An Observational Study of Men With Premature Ejaculation Who Are Treated With Dapoxetine Hydrochloride or Alternate Care Defined as Any Treatment Other Than Dapoxetine Hydrochloride

NCT ID: NCT01021670

Last Updated: 2013-11-26

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 10027 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2009-09-30
• Study Completion Date: 2012-09-30

Brief Summary

The purpose of the study is to collect information regarding the safety of dapoxetine hydrochloride when used in clinical practice to treat men with premature ejaculation. Dapoxetine hydrochloride is a selective inhibitor of serotonin reuptake that is indicated for the treatment of patients with premature ejaculation.

Detailed Description

This is a 12-week, observational study to collect and evaluate safety data for dapoxetine hydrochloride and alternate care/non-dapoxetine hydrochloride treatment(s) defined as any treatment (eg, oral, topical, or behavioral) other than dapoxetine hydrochloride, which have been recommended and prescribed for men who have a diagnosis of premature ejaculation. The primary objective of the study is to describe the safety profile of dapoxetine hydrochloride when used in clinical practice. The safety of dapoxetine hydrochloride will be assessed duing the study by monitoring the occurrence of all adverse events experienced by patients including adverse events of special interest (eg, syncope, characterized as loss of consciousness). Safety will also be assessed by monitoring patient use of all concomitant medications/treatments including prescription medications, over the counter medications, vitamins and herbal supplements, and other types of therapies such as electrical stimulation, acupuncture, special diets, and exercise regimens. Approximately 12,000 men with premature ejaculation will be enrolled in the study of which approximately 6,000 patients will be treated with dapoxetine hydrochloride. All patients who present to the practice for an evaluation of premature ejaculation, or who have a diagnosis of premature ejaculation and are currently being treated will be considered for enrollment in the study. All treatment decisions will be made at the discretion of the participating health care provider. The study will consist of 3 periods: a pre-observational (screening/baseline) period (Visit 1), an 12-week observational period (Visits 2, 3, and 4), and a 4-week post-observational period. At Visit 1, the health care provider will make or confirm the diagnosis of premature ejaculation and determine if treatment with dapoxetine hydrochloride or alternate care/non-dapoxetine hydrochloride is appropriate for the patient. There will be no study-specific selection criteria other than the guidance provided by the Summary of Product Characteristics for dapoxetine hydrochloride as it is intended that the participating health care provider will use the Summary of Product Characteristics for dapoxetine hydrochloride as a guide to identify appropriate patients for the study, and the types of patients who should use caution or avoid using dapoxetine hydrochloride. If the healthcare provider determines that the patient is a candidate for the study, he/she will explain the details of the study to the patient. Patients who are interested in participating in the study should be willing and able to be treated with dapoxetine hydrochloride and to continue to participate in the study as long as dapoxetine hydrochloride continues to be administered for the duration of the 12-week observational period, even in those situations where topical and/or behavioral alternate care treatments are added to the dapoxetine hydrochloride treatment regimen. Patients who wish to participate in the study will be asked to sign and date an informed consent to allow the health care provider to collect information required for the study. At Visit 1, a signed informed consent form will be obtained from the patient and information will be collected including demographics (for example, the patient's race and age), medical history including premature ejaculation history, physical examination findings, and orthostatic vital sign (blood pressure and heart rate/pulse) measurements. If the health care provider determines that the patient should be treated with dapoxetine hydrochloride, the health care provider will instruct the patient on the administration of dapoxetine hydrochloride according to the dosage and administration guidelines in the Summary of Product Characteristics for dapoxetine hydrochloride as follows: the recommended starting dose of dapoxetine hydrochloride is 30 mg, taken with or without food with at least one full glass of water approximately 1 to 3 hours prior to prior to sexual activity once every 24 hours as needed. If the effect of dapoxetin hydrochloride at a dose of 30 mg is insufficient and the side effects are acceptable, the dose may be increased to the maximum recommended dose of 60 mg. If the health care provider determines that the patient should be treated with alternate care/non-dapoxetine hydrochloride treatment(s), the health care provider will instruct the patient on the administration of those treatments as prescribed or directed. Following Visit 1, all patients will participate in a 12-week observational period where they will return for up to 3 study visits (Visits 2, 3, and 4) according to the health care provider's local practice. At each visit, the health care provider will evaluate if the dose of dapoxetine hydrochloride or alternate care/non-dapoxetine hydrochloride treatment(s) needs to be increased or decreased and information regarding the occurrence of adverse events and the use of concomitant medications/treatment will be collected. Approximately 4 weeks following the end of the 12-week observational period or the patient's last visit in the study, the health care provider will contact the patient by telephone to assess the occurrence of any adverse events experienced by the patient and the use of any concomitant medications or treatments taken since the last study visit. Additional telephone contact with the patient may be performed by the health care provider to obtain additional information to determine the patient's safety or survival status. Regardless of the patient's status at the end of the study (ie, completed, discontinued treatment, withdrew early), patients who receive dapoxetine hydrochloride will be asked to complete a survey to provide feedback to the healthcare provider on the whether or not the dapoxetine hydrochloride Patient Brochure and/or Patient Information Leaflet was useful and informative. Patients may only participate in the study one time. Patients who receive dapoxetine hydrochloride in the study should not be enrolled again to receive alternate care/non-dapoxetine hydrochloride treatment(s) upon study completion or discontinuation of dapoxetine hydrochloride). The recommended starting dose of dapoxetine hydrochloride is 30 mg, taken with or without food with at least 1 full glass of water approximately 1 to 3 hours prior to prior to sexual activity once every 24 hours as needed. Patients will take dapoxetine hydrochloride for 12 weeks during the observational period of the study. Alternate care/non dapoxetine hydrochloride treatment(s) will be administered to patients in accordance with the prescribing information and/or directions for use.

