Lybridos in Pre-and Postmenopausal Women With Hypoactive Sexual Desire Disorder

Emotional Brain NY Inc.

Status and phase

Completed

Phase 2

Conditions

Hypoactive Sexual Desire Disorder

Treatments

Drug: Placebo

Drug: 0.5 mgTestosterone + 10 mg Buspirone

Study type

Interventional

Funder types

Industry

Identifiers

NCT02101203

EB90a extension

Details and patient eligibility

About

A double-blind, randomized, placebo-controlled, dose-finding study to investigate the safety and efficacy of Lybridos in the domestic setting in healthy female subjects with hypoactive sexual desire disorder and maladaptive activity of sexual inhibitory mechanisms.

This is a 2-arm placebo and Lybridos (0.5 mg testosterone + buspirone 10 mg) extension to study EB90 (Clinical Study Protocol EB90a, version 3.0, 07 June 2013).

In the present study, the efficacy of Lybridos will be evaluated in the domestic setting in healthy female subjects with HSDD and maladaptive activity of sexual inhibitory mechanism(s). Sexual satisfaction and other aspects of sexual functioning will be measured within 24 hours after each sexual activity. The following hypotheses will be tested:

Lybridos, as compared to placebo, will significantly increase the number of satisfying sexual events.

Objectives:

To investigate the efficacy of Lybridos as compared to placebo in increasing the number of satisfactory sexual episodes in healthy female subjects with hypoactive sexual desire disorder (HSDD) and maladaptive activity of sexual inhibitory mechanisms

To identify the optimal dose of Lybridos to take into phase 3 clinical development
To confirm that Lybridos has superior efficacy as compared to testosterone alone and to buspirone alone
To evaluate the effect of Lybridos as measured by scales of sexual satisfaction and/or sexual desire/arousal
To evaluate the safety profile of Lybridos

Full description

None entered

Enrollment

80 patients

Sex

Female

Ages

21 to 70 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Subjects must meet all of the following criteria:

Provision of written informed consent
Females between 21 and 70 years of age, inclusive, pre or postmenopausal, with HSDD (comorbidity with female sexual arousal disorder [FSAD] and/or female orgasmic disorder [FOD; only as secondary diagnosis] is allowed). The diagnosis of HSDD will be established by a trained health care professional.
Maladaptive activity of sexual inhibitory mechanism(s) (see appendix 4 for definition)
Be involved in a stable relationship and have a partner who will be at home for the majority of the study duration
Healthy according to normal results of medical history, physical examination, laboratory values, and vital signs; exceptions may be made if the investigator considers an abnormality to be clinically irrelevant

Exclusion criteria

Subjects who meet any of the following criteria are not eligible to participate in the study:

Cardiovascular Conditions

Any underlying cardiovascular condition, including unstable angina pectoris, that would preclude sexual activity
Systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure > 90 mmHg. For subjects ≥ 60 years old and without diabetes mellitus, familial hypercholesterolemia, or cardiovascular disease: systolic blood pressure ≥ 160 mmHg and/or diastolic blood pressure ≥ 90 mmHg
Systolic blood pressure ≤ 90 mmHg and/or diastolic blood pressure ≤ 50 mmHg Gynecological and Obstetric Conditions
Use of any contraceptive containing anti-androgens (e.g. Cyproteron acetate) or (anti)androgenic progestogens (drospirenone, dienogest, chlormadinone acetate and norgestrel)
Use of any contraceptive or hormone replacement therapy (HRT) containing more than 50 μg/day of estrogen
Positive test result for Chlamydia or gonorrhea
Pregnancy or intention to become pregnant during this study (Note: A urine pregnancy test will be performed in all women of child bearing potential prior to the administration of study medications.)
Lactating or delivery in the previous 6 months prior to signing Informed Consent Form
Significant abnormal Pap smear in the previous 12 months prior to signing Informed Consent Form
History of bilateral oophorectomy
Other unexplained gynecological complaints, such as clinically relevant abnormal uterine bleeding patterns
Perimenopausal status (cycle shortening/irregular menstrual bleeding in the last 12 consecutive months and/or occurrence of vasomotor symptoms (e.g. hot flashes, night sweating) in combination with elevated FSH levels (>40 IU/L) for women from age 40 onwards; in women with a history of hysterectomy perimenopausality can be assessed by FSH levels (>40 IU/L) and/or vasomotor symptoms Other Medical Conditions
Liver and/or renal insufficiency (aspartate aminotransferase, alanine aminotransferase and gamma glutamyltransferase > 3 times the upper limit of normal and/or estimated glomerular filtration rate (eGFR) < 60.00 mL/min based on the Cockcroft Gault formula)
Any current endocrine disease or endocrinopathy (e.g. uncontrolled thyroid dysfunction) as determined by medical history, basic physical examination and/or laboratory values significantly outside the normal range of the central laboratory; or uncontrolled diabetes mellitus(HbA1c > 7.5%)
Free- and/or total testosterone levels outside the upper limit of the reference range of the central laboratory (free testosterone: > 1.1 ng/dL, and total testosterone > 80 ng/dL)