Trial Outcomes & Findings for Efficacy, Safety and Tolerability of PSD502 (a Topical Anesthetic) in the Treatment Premature Ejaculation (NCT NCT00556478)

NCT ID: NCT00556478

Last Updated: 2016-09-26

Results Overview

To evaluate efficacy of treatment with PSD502 compared with placebo in subjects with PE as measured by: • change in mean IELT from baseline to during the 3 month double-blind treatment Results provide are ratio (over the 3 months/baseline).

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

256 participants

Primary outcome timeframe

Baseline to 3 Months

Results posted on

2016-09-26

Participant Flow

Participant milestones

Participant milestones
Measure
Double-Blind Active / Open-Label Active
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502, contains a mixture of lidocaine and prilocaine: PSD502 spray contains a mixture of lidocaine and prilocaine with Norflurane (HFA-134a) is used as both propellant and solvent. A single dose consists of 3 sprays applied to the glans penis. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Double-Blind Placebo / Open-Label Active
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502 Placebo: The placebo is a metered dose aerosol spray that is identical in appearance to the PSD502 spray and contains the same propellant (norflurane) but has no lidocaine or prilocaine. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing. During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Double-blind Phase
STARTED
171
85
Double-blind Phase
ITT
167
82
Double-blind Phase
COMPLETED
150
77
Double-blind Phase
NOT COMPLETED
21
8
Open-Label Phase
STARTED
146
77
Open-Label Phase
Treated in Open-label
142
71
Open-Label Phase
COMPLETED
132
67
Open-Label Phase
NOT COMPLETED
14
10

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Efficacy, Safety and Tolerability of PSD502 (a Topical Anesthetic) in the Treatment Premature Ejaculation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Double-Blind Active / Open-Label Active
n=167 Participants
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502, contains a mixture of lidocaine and prilocaine: PSD502 spray contains a mixture of lidocaine and prilocaine with Norflurane (HFA-134a) is used as both propellant and solvent. A single dose consists of 3 sprays applied to the glans penis. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Double-Blind Placebo / Open-Label Active
n=82 Participants
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502 Placebo: The placebo is a metered dose aerosol spray that is identical in appearance to the PSD502 spray and contains the same propellant (norflurane) but has no lidocaine or prilocaine. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing. During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Total
n=249 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
163 Participants
n=99 Participants
81 Participants
n=107 Participants
244 Participants
n=206 Participants
Age, Categorical
>=65 years
4 Participants
n=99 Participants
1 Participants
n=107 Participants
5 Participants
n=206 Participants
Age, Continuous
39.1 years
STANDARD_DEVIATION 11.71 • n=99 Participants
37.9 years
STANDARD_DEVIATION 11.97 • n=107 Participants
38.7 years
STANDARD_DEVIATION 11.78 • n=206 Participants
Sex: Female, Male
Female
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Sex: Female, Male
Male
167 Participants
n=99 Participants
82 Participants
n=107 Participants
249 Participants
n=206 Participants
Region of Enrollment
Poland
68 participants
n=99 Participants
32 participants
n=107 Participants
100 participants
n=206 Participants
Region of Enrollment
Canada
14 participants
n=99 Participants
7 participants
n=107 Participants
21 participants
n=206 Participants
Region of Enrollment
United States
85 participants
n=99 Participants
43 participants
n=107 Participants
128 participants
n=206 Participants

PRIMARY outcome

Timeframe: Baseline to 3 Months

Population: ITT

To evaluate efficacy of treatment with PSD502 compared with placebo in subjects with PE as measured by: • change in mean IELT from baseline to during the 3 month double-blind treatment Results provide are ratio (over the 3 months/baseline).

