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Efficacy and Safety of TPN171H in the Patients With Erectile Dysfunction

Primary Purpose

Erectile Dysfunction

Status
Completed
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
TPN171H
placebo
Sponsored by
Vigonvita Life Sciences
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Erectile Dysfunction focused on measuring Erectile Dysfunction, TPN171H, Simmerafil

Eligibility Criteria

22 Years - undefined (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Male patients aged ≥22 with ED, defined as an inability to achieve or maintain a penile erection sufficient for satisfactory sexual intercourse, evident for at least 3 months;
  • Patients whose IIEF-EF domain score is < 26;
  • Patients in a stable, heterosexual relationship for at least 3 months and during the study;
  • Patients who are willing to stay away from any other medicines or treatments for ED during this study period;
  • Patients who are willing to have 4 or more attempts of sexual intercourse each month, demonstrated compliance with the study protocol, including drug administration, diary completion, and scheduled study visits, during the qualifying trial;
  • Patients who are willing to take proper contraceptive during the study and within 3 months after the study completed;
  • Patients who have voluntarily decided to participate in this study, and signed the informed consent form.

Exclusion Criteria:

  • Patients with anatomical malformations of the penis;
  • Patients with primary hypoactive sexual desire;
  • Patients with ED, which is caused by any other primary sexual disorder, like hypopituitarism, hypothyroidism, or hypogonadism.
  • Patients with ED ,which is caused by spinal injury or have had a radical prostatectomy or other surgery ;
  • Patients who have a penile implant;
  • Patients who have a history of hypersensitivity to other PDE5 inhibitors or who have not responded to them;
  • Patients with the following cardiovascular disease:

Myocardial infarction or stroke within the last 6 months; Unstable angina or angina occurring during sexual intercourse; New York Heart Association Class 2 or greater heart failure in the last 6 months; Uncontrolled hypotension (<90/60mmHg), or uncontrolled hypertension (≥160/95mmHg); Orthostatic hypotension.

  • Patients administered with the following medications:

Nitrate/Nitric oxide (NO) donors; Androgens, anti-androgen, trazodone; Agents that significantly affect the CYP3A4 intermediary metabolism.

  • Diabetic patients whose FBS is over 1.5 fold of normal value, or whose HbA1c exceeds 9%, or with diabetes complications, such as diabetic nephropathy, peripheral neuropathy;
  • Patients with hepatic or renal dysfunction as per the following: AST, ALT≧2*ULN, serum creatinine exceeds 20% of the upper limit of normal value;
  • Patients with active gastrointestinal ulcers and bleeding disorders;
  • Patients who have a history of NAION, or with a known genetically degenerative retinopathy, including retinitis pigmentosa;
  • Patients who have a history of sudden decrease or loss of hearing;
  • Patient with a history of malignancy;
  • Patients with a major refractory psychiatric disorder or significant neurological abnormalities;
  • Patients with alcohol addiction or persistent abuse of drugs of dependence;
  • Patients who are participating or discontinued participation in the past 3 months from any other clinical trial, or are planning to father a baby or are in a relationship with a pregnant partner.
  • For other reasons besides the aforementioned cases, patient whose participation is deemed inappropriate due to clinically significant findings according to the medical decision of the principal investigator or the study personnel.

Sites / Locations

  • The First Affiliated Hospital of Anhui Medical University
  • Peking University Third Hospital
  • The First Affiliated Hospital of Fujian Medical University
  • Guangzhou First People's Hospital
  • Peking University Shenzhen Hospital
  • Henan Provincial People's Hospital
  • The Third Xiangya Hospital of Central South University
  • Nanjing Drum Tower Hospital
  • Second Affiliated Hospital of Suzhou University
  • The First Affiliated Hospital of Nanchang University
  • The First Hospital of Jilin University
  • The First Affiliated Hospital of Dalian Medical University

