosphodiesterase Inhibitors in Erectile Dysfunction

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00512707
Acronym
TED
Enrollment
140
Registered
2007-08-08
Start date
2006-11-30
Completion date
2010-05-31
Last updated
2017-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Diabetes, Erectile Dysfunction, Testosterone Deficiency

Keywords

testosterone, erectile dysfunction, sildenafil

Brief summary

The purpose of this placebo-controlled study is to determine if testosterone replacement therapy, administered by transdermal gel, can improve the response to sildenafil (Viagra R) treatment in men who have erectile dysfunction (ED) and low testosterone levels.

Detailed description

This is a double-blind, placebo-controlled, parallel-group, randomized clinical trial in men, 40-70 years of age, who present with mild to moderate erectile dysfunction and have androgen deficiency defined as serum total testosterone level below 300 ng/dL, measured by liquid chromatography tandem mass spectrometry, LC-MS/MS (15) and/or free testosterone level (measured by equilibrium dialysis) below 50 pg/ml. Sexual function assessments will include validated erectile function questionnaires (IIEF), sexual activity diaries, sexual desire, partner interaction and intimacy, affects balance scale, mood, ED-related quality of life, and penile rigidity in response to a visual erotic stimulus. The initial assessment will be made prior to treatment with sildenafil citrate, i.e., in subjects who are naïve to or withdrawn from PDE5 inhibitors and/or testosterone. Participants will then be allotted three sildenafil citrate tablets per week (12 pills per month), but will not use more than one tablet within any 24-hour period. During the Sildenafil-Dose Optimization period, subjects naïve to sildenafil citrate will start with a 50 mg dose. Those who have used sildenafil citrate in the past will take the same dose that was found to be efficacious for them. After three weeks, the dose of sildenafil citrate will be increased to 100-mg in non-responders. For those who cannot tolerate the 50-mg dose, a dose of 25 mg will be given. After three weeks on the optimized dose of sildenafil citrate, subjects will undergo a second evaluation of sexual function. They will then be randomly assigned to receive this optimized dose of sildenafil citrate with either placebo gel (15 g per day) or active testosterone gel (10 g active gel + 5 g placebo gel per day). The daily dose of active testosterone gel was selected to increase average serum into the upper-half of the normal range for healthy, young men (e.g., 500-1000 ng/dL). In order to assure that serum testosterone levels are in the target range (500-1000 ng/dL), testosterone dose will be adjusted by an unblinded individual two to three weeks after initiation of testosterone/placebo treatment, based on the measurement of serum testosterone levels. If the average testosterone level is less than 500 ng/dL, the daily dose will be increased to 15g of active gel. If the average testosterone is greater than 1,000 ng/dL, the daily dose will be decreased to 5 g of active gel (and 10 g of placebo gel). This dose adjustment will take effect at week 4 (day 28) of treatment. Subjects will be treated for an additional 12-weeks with sildenafil citrate and the optimized dose of testosterone gel or placebo gel. Sexual function will be evaluated at the end of this treatment period.

Interventions

DRUGSildenafil citrate (open label)

On demand use of sildenafil citrate (3 tablets per week). Starting dose of 50 mg. Titrated to 100 mg or 25 mg depending on efficacy and tolerability. Begins as open label run in period for 3 - 6 weeks, and continues during the placebo-controlled testosterone gel intervention for 16 weeks.

DRUGTestosterone gel

Testosterone Gel 1%: Starting active dose 10 g/day. Increased to 15 g/day or decreased to 5 g/day in order to attain morning total testosterone level between 500 - 1000 ng/dL. Blinding achieved by combining a total of 3 tubes of active or placebo gel, applied to upper arms and shoulders each day.

OTHERPlacebo gel

3 tubes of placebo gel equivalent to the amount of the testosterone gel will be applied during the placebo-controlled testosterone gel intervention for 16 weeks..

Sponsors

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
CollaboratorNIH
Boston University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
MALE
Age
40 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

* Men, 40-70 years of age, in a stable relationship, with mild to moderate erectile dysfunction for at least 6 months; defined as an IIEF-EF domain score between 11 and 25 (mild to moderate ED) * Neutral or extremely dissatisfied with one's sex life * Presence of androgen deficiency defined as serum total testosterone level less than 300 ng/dL (measured by LC-MS/MS) and/or free testosterone level (measured by equilibrium dialysis) less than 50 pg/ml. * Able to understand the nature of the study and provide written, informed consent

Exclusion criteria

* Contraindication for use of testosterone, e.g., history of prostate or breast cancer * benign prostatic hyperplasia with AUA/IPSS symptom scores of 21 or greater * erythrocytosis (hematocrit \>50% at baseline) * untreated, severe sleep apnea * serum PSA levels \>4 ug/L will be excluded unless they have had a urologic evaluation in the past three months to exclude prostate cancer. * Contraindication for use of sildenafil, e.g., symptomatic coronary artery disease taking long-acting or short-acting nitrate drugs on a regular basis. * Symptomatic postural hypotension * Congestive heart failure with class III or IV symptoms * History of myocardial infarction or stroke within the past six months * Primary diagnosis of another sexual disorder such as premature ejaculation * AST, ALT, alkaline phosphatase elevation greater than three times the upper limit of normal, creatinine greater than 2 mg/dL. * Currently taking testosterone or oral androgen precursors; unless willing to discontinue their use for 4 weeks (oral precursors or transdermal testosterone patch or gel) or 6 weeks (if injectable testosterone) before the initial screen visit. * Currently taking medications that affect androgen metabolism, action, or clearance (dilantin, phenobarbital, aldactone, flutamide, finasteride). * Uncontrolled diabetes mellitus or diabetes mellitus, e.g., if their baseline hemoglobin A1C is less than 8.5%. * Structural abnormalities of the penis, including Peyronie's disease, will be excluded. * Men who are taking medications for erectile dysfunction, including sildenafil, must stop using these medications for at least 4 weeks before starting Visit 2. * DSM-IV criteria for an Axis I psychiatric disorder within the past year, including depression; use of psychotropic medication for at least six months, or dementia is also an exclusion.

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Erectile Function Domain Score of the International Index of Erectile Function (IIEF)Week 0, week 8, week 11, week 14IIEF is a validated, 15-item questionnaire that assesses 5 domains of sexual function: erectile function (range 1-30), orgasmic function (range 0-10), sexual desire (range 2-10), intercourse satisfaction (range 0-15), and overall sexual satisfaction (range 2-10). Each question was answered on a 6-point or 5-point scale from 0/1 to 5 (best) with Erectile Function domain range of 1 to 30 with higher scores representing better function.

