PSD502 in Subjects With Premature Ejaculation

NCT ID: NCT03578783

Last Updated: 2022-07-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

121 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-12-26

Study Completion Date

2021-12-01

Brief Summary

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This study is being done to test the effect of PSD502 (the study medication) compared to placebo in subjects with premature ejaculation. PSD502 is a topical (applied to skin) anesthetic spray containing a mixture of two drugs called lidocaine and prilocaine that will be applied to the penis. Half of the subjects will receive PSD502 and half will receive placebo.

Detailed Description

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The study will assess whether the bothersome symptoms of premature ejaculation (PE) are helped when treated with PSD502 by answering questionnaires such as the 'Premature Ejaculation Bothersome Evaluation Questionnaire' (PEBEQ) and 'Index of Premature Ejaculation© (IPE) and some additional questions about premature ejaculation.

The study will also measure the effect of PSD502 on the Intravaginal Ejaculatory Latency Time (IELT). This is the time between when the penis enters the vagina and when the subject starts to ejaculate in the vagina.

Subjects are stratified based on whether they are circumcised or uncircumcised and within each stratified group subjects are randomized to PSD502 (lidocaine prilocaine spray) or placebo in a 1:1 ratio.

Conditions

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Premature Ejaculation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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PSD502

PSD502 spray contains a eutectic-like mixture of lidocaine and prilocaine, and a propellant (norflurane) which also serves as a solvent. Each spray contains 7.5 mg lidocaine and 2.5 mg prilocaine. A single dose consists of 3 sprays applied to the glans penis.

Group Type EXPERIMENTAL

PSD502

Intervention Type DRUG

For each sexual encounter during the 4-week treatment period the study spray will be applied 5 minutes before intercourse and any excess will be wiped off prior to penetration.

Study subjects should leave at least 24 hours between each dosing.

Placebo

The placebo is a metered dose spray, identical in appearance to the active treatment and contains the same propellant (norflurane) but has no lidocaine or prilocaine (instead it contains PEG600 and Povidone).

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

For each sexual encounter during the 4-week treatment period the study spray will be applied 5 minutes before intercourse and any excess will be wiped off prior to penetration.

Study subjects should leave at least 24 hours between each dosing.

Interventions

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Placebo

For each sexual encounter during the 4-week treatment period the study spray will be applied 5 minutes before intercourse and any excess will be wiped off prior to penetration.

Study subjects should leave at least 24 hours between each dosing.

Intervention Type DRUG

PSD502

For each sexual encounter during the 4-week treatment period the study spray will be applied 5 minutes before intercourse and any excess will be wiped off prior to penetration.

Study subjects should leave at least 24 hours between each dosing.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Willing and able to provide written informed consent.
* Male and aged 18 years and over.
* Diagnosed with PE according to the ISSM definition, that is, he ejaculates always or nearly always prior to or within about one minute of vaginal penetration; and is unable to delay ejaculation on all or nearly all vaginal penetrations; and experiences negative personal consequences, such as distress, bother, frustration and/or the avoidance of sexual intimacy.
* Subject has lifelong PE from the first sexual experience.
* Subject must be in a stable heterosexual and monogamous relationship of at least 3 months' duration with this partner.
* Subject has at least documented 3 sexual encounters, each separated by an interval of at least 24 hours, in the baseline period.
* IELT ≤1 minute in all sexual encounters in the baseline period.
* The subject's partner must provide written informed consent, be aged 18 years or over and willing to comply with the study procedures.
* Subject indicates a level of Bother on Item 3 of the PEBEQ of either "moderately", "quite a bit" or "extremely" on all encounters during the baseline period.
* Subject registers a level of "bother" at a score of 4 or greater on an 11-point NRS scale at Screening to ensure that subjects not bothered by the quickness of their ejaculation are not entered into the baseline period.

