Hypoactive Sexual Desire DisorderPhase 3HSDDNCT02338960
2. Study to Evaluate the Efficacy/Safety of Bremelanotide in Premenopausal Women With Hypoactive Sexual Desire Disorder
A Phase 3 study testing Bremelanotide in people with Hypoactive Sexual Desire Disorder, run by Palatin Technologies, Inc at 91 sites in 2 countries.
Trial summary
A Phase 3, Randomized, Double-blind, Placebo-controlled, Parallel-group Trial with an optional Open-label Extension to evaluate the efficacy of bremelanotide (BMT), administered subcutaneously (SC) on an as needed basis for the treatment of HSDD (with or without decreased arousal) in premenopausal females. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Hypoactive Sexual Desire Disorder
- What is being tested?
- Bremelanotide
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 714 participants
- Where
- 91 sitesin 2 countries
- Study dates
- Jan 2015to 29 Jun 2017
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Main Inclusion Criteria:
- Has met diagnostic criteria for HSDD for at least 6 months
- Is willing and able to understand and comply with all study requirements
- Has a normal pelvic examination at screening
Main Exclusion Criteria:
- Subjects should be generally healthy premenopausal females with no psychological, gynecological or urological conditions which might contribute to the sexual dysfunction, compromise study participation, or confound interpretation of the study results
- Not currently under treatment for the sexual dysfunction and willing to forego other treatments through the course of the clinical trial
Trial locations and contacts
91 sites in 2 countries.
91 sites in 2 countries
United States87 sites
Palatin Clinical Site 288
Addison, Illinois, 60101
Palatin Clinical Site 276
Albuquerque, New Mexico, 87102
Palatin Clinical Site 267
Allentown, Pennsylvania, 18104
Palatin Clinical Site 248
Alpharetta, Georgia, 30005
Palatin Clinical Site 257
Annapolis, Maryland, 21401
Palatin Clinical Site 235
Arlington, Texas, 75230
Palatin Clinical Site 263
Atlanta, Georgia, 30328
Palatin Clinical Site 230
Austin, Texas, 78731
Palatin Clinical Site 204
Aventura, Florida, 33180
Palatin Clinical Site 290
Berlin, New Jersey, 08009
Palatin Clinical Site 258
Beverly Hills, California, 90210
Palatin Clinical Site 242
Birmingham, Alabama, 35242
Palatin Clinical Site 265
Boston, Massachusetts, 02131
Palatin Clinical Site 271
Canton, Ohio, 44718
Palatin Clinical Site 264
Cary, North Carolina, 27518
Palatin Clinical Site 285
Charleston, West Virginia, 25304
Palatin Clinical Site 275
Chattanooga, Tennessee, 37403
Palatin Clinical Site 252
Chicago, Illinois, 60640
Palatin Clinical Site 201
Chicago, Illinois, 60654
Palatin Clinical Site 215
Cincinnati, Ohio, 45249
Palatin Clinical Site 232
Cleveland, Ohio, 44122
Palatin Clinical Site 246
Columbus, Ohio, 43212
Palatin Clinical Site 273
Coral Gables, Florida, 33134
Palatin Clinical Site 223
Dallas, Texas, 75234
Palatin Clinical Site 212
Denver, Colorado, 80209
Palatin Clinical Site 219
Denver, Colorado, 80220
Palatin Clinical Site 269
Draper, Utah, 84020
Palatin Clinical Site 287
Flowood, Mississippi, 39232
Palatin Clinical Site 203
Fort Myers, Florida, 33912
Palatin Clinical Site 255
Gainesville, Florida, 32607
Palatin Clinical Site 266
Gainesville, Florida, 32607
Palatin Clinical Site 256
Garden Grove, California, 92845
Palatin Clinical Site 200
Greer, South Carolina, 29650
Palatin Clinical Site 207
Hot Springs, Arkansas, 71901
Palatin Clinical Site 208
Houston, Texas, 77054
Palatin Clinical Site 277
Indianapolis, Indiana, 46260
Palatin Clinical Site 216
