Trial Outcomes & Findings for H-22411: BOTOX® for Peyronie's Disease (NCT NCT00812838)

NCT ID: NCT00812838

Last Updated: 2024-04-08

Results Overview

Measured by a protractor from pictures taken at baseline (pre-treatment screening visit) and end of treatment at week 16 \*Crossover subjects were added to Experimental Group for analysis\* Negative value equates to a reduction in curvature Positive value equates to an increase in curvature

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

12 participants

Primary outcome timeframe

Baseline (Pre-Treatment Screening Visit) to end of treatment at week 16

Results posted on

2024-04-08

Participant Flow

Participant milestones

Participant milestones
Measure
Experimental
100 units of Botulinum Toxin Type A Injection solution will consist of 100 units of BOTOX® in 10 cc of preservative free normal saline
Placebo Comparator
Normal saline Injection solution will consist of 10 cc preservative free normal saline. Optional Cross-over: For subjects in Arm 2, crossover to BOTOX treatment will begin after the Week 16 Visit by repeating the study schedule as for Week 0 to Week 16.
Treatment Period of 16 Weeks
STARTED
6
6
Treatment Period of 16 Weeks
COMPLETED
6
6
Treatment Period of 16 Weeks
NOT COMPLETED
0
0
Optional Crossover of 16 Weeks
STARTED
0
4
Optional Crossover of 16 Weeks
COMPLETED
0
4
Optional Crossover of 16 Weeks
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Experimental
n=6 Participants
100 units of Botulinum Toxin Type A Injection solution will consist of 100 units of BOTOX® in 10 cc of preservative free normal saline \*Crossover subjects were added to Experimental Group for analysis\*
Placebo Comparator
n=6 Participants
Normal saline Injection solution will consist of 10 cc preservative free normal saline. Optional Cross-over: For subjects in Arm 2, crossover to BOTOX treatment will begin after the Week 16 Visit by repeating the study schedule as for Week 0 to Week 16.
Total
n=12 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
0 Participants
n=7 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
0 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
Age, Categorical
Between 18 and 65 years
6 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
6 Participants
n=7 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
12 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
Age, Categorical
>=65 years
0 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
0 Participants
n=7 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
0 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
Age, Continuous
58.86 years
STANDARD_DEVIATION 4.741 • n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
57.83 years
STANDARD_DEVIATION 3.710 • n=7 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
58.38 years
STANDARD_DEVIATION 4.154 • n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
Sex: Female, Male
Female
0 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
0 Participants
n=7 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
0 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
Sex: Female, Male
Male
6 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
6 Participants
n=7 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
12 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
0 Participants
n=7 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
0 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
6 Participants
n=7 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
12 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
0 Participants
n=7 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
0 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
0 Participants
n=7 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
0 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
1 Participants
n=7 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
1 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
0 Participants
n=7 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
0 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
0 Participants
n=7 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
0 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
Race (NIH/OMB)
White
6 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
5 Participants
n=7 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
11 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
0 Participants
n=7 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
0 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
0 Participants
n=7 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
0 Participants
n=5 Participants • Per the study protocol, two arms of the study are analyzed; the experimental arm and the placebo arm
Region of Enrollment
United States
6 participants
n=5 Participants
6 participants
n=7 Participants
12 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline (Pre-Treatment Screening Visit) to end of treatment at week 16

Population: \*Crossover subjects were added to Experimental Group for analysis\*

Measured by a protractor from pictures taken at baseline (pre-treatment screening visit) and end of treatment at week 16 \*Crossover subjects were added to Experimental Group for analysis\* Negative value equates to a reduction in curvature Positive value equates to an increase in curvature

Outcome measures

Outcome measures
Measure
Experimental
n=10 Participants
100 units of Botulinum Toxin Type A Injection solution will consist of 100 units of BOTOX® in 10 cc of preservative free normal saline
Placebo Comparator
n=6 Participants
Normal saline Injection solution will consist of 10 cc preservative free normal saline
Average Percent Change of Penile Curvature in Degrees
-21.73 percent change
Standard Deviation 57.69
2.429 percent change
Standard Deviation 81.59

SECONDARY outcome

Timeframe: Baseline (Pre-Treatment Screening Visit) to end of treatment at week 16

Population: \*Penile Doppler ultrasound was not performed on optional crossover patients. Data reflects scores derived from Experimental and Placebo group analysis.