Outcome measures

Outcome measures
Measure
Double-Blind Active / Open-Label Active
n=167 Participants
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502, contains a mixture of lidocaine and prilocaine: PSD502 spray contains a mixture of lidocaine and prilocaine with Norflurane (HFA-134a) is used as both propellant and solvent. A single dose consists of 3 sprays applied to the glans penis. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Double-Blind Placebo / Open-Label Active
n=82 Participants
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502 Placebo: The placebo is a metered dose aerosol spray that is identical in appearance to the PSD502 spray and contains the same propellant (norflurane) but has no lidocaine or prilocaine. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing. During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Mean Intravaginal Ejaculatory Latency Time (IELT): Change From Baseline to During 3 Month Double Blind-treatment
4.607 ratio
Interval 0.01 to 559.78
1.505 ratio
Interval 0.27 to 12.58

PRIMARY outcome

Timeframe: Baseline to 3 Months

Population: ITT

To Evaluate Efficacy of Treatment With PSD502 Compared With Placebo in Subjects With PE as measured by: • changes in all 3 IPE domains from baseline to month 3 Ejaculatory control scores range from 4 to 20 with a higher score indicating greater ejaculatory control Sexual satisfaction scores range from 4 to 20 with a higher score indicating greater sexual satisfaction Distress scores range from 2 to 10 with a higher score indicating less distress

Outcome measures

Outcome measures
Measure
Double-Blind Active / Open-Label Active
n=167 Participants
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502, contains a mixture of lidocaine and prilocaine: PSD502 spray contains a mixture of lidocaine and prilocaine with Norflurane (HFA-134a) is used as both propellant and solvent. A single dose consists of 3 sprays applied to the glans penis. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Double-Blind Placebo / Open-Label Active
n=82 Participants
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502 Placebo: The placebo is a metered dose aerosol spray that is identical in appearance to the PSD502 spray and contains the same propellant (norflurane) but has no lidocaine or prilocaine. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing. During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Index of Premature Ejaculation (IPE): Change From Baseline to End of Month 3
Ejaculatory control
7.2 Score
Interval -3.0 to 16.0
2.2 Score
Interval -1.0 to 14.0
Index of Premature Ejaculation (IPE): Change From Baseline to End of Month 3
Sexual satisfaction
6.6 Score
Interval -8.0 to 16.0
2.1 Score
Interval -4.0 to 14.0
Index of Premature Ejaculation (IPE): Change From Baseline to End of Month 3
Distress
3.5 Score
Interval -2.0 to 8.0
0.9 Score
Interval -2.0 to 6.0

SECONDARY outcome

Timeframe: 3 months

Population: ITT

Percentage of subjects with mean IELT \> 1 minute and \>2 minutes during the 3 months of double-blind treatment as measured by the proportion of subjects

Outcome measures

Outcome measures
Measure
Double-Blind Active / Open-Label Active
n=167 Participants
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502, contains a mixture of lidocaine and prilocaine: PSD502 spray contains a mixture of lidocaine and prilocaine with Norflurane (HFA-134a) is used as both propellant and solvent. A single dose consists of 3 sprays applied to the glans penis. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Double-Blind Placebo / Open-Label Active
n=82 Participants
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502 Placebo: The placebo is a metered dose aerosol spray that is identical in appearance to the PSD502 spray and contains the same propellant (norflurane) but has no lidocaine or prilocaine. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing. During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Percentage of Subjects With Mean Intravaginal Ejaculatory Latency Time (IELT) > 1 Minute and >2 Minutes During the 3 Months of Double-blind Treatment
IELT > 1 minute
80.2 percentage of subjects
37.8 percentage of subjects
Percentage of Subjects With Mean Intravaginal Ejaculatory Latency Time (IELT) > 1 Minute and >2 Minutes During the 3 Months of Double-blind Treatment
IELT > 2 minutes
57.5 percentage of subjects
14.6 percentage of subjects

SECONDARY outcome

Timeframe: 3 months

Population: ITT

Summary of mean IELT at Baseline and at month 3 during double-blind treatment

Outcome measures

Outcome measures
Measure
Double-Blind Active / Open-Label Active
n=167 Participants
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502, contains a mixture of lidocaine and prilocaine: PSD502 spray contains a mixture of lidocaine and prilocaine with Norflurane (HFA-134a) is used as both propellant and solvent. A single dose consists of 3 sprays applied to the glans penis. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Double-Blind Placebo / Open-Label Active
n=82 Participants
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502 Placebo: The placebo is a metered dose aerosol spray that is identical in appearance to the PSD502 spray and contains the same propellant (norflurane) but has no lidocaine or prilocaine. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing. During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Change in Mean Intravaginal Ejaculatory Latency Time (IELT) From Baseline to Month 3
140.964 Seconds
Standard Deviation 463.97
49.615 Seconds
Standard Deviation 91.75

