A Phase 2 interventional study of IX-01 and Placebo in Premature Ejaculation, sponsored by Ixchelsis Limited. Completed at 10 sites in 2 countries. Open to male participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2020-08-17.
Sponsored by Ixchelsis Limited · Phase 2, Interventional, and Treatment
The purpose of this study is to determine the effectiveness of IX-01 in men with lifelong premature ejaculation.
Exclusion Criteria:
Two to four 200 mg capsules administered orally, 1-6 hours prior to sexual activity
Drug: IX-01
Two to four capsules administered orally, 1-6 hours prior to sexual activity
Drug: Placebo
Mean Fold Change in Geometric Mean Intravaginal Ejaculatory Latency Time (IELT)
IX-01 versus placebo. Intravaginal ejaculatory latency time (IELT) was defined as the time from the initiation of sexual intercourse (penetration) until ejaculation occurred
Time frame: Last 4 weeks of treatment compared to baseline
Proportion of Participants Rating Their PE as Better or Much Better, on the Clinical Global Impression of Change (CGIC) Scale
7 point scale ranging from much worse (-3) to much better (3). The proportion refers to the proportion of patients who had the best 2 possible responses \[better(2) or much better (3)\] on this 7 point scale
Time frame: Baseline to the end of treatment (approximately 8 weeks)
Proportion of Participants With Greater Than or Equal to (≥) 2.5 Fold Increase in Intravaginal Ejaculatory Latency Time (IELT)
Intravaginal ejaculatory latency time (IELT) was defined as the time from the initiation of sexual intercourse (penetration) until ejaculation occurred. Outcome measured proportion of patients with at least a 2.5-fold increase in geometric mean IELT over the last 4 weeks of treatment as compared to baseline. Proportion of participants adjusted for baseline IELT, country and site
Time frame: Last 4 weeks of treatment compared to baseline
Mean Fold Change in Arithmetic IELT (Intravaginal Ejaculatory Latency Time)
IX-01 versus placebo
Time frame: Last 4 weeks of treatment compared to baseline
Mean Change in Score on Control of Timing of Ejaculation
Reported in electronic diary and based on the Premature Ejaculation Profile (PEP). PEP question on control of timing is scored on a 5 point scale with the scores ranging from very poor (this is the worst answer) scored as 0 to very good (this is the best answer scored as 4)
Time frame: Last 4 weeks of treatment compared to baseline
Mean Change in Score on Ejaculation-related Personal Distress
Based on Premature Ejaculation Profile (PEP). Scale ranges from 'extremely' (0) to 'not at all' (4). An increase in score from baseline indicates improvement.
Time frame: Last 4 weeks of treatment compared to baseline
Proportion of Participants With ≥ 1 Category of Improvement in Satisfaction With Sexual Intercourse, on the Premature Ejaculation Profile (PEP) Questionnaire
Based on Premature Ejaculation Profile (PEP) 5 point scale with the scores ranging from 0 (worse answer) to 4 (best answer).
Time frame: Baseline to 8 weeks
Proportion of Participants With ≥ 1 Category of Improvement in Control Over Ejaculation During Sexual Intercourse on the Premature Ejaculation Profile (PEP) Questionnaire
Reported in electronic diary and based on the Premature Ejaculation Profile (PEP). PEP is scored on a 5 point scale with the scores ranging from 0 (worst answer) to 4 (best answer)
Time frame: Baseline to 8 weeks
Proportion of Participants With ≥ 1 Category of Improvement in Ejaculation-related Distress on the Premature Ejaculation Profile ( PEP) Questionnaire
Reported in e-diary. Based on Premature Ejaculation Profile (PEP). Scale ranges from 'extremely' (0) to 'not at all' (4). An increase in score from baseline indicates improvement.
Time frame: Baseline to 8 weeks
Proportion of Participants With ≥ 1 Category of Improvement in Ejaculation-related Interpersonal Difficulty on the Premature Ejaculation Profile (PEP) Questionnaire
Reported in e-diary. Based on Premature Ejaculation Profile (PEP). Scale ranges from 'extremely' (0) to 'not at all' (4). An increase in score from baseline indicates improvement.
Time frame: Baseline to 8 weeks
Proportion of Participants With ≥ 2 Category Increase in Control and ≥ 1 Category Decrease in Personal Distress on a Patient Reported Outcome (PRO) Measure
Reported in e-diary. Based on Premature Ejaculation Profile (PEP). Each of the PEP questions is scored on a 5 point scale with the scores ranging from 0 (worst answer) to 4 (best answer)
Time frame: Baseline to 8 weeks
Change in Percentage of Intercourse Attempts Lasting Longer Than 1 Minute From Baseline to Last 4 Weeks on Treatment
'Baseline' time period defined as Day -28 - Day 0. 'Last 4 Weeks' time period defined as the 28 days prior to last time subject took study drug and after Day 14. Analysis excludes two subjects from ITT population: #010-012 (placebo) and #888-018 (active). Adjusted for treatment, baseline IELT, baseline percentage, country and site.
