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A Study of Ejaculatory Dysfunction in Men With Low Testosterone Levels

A Randomized, Double-Blind, Placebo-Controlled, Proof-of-Concept Study to Explore the Impact of Testosterone Solution 2% on Symptoms of Ejaculatory Dysfunction in Men With Testosterone Deficiency

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01419236
Enrollment
76
Registered
2011-08-18
Start date
2011-08-31
Completion date
2013-12-31
Last updated
2014-12-19

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

Conditions

Ejaculatory Dysfunction, Hypogonadism

Keywords

Ejaculatory Dysfunction, Orgasmic Dysfunction, Sexual Dysfunction, Climax Dysfunction, Erectile Dysfunction, Impotence, Hypogonadism, Low testosterone, Low t

Brief summary

The purpose of this study is to see if testosterone solution 2% can impact symptoms of ejaculatory dysfunction in men with low testosterone.

Interventions

DRUGTestosterone Solution 2%

Administered topically

DRUGPlacebo Solution

Administered topically

Sponsors

Eli Lilly and Company
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

Inclusion criteria

* Total testosterone level \<10.4 nanomoles per liter (nmol/L) \[300 nanograms per deciliter (ng/dL)\] at screening * Presents with 1 or more of the following symptom(s) of ejaculatory dysfunction: delayed ejaculation, anejaculation, decreased force of ejaculation, or decreased ejaculatory volume, as determined by investigator assessment * Prostate-Specific Antigen (PSA) \<4 nanograms per milliliter (ng/mL) at screening

Exclusion criteria

* Sexual partner who is or becomes pregnant at any time during the study * Premature ejaculation as determined by investigator assessment * Currently receiving testosterone replacement therapy or have a history of insufficient response to testosterone replacement therapy for ejaculatory dysfunction symptoms * Currently receiving treatment with cancer chemotherapy or antiandrogens * History of use of estrogenizing agents * Current use of warfarin * History of selective serotonin reuptake inhibitor (SSRI) and/or serotonin-norepinephrine reuptake inhibitor (SNRI) treatment in the 6 months prior to screening * History of frequent opioid use within 30 days prior to screening, with exception of treatment for chronic pain as determined by investigator. * Body Mass Index (BMI) \>35 kilograms per square meter (kg/m\^2) at screening * Significant peripheral neuropathy affecting erectile, ejaculatory, or orgasmic function * Hematocrit ≥50% at screening * Exhibit systolic blood pressure \>170 millimeters of mercury (mm Hg) or \<90 mm Hg or diastolic blood pressure \>100 mm Hg or \<50 mm Hg at screening (if stress is suspected, retest under basal conditions at screening), or have history of malignant hypertension * History of any of the following coronary conditions within 90 days of screening: myocardial infarction, coronary artery bypass graft surgery, percutaneous coronary intervention (for example, angioplasty or stent placement) * Known or suspected carcinoma (or history of carcinoma) of the prostate or suspicious nodules on digital rectal exam at screening * Known or suspected breast cancer (or history of breast cancer) or other active cancer (with the exception of nonmelanotic skin cancer)

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in the Male Sexual Health Questionnaire-Ejaculatory Dysfunction-Short Form (MSHQ-EjD-SF) Ejaculatory Function Score at 16 WeeksBaseline, 16 weeksMSHQ-EjD-SF: 4 item, self-reported questionnaire assessing ejaculatory dysfunction. MSHQ-EjD-SF Ejaculatory Function Score: sum of scores for questions (Q)1 through Q3 about frequency and strength of ejaculations and volume of ejaculate for sexual activity attempts during past month. Ejaculation frequency was rated 1 (could not ejaculate) to 5 (all the time); strength and volume from 0 (could not ejaculate) to 5 (as strong/much as it always has been). Total Ejaculatory Function Score ranged from 1 to 15. Least-squares (LS) mean of change from baseline calculated using repeated measures mixed-effects model (MMRM) including treatment, visit, treatment-by-visit interaction, region, baseline total testosterone level \[≥200 nanograms per deciliter (ng/dL) versus (vs.) \<200 ng/dL\], baseline erectile dysfunction (ED) severity (normal, mild, moderate, severe), and centered baseline ejaculatory function score as fixed effects, and unstructured covariance structure for modeling correlation.