Results of penile doppler ultrasound from baseline/screening visit to end of treatment at week 16 will be compared. peak systolic velocity (PSV) and end-diastolic velocity (EDV) are assessed here. Change is calculated as week 16 values - screening visit values Negative values are a decrease in velocity Positive values are an increase in velocity

Outcome measures

Outcome measures
Measure
Experimental
n=6 Participants
100 units of Botulinum Toxin Type A Injection solution will consist of 100 units of BOTOX® in 10 cc of preservative free normal saline
Placebo Comparator
n=6 Participants
Normal saline Injection solution will consist of 10 cc preservative free normal saline
Change in Penile Blood Flow for Peak Systolic Velocity (PSV) and End-diastolic Velocity (EDV)
Pre injection Right PSV
-0.65670 cm/s
Standard Deviation 5.505
-9.0170 cm/s
Standard Deviation 11.43
Change in Penile Blood Flow for Peak Systolic Velocity (PSV) and End-diastolic Velocity (EDV)
Pre injection Right EDV
-2.10200 cm/s
Standard Deviation 6.798
-0.8667 cm/s
Standard Deviation 3.771
Change in Penile Blood Flow for Peak Systolic Velocity (PSV) and End-diastolic Velocity (EDV)
Pre injection Left PSV
-1.263 cm/s
Standard Deviation 9.032
-6.4330 cm/s
Standard Deviation 12.04
Change in Penile Blood Flow for Peak Systolic Velocity (PSV) and End-diastolic Velocity (EDV)
Pre injection Left EDV
-10.27 cm/s
Standard Deviation 8.261
-6.75 cm/s
Standard Deviation 11.63
Change in Penile Blood Flow for Peak Systolic Velocity (PSV) and End-diastolic Velocity (EDV)
5 minutes right PSV
5.185 cm/s
Standard Deviation 28.48
2.1330 cm/s
Standard Deviation 6.425
Change in Penile Blood Flow for Peak Systolic Velocity (PSV) and End-diastolic Velocity (EDV)
5 minutes right EDV
-11.05 cm/s
Standard Deviation 19.56
-0.1417 cm/s
Standard Deviation 3.944
Change in Penile Blood Flow for Peak Systolic Velocity (PSV) and End-diastolic Velocity (EDV)
5 minutes left psv
2.863 cm/s
Standard Deviation 17.68
-6.6830 cm/s
Standard Deviation 22.76
Change in Penile Blood Flow for Peak Systolic Velocity (PSV) and End-diastolic Velocity (EDV)
5 minutes left edv
-2.4 cm/s
Standard Deviation 10.80
3.5 cm/s
Standard Deviation 10.16
Change in Penile Blood Flow for Peak Systolic Velocity (PSV) and End-diastolic Velocity (EDV)
15 minutes right PSV
6.917 cm/s
Standard Deviation 20.91
-15.52 cm/s
Standard Deviation 34.44
Change in Penile Blood Flow for Peak Systolic Velocity (PSV) and End-diastolic Velocity (EDV)
15 minutes right EDV
-10.22 cm/s
Standard Deviation 22.82
1.55 cm/s
Standard Deviation 5.001
Change in Penile Blood Flow for Peak Systolic Velocity (PSV) and End-diastolic Velocity (EDV)
15 minutes left PSV
7.183 cm/s
Standard Deviation 10.81
-15.10 cm/s
Standard Deviation 40.93
Change in Penile Blood Flow for Peak Systolic Velocity (PSV) and End-diastolic Velocity (EDV)
15 minutes left EDV
-2.267 cm/s
Standard Deviation 11.58
3.367 cm/s
Standard Deviation 6.046

SECONDARY outcome

Timeframe: Baseline (Pre-Treatment Screening Visit) to end of treatment at week 16

Population: \*Penile Doppler ultrasound was not performed on optional crossover patients. Data reflects scores derived from Experimental and Placebo group analysis.

Results of penile doppler ultrasound from the baseline/screening visit to end of treatment at week 16 will be compared. Diameter is assessed here. Change is calculated as week 16 values - screening visit values Negative values are a decrease in diameter Positive values are an increase in diameter

Outcome measures

Outcome measures
Measure
Experimental
n=6 Participants
100 units of Botulinum Toxin Type A Injection solution will consist of 100 units of BOTOX® in 10 cc of preservative free normal saline
Placebo Comparator
n=6 Participants
Normal saline Injection solution will consist of 10 cc preservative free normal saline
Change in Penile Blood Flow for Diameter
Pre injection left diameter
0.04167 cm
Standard Deviation 0.5869
0.3983 cm
Standard Deviation 0.4565
Change in Penile Blood Flow for Diameter
5 minute left diameter
-0.75330 cm
Standard Deviation 2.551
0.0750 cm
Standard Deviation 0.9000
Change in Penile Blood Flow for Diameter
Pre injection right Diameter
-0.29 cm
Standard Deviation 0.8539
0.1700 cm
Standard Deviation 0.7208
Change in Penile Blood Flow for Diameter
5 minute right diameter
1.34200 cm
Standard Deviation 4.006
0.2917 cm
Standard Deviation 0.6719
Change in Penile Blood Flow for Diameter
15 minute right diameter
-1.43700 cm
Standard Deviation 3.952
-0.3550 cm
Standard Deviation 0.6469
Change in Penile Blood Flow for Diameter
15 minute left diameter
-0.43500 cm
Standard Deviation 2.571
-0.1867 cm
Standard Deviation 1.203