Time frame: Baseline to last 4 weeks on treatment
Incidence of Treatment-emergent Adverse Events
Number of participants with at least one treatment-emergent adverse event
Time frame: Start of Treatment to end of study (approximately 10 weeks)
| Milestone | Drug: IX-01 | Placebo |
|---|---|---|
| Started | 58 | 30 |
| Completed | 44 | 22 |
| Not completed | 14 | 8 |
| Withdrew: Lost to follow-up | 6 | 2 |
| Withdrew: Adverse event | 2 | 0 |
| Withdrew: Withdrawal by subject | 5 | 6 |
| Withdrew: Lack of efficacy | 1 | 0 |
IX-01 versus placebo. Intravaginal ejaculatory latency time (IELT) was defined as the time from the initiation of sexual intercourse (penetration) until ejaculation occurred
| No units for fold change | Drug: IX-01 | Placebo |
|---|---|---|
| Mean Fold Change in Geometric Mean Intravaginal Ejaculatory Latency Time (IELT) | 2.1 (1.5 to 3.1) | 1.1 (0.7 to 1.8) |
7 point scale ranging from much worse (-3) to much better (3). The proportion refers to the proportion of patients who had the best 2 possible responses \[better(2) or much better (3)\] on this 7 point scale
| proportion of participants | Drug: IX-01 | Placebo |
|---|---|---|
| Better/Much Better | 0.17 | 0 |
| Any Improvement | 0.44 | 0.13 |
Intravaginal ejaculatory latency time (IELT) was defined as the time from the initiation of sexual intercourse (penetration) until ejaculation occurred. Outcome measured proportion of patients with at least a 2.5-fold increase in geometric mean IELT over the last 4 weeks of treatment as compared to baseline. Proportion of participants adjusted for baseline IELT, country and site
| Proportion of participants | Drug: IX-01 | Placebo |
|---|---|---|
| Proportion of Participants With Greater Than or Equal to (≥) 2.5 Fold Increase in Intravaginal Ejaculatory Latency Time (IELT) | 0.31 (0.14 to 0.54) | 0.07 (0.01 to 0.32) |
IX-01 versus placebo
| No units for fold change | Drug: IX-01 | Placebo |
|---|---|---|
| Mean Fold Change in Arithmetic IELT (Intravaginal Ejaculatory Latency Time) | 3.6 (2.2 to 5.0) | 1.8 (0.9 to 2.7) |
Reported in electronic diary and based on the Premature Ejaculation Profile (PEP). PEP question on control of timing is scored on a 5 point scale with the scores ranging from very poor (this is the worst answer) scored as 0 to very good (this is the best answer scored as 4)
| units on a scale | Drug: IX-01 | Placebo |
|---|---|---|
| Mean Change in Score on Control of Timing of Ejaculation | 0.42 (-0.08 to 0.93) | -0.03 (-0.59 to 0.53) |
Based on Premature Ejaculation Profile (PEP). Scale ranges from 'extremely' (0) to 'not at all' (4). An increase in score from baseline indicates improvement.
| units on a scale | Drug: IX-01 | Placebo |
|---|---|---|
| Mean Change in Score on Ejaculation-related Personal Distress | 0.63 (0.37 to 0.88) | 0.03 (-0.34 to 0.40) |
Based on Premature Ejaculation Profile (PEP) 5 point scale with the scores ranging from 0 (worse answer) to 4 (best answer).
| adjusted proportion of participants | Drug: IX-01 | Placebo |
|---|---|---|
| Proportion of Participants With ≥ 1 Category of Improvement in Satisfaction With Sexual Intercourse, on the Premature Ejaculation Profile (PEP) Questionnaire | 0.53 (0.33 to 0.72) | 0.30 (0.13 to 0.56) |
Reported in electronic diary and based on the Premature Ejaculation Profile (PEP). PEP is scored on a 5 point scale with the scores ranging from 0 (worst answer) to 4 (best answer)
| adjusted proportion of participants | Drug: IX-01 | Placebo |
|---|---|---|
| Proportion of Participants With ≥ 1 Category of Improvement in Control Over Ejaculation During Sexual Intercourse on the Premature Ejaculation Profile (PEP) Questionnaire | 0.56 (0.42 to 0.69) | 0.36 (0.19 to 0.58) |
Reported in e-diary. Based on Premature Ejaculation Profile (PEP). Scale ranges from 'extremely' (0) to 'not at all' (4). An increase in score from baseline indicates improvement.