Secondary

MeasureTime frameDescription
Change From Baseline in Sexual Activity Log: Perceived Volume of Ejaculate at 16 WeeksBaseline, 16 weeksThe sexual activity log was used by study participants to document ejaculatory functioning and orgasmic pleasure for each sexual activity attempt over 4 weeks. Ejaculatory functioning included perceived volume of ejaculate, perceived force of ejaculation, delayed ejaculation, and frequency. Reported is the perceived volume of ejaculate rated from 0 (no ejaculate) to 10 (high volume of ejaculate). LS mean of change from baseline was calculated using MMRM including treatment, visit, treatment-by-visit interaction, region, baseline total testosterone level (≥200 ng/dL vs. \<200 ng/dL), baseline ED severity (normal, mild, moderate, severe), and centered baseline ejaculatory volume as fixed effects, and unstructured covariance structure for modeling correlation.
Change From Baseline in Sexual Activity Log: Perceived Force of Ejaculation at 16 WeeksBaseline, 16 weeksThe sexual activity log was used by study participants to document ejaculatory functioning and orgasmic pleasure for each sexual activity attempt over 4 weeks. Ejaculatory functioning included perceived volume of ejaculate, perceived force of ejaculation, delayed ejaculation, and frequency. Reported is the perceived force of ejaculation rated from 0 (could not ejaculate) to 10 (strong ejaculation). LS mean of change from baseline was calculated using MMRM including treatment, visit, treatment-by-visit interaction, region, baseline total testosterone level (≥200 ng/dL vs. \<200 ng/dL), baseline ED severity (normal, mild, moderate, severe), and centered baseline perceived force of ejaculation as fixed effects, and unstructured covariance structure for modeling correlation.
Change From Baseline in Sexual Activity Log: Delayed Ejaculation at 16 WeeksBaseline, 16 weeksThe sexual activity log was used by study participants to document ejaculatory functioning and orgasmic pleasure for each sexual activity attempt over 4 weeks. Ejaculatory functioning included perceived volume of ejaculate, perceived force of ejaculation, delayed ejaculation, and frequency. Reported is delayed ejaculation rated from 0 (did not ejaculate) to 10 (optimal/best ejaculate time). LS mean of change from baseline was calculated using MMRM including treatment, visit, treatment-by-visit interaction, region, baseline total testosterone level (≥200 ng/dL vs. \<200 ng/dL), baseline ED severity (normal, mild, moderate, severe), and centered baseline delayed ejaculation as fixed effects, and unstructured covariance structure for modeling correlation.
Change From Baseline in Ejaculate Volume at 16 WeeksBaseline, 16 weeksThe change from baseline in ejaculate volume was determined by actual measurement of semen volume in milliliters (mL). LS mean of change from baseline was calculated using MMRM including treatment, visit, treatment-by-visit interaction, region, baseline total testosterone level (≥200 ng/dL vs. \<200 ng/dL), baseline ED severity (normal, mild, moderate, severe), and centered baseline ejaculatory volume as fixed effects, and unstructured covariance structure for modeling correlation.
Change From Baseline in Sexual Activity Log: Orgasmic Pleasure at 16 WeeksBaseline, 16 weeksThe sexual activity log was used by study participants to document ejaculatory functioning and orgasmic pleasure for each sexual activity attempt over 4 weeks. Reported is orgasmic pleasure rated from 0 (no pleasure) to 10 (excellent). LS mean of change from baseline was calculated using MMRM including treatment, visit, treatment-by-visit interaction, region, baseline total testosterone level (≥200 ng/dL vs. \<200 ng/dL), baseline ED severity (normal, mild, moderate, severe), and centered baseline orgasmic pleasure as fixed effects, and unstructured covariance structure for modeling correlation.
Change From Baseline in the International Index of Erectile Function (IIEF)-Orgasmic Function Domain Score at 16 WeeksBaseline, 16 weeksIIEF: 15 item, self-reported questionnaire assessing overall erectile function and satisfaction during past month. Orgasmic Function Domain Score: sum of IIEF scores for Q9 and Q10. In Q9, participants (pts) identified how often they ejaculated when having sexual stimulation or intercourse. In Q10, pts identified how often they had a feeling of an orgasm with or without ejaculation when having sexual stimulation or intercourse. For each Q, scores ranged from 0 (no sexual stimulation or intercourse), 1 (almost never or never) to 5 (almost always or always). Total Orgasmic Function Domain Scores ranged from 0 to 10. LS mean of change from baseline calculated using MMRM including treatment, visit, treatment-by-visit interaction, region, baseline total testosterone level (≥200 ng/dL vs. \<200 ng/dL), baseline ED severity (normal, mild, moderate, severe), and centered baseline Orgasmic Function Domain Score as fixed effects, and unstructured covariance structure for modeling correlation.
Change From Baseline in MSHQ-EjD-SF Bother/Satisfaction Score at 16 WeeksBaseline, 16 weeksThe MSHQ-EjD-SF was a 4 item, self-reported questionnaire used for the assessment of EjD during the past month. The MSHQ-EjD-SF Bother/Satisfaction Score was based on Q4: If you have had any ejaculation difficulties or have been unable to ejaculate, have you been bothered by this? Scores ranged from 0 (no problem with ejaculation), 1 (not at all bothered) to 5 (extremely bothered). LS mean of change from baseline was calculated using MMRM including treatment, visit, treatment-by-visit interaction, region, baseline total testosterone level (≥200 ng/dL vs. \<200 ng/dL), baseline ED severity (normal, mild, moderate, severe), and centered baseline Bother/Satisfaction Score as fixed effects, and unstructured covariance structure for modeling correlation.
Change From Baseline in Sexual Activity Log: Frequency of Sexual Attempts at 16 WeeksBaseline, up to 16 weeksThe sexual activity log was used by study participants to document ejaculatory functioning and orgasmic pleasure for each sexual activity attempt over 4 weeks. Ejaculatory functioning included perceived volume of ejaculate, perceived force of ejaculation, delayed ejaculation, and frequency. Reported is the change from baseline number of sexual attempts at 16 weeks. LS mean of change from baseline was calculated using an analysis of covariance (ANCOVA) including treatment group, region, baseline total testosterone level, baseline ED severity (normal, mild, moderate, severe) as fixed effects, and centered baseline as a covariate.