Secondary

MeasureTime frameDescription
Change From Baseline in Men's Sexual Health Questionnaire (MSHQ)Week 0, Week 8, Week 14MSHQ, a 25-item questionnaire, assesses sexual function and satisfaction. It consists 5 domains: Erection (3 items, ranging from 0 to 15 (best)), Ejaculation (7 items, ranging from 1 to 35 (best)), Satisfaction (6 items, ranging from 6 to 30 (best)), Sexual desire (4 items, ranging 4-20 (best)), and Sexual activity (3 items, ranging 3-15 (best)). A composite score is the sum of Ejaculation and Satisfaction domains, ranging from 7 to 65 (best), with higher score representing better sexual function and satisfaction.
Change From Baseline in Psychological General Well-Being Index Score (PGWBI)Week 0, Week 8, Week 14Well-being and mood were assessed using the Psychological General Well-Being Index (PGWBI), a 22-item questionnaire that evaluated six dimensions of self-reported wellness: Anxiety (5 questions), Depressed Mood (3 questions), Positive Well-Being (4 questions), Self Control (3 questions), General Health (3 questions), and Vitality (4 questions). Higher scores in each dimension reflect increasing well-being. A global score (ranging from 0 (poor QoL) to 110 (good QoL)) was calculated as the sum of each domain score. The global score and those of its 6 dimensions were normalized to a 100% scale to facilitate comparison.
Change From Baseline in Derogatis Affects Balance Scale (DABS)Week 0, Week 8, Week 14The Derogatis Affects Balance Scale (DABS) is a 40-item mood inventory and consists of 4 positive affect dimensions (joy, contentment, vigor, and affection) as well as 4 negative affect dimensions(anxiety, depression, guilt, and hostility). Each domain was calculated as the sum of 5-items and could range from 0 to 20, wherein higher scores indicate greater affectivity.
Change From Baseline in Positive Affects Ratio (PAR) of Derogatis Affects Balance Scale (DABS)Week 0, Week 8, Week 14The Derogatis Affects Balance Scale (DABS) is a 40-item mood inventory and consists of 4 positive affect dimensions (joy, contentment, vigor, and affection) as well as 4 negative affect dimensions(anxiety, depression, guilt, and hostility). Positive Affects Ratio (PAR), ranging from 0 to 1, is the proportion of total scores (sum of all 8 domains) that is positive (sum of 4 positive domains). Higher PAR represents better affectivity.
Change From Baseline in Other Domains of International Index of Erectile Function (IIEF)Week 0, week 8, week 11, week 14IIEF is a validated, 15-item questionnaire that assesses 5 domains of sexual function: erectile function (range 1-30), orgasmic function (range 0-10), sexual desire (range 2-10), intercourse satisfaction (range 0-15), and overall sexual satisfaction (range 2-10). Each question was answered on a 6-point or 5-point scale from 0/1 to 5 (best) with a total possible score (sum of 5 domains) range of 5 to 75 with higher scores representing better function.
Change From Baseline in Sexual Encounter Profile (SEP)Week 0, week 8, week 14Sexual Encounter Profile (SEP) diaries were used to assess frequency of sexual activity, sildenafil use, vaginal penetration, completion of intercourse with ejaculation, and overall satisfaction with sexual encounters. Minimum value is 0 with no maximum limit, wherein higher values representing better sexual encounter.
Change From Baseline in Successful Sexual Intercourse of Sexual Encounter Profile (SEP)Week 0, week 8, week 14Sexual Encounter Profile (SEP) diaries were used to assess frequency of sexual activity, sildenafil use, vaginal penetration, completion of intercourse with ejaculation, and overall satisfaction with sexual encounters. Higher percentage of Ejaculations or Satisfaction in successful sexual intercourse represents better sexual function.
Change From Baseline in Quality of Life Specific to Male Erection Difficulties (QOL-MED)Week 0, Week 8, Week 14The Quality of Life for men with Erection Difficulties (QOL-MED) is a cross-cultural instrument to measure quality of life specific to male erection difficulties. The 18 items for this scale were generated from interviews with men with erection difficulties by TH Wagner in 1996. Higher QOL-MED scores reflect better quality of life. Scores were standardized to range of 0 to 100.
Change From Baseline in Marital Interaction Scale of CAncer Rehabilitation Evaluation System-Short Form (CARES-SF)Week 0, Week 8, Week 14CAncer Rehabilitation Evaluation System-short form (CARES-SF) marital interaction scale consists of 6 items (range from 0 (best) to 4) and mean of these 6 questions was used to determine intimacy and partner interaction. Lower CARES-SF scores correspond with improved marital interaction.

Other

MeasureTime frameDescription
Change From Baseline in Sex Hormone Binding Globulin (SHBG)Week 0, Week 14
Change From Baseline in Free TestosteroneWeek 0, Week 14Free testosterone levels were calculated from total testosterone at screening and equilibrium dialysis at randomization and at trial end.
Change From Baseline in Total TestosteroneWeek 0, Week 14Total testosterone levels were measured between 7:30 and 10:10 a.m. using a liquid chromatography-tandem mass spectrometry assay certified by the Centers for Disease Control and Prevention's Hormone Standardization Program.

Countries

United States

Participant flow

Participants by arm

ArmCount
Testosterone
Active Testosterone Gel Sildenafil citrate (open label): On demand use of sildenafil citrate (3 tablets per week). Starting dose of 50 mg. Titrated to 100 mg or 25 mg depending on efficacy and tolerability. Begins as open label run in period for 3 - 6 weeks, and continues during the placebo-controlled testosterone gel intervention for 16 weeks. Testosterone gel 1% (active or placebo): Testosterone Gel 1%: Starting active dose 10 g/day. Increased to 15 g/day or decreased to 5 g/day in order to attain morning total testosterone level between 500 - 1000 ng/dL. Blinding achieved by combining a total of 3 tubes of active or placebo gel, applied to upper arms and shoulders each day. Topical testosterone gel 1%: Testosterone Gel: Starting dose 10 g/day. Increased to 15 g/day or decreased to 5 g/day in order to attain morning total testosterone level between 500 - 1000 ng/dL. Blinded achieved by combining a total of 3 tubes of active or placebo gel.
70
Placebo
Placebo Gel Sildenafil citrate (open label): On demand use of sildenafil citrate (3 tablets per week). Starting dose of 50 mg. Titrated to 100 mg or 25 mg depending on efficacy and tolerability. Begins as open label run in period for 3 - 6 weeks, and continues during the placebo-controlled testosterone gel intervention for 16 weeks. Testosterone gel 1% (active or placebo): Testosterone Gel 1%: Starting active dose 10 g/day. Increased to 15 g/day or decreased to 5 g/day in order to attain morning total testosterone level between 500 - 1000 ng/dL. Blinding achieved by combining a total of 3 tubes of active or placebo gel, applied to upper arms and shoulders each day.
70
Total140

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyDeveloped a hematocrit exceeding 0.5420
Overall StudyDeveloped skin irritation21
Overall StudyLost to Follow-up511
Overall StudyUnable to tolerate the smell of the gel10

