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Efficacy and Safety of Dapoxetine for the Treatment of Premature Ejaculation: Integrated Analysis of Results from Five Phase 3 Trials

Identifieur interne : 000265 ( Istex/Corpus ); précédent : 000264; suivant : 000266

Efficacy and Safety of Dapoxetine for the Treatment of Premature Ejaculation: Integrated Analysis of Results from Five Phase 3 Trials

Auteurs : Chris G. Mcmahon ; Stanley E. Althof ; Joel M. Kaufman ; Jacques Buvat ; Stephen B. Levine ; Joseph W. Aquilina ; Fisseha Tesfaye ; Margaret Rothman ; David A. Rivas ; Hartmut Porst

Source :

RBID : ISTEX:0DCD7F0BE68642FAF7BCE4A0391E3BF454615DBC

English descriptors

Abstract

Introduction.  Dapoxetine has been evaluated for the on‐demand treatment of premature ejaculation (PE) in five phase 3 studies in various populations worldwide and has recently been approved in several countries.

Url:
DOI: 10.1111/j.1743-6109.2010.02097.x

Links to Exploration step

ISTEX:0DCD7F0BE68642FAF7BCE4A0391E3BF454615DBC

Le document en format XML

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<head>ABSTRACT</head>
<p>
<hi rend="bold">Introduction. </hi>
Dapoxetine has been evaluated for the on‐demand treatment of premature ejaculation (PE) in five phase 3 studies in various populations worldwide and has recently been approved in several countries.</p>
<p>
<hi rend="bold">Aim. </hi>
To present integrated efficacy and safety data from phase 3 trials of dapoxetine.</p>
<p>
<hi rend="bold">Methods. </hi>
Data were from five randomized, multicenter, double‐blind, placebo‐controlled studies conducted in over 25 countries. Men (N = 6,081) ≥18 years who met the
<hi rend="italic">Diagnostic and Statistical Manual of Mental Disorders</hi>
,
<hi rend="italic">fourth edition, text revision</hi>
criteria for PE; four studies required a baseline intravaginal ejaculatory latency time (IELT) of ≤2 minutes. Dapoxetine 30 and 60 mg on demand (prn; 1–3 hours before intercourse) were evaluated for either 12 or 24 weeks in four studies; one study evaluated dapoxetine 60 mg daily (qd; included in safety assessments only) or prn for 9 weeks.</p>
<p>
<hi rend="bold">Main Outcome Measures. </hi>
End points included stopwatch‐measured IELT, Premature Ejaculation Profile (PEP) items, clinical global impression of change (CGIC) in PE, and adverse events (AEs).</p>
<p>
<hi rend="bold">Results. </hi>
Average IELT (mean [standard deviation], geometric mean [standard error]) increased from baseline (across groups, 0.9 [0.49] minutes, 0.8 [1.01] minutes) to a significantly greater extent with dapoxetine 30 (3.1 [3.91] minutes, 2.0 [1.03] minutes) and 60 mg (3.6 [3.85] minutes, 2.3 [1.03] minutes) vs. placebo (1.9 [2.43] minutes, 1.3 [1.02] minutes;
<hi rend="italic">P</hi>
 < 0.001 for all) at week 12 (geometric mean fold increase, 2.5, 3.0, and 1.6, respectively). All PEP items and CGIC improved significantly with both doses of dapoxetine vs. placebo (
<hi rend="italic">P</hi>
 < 0.001 for all). The most common AEs included nausea, dizziness, and headache, and evaluation of validated instruments demonstrated no anxiety, akathisia, suicidality, or changes in mood with dapoxetine use and no discontinuation syndrome following abrupt withdrawal.</p>
<p>
<hi rend="bold">Conclusions. </hi>
In this diverse population, dapoxetine significantly improved all aspects of PE and was generally well tolerated.
<hi rend="bold">McMahon CG, Althof SE, Kaufman JM, Buvat J, Levine SB, Aquilina JW, Tesfaye F, Rothman M, Rivas DA, Porst H. Efficacy and safety of dapoxetine for the treatment of premature ejaculation: Integrated analysis of results from five phase 3 trials. J Sex Med 2011;8:524–539.</hi>
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<p>
<b>Introduction. </b>
Dapoxetine has been evaluated for the on‐demand treatment of premature ejaculation (PE) in five phase 3 studies in various populations worldwide and has recently been approved in several countries.</p>
<p>
<b>Aim. </b>
To present integrated efficacy and safety data from phase 3 trials of dapoxetine.</p>
<p>
<b>Methods. </b>
Data were from five randomized, multicenter, double‐blind, placebo‐controlled studies conducted in over 25 countries. Men (N = 6,081) ≥18 years who met the
<i>Diagnostic and Statistical Manual of Mental Disorders</i>
,
<i>fourth edition, text revision</i>