SECONDARY outcome

Timeframe: 1 month

Population: ITT

Change in the IPE domains of ejaculatory control, distress and sexual satisfaction from Baseline to month 1. Ejaculatory control scores range from 4 to 20 with a higher score indicating greater ejaculatory control Sexual satisfaction scores range from 4 to 20 with a higher score indicating greater sexual satisfaction Distress scores range from 2 to 10 with a higher score indicating less distress

Outcome measures

Outcome measures
Measure
Double-Blind Active / Open-Label Active
n=167 Participants
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502, contains a mixture of lidocaine and prilocaine: PSD502 spray contains a mixture of lidocaine and prilocaine with Norflurane (HFA-134a) is used as both propellant and solvent. A single dose consists of 3 sprays applied to the glans penis. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Double-Blind Placebo / Open-Label Active
n=82 Participants
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502 Placebo: The placebo is a metered dose aerosol spray that is identical in appearance to the PSD502 spray and contains the same propellant (norflurane) but has no lidocaine or prilocaine. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing. During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Change in the Index of Premature Ejaculation (IPE) Domains of Ejaculatory Control, Distress and Sexual Satisfaction From Baseline to Month 1
Sexual satisfaction
5.1 Score
Standard Deviation 5.86
1.8 Score
Standard Deviation 3.54
Change in the Index of Premature Ejaculation (IPE) Domains of Ejaculatory Control, Distress and Sexual Satisfaction From Baseline to Month 1
Ejaculatory control
5.7 Score
Standard Deviation 5.92
1.3 Score
Standard Deviation 2.75
Change in the Index of Premature Ejaculation (IPE) Domains of Ejaculatory Control, Distress and Sexual Satisfaction From Baseline to Month 1
Distress
2.5 Score
Standard Deviation 2.64
0.6 Score
Standard Deviation 1.70

SECONDARY outcome

Timeframe: 1 month

Population: ITT

Scores for perceived control over ejaculation, personal distress related to ejaculation, satisfaction with sexual intercourse and interpersonal difficulty related to ejaculation based on the subject PEP at month 1. Percentage of subjects with at least a 1 point category improvement in subject PEP domain scores at month 1.

Outcome measures

Outcome measures
Measure
Double-Blind Active / Open-Label Active
n=167 Participants
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502, contains a mixture of lidocaine and prilocaine: PSD502 spray contains a mixture of lidocaine and prilocaine with Norflurane (HFA-134a) is used as both propellant and solvent. A single dose consists of 3 sprays applied to the glans penis. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Double-Blind Placebo / Open-Label Active
n=82 Participants
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502 Placebo: The placebo is a metered dose aerosol spray that is identical in appearance to the PSD502 spray and contains the same propellant (norflurane) but has no lidocaine or prilocaine. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing. During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Subject PEP at Month 1
Control
59.6 percentage of participants
23.5 percentage of participants
Subject PEP at Month 1
Distress
63.4 percentage of participants
27.2 percentage of participants
Subject PEP at Month 1
Sexual satisfaction
62.7 percentage of participants
33.3 percentage of participants
Subject PEP at Month 1
Interpersonal difficulty
72.0 percentage of participants
51.9 percentage of participants

SECONDARY outcome

Timeframe: 2 months

Population: ITT

Change in the IPE domains of ejaculatory control, distress and sexual satisfaction from Baseline to month 2 Ejaculatory control scores range from 4 to 20 with a higher score indicating greater ejaculatory control Sexual satisfaction scores range from 4 to 20 with a higher score indicating greater sexual satisfaction Distress scores range from 2 to 10 with a higher score indicating less distress