Jackson, Tennessee, 38305
Palatin Clinical Site 224
Jupiter, Florida, 33458
Palatin Clinical Site 239
Kalamazoo, Michigan, 49009
Palatin Clinical Site 244
Kansas City, Missouri, 64114
Palatin Clinical Site 279
Lake Charles, Louisiana, 70629
Palatin Clinical Site 243
Lakewood, Colorado, 80228
Palatin Clinical Site 233
Lawrenceville, New Jersey, 08648
Palatin Clinical Site 220
Lincoln, Nebraska, 68510
Palatin Clinical Site 278
Lincoln, Rhode Island, 02865
Palatin Clinical Site 291
Los Angeles, California, 90024
Palatin Clinical Site 222
Lutherville, Maryland, 21093
Palatin Clinical Site 221
Mayfield Heights, Ohio, 44124
Palatin Clinical Site 274
Memphis, Tennessee, 38119
Palatin Clinical Site 281
Metairie, Louisiana, 70002
Palatin Clinical Site 259
Moncks Corner, South Carolina, 29461
Palatin Clinical Site 292
Nashville, Tennessee, 37201
Palatin Clinical Site 217
New Bedford, Massachusetts, 02740
Palatin Clinical Site 211
New London, Connecticut, 06320
Palatin Clinical Site 284
Newport News, Virginia, 23606
Palatin Clinical Site 205
Norfolk, Virginia, 23502
Palatin Clinical Site 270
Oakland, California, 94612
Palatin Clinical Site 238
Oklahoma City, Oklahoma, 73103
Palatin Clinical Site 227
Oklahoma City, Oklahoma, 73112
Palatin Clinical Site 250
Orlando, Florida, 32806
Palatin Clinical Site 261
Oviedo, Florida, 32765
Palatin Clinical Site 286
Paducah, Kentucky, 42003
Palatin Clinical Site 234
Philadelphia, Pennsylvania, 19114
Palatin Clinical Site 218
Phoenix, Arizona, 85032
Palatin Clinical Site 260
Pinellas Park, Florida, 33781
Palatin Clinical Site 240
Pittsburgh, Pennsylvania, 15206
Palatin Clinical Site 247
Prairie Village, Kansas, 66206
Palatin Clinical Site 206
Raleigh, North Carolina, 27612
Palatin Clinical Site 213
Richmond, Virginia, 23294
Palatin Clinical Site 268
Richmond, Virginia, 23298
Palatin Clinical Site 282
Rochester, New York, 14618
Palatin Clinical Site 283
Rockville, Maryland, 20852
Palatin Clinical Site 245
Saginaw, Michigan, 48604
Palatin Clinical Site 231
Salisbury, North Carolina, 28144
Palatin Clinical Site 210
San Diego, California, 92120
Palatin Clinical Site 251
San Diego, California, 92123
Palatin Clinical Site 214
Seattle, Washington, 98105
Palatin Clinical Site 272
Sherman Oaks, California, 91403
Palatin Clinical Site 280
St Louis, Missouri, 63043
Palatin Clinical Site 253
Tarzana, California, 91356
Palatin Clinical Site 289
Tiffin, Ohio, 44883
Palatin Clinical Site 254
Tucson, Arizona, 85712
Palatin Clinical Site 202
Washington D.C., District of Columbia, 20036
Palatin Clinical Site 229
Waterbury, Connecticut, 06708
Palatin Clinical Site 228
West Jordan, Utah, 84088
Palatin Clinical Site 236
West Palm Beach, Florida, 33409
Palatin Clinical Site 209
Winston-Salem, North Carolina, 27103
Canada4 sites
Palatin Clinical Site 405
Greater Sudbury, Ontario, P3E 1H5
Palatin Clinical Site 401
Pointe-Claire, Quebec, H9R 4S3
Palatin Clinical Site 404
Sherbrooke, Quebec, J1H 121
Palatin Clinical Site 400
Vancouver, British Columbia, V6J 1S3
About this study
Official title: Phase 3, Randomized, Double-blind, Placebo-controlled, Trial With an Open-label Extension Phase to Evaluate the Efficacy and Safety of Subcutaneously Bremelanotide in Premenopausal Women With Hypoactive Sexual Desire Disorder (HSDD)
A Phase 3, Randomized, Double-blind, Placebo-controlled, Parallel-group Trial with an optional Open-label Extension to evaluate the efficacy of bremelanotide (BMT), administered subcutaneously (SC) on an as needed basis for the treatment of HSDD (with or without decreased arousal) in premenopausal females.
