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Efficacy, Safety and Tolerability of PSD502 (a Topical Anesthetic) in the Treatment Premature Ejaculation

A Phase IIb, Multi-center, Randomized, Double-blind, Placebo-controlled Study, With Open-label Follow on, to Evaluate the Efficacy, Safety and Tolerability of PSD502 in Subjects With Premature Ejaculation (PE)

Status
Completed
Phases
Phase 2Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00556478
Enrollment
256
Registered
2007-11-12
Start date
2007-10-31
Completion date
2009-10-31
Last updated
2016-09-26

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

Conditions

Premature Ejaculation

Keywords

Premature Ejaculation, Lidocaine, Prilocaine, EMLA® cream, topical anesthetics

Brief summary

The purpose of this study is to evaluate the effectiveness, safety and tolerability of the investigational drug, PSD502 in subjects with premature ejaculation (PE) The study drug, PSD02, is a metered dose (measured dose), topical (applied to the skin surface) anesthetic (numbing) spray containing a mixture of lidocaine and prilocaine. The study drug will be applied in a spray to the penis prior to intercourse in order to decrease sensitivity in an attempt to delay ejaculation.

Detailed description

Most studies evaluating treatments PE include intravaginal ejaculatory latency time (IELT) in the definition of PE. It has been estimated that PE affects 30-40% of the male population, but is paradoxically a condition for which they are least likely to seek help. Men with PE exhibit abnormal autonomic reflex pathways for the ejaculatory process. These include lower vibratory threshold to ejaculation, shorter bulbocavernous latency time and higher bulbocavernous evoked potentials. Reducing the heightened sensitivity of the glans penis with topical anesthetics might therefore be a way of improving IELT, without adversely affecting the sensation of ejaculation. Although IELT is an objective measure of ejaculatory function it does not address the impact of therapy on patients' well being and confidence in their sexual performance, which are important markers of treatment benefit. Therefore, if IELT is used as a sole efficacy measure it may not fully characterise the treatment benefit to the patient. For this reason, a patient reported outcome (PRO) known as the Index of Premature Ejaculation (IPE) will be used in this study in conjunction with IELT to evaluate efficacy. Thus the combination of the objective measure of ejaculatory latency with the PRO of IPE should be able to provide efficacy data which are representative of clinical benefit to the patient. The use of lidocaine, prilocaine and EMLA® cream as topical anesthetics is well established. Many years of experience of use in large numbers of patients, as well as comprehensive non-clinical safety testing programs for various formulations of lidocaine and prilocaine exist, to support their safety and tolerability. This information, together with the clinical data from 3 studies with PSD502 (ANAE-059-00, PSD502-PE-001, and PSD502-PE-003), suggest that PSD502 may have beneficial effects in reducing penile sensation and prolonging IELT, and its use is unlikely to be associated with significant clinical safety or tolerability concerns. The aim of this study is to provide additional placebo-controlled efficacy data to establish the clinical utility of PSD502 in the treatment of PE. In addition, long term open-label efficacy and safety data will be collected, to further support the registration package for PSD502 in the indication of treatment of PE.

Interventions

DRUGPSD502, contains a mixture of lidocaine and prilocaine

PSD502 spray contains a mixture of lidocaine and prilocaine with Norflurane (HFA-134a) is used as both propellant and solvent. A single dose consists of 3 sprays applied to the glans penis. Approximately 5 minutes before intercourse the study spray can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.

DRUGPlacebo

The placebo is a metered dose aerosol spray that is identical in appearance to the active treatment and contains the same propellant (norflurane) but has no lidocaine or prilocaine. Approximately 5 minutes before intercourse the study spray can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing. During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.

Sponsors

Shionogi Inc.
CollaboratorINDUSTRY
Plethora Solutions Ltd
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
MALE
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Willing and able to provide written informed consent. * Male and aged 18 years and over. * Diagnosed with PE according to DMS-IV criteria and ISSM definition * Diagnosed with lifelong PE * Acceptable response to Baseline PEP * Subject must be in a stable heterosexual and monogamous relationship and the partner must provide consent * Acceptable sexual encounters in the Baseline period.