Conditions

Sexual Dysfunction, Physiological; Ejaculation

Keywords

Dapoxetine hydrochloride; Priligy; Premature ejaculation; Non-dapoxetine hydrochloride treatment(s)

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Study Groups

001

Dapoxetine hydrochloride One 30 mg tablet up to a maximum of one 60 mg tablet approximately 1 to 3 hours prior to prior to sexual activity once every 24 hours as needed for 12 weeks

Dapoxetine hydrochloride

Intervention Type: DRUG

One 30 mg tablet up to a maximum of one 60 mg tablet approximately 1 to 3 hours prior to prior to sexual activity once every 24 hours as needed for 12 weeks

002

Alternate care/non-dapoxetine hydrochloride treatment(s) As prescribed or directed

Alternate care/non-dapoxetine hydrochloride treatment(s)

Intervention Type: OTHER

As prescribed or directed

Interventions

Dapoxetine hydrochloride

One 30 mg tablet up to a maximum of one 60 mg tablet approximately 1 to 3 hours prior to prior to sexual activity once every 24 hours as needed for 12 weeks

Intervention Type: DRUG

Alternate care/non-dapoxetine hydrochloride treatment(s)

As prescribed or directed

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• In accordance with the therapeutic indication stated in the Summary of Product Characteristics for dapoxetine hydrochloride, patients will be candidates for enrollment if they have an intravaginal ejaculatory latency time of less than two minutes
• Persistent or recurrent ejaculation with minimal sexual stimulation before, on, or shortly after penetration and before the patient wishes
• Marked personal distress or interpersonal difficulty as a consequence of premature ejaculation
• Poor control over ejaculation