Read the detailed description
This will be a multicenter, randomized, placebo-controlled, parallel group study in up to 80 sites in the United States of America (USA) and Canada to evaluate the efficacy and safety of a fixed dose of SC BMT versus placebo on an as-needed basis under conditions of home use in premenopausal women with HSDD (with or without decreased arousal).
The study will consist of 2 phases: (1) Core Study: 4-week no-treatment qualification period, a 4-week single-blind placebo treatment period (baseline), and a 24-week double-blind treatment period where participants will self-administer placebo or BMT 1.75 mg SC via an autoinjector; and (2) Extension Phase: a 52-week open-label treatment period during which all subjects will receive BMT 1.75 mg.
Primary Objective
- To evaluate the efficacy of bremelanotide (BMT), administered subcutaneously (SC) on an as needed basis for the treatment of HSDD (with or without decreased arousal) in premenopausal females.
Secondary Objectives
- To evaluate the efficacy of BMT in premenopausal women in the double-blind Core Study, as assessed by subject responses to questionnaires measuring sexual function, treatment satisfaction, and distress associated with sexual dysfunction.
- To evaluate the safety of BMT in premenopausal women in the double-blind Core Study.
- To evaluate the safety of long-term therapy with BMT in the open label Extension Phase.
- To evaluate the efficacy of long-term therapy with BMT in the open-label Extension Phase.
- Conditions
- Hypoactive Sexual Desire Disorder
- Being tested
- Bremelanotide, Placebo
- Keywords
- HSDD Female, Sexual Desire Disorder, decreased desire, female sexual dysfunction
- Medical subject headings
- Sexual Dysfunctions, Psychological
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BremelanotideDrug
Also called BMT, PT-141
A melanocortin agonist and synthetic peptide analog of the naturally occurring hormone alpha-MSH (melanocyte-stimulating hormone)
PlaceboDrug
Also called PBO
Placebo
| Study group | Role | What they receive |
|---|---|---|
| Bremelanotide (BMT/BMT) | Experimental | (Main Study) Subjects will self-administer a fixed dose (1.75 mg) of bremelanotide (BMT) subcutaneously (SC) via auto-injector on an as needed basis with no more than 1 dose taken every 24 hours for 24 weeks
(OLE Study) Subjects will self-administer a fixed dose (1.75 mg) of bremelanotide (BMT) subcutaneously (SC) via auto-injector on an as needed basis with no more than 1 dose taken every 24 hours for 52 weeks Receives: Drug: Bremelanotide |
| Placebo (PBO/BMT) | Placebo comparator | (Main Study) PBO administered SC on an as-desired basis for 24 weeks
(OLE Study) subjects will self-administer a fixed dose (1.75 mg) of bremelanotide (BMT) subcutaneously (SC) via auto-injector on an as needed basis with no more than 1 dose taken every 24 hours for 52 weeks Receives: Drug: Bremelanotide; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Efficacy of a Fixed Dose of Bremelanotide as Measured by FSFI (Question Q1 and Q2), 28-day Recall.
As measured by change from baseline to end-of-study in the desire domain from the FSFI (Question Q1 and Q2), 28-day recall, co-primary endpoint - FSFI desire domain
This score is on a scale ranging from 1.2 to 6. A higher score on this scale represent an increase in sexual desire and is a better outcome.
Measured: 8 weeks baseline plus 24 weeks (Main Study), 52 Weeks (OLE)
Efficacy of a Fixed Dose of Bremelanotide as Measured by FSDS-DAO (Item 13)
As measured by the change from baseline to End-of-Study of the Core Study in the bothered by low desire item from the FSDS-DAO (item 13).
Responses range from 0 (never) to 4 (always). Lower scores on this scale represent an increase in sexual desire and indicate a better outcome.
Higher scores indicate a worse outcome.
Measured: 8 weeks baseline plus 24 weeks (Main Study), 52 Weeks (OLE)
Secondary outcomes (13)
Efficacy of a Fixed Dose of Bremelanotide, as Measured by the Change in Baseline to End of Study (EOS) in the Number of Satisfying Sexual Events (SSEs) Associated With Study Drug Administration
Mean change from Baseline to end of study (EOS) in the number of satisfying sexual events (SSEs) that occurred within 16 hours of study drug dosing and reported within 72 hours. An increase in number indicates a better outcome.