Exclusion criteria

* Subject, or his sexual partner, has received an investigational (non-registered) drug within 30 days of Screening. * Subject has erectile dysfunction * The subject, or his sexual partner, has a physical or psychological condition that would prevent them from undertaking the study procedures, including, but not limited to, the following: * Urological disease * Ongoing significant psychiatric disorder not controlled by medication. * Subject has safety testing abnormalities at the Screening Visit * Subjects taking excluded medications or receiving any treatment for PE * Subject, or his sexual partner, has a current history of alcohol or drug abuse, * The subject, or his sexual partner, is unlikely to understand or be able to comply with study procedures, for whatever reasons. * Subject, or his sexual partner, has known drug sensitivity to amide-type local anesthetics. * Subjects with pregnant partners * Subject with sexual partners of child-bearing potential and not using appropriate contraception * Subject, or his sexual partner, has a history of Glucose-6-Phosphate Dehydrogenase (G-6-PD) deficiency or use of medications that would increase susceptibility to methemoglobinemia (e.g. anti-malarial agents).

Design outcomes

Primary

MeasureTime frameDescription
Mean Intravaginal Ejaculatory Latency Time (IELT): Change From Baseline to During 3 Month Double Blind-treatmentBaseline to 3 MonthsTo evaluate efficacy of treatment with PSD502 compared with placebo in subjects with PE as measured by: • change in mean IELT from baseline to during the 3 month double-blind treatment Results provide are ratio (over the 3 months/baseline).
Index of Premature Ejaculation (IPE): Change From Baseline to End of Month 3Baseline to 3 MonthsTo Evaluate Efficacy of Treatment With PSD502 Compared With Placebo in Subjects With PE as measured by: • changes in all 3 IPE domains from baseline to month 3 Ejaculatory control scores range from 4 to 20 with a higher score indicating greater ejaculatory control Sexual satisfaction scores range from 4 to 20 with a higher score indicating greater sexual satisfaction Distress scores range from 2 to 10 with a higher score indicating less distress

Secondary

MeasureTime frameDescription
Change in the Index of Premature Ejaculation (IPE) Domains of Ejaculatory Control, Distress and Sexual Satisfaction From Baseline to Month 11 monthChange in the IPE domains of ejaculatory control, distress and sexual satisfaction from Baseline to month 1. Ejaculatory control scores range from 4 to 20 with a higher score indicating greater ejaculatory control Sexual satisfaction scores range from 4 to 20 with a higher score indicating greater sexual satisfaction Distress scores range from 2 to 10 with a higher score indicating less distress
Subject PEP at Month 11 monthScores for perceived control over ejaculation, personal distress related to ejaculation, satisfaction with sexual intercourse and interpersonal difficulty related to ejaculation based on the subject PEP at month 1. Percentage of subjects with at least a 1 point category improvement in subject PEP domain scores at month 1.
Change in the Index of Premature Ejaculation (IPE) Domains of Ejaculatory Control, Distress and Sexual Satisfaction From Baseline to Month 22 monthsChange in the IPE domains of ejaculatory control, distress and sexual satisfaction from Baseline to month 2 Ejaculatory control scores range from 4 to 20 with a higher score indicating greater ejaculatory control Sexual satisfaction scores range from 4 to 20 with a higher score indicating greater sexual satisfaction Distress scores range from 2 to 10 with a higher score indicating less distress
Percentage of Subjects With Mean Intravaginal Ejaculatory Latency Time (IELT) > 1 Minute and >2 Minutes During the 3 Months of Double-blind Treatment3 monthsPercentage of subjects with mean IELT \> 1 minute and \>2 minutes during the 3 months of double-blind treatment as measured by the proportion of subjects
Subject Premature Ejaculation Profile (PEP) at Month 33 monthsScores for perceived control over ejaculation, personal distress related to ejaculation, satisfaction with sexual intercourse and interpersonal difficulty related to ejaculation based on the subject PEP at month 3. Proportion of subjects with at least a 1 point category improvement in subject PEP domain scores from baseline to month 3.
Partner Premature Ejaculation Profile (PEP) at Month 33 monthsScores for perceived control over ejaculation, personal distress related to ejaculation, satisfaction with sexual intercourse and interpersonal difficulty related to ejaculation based on the partner PEP at month 3. Proportion of partners with at least a 1 point category improvement in partner PEP domain scores from baseline to month 3.
Subject Premature Ejaculation Profile (PEP) at Month 22 monthsScores for perceived control over ejaculation, personal distress related to ejaculation, satisfaction with sexual intercourse and interpersonal difficulty related to ejaculation based on the subject PEP at month 2. Proportion of subjects with at least a 1 point category improvement in subject PEP domain scores from baseline to month 2.
Change in Mean Intravaginal Ejaculatory Latency Time (IELT) From Baseline to Month 33 monthsSummary of mean IELT at Baseline and at month 3 during double-blind treatment