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

TPN171H 5mg group

TPN171H 10mg group

TPN171H 20mg group

Placebo group

Arm Description

TPN171H 5mg tablet + Placebo 10mg 2 tablets

TPN171H 10mg tablet + Placebo 5mg tablet+ Placebo 10mg tablet

TPN171H 10mg 2 tablets + Placebo 5mg tablet

Placebo 5mg tablet+ Placebo 10mg 2 tablets

Outcomes

Primary Outcome Measures

Change From Baseline in the International Index of Erectile Function - Erectile Function Domain (IIEF-EF) at Week 8
The primary efficacy variable was the change in the EF domain scores of the IIEF questionnaire from baseline, calculated by comparing total scores from questions 1-5 and 15 from the IIEF questionnaire .
Change From Baseline in Question 2 of the Patient Sexual Encounter Profile (SEP) Diary at Week 8 in Percentage of Yes Responses
Assessed was the mean change from baseline in the percentage of Yes responses to the SEP diary Question 2. "Were you able to insert your penis into your partner's vagina when you are trying to have sex ?" Data are presented as the mean percentage of yes responses per participant.
Change From Baseline in Question 3 of the Patient Sexual Encounter Profile (SEP) Diary at Week 8 in Percentage of Yes Responses
Assessed was the mean change from baseline in the percentage of Yes responses to the SEP diary Question 3. "Did your erection last long enough for you to have successful intercourse?" Data are presented as the mean percentage of yes responses per participant.

Secondary Outcome Measures

Change From Baseline to 4 Week and 8 Week Endpoint in International Index of Erectile Function (IIEF),Orgasmic Functions
Self-reported Orgasmic Functions over the past 4 weeks. Scores range from 0 (low/no satisfaction) to 5 (high satisfaction), thus the 2 questions of the IIEF-OF domain range from 0 to 10.
Change From Baseline to 4 Week and 8 Week Endpoint in International Index of Erectile Function (IIEF) ,Sexual Desire
Self-reported Sexual Desire over the past 4 weeks. Scores range from 0 (low/no satisfaction to 5 (high satisfaction), thus the 2 questions of the IIEF-SD domain range from 0 to 10.
Change From Baseline to 4 Week and 8 Week Endpoint in International Index of Erectile Function (IIEF),Intercourse Satisfaction
Self-reported intercourse satisfaction over the past 4 weeks. Scores range from 0 (low/no satisfaction) to 5 (high satisfaction), thus the 3 questions of the IIEF-IS domain range from 0 to 15.
Change From Baseline to 4 Week and 8 Week Endpoint in International Index of Erectile Function (IIEF), Overall Satisfaction
Self-reported overall satisfaction over the past 4 weeks. Scores range from 0 (low/no satisfaction to 5 (high satisfaction), thus the 2 questions of the IIEF-OS domain range from 0 to 10.
Change From Baseline in Question 2 of the Patient Sexual Encounter Profile (SEP) Diary at Week 4 in Percentage of Yes Responses
Assessed was the mean change from baseline in the percentage of Yes responses to the SEP diary Question 2. "Were you able to insert your penis into your partner's vagina?" Data are presented as the mean percentage of yes responses per participant.
Sexual Encounter Profile (SEP) Diary, Question 3 Change From Baseline to Week 4 in Percentage of Yes Responses
Assessed was the mean change from baseline in the percentage of Yes responses to the SEP diary Question 3. "Did your erection last long enough for you to have successful intercourse?" Data are presented as the mean percentage of yes responses per participant.
Change From Baseline in the International Index of Erectile Function - Erectile Function Domain (IIEF-EF) ≥26 at Week 8
Assessed was the changes in the number of subjects whose IIEF domain score at the 8th week visit was ≥26.
Subgroup analysis based on ED severity categories: severe,0-10; moderate,11-16; mild,17-25.
Subgroup analysis based on ED severity categories: severe,0-10; moderate,11-16; mild,17-25.
Subgroup analysis based on the time intervals between meal and medication.
Subgroup analysis based on the time intervals between meal and medication.

