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A Study of DA-8159 in Subjects With Erectile Dysfunction

Primary Purpose

Erectile Dysfunction

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
DA-8159
Sponsored by
Dong-A PharmTech Co., Ltd.
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Erectile Dysfunction focused on measuring Erectile Dysfunction

Eligibility Criteria

19 Years - 75 Years (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria: Is male and at least 19 years of age. Has a stable monogamous relationship for at least 6 months with a consenting female partner (vaginal intercourse is a required study activity). Provides written informed consent. The subject's female partner provides written informed consent. Has a history of ED (clinically defined as the inability to attain and maintain an erection of the penis sufficient to permit satisfactory sexual intercourse) of at least 3 months duration. The investigator will record the etiology of the ED (organic, psychogenic or mixed). Has scored between 6-25 for the Erectile Function domain score (Questions Number 1-5, 15) at both Visits 1 & 2. Completes least four diary entries by Visit 2, showing at least 4 attempts at sexual intercourse with a 50% or greater failure rate in achieving or in maintaining an erection sufficient to complete intercourse (defined as answering "no" to SEP questions #2 or #3). The subject's partner is not pregnant or lactating and both subject and partner agree to the use of a medically acceptable form of birth control. Exceptions would be subjects with a vasectomy or partners that are post menopausal, and partners that have had a tubal ligation or hysterectomy. Exclusion Criteria: Has a history of stroke, myocardial infarction, or coronary artery disease within the past 6 months. Has a history of cardiac failure, angina, or life-threatening arrhythmia within the past 6 months. Is taking nitrate medication in any form(Appendix 7) Is taking alpha blockers. Has a clinically significant abnormal laboratory value as determined by the principal investigator. Has a history of uncontrolled diabetes (HbA1c>9%). Has a history of proliferative diabetic retinopathy. Has a history of spinal cord injury or a radical prostatectomy or radical pelvic surgery. Has a supine blood pressure lower than 90/50mmHg or uncontrolled hypertension higher than 170/100mmHg. Has a anatomical deformity of the penis such as severe penile fibrosis or Peyronie's disease. Has a thyroid stimulating hormone (TSH) level lower than 30% of LLN. Has erectile dysfunction caused by neurological or endocrine factors such as hyperprolactinemia or low serum testosterone levels (<300 ng/dl). Has hepatic impairment (GOT, GPT levels > 3 x ULN). Has renal impairment (serum creatinine ≥ 2.5mg/dl). Has a history of hematological disorder such as bleeding disorder or a risk of GI bleeding such as peptic ulceration. Has a history of retinitis pigmentosa. Has a history of sickle cell disease, multiple myeloma, leukemia or any other disorders that may cause priapism. Has a history of significant psychiatric disorder. Has a history of central nervous system disorders such as stroke, transient ischemic attacks, or spinal cord injury. Has a history of drug abuse (alcohol, marijuana, cocaine, or opiates). Has a known sensitivity to drugs especially to phosphodiesterase type 5 inhibitors such as Viagra, Cialis or Levitra. Has used other erectile dysfunction therapies including nutraceutical and herbal products within 14 days prior to entering into this study. Is using concomitant medications that are known or suspected to interact with PDE 5 inhibitors such as the following: Antibacterial: erythromycin Antifungals: itraconazole, ketoconazole Antivirals: ritonavir, saquinavir, amprenavir, indinavir, nelfinavir H2 receptor antagonist: cimetidine Anticoagulants, androgens, trazodone Have other sexual disorders such as hypoactive sexual desire. Have previously failed to respond to PDE-5 inhibitors such as Viagra, Cialis or Levitra. Have a major illness that in the opinion of the investigator would interfere with the conduct of the study. Has not participated in a clinical drug study within the last 30 days prior to entering this study.

Sites / Locations

  • Medical Affiliated Research Center
  • The Male Clinic
  • South Orange County
  • California Profession Research
  • West Coast Clinical Research
  • Urology Research Options
  • Connecticut Clinical Research Center
  • South Florida Medical Research
  • Florida Foundation for Healthcare Research
  • Northeast Indiana Research, LLC
  • Drs. Werner, Murdock & Francis, P.A. , Urology Associates
  • Accumed Research Associates
  • Center for Urologic Research of Western New York
  • University Urological Researcgh Institute
  • Urology San Antonio Research

Outcomes

Primary Outcome Measures

The primary efficacy end points are:
the change in score (baseline to Visit 5) for the Erectile Function domain score of the IIEF;
change in response, relative to baseline, for sexual encounter profile (SEP) question 2, and
change in response, relative to baseline, for SEP question 3.
Safety will be assessed by monitoring adverse events and changes in vital signs, clinical laboratory test results, 12-lead ECG, and physical examinations.