Countries

United States

Participant flow

Participants by arm

ArmCount
Double-Blind Active / Open-Label Active
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502, contains a mixture of lidocaine and prilocaine: PSD502 spray contains a mixture of lidocaine and prilocaine with Norflurane (HFA-134a) is used as both propellant and solvent. A single dose consists of 3 sprays applied to the glans penis. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
167
Double-Blind Placebo / Open-Label Active
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502 Placebo: The placebo is a metered dose aerosol spray that is identical in appearance to the PSD502 spray and contains the same propellant (norflurane) but has no lidocaine or prilocaine. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing. During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
82
Total249

Baseline characteristics

CharacteristicDouble-Blind Active / Open-Label ActiveDouble-Blind Placebo / Open-Label ActiveTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
4 Participants1 Participants5 Participants
Age, Categorical
Between 18 and 65 years
163 Participants81 Participants244 Participants
Age, Continuous39.1 years
STANDARD_DEVIATION 11.71
37.9 years
STANDARD_DEVIATION 11.97
38.7 years
STANDARD_DEVIATION 11.78
Region of Enrollment
Canada
14 participants7 participants21 participants
Region of Enrollment
Poland
68 participants32 participants100 participants
Region of Enrollment
United States
85 participants43 participants128 participants
Sex: Female, Male
Female
0 Participants0 Participants0 Participants
Sex: Female, Male
Male
167 Participants82 Participants249 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
9 / 1670 / 828 / 223
serious
Total, serious adverse events
1 / 1671 / 824 / 223

Outcome results

Primary

Index of Premature Ejaculation (IPE): Change From Baseline to End of Month 3

To Evaluate Efficacy of Treatment With PSD502 Compared With Placebo in Subjects With PE as measured by: • changes in all 3 IPE domains from baseline to month 3 Ejaculatory control scores range from 4 to 20 with a higher score indicating greater ejaculatory control Sexual satisfaction scores range from 4 to 20 with a higher score indicating greater sexual satisfaction Distress scores range from 2 to 10 with a higher score indicating less distress

Time frame: Baseline to 3 Months

Population: ITT

ArmMeasureGroupValue (MEAN)
Double-Blind Active / Open-Label ActiveIndex of Premature Ejaculation (IPE): Change From Baseline to End of Month 3Ejaculatory control7.2 Score
Double-Blind Active / Open-Label ActiveIndex of Premature Ejaculation (IPE): Change From Baseline to End of Month 3Sexual satisfaction6.6 Score
Double-Blind Active / Open-Label ActiveIndex of Premature Ejaculation (IPE): Change From Baseline to End of Month 3Distress3.5 Score
Double-Blind Placebo / Open-Label ActiveIndex of Premature Ejaculation (IPE): Change From Baseline to End of Month 3Ejaculatory control2.2 Score
Double-Blind Placebo / Open-Label ActiveIndex of Premature Ejaculation (IPE): Change From Baseline to End of Month 3Sexual satisfaction2.1 Score
Double-Blind Placebo / Open-Label ActiveIndex of Premature Ejaculation (IPE): Change From Baseline to End of Month 3Distress0.9 Score
Comparison: Analysis of IPE domain ejaculatory controlp-value: <0.000195% CI: [3.61, 6.34]ANCOVA
Comparison: IPE domain sexual satisfactionp-value: <0.000195% CI: [3.3, 5.84]ANCOVA
Comparison: IPE domain distressp-value: <0.000195% CI: [1.86, 3.2]ANCOVA
Primary

Mean Intravaginal Ejaculatory Latency Time (IELT): Change From Baseline to During 3 Month Double Blind-treatment

To evaluate efficacy of treatment with PSD502 compared with placebo in subjects with PE as measured by: • change in mean IELT from baseline to during the 3 month double-blind treatment Results provide are ratio (over the 3 months/baseline).