Outcome measures

Outcome measures
Measure
Double-Blind Active / Open-Label Active
n=167 Participants
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502, contains a mixture of lidocaine and prilocaine: PSD502 spray contains a mixture of lidocaine and prilocaine with Norflurane (HFA-134a) is used as both propellant and solvent. A single dose consists of 3 sprays applied to the glans penis. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Double-Blind Placebo / Open-Label Active
n=82 Participants
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502 Placebo: The placebo is a metered dose aerosol spray that is identical in appearance to the PSD502 spray and contains the same propellant (norflurane) but has no lidocaine or prilocaine. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing. During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Change in the Index of Premature Ejaculation (IPE) Domains of Ejaculatory Control, Distress and Sexual Satisfaction From Baseline to Month 2
Control
6.5 Score
Standard Deviation 6.06
1.4 Score
Standard Deviation 3.12
Change in the Index of Premature Ejaculation (IPE) Domains of Ejaculatory Control, Distress and Sexual Satisfaction From Baseline to Month 2
Satisfaction
5.8 Score
Standard Deviation 6.19
1.3 Score
Standard Deviation 3.68
Change in the Index of Premature Ejaculation (IPE) Domains of Ejaculatory Control, Distress and Sexual Satisfaction From Baseline to Month 2
Distress
2.9 Score
Standard Deviation 3.00
0.7 Score
Standard Deviation 1.85

SECONDARY outcome

Timeframe: 2 months

Population: ITT

Scores for perceived control over ejaculation, personal distress related to ejaculation, satisfaction with sexual intercourse and interpersonal difficulty related to ejaculation based on the subject PEP at month 2. Proportion of subjects with at least a 1 point category improvement in subject PEP domain scores from baseline to month 2.

Outcome measures

Outcome measures
Measure
Double-Blind Active / Open-Label Active
n=167 Participants
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502, contains a mixture of lidocaine and prilocaine: PSD502 spray contains a mixture of lidocaine and prilocaine with Norflurane (HFA-134a) is used as both propellant and solvent. A single dose consists of 3 sprays applied to the glans penis. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Double-Blind Placebo / Open-Label Active
n=82 Participants
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502 Placebo: The placebo is a metered dose aerosol spray that is identical in appearance to the PSD502 spray and contains the same propellant (norflurane) but has no lidocaine or prilocaine. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing. During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Subject Premature Ejaculation Profile (PEP) at Month 2
Control
67.5 percentage of participants
24.7 percentage of participants
Subject Premature Ejaculation Profile (PEP) at Month 2
Distress
70.1 percentage of participants
33.8 percentage of participants
Subject Premature Ejaculation Profile (PEP) at Month 2
Sexual satisfaction
69.4 percentage of participants
27.3 percentage of participants
Subject Premature Ejaculation Profile (PEP) at Month 2
Interpersonal difficulty
75.8 percentage of participants
42.9 percentage of participants

SECONDARY outcome

Timeframe: 3 months

Population: ITT

Scores for perceived control over ejaculation, personal distress related to ejaculation, satisfaction with sexual intercourse and interpersonal difficulty related to ejaculation based on the subject PEP at month 3. Proportion of subjects with at least a 1 point category improvement in subject PEP domain scores from baseline to month 3.

Outcome measures

Outcome measures
Measure
Double-Blind Active / Open-Label Active
n=167 Participants
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502, contains a mixture of lidocaine and prilocaine: PSD502 spray contains a mixture of lidocaine and prilocaine with Norflurane (HFA-134a) is used as both propellant and solvent. A single dose consists of 3 sprays applied to the glans penis. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Double-Blind Placebo / Open-Label Active
n=82 Participants
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502 Placebo: The placebo is a metered dose aerosol spray that is identical in appearance to the PSD502 spray and contains the same propellant (norflurane) but has no lidocaine or prilocaine. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing. During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Subject Premature Ejaculation Profile (PEP) at Month 3
Control
72.4 percentage of participants
24.1 percentage of participants
Subject Premature Ejaculation Profile (PEP) at Month 3
Distress
76.9 percentage of participants
36.7 percentage of participants
Subject Premature Ejaculation Profile (PEP) at Month 3
Sexual satisfaction
73.7 percentage of participants
36.7 percentage of participants
Subject Premature Ejaculation Profile (PEP) at Month 3
Interpersonal difficulty
77.6 percentage of participants
59.5 percentage of participants

SECONDARY outcome

Timeframe: 3 months

Population: ITT

Scores for perceived control over ejaculation, personal distress related to ejaculation, satisfaction with sexual intercourse and interpersonal difficulty related to ejaculation based on the partner PEP at month 3. Proportion of partners with at least a 1 point category improvement in partner PEP domain scores from baseline to month 3.