criteria for PE; four studies required a baseline intravaginal ejaculatory latency time (IELT) of ≤2 minutes. Dapoxetine 30 and 60 mg on demand (prn; 1–3 hours before intercourse) were evaluated for either 12 or 24 weeks in four studies; one study evaluated dapoxetine 60 mg daily (qd; included in safety assessments only) or prn for 9 weeks.</p>
<p>
<b>Main Outcome Measures. </b>
End points included stopwatch‐measured IELT, Premature Ejaculation Profile (PEP) items, clinical global impression of change (CGIC) in PE, and adverse events (AEs).</p>
<p>
<b>Results. </b>
Average IELT (mean [standard deviation], geometric mean [standard error]) increased from baseline (across groups, 0.9 [0.49] minutes, 0.8 [1.01] minutes) to a significantly greater extent with dapoxetine 30 (3.1 [3.91] minutes, 2.0 [1.03] minutes) and 60 mg (3.6 [3.85] minutes, 2.3 [1.03] minutes) vs. placebo (1.9 [2.43] minutes, 1.3 [1.02] minutes;
<i>P</i>
 < 0.001 for all) at week 12 (geometric mean fold increase, 2.5, 3.0, and 1.6, respectively). All PEP items and CGIC improved significantly with both doses of dapoxetine vs. placebo (
<i>P</i>
 < 0.001 for all). The most common AEs included nausea, dizziness, and headache, and evaluation of validated instruments demonstrated no anxiety, akathisia, suicidality, or changes in mood with dapoxetine use and no discontinuation syndrome following abrupt withdrawal.</p>
<p>
<b>Conclusions. </b>
In this diverse population, dapoxetine significantly improved all aspects of PE and was generally well tolerated.
<b>McMahon CG, Althof SE, Kaufman JM, Buvat J, Levine SB, Aquilina JW, Tesfaye F, Rothman M, Rivas DA, Porst H. Efficacy and safety of dapoxetine for the treatment of premature ejaculation: Integrated analysis of results from five phase 3 trials. J Sex Med 2011;8:524–539.</b>
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<title>Efficacy and Safety of Dapoxetine for the Treatment of Premature Ejaculation: Integrated Analysis of Results from Five Phase 3 Trials</title>
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<title>Dapoxetine for the Treatment of PE</title>
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<title>Efficacy and Safety of Dapoxetine for the Treatment of Premature Ejaculation: Integrated Analysis of Results from Five Phase 3 Trials</title>
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<name type="personal">
<namePart type="given">Chris G.</namePart>
<namePart type="family">McMahon</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Australian Centre for Sexual Health, St Leonards, New South Wales, Australia</affiliation>
<affiliation>E-mail: cmcmahon@acsh.com.au</affiliation>
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<namePart type="given">Stanley E.</namePart>
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<namePart type="termsOfAddress">PhD</namePart>
<affiliation>University of Miami Miller School of Medicine, West Palm Beach, FL, USA</affiliation>
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<namePart type="given">Joel M.</namePart>
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<namePart type="termsOfAddress">MD</namePart>
<affiliation>Advanced Urology, PC, Urology Research Options, Aurora, CO, USA</affiliation>
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<namePart type="given">Jacques</namePart>
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<namePart type="termsOfAddress">MD</namePart>
<affiliation>CETPARP/Le grand Hunier, Lille, France</affiliation>
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<name type="personal">
<namePart type="given">Stephen B.</namePart>
<namePart type="family">Levine</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Case Western Reserve University School of Medicine, Center for Marital and Sexual Health and Department of Psychiatry, Beachwood, OH, USA</affiliation>
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<roleTerm type="text">author</roleTerm>
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<namePart type="given">Joseph W.</namePart>
<namePart type="family">Aquilina</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Johnson & Johnson Pharmaceutical Research & Development, Raritan, NJ, USA</affiliation>
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<namePart type="given">Fisseha</namePart>
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<affiliation>Johnson & Johnson Pharmaceutical Research & Development, Raritan, NJ, USA</affiliation>
