Trial Outcomes & Findings for Efficacy and Safety of TBS-2 Testosterone Gel in Women With Acquired Female Orgasmic Disorder (NCT NCT01607658)

NCT ID: NCT01607658

Last Updated: 2018-08-13

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

253 participants

Primary outcome timeframe

84 days

Results posted on

2018-08-13

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo
Placebo intranasal gel administered prn, 2-8 hours before a planned sexual event Placebo: placebo intranasal gel administered prn, 2-8 hours before a planned sexual event
Low Dose TBS-2
Low dose TBS-2 (0.6 mg) testosterone intranasal gel administered prn Low dose TBS-2: Low dose testosterone intranasal gel administered prn 2-8 hrs before a planned sexual event
Medium Dose TBS-2
Medium dose TBS-2 (1.2 mg) testosterone intranasal gel administered prn Medium dose TBS-2: Medium dose testosterone intranasal gel administered prn 2-8 hrs before a planned sexual event
High Dose TBS-2
High dose TBS-2 (1.8 mg) testosterone intranasal gel administered prn High dose TBS-2: High dose testosterone intranasal gel administered prn 2-8 hrs before a planned sexual event
Overall Study
STARTED
65
67
58
63
Overall Study
COMPLETED
56
56
47
52
Overall Study
NOT COMPLETED
9
11
11
11

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Efficacy and Safety of TBS-2 Testosterone Gel in Women With Acquired Female Orgasmic Disorder

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=65 Participants
Placebo intranasal gel administered prn, 2-8 hours before a planned sexual event Placebo: placebo intranasal gel administered prn, 2-8 hours before a planned sexual event
Low Dose TBS-2
n=67 Participants
Low dose TBS-2 (0.6 mg) testosterone intranasal gel administered prn Low dose TBS-2: Low dose testosterone intranasal gel administered prn 2-8 hrs before a planned sexual event
Medium Dose TBS-2
n=58 Participants
Medium dose TBS-2 (1.2 mg) testosterone intranasal gel administered prn Medium dose TBS-2: Medium dose testosterone intranasal gel administered prn 2-8 hrs before a planned sexual event
High Dose TBS-2
n=63 Participants
High dose TBS-2 (1.8 mg) testosterone intranasal gel administered prn High dose TBS-2: High dose testosterone intranasal gel administered prn 2-8 hrs before a planned sexual event
Total
n=253 Participants
Total of all reporting groups
Age, Continuous
42.4 years
STANDARD_DEVIATION 12.36 • n=5 Participants
44.5 years
STANDARD_DEVIATION 12.09 • n=7 Participants
44.3 years
STANDARD_DEVIATION 11.64 • n=5 Participants
42.4 years
STANDARD_DEVIATION 11.47 • n=4 Participants
43.4 years
STANDARD_DEVIATION 11.88 • n=21 Participants
Sex: Female, Male
Female
65 Participants
n=5 Participants
67 Participants
n=7 Participants
58 Participants
n=5 Participants
63 Participants
n=4 Participants
253 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
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
10 Participants
n=7 Participants
6 Participants
n=5 Participants
9 Participants
n=4 Participants
28 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
62 Participants
n=5 Participants
57 Participants
n=7 Participants
52 Participants
n=5 Participants
54 Participants
n=4 Participants
225 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
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 (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
2 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
3 Participants
n=21 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
3 Participants
n=4 Participants
5 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
14 Participants
n=5 Participants
11 Participants
n=7 Participants
11 Participants
n=5 Participants
10 Participants
n=4 Participants
46 Participants
n=21 Participants
Race (NIH/OMB)
White
47 Participants
n=5 Participants
51 Participants
n=7 Participants
46 Participants
n=5 Participants
47 Participants
n=4 Participants
191 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
6 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
1 Participants
n=21 Participants
Region of Enrollment
Canada
3 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
4 Participants
n=4 Participants
14 Participants
n=21 Participants
Region of Enrollment
United States
53 Participants
n=5 Participants
58 Participants
n=7 Participants
48 Participants
n=5 Participants
55 Participants
n=4 Participants
214 Participants
n=21 Participants
Region of Enrollment
Australia
9 Participants
n=5 Participants
6 Participants
n=7 Participants
6 Participants
n=5 Participants
4 Participants
n=4 Participants
25 Participants
n=21 Participants

