Trial Outcomes & Findings for Uptitration Trial of Flibanserin Versus Placebo in Premenopausal Women With Hypoactive Sexual Desire Disorder (NCT NCT00360555)

NCT ID: NCT00360555

Last Updated: 2016-06-27

Results Overview

For endpoints collected on the eDiary, responses are accumulated on a monthly basis using the following algorithms. For satisfying sexual events: Total monthly events = 28 x (sum of the number of events) / (sum of number of days entered)

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

1584 participants

Primary outcome timeframe

baseline to 28 weeks

Results posted on

2016-06-27

Participant Flow

Participant milestones

Participant milestones
Measure
Flibanserin 25 mg b.i.d
flibanserin: 25 mg twice daily
Flibanserin 50mg Qhs/b.i.d
flibanserin: 50 mg once at bedtime/twice daily
Flibanserin 50mg b.i.d./100mg Qhs
flibanserin: 50 mg twice daily/100 once at bedtime
Placebo
flibanserin: placebo
Overall Study
STARTED
396
393
396
399
Overall Study
COMPLETED
274
259
251
287
Overall Study
NOT COMPLETED
122
134
145
112

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Uptitration Trial of Flibanserin Versus Placebo in Premenopausal Women With Hypoactive Sexual Desire Disorder

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Flibanserin 25 mg b.i.d
n=396 Participants
flibanserin: 25 mg twice daily
Flibanserin 50mg Qhs/b.i.d
n=392 Participants
flibanserin: 50 mg once at bedtime/twice daily
Flibanserin 50mg b.i.d./100mg Qhs
n=395 Participants
flibanserin: 50 mg twice daily/100 once at bedtime
Placebo
n=398 Participants
flibanserin: placebo
Total
n=1581 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Age, Categorical
Between 18 and 65 years
396 Participants
n=5 Participants
392 Participants
n=7 Participants
395 Participants
n=5 Participants
398 Participants
n=4 Participants
1581 Participants
n=21 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Sex: Female, Male
Female
396 Participants
n=5 Participants
392 Participants
n=7 Participants
395 Participants
n=5 Participants
398 Participants
n=4 Participants
1581 Participants
n=21 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race/Ethnicity, Customized
White
341 participants
n=5 Participants
345 participants
n=7 Participants
334 participants
n=5 Participants
343 participants
n=4 Participants
1363 participants
n=21 Participants
Race/Ethnicity, Customized
White Hispanic
16 participants
n=5 Participants
16 participants
n=7 Participants
24 participants
n=5 Participants
27 participants
n=4 Participants
83 participants
n=21 Participants
Race/Ethnicity, Customized
Black Hispanic
1 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
2 participants
n=21 Participants
Race/Ethnicity, Customized
Black
33 participants
n=5 Participants
27 participants
n=7 Participants
29 participants
n=5 Participants
21 participants
n=4 Participants
110 participants
n=21 Participants
Race/Ethnicity, Customized
Asian
5 participants
n=5 Participants
4 participants
n=7 Participants
8 participants
n=5 Participants
6 participants
n=4 Participants
23 participants
n=21 Participants
Race/Ethnicity, Customized
Asian Hispanic
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
Region of Enrollment
United States
346 participants
n=5 Participants
344 participants
n=7 Participants
349 participants
n=5 Participants
352 participants
n=4 Participants
1391 participants
n=21 Participants
Region of Enrollment
Canada
50 participants
n=5 Participants
48 participants
n=7 Participants
46 participants
n=5 Participants
46 participants
n=4 Participants
190 participants
n=21 Participants

PRIMARY outcome

Timeframe: baseline to 28 weeks

Population: Participants who received at least one post-dose on-treatment efficacy assessment were included in the Full Analysis Set (FAS). Efficacy endpoints were analyzed primarily using the FAS.

For endpoints collected on the eDiary, responses are accumulated on a monthly basis using the following algorithms. For satisfying sexual events: Total monthly events = 28 x (sum of the number of events) / (sum of number of days entered)

Outcome measures

Outcome measures
Measure
Flibanserin 25 mg b.i.d
n=376 Participants
flibanserin: 25 mg twice daily
Flibanserin 50mg Qhs/b.i.d
n=369 Participants
flibanserin: 50 mg once at bedtime/twice daily
Flibanserin 50mg b.i.d./100mg Qhs
n=371 Participants
flibanserin: 50 mg twice daily/100 once at bedtime
Placebo
n=381 Participants
flibanserin: placebo
Change From Baseline in the Frequency of Satisfying Sexual Events (SSE) as Recorded in the eDiary.
1.4 SSEs per 28 days
Standard Deviation 3.5
1.4 SSEs per 28 days
Standard Deviation 3.4
1.9 SSEs per 28 days
Standard Deviation 5.3
1.1 SSEs per 28 days
Standard Deviation 3.4

PRIMARY outcome

Timeframe: baseline to 24 weeks

Population: Participants who received at least one post-dose on-treatment efficacy assessment were included in the Full Analysis Set (FAS). Efficacy endpoints were analyzed primarily using the FAS.