Measured: 8 weeks baseline plus 24 weeks (Main Study), 52 Weeks (OLE)
Efficacy of a Fixed Dose of Bremelanotide, as Measured by the Change in Baseline to End of Study in Mean Desire Score (Q3) From the FSEP-R
FSEP-R=Female Sexual Encounter Profile - Revised Scores on this scale range from 0 (no desire) to 3 (high desire). Scale is derived from a questionnaire (mean desire score) where an increase in value indicates a better outcome.
Measured: 8 weeks baseline plus 24 weeks (Main Study), 52 Weeks (OLE)
Efficacy of a Fixed Dose of Bremelanotide, as Measured by the Change in Baseline to End of Study in Mean Satisfaction With Desire Score (Q4) From FSEP-R
FSEP-R=Female Sexual Encounter Profile - Revised Scores range from 0 (no desire) to 3 (high desire). Scale is derived from a questionnaire (mean desire score) where a higher score indicates a better outcome.
Measured: 8 weeks baseline plus 24 weeks (Main Study), 52 Weeks (OLE)
Efficacy of a Fixed Dose of Bremelanotide, as Measured by the Change in Baseline to End of Study in the FSDS-DAO Total Score
FSDS-DAO = Female Sexual Distress Scale - Desire/Arousal/Orgasm. The FSDS-DAO is a validated 15-item self-assessment of sexual feelings and problems. All responses are on a scale ranging from 0 ("never") to 4 ("always").
Total Scores range from 0 (never feel bothered) to 60 (always feel bothered). Decreased scores indicate improvement. A higher score on this scale indicates a worse outcome. The score is the mean change from Baseline observed at EOS (Baseline score - EOS score)
Measured: 8 weeks baseline plus 24 weeks (Main Study), 52 Weeks (OLE)
Efficacy of a Fixed Dose of Bremelanotide, as Measured by the Change in Baseline to End of Study in the FSFI Total Score
Female Sexual Function Index (FSFI) The score is computed programmatically ] resulting in a score on a scale ranging from 1.2 to 6 (Note: OLE: Open-label extension. Scores range from 2 to 36. An improvement in total FSFI score is an increase from baseline. A higher score on this scale represents an increase in sexual desire and is a better outcome.
Measured: 8 weeks baseline plus 24 weeks (Main Study), 52 Weeks (OLE)
Efficacy of a Fixed Dose of Bremelanotide, as Measured by the Change in Baseline to End of Study in the Mean Level of Sexual Arousal (Q6) From the FSEP-R
FSEP-R=Female Sexual Encounter Profile - Revised Scores on this scale range from 0 (no desire) to 3 (high desire) Scale is derived from a questionnaire (mean desire score) where a higher score indicates a better outcome.
Measured: 8 weeks baseline plus 24 weeks (Main Study), 52 Weeks (OLE)
Efficacy of a Fixed Dose of Bremelanotide, as Measured by the Change in Baseline to End of Study in the Mean Satisfaction With Sexual Arousal (Q7) From the FSEP-R
FSEP-R=Female Sexual Encounter Profile - Revised Scores range from 0 (no desire) to 3 (high desire) Scale is derived from a questionnaire (mean desire score) where a higher score indicates a better outcome.
Measured: 8 weeks baseline plus 24 weeks (Main Study), 52 Weeks (OLE)
Efficacy of a Fixed Dose of Bremelanotide, as Measured by the Change in Baseline to End of Study in the Scored Time Spent Being Concerned by Difficulty With Sexual Arousal (Q14) From the FSDS-DAO
FSDS-DAO = Female Sexual Distress Scale - Desire/Arousal/Orgasm.
The FSDS-DAO is a validated 15-item self-assessment of sexual feelings and problems. Scores on this scale range from 0 ("never") to 4 ("always"). Decreased scores indicate improvement.
A higher score on this scale indicates a worse outcome.
Measured: 8 weeks baseline plus 24 weeks (Main Study), 52 Weeks (OLE)
Efficacy of a Fixed Dose of Bremelanotide, as Measured by the Change in Baseline to End of Study in the Arousal Domain of the FSFI (Q3 to Q6)
Female Sexual Function Index (FSFI)
The score is computed programmatically using the algorithm described by Rosen, resulting in a score ranging from 1.2 to 6. Higher scores on this scale represent an increase in sexual desire and is a better outcome.
Measured: 8 weeks baseline plus 24 weeks (Main Study), 52 Weeks (OLE)
Efficacy of a Fixed Dose of Bremelanotide, as Measured by the Change in Baseline to End of Study in the Total Number of SSEs
Change from Baseline to EOS in the total number of satisfying sexual events SSEs. A higher number of events indicates a better outcome.