PRIMARY outcome

Timeframe: 84 days

Population: ITT Population

Outcome measures

Outcome measures
Measure
Placebo
n=65 Participants
Placebo intranasal gel administered prn, 2-8 hours before a planned sexual event Placebo: placebo intranasal gel administered prn, 2-8 hours before a planned sexual event
Low Dose TBS-2
n=67 Participants
Low dose TBS-2 (0.6 mg) testosterone intranasal gel administered prn Low dose TBS-2: Low dose testosterone intranasal gel administered prn 2-8 hrs before a planned sexual event
Medium Dose TBS-2
n=58 Participants
Medium dose TBS-2 (1.2 mg) testosterone intranasal gel administered prn Medium dose TBS-2: Medium dose testosterone intranasal gel administered prn 2-8 hrs before a planned sexual event
High Dose TBS-2
n=63 Participants
High dose TBS-2 (1.8 mg) testosterone intranasal gel administered prn High dose TBS-2: High dose testosterone intranasal gel administered prn 2-8 hrs before a planned sexual event
Number of Orgasms Over an 84 Day Period Compared to Placebo Over the Entire Treatment Period
2.8 orgasms
Standard Deviation 4.60
3.9 orgasms
Standard Deviation 5.22
3.2 orgasms
Standard Deviation 4.70
1.9 orgasms
Standard Deviation 3.47

SECONDARY outcome

Timeframe: Baseline (Day -28 to Day 0) and End of Study (Day 57 to 84)

Population: The number of participants analyzed is equal to the number of participants who completed the Day 84 visit.

as measured by Monash Women's Health Program Female Sexual Satisfaction Questionnaire (MONASH WHP FSSQ) question 11. MONASH WHP FSSQ question 11 asks participants to comment on how satisfying they found the sex to be from "Not at all" to "Very much so". The lowest score is 1 and the highest is 9. All scores for each 28-day period were averaged. Change from baseline was obtained by subtracting baseline 28-day average from the 28-day period at the end of the study (Day 57 to 84).

Outcome measures

Outcome measures
Measure
Placebo
n=54 Participants
Placebo intranasal gel administered prn, 2-8 hours before a planned sexual event Placebo: placebo intranasal gel administered prn, 2-8 hours before a planned sexual event
Low Dose TBS-2
n=55 Participants
Low dose TBS-2 (0.6 mg) testosterone intranasal gel administered prn Low dose TBS-2: Low dose testosterone intranasal gel administered prn 2-8 hrs before a planned sexual event
Medium Dose TBS-2
n=47 Participants
Medium dose TBS-2 (1.2 mg) testosterone intranasal gel administered prn Medium dose TBS-2: Medium dose testosterone intranasal gel administered prn 2-8 hrs before a planned sexual event
High Dose TBS-2
n=54 Participants
High dose TBS-2 (1.8 mg) testosterone intranasal gel administered prn High dose TBS-2: High dose testosterone intranasal gel administered prn 2-8 hrs before a planned sexual event
Change in Sexual Event Satisfaction Over a 28-day Period (Day 57 to Day 84) Compared to Baseline (Day -28 to Day 0)
1.37 units on a scale
Standard Deviation 1.624
1.52 units on a scale
Standard Deviation 1.586
1.59 units on a scale
Standard Deviation 1.803
1.27 units on a scale
Standard Deviation 1.707

SECONDARY outcome

Timeframe: Day 0 and Day 84

Population: The number of participants analyzed is equal to the number of participants who completed the Day 84 visit.

as measured by Female Sexual Distress Scale (FSDS-DAO) Question #15 on Day 0 and 84, respectively. Question #15 evaluates the level of distress related to problems with orgasm. It is rated on a 5-point Likert scale (from 0 to 4, i.e. never \[0\], rarely \[1\], occasionally \[2\], frequently \[3\], or always \[4\]). Higher scores indicate more distress.

Outcome measures

Outcome measures
Measure
Placebo
n=56 Participants
Placebo intranasal gel administered prn, 2-8 hours before a planned sexual event Placebo: placebo intranasal gel administered prn, 2-8 hours before a planned sexual event
Low Dose TBS-2
n=56 Participants
Low dose TBS-2 (0.6 mg) testosterone intranasal gel administered prn Low dose TBS-2: Low dose testosterone intranasal gel administered prn 2-8 hrs before a planned sexual event
Medium Dose TBS-2
n=47 Participants
Medium dose TBS-2 (1.2 mg) testosterone intranasal gel administered prn Medium dose TBS-2: Medium dose testosterone intranasal gel administered prn 2-8 hrs before a planned sexual event
High Dose TBS-2
n=53 Participants
High dose TBS-2 (1.8 mg) testosterone intranasal gel administered prn High dose TBS-2: High dose testosterone intranasal gel administered prn 2-8 hrs before a planned sexual event
Change in Distress Due to Female Orgasmic Disorder From Day 0 Baseline to Day 84
-0.9 units on a scale
Standard Deviation 1.09
-1.3 units on a scale
Standard Deviation 1.40
-0.9 units on a scale
Standard Deviation 1.10
-0.8 units on a scale
Standard Deviation 1.23