Baseline characteristics

CharacteristicTestosteroneTotalPlacebo
Age, Continuous55.1 years
STANDARD_DEVIATION 8.3
54.9 years
STANDARD_DEVIATION 8.4
54.6 years
STANDARD_DEVIATION 8.5
BMI31.5 kg/m^2
STANDARD_DEVIATION 6.4
32.1 kg/m^2
STANDARD_DEVIATION 6.2
32.7 kg/m^2
STANDARD_DEVIATION 6
Cardiovascular disease35 Participants67 Participants32 Participants
Derogatis Affects Balance Scale (DABS)
Affection
14.4 units on a scale
STANDARD_DEVIATION 3.6
14.3 units on a scale
STANDARD_DEVIATION 3.7
14.2 units on a scale
STANDARD_DEVIATION 3.8
Derogatis Affects Balance Scale (DABS)
Anxiety
5.4 units on a scale
STANDARD_DEVIATION 3.5
5.8 units on a scale
STANDARD_DEVIATION 3.4
6.2 units on a scale
STANDARD_DEVIATION 3.1
Derogatis Affects Balance Scale (DABS)
Contentment
13.1 units on a scale
STANDARD_DEVIATION 2.9
12.9 units on a scale
STANDARD_DEVIATION 3.2
12.8 units on a scale
STANDARD_DEVIATION 3.6
Derogatis Affects Balance Scale (DABS)
Depression
3.9 units on a scale
STANDARD_DEVIATION 3.3
4.3 units on a scale
STANDARD_DEVIATION 3.5
4.7 units on a scale
STANDARD_DEVIATION 3.7
Derogatis Affects Balance Scale (DABS)
Guilt
4.1 units on a scale
STANDARD_DEVIATION 3.7
4.3 units on a scale
STANDARD_DEVIATION 3.8
4.4 units on a scale
STANDARD_DEVIATION 3.9
Derogatis Affects Balance Scale (DABS)
Hostiity
4.5 units on a scale
STANDARD_DEVIATION 3.5
4.7 units on a scale
STANDARD_DEVIATION 3.6
4.8 units on a scale
STANDARD_DEVIATION 3.7
Derogatis Affects Balance Scale (DABS)
Joy
13.0 units on a scale
STANDARD_DEVIATION 3.2
13.0 units on a scale
STANDARD_DEVIATION 3.8
12.9 units on a scale
STANDARD_DEVIATION 4.3
Derogatis Affects Balance Scale (DABS)
Vigor
12.2 units on a scale
STANDARD_DEVIATION 3.2
12.2 units on a scale
STANDARD_DEVIATION 3.7
12.3 units on a scale
STANDARD_DEVIATION 4.1
Diabetes mellitus13 Participants27 Participants14 Participants
Free testosterone level45 pg/mL
STANDARD_DEVIATION 15
46 pg/mL
STANDARD_DEVIATION 15
47 pg/mL
STANDARD_DEVIATION 16
Hypertension29 Participants56 Participants27 Participants
International Index of Erectile Function (IIEF)
Composite IIEF
33 units on a scale
STANDARD_DEVIATION 13
33 units on a scale
STANDARD_DEVIATION 13
33 units on a scale
STANDARD_DEVIATION 14
International Index of Erectile Function (IIEF)
Erectile function
12.2 units on a scale
STANDARD_DEVIATION 5.9
12.1 units on a scale
STANDARD_DEVIATION 6.2
12.0 units on a scale
STANDARD_DEVIATION 6.5
International Index of Erectile Function (IIEF)
Intercourse satisfaction
6.1 units on a scale
STANDARD_DEVIATION 3.4
6.0 units on a scale
STANDARD_DEVIATION 3.5
6.0 units on a scale
STANDARD_DEVIATION 3.6
International Index of Erectile Function (IIEF)
Orgasmic function
5.1 units on a scale
STANDARD_DEVIATION 3
5.3 units on a scale
STANDARD_DEVIATION 3.1
5.4 units on a scale
STANDARD_DEVIATION 3.1
International Index of Erectile Function (IIEF)
Overall satisfaction
4.3 units on a scale
STANDARD_DEVIATION 1.9
4.4 units on a scale
STANDARD_DEVIATION 2
4.5 units on a scale
STANDARD_DEVIATION 2.1
International Index of Erectile Function (IIEF)
Sexual desire
5.6 units on a scale
STANDARD_DEVIATION 1.9
5.6 units on a scale
STANDARD_DEVIATION 1.9
5.6 units on a scale
STANDARD_DEVIATION 1.9
Male Sexual Health Questionnaire (MSHQ)
Composite MSHQ
41.7 units on a scale
STANDARD_DEVIATION 9.6
41.2 units on a scale
STANDARD_DEVIATION 10.1
40.8 units on a scale
STANDARD_DEVIATION 10.6
Male Sexual Health Questionnaire (MSHQ)
Ejaculation
22.2 units on a scale
STANDARD_DEVIATION 6.6
22.2 units on a scale
STANDARD_DEVIATION 7
22.2 units on a scale
STANDARD_DEVIATION 7.3
Male Sexual Health Questionnaire (MSHQ)
Erection
6.7 units on a scale
STANDARD_DEVIATION 1.9
6.8 units on a scale
STANDARD_DEVIATION 1.9
6.9 units on a scale
STANDARD_DEVIATION 1.8
Male Sexual Health Questionnaire (MSHQ)
Sexual activity
5.5 units on a scale
STANDARD_DEVIATION 1.4
5.5 units on a scale
STANDARD_DEVIATION 1.4
5.6 units on a scale
STANDARD_DEVIATION 1.5
Male Sexual Health Questionnaire (MSHQ)
Sexual desire
8.6 units on a scale
STANDARD_DEVIATION 2.4
8.6 units on a scale
STANDARD_DEVIATION 2.4
8.6 units on a scale
STANDARD_DEVIATION 2.5
Male Sexual Health Questionnaire (MSHQ)
Sexual satisfaction
19.5 units on a scale
STANDARD_DEVIATION 5.7
19.1 units on a scale
STANDARD_DEVIATION 5.8
18.7 units on a scale
STANDARD_DEVIATION 6
Marital Interaction scale in CAncer Rehabilitation Evaluation System-Short Form (CARES-SF)0.91 units on a scale
STANDARD_DEVIATION 0.82
0.85 units on a scale
STANDARD_DEVIATION 0.8
0.79 units on a scale
STANDARD_DEVIATION 0.78
Positive Affect Ratio (PAR) in Derogatis Affects Balance Scale (DABS)0.75 ratios
STANDARD_DEVIATION 0.14
0.74 ratios
STANDARD_DEVIATION 0.15
0.74 ratios
STANDARD_DEVIATION 0.16
Psychological Global Well-Being Index (PGWBI)
Anxiety
75 units on a scale
STANDARD_DEVIATION 15
74 units on a scale
STANDARD_DEVIATION 17
72 units on a scale
STANDARD_DEVIATION 18
Psychological Global Well-Being Index (PGWBI)
Depressed mood
86 units on a scale
STANDARD_DEVIATION 14
84 units on a scale
STANDARD_DEVIATION 14
83 units on a scale
STANDARD_DEVIATION 15
Psychological Global Well-Being Index (PGWBI)
General health
73 units on a scale
STANDARD_DEVIATION 16
73 units on a scale
STANDARD_DEVIATION 17
73 units on a scale
STANDARD_DEVIATION 17
Psychological Global Well-Being Index (PGWBI)
Global score
73 units on a scale
STANDARD_DEVIATION 12
73 units on a scale
STANDARD_DEVIATION 13
72 units on a scale
STANDARD_DEVIATION 14
Psychological Global Well-Being Index (PGWBI)
Positive well-being
62 units on a scale
STANDARD_DEVIATION 17
61 units on a scale
STANDARD_DEVIATION 18
61 units on a scale
STANDARD_DEVIATION 19
Psychological Global Well-Being Index (PGWBI)
Self-control
85 units on a scale
STANDARD_DEVIATION 13
85 units on a scale
STANDARD_DEVIATION 14
84 units on a scale
STANDARD_DEVIATION 14
Psychological Global Well-Being Index (PGWBI)
Vitality
65 units on a scale
STANDARD_DEVIATION 15
65 units on a scale
STANDARD_DEVIATION 17
65 units on a scale
STANDARD_DEVIATION 19
Quality of Life Specific to Male Erection Difficulties (QOL-MED)47 units on a scale
STANDARD_DEVIATION 25
49 units on a scale
STANDARD_DEVIATION 26
51 units on a scale
STANDARD_DEVIATION 26
Race/Ethnicity, Customized
Race
Black
28 Participants61 Participants33 Participants
Race/Ethnicity, Customized
Race
Other
4 Participants9 Participants5 Participants
Race/Ethnicity, Customized
Race
White
36 Participants68 Participants32 Participants
Sex/Gender, Customized
Male
70 Participants140 Participants70 Participants
Sexual Encounter Profile (SEP)
Ejaculations
0.92 events/week
STANDARD_DEVIATION 1.11
1.02 events/week
STANDARD_DEVIATION 1.13
1.14 events/week
STANDARD_DEVIATION 1.15
Sexual Encounter Profile (SEP)
Overall satisfied with sexual encounters
0.49 events/week
STANDARD_DEVIATION 0.71
0.76 events/week
STANDARD_DEVIATION 1.12
1.07 events/week
STANDARD_DEVIATION 1.39
Sexual Encounter Profile (SEP)
Sexual encounter attempts
2.5 events/week
STANDARD_DEVIATION 1.4
2.4 events/week
STANDARD_DEVIATION 1.3
2.3 events/week
STANDARD_DEVIATION 1.3
Sexual Encounter Profile (SEP)
Vaginal penetrations
1.5 events/week
STANDARD_DEVIATION 1.3
1.4 events/week
STANDARD_DEVIATION 1.2
1.4 events/week
STANDARD_DEVIATION 1.1
Successful sexual Intercourse in Sexual Encounter Profile (SEP)
Successful sexual Intercourse(Ejaculations)
36 percentage of successful intercourse
STANDARD_DEVIATION 40
45 percentage of successful intercourse
STANDARD_DEVIATION 43
54 percentage of successful intercourse
STANDARD_DEVIATION 45
Successful sexual Intercourse in Sexual Encounter Profile (SEP)
Successful Sexual Intercourse (Satisfaction)
22 percentage of successful intercourse
STANDARD_DEVIATION 34
31 percentage of successful intercourse
STANDARD_DEVIATION 40
40 percentage of successful intercourse
STANDARD_DEVIATION 45
Total testosterone level248 ng/dL
STANDARD_DEVIATION 62
251 ng/dL
STANDARD_DEVIATION 65
254 ng/dL
STANDARD_DEVIATION 68
Total testosterone level <250 ng/dL31 Participants59 Participants28 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 700 / 70
other
Total, other adverse events
27 / 7013 / 70
serious
Total, serious adverse events
2 / 704 / 70

Outcome results

Primary

Change From Baseline in Erectile Function Domain Score of the International Index of Erectile Function (IIEF)

IIEF is a validated, 15-item questionnaire that assesses 5 domains of sexual function: erectile function (range 1-30), orgasmic function (range 0-10), sexual desire (range 2-10), intercourse satisfaction (range 0-15), and overall sexual satisfaction (range 2-10). Each question was answered on a 6-point or 5-point scale from 0/1 to 5 (best) with Erectile Function domain range of 1 to 30 with higher scores representing better function.