Countries

Canada, United States

Participant flow

Participants by arm

ArmCount
Testosterone Solution 2%
Testosterone solution 2% \[60 mg applied topically once daily with a potential 1-time titration to 30 mg/day or 90 mg/day\] for 16 weeks.
36
Placebo
Placebo solution applied topically once daily for 16 weeks.
40
Total76

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event10
Overall StudyEntry Criteria Not Met10
Overall StudyLack of Efficacy01
Overall StudyLost to Follow-up10
Overall StudyPhysician Decision10
Overall StudyWithdrawal by Subject14

Baseline characteristics

CharacteristicPlaceboTotalTestosterone Solution 2%
Age, Continuous52.7 years
STANDARD_DEVIATION 9.34
50.7 years
STANDARD_DEVIATION 9.76
48.4 years
STANDARD_DEVIATION 9.83
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants14 Participants10 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
36 Participants62 Participants26 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants1 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
8 Participants21 Participants13 Participants
Race (NIH/OMB)
More than one race
3 Participants3 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
28 Participants51 Participants23 Participants
Region of Enrollment
Canada
7 participants10 participants3 participants
Region of Enrollment
Mexico
3 participants6 participants3 participants
Region of Enrollment
United States
30 participants60 participants30 participants
Sex: Female, Male
Female
0 Participants0 Participants0 Participants
Sex: Female, Male
Male
40 Participants76 Participants36 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
18 / 3614 / 40
serious
Total, serious adverse events
0 / 362 / 40

Outcome results

Primary

Change From Baseline in the Male Sexual Health Questionnaire-Ejaculatory Dysfunction-Short Form (MSHQ-EjD-SF) Ejaculatory Function Score at 16 Weeks

