Clinical trial of NRL/MW/201901 in patients suffering from erectile dysfunction.
Scientific Title of Study
Clinical assessment of efficacy and safety of NRL/MW/201901 in patients suffering from erectile dysfunction- A Randomized, Double Blind, Placebo Controlled, Interventional, Prospective, Clinical Study.
Trial Acronym
Secondary IDs if Any
Secondary ID
Identifier
MHC/CT/19-20/003 Ver 1.0 dated 02 May 2019
Protocol Number
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Name
Dr Amar Raikantiwar
Designation
Consultant
Affiliation
Lokmanya Medical Research Center
Address
OPD 2 Floor 4 Lokmanya Medical Research Center 314/B Telco
Road Chinchwad Pune 411033
Pune MAHARASHTRA 411033 India
Phone
8451941050
Fax
Email
clinicalresearch.mbg@gmail.com
Details of Contact Person Scientific Query
Name
Dr Omkar Kulkarni
Designation
Senior Manager, Research and Development
Affiliation
Netsurf Research Labs Pvt Ltd
Address
107, Plot 2, Laxman Nagar, Baner Road, Baner, PUNE 411045
(Maharashtra) India.
Pune
MAHARASHTRA
411045
Pune MAHARASHTRA 411045 India
Phone
020-67111212
Fax
Email
omkar.kulkarni@nrl.net.in
Details of Contact Person Public Query
Name
Dr Omkar Kulkarni
Designation
Senior Manager, Research and Development
Affiliation
Netsurf Research Labs Pvt Ltd
Address
107, Plot 2, Laxman Nagar, Baner Road, Baner, PUNE 411045
(Maharashtra) India.
Pune
MAHARASHTRA
411045
(1) ICD-10 Condition: N528||Other male erectile dysfunction,
Intervention / Comparator Agent
Type
Name
Details
Intervention
NRL/MW/201901
Subjects will be advised to
consume NRL/MW/201901 one
Capsule twice daily orally after meal with lukewarm
water for 2 months.
Comparator Agent
Placebo
Alike placebo 1 capsule twice daily after meals with lukewarm water for 2 months
Inclusion Criteria
Age From
21.00 Year(s)
Age To
50.00 Year(s)
Gender
Male
Details
Male subjects aged 21-50 years suffering from ED.
Subjects who have scored 11 to 25 on the Erectile Function (EF) domain of the International Index of Erectile Function (IIEF) at screening visit.
Subjects should be in an active stable sexual relationship for the entire duration of study
Subjects willing to participate in clinical trial and who have read understood and signed informed consent form.
Subjects willing to make all required study visits
ExclusionCriteria
Details
Subjects having anatomical abnormalities of the penis.
Patients that have undergone radical prostatectomy, spinal cord injury, or any other surgery of urogenital organs.
Subjects with severe form of sexual dysfunction as evidenced by at least one of the following conditions,
- An International Index of Erectile Function-Erectile Function (IIEF-EF) domain score that is less than 11 and greater than 25 at screening
- Subjects with prior ineffective treatment with (or non-responder to) any PDE5 Inhibitor or underwent treatment for promoting spermatogenic fertility in last 3 months
- Subjects with ED caused by other primary disorders or ED caused by untreated/inadequately treated endocrine disease
- History of radical prostatectomy or other pelvic surgery or penile implant, or a clinically significant penile deformity, in the opinion of the investigator
- Presence of any drug or therapy that may have relation with ED and sexual dysfunction (nitrates, anti-androgens, chemotherapy agents, radiotherapy, etc.)
Subjects with history or presence of significant alcoholism or drug abuse within the past 1 year.
Presence or history of any of the following disorders/disease within the past 3 months, that might have impact on the clinical trial as per the investigator discretion-
a. cardiovascular, b) cerebrovascular, c) dermatological, d) gastrointestinal, e) gynecological, f) hematological, g) hepatic, h) malignancy, i) metabolic, j) musculoskeletal, k) neurological, l) psychiatric, m) thyroid n) psychological, o) renal, p) respiratory, q) venereal, r) any other major disorders
Subjects with history or presence of significant smoking (more than 10 cigarettes per day) or consumption of tobacco/nicotine products more than 10 times per day.
Subjects with any clinically significant laboratory or ECG findings during screening.
Patients receiving hormonal treatment, antidepressants, antipsychotics, or any other psychoactive drugs.
Known cases of varicocele, hydrocele, HIV/AIDS, Hepatitis C and B, Cancer and major debilitating diseases as a clinical observation.
Known hypersensitivity to ingredients used in study drugs
Other conditions, which in the opinion of the investigators, makes the patient unsuitable for enrolment or could interfere with his participation in, and completion of the protocol
Method of Generating Random Sequence
Computer generated randomization
Method of Concealment
Centralized
Blinding/Masking
Double Blind Double Dummy
Primary Outcome
Outcome
TimePoints
Sexual health parameters of IIEF Questionnaire
Quality of penile erection on Quality of Erection Questionnaire (QEQ)
Serum total testosterone
Male sexual health on Erectile Dysfunction Inventory of Treatment Satisfaction EDITS questionnaire Patient and Partner version
Sexual encounter profile as per the recordings in daily diary card with Intra-vaginal ejaculation latency time IELT as per the recordings in daily diary card.