Exclusion Criteria

• In accordance with the contraindications, special warnings and precautions for use as stated in the Summary of Product Characteristics for dapoxetine hydrochloride, patients will be excluded from treatment if they have hypersensitivity to dapoxetine hydrochloride or to any of the excipients
• Significant pathological cardiac conditions such as: heart failure (New York Heart Association [NYHA] class II-IV), conduction abnormalities (second or third degree atrioventicular (AV) block or sick sinus syndrome) not treated with a permanent pacemaker, significant ischemic heart disease, or significant valvular disease
• Concomitant treatment with monoamine oxidase inhibitors (MAOIs), or within 14 days of discontinuing treatment with an MAOI
• Concomitant treatment with thioridazine, concomitant treatment with serotonin reuptake inhibitors (selective serotonin reuptake inhibitors [SSRIs], serotonin-norepinephrine reuptake inhibitors [SNRIs], tricyclic antidepressants [TCAs)] or other medicinal/herbal products with serotonergic effects (for example, L-tryptophan, triptans, tramadol, linezolid, lithium, St. John's Wort (Hypericum perforatum)
• Concomitant treatment of potent CYP3A4 inhibitors such as ketoconazole, itraconazole, ritonavir, saquinavir, telithromycin, nefazadone, nelfinavir, atazanavir, etc.
• Moderate and severe hepatic impairment

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 64 Years
• Eligible Sex: MALE
• Accepts Healthy Volunteers: No

Sponsors

Janssen Research & Development, LLC

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Janssen Research & Development, LLC C. Clinical Trial