MSHQ-EjD-SF: 4 item, self-reported questionnaire assessing ejaculatory dysfunction. MSHQ-EjD-SF Ejaculatory Function Score: sum of scores for questions (Q)1 through Q3 about frequency and strength of ejaculations and volume of ejaculate for sexual activity attempts during past month. Ejaculation frequency was rated 1 (could not ejaculate) to 5 (all the time); strength and volume from 0 (could not ejaculate) to 5 (as strong/much as it always has been). Total Ejaculatory Function Score ranged from 1 to 15. Least-squares (LS) mean of change from baseline calculated using repeated measures mixed-effects model (MMRM) including treatment, visit, treatment-by-visit interaction, region, baseline total testosterone level \[≥200 nanograms per deciliter (ng/dL) versus (vs.) \<200 ng/dL\], baseline erectile dysfunction (ED) severity (normal, mild, moderate, severe), and centered baseline ejaculatory function score as fixed effects, and unstructured covariance structure for modeling correlation.

Time frame: Baseline, 16 weeks

Population: Randomized participants who received at least 1 dose of study drug and completed the MSHQ-EjD-SF questionnaire at least once post-baseline.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Testosterone Solution 2%Change From Baseline in the Male Sexual Health Questionnaire-Ejaculatory Dysfunction-Short Form (MSHQ-EjD-SF) Ejaculatory Function Score at 16 Weeks3.61 units on a scaleStandard Error 0.88
PlaceboChange From Baseline in the Male Sexual Health Questionnaire-Ejaculatory Dysfunction-Short Form (MSHQ-EjD-SF) Ejaculatory Function Score at 16 Weeks2.95 units on a scaleStandard Error 0.81
p-value: 0.3890% CI: [-0.59, 1.91]Mixed Models Repeated Measure Analysis
Secondary

Change From Baseline in Ejaculate Volume at 16 Weeks

The change from baseline in ejaculate volume was determined by actual measurement of semen volume in milliliters (mL). LS mean of change from baseline was calculated using MMRM including treatment, visit, treatment-by-visit interaction, region, baseline total testosterone level (≥200 ng/dL vs. \<200 ng/dL), baseline ED severity (normal, mild, moderate, severe), and centered baseline ejaculatory volume as fixed effects, and unstructured covariance structure for modeling correlation.

Time frame: Baseline, 16 weeks

Population: Randomized participants who received at least 1 dose of study drug and completed the MSHQ-EjD-SF questionnaire at least once post-baseline.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Testosterone Solution 2%Change From Baseline in Ejaculate Volume at 16 Weeks-0.12 mLStandard Error 0.23
PlaceboChange From Baseline in Ejaculate Volume at 16 Weeks0.32 mLStandard Error 0.21
p-value: 0.16490% CI: [-0.96, 0.08]Mixed Models Repeated Measures Analysis
Secondary

Change From Baseline in MSHQ-EjD-SF Bother/Satisfaction Score at 16 Weeks

The MSHQ-EjD-SF was a 4 item, self-reported questionnaire used for the assessment of EjD during the past month. The MSHQ-EjD-SF Bother/Satisfaction Score was based on Q4: If you have had any ejaculation difficulties or have been unable to ejaculate, have you been bothered by this? Scores ranged from 0 (no problem with ejaculation), 1 (not at all bothered) to 5 (extremely bothered). LS mean of change from baseline was calculated using MMRM including treatment, visit, treatment-by-visit interaction, region, baseline total testosterone level (≥200 ng/dL vs. \<200 ng/dL), baseline ED severity (normal, mild, moderate, severe), and centered baseline Bother/Satisfaction Score as fixed effects, and unstructured covariance structure for modeling correlation.

Time frame: Baseline, 16 weeks

Population: Randomized participants who received at least 1 dose of study drug and completed the MSHQ-EjD-SF questionnaire at least once post-baseline.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Testosterone Solution 2%Change From Baseline in MSHQ-EjD-SF Bother/Satisfaction Score at 16 Weeks-1.65 units on a scaleStandard Error 0.39
PlaceboChange From Baseline in MSHQ-EjD-SF Bother/Satisfaction Score at 16 Weeks-1.62 units on a scaleStandard Error 0.36
p-value: 0.93890% CI: [-0.61, 0.55]Mixed Models Repeated Measure Analysis
Secondary