Time frame: Week 0, week 8, week 11, week 14

Population: All available data expressed as absolute value at the given time-point.

ArmMeasureGroupValue (MEAN)Dispersion
TestosteroneChange From Baseline in Erectile Function Domain Score of the International Index of Erectile Function (IIEF)Erectile function at week 019.6 units on a scaleStandard Deviation 7.2
TestosteroneChange From Baseline in Erectile Function Domain Score of the International Index of Erectile Function (IIEF)Erectile function at week 821.3 units on a scaleStandard Deviation 7.4
TestosteroneChange From Baseline in Erectile Function Domain Score of the International Index of Erectile Function (IIEF)Erectile function at week 1122.5 units on a scaleStandard Deviation 7
TestosteroneChange From Baseline in Erectile Function Domain Score of the International Index of Erectile Function (IIEF)Erectile function at week 1421.7 units on a scaleStandard Deviation 7.9
PlaceboChange From Baseline in Erectile Function Domain Score of the International Index of Erectile Function (IIEF)Erectile function at week 1419.8 units on a scaleStandard Deviation 8.6
PlaceboChange From Baseline in Erectile Function Domain Score of the International Index of Erectile Function (IIEF)Erectile function at week 020.1 units on a scaleStandard Deviation 7.2
PlaceboChange From Baseline in Erectile Function Domain Score of the International Index of Erectile Function (IIEF)Erectile function at week 1120.1 units on a scaleStandard Deviation 8.5
PlaceboChange From Baseline in Erectile Function Domain Score of the International Index of Erectile Function (IIEF)Erectile function at week 821.3 units on a scaleStandard Deviation 8
Secondary

Change From Baseline in Derogatis Affects Balance Scale (DABS)

The Derogatis Affects Balance Scale (DABS) is a 40-item mood inventory and consists of 4 positive affect dimensions (joy, contentment, vigor, and affection) as well as 4 negative affect dimensions(anxiety, depression, guilt, and hostility). Each domain was calculated as the sum of 5-items and could range from 0 to 20, wherein higher scores indicate greater affectivity.

Time frame: Week 0, Week 8, Week 14

Population: All available data expressed as absolute value at the given time-point.

ArmMeasureGroupValue (MEAN)Dispersion
TestosteroneChange From Baseline in Derogatis Affects Balance Scale (DABS)Contentment at week 1413.3 units on a scaleStandard Deviation 3.2
TestosteroneChange From Baseline in Derogatis Affects Balance Scale (DABS)Hostility at week 84.6 units on a scaleStandard Deviation 3.3
TestosteroneChange From Baseline in Derogatis Affects Balance Scale (DABS)Joy at week 012.7 units on a scaleStandard Deviation 3.3
TestosteroneChange From Baseline in Derogatis Affects Balance Scale (DABS)Joy at week 813.1 units on a scaleStandard Deviation 3.1
TestosteroneChange From Baseline in Derogatis Affects Balance Scale (DABS)Joy at week 1413.2 units on a scaleStandard Deviation 3.2
TestosteroneChange From Baseline in Derogatis Affects Balance Scale (DABS)Contentment at week 012.8 units on a scaleStandard Deviation 3.2
TestosteroneChange From Baseline in Derogatis Affects Balance Scale (DABS)Contentment at week 813.4 units on a scaleStandard Deviation 2.8
TestosteroneChange From Baseline in Derogatis Affects Balance Scale (DABS)Guilt at week 83.7 units on a scaleStandard Deviation 3.6
TestosteroneChange From Baseline in Derogatis Affects Balance Scale (DABS)Vigor at week 011.8 units on a scaleStandard Deviation 3.3
TestosteroneChange From Baseline in Derogatis Affects Balance Scale (DABS)Vigor at week 812.5 units on a scaleStandard Deviation 3.1
TestosteroneChange From Baseline in Derogatis Affects Balance Scale (DABS)Vigor at week 1412.6 units on a scaleStandard Deviation 3.6
TestosteroneChange From Baseline in Derogatis Affects Balance Scale (DABS)Affection at week 013.9 units on a scaleStandard Deviation 3.3
TestosteroneChange From Baseline in Derogatis Affects Balance Scale (DABS)Affection at week 814.2 units on a scaleStandard Deviation 3.4
TestosteroneChange From Baseline in Derogatis Affects Balance Scale (DABS)Affection at week 1414.2 units on a scaleStandard Deviation 3.9
TestosteroneChange From Baseline in Derogatis Affects Balance Scale (DABS)Depression at week 04.1 units on a scaleStandard Deviation 3.9
TestosteroneChange From Baseline in Derogatis Affects Balance Scale (DABS)Depression at week 84.1 units on a scaleStandard Deviation 3.5
TestosteroneChange From Baseline in Derogatis Affects Balance Scale (DABS)Depression at week 144.2 units on a scaleStandard Deviation 4
TestosteroneChange From Baseline in Derogatis Affects Balance Scale (DABS)Anxiety at week 04.9 units on a scaleStandard Deviation 3.3
TestosteroneChange From Baseline in Derogatis Affects Balance Scale (DABS)Anxiety at week 85.1 units on a scaleStandard Deviation 3.4
TestosteroneChange From Baseline in Derogatis Affects Balance Scale (DABS)Anxiety at week 144.9 units on a scaleStandard Deviation 3.5
TestosteroneChange From Baseline in Derogatis Affects Balance Scale (DABS)Guilt at week 03.4 units on a scaleStandard Deviation 3.6
TestosteroneChange From Baseline in Derogatis Affects Balance Scale (DABS)Guilt at week 143.8 units on a scaleStandard Deviation 4.1
TestosteroneChange From Baseline in Derogatis Affects Balance Scale (DABS)Hostility at week 04.7 units on a scaleStandard Deviation 3.4
TestosteroneChange From Baseline in Derogatis Affects Balance Scale (DABS)Hostility at week 144.7 units on a scaleStandard Deviation 3.9
PlaceboChange From Baseline in Derogatis Affects Balance Scale (DABS)Anxiety at week 145.8 units on a scaleStandard Deviation 3.8
PlaceboChange From Baseline in Derogatis Affects Balance Scale (DABS)Affection at week 1414.5 units on a scaleStandard Deviation 3.7
PlaceboChange From Baseline in Derogatis Affects Balance Scale (DABS)Hostility at week 04.3 units on a scaleStandard Deviation 3.7
PlaceboChange From Baseline in Derogatis Affects Balance Scale (DABS)Joy at week 013.1 units on a scaleStandard Deviation 3.4
PlaceboChange From Baseline in Derogatis Affects Balance Scale (DABS)Depression at week 03.9 units on a scaleStandard Deviation 3.7
PlaceboChange From Baseline in Derogatis Affects Balance Scale (DABS)Joy at week 813.5 units on a scaleStandard Deviation 3.7
PlaceboChange From Baseline in Derogatis Affects Balance Scale (DABS)Guilt at week 04.1 units on a scaleStandard Deviation 3.9
PlaceboChange From Baseline in Derogatis Affects Balance Scale (DABS)Joy at week 1412.7 units on a scaleStandard Deviation 3.9
PlaceboChange From Baseline in Derogatis Affects Balance Scale (DABS)Depression at week 84.3 units on a scaleStandard Deviation 4.2
PlaceboChange From Baseline in Derogatis Affects Balance Scale (DABS)Contentment at week 013.2 units on a scaleStandard Deviation 3.3
PlaceboChange From Baseline in Derogatis Affects Balance Scale (DABS)Guilt at week 84.5 units on a scaleStandard Deviation 4.4
PlaceboChange From Baseline in Derogatis Affects Balance Scale (DABS)Contentment at week 813.7 units on a scaleStandard Deviation 3.5
PlaceboChange From Baseline in Derogatis Affects Balance Scale (DABS)Depression at week 144.1 units on a scaleStandard Deviation 3.8
PlaceboChange From Baseline in Derogatis Affects Balance Scale (DABS)Contentment at week 1412.8 units on a scaleStandard Deviation 4.2
PlaceboChange From Baseline in Derogatis Affects Balance Scale (DABS)Hostility at week 84.6 units on a scaleStandard Deviation 4.3
PlaceboChange From Baseline in Derogatis Affects Balance Scale (DABS)Vigor at week 012.0 units on a scaleStandard Deviation 3.6
PlaceboChange From Baseline in Derogatis Affects Balance Scale (DABS)Anxiety at week 05.5 units on a scaleStandard Deviation 3.8
PlaceboChange From Baseline in Derogatis Affects Balance Scale (DABS)Vigor at week 813.0 units on a scaleStandard Deviation 3.8
PlaceboChange From Baseline in Derogatis Affects Balance Scale (DABS)Guilt at week 143.7 units on a scaleStandard Deviation 3.8
PlaceboChange From Baseline in Derogatis Affects Balance Scale (DABS)Vigor at week 1412.6 units on a scaleStandard Deviation 4.1
PlaceboChange From Baseline in Derogatis Affects Balance Scale (DABS)Anxiety at week 85.6 units on a scaleStandard Deviation 3.7
PlaceboChange From Baseline in Derogatis Affects Balance Scale (DABS)Affection at week 014.6 units on a scaleStandard Deviation 3.4
PlaceboChange From Baseline in Derogatis Affects Balance Scale (DABS)Hostility at week 144.4 units on a scaleStandard Deviation 3.8
PlaceboChange From Baseline in Derogatis Affects Balance Scale (DABS)Affection at week 814.7 units on a scaleStandard Deviation 3.8
Secondary