Role: STUDY_DIRECTOR

Janssen Research & Development, LLC

Locations

Karpfenberg, , Austria

Reutte, , Austria

Vienna, , Austria

Helsinki, , Finland

Kouvola, , Finland

Mikkeli, , Finland

Oulu, , Finland

Turku, , Finland

Ahlen, , Germany

Ahrensburg, , Germany

Apolda, , Germany

Bad Doberan, , Germany

Bad Schönborn, , Germany

Bamberg, , Germany

Bautzen, , Germany

Berlin, , Germany

Bonn, , Germany

Böblingen, , Germany

Braunschweig, , Germany

Bremen, , Germany

Bruchsal, , Germany

Castrop-Rauxel, , Germany

Celle, , Germany

Chemnitz, , Germany

Cologne, , Germany

Dachau, , Germany

Dessau, , Germany

Dorsten, , Germany

Dortmund, , Germany

Dossenheim, , Germany

Dresden, , Germany

Duisburg, , Germany

Düren, , Germany

Düsseldorf, , Germany

Eisenberg, , Germany

Eisleben Lutherstadt, , Germany

Erfurt, , Germany

Erlangen, , Germany

Essen, , Germany

Frankfurt, , Germany

Garmisch-Partenkirchen, , Germany

Gotha, , Germany

Göppingen, , Germany

Grimma, , Germany

Grünstadt, , Germany

Hagenow, , Germany

Halle, , Germany

Hamburg, , Germany

Hanover, , Germany

Heidelberg, , Germany

Heilbronn, , Germany

Hemmoor, , Germany

Herford, , Germany

Herten, , Germany

Herzogenaurach, , Germany

Höchberg, , Germany

Höchheim, , Germany

Jena, , Germany

Kaiserslautern, , Germany

Karlsruhe, , Germany

Kempten, , Germany

Kiel, , Germany

Kirchheim, , Germany

Kleinmachnow, , Germany

Krefeld, , Germany

Kronach, , Germany

Lampertheim, , Germany

Landsberg, , Germany

Leipzig, , Germany

Leverkusen, , Germany

Lichtenfels, , Germany

Lüdinghausen, , Germany

Magdeburg, , Germany

Markkleeberg, , Germany

Mülheim, , Germany

München, , Germany

Münster, , Germany

Neckargemünd, , Germany

Neu-Ulm, , Germany

Neumünster, , Germany

Neuss, , Germany

Nordhausen, , Germany

Nuremberg, , Germany

Oberursel, , Germany

Oranienburg, , Germany

Osnabrück, , Germany

Ostfildern, , Germany

Peine, , Germany

Planegg, , Germany

Plauen, , Germany

Radebeul, , Germany

Rastatt, , Germany

Remscheid, , Germany

Reutlingen, , Germany

Rinteln, , Germany

Rostock, , Germany

Rottenberg, , Germany

Rottweil, , Germany

Sangerhausen, , Germany

Schleswig, , Germany

Schriesheim, , Germany

Schwerin, , Germany

Senftenberg, , Germany

Sindelfingen, , Germany

Sömmerda, , Germany

Speyer, , Germany

Stadthagen, , Germany

Starnberg, , Germany

Strausberg, , Germany

Stuttgart, , Germany

Taucha, , Germany

Ulm, , Germany

Unterschleissheim, , Germany

Velbert, , Germany

Villingen-Schwenningen, , Germany

Wiesbaden, , Germany

Wiesloch, , Germany

Wolfenbüttel, , Germany

Wolfsburg, , Germany

Wuppertal, , Germany

Zwickau, , Germany

Aveiro, , Portugal

Braga, , Portugal

Castelo Viegas, , Portugal

Estoril, , Portugal

Lisbon, , Portugal

Matosinhos Municipality, , Portugal

P-1100 Lisboa N/A, , Portugal

Portimão, , Portugal

Póvoa Do Varzim, , Portugal

Santo Tirso, , Portugal

A Coruña, , Spain

Alcorcón, , Spain

Alginet, , Spain

Alicante, , Spain

Almería, , Spain

Aravaca, , Spain

Avilés, , Spain

Badalona, , Spain

Barakaldo, , Spain

Barcelona, , Spain

Burgos, , Spain

Cadiz, , Spain

Calatayud, , Spain

Calella, , Spain

Castellon, , Spain

Ciudad Real, , Spain

Córdoba, , Spain

Cullera, , Spain

Donostia / San Sebastian, , Spain

el Prat de Llobregat, , Spain

Gandia, , Spain

Girona, , Spain

Granada, , Spain

Ibiza Town, , Spain

Jaén, , Spain

L'Hospitalet de Llobregat, , Spain

Las Palmas de Gran Canaria, , Spain

León, , Spain

Llanera, , Spain

Lleida, , Spain

Logroño, , Spain

Los Boliches, , Spain

Lugo, , Spain

Madrid, , Spain

Manacor, , Spain

Marbella, , Spain

Mataró, , Spain

Málaga, , Spain

Murcia, , Spain

Ontiyent, , Spain

Ourense, , Spain

Oviedo, , Spain

Palamós, , Spain

Palma de Mallorca, , Spain

Pamplona, , Spain

Parla, , Spain

Pontevedra, , Spain

Port de Bollenca, , Spain

Requena, , Spain

Ribeira, , Spain

Rota, , Spain

Sabadell, , Spain

Salamanca, , Spain

San Cristóbal de La Laguna, , Spain

San Sebastián de los Reyes, , Spain

Sanlúcar de Barrameda, , Spain

Sant Joan d'Alacant, , Spain

Santa Cruz de Tenerife, , Spain

Santander, , Spain

Santiago de Compostela, , Spain

Seville, , Spain

Silla, , Spain

Tarragona, , Spain

Terrassa, , Spain

Toledo, , Spain

Utrera, , Spain

Valencia, , Spain

Valladolid, , Spain

Vigo, , Spain

Vilanova i la Geltrú, , Spain

Villamayor, , Spain

Xátiva, , Spain

Zaragoza, , Spain

Billdal, , Sweden

Eskilstuna, , Sweden

Gothenburg, , Sweden

Karlshamn, , Sweden

Luleå, , Sweden

Lund, , Sweden

Motala, , Sweden

Stockholm, , Sweden

Countries

Austria; Finland; Germany; Portugal; Spain; Sweden

Related Links

http://filehosting.pharmacm.com/DownloadService.ashx?client=CTR_JNJ_6051&studyid=820&filename=CR016477_CSR.pdf

A Prospective, Observational Study of Men With Premature Ejaculation Who Are Treated With PRILIGY™ or Alternate Care

Other Identifiers

The PAUSE Study

Identifier Type: OTHER

Identifier Source: secondary_id

R096769PRE4001

Identifier Type: OTHER

Identifier Source: secondary_id

CR016477

Identifier Type: -

Identifier Source: org_study_id