Time frame: Baseline to 3 Months

Population: ITT

ArmMeasureValue (GEOMETRIC_MEAN)
Double-Blind Active / Open-Label ActiveMean Intravaginal Ejaculatory Latency Time (IELT): Change From Baseline to During 3 Month Double Blind-treatment4.607 ratio
Double-Blind Placebo / Open-Label ActiveMean Intravaginal Ejaculatory Latency Time (IELT): Change From Baseline to During 3 Month Double Blind-treatment1.505 ratio
p-value: <0.000195% CI: [2.29, 4.06]ANCOVA
Secondary

Change in Mean Intravaginal Ejaculatory Latency Time (IELT) From Baseline to Month 3

Summary of mean IELT at Baseline and at month 3 during double-blind treatment

Time frame: 3 months

Population: ITT

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Double-Blind Active / Open-Label ActiveChange in Mean Intravaginal Ejaculatory Latency Time (IELT) From Baseline to Month 3140.964 SecondsStandard Deviation 463.97
Double-Blind Placebo / Open-Label ActiveChange in Mean Intravaginal Ejaculatory Latency Time (IELT) From Baseline to Month 349.615 SecondsStandard Deviation 91.75
Secondary

Change in the Index of Premature Ejaculation (IPE) Domains of Ejaculatory Control, Distress and Sexual Satisfaction From Baseline to Month 1

Change in the IPE domains of ejaculatory control, distress and sexual satisfaction from Baseline to month 1. Ejaculatory control scores range from 4 to 20 with a higher score indicating greater ejaculatory control Sexual satisfaction scores range from 4 to 20 with a higher score indicating greater sexual satisfaction Distress scores range from 2 to 10 with a higher score indicating less distress

Time frame: 1 month

Population: ITT

ArmMeasureGroupValue (MEAN)Dispersion
Double-Blind Active / Open-Label ActiveChange in the Index of Premature Ejaculation (IPE) Domains of Ejaculatory Control, Distress and Sexual Satisfaction From Baseline to Month 1Ejaculatory control5.7 ScoreStandard Deviation 5.92
Double-Blind Active / Open-Label ActiveChange in the Index of Premature Ejaculation (IPE) Domains of Ejaculatory Control, Distress and Sexual Satisfaction From Baseline to Month 1Distress2.5 ScoreStandard Deviation 2.64
Double-Blind Active / Open-Label ActiveChange in the Index of Premature Ejaculation (IPE) Domains of Ejaculatory Control, Distress and Sexual Satisfaction From Baseline to Month 1Sexual satisfaction5.1 ScoreStandard Deviation 5.86
Double-Blind Placebo / Open-Label ActiveChange in the Index of Premature Ejaculation (IPE) Domains of Ejaculatory Control, Distress and Sexual Satisfaction From Baseline to Month 1Ejaculatory control1.3 ScoreStandard Deviation 2.75
Double-Blind Placebo / Open-Label ActiveChange in the Index of Premature Ejaculation (IPE) Domains of Ejaculatory Control, Distress and Sexual Satisfaction From Baseline to Month 1Distress0.6 ScoreStandard Deviation 1.7
Double-Blind Placebo / Open-Label ActiveChange in the Index of Premature Ejaculation (IPE) Domains of Ejaculatory Control, Distress and Sexual Satisfaction From Baseline to Month 1Sexual satisfaction1.8 ScoreStandard Deviation 3.54
Secondary

Change in the Index of Premature Ejaculation (IPE) Domains of Ejaculatory Control, Distress and Sexual Satisfaction From Baseline to Month 2

Change in the IPE domains of ejaculatory control, distress and sexual satisfaction from Baseline to month 2 Ejaculatory control scores range from 4 to 20 with a higher score indicating greater ejaculatory control Sexual satisfaction scores range from 4 to 20 with a higher score indicating greater sexual satisfaction Distress scores range from 2 to 10 with a higher score indicating less distress