Change From Baseline in Marital Interaction Scale of CAncer Rehabilitation Evaluation System-Short Form (CARES-SF)

CAncer Rehabilitation Evaluation System-short form (CARES-SF) marital interaction scale consists of 6 items (range from 0 (best) to 4) and mean of these 6 questions was used to determine intimacy and partner interaction. Lower CARES-SF scores correspond with improved marital interaction.

Time frame: Week 0, Week 8, Week 14

Population: All available data expressed as absolute value at the given time-point.

ArmMeasureGroupValue (MEAN)Dispersion
TestosteroneChange From Baseline in Marital Interaction Scale of CAncer Rehabilitation Evaluation System-Short Form (CARES-SF)CARES-SF: Marital relationship at week 00.79 units on a scaleStandard Deviation 0.7
TestosteroneChange From Baseline in Marital Interaction Scale of CAncer Rehabilitation Evaluation System-Short Form (CARES-SF)CARES-SF: Marital relationship at week 80.86 units on a scaleStandard Deviation 0.74
TestosteroneChange From Baseline in Marital Interaction Scale of CAncer Rehabilitation Evaluation System-Short Form (CARES-SF)CARES-SF: Marital relationship at week 140.81 units on a scaleStandard Deviation 0.81
PlaceboChange From Baseline in Marital Interaction Scale of CAncer Rehabilitation Evaluation System-Short Form (CARES-SF)CARES-SF: Marital relationship at week 00.74 units on a scaleStandard Deviation 0.77
PlaceboChange From Baseline in Marital Interaction Scale of CAncer Rehabilitation Evaluation System-Short Form (CARES-SF)CARES-SF: Marital relationship at week 80.79 units on a scaleStandard Deviation 0.95
PlaceboChange From Baseline in Marital Interaction Scale of CAncer Rehabilitation Evaluation System-Short Form (CARES-SF)CARES-SF: Marital relationship at week 140.79 units on a scaleStandard Deviation 0.79
Secondary

Change From Baseline in Men's Sexual Health Questionnaire (MSHQ)

MSHQ, a 25-item questionnaire, assesses sexual function and satisfaction. It consists 5 domains: Erection (3 items, ranging from 0 to 15 (best)), Ejaculation (7 items, ranging from 1 to 35 (best)), Satisfaction (6 items, ranging from 6 to 30 (best)), Sexual desire (4 items, ranging 4-20 (best)), and Sexual activity (3 items, ranging 3-15 (best)). A composite score is the sum of Ejaculation and Satisfaction domains, ranging from 7 to 65 (best), with higher score representing better sexual function and satisfaction.

Time frame: Week 0, Week 8, Week 14

Population: All available data expressed as absolute value at the given time-point.

ArmMeasureGroupValue (MEAN)Dispersion
TestosteroneChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Sexual desire at week 09.9 units on a scaleStandard Deviation 2.4
TestosteroneChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Ejaculation at week 828.3 units on a scaleStandard Deviation 4.6
TestosteroneChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Sexual desire at week 810.5 units on a scaleStandard Deviation 2.2
TestosteroneChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Erectile at week 146.9 units on a scaleStandard Deviation 3.2
TestosteroneChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Sexual desire at week 1410.5 units on a scaleStandard Deviation 2.6
TestosteroneChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Ejaculation at week 1428.4 units on a scaleStandard Deviation 5.4
TestosteroneChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Sexual activity at week 07.0 units on a scaleStandard Deviation 1.5
TestosteroneChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Erectile at week 86.3 units on a scaleStandard Deviation 3.8
TestosteroneChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Sexual activity at week 87.1 units on a scaleStandard Deviation 1.4
TestosteroneChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Sexual satisfaction at week 022.1 units on a scaleStandard Deviation 5.2
TestosteroneChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Sexual activity at week 147.0 units on a scaleStandard Deviation 1.6
TestosteroneChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Ejaculation at week 026.8 units on a scaleStandard Deviation 5.7
TestosteroneChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Composite MSHQ at week 048.8 units on a scaleStandard Deviation 9.1
TestosteroneChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Sexual satisfaction at week 822.3 units on a scaleStandard Deviation 5.2
TestosteroneChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Composite MSHQ at week 850.6 units on a scaleStandard Deviation 7.8
TestosteroneChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Erectile at week 05.3 units on a scaleStandard Deviation 3.4
TestosteroneChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Composite MSHQ at week 1451.1 units on a scaleStandard Deviation 9.4
TestosteroneChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Sexual satisfaction at week 1422.5 units on a scaleStandard Deviation 6.3
PlaceboChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Composite MSHQ at week 1448.5 units on a scaleStandard Deviation 10.5
PlaceboChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Erectile at week 05.9 units on a scaleStandard Deviation 2.9
PlaceboChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Erectile at week 86.9 units on a scaleStandard Deviation 3.7
PlaceboChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Erectile at week 147.2 units on a scaleStandard Deviation 3.6
PlaceboChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Ejaculation at week 026.1 units on a scaleStandard Deviation 7.1
PlaceboChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Ejaculation at week 827.8 units on a scaleStandard Deviation 5.9
PlaceboChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Ejaculation at week 1426.9 units on a scaleStandard Deviation 6.2
PlaceboChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Sexual satisfaction at week 021.6 units on a scaleStandard Deviation 6.2
PlaceboChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Sexual satisfaction at week 822.4 units on a scaleStandard Deviation 5.9
PlaceboChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Sexual desire at week 010.3 units on a scaleStandard Deviation 2.8
PlaceboChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Sexual desire at week 810.7 units on a scaleStandard Deviation 2.5
PlaceboChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Sexual desire at week 1410.1 units on a scaleStandard Deviation 2.7
PlaceboChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Sexual activity at week 06.7 units on a scaleStandard Deviation 1.7
PlaceboChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Sexual activity at week 86.9 units on a scaleStandard Deviation 1.6
PlaceboChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Sexual activity at week 146.5 units on a scaleStandard Deviation 1.8
PlaceboChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Composite MSHQ at week 047.7 units on a scaleStandard Deviation 11.4
PlaceboChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Composite MSHQ at week 850.2 units on a scaleStandard Deviation 9.5
PlaceboChange From Baseline in Men's Sexual Health Questionnaire (MSHQ)Sexual satisfaction at week 1421.5 units on a scaleStandard Deviation 6.2
Secondary