Full Information

First Posted
July 11, 2020
Last Updated
June 21, 2023
Sponsor
Vigonvita Life Sciences
Collaborators
Shanghai Institute of Materia Medica, Chinese Academy of Sciences
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1. Study Identification

Unique Protocol Identification Number
NCT04479917
Brief Title
Efficacy and Safety of TPN171H in the Patients With Erectile Dysfunction
Official Title
A Multi-Center ,Randomized, Double-Blind, Placebo-Controlled, Dose-Exploring Study to Evaluate the Efficacy and Safety of TPN171H in China Male Patients With Erectile Dysfunction
Study Type
Interventional

2. Study Status

Record Verification Date
December 2021
Overall Recruitment Status
Completed
Study Start Date
July 23, 2020 (Actual)
Primary Completion Date
July 26, 2021 (Actual)
Study Completion Date
July 26, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Vigonvita Life Sciences
Collaborators
Shanghai Institute of Materia Medica, Chinese Academy of Sciences

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is an exploratory clinical study to presume the optimum usage and dosage for a therapeutic confirmatory study by evaluating the efficacy and safety of TPN171H 5mg, 10mg, 20mg or placebo administered orally in patients with erectile dysfunction. In conclusions, Patients with erectile dysfunction (ED) were administered placebo, TPN171H 5mg, 10mg or 20mg 30 minutes to 4 hours before sexual intercourse for 8 weeks.
Detailed Description
This is a Phase II study in 240 ED patients, which consists of 3 part: 1) a 4-week run-in period without any ED treatment; 2)randomization to 8 weeks of treatment with TPN171H or placebo; and 3) a 1-week follow-up period for continued adverse event monitoring. The effects of TPN171H on ED will be evaluated using the IIEF-EF and SEP diaries. The IIEF-EF will be administered at baseline and at 4-week intervals following initiation of treatment, meanwhile the SEP diary will be completed by patients after each sexual attempt throughout the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Erectile Dysfunction
Keywords
Erectile Dysfunction, TPN171H, Simmerafil

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
255 (Actual)