Outcome measures

Outcome measures
Measure
Double-Blind Active / Open-Label Active
n=167 Participants
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502, contains a mixture of lidocaine and prilocaine: PSD502 spray contains a mixture of lidocaine and prilocaine with Norflurane (HFA-134a) is used as both propellant and solvent. A single dose consists of 3 sprays applied to the glans penis. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Double-Blind Placebo / Open-Label Active
n=82 Participants
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502 Placebo: The placebo is a metered dose aerosol spray that is identical in appearance to the PSD502 spray and contains the same propellant (norflurane) but has no lidocaine or prilocaine. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing. During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Partner Premature Ejaculation Profile (PEP) at Month 3
Control
68.9 percentage of partners
40.8 percentage of partners
Partner Premature Ejaculation Profile (PEP) at Month 3
Distress
64.9 percentage of partners
50.0 percentage of partners
Partner Premature Ejaculation Profile (PEP) at Month 3
Sexual satisfaction
62.8 percentage of partners
32.9 percentage of partners
Partner Premature Ejaculation Profile (PEP) at Month 3
Interpersonal difficulty
66.9 percentage of partners
50.0 percentage of partners

Adverse Events

Double-Blind Active

Serious events: 1 serious events
Other events: 9 other events
Deaths: 0 deaths

Double-Blind Placebo

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Open Label Phase

Serious events: 4 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Double-Blind Active
n=167 participants at risk
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502, contains a mixture of lidocaine and prilocaine: PSD502 spray contains a mixture of lidocaine and prilocaine with Norflurane (HFA-134a) is used as both propellant and solvent. A single dose consists of 3 sprays applied to the glans penis. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Double-Blind Placebo
n=82 participants at risk
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502 Placebo: The placebo is a metered dose aerosol spray that is identical in appearance to the PSD502 spray and contains the same propellant (norflurane) but has no lidocaine or prilocaine. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing. During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Open Label Phase
n=223 participants at risk
Subjects will all receive PSD502 if they wish to continue in the trial. PSD502, contains a mixture of lidocaine and prilocaine: PSD502 spray contains a mixture of lidocaine and prilocaine with Norflurane (HFA-134a) is used as both propellant and solvent. A single dose consists of 3 sprays applied to the glans penis. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Injury, poisoning and procedural complications
Burns second degree
0.60%
1/167 • Number of events 1 • Treatment emergent Adverse Events collected from randomisation to end of study
Safety Population - all subjects that received the study drug.
0.00%
0/82 • Treatment emergent Adverse Events collected from randomisation to end of study
Safety Population - all subjects that received the study drug.
0.00%
0/223 • Treatment emergent Adverse Events collected from randomisation to end of study
Safety Population - all subjects that received the study drug.
Injury, poisoning and procedural complications
Contusion
0.00%
0/167 • Treatment emergent Adverse Events collected from randomisation to end of study
Safety Population - all subjects that received the study drug.
1.2%
1/82 • Number of events 1 • Treatment emergent Adverse Events collected from randomisation to end of study
Safety Population - all subjects that received the study drug.
0.00%
0/223 • Treatment emergent Adverse Events collected from randomisation to end of study
Safety Population - all subjects that received the study drug.
Injury, poisoning and procedural complications
Concussion
0.00%
0/167 • Treatment emergent Adverse Events collected from randomisation to end of study
Safety Population - all subjects that received the study drug.
0.00%
0/82 • Treatment emergent Adverse Events collected from randomisation to end of study
Safety Population - all subjects that received the study drug.
0.45%
1/223 • Number of events 1 • Treatment emergent Adverse Events collected from randomisation to end of study
Safety Population - all subjects that received the study drug.
Hepatobiliary disorders
Cholelithiasis
0.00%
0/167 • Treatment emergent Adverse Events collected from randomisation to end of study
Safety Population - all subjects that received the study drug.
0.00%
0/82 • Treatment emergent Adverse Events collected from randomisation to end of study
Safety Population - all subjects that received the study drug.
0.45%
1/223 • Number of events 1 • Treatment emergent Adverse Events collected from randomisation to end of study
Safety Population - all subjects that received the study drug.
Cardiac disorders
Coronary artery disease and myocardial infarction
0.00%
0/167 • Treatment emergent Adverse Events collected from randomisation to end of study
Safety Population - all subjects that received the study drug.
0.00%
0/82 • Treatment emergent Adverse Events collected from randomisation to end of study
Safety Population - all subjects that received the study drug.
0.45%
1/223 • Number of events 1 • Treatment emergent Adverse Events collected from randomisation to end of study
Safety Population - all subjects that received the study drug.
Investigations
blood albumin, haematocrit, platelet count, protein total, RBC count decreased
0.00%
0/167 • Treatment emergent Adverse Events collected from randomisation to end of study
Safety Population - all subjects that received the study drug.
0.00%
0/82 • Treatment emergent Adverse Events collected from randomisation to end of study
Safety Population - all subjects that received the study drug.
0.45%
1/223 • Number of events 1 • Treatment emergent Adverse Events collected from randomisation to end of study
Safety Population - all subjects that received the study drug.