Secondary Outcome Measures

The study has several secondary efficacy measurements including:
changes in the satisfaction of intercourse, orgasmic function, sexual desire and overall satisfaction domains of the IIEF,
changes from baseline in SEP questions 1, 4 and 5;
the global assessment questionnaire (GAQ), and
changes from baseline in patient self assessment questionnaire (PSAE) scores.

Full Information

First Posted
January 25, 2006
Last Updated
February 27, 2007
Sponsor
Dong-A PharmTech Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT00282607
Brief Title
A Study of DA-8159 in Subjects With Erectile Dysfunction
Official Title
A Randomized, Placebo-Controlled, Double-Blind, Parallel Design Phase 2 Dose Ranging Trial To Assess The Safety and Efficacy of DA-8159 Tablets in Male Subjects With Erectile Dysfunction.
Study Type
Interventional

2. Study Status

Record Verification Date
February 2007
Overall Recruitment Status
Completed
Study Start Date
May 2005 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
June 2006 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Dong-A PharmTech Co., Ltd.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study will be to evaluate the clinical efficacy and safety of DA-8159, an orally administered, potent and selective inhibitor of PDE5, versus placebo for the treatment of subjects with erectile dysfunction (ED).
Detailed Description
This will be a multi-center, randomized, double-blind, placebo-controlled, parallel-group study in 300 erectile dysfunction patients. Patients will complete a screening visit (V1) to determine eligibility for the study based on the International Index of Erectile Function (IIEF) erectile function (EF) domain scores, patient history and safety measures. Patients that meet the entrance criteria for this study will enter a 4 week, drug-free run-in period to establish a baseline for the erectile function domain score and to meet the criteria for participation in the study. Patients successfully completing screen will be randomly assigned to one of four treatment groups at Visit 2 (V2): placebo or one of 3 active drug doses of DA-8159 tablets. Patients will be given medication for at-home use and will also be given diaries for recording information regarding sexual encounters, quality of erections and adverse events. At 4-week intervals for 3 months (V3, V4, V5), patients will return to the clinic to review and collect SEP diaries, safety data, 12-lead ECG and medication reconciliation. In addition, at each 4-week interval patients will complete an IIEF, and at Visit 5 will have blood drawn for safety evaluation. The primary efficacy end points are: a) the change in score (baseline to Visit 5) for the Erectile Function domain score of the IIEF, b) change in response, relative to baseline, for sexual encounter profile (SEP) question 2, and c) change in response, relative to baseline, for SEP question 3. For DA-8159 tablets to be judged efficacious, the DA-8159 tablet groups must be shown superior to the placebo group on all three measures.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Erectile Dysfunction
Keywords
Erectile Dysfunction

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
300 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
DA-8159
Primary Outcome Measure Information:
Title
The primary efficacy end points are:
Title
the change in score (baseline to Visit 5) for the Erectile Function domain score of the IIEF;
Title
change in response, relative to baseline, for sexual encounter profile (SEP) question 2, and
Title
change in response, relative to baseline, for SEP question 3.
Title
Safety will be assessed by monitoring adverse events and changes in vital signs, clinical laboratory test results, 12-lead ECG, and physical examinations.
Secondary Outcome Measure Information:
Title
The study has several secondary efficacy measurements including:
Title
changes in the satisfaction of intercourse, orgasmic function, sexual desire and overall satisfaction domains of the IIEF,
Title
changes from baseline in SEP questions 1, 4 and 5;
Title
the global assessment questionnaire (GAQ), and
Title
changes from baseline in patient self assessment questionnaire (PSAE) scores.