Change From Baseline in Other Domains of International Index of Erectile Function (IIEF)

IIEF is a validated, 15-item questionnaire that assesses 5 domains of sexual function: erectile function (range 1-30), orgasmic function (range 0-10), sexual desire (range 2-10), intercourse satisfaction (range 0-15), and overall sexual satisfaction (range 2-10). Each question was answered on a 6-point or 5-point scale from 0/1 to 5 (best) with a total possible score (sum of 5 domains) range of 5 to 75 with higher scores representing better function.

Time frame: Week 0, week 8, week 11, week 14

Population: All available data expressed as absolute value at the given time-point.

ArmMeasureGroupValue (MEAN)Dispersion
TestosteroneChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Sexual desire at week 87.0 units on a scaleStandard Deviation 1.8
TestosteroneChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Intercourse satisfaction at week 810.1 units on a scaleStandard Deviation 3.3
TestosteroneChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Orgasmic function at week 117.9 units on a scaleStandard Deviation 2.5
TestosteroneChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Intercourse satisfaction at week 1410.0 units on a scaleStandard Deviation 4
TestosteroneChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Orgasmic function at week 147.9 units on a scaleStandard Deviation 2.8
TestosteroneChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Overall satisfaction at week 06.4 units on a scaleStandard Deviation 2.1
TestosteroneChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Sexual desire at week 06.5 units on a scaleStandard Deviation 1.9
TestosteroneChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Overall satisfaction at week 86.8 units on a scaleStandard Deviation 2.2
TestosteroneChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Orgasmic function at week 07.0 units on a scaleStandard Deviation 2.7
TestosteroneChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Overall satisfaction at week 117.4 units on a scaleStandard Deviation 2
TestosteroneChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Sexual desire at week 117.1 units on a scaleStandard Deviation 2
TestosteroneChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Overall satisfaction at week 146.7 units on a scaleStandard Deviation 2.3
TestosteroneChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Intercourse satisfaction at week 1110.6 units on a scaleStandard Deviation 3.3
TestosteroneChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Composite IIEF at week 047 units on a scaleStandard Deviation 17
TestosteroneChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Sexual desire at week 147.0 units on a scaleStandard Deviation 2
TestosteroneChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Composite IIEF at week 853 units on a scaleStandard Deviation 15
TestosteroneChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Composite IIEF at week 1156 units on a scaleStandard Deviation 14
TestosteroneChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Orgasmic function at week 87.6 units on a scaleStandard Deviation 2.4
TestosteroneChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Composite IIEF at week 1453 units on a scaleStandard Deviation 17
TestosteroneChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Intercourse satisfaction at week 09.5 units on a scaleStandard Deviation 3
PlaceboChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Composite IIEF at week 1450 units on a scaleStandard Deviation 18
PlaceboChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Sexual desire at week 87.0 units on a scaleStandard Deviation 1.6
PlaceboChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Intercourse satisfaction at week 119.5 units on a scaleStandard Deviation 4.2
PlaceboChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Composite IIEF at week 853 units on a scaleStandard Deviation 16
PlaceboChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Orgasmic function at week 07.0 units on a scaleStandard Deviation 2.6
PlaceboChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Orgasmic function at week 87.8 units on a scaleStandard Deviation 2.7
PlaceboChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Orgasmic function at week 147.4 units on a scaleStandard Deviation 3.1
PlaceboChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Sexual desire at week 06.7 units on a scaleStandard Deviation 1.5
PlaceboChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Sexual desire at week 116.8 units on a scaleStandard Deviation 2
PlaceboChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Sexual desire at week 146.8 units on a scaleStandard Deviation 2
PlaceboChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Intercourse satisfaction at week 09.4 units on a scaleStandard Deviation 3.4
PlaceboChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Intercourse satisfaction at week 89.8 units on a scaleStandard Deviation 3.9
PlaceboChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Intercourse satisfaction at week 148.8 units on a scaleStandard Deviation 4.2
PlaceboChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Overall satisfaction at week 06.6 units on a scaleStandard Deviation 2.4
PlaceboChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Overall satisfaction at week 87.3 units on a scaleStandard Deviation 2.2
PlaceboChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Overall satisfaction at week 117.0 units on a scaleStandard Deviation 2.5
PlaceboChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Overall satisfaction at week 147.0 units on a scaleStandard Deviation 2.4
PlaceboChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Composite IIEF at week 050 units on a scaleStandard Deviation 18
PlaceboChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Composite IIEF at week 1151 units on a scaleStandard Deviation 18
PlaceboChange From Baseline in Other Domains of International Index of Erectile Function (IIEF)Orgasmic function at week 117.4 units on a scaleStandard Deviation 3
Secondary

Change From Baseline in Positive Affects Ratio (PAR) of Derogatis Affects Balance Scale (DABS)

The Derogatis Affects Balance Scale (DABS) is a 40-item mood inventory and consists of 4 positive affect dimensions (joy, contentment, vigor, and affection) as well as 4 negative affect dimensions(anxiety, depression, guilt, and hostility). Positive Affects Ratio (PAR), ranging from 0 to 1, is the proportion of total scores (sum of all 8 domains) that is positive (sum of 4 positive domains). Higher PAR represents better affectivity.

Time frame: Week 0, Week 8, Week 14

Population: All available data expressed as absolute value at the given time-point.

ArmMeasureGroupValue (MEAN)Dispersion
TestosteroneChange From Baseline in Positive Affects Ratio (PAR) of Derogatis Affects Balance Scale (DABS)Positive Affect Ratio at week 00.75 ratiosStandard Deviation 0.15
TestosteroneChange From Baseline in Positive Affects Ratio (PAR) of Derogatis Affects Balance Scale (DABS)Positive Affect Ratio at week 80.76 ratiosStandard Deviation 0.16
TestosteroneChange From Baseline in Positive Affects Ratio (PAR) of Derogatis Affects Balance Scale (DABS)Positive Affect Ratio at week 140.78 ratiosStandard Deviation 0.17
PlaceboChange From Baseline in Positive Affects Ratio (PAR) of Derogatis Affects Balance Scale (DABS)Positive Affect Ratio at week 00.76 ratiosStandard Deviation 0.16
PlaceboChange From Baseline in Positive Affects Ratio (PAR) of Derogatis Affects Balance Scale (DABS)Positive Affect Ratio at week 80.77 ratiosStandard Deviation 0.17
PlaceboChange From Baseline in Positive Affects Ratio (PAR) of Derogatis Affects Balance Scale (DABS)Positive Affect Ratio at week 140.76 ratiosStandard Deviation 0.18
Secondary

Change From Baseline in Psychological General Well-Being Index Score (PGWBI)

Well-being and mood were assessed using the Psychological General Well-Being Index (PGWBI), a 22-item questionnaire that evaluated six dimensions of self-reported wellness: Anxiety (5 questions), Depressed Mood (3 questions), Positive Well-Being (4 questions), Self Control (3 questions), General Health (3 questions), and Vitality (4 questions). Higher scores in each dimension reflect increasing well-being. A global score (ranging from 0 (poor QoL) to 110 (good QoL)) was calculated as the sum of each domain score. The global score and those of its 6 dimensions were normalized to a 100% scale to facilitate comparison.