Measured: 8 weeks baseline plus 24 weeks (Main Study), 52 Weeks (OLE)
Efficacy of a Fixed Dose of Bremelanotide, as Measured by the Change in Baseline to End of Study in the Desire Domain of the FSFI (Q1 to Q2) Throughout the Entirety of the Double-blind Phase
FSFI = Female Sexual Function Index
The score is on a scale ranging from 1.2 to 6. A higher score on this scale represents an increase in sexual desire and is a better outcome.
Measured: 24 weeks (Main Study)
Efficacy of a Fixed Dose of Bremelanotide, as Measured by the Change in Baseline to End of Study in the Score for Feeling Bothered by Low Sexual Desire as Measured by the FSDS-DAO (Item 13) Throughout the Entirety of the Double-blind Phase
FSDS-DAO = Female Sexual Distress Scale - Desire/Arousal/Orgasm.
The FSDS-DAO is a validated 15-item self-assessment of sexual feelings and problems. The score is on a scale ranging from 0 ("never") to 4 ("always"). Decreased scores indicate improvement. A higher score indicates a worse outcome.
Measured: 24 weeks (Main Study)
Efficacy of a Fixed Dose of Bremelanotide, as Measured by the Change in Baseline to End of Study in the Number of SSEs Associated With Study Drug Administration Throughout the Entirety of the Double-blind Phase
Mean change from Baseline to EOS in the number of satisfying sexual events SSEs associated with study drug administration throughout the entirety of the double-blind phase. A higher number of events indicates a better outcome.
Measured: 24 weeks (Main Study)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Jan 2015 (estimated)
- Study startJan 2015
- Primary completionAug 2016
- Study completion29 Jun 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (8)Papers the sponsor has linked to this study.
- Other trials for Hypoactive Sexual Desire DisorderStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 714 participants (actual)
Sponsor and investigators
- Lead sponsor
- Palatin Technologies, Inc
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- AMAG Pharmaceuticals, Inc.
- Responsible party
- Sponsor
- Investigators
- Robert Jordan, Study director, Palatin Technologies, Inc
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02338960
- Sponsor's protocol ID
- BMT-302
- Other IDs
- Reconnect Study
- Acronym
- HSDD
- Status last verified
- Dec 2020
- First submitted
- 12 Jan 2015
- Last updated
- 28 Jan 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, Ferguson D, D'Agostino R Jr. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000 Apr-Jun;26(2):191-208. doi: 10.1080/009262300278597.
PubMed 10782451Spielmans GI, Ellefson EM. Small Effects, Questionable Outcomes: Bremelanotide for Hypoactive Sexual Desire Disorder. J Sex Res. 2024 May;61(4):540-561. doi: 10.1080/00224499.2023.2175192. Epub 2023 Feb 21.
PubMed 36809187Clayton AH, Kingsberg SA, Portman D, Sadiq A, Krop J, Jordan R, Lucas J, Simon JA. Safety Profile of Bremelanotide Across the Clinical Development Program. J Womens Health (Larchmt). 2022 Feb;31(2):171-182. doi: 10.1089/jwh.2021.0191.
PubMed 35147466Koochaki P, Revicki D, Wilson H, Pokrzywinski R, Jordan R, Lucas J, Williams LA, Sadiq A, Krop J. The Patient Experience of Premenopausal Women Treated with Bremelanotide for Hypoactive Sexual Desire Disorder: RECONNECT Exit Study Results. J Womens Health (Larchmt). 2021 Apr;30(4):587-595. doi: 10.1089/jwh.2020.8460. Epub 2021 Feb 3.
PubMed 33538638Revicki DA, Althof SE, Derogatis LR, Kingsberg SA, Wilson H, Sadiq A, Krop J, Jordan R, Lucas J. Reliability and validity of the elements of desire questionnaire in premenopausal women with hypoactive sexual desire disorder. J Patient Rep Outcomes. 2020 Oct 8;4(1):82. doi: 10.1186/s41687-020-00241-6.
PubMed 33033885Simon JA, Kingsberg SA, Portman D, Williams LA, Krop J, Jordan R, Lucas J, Clayton AH. Long-Term Safety and Efficacy of Bremelanotide for Hypoactive Sexual Desire Disorder. Obstet Gynecol. 2019 Nov;134(5):909-917. doi: 10.1097/AOG.0000000000003514.