SECONDARY outcome

Timeframe: Day 0 and Day 84

Population: The number of participants analyzed is equal to the number of participants who completed the Day 84 visit.

as measured by Female Sexual Function Index (FSFI) on Day 0 and 84, respectively. The FSFI, a 19-item questionnaire, has been developed as a brief, multidimensional self-report instrument for assessing the key dimensions of sexual frustration in women. The questionnaire provides scores on 6 domains of sexual function (desire, arousal, lubrication, orgasm, satisfaction, and pain) as well as a total score. Fifteen items are rated on a 6-point Likert scale (from 0 to 5) and 4 items on a 5-point Likert scale (from 1 to 5). The scores are added and converted using a conversion factor so that the maximum score for each domain is 6. The overall FSFI score can range from 2 to 36. Higher scores indicate better or higher sexual function.

Outcome measures

Outcome measures
Measure
Placebo
n=53 Participants
Placebo intranasal gel administered prn, 2-8 hours before a planned sexual event Placebo: placebo intranasal gel administered prn, 2-8 hours before a planned sexual event
Low Dose TBS-2
n=55 Participants
Low dose TBS-2 (0.6 mg) testosterone intranasal gel administered prn Low dose TBS-2: Low dose testosterone intranasal gel administered prn 2-8 hrs before a planned sexual event
Medium Dose TBS-2
n=47 Participants
Medium dose TBS-2 (1.2 mg) testosterone intranasal gel administered prn Medium dose TBS-2: Medium dose testosterone intranasal gel administered prn 2-8 hrs before a planned sexual event
High Dose TBS-2
n=54 Participants
High dose TBS-2 (1.8 mg) testosterone intranasal gel administered prn High dose TBS-2: High dose testosterone intranasal gel administered prn 2-8 hrs before a planned sexual event
Change in Global Sexual Functioning From Day 0 to Day 84
2.90 units on a scale
Standard Deviation 5.622
3.42 units on a scale
Standard Deviation 6.278
3.33 units on a scale
Standard Deviation 6.707
3.35 units on a scale
Standard Deviation 5.835