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<name type="personal">
<namePart type="given">Margaret</namePart>
<namePart type="family">Rothman</namePart>
<namePart type="termsOfAddress">PhD</namePart>
<affiliation>Johnson & Johnson Pharmaceutical Services, Raritan, NJ, USA</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
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<name type="personal">
<namePart type="given">David A.</namePart>
<namePart type="family">Rivas</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Johnson & Johnson Pharmaceutical Services, Raritan, NJ, USA</affiliation>
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<name type="personal">
<namePart type="given">Hartmut</namePart>
<namePart type="family">Porst</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Private Urological Practice, Hamburg, Germany</affiliation>
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<abstract>Introduction.  Dapoxetine has been evaluated for the on‐demand treatment of premature ejaculation (PE) in five phase 3 studies in various populations worldwide and has recently been approved in several countries.</abstract>
<abstract>Aim.  To present integrated efficacy and safety data from phase 3 trials of dapoxetine.</abstract>
<abstract>Methods.  Data were from five randomized, multicenter, double‐blind, placebo‐controlled studies conducted in over 25 countries. Men (N = 6,081) ≥18 years who met the Diagnostic and Statistical Manual of Mental Disorders, fourth edition, text revision criteria for PE; four studies required a baseline intravaginal ejaculatory latency time (IELT) of ≤2 minutes. Dapoxetine 30 and 60 mg on demand (prn; 1–3 hours before intercourse) were evaluated for either 12 or 24 weeks in four studies; one study evaluated dapoxetine 60 mg daily (qd; included in safety assessments only) or prn for 9 weeks.</abstract>
<abstract>Main Outcome Measures.  End points included stopwatch‐measured IELT, Premature Ejaculation Profile (PEP) items, clinical global impression of change (CGIC) in PE, and adverse events (AEs).</abstract>
<abstract>Results.  Average IELT (mean [standard deviation], geometric mean [standard error]) increased from baseline (across groups, 0.9 [0.49] minutes, 0.8 [1.01] minutes) to a significantly greater extent with dapoxetine 30 (3.1 [3.91] minutes, 2.0 [1.03] minutes) and 60 mg (3.6 [3.85] minutes, 2.3 [1.03] minutes) vs. placebo (1.9 [2.43] minutes, 1.3 [1.02] minutes; P < 0.001 for all) at week 12 (geometric mean fold increase, 2.5, 3.0, and 1.6, respectively). All PEP items and CGIC improved significantly with both doses of dapoxetine vs. placebo (P < 0.001 for all). The most common AEs included nausea, dizziness, and headache, and evaluation of validated instruments demonstrated no anxiety, akathisia, suicidality, or changes in mood with dapoxetine use and no discontinuation syndrome following abrupt withdrawal.</abstract>
<abstract>Conclusions.  In this diverse population, dapoxetine significantly improved all aspects of PE and was generally well tolerated. McMahon CG, Althof SE, Kaufman JM, Buvat J, Levine SB, Aquilina JW, Tesfaye F, Rothman M, Rivas DA, Porst H. Efficacy and safety of dapoxetine for the treatment of premature ejaculation: Integrated analysis of results from five phase 3 trials. J Sex Med 2011;8:524–539.</abstract>
<subject lang="en">
<genre>keywords</genre>
<topic>Dapoxetine</topic>
<topic>Premature Ejaculation</topic>
<topic>Intravaginal Ejaculatory Latency Time</topic>
<topic>Control over Ejaculation</topic>
<topic>Distress</topic>
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<identifier type="ISSN">1743-6095</identifier>
<identifier type="eISSN">1743-6109</identifier>
<identifier type="DOI">10.1111/(ISSN)1743-6109</identifier>
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<detail type="issue">
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<number>2</number>
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<total>16</total>
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<identifier type="DOI">10.1111/j.1743-6109.2010.02097.x</identifier>
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<accessCondition type="use and reproduction" contentType="copyright">© 2010 International Society for Sexual Medicine</accessCondition>
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