PubMed 31599847Kingsberg SA, Clayton AH, Portman D, Williams LA, Krop J, Jordan R, Lucas J, Simon JA. Bremelanotide for the Treatment of Hypoactive Sexual Desire Disorder: Two Randomized Phase 3 Trials. Obstet Gynecol. 2019 Nov;134(5):899-908. doi: 10.1097/AOG.0000000000003500.
PubMed 31599840Clayton AH, Lucas J, DeRogatis LR, Jordan R. Phase I Randomized Placebo-controlled, Double-blind Study of the Safety and Tolerability of Bremelanotide Coadministered With Ethanol in Healthy Male and Female Participants. Clin Ther. 2017 Mar;39(3):514-526.e14. doi: 10.1016/j.clinthera.2017.01.018. Epub 2017 Feb 9.
PubMed 28189361
Study at a glance
From the registry record, last updated by the sponsor on 28 Jan 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase 3, Randomized, Double-blind, Placebo-controlled, Trial With an Open-label Extension Phase to Evaluate the Efficacy and Safety of Subcutaneously Bremelanotide in Premenopausal Women With Hypoactive Sexual Desire Disorder (HSDD)
- ClinicalTrials.gov ID
- NCT02338960
- Acronym / sponsor ID
- HSDD / BMT-302
- Conditions
- Hypoactive Sexual Desire Disorder
- Keywords
- HSDD Female, Sexual Desire Disorder, decreased desire, female sexual dysfunction
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 714 participants (actual)
- Lead sponsor
- Palatin Technologies, IncIndustry (pharma, biotech, devices)
- Collaborators
- AMAG Pharmaceuticals, Inc.
- Study start
- Jan 2015
- Primary completion
- Aug 2016 (actual)
- Study completion
- 29 Jun 2017 (actual)
- First posted
- 15 Jan 2015 (estimated)
- Results
- Posted 28 Jan 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A Phase 3, Randomized, Double-blind, Placebo-controlled, Parallel-group Trial with an optional Open-label Extension to evaluate the efficacy of bremelanotide (BMT), administered subcutaneously (SC) on an as needed basis for the treatment of HSDD (with or without decreased arousal) in premenopausal females.
Detailed description
This will be a multicenter, randomized, placebo-controlled, parallel group study in up to 80 sites in the United States of America (USA) and Canada to evaluate the efficacy and safety of a fixed dose of SC BMT versus placebo on an as-needed basis under conditions of home use in premenopausal women with HSDD (with or without decreased arousal).
The study will consist of 2 phases: (1) Core Study: 4-week no-treatment qualification period, a 4-week single-blind placebo treatment period (baseline), and a 24-week double-blind treatment period where participants will self-administer placebo or BMT 1.75 mg SC via an autoinjector; and (2) Extension Phase: a 52-week open-label treatment period during which all subjects will receive BMT 1.75 mg.
Primary Objective
- To evaluate the efficacy of bremelanotide (BMT), administered subcutaneously (SC) on an as needed basis for the treatment of HSDD (with or without decreased arousal) in premenopausal females.
Secondary Objectives
- To evaluate the efficacy of BMT in premenopausal women in the double-blind Core Study, as assessed by subject responses to questionnaires measuring sexual function, treatment satisfaction, and distress associated with sexual dysfunction.
- To evaluate the safety of BMT in premenopausal women in the double-blind Core Study.
- To evaluate the safety of long-term therapy with BMT in the open label Extension Phase.
- To evaluate the efficacy of long-term therapy with BMT in the open-label Extension Phase.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Bremelanotide (BMT/BMT) | Experimental | Drug: Bremelanotide(Main Study) Subjects will self-administer a fixed dose (1.75 mg) of bremelanotide (BMT) subcutaneously (SC) via auto-injector on an as needed basis with no more than 1 dose taken every 24 hours for 24 weeks (OLE Study) Subjects will self-administer a fixed dose (1.75 mg) of bremelanotide (BMT) subcutaneously (SC) via auto-injector on an as needed basis with no more than 1 dose taken every 24 hours for 52 weeks |
| Placebo (PBO/BMT) | Placebo comparator | Drug: Bremelanotide, Drug: Placebo(Main Study) PBO administered SC on an as-desired basis for 24 weeks (OLE Study) subjects will self-administer a fixed dose (1.75 mg) of bremelanotide (BMT) subcutaneously (SC) via auto-injector on an as needed basis with no more than 1 dose taken every 24 hours for 52 weeks |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BremelanotideAlso: BMT, PT-141A melanocortin agonist and synthetic peptide analog of the naturally occurring hormone alpha-MSH (melanocyte-stimulating hormone) | Drug | Bremelanotide (BMT/BMT), Placebo (PBO/BMT) |
| PlaceboAlso: PBOPlacebo | Drug | Placebo (PBO/BMT) |
Primary outcome
Efficacy of a Fixed Dose of Bremelanotide as Measured by FSFI (Question Q1 and Q2), 28-day Recall.