Other adverse events

Other adverse events
Measure
Double-Blind Active
n=167 participants at risk
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502, contains a mixture of lidocaine and prilocaine: PSD502 spray contains a mixture of lidocaine and prilocaine with Norflurane (HFA-134a) is used as both propellant and solvent. A single dose consists of 3 sprays applied to the glans penis. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Double-Blind Placebo
n=82 participants at risk
Double-blind Phase: Subjects will be randomised in a 2:1 ratio of PSD502 or placebo respectively if the patient meets all the entry criteria. PSD502 Placebo: The placebo is a metered dose aerosol spray that is identical in appearance to the PSD502 spray and contains the same propellant (norflurane) but has no lidocaine or prilocaine. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing. During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Open Label Phase
n=223 participants at risk
Subjects will all receive PSD502 if they wish to continue in the trial. PSD502, contains a mixture of lidocaine and prilocaine: PSD502 spray contains a mixture of lidocaine and prilocaine with Norflurane (HFA-134a) is used as both propellant and solvent. A single dose consists of 3 sprays applied to the glans penis. Approximately 5 minutes before intercourse the study spray (PSD502 or Placebo) can be applied and any excess should be wiped off with a damp cloth or tissue. During the initial 3 months double-blind phase of the study subjects should leave at least 24 hours between each dosing During the subsequent 5 months open label Phase of the study subjects may use the spray for up to a maximum of 3 sexual encounters (intercourse) in a 24 hour period. Each sexual encounter (intercourse) when the spray is used must be separated by at least 4 hour period.
Reproductive system and breast disorders
Erectile dysfunction
5.4%
9/167 • Number of events 14 • Treatment emergent Adverse Events collected from randomisation to end of study
Safety Population - all subjects that received the study drug.
0.00%
0/82 • Treatment emergent Adverse Events collected from randomisation to end of study
Safety Population - all subjects that received the study drug.
3.6%
8/223 • Number of events 20 • Treatment emergent Adverse Events collected from randomisation to end of study
Safety Population - all subjects that received the study drug.

Additional Information

Chief Scientific Officer

Plethora Solutions

Phone: +44 (0) 20 3077 5400

Results disclosure agreements

  • Principal investigator is a sponsor employee Details of the Study and his/her results shall not be publicized or published in any form to cooperative publication without prior, written consent of Pharm-Olam or the Sponsor. Such approval is necessary to prevent premature disclosure of trade secrets and other confidential information.
  • Publication restrictions are in place

Restriction type: OTHER