Change From Baseline in Sexual Activity Log: Delayed Ejaculation at 16 Weeks

The sexual activity log was used by study participants to document ejaculatory functioning and orgasmic pleasure for each sexual activity attempt over 4 weeks. Ejaculatory functioning included perceived volume of ejaculate, perceived force of ejaculation, delayed ejaculation, and frequency. Reported is delayed ejaculation rated from 0 (did not ejaculate) to 10 (optimal/best ejaculate time). LS mean of change from baseline was calculated using MMRM including treatment, visit, treatment-by-visit interaction, region, baseline total testosterone level (≥200 ng/dL vs. \<200 ng/dL), baseline ED severity (normal, mild, moderate, severe), and centered baseline delayed ejaculation as fixed effects, and unstructured covariance structure for modeling correlation.

Time frame: Baseline, 16 weeks

Population: Randomized participants who received at least 1 dose of study drug and completed the MSHQ-EjD-SF questionnaire at least once post-baseline.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Testosterone Solution 2%Change From Baseline in Sexual Activity Log: Delayed Ejaculation at 16 Weeks1.68 units on a scaleStandard Error 0.34
PlaceboChange From Baseline in Sexual Activity Log: Delayed Ejaculation at 16 Weeks1.38 units on a scaleStandard Error 0.33
p-value: 0.53590% CI: [-0.5, 1.1]Mixed Models Repeated Measure Analysis
Secondary

Change From Baseline in Sexual Activity Log: Frequency of Sexual Attempts at 16 Weeks

The sexual activity log was used by study participants to document ejaculatory functioning and orgasmic pleasure for each sexual activity attempt over 4 weeks. Ejaculatory functioning included perceived volume of ejaculate, perceived force of ejaculation, delayed ejaculation, and frequency. Reported is the change from baseline number of sexual attempts at 16 weeks. LS mean of change from baseline was calculated using an analysis of covariance (ANCOVA) including treatment group, region, baseline total testosterone level, baseline ED severity (normal, mild, moderate, severe) as fixed effects, and centered baseline as a covariate.

Time frame: Baseline, up to 16 weeks

Population: Randomized participants who received at least 1 dose of study drug and completed the MSHQ-EjD-SF questionnaire at least once post-baseline; Last observation carried forward (LOCF).

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Testosterone Solution 2%Change From Baseline in Sexual Activity Log: Frequency of Sexual Attempts at 16 Weeks0.89 sexual attemptsStandard Error 0.53
PlaceboChange From Baseline in Sexual Activity Log: Frequency of Sexual Attempts at 16 Weeks-0.14 sexual attemptsStandard Error 0.51
p-value: 0.17290% CI: [-0.22, 2.27]ANCOVA
Secondary

Change From Baseline in Sexual Activity Log: Orgasmic Pleasure at 16 Weeks

The sexual activity log was used by study participants to document ejaculatory functioning and orgasmic pleasure for each sexual activity attempt over 4 weeks. Reported is orgasmic pleasure rated from 0 (no pleasure) to 10 (excellent). LS mean of change from baseline was calculated using MMRM including treatment, visit, treatment-by-visit interaction, region, baseline total testosterone level (≥200 ng/dL vs. \<200 ng/dL), baseline ED severity (normal, mild, moderate, severe), and centered baseline orgasmic pleasure as fixed effects, and unstructured covariance structure for modeling correlation.

Time frame: Baseline, 16 weeks

Population: Randomized participants who received at least 1 dose of study drug and completed the MSHQ-EjD-SF questionnaire at least once post-baseline.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Testosterone Solution 2%Change From Baseline in Sexual Activity Log: Orgasmic Pleasure at 16 Weeks1.37 units on a scaleStandard Error 0.31
PlaceboChange From Baseline in Sexual Activity Log: Orgasmic Pleasure at 16 Weeks1.05 units on a scaleStandard Error 0.3
p-value: 0.47390% CI: [-0.41, 1.04]Mixed Models Repeated Measure Analysis
Secondary

Change From Baseline in Sexual Activity Log: Perceived Force of Ejaculation at 16 Weeks

The sexual activity log was used by study participants to document ejaculatory functioning and orgasmic pleasure for each sexual activity attempt over 4 weeks. Ejaculatory functioning included perceived volume of ejaculate, perceived force of ejaculation, delayed ejaculation, and frequency. Reported is the perceived force of ejaculation rated from 0 (could not ejaculate) to 10 (strong ejaculation). LS mean of change from baseline was calculated using MMRM including treatment, visit, treatment-by-visit interaction, region, baseline total testosterone level (≥200 ng/dL vs. \<200 ng/dL), baseline ED severity (normal, mild, moderate, severe), and centered baseline perceived force of ejaculation as fixed effects, and unstructured covariance structure for modeling correlation.