| adjusted proportion of participants | Drug: IX-01 | Placebo |
|---|---|---|
| Proportion of Participants With ≥ 1 Category of Improvement in Ejaculation-related Distress on the Premature Ejaculation Profile ( PEP) Questionnaire | 0.60 (0.46 to 0.73) | 0.36 (0.19 to 0.57) |
Reported in e-diary. Based on Premature Ejaculation Profile (PEP). Scale ranges from 'extremely' (0) to 'not at all' (4). An increase in score from baseline indicates improvement.
| adjusted proportion of participants | Drug: IX-01 | Placebo |
|---|---|---|
| Proportion of Participants With ≥ 1 Category of Improvement in Ejaculation-related Interpersonal Difficulty on the Premature Ejaculation Profile (PEP) Questionnaire | 0.60 (0.45 to 0.72) | 0.48 (0.29 to 0.68) |
Reported in e-diary. Based on Premature Ejaculation Profile (PEP). Each of the PEP questions is scored on a 5 point scale with the scores ranging from 0 (worst answer) to 4 (best answer)
| proportion of participants | Drug: IX-01 | Placebo |
|---|---|---|
| Proportion of Participants With ≥ 2 Category Increase in Control and ≥ 1 Category Decrease in Personal Distress on a Patient Reported Outcome (PRO) Measure | 0.17 | 0 |
'Baseline' time period defined as Day -28 - Day 0. 'Last 4 Weeks' time period defined as the 28 days prior to last time subject took study drug and after Day 14. Analysis excludes two subjects from ITT population: #010-012 (placebo) and #888-018 (active). Adjusted for treatment, baseline IELT, baseline percentage, country and site.
| percentage of attempts | Drug: IX-01 | Placebo |
|---|---|---|
| Change in Percentage of Intercourse Attempts Lasting Longer Than 1 Minute From Baseline to Last 4 Weeks on Treatment | 37.6 (17.8 to 57.3) | 13.5 (-9.1 to 36.2) |
Number of participants with at least one treatment-emergent adverse event
| participants | Drug: IX-01 | Placebo |
|---|---|---|
| Incidence of Treatment-emergent Adverse Events | 12 | 9 |
Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Drug: IX-01 | — | 0/56 (0%) | 12/56 (21.4%) |
| Placebo | — | 0/30 (0%) | 9/30 (30%) |
| Event | Drug: IX-01 | Placebo |
|---|---|---|
| Upper respiratory tract infectionInfections and infestations | 1/56 | 2/30 |
| NauseaGastrointestinal disorders | 2/56 | 1/30 |
| Ear PainEar and labyrinth disorders | 0/56 | 1/30 |
| Dry MouthGastrointestinal disorders | 1/56 | 1/30 |
| DyspepsiaGastrointestinal disorders | 0/56 | 1/30 |
| HemorrhoidsGastrointestinal disorders | 0/56 | 1/30 |
| Feeling jitteryGeneral disorders | 0/56 | 1/30 |
| Lower respiratory tract infectionInfections and infestations | 0/56 | 1/30 |
| Tooth abscessInfections and infestations | 0/56 | 1/30 |
| LacerationsInjury, poisoning and procedural complications | 0/56 | 1/30 |
| Age, Continuous(years) | Drug: IX-01 | Placebo | Total |
|---|---|---|---|
| Mean | 42 ± 9 | 43 ± 8 | 43 ± 9 |
| Sex: Female, Male(Participants) | Drug: IX-01 | Placebo | Total |
|---|---|---|---|
| Female | 0 | 0 | 0 |
| Male | 58 | 30 | 88 |
| Ethnicity (NIH/OMB)(Participants) | Drug: IX-01 | Placebo | Total |
|---|---|---|---|
| Hispanic or Latino | 10 | 2 | 12 |
| Not Hispanic or Latino | 48 | 28 | 76 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Drug: IX-01 | Placebo | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 4 | 2 | 6 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 6 | 5 | 11 |
| White | 48 | 21 | 69 |
| More than one race | 0 | 1 | 1 |
| Unknown or Not Reported | 0 | 1 | 1 |
| Region of Enrollment(participants) | Drug: IX-01 | Placebo | Total |
|---|---|---|---|
| United States | 47 | 23 | 70 |
| Australia | 11 | 7 | 18 |
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Ixchelsis Limited