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CompletedNCT04479917Updated Jun 22, 2023

Efficacy and Safety of TPN171H in the Patients With Erectile Dysfunction

A Phase 2 interventional study of TPN171H and placebo in Erectile Dysfunction, sponsored by Vigonvita Life Sciences. Completed at 12 sites in China. Open to male participants aged 22 Years and older. Per ClinicalTrials.gov, last updated 2023-06-22.

Sponsored by Vigonvita Life Sciences · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
255
Allocation
Randomized
Ages
22 Years and older
Sex
Male
01

Study 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.

Read the 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.

02

Conditions studied

  • Erectile Dysfunction

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Keywords

  • Erectile Dysfunction
  • TPN171H
  • Simmerafil
03

In context

Erectile Dysfunction

683 studies on the registry are indexed under Erectile Dysfunction; 117 are open to participants now.

This study's enrollment of 255 is above the median of 72 across 542 interventional studies indexed under Erectile Dysfunction.

Browse Erectile Dysfunction studies →

Lead sponsor

Vigonvita Life Sciences is the lead sponsor of 35 studies on the registry; 10 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
22 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No

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

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.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
255 participants (actual)

Study arms

  • Experimental
    TPN171H 5mg group

    TPN171H 5mg tablet + Placebo 10mg 2 tablets

    Drug: TPN171H

  • Experimental
    TPN171H 10mg group

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

    Drug: TPN171H

  • Experimental
    TPN171H 20mg group

    TPN171H 10mg 2 tablets + Placebo 5mg tablet

    Drug: TPN171H

  • Placebo comparator
    Placebo group

    Placebo 5mg tablet+ Placebo 10mg 2 tablets

    Drug: placebo

Interventions

  • DrugTPN171H

    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

    Also known as: Simmerafil

  • Drugplacebo

    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

06

What researchers measure

Primary outcomes

  1. 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 .

    Time frame: baseline and 8 weeks

  2. 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.

    Time frame: baseline and 8 weeks

  3. 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.

    Time frame: baseline and 8 weeks

Secondary outcomes

  1. 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.

    Time frame: baseline ,4 weeks and 8 weeks

  2. 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.

    Time frame: baseline ,4 weeks and 8 weeks

  3. 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.

    Time frame: baseline ,4 weeks and 8 weeks

  4. 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.

    Time frame: baseline ,4 weeks and 8 weeks

  5. 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.

    Time frame: baseline and 4 weeks

  6. 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.

    Time frame: baseline and 4 weeks

  7. 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.

    Time frame: baseline ,4 weeks and 8 weeks

  8. 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.

    Time frame: baseline ,4 weeks and 8 weeks

  9. Subgroup analysis based on the time intervals between meal and medication.

    Subgroup analysis based on the time intervals between meal and medication.

    Time frame: baseline ,4 weeks and 8 weeks

07

Study locations

12 sites
  • The First Affiliated Hospital of Anhui Medical University
    Hefei, Anhui 230000, China
  • Peking University Third Hospital
    Beijing, Beijing 100191, China
  • The First Affiliated Hospital of Fujian Medical University
    Fuzhou, Fujian 350005, China
  • Guangzhou First People's Hospital
    Guangzhou, Guangdong 510000, China
  • Peking University Shenzhen Hospital
    Shenzhen, Guangdong 518036, China
  • Henan Provincial People's Hospital
    Zhengzhou, Henan 450100, China
  • The Third Xiangya Hospital of Central South University
    Changsha, Hunan 410000, China
  • Nanjing Drum Tower Hospital
    Nanjing, Jiangsu 210008, China
  • Second Affiliated Hospital of Suzhou University
    Suzhou, Jiangsu 215000, China
  • The First Affiliated Hospital of Nanchang University
    Nanchang, Jiangxi 330000, China
  • The First Hospital of Jilin University
    Changchun, Jinlin 130021, China
  • The First Affiliated Hospital of Dalian Medical University
    Dalian, Liaoning 116011, China
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 22, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04479917
Lead sponsor
Vigonvita Life Sciences
Collaborators
Shanghai Institute of Materia Medica, Chinese Academy of Sciences
Responsible party
Sponsor
First posted
Jul 21, 2020
Start date
Jul 23, 2020
Primary completion
Jul 26, 2021
Completion
Jul 26, 2021
Last update
Jun 22, 2023

Study contacts

Hui Jiang, MD, PhD
principal investigator · Peking University Third Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Dec 2021. You cannot join it, but the record below documents what was studied.

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