Time frame: 8 weeks baseline plus 24 weeks (Main Study), 52 Weeks (OLE)
As measured by change from baseline to end-of-study in the desire domain from the FSFI (Question Q1 and Q2), 28-day recall, co-primary endpoint - FSFI desire domain This score is on a scale ranging from 1.2 to 6. A higher score on this scale represent an increase in sexual desire and is a better outcome.
Efficacy of a Fixed Dose of Bremelanotide as Measured by FSDS-DAO (Item 13)
Time frame: 8 weeks baseline plus 24 weeks (Main Study), 52 Weeks (OLE)
As measured by the change from baseline to End-of-Study of the Core Study in the bothered by low desire item from the FSDS-DAO (item 13). Responses range from 0 (never) to 4 (always). Lower scores on this scale represent an increase in sexual desire and indicate a better outcome. Higher scores indicate a worse outcome.
13 secondary outcomes
Efficacy of a Fixed Dose of Bremelanotide, as Measured by the Change in Baseline to End of Study (EOS) in the Number of Satisfying Sexual Events (SSEs) Associated With Study Drug Administration
Time frame: 8 weeks baseline plus 24 weeks (Main Study), 52 Weeks (OLE)
Efficacy of a Fixed Dose of Bremelanotide, as Measured by the Change in Baseline to End of Study in Mean Desire Score (Q3) From the FSEP-R
Time frame: 8 weeks baseline plus 24 weeks (Main Study), 52 Weeks (OLE)
Efficacy of a Fixed Dose of Bremelanotide, as Measured by the Change in Baseline to End of Study in Mean Satisfaction With Desire Score (Q4) From FSEP-R
Time frame: 8 weeks baseline plus 24 weeks (Main Study), 52 Weeks (OLE)
Efficacy of a Fixed Dose of Bremelanotide, as Measured by the Change in Baseline to End of Study in the FSDS-DAO Total Score
Time frame: 8 weeks baseline plus 24 weeks (Main Study), 52 Weeks (OLE)
Efficacy of a Fixed Dose of Bremelanotide, as Measured by the Change in Baseline to End of Study in the FSFI Total Score
Time frame: 8 weeks baseline plus 24 weeks (Main Study), 52 Weeks (OLE)
Efficacy of a Fixed Dose of Bremelanotide, as Measured by the Change in Baseline to End of Study in the Mean Level of Sexual Arousal (Q6) From the FSEP-R
Time frame: 8 weeks baseline plus 24 weeks (Main Study), 52 Weeks (OLE)
Efficacy of a Fixed Dose of Bremelanotide, as Measured by the Change in Baseline to End of Study in the Mean Satisfaction With Sexual Arousal (Q7) From the FSEP-R
Time frame: 8 weeks baseline plus 24 weeks (Main Study), 52 Weeks (OLE)
Efficacy of a Fixed Dose of Bremelanotide, as Measured by the Change in Baseline to End of Study in the Scored Time Spent Being Concerned by Difficulty With Sexual Arousal (Q14) From the FSDS-DAO
Time frame: 8 weeks baseline plus 24 weeks (Main Study), 52 Weeks (OLE)
Efficacy of a Fixed Dose of Bremelanotide, as Measured by the Change in Baseline to End of Study in the Arousal Domain of the FSFI (Q3 to Q6)
Time frame: 8 weeks baseline plus 24 weeks (Main Study), 52 Weeks (OLE)
Efficacy of a Fixed Dose of Bremelanotide, as Measured by the Change in Baseline to End of Study in the Total Number of SSEs
Time frame: 8 weeks baseline plus 24 weeks (Main Study), 52 Weeks (OLE)
Efficacy of a Fixed Dose of Bremelanotide, as Measured by the Change in Baseline to End of Study in the Desire Domain of the FSFI (Q1 to Q2) Throughout the Entirety of the Double-blind Phase
Time frame: 24 weeks (Main Study)
Efficacy of a Fixed Dose of Bremelanotide, as Measured by the Change in Baseline to End of Study in the Score for Feeling Bothered by Low Sexual Desire as Measured by the FSDS-DAO (Item 13) Throughout the Entirety of the Double-blind Phase
Time frame: 24 weeks (Main Study)
Efficacy of a Fixed Dose of Bremelanotide, as Measured by the Change in Baseline to End of Study in the Number of SSEs Associated With Study Drug Administration Throughout the Entirety of the Double-blind Phase
Time frame: 24 weeks (Main Study)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Jan 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 10782451Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, Ferguson D, D'Agostino R Jr. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000 Apr-Jun;26(2):191-208. doi: 10.1080/009262300278597.