Adverse Events

Placebo

Serious events: 0 serious events
Other events: 24 other events
Deaths: 0 deaths

Low Dose TBS-2

Serious events: 0 serious events
Other events: 35 other events
Deaths: 0 deaths

Medium Dose TBS-2

Serious events: 0 serious events
Other events: 20 other events
Deaths: 0 deaths

High Dose TBS-2

Serious events: 0 serious events
Other events: 38 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Placebo
n=65 participants at risk
Placebo intranasal gel administered prn, 2-8 hours before a planned sexual event Placebo: placebo intranasal gel administered prn, 2-8 hours before a planned sexual event
Low Dose TBS-2
n=67 participants at risk
Low dose TBS-2 (0.6 mg) testosterone intranasal gel administered prn Low dose TBS-2: Low dose testosterone intranasal gel administered prn 2-8 hrs before a planned sexual event
Medium Dose TBS-2
n=58 participants at risk
Medium dose TBS-2 (1.2 mg) testosterone intranasal gel administered prn Medium dose TBS-2: Medium dose testosterone intranasal gel administered prn 2-8 hrs before a planned sexual event
High Dose TBS-2
n=63 participants at risk
High dose TBS-2 (1.8 mg) testosterone intranasal gel administered prn High dose TBS-2: High dose testosterone intranasal gel administered prn 2-8 hrs before a planned sexual event
Infections and infestations
Upper Respiratory Tract Infection
6.2%
4/65 • 84 days
7.5%
5/67 • 84 days
3.4%
2/58 • 84 days
11.1%
7/63 • 84 days
Infections and infestations
Nasopharyngitis
7.7%
5/65 • 84 days
0.00%
0/67 • 84 days
1.7%
1/58 • 84 days
0.00%
0/63 • 84 days
Infections and infestations
Urinary Tract Infection
3.1%
2/65 • 84 days
0.00%
0/67 • 84 days
5.2%
3/58 • 84 days
1.6%
1/63 • 84 days
Infections and infestations
Pharyngitis
1.5%
1/65 • 84 days
3.0%
2/67 • 84 days
0.00%
0/58 • 84 days
1.6%
1/63 • 84 days
Infections and infestations
Sinusitis
4.6%
3/65 • 84 days
0.00%
0/67 • 84 days
0.00%
0/58 • 84 days
1.6%
1/63 • 84 days
Respiratory, thoracic and mediastinal disorders
Nasal Inflamation
3.1%
2/65 • 84 days
6.0%
4/67 • 84 days
3.4%
2/58 • 84 days
7.9%
5/63 • 84 days
Respiratory, thoracic and mediastinal disorders
Nasal Discomfort
1.5%
1/65 • 84 days
1.5%
1/67 • 84 days
0.00%
0/58 • 84 days
7.9%
5/63 • 84 days
Respiratory, thoracic and mediastinal disorders
Nasal Mucosal Disorder
1.5%
1/65 • 84 days
1.5%
1/67 • 84 days
1.7%
1/58 • 84 days
3.2%
2/63 • 84 days
Respiratory, thoracic and mediastinal disorders
Cough
3.1%
2/65 • 84 days
0.00%
0/67 • 84 days
1.7%
1/58 • 84 days
1.6%
1/63 • 84 days
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.00%
0/65 • 84 days
3.0%
2/67 • 84 days
1.7%
1/58 • 84 days
1.6%
1/63 • 84 days
Respiratory, thoracic and mediastinal disorders
Nasal Congestion
0.00%
0/65 • 84 days
3.0%
2/67 • 84 days
1.7%
1/58 • 84 days
1.6%
1/63 • 84 days
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
0.00%
0/65 • 84 days
4.5%
3/67 • 84 days
0.00%
0/58 • 84 days
0.00%
0/63 • 84 days
Skin and subcutaneous tissue disorders
Acne
0.00%
0/65 • 84 days
6.0%
4/67 • 84 days
5.2%
3/58 • 84 days
7.9%
5/63 • 84 days
Skin and subcutaneous tissue disorders
Hair Growth Abnormal
1.5%
1/65 • 84 days
4.5%
3/67 • 84 days
0.00%
0/58 • 84 days
7.9%
5/63 • 84 days
Skin and subcutaneous tissue disorders
Hirsutism
0.00%
0/65 • 84 days
3.0%
2/67 • 84 days
0.00%
0/58 • 84 days
4.8%
3/63 • 84 days
Skin and subcutaneous tissue disorders
Scab
1.5%
1/65 • 84 days
0.00%
0/67 • 84 days
0.00%
0/58 • 84 days
4.8%
3/63 • 84 days
Skin and subcutaneous tissue disorders
Alopecia
0.00%
0/65 • 84 days
3.0%
2/67 • 84 days
0.00%
0/58 • 84 days
1.6%
1/63 • 84 days
Skin and subcutaneous tissue disorders
Rash
0.00%
0/65 • 84 days
3.0%
2/67 • 84 days
1.7%
1/58 • 84 days
0.00%
0/63 • 84 days
Musculoskeletal and connective tissue disorders
Arthralgia
1.5%
1/65 • 84 days
1.5%
1/67 • 84 days
3.4%
2/58 • 84 days
0.00%
0/63 • 84 days
Investigations
Urine Analysis Abnormal
0.00%
0/65 • 84 days
0.00%
0/67 • 84 days
3.4%
2/58 • 84 days
0.00%
0/63 • 84 days
Injury, poisoning and procedural complications
Contusion
0.00%
0/65 • 84 days
3.0%
2/67 • 84 days
0.00%
0/58 • 84 days
0.00%
0/63 • 84 days
Nervous system disorders
Headache
1.5%
1/65 • 84 days
3.0%
2/67 • 84 days
0.00%
0/58 • 84 days
3.2%
2/63 • 84 days
General disorders
Fatigue
0.00%
0/65 • 84 days
0.00%
0/67 • 84 days
0.00%
0/58 • 84 days
3.2%
2/63 • 84 days

Additional Information

Dr. Nathan Bryson, Chief Scientific Officer

Acerus Pharmaceuticals Corporation

Phone: 1-416-679-0776

Results disclosure agreements

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