8. Arms, Groups, and Interventions

Arm Title
TPN171H 5mg group
Arm Type
Experimental
Arm Description
TPN171H 5mg tablet + Placebo 10mg 2 tablets
Arm Title
TPN171H 10mg group
Arm Type
Experimental
Arm Description
TPN171H 10mg tablet + Placebo 5mg tablet+ Placebo 10mg tablet
Arm Title
TPN171H 20mg group
Arm Type
Experimental
Arm Description
TPN171H 10mg 2 tablets + Placebo 5mg tablet
Arm Title
Placebo group
Arm Type
Placebo Comparator
Arm Description
Placebo 5mg tablet+ Placebo 10mg 2 tablets
Intervention Type
Drug
Intervention Name(s)
TPN171H
Other Intervention Name(s)
Simmerafil
Intervention Description
Pharmaceutical form;tablets Route of administration:;oral;Administered 30 minutes to 4 hours prior to initiation of sexual activity for a duration of 8 weeks to use no more than one dose in any 24-hour period
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
Pharmaceutical form;tablets Route of administration:;oral;Administered 30 minutes to 4 hours prior to initiation of sexual activity for a duration of 8 weeks to use no more than one dose in any 24-hour period
Primary Outcome Measure Information:
Title
Change From Baseline in the International Index of Erectile Function - Erectile Function Domain (IIEF-EF) at Week 8
Description
The primary efficacy variable was the change in the EF domain scores of the IIEF questionnaire from baseline, calculated by comparing total scores from questions 1-5 and 15 from the IIEF questionnaire .
Time Frame
baseline and 8 weeks
Title
Change From Baseline in Question 2 of the Patient Sexual Encounter Profile (SEP) Diary at Week 8 in Percentage of Yes Responses
Description
Assessed was the mean change from baseline in the percentage of Yes responses to the SEP diary Question 2. "Were you able to insert your penis into your partner's vagina when you are trying to have sex ?" Data are presented as the mean percentage of yes responses per participant.
Time Frame
baseline and 8 weeks
Title
Change From Baseline in Question 3 of the Patient Sexual Encounter Profile (SEP) Diary at Week 8 in Percentage of Yes Responses
Description
Assessed was the mean change from baseline in the percentage of Yes responses to the SEP diary Question 3. "Did your erection last long enough for you to have successful intercourse?" Data are presented as the mean percentage of yes responses per participant.
Time Frame
baseline and 8 weeks
Secondary Outcome Measure Information:
Title
Change From Baseline to 4 Week and 8 Week Endpoint in International Index of Erectile Function (IIEF),Orgasmic Functions
Description
Self-reported Orgasmic Functions over the past 4 weeks. Scores range from 0 (low/no satisfaction) to 5 (high satisfaction), thus the 2 questions of the IIEF-OF domain range from 0 to 10.
Time Frame
baseline ,4 weeks and 8 weeks
Title
Change From Baseline to 4 Week and 8 Week Endpoint in International Index of Erectile Function (IIEF) ,Sexual Desire
Description
Self-reported Sexual Desire over the past 4 weeks. Scores range from 0 (low/no satisfaction to 5 (high satisfaction), thus the 2 questions of the IIEF-SD domain range from 0 to 10.
Time Frame
baseline ,4 weeks and 8 weeks
Title
Change From Baseline to 4 Week and 8 Week Endpoint in International Index of Erectile Function (IIEF),Intercourse Satisfaction
Description
Self-reported intercourse satisfaction over the past 4 weeks. Scores range from 0 (low/no satisfaction) to 5 (high satisfaction), thus the 3 questions of the IIEF-IS domain range from 0 to 15.
Time Frame
baseline ,4 weeks and 8 weeks
Title
Change From Baseline to 4 Week and 8 Week Endpoint in International Index of Erectile Function (IIEF), Overall Satisfaction
Description
Self-reported overall satisfaction over the past 4 weeks. Scores range from 0 (low/no satisfaction to 5 (high satisfaction), thus the 2 questions of the IIEF-OS domain range from 0 to 10.
Time Frame
baseline ,4 weeks and 8 weeks
Title
Change From Baseline in Question 2 of the Patient Sexual Encounter Profile (SEP) Diary at Week 4 in Percentage of Yes Responses
Description
Assessed was the mean change from baseline in the percentage of Yes responses to the SEP diary Question 2. "Were you able to insert your penis into your partner's vagina?" Data are presented as the mean percentage of yes responses per participant.
Time Frame
baseline and 4 weeks
Title
Sexual Encounter Profile (SEP) Diary, Question 3 Change From Baseline to Week 4 in Percentage of Yes Responses
Description
Assessed was the mean change from baseline in the percentage of Yes responses to the SEP diary Question 3. "Did your erection last long enough for you to have successful intercourse?" Data are presented as the mean percentage of yes responses per participant.
Time Frame
baseline and 4 weeks
Title
Change From Baseline in the International Index of Erectile Function - Erectile Function Domain (IIEF-EF) ≥26 at Week 8
Description
Assessed was the changes in the number of subjects whose IIEF domain score at the 8th week visit was ≥26.
Time Frame
baseline ,4 weeks and 8 weeks
Title
Subgroup analysis based on ED severity categories: severe,0-10; moderate,11-16; mild,17-25.
Description
Subgroup analysis based on ED severity categories: severe,0-10; moderate,11-16; mild,17-25.
Time Frame
baseline ,4 weeks and 8 weeks
Title
Subgroup analysis based on the time intervals between meal and medication.
Description
Subgroup analysis based on the time intervals between meal and medication.
Time Frame
baseline ,4 weeks and 8 weeks