- Derived from this study: PubMed 36809187Spielmans GI, Ellefson EM. Small Effects, Questionable Outcomes: Bremelanotide for Hypoactive Sexual Desire Disorder. J Sex Res. 2024 May;61(4):540-561. doi: 10.1080/00224499.2023.2175192. Epub 2023 Feb 21.
- Derived from this study: PubMed 35147466Clayton AH, Kingsberg SA, Portman D, Sadiq A, Krop J, Jordan R, Lucas J, Simon JA. Safety Profile of Bremelanotide Across the Clinical Development Program. J Womens Health (Larchmt). 2022 Feb;31(2):171-182. doi: 10.1089/jwh.2021.0191.
- Derived from this study: PubMed 33538638Koochaki P, Revicki D, Wilson H, Pokrzywinski R, Jordan R, Lucas J, Williams LA, Sadiq A, Krop J. The Patient Experience of Premenopausal Women Treated with Bremelanotide for Hypoactive Sexual Desire Disorder: RECONNECT Exit Study Results. J Womens Health (Larchmt). 2021 Apr;30(4):587-595. doi: 10.1089/jwh.2020.8460. Epub 2021 Feb 3.
- Derived from this study: PubMed 33033885Revicki DA, Althof SE, Derogatis LR, Kingsberg SA, Wilson H, Sadiq A, Krop J, Jordan R, Lucas J. Reliability and validity of the elements of desire questionnaire in premenopausal women with hypoactive sexual desire disorder. J Patient Rep Outcomes. 2020 Oct 8;4(1):82. doi: 10.1186/s41687-020-00241-6.
- Derived from this study: PubMed 31599847Simon JA, Kingsberg SA, Portman D, Williams LA, Krop J, Jordan R, Lucas J, Clayton AH. Long-Term Safety and Efficacy of Bremelanotide for Hypoactive Sexual Desire Disorder. Obstet Gynecol. 2019 Nov;134(5):909-917. doi: 10.1097/AOG.0000000000003514.
- Derived from this study: PubMed 31599840Kingsberg SA, Clayton AH, Portman D, Williams LA, Krop J, Jordan R, Lucas J, Simon JA. Bremelanotide for the Treatment of Hypoactive Sexual Desire Disorder: Two Randomized Phase 3 Trials. Obstet Gynecol. 2019 Nov;134(5):899-908. doi: 10.1097/AOG.0000000000003500.
- Derived from this study: PubMed 28189361Clayton AH, Lucas J, DeRogatis LR, Jordan R. Phase I Randomized Placebo-controlled, Double-blind Study of the Safety and Tolerability of Bremelanotide Coadministered With Ethanol in Healthy Male and Female Participants. Clin Ther. 2017 Mar;39(3):514-526.e14. doi: 10.1016/j.clinthera.2017.01.018. Epub 2017 Feb 9.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Robert Jordan study director
Palatin Technologies, Inc
91 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Bremelanotide in people with Hypoactive Sexual Desire Disorder, run by Palatin Technologies, Inc at 91 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 28 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 91 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 28 Jan 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Efficacy of a Fixed Dose of Bremelanotide as Measured by FSFI (Question Q1 and Q2), 28-day Recall. (time frame: 8 weeks baseline plus 24 weeks (Main Study), 52 Weeks (OLE)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02338960, which also lists 8 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Jan 2021.