Time frame: Week 0, Week 8, Week 14

Population: All available data expressed as absolute value at the given time-point.

ArmMeasureGroupValue (MEAN)Dispersion
TestosteroneChange From Baseline in Psychological General Well-Being Index Score (PGWBI)General Health at week 873 units on a scaleStandard Deviation 19
TestosteroneChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Positive Well-being at week 060 units on a scaleStandard Deviation 19
TestosteroneChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Positive Well-being at week 865 units on a scaleStandard Deviation 18
TestosteroneChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Positive Well-being at week 1464 units on a scaleStandard Deviation 20
TestosteroneChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Depressed Mood at week 086 units on a scaleStandard Deviation 16
TestosteroneChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Depressed Mood at week 885 units on a scaleStandard Deviation 15
TestosteroneChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Depressed Mood at week 1485 units on a scaleStandard Deviation 18
TestosteroneChange From Baseline in Psychological General Well-Being Index Score (PGWBI)General Health at week 072 units on a scaleStandard Deviation 16
TestosteroneChange From Baseline in Psychological General Well-Being Index Score (PGWBI)General Health at week 1472 units on a scaleStandard Deviation 17
TestosteroneChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Anxiety at week 076 units on a scaleStandard Deviation 15
TestosteroneChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Anxiety at week 876 units on a scaleStandard Deviation 15
TestosteroneChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Anxiety at week 1477 units on a scaleStandard Deviation 15
TestosteroneChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Self Control at week 086 units on a scaleStandard Deviation 14
TestosteroneChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Self Control at week 886 units on a scaleStandard Deviation 17
TestosteroneChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Self Control at week 1487 units on a scaleStandard Deviation 15
TestosteroneChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Vitality at week 066 units on a scaleStandard Deviation 17
TestosteroneChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Vitality at week 868 units on a scaleStandard Deviation 17
TestosteroneChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Vitality at week 1469 units on a scaleStandard Deviation 19
TestosteroneChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Global Score at week 073 units on a scaleStandard Deviation 13
TestosteroneChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Global Score at week 875 units on a scaleStandard Deviation 14
TestosteroneChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Global Score at week 1475 units on a scaleStandard Deviation 14
PlaceboChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Vitality at week 068 units on a scaleStandard Deviation 18
PlaceboChange From Baseline in Psychological General Well-Being Index Score (PGWBI)General Health at week 1470 units on a scaleStandard Deviation 23
PlaceboChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Anxiety at week 876 units on a scaleStandard Deviation 20
PlaceboChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Global Score at week 074 units on a scaleStandard Deviation 15
PlaceboChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Positive Well-being at week 063 units on a scaleStandard Deviation 18
PlaceboChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Anxiety at week 1472 units on a scaleStandard Deviation 22
PlaceboChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Positive Well-being at week 863 units on a scaleStandard Deviation 18
PlaceboChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Vitality at week 869 units on a scaleStandard Deviation 17
PlaceboChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Positive Well-being at week 1460 units on a scaleStandard Deviation 21
PlaceboChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Self Control at week 084 units on a scaleStandard Deviation 15
PlaceboChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Depressed Mood at week 086 units on a scaleStandard Deviation 15
PlaceboChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Global Score at week 1472 units on a scaleStandard Deviation 17
PlaceboChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Depressed Mood at week 886 units on a scaleStandard Deviation 18
PlaceboChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Self Control at week 886 units on a scaleStandard Deviation 15
PlaceboChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Depressed Mood at week 1483 units on a scaleStandard Deviation 18
PlaceboChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Vitality at week 1467 units on a scaleStandard Deviation 19
PlaceboChange From Baseline in Psychological General Well-Being Index Score (PGWBI)General Health at week 074 units on a scaleStandard Deviation 17
PlaceboChange From Baseline in Psychological General Well-Being Index Score (PGWBI)General Health at week 875 units on a scaleStandard Deviation 18
PlaceboChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Self Control at week 1484 units on a scaleStandard Deviation 16
PlaceboChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Global Score at week 875 units on a scaleStandard Deviation 14
PlaceboChange From Baseline in Psychological General Well-Being Index Score (PGWBI)Anxiety at week 076 units on a scaleStandard Deviation 19
Secondary

Change From Baseline in Quality of Life Specific to Male Erection Difficulties (QOL-MED)

The Quality of Life for men with Erection Difficulties (QOL-MED) is a cross-cultural instrument to measure quality of life specific to male erection difficulties. The 18 items for this scale were generated from interviews with men with erection difficulties by TH Wagner in 1996. Higher QOL-MED scores reflect better quality of life. Scores were standardized to range of 0 to 100.

Time frame: Week 0, Week 8, Week 14

Population: All available data expressed as absolute value at the given time-point.

ArmMeasureGroupValue (MEAN)Dispersion
TestosteroneChange From Baseline in Quality of Life Specific to Male Erection Difficulties (QOL-MED)QOL-MED scale at week 056 units on a scaleStandard Deviation 26
TestosteroneChange From Baseline in Quality of Life Specific to Male Erection Difficulties (QOL-MED)QOL-MED scale at week 865 units on a scaleStandard Deviation 25
TestosteroneChange From Baseline in Quality of Life Specific to Male Erection Difficulties (QOL-MED)QOL-MED scale at week 1466 units on a scaleStandard Deviation 25
PlaceboChange From Baseline in Quality of Life Specific to Male Erection Difficulties (QOL-MED)QOL-MED scale at week 062 units on a scaleStandard Deviation 26
PlaceboChange From Baseline in Quality of Life Specific to Male Erection Difficulties (QOL-MED)QOL-MED scale at week 870 units on a scaleStandard Deviation 26
PlaceboChange From Baseline in Quality of Life Specific to Male Erection Difficulties (QOL-MED)QOL-MED scale at week 1469 units on a scaleStandard Deviation 25
Secondary

Change From Baseline in Sexual Encounter Profile (SEP)

Sexual Encounter Profile (SEP) diaries were used to assess frequency of sexual activity, sildenafil use, vaginal penetration, completion of intercourse with ejaculation, and overall satisfaction with sexual encounters. Minimum value is 0 with no maximum limit, wherein higher values representing better sexual encounter.

Time frame: Week 0, week 8, week 14

Population: All available data expressed as absolute value at the given time-point.