Change from baseline in the electronic diary (eDiary) Sexual Desire Monthly Total Score standardized to a 28-day period (score range 0-84). Change from baseline is calculated as the difference between the four week baseline period and Week 21 to Week 24. Patients were asked to record information daily in the eDiary throughout the trial. Every time the eDiary was completed, a desire question was asked. If a patient did not complete the diary on a given day, the patient was not asked to enter desire information for more than a 24-hour retrospective period. The desire item read "Indicate your most intense level of sexual desire in the last 24 hours / since your last visit." Potential responses included "no," "low," "moderate," or "strong" and was scored 0-3, with 0 indicating no desire and 3 indicating the highest level of desire: 0 = No desire 1. = Low desire 2. = Moderate desire 3. = Strong desire

Outcome measures

Outcome measures
Measure
Flibanserin 25 mg b.i.d
n=376 Participants
flibanserin: 25 mg twice daily
Flibanserin 50mg Qhs/b.i.d
n=369 Participants
flibanserin: 50 mg once at bedtime/twice daily
Flibanserin 50mg b.i.d./100mg Qhs
n=371 Participants
flibanserin: 50 mg twice daily/100 once at bedtime
Placebo
n=381 Participants
flibanserin: placebo
Change From Baseline in the Monthly Sum of Responses Recorded in the eDiary to the Daily Desire Question.
7.9 units on a scale
Standard Error 0.8
8.8 units on a scale
Standard Error 0.8
8.5 units on a scale
Standard Error 0.8
6.8 units on a scale
Standard Error 0.8

Adverse Events

Flibanserin 25 mg b.i.d

Serious events: 7 serious events
Other events: 168 other events
Deaths: 0 deaths

Flibanserin 50mg Qhs/b.i.d

Serious events: 6 serious events
Other events: 293 other events
Deaths: 0 deaths

Flibanserin 50mg b.i.d./100mg Qhs

Serious events: 3 serious events
Other events: 266 other events
Deaths: 0 deaths

Placebo

Serious events: 8 serious events
Other events: 133 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Flibanserin 25 mg b.i.d
n=396 participants at risk
flibanserin: 25 mg twice daily
Flibanserin 50mg Qhs/b.i.d
n=392 participants at risk
flibanserin: 50 mg once at bedtime/twice daily
Flibanserin 50mg b.i.d./100mg Qhs
n=395 participants at risk
flibanserin: 50 mg twice daily/100 once at bedtime
Placebo
n=398 participants at risk
flibanserin: placebo
Infections and infestations
appendicitis
0.25%
1/396 • Number of events 1
0.77%
3/392 • Number of events 3
0.00%
0/395
0.00%
0/398
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast Cancer
0.00%
0/396
0.00%
0/392
0.00%
0/395
0.25%
1/398 • Number of events 1
Vascular disorders
Phlebitis superficial
0.00%
0/396
0.00%
0/392
0.00%
0/395
0.25%
1/398 • Number of events 1
Hepatobiliary disorders
Biliary colic
0.00%
0/396
0.00%
0/392
0.00%
0/395
0.25%
1/398 • Number of events 1
Hepatobiliary disorders
Cholecystitic acute
0.00%
0/396
0.26%
1/392 • Number of events 1
0.00%
0/395
0.00%
0/398
Hepatobiliary disorders
cholelithiasis
0.00%
0/396
0.26%
1/392 • Number of events 1
0.25%
1/395 • Number of events 1
0.75%
3/398 • Number of events 3
Musculoskeletal and connective tissue disorders
Intervertebral disc degeneration
0.00%
0/396
0.00%
0/392
0.25%
1/395 • Number of events 1
0.00%
0/398
Musculoskeletal and connective tissue disorders
Intervertebral disc protrustion
1.0%
4/396 • Number of events 4
0.26%
1/392 • Number of events 1
0.25%
1/395 • Number of events 1
0.00%
0/398
Reproductive system and breast disorders
Ovarian cyst
0.51%
2/396 • Number of events 2
0.00%
0/392
0.00%
0/395
0.50%
2/398 • Number of events 2

Other adverse events

Other adverse events
Measure
Flibanserin 25 mg b.i.d
n=396 participants at risk
flibanserin: 25 mg twice daily
Flibanserin 50mg Qhs/b.i.d
n=392 participants at risk
flibanserin: 50 mg once at bedtime/twice daily
Flibanserin 50mg b.i.d./100mg Qhs
n=395 participants at risk
flibanserin: 50 mg twice daily/100 once at bedtime
Placebo
n=398 participants at risk
flibanserin: placebo
Respiratory, thoracic and mediastinal disorders
upper respiratory infection
6.1%
24/396 • Number of events 25
5.1%
20/392 • Number of events 25
6.3%
25/395 • Number of events 30
5.0%
20/398 • Number of events 21
Respiratory, thoracic and mediastinal disorders
nasopharyngitis
5.1%
20/396 • Number of events 22
4.6%
18/392 • Number of events 20
4.1%
16/395 • Number of events 17
2.8%
11/398 • Number of events 13
Nervous system disorders
dizziness
5.6%
22/396 • Number of events 23
13.8%
54/392 • Number of events 65
12.2%
48/395 • Number of events 54
2.0%
8/398 • Number of events 8
Nervous system disorders
somnolence
7.3%
29/396 • Number of events 32
16.3%
64/392 • Number of events 73
11.9%
47/395 • Number of events 55
3.5%
14/398 • Number of events 14
General disorders
fatigue
6.1%
24/396 • Number of events 25
15.3%
60/392 • Number of events 64
9.6%
38/395 • Number of events 40
6.8%
27/398 • Number of events 29
Gastrointestinal disorders
nausea
5.1%
20/396 • Number of events 24
10.7%
42/392 • Number of events 51
11.9%
47/395 • Number of events 54
4.0%
16/398 • Number of events 18
Nervous system disorders
Headache
7.3%
29/396 • Number of events 37
8.9%
35/392 • Number of events 65
11.4%
45/395 • Number of events 68
9.3%
37/398 • Number of events 53

Additional Information

Scientific Program Director

Sprout Pharmaceuticals

Phone: 9198820850

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place