Exclusion Criteria

* Subject, or his sexual partner, has received an investigational (unapproved) drug within 30 days of Screening.
* Subject has erectile dysfunction, defined as an IIEF-5 score of 21, unless the low score is entirely related to PE symptoms in the opinion of the Investigator.
* The subject, or his sexual partner, has a physical or psychological condition that would prevent them from undertaking the study procedures, including, but not limited to, the following:

1. Urological disease (e.g., prostatitis, urinary tract infection) or genitourinary surgery within 8 weeks of Screening.
2. Ongoing significant psychiatric disorder (e.g., bipolar disease, depression / anxiety disorder or schizophrenia) not controlled by medication.
* Subject has safety testing abnormalities at the Screening Visit, in particular liver function tests or anemia, that are indicative of a medical condition that would preclude further participation in the opinion of the Investigator.
* Subjects taking tricyclic antidepressants, monoamine oxidase inhibitors (MAOIs) or selective serotonin reuptake inhibitors (SSRIs), for indications other than PE, where the dose has been changed within 4 weeks of Screening or it is planned that the dose will change during the treatment period.
* Subject has received any treatment for PE e.g., anti-depressant therapy, local anesthetic spray, eutectic mixture of local anesthetics (EMLA®) cream, intra-cavernosal injection, tramadol or psychotherapy within 4 weeks of Screening
* Subject, or his sexual partner, has a current history of alcohol or drug abuse, in the opinion of the Investigator.
* The subject, or his sexual partner, is unlikely to understand or be able to comply with study procedures, for whatever reasons.
* Subject, or his sexual partner, has known drug sensitivity to amide-type local anesthetics.
* Subjects with pregnant partners.
* Subject with sexual partners of child-bearing potential and not using appropriate contraception (hormonal contraception or intra-uterine device \[IUD\]).
* Subject, or his sexual partner, has a history of glucose-6-phosphate dehydrogenase (G 6 PD) deficiency or currently using medications that would increase susceptibility to methemoglobinemia (e.g., anti-malarial agents) or has congenital or acquired methemoglobinemia, or is at risk of industrial exposure to agents causing methemoglobinemia.
* Subject, or his sexual partner, uses Class I (e.g., mexiletine, tocainide) or III (e.g., amiodarone, sotalol) anti-arrhythmic drugs, or cimetidine, beta blockers or local anesthetics.
* Subject has received PSD502 in a clinical study or has received Fortacin within 1 year of Screening.
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Plethora Solutions Ltd

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jed Kaminetsky, MD, BA

Role: PRINCIPAL_INVESTIGATOR

Manhattan Medical Research, 215 Lexington Avenue, 21st Floor, New York, NY 10016

Locations

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Achieve Clinical Research

Birmingham, Alabama, United States

Site Status

Coastal Clinical Research

Mobile, Alabama, United States

Site Status

Skyline Urology

Sherman Oaks, California, United States

Site Status

Imagine Research of Palm Beach County

Boynton Beach, Florida, United States

Site Status

SunCoast Research

Miami, Florida, United States

Site Status

Suncoast Research Associates

Miami Lakes, Florida, United States

Site Status

Clinical Research Center of Florida

Pompano Beach, Florida, United States

Site Status

Primary Care Research

Atlanta, Georgia, United States

Site Status

Georgia Clinical Research, Llc

Lawrenceville, Georgia, United States

Site Status

Regional Urology, LLC

Shreveport, Louisiana, United States

Site Status

Chesapeake Urology Research Associates

Towson, Maryland, United States

Site Status

Boston Clinical Trials

Boston, Massachusetts, United States

Site Status

Mens Health Boston

Chestnut Hill, Massachusetts, United States

Site Status

Jubilee Clinical Research, Inc

Las Vegas, Nevada, United States

Site Status

Accumed Research Associates

Garden City, New York, United States

Site Status

Manhattan Medical Research Practice

New York, New York, United States

Site Status

Premier Medical Group of the Hudson Valley

Poughkeepsie, New York, United States

Site Status

M3 Wake Research, Inc

Raleigh, North Carolina, United States

Site Status

Midlantic Urology

Bala-Cynwyd, Pennsylvania, United States

Site Status

Advanced Clinical Research - Jordan Ridge Family Medicine

Salt Lake City, Utah, United States

Site Status

Advanced Clinical Research

West Jordan, Utah, United States

Site Status

Countries

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United States

Other Identifiers

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PSD502-PE-008

Identifier Type: -

Identifier Source: org_study_id

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