ArmMeasureGroupValue (MEAN)Dispersion
TestosteroneChange From Baseline in Sexual Encounter Profile (SEP)Sexual Encounter Attempts at week 02.8 events/weekStandard Deviation 1.5
TestosteroneChange From Baseline in Sexual Encounter Profile (SEP)Vaginal Penetration at week 142.7 events/weekStandard Deviation 1.4
TestosteroneChange From Baseline in Sexual Encounter Profile (SEP)Sexual Encounter Attempts at week 82.8 events/weekStandard Deviation 1.2
TestosteroneChange From Baseline in Sexual Encounter Profile (SEP)Sexual Encounter Attempts at week 143.3 events/weekStandard Deviation 1.6
TestosteroneChange From Baseline in Sexual Encounter Profile (SEP)Vaginal Penetration at week 02.7 events/weekStandard Deviation 1.4
TestosteroneChange From Baseline in Sexual Encounter Profile (SEP)Vaginal Penetration at week 82.4 events/weekStandard Deviation 1.1
TestosteroneChange From Baseline in Sexual Encounter Profile (SEP)Ejaculation at week 02.1 events/weekStandard Deviation 1.6
TestosteroneChange From Baseline in Sexual Encounter Profile (SEP)Ejaculation at week 82.3 events/weekStandard Deviation 1.5
TestosteroneChange From Baseline in Sexual Encounter Profile (SEP)Ejaculation at week 142.6 events/weekStandard Deviation 1.7
TestosteroneChange From Baseline in Sexual Encounter Profile (SEP)Overall Satisfied with Sexual Encounters at week02.0 events/weekStandard Deviation 1.7
TestosteroneChange From Baseline in Sexual Encounter Profile (SEP)Overall Satisfied with Sexual Encounters at week82.2 events/weekStandard Deviation 1.5
TestosteroneChange From Baseline in Sexual Encounter Profile (SEP)Overall Satisfied with Sexual Encounters at wk 142.8 events/weekStandard Deviation 1.8
PlaceboChange From Baseline in Sexual Encounter Profile (SEP)Overall Satisfied with Sexual Encounters at week82.3 events/weekStandard Deviation 1.4
PlaceboChange From Baseline in Sexual Encounter Profile (SEP)Ejaculation at week 02.2 events/weekStandard Deviation 1.4
PlaceboChange From Baseline in Sexual Encounter Profile (SEP)Vaginal Penetration at week 142.6 events/weekStandard Deviation 0.9
PlaceboChange From Baseline in Sexual Encounter Profile (SEP)Sexual Encounter Attempts at week 03.0 events/weekStandard Deviation 1.3
PlaceboChange From Baseline in Sexual Encounter Profile (SEP)Overall Satisfied with Sexual Encounters at week01.9 events/weekStandard Deviation 1.4
PlaceboChange From Baseline in Sexual Encounter Profile (SEP)Sexual Encounter Attempts at week 83.0 events/weekStandard Deviation 1.2
PlaceboChange From Baseline in Sexual Encounter Profile (SEP)Ejaculation at week 82.5 events/weekStandard Deviation 1.2
PlaceboChange From Baseline in Sexual Encounter Profile (SEP)Sexual Encounter Attempts at week 143.0 events/weekStandard Deviation 1.2
PlaceboChange From Baseline in Sexual Encounter Profile (SEP)Overall Satisfied with Sexual Encounters at wk 142.5 events/weekStandard Deviation 1.3
PlaceboChange From Baseline in Sexual Encounter Profile (SEP)Vaginal Penetration at week 02.6 events/weekStandard Deviation 0.9
PlaceboChange From Baseline in Sexual Encounter Profile (SEP)Ejaculation at week 142.3 events/weekStandard Deviation 1.3
PlaceboChange From Baseline in Sexual Encounter Profile (SEP)Vaginal Penetration at week 82.7 events/weekStandard Deviation 1.1
Secondary

Change From Baseline in Successful Sexual Intercourse of Sexual Encounter Profile (SEP)

Sexual Encounter Profile (SEP) diaries were used to assess frequency of sexual activity, sildenafil use, vaginal penetration, completion of intercourse with ejaculation, and overall satisfaction with sexual encounters. Higher percentage of Ejaculations or Satisfaction in successful sexual intercourse represents better sexual function.

Time frame: Week 0, week 8, week 14

Population: All available data expressed as absolute value at the given time-point.

ArmMeasureGroupValue (MEAN)Dispersion
TestosteroneChange From Baseline in Successful Sexual Intercourse of Sexual Encounter Profile (SEP)Successful Sexual Intercourse (Ejaculations) wk076 percentage of sexual intercoursesStandard Deviation 37
TestosteroneChange From Baseline in Successful Sexual Intercourse of Sexual Encounter Profile (SEP)Successful Sexual Intercourse (Ejaculations) wk878 percentage of sexual intercoursesStandard Deviation 40
TestosteroneChange From Baseline in Successful Sexual Intercourse of Sexual Encounter Profile (SEP)Successful Sexual Intercourse (Ejaculations)wk1480 percentage of sexual intercoursesStandard Deviation 31
TestosteroneChange From Baseline in Successful Sexual Intercourse of Sexual Encounter Profile (SEP)Successful Sexual Intercourse (Satisfaction) wk069 percentage of sexual intercoursesStandard Deviation 39
TestosteroneChange From Baseline in Successful Sexual Intercourse of Sexual Encounter Profile (SEP)Successful Sexual Intercourse (Satisfaction) wk876 percentage of sexual intercoursesStandard Deviation 39
TestosteroneChange From Baseline in Successful Sexual Intercourse of Sexual Encounter Profile (SEP)Successful Sexual Intercourse (Satisfaction)wk1483 percentage of sexual intercoursesStandard Deviation 34
PlaceboChange From Baseline in Successful Sexual Intercourse of Sexual Encounter Profile (SEP)Successful Sexual Intercourse (Satisfaction) wk875 percentage of sexual intercoursesStandard Deviation 35
PlaceboChange From Baseline in Successful Sexual Intercourse of Sexual Encounter Profile (SEP)Successful Sexual Intercourse (Ejaculations) wk074 percentage of sexual intercoursesStandard Deviation 35
PlaceboChange From Baseline in Successful Sexual Intercourse of Sexual Encounter Profile (SEP)Successful Sexual Intercourse (Satisfaction) wk067 percentage of sexual intercoursesStandard Deviation 40
PlaceboChange From Baseline in Successful Sexual Intercourse of Sexual Encounter Profile (SEP)Successful Sexual Intercourse (Ejaculations) wk884 percentage of sexual intercoursesStandard Deviation 29
PlaceboChange From Baseline in Successful Sexual Intercourse of Sexual Encounter Profile (SEP)Successful Sexual Intercourse (Satisfaction)wk1483 percentage of sexual intercoursesStandard Deviation 33
PlaceboChange From Baseline in Successful Sexual Intercourse of Sexual Encounter Profile (SEP)Successful Sexual Intercourse (Ejaculations)wk1479 percentage of sexual intercoursesStandard Deviation 37
Other Pre-specified

Change From Baseline in Free Testosterone

Free testosterone levels were calculated from total testosterone at screening and equilibrium dialysis at randomization and at trial end.

Time frame: Week 0, Week 14

Population: All available data expressed as absolute value at the given time-point.

ArmMeasureGroupValue (MEAN)Dispersion
TestosteroneChange From Baseline in Free TestosteroneFree Testosterone at week 0110 pg/mLStandard Deviation 79
TestosteroneChange From Baseline in Free TestosteroneFree Testosterone at week 14239 pg/mLStandard Deviation 197
PlaceboChange From Baseline in Free TestosteroneFree Testosterone at week 0101 pg/mLStandard Deviation 36
PlaceboChange From Baseline in Free TestosteroneFree Testosterone at week 14103 pg/mLStandard Deviation 63
Other Pre-specified

Change From Baseline in Sex Hormone Binding Globulin (SHBG)

Time frame: Week 0, Week 14

Population: All available data expressed as absolute value at the given time-point.

ArmMeasureGroupValue (MEAN)Dispersion
TestosteroneChange From Baseline in Sex Hormone Binding Globulin (SHBG)SHBG at week 032.2 nmol/LStandard Deviation 14.7
TestosteroneChange From Baseline in Sex Hormone Binding Globulin (SHBG)SHBG at week 1432 nmol/LStandard Deviation 16
PlaceboChange From Baseline in Sex Hormone Binding Globulin (SHBG)SHBG at week 027.5 nmol/LStandard Deviation 14.6
PlaceboChange From Baseline in Sex Hormone Binding Globulin (SHBG)SHBG at week 1428 nmol/LStandard Deviation 15
Other Pre-specified

Change From Baseline in Total Testosterone

Total testosterone levels were measured between 7:30 and 10:10 a.m. using a liquid chromatography-tandem mass spectrometry assay certified by the Centers for Disease Control and Prevention's Hormone Standardization Program.

Time frame: Week 0, Week 14

Population: All available data expressed as absolute value at the given time-point.

ArmMeasureGroupValue (MEAN)Dispersion
TestosteroneChange From Baseline in Total TestosteroneTotal Testosterone at week 0364 ng/dLStandard Deviation 192
TestosteroneChange From Baseline in Total TestosteroneTotal Testosterone at week 14649 ng/dLStandard Deviation 411
PlaceboChange From Baseline in Total TestosteroneTotal Testosterone at week 0347 ng/dLStandard Deviation 141
PlaceboChange From Baseline in Total TestosteroneTotal Testosterone at week 14339 ng/dLStandard Deviation 155

Source: ClinicalTrials.gov · Data processed: Mar 25, 2026