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
22 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male patients aged ≥22 with ED, defined as an inability to achieve or maintain a penile erection sufficient for satisfactory sexual intercourse, evident for at least 3 months; Patients whose IIEF-EF domain score is < 26; Patients in a stable, heterosexual relationship for at least 3 months and during the study; Patients who are willing to stay away from any other medicines or treatments for ED during this study period; Patients who are willing to have 4 or more attempts of sexual intercourse each month, demonstrated compliance with the study protocol, including drug administration, diary completion, and scheduled study visits, during the qualifying trial; Patients who are willing to take proper contraceptive during the study and within 3 months after the study completed; Patients who have voluntarily decided to participate in this study, and signed the informed consent form. Exclusion Criteria: Patients with anatomical malformations of the penis; Patients with primary hypoactive sexual desire; Patients with ED, which is caused by any other primary sexual disorder, like hypopituitarism, hypothyroidism, or hypogonadism. Patients with ED ,which is caused by spinal injury or have had a radical prostatectomy or other surgery ; Patients who have a penile implant; Patients who have a history of hypersensitivity to other PDE5 inhibitors or who have not responded to them; Patients with the following cardiovascular disease: Myocardial infarction or stroke within the last 6 months; Unstable angina or angina occurring during sexual intercourse; New York Heart Association Class 2 or greater heart failure in the last 6 months; Uncontrolled hypotension (<90/60mmHg), or uncontrolled hypertension (≥160/95mmHg); Orthostatic hypotension. Patients administered with the following medications: Nitrate/Nitric oxide (NO) donors; Androgens, anti-androgen, trazodone; Agents that significantly affect the CYP3A4 intermediary metabolism. Diabetic patients whose FBS is over 1.5 fold of normal value, or whose HbA1c exceeds 9%, or with diabetes complications, such as diabetic nephropathy, peripheral neuropathy; Patients with hepatic or renal dysfunction as per the following: AST, ALT≧2*ULN, serum creatinine exceeds 20% of the upper limit of normal value; Patients with active gastrointestinal ulcers and bleeding disorders; Patients who have a history of NAION, or with a known genetically degenerative retinopathy, including retinitis pigmentosa; Patients who have a history of sudden decrease or loss of hearing; Patient with a history of malignancy; Patients with a major refractory psychiatric disorder or significant neurological abnormalities; Patients with alcohol addiction or persistent abuse of drugs of dependence; Patients who are participating or discontinued participation in the past 3 months from any other clinical trial, or are planning to father a baby or are in a relationship with a pregnant partner. For other reasons besides the aforementioned cases, patient whose participation is deemed inappropriate due to clinically significant findings according to the medical decision of the principal investigator or the study personnel.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Hui Jiang, MD, PhD
Organizational Affiliation
Peking University Third Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
The First Affiliated Hospital of Anhui Medical University
City
Hefei
State/Province
Anhui
ZIP/Postal Code
230000
Country
China
Facility Name
Peking University Third Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100191
Country
China
Facility Name
The First Affiliated Hospital of Fujian Medical University
City
Fuzhou
State/Province
Fujian
ZIP/Postal Code
350005
Country
China
Facility Name
Guangzhou First People's Hospital
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510000
Country
China
Facility Name
Peking University Shenzhen Hospital
City
Shenzhen
State/Province
Guangdong
ZIP/Postal Code
518036
Country
China
Facility Name
Henan Provincial People's Hospital
City
Zhengzhou
State/Province
Henan
ZIP/Postal Code
450100
Country
China
Facility Name
The Third Xiangya Hospital of Central South University
City
Changsha
State/Province
Hunan
ZIP/Postal Code
410000
Country
China
Facility Name
Nanjing Drum Tower Hospital
City
Nanjing
State/Province
Jiangsu
ZIP/Postal Code
210008
Country
China
Facility Name
Second Affiliated Hospital of Suzhou University
City
Suzhou
State/Province
Jiangsu
ZIP/Postal Code
215000
Country
China
Facility Name
The First Affiliated Hospital of Nanchang University
City
Nanchang
State/Province
Jiangxi
ZIP/Postal Code
330000
Country
China
Facility Name
The First Hospital of Jilin University
City
Changchun
State/Province
Jinlin
ZIP/Postal Code
130021
Country
China
Facility Name
The First Affiliated Hospital of Dalian Medical University
City
Dalian
State/Province
Liaoning
ZIP/Postal Code
116011
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

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Efficacy and Safety of TPN171H in the Patients With Erectile Dysfunction

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