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Is male and at least 19 years of age. Has a stable monogamous relationship for at least 6 months with a consenting female partner (vaginal intercourse is a required study activity). Provides written informed consent. The subject's female partner provides written informed consent. Has a history of ED (clinically defined as the inability to attain and maintain an erection of the penis sufficient to permit satisfactory sexual intercourse) of at least 3 months duration. The investigator will record the etiology of the ED (organic, psychogenic or mixed). Has scored between 6-25 for the Erectile Function domain score (Questions Number 1-5, 15) at both Visits 1 & 2. Completes least four diary entries by Visit 2, showing at least 4 attempts at sexual intercourse with a 50% or greater failure rate in achieving or in maintaining an erection sufficient to complete intercourse (defined as answering "no" to SEP questions #2 or #3). The subject's partner is not pregnant or lactating and both subject and partner agree to the use of a medically acceptable form of birth control. Exceptions would be subjects with a vasectomy or partners that are post menopausal, and partners that have had a tubal ligation or hysterectomy. Exclusion Criteria: Has a history of stroke, myocardial infarction, or coronary artery disease within the past 6 months. Has a history of cardiac failure, angina, or life-threatening arrhythmia within the past 6 months. Is taking nitrate medication in any form(Appendix 7) Is taking alpha blockers. Has a clinically significant abnormal laboratory value as determined by the principal investigator. Has a history of uncontrolled diabetes (HbA1c>9%). Has a history of proliferative diabetic retinopathy. Has a history of spinal cord injury or a radical prostatectomy or radical pelvic surgery. Has a supine blood pressure lower than 90/50mmHg or uncontrolled hypertension higher than 170/100mmHg. Has a anatomical deformity of the penis such as severe penile fibrosis or Peyronie's disease. Has a thyroid stimulating hormone (TSH) level lower than 30% of LLN. Has erectile dysfunction caused by neurological or endocrine factors such as hyperprolactinemia or low serum testosterone levels (<300 ng/dl). Has hepatic impairment (GOT, GPT levels > 3 x ULN). Has renal impairment (serum creatinine ≥ 2.5mg/dl). Has a history of hematological disorder such as bleeding disorder or a risk of GI bleeding such as peptic ulceration. Has a history of retinitis pigmentosa. Has a history of sickle cell disease, multiple myeloma, leukemia or any other disorders that may cause priapism. Has a history of significant psychiatric disorder. Has a history of central nervous system disorders such as stroke, transient ischemic attacks, or spinal cord injury. Has a history of drug abuse (alcohol, marijuana, cocaine, or opiates). Has a known sensitivity to drugs especially to phosphodiesterase type 5 inhibitors such as Viagra, Cialis or Levitra. Has used other erectile dysfunction therapies including nutraceutical and herbal products within 14 days prior to entering into this study. Is using concomitant medications that are known or suspected to interact with PDE 5 inhibitors such as the following: Antibacterial: erythromycin Antifungals: itraconazole, ketoconazole Antivirals: ritonavir, saquinavir, amprenavir, indinavir, nelfinavir H2 receptor antagonist: cimetidine Anticoagulants, androgens, trazodone Have other sexual disorders such as hypoactive sexual desire. Have previously failed to respond to PDE-5 inhibitors such as Viagra, Cialis or Levitra. Have a major illness that in the opinion of the investigator would interfere with the conduct of the study. Has not participated in a clinical drug study within the last 30 days prior to entering this study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
James L Yeager, RPh., Ph.D.
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Harin Padma-Nathan, MD
Organizational Affiliation
The Male Clinic
Official's Role
Principal Investigator
Facility Information:
Facility Name
Medical Affiliated Research Center
City
Huntsville
State/Province
Alabama
ZIP/Postal Code
35801
Country
United States
Facility Name
The Male Clinic
City
Beverly Hills
State/Province
California
ZIP/Postal Code
90212
Country
United States
Facility Name
South Orange County
City
Laguna Woods
State/Province
California
ZIP/Postal Code
92653
Country
United States
Facility Name
California Profession Research
City
Newport Beach
State/Province
California
ZIP/Postal Code
92660
Country
United States
Facility Name
West Coast Clinical Research
City
Tarzana
State/Province
California
ZIP/Postal Code
91356
Country
United States
Facility Name
Urology Research Options
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80012
Country
United States
Facility Name
Connecticut Clinical Research Center
City
Waterbury
State/Province
Connecticut
ZIP/Postal Code
06708
Country
United States
Facility Name
South Florida Medical Research
City
Aventura
State/Province
Florida
ZIP/Postal Code
33180
Country
United States
Facility Name
Florida Foundation for Healthcare Research
City
Ocala
State/Province
Florida
ZIP/Postal Code
34474
Country
United States
Facility Name
Northeast Indiana Research, LLC
City
Fort Wayne
State/Province
Indiana
ZIP/Postal Code
46825
Country
United States
Facility Name
Drs. Werner, Murdock & Francis, P.A. , Urology Associates
City
Greenbelt
State/Province
Maryland
ZIP/Postal Code
20770
Country
United States
Facility Name
Accumed Research Associates
City
Garden City
State/Province
New York
ZIP/Postal Code
11530
Country
United States
Facility Name
Center for Urologic Research of Western New York
City
Williamsville
State/Province
New York
ZIP/Postal Code
14221
Country
United States
Facility Name
University Urological Researcgh Institute
City
Providence
State/Province
Rhode Island
ZIP/Postal Code
02904
Country
United States
Facility Name
Urology San Antonio Research
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States

12. IPD Sharing Statement

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A Study of DA-8159 in Subjects With Erectile Dysfunction

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