SECONDARY outcome

Timeframe: Baseline (Pre-Treatment Screening Visit) to end of treatment at week 16

Population: \*Crossover subjects were added to Experimental Group for analysis\*

Results of ultrasound at baseline/screening visit to end of treatment at week 16 will be compared. \*Crossover subjects were added to Experimental Group for analysis\* Change is calculated as week 16 values values minus screening visit values Increase in value equates to increased plaque size Decrease in value equates to decreased plaque size

Outcome measures

Outcome measures
Measure
Experimental
n=10 Participants
100 units of Botulinum Toxin Type A Injection solution will consist of 100 units of BOTOX® in 10 cc of preservative free normal saline
Placebo Comparator
n=6 Participants
Normal saline Injection solution will consist of 10 cc preservative free normal saline
Change in Penile Plaque Size
screening visit
717.5 cubic millimeters
Standard Deviation 827.4
485.8 cubic millimeters
Standard Deviation 599.6
Change in Penile Plaque Size
week 16
198.9 cubic millimeters
Standard Deviation 220.8
319.0 cubic millimeters
Standard Deviation 252.2

SECONDARY outcome

Timeframe: Baseline (Pre-Treatment Screening Visit) to end of treatment at week 16

Population: \*Crossover subjects were added to Experimental Group for analysis\*

Subject's average scores on IIEF at baseline/screening visit to end of treatment at week 16 are compared The subscale measures self-reported erectile function. Maximum score is 30, Minimum is 0. A score of 0 is the absolute best outcome. A score of 30 is the absolute worst outcome. Erectile Function score is a summation of questions 1,2,3,4, and 15. This study is assessing their erectile function and not the other subscales. The other subscale scores are : 1. Orgasmic Function (Questions 9, 10); Maximum score = 10, Minimum score = 0 2. Sexual Desire (Questions 11, 12); Maximum score = 10, Minimum score = 0 3. Intercourse Satisfaction (Questions 6, 7, 8); Maximum score = 15, Minimum score = 0 4. Overall Satisfaction (Question 13, 14): Maximum score = 10, Minimum score = 0 Subscales are not combined to make a total composite score. \*Crossover subjects were added to Experimental Group for analysis\*

Outcome measures

Outcome measures
Measure
Experimental
n=10 Participants
100 units of Botulinum Toxin Type A Injection solution will consist of 100 units of BOTOX® in 10 cc of preservative free normal saline
Placebo Comparator
n=6 Participants
Normal saline Injection solution will consist of 10 cc preservative free normal saline
Changes in International Index of Erectile Function Scores (IIEF)
Screening Visit
15.60 score on a scale
Standard Deviation 11.75
21 score on a scale
Standard Deviation 12.13
Changes in International Index of Erectile Function Scores (IIEF)
Week 16
17.20 score on a scale
Standard Deviation 11.61
21.50 score on a scale
Standard Deviation 11.74

Adverse Events

100 Units of Botulinum Toxin Type A

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Normal Saline

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
100 Units of Botulinum Toxin Type A
n=10 participants at risk
Injection solution will consist of 100 units of BOTOX® in 10 cc of preservative free normal saline 100 units of Botulinum Toxin Type A: Approximately 20 to 30 injections of 100 units of BOTOX® given with a 20 gage needle directly into the penile plaque
Normal Saline
n=6 participants at risk
Injection solution will consist of 10 cc preservative free normal saline Preservative free normal saline: Approximately 20 to 30 injections of 10cc of preservative free normal saline given with a 20 gage needle directly into the penile plaque
Immune system disorders
Cold
20.0%
2/10 • Number of events 2 • 2 years, 8 months
0.00%
0/6 • 2 years, 8 months
Musculoskeletal and connective tissue disorders
back pain
10.0%
1/10 • Number of events 1 • 2 years, 8 months
0.00%
0/6 • 2 years, 8 months
Vascular disorders
Bruising
20.0%
2/10 • Number of events 2 • 2 years, 8 months
0.00%
0/6 • 2 years, 8 months
Musculoskeletal and connective tissue disorders
Foot pain
10.0%
1/10 • Number of events 1 • 2 years, 8 months
0.00%
0/6 • 2 years, 8 months
Gastrointestinal disorders
small bowel obstruction
10.0%
1/10 • Number of events 1 • 2 years, 8 months
0.00%
0/6 • 2 years, 8 months
Respiratory, thoracic and mediastinal disorders
seasonal allergies
10.0%
1/10 • Number of events 1 • 2 years, 8 months
0.00%
0/6 • 2 years, 8 months
Renal and urinary disorders
increased frequent urination
10.0%
1/10 • Number of events 1 • 2 years, 8 months
0.00%
0/6 • 2 years, 8 months

Additional Information

Mohit Khera, MD

Baylor College of Medicine

Phone: 713-798-6593

Results disclosure agreements

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