Time frame: 2 months

Population: ITT

ArmMeasureGroupValue (MEAN)Dispersion
Double-Blind Active / Open-Label ActiveChange in the Index of Premature Ejaculation (IPE) Domains of Ejaculatory Control, Distress and Sexual Satisfaction From Baseline to Month 2Control6.5 ScoreStandard Deviation 6.06
Double-Blind Active / Open-Label ActiveChange in the Index of Premature Ejaculation (IPE) Domains of Ejaculatory Control, Distress and Sexual Satisfaction From Baseline to Month 2Satisfaction5.8 ScoreStandard Deviation 6.19
Double-Blind Active / Open-Label ActiveChange in the Index of Premature Ejaculation (IPE) Domains of Ejaculatory Control, Distress and Sexual Satisfaction From Baseline to Month 2Distress2.9 ScoreStandard Deviation 3
Double-Blind Placebo / Open-Label ActiveChange in the Index of Premature Ejaculation (IPE) Domains of Ejaculatory Control, Distress and Sexual Satisfaction From Baseline to Month 2Control1.4 ScoreStandard Deviation 3.12
Double-Blind Placebo / Open-Label ActiveChange in the Index of Premature Ejaculation (IPE) Domains of Ejaculatory Control, Distress and Sexual Satisfaction From Baseline to Month 2Satisfaction1.3 ScoreStandard Deviation 3.68
Double-Blind Placebo / Open-Label ActiveChange in the Index of Premature Ejaculation (IPE) Domains of Ejaculatory Control, Distress and Sexual Satisfaction From Baseline to Month 2Distress0.7 ScoreStandard Deviation 1.85
Secondary

Partner Premature Ejaculation Profile (PEP) at Month 3

Scores for perceived control over ejaculation, personal distress related to ejaculation, satisfaction with sexual intercourse and interpersonal difficulty related to ejaculation based on the partner PEP at month 3. Proportion of partners with at least a 1 point category improvement in partner PEP domain scores from baseline to month 3.

Time frame: 3 months

Population: ITT

ArmMeasureGroupValue (NUMBER)
Double-Blind Active / Open-Label ActivePartner Premature Ejaculation Profile (PEP) at Month 3Control68.9 percentage of partners
Double-Blind Active / Open-Label ActivePartner Premature Ejaculation Profile (PEP) at Month 3Sexual satisfaction62.8 percentage of partners
Double-Blind Active / Open-Label ActivePartner Premature Ejaculation Profile (PEP) at Month 3Distress64.9 percentage of partners
Double-Blind Active / Open-Label ActivePartner Premature Ejaculation Profile (PEP) at Month 3Interpersonal difficulty66.9 percentage of partners
Double-Blind Placebo / Open-Label ActivePartner Premature Ejaculation Profile (PEP) at Month 3Distress50.0 percentage of partners
Double-Blind Placebo / Open-Label ActivePartner Premature Ejaculation Profile (PEP) at Month 3Control40.8 percentage of partners
Double-Blind Placebo / Open-Label ActivePartner Premature Ejaculation Profile (PEP) at Month 3Interpersonal difficulty50.0 percentage of partners
Double-Blind Placebo / Open-Label ActivePartner Premature Ejaculation Profile (PEP) at Month 3Sexual satisfaction32.9 percentage of partners
Secondary

Percentage of Subjects With Mean Intravaginal Ejaculatory Latency Time (IELT) > 1 Minute and >2 Minutes During the 3 Months of Double-blind Treatment

Percentage of subjects with mean IELT \> 1 minute and \>2 minutes during the 3 months of double-blind treatment as measured by the proportion of subjects

Time frame: 3 months

Population: ITT

ArmMeasureGroupValue (NUMBER)
Double-Blind Active / Open-Label ActivePercentage of Subjects With Mean Intravaginal Ejaculatory Latency Time (IELT) > 1 Minute and >2 Minutes During the 3 Months of Double-blind TreatmentIELT > 1 minute80.2 percentage of subjects
Double-Blind Active / Open-Label ActivePercentage of Subjects With Mean Intravaginal Ejaculatory Latency Time (IELT) > 1 Minute and >2 Minutes During the 3 Months of Double-blind TreatmentIELT > 2 minutes57.5 percentage of subjects
Double-Blind Placebo / Open-Label ActivePercentage of Subjects With Mean Intravaginal Ejaculatory Latency Time (IELT) > 1 Minute and >2 Minutes During the 3 Months of Double-blind TreatmentIELT > 1 minute37.8 percentage of subjects
Double-Blind Placebo / Open-Label ActivePercentage of Subjects With Mean Intravaginal Ejaculatory Latency Time (IELT) > 1 Minute and >2 Minutes During the 3 Months of Double-blind TreatmentIELT > 2 minutes14.6 percentage of subjects
Secondary

Subject PEP at Month 1

Scores for perceived control over ejaculation, personal distress related to ejaculation, satisfaction with sexual intercourse and interpersonal difficulty related to ejaculation based on the subject PEP at month 1. Percentage of subjects with at least a 1 point category improvement in subject PEP domain scores at month 1.

