A Twenty Four Week, Randomized, Double-Blind, Placebo-Controlled, Safety and Efficacy Trial of Flibanserin 50mg Every Evening and Flibanserin 100mg Every Evening in Women With Hypoactive Sexual Desire Disorder in North America
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 880
- 试验地点
- 54
- 主要终点
- Satisfying Sexual Event Monthly Change From Baseline at Final Visit
研究概览
简要总结
This trial is designed to assess the safety and efficacy of flibanserin in the treatment of premenopausal women with Hypoactive Sexual Desire Disorder (HSDD) that meets standard diagnostic criteria. Efficacy for flibanserin will be assessed vs. a parallel placebo group.
详细描述
This trial was designed as a prospective, multicenter trial containing a 24-week, randomized, double blind, placebo controlled, parallel-group period that assessed the effects of flibanserin (maximum total daily dose: 100 mg q.d.) compared with placebo in premenopausal women with HSDD, determined by Diagnostic and Statistical Manual IV- Text Revision (DSM IV-TR®) criteria. Three hundred patients were to be randomized to each treatment group. This trial examined the safety and efficacy of flibanserin compared to placebo for 24 weeks.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Women who are 18 years of age and older.
- •Premenopausal women having regular menstrual periods who have HSDD (decreased sexual desire), generalized acquired type, according to DSM IV-TR criteria.
- •Patient must meet minimum cut-off scores on questionnaires relating to sexual functioning and sexual distress.
- •Patients must be willing to try to have sexual activity (e.g., any act involving direct genital stimulation) at least once monthly.
- •Patients must be willing and able to use an electronic diary (eDiary) on a daily basis (e.g., have access to a working land line telephone for daily data transmissions).
- •At the Baseline Visit, patients must have complied with eDiary use adequately.
- •Patients must be in a stable, monogamous, heterosexual relationship that is secure and communicative, for at least 1 year prior to the Screen Visit. The partner is expected to be physically present at least 50% of each month.
- •Patients must have used a medically acceptable method of contraception for at least 3 months before the Baseline Visit (Visit 2) and continue to use that medically acceptable method of contraception during the trial.
- •In the investigators opinion, patients must be reliable, honest, compliant, and agree to co-operate with all trial evaluations as well as to be able to perform them.
- •Patients must be able and willing to give meaningful, written informed consent prior to participation in the trial, in accordance with regulatory requirements. Patients must have sufficient understanding to communicate effectively with the investigator, and be willing to discuss their sexual functioning with the investigative staff.
- •Patients must have a clinically acceptable Pap smear as read by a cytology facility (no evidence of malignancy or squamous intraepithelial lesions) within 6 months before the Screen Visit.
排除标准
- •Patients who have taken any medication noted in the protocols List of Prohibited Medications within 30 days before screening.
- •Patients whose sexual function was affected (enhanced or worsened) in the investigators opinion by any medication within 30 days before the Screen Visit and anytime prior to the Baseline Visit.
- •Patients with a history of drug dependence or abuse within the past one year.
- •Patients with a history of multiple severe reactions (i.e., allergic or oversensitivity to usual doses) to drugs that affect the brain.
- •Patients with a history of participation in a trial of another investigational medication within one month prior to the Screen Visit, or participation in any previous clinical trial of flibanserin.
- •Patients who meet accepted diagnostic criteria for sexual disorders that would interfere with improvement in HSDD (sexual aversion, substance-induced sexual problems, urge to live as a man, etc.
- •Patients who indicate that their sexual partner has inadequately treated sexual problems that could interfere with the patients response to treatment.
- •Patients who have entered the menopausal transition or menopause or have had a hysterectomy.
- •Patients with findings at the Screen Visit of infection, inflammation, undue tenderness, or shrinkage (atrophy) of the female organs.
- •Patients who are breast feeding or have breastfed within the last 6 months prior to the Baseline Visit.
- •Patients who are pregnant or have been pregnant within the last 6 months prior to the Baseline Visit.
- •Patients with a history of Major Depressive Disorder within 6 months prior the Screen Visit, a score indicating depression on a depression scale, a history of suicide attempt, or current suicidal ideation evident at the Screen or Baseline Visit.
- •Patients with a history of any other psychiatric disorders that could impact sexual function, risks patients safety, or may impact compliance.
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研究组 & 干预措施
fibanserin
flibanserin 50 mg q.h.s.
干预措施: flibanserin (Drug)
flibanserin
flibanserin 100 mg q.h.s.
干预措施: flibanserin (Drug)
placebo
placebo q.h.s.
干预措施: flibanserin (Drug)
结局指标
主要结局
Satisfying Sexual Event Monthly Change From Baseline at Final Visit
时间窗: Baseline, Week 24
Change from baseline in the frequency of sexual satisfying events, as measured via e-Diary, standardized to a 28-day period. Change from baseline is calculated as the difference between the four week baseline period and Week 21 to Week 24.
Sexual Desire Monthly Change on Electronic Diary From Baseline at Final Visit
时间窗: Baseline, Week 24
Change from baseline in eDiary Sexual Desire Monthly Total Score standardized to a 28-day period. Change from baseline calculated as the difference between the 4 week baseline period and Week 21 to Week 24. Patients recorded information daily throughout trial. Every time the eDiary was completed, a desire question was asked. If a patient did not complete the diary on a given day, the patient was not asked to enter desire information for more than a 24-hour retrospective period. The desire item read "Indicate your most intense level of sexual desire in the last 24 hours/since your last visit." Potential responses included "no," "low," "moderate," or "strong", scored 0-3 (0 indicating no desire and 3 indicating the highest level of desire): 0 = No desire 1. = Low desire 2. = Moderate desire 3. = Strong desire Total score ranged from 0-84, with higher scores reflecting stronger desire). Monthly desire score was calculated as 28 x (sum of daily desire scores/number of responses).
次要结局
- Female Sexual Distress Scale - Revised (FSDS-R) Total Score Change From Baseline at Final Visit(Baseline, Week 24)
- Female Sexual Distress Scale - Revised (FSDS-R) Question 13 Score Change From Baseline at Final Visit(Baseline, Week 24)
- Female Sexual Functioning Index (FSFI) Desire Domain Score Change From Baseline at Final Visit(Baseline, Week 24)
- Female Sexual Functioning Index (FSFI) Total Score Change From Baseline at Final Visit(Baseline, Week 24)
- Patient Benefit Evaluation(Week 24)