Time frame: Baseline, 16 weeks

Population: Randomized participants who received at least 1 dose of study drug and completed the MSHQ-EjD-SF questionnaire at least once post-baseline.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Testosterone Solution 2%Change From Baseline in Sexual Activity Log: Perceived Force of Ejaculation at 16 Weeks2.28 units on a scaleStandard Error 0.32
PlaceboChange From Baseline in Sexual Activity Log: Perceived Force of Ejaculation at 16 Weeks1.47 units on a scaleStandard Error 0.31
p-value: 0.07990% CI: [0.05, 1.57]Mixed Models Repeated Measure Analysis
Secondary

Change From Baseline in Sexual Activity Log: Perceived Volume of Ejaculate at 16 Weeks

The sexual activity log was used by study participants to document ejaculatory functioning and orgasmic pleasure for each sexual activity attempt over 4 weeks. Ejaculatory functioning included perceived volume of ejaculate, perceived force of ejaculation, delayed ejaculation, and frequency. Reported is the perceived volume of ejaculate rated from 0 (no ejaculate) to 10 (high volume of ejaculate). LS mean of change from baseline was calculated using MMRM including treatment, visit, treatment-by-visit interaction, region, baseline total testosterone level (≥200 ng/dL vs. \<200 ng/dL), baseline ED severity (normal, mild, moderate, severe), and centered baseline ejaculatory volume as fixed effects, and unstructured covariance structure for modeling correlation.

Time frame: Baseline, 16 weeks

Population: Randomized participants who received at least 1 dose of study drug and completed the MSHQ-EjD-SF questionnaire at least once post-baseline.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Testosterone Solution 2%Change From Baseline in Sexual Activity Log: Perceived Volume of Ejaculate at 16 Weeks1.85 units on a scaleStandard Error 0.31
PlaceboChange From Baseline in Sexual Activity Log: Perceived Volume of Ejaculate at 16 Weeks1.43 units on a scaleStandard Error 0.3
p-value: 0.34290% CI: [-0.31, 1.15]Mixed Models Repeated Measure Analysis
Secondary

Change From Baseline in the International Index of Erectile Function (IIEF)-Orgasmic Function Domain Score at 16 Weeks

IIEF: 15 item, self-reported questionnaire assessing overall erectile function and satisfaction during past month. Orgasmic Function Domain Score: sum of IIEF scores for Q9 and Q10. In Q9, participants (pts) identified how often they ejaculated when having sexual stimulation or intercourse. In Q10, pts identified how often they had a feeling of an orgasm with or without ejaculation when having sexual stimulation or intercourse. For each Q, scores ranged from 0 (no sexual stimulation or intercourse), 1 (almost never or never) to 5 (almost always or always). Total Orgasmic Function Domain Scores ranged from 0 to 10. LS mean of change from baseline calculated using MMRM including treatment, visit, treatment-by-visit interaction, region, baseline total testosterone level (≥200 ng/dL vs. \<200 ng/dL), baseline ED severity (normal, mild, moderate, severe), and centered baseline Orgasmic Function Domain Score as fixed effects, and unstructured covariance structure for modeling correlation.

Time frame: Baseline, 16 weeks

Population: Randomized participants who received at least 1 dose of study drug and completed the MSHQ-EjD-SF questionnaire at least once post-baseline.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Testosterone Solution 2%Change From Baseline in the International Index of Erectile Function (IIEF)-Orgasmic Function Domain Score at 16 Weeks1.21 units on a scaleStandard Error 0.42
PlaceboChange From Baseline in the International Index of Erectile Function (IIEF)-Orgasmic Function Domain Score at 16 Weeks1.29 units on a scaleStandard Error 0.38
p-value: 0.88590% CI: [-1.03, 0.87]Mixed Models Repeated Measure Analysis

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