Time frame: 1 month

Population: ITT

ArmMeasureGroupValue (NUMBER)
Double-Blind Active / Open-Label ActiveSubject PEP at Month 1Control59.6 percentage of participants
Double-Blind Active / Open-Label ActiveSubject PEP at Month 1Distress63.4 percentage of participants
Double-Blind Active / Open-Label ActiveSubject PEP at Month 1Sexual satisfaction62.7 percentage of participants
Double-Blind Active / Open-Label ActiveSubject PEP at Month 1Interpersonal difficulty72.0 percentage of participants
Double-Blind Placebo / Open-Label ActiveSubject PEP at Month 1Interpersonal difficulty51.9 percentage of participants
Double-Blind Placebo / Open-Label ActiveSubject PEP at Month 1Control23.5 percentage of participants
Double-Blind Placebo / Open-Label ActiveSubject PEP at Month 1Sexual satisfaction33.3 percentage of participants
Double-Blind Placebo / Open-Label ActiveSubject PEP at Month 1Distress27.2 percentage of participants
Secondary

Subject Premature Ejaculation Profile (PEP) at Month 2

Scores for perceived control over ejaculation, personal distress related to ejaculation, satisfaction with sexual intercourse and interpersonal difficulty related to ejaculation based on the subject PEP at month 2. Proportion of subjects with at least a 1 point category improvement in subject PEP domain scores from baseline to month 2.

Time frame: 2 months

Population: ITT

ArmMeasureGroupValue (NUMBER)
Double-Blind Active / Open-Label ActiveSubject Premature Ejaculation Profile (PEP) at Month 2Control67.5 percentage of participants
Double-Blind Active / Open-Label ActiveSubject Premature Ejaculation Profile (PEP) at Month 2Distress70.1 percentage of participants
Double-Blind Active / Open-Label ActiveSubject Premature Ejaculation Profile (PEP) at Month 2Sexual satisfaction69.4 percentage of participants
Double-Blind Active / Open-Label ActiveSubject Premature Ejaculation Profile (PEP) at Month 2Interpersonal difficulty75.8 percentage of participants
Double-Blind Placebo / Open-Label ActiveSubject Premature Ejaculation Profile (PEP) at Month 2Interpersonal difficulty42.9 percentage of participants
Double-Blind Placebo / Open-Label ActiveSubject Premature Ejaculation Profile (PEP) at Month 2Control24.7 percentage of participants
Double-Blind Placebo / Open-Label ActiveSubject Premature Ejaculation Profile (PEP) at Month 2Sexual satisfaction27.3 percentage of participants
Double-Blind Placebo / Open-Label ActiveSubject Premature Ejaculation Profile (PEP) at Month 2Distress33.8 percentage of participants
Secondary

Subject Premature Ejaculation Profile (PEP) at Month 3

Scores for perceived control over ejaculation, personal distress related to ejaculation, satisfaction with sexual intercourse and interpersonal difficulty related to ejaculation based on the subject PEP at month 3. Proportion of subjects with at least a 1 point category improvement in subject PEP domain scores from baseline to month 3.

Time frame: 3 months

Population: ITT

ArmMeasureGroupValue (NUMBER)
Double-Blind Active / Open-Label ActiveSubject Premature Ejaculation Profile (PEP) at Month 3Control72.4 percentage of participants
Double-Blind Active / Open-Label ActiveSubject Premature Ejaculation Profile (PEP) at Month 3Distress76.9 percentage of participants
Double-Blind Active / Open-Label ActiveSubject Premature Ejaculation Profile (PEP) at Month 3Sexual satisfaction73.7 percentage of participants
Double-Blind Active / Open-Label ActiveSubject Premature Ejaculation Profile (PEP) at Month 3Interpersonal difficulty77.6 percentage of participants
Double-Blind Placebo / Open-Label ActiveSubject Premature Ejaculation Profile (PEP) at Month 3Interpersonal difficulty59.5 percentage of participants
Double-Blind Placebo / Open-Label ActiveSubject Premature Ejaculation Profile (PEP) at Month 3Control24.1 percentage of participants
Double-Blind Placebo / Open-Label ActiveSubject Premature Ejaculation Profile (PEP) at Month 3Sexual satisfaction36.7 percentage of participants
Double-Blind Placebo / Open-Label ActiveSubject Premature Ejaculation Profile (PEP) at Month 3Distress36.7 percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026