Apart from serum testosterone all other parameters will be assessed on baseline, 30 days and 60 days.
Serum testosterone will be analysed on baseline and day 60
Secondary Outcome
Outcome
TimePoints
To evaluate changes in anthropometric parameters
To assess change in Subjective Vitality Score,Perceived Stress Scale,satisfaction with life score
Drug compliance
Global assessment for overall improvement by the investigator and by patient
Tolerability of study drugs
Vitals (radial pulse, blood pressure, respiratory rate, and axial temperature)
Adverse events
Laboratory parameters to assess safety
All parameters will be assessed at baseline and end of study ie 60 days
Target Sample Size
Total Sample Size="100" Sample Size from India="100" Final Enrollment numbers achieved (Total)= "105" Final Enrollment numbers achieved (India)="105"
Individual Participant Data (IPD) Sharing Statement
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Brief Summary
After Ethics committee’s approval, clinical study will be registered on CTRI website. Married male subjects of age between 21 to 50 years of age (both inclusive) attending outpatient department of study site(s) will be screened for eligibility criteria. On screening visit, a written informed consent will be obtained from subjects for their participation in the study. Subject’s demographic details will be taken. Subject will undergo clinical examination (general and systemic examination including CVS, RS, gastrointestinal, genitourinary and CNS). Subject’s medical, surgical and treatment history will be taken. Subject’s current medication if any will be noted in the case record from (CRF). Subject’s vitals (radial pulse, blood pressure, respiratory rate, and axial temperature) will be recorded.
Subject’s examination for sexual dysfunction will be done including assessment of any organic cause of Sexual Dysfunction. Assessment of Erectile function will be done using Erectile Function (EF) domain score of the International Index of Erectile Function (IIEF) questionnaire. If subject’s EF Domain score is 11 to 25 and subject should be in an active stable sexual relationship for the entire duration of studythen subject will be considered for further evaluation as per the inclusion and exclusion criteria.
Subject will be called next day morning on empty stomach for laboratory testing. Subject’s blood sample will be collected at the respective study centers for laboratory testing i.e. serum total testosterone, CBC, ESR, Hb%, RBS-F, Liver Function Tests, Lipid Profile, Renal Profile, Urine Routine and Microscopic and ECG will be done. During screening visit and the entire study duration subjects will be advised to refrain from antioxidant agents, vitamins, anti-inflammatory drugs, hormones, Nutraceutical, Ayurvedic, Siddha, Unani, herbal /homeopathic medicines for the treatment of erectile dysfunction. A screening window of 14 days will be kept, in case if there is delay in availability of tests reports or in case few tests need to be repeated. Subject will be called for baseline visit assessment (day 0).
On baseline visit, subject will be recruited in the study if he meets all the inclusion criteria. Subjects will then be randomized to one of the two study groups as per the computer generated randomization list. Subjects will be asked for occurrence of any adverse event during screening period. Subject will undergo clinical examination (general and systemic examination including CVS, RS, gastrointestinal, genitourinary and CNS). Subject’s vitals (radial pulse, blood pressure, respiratory rate, and axial temperature) will be recorded. Subject’s erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall satisfaction will be assessed on International Index of Erectile Function (IIEF). Subject’s quality of penile erection will be evaluated on quality of erection questionnaire (QEO). Daily diary card will be issued to subject to maintain the record of sexual encounter profile and intra-vaginal ejaculation latency time (IELT). Subject will be assessed for anthropometric parameters, Subjective Vitality Score, Perceived Stress Scale Satisfaction with life score.
At baseline visit and at every follow up visit (except last follow up visit), as per computer generated randomization list, subjects will be provided test capsules doses for 30 days + additional capsules for use if follow up is delayed maximum up to 5 days) of either test or matching placebo. Subject will be advised to consume medication in a dose of 1 capsule twice daily orally after meals with water for 2 months. Subject will be advised to continue his concomitant medication other than antioxidant agents, vitamins, anti-inflammatory drugs, hormones, Nutraceutical, Ayurvedic, Siddha, Unani, herbal /homeopathic medicines etc. The record of concomitant medication will be kept in the CRF. Drug compliance will be assessed by the investigator on every follow up visit. Subjects who continuously misses dosing for >3 consecutive days or total missed dose > 9 days during the study period will be treated as drop outs. Subjects will be allowed to come for follow up either 5 days prior or after the scheduled follow up visit, provided subject should continue the given treatment. Subjects will be advised to continue the diet and exercise regimen (which they are already following) during the entire study period.
Subjects will be called at respective study sites for follow up visits after every month up to 2 months after the baseline visit. On follow up visit, Subject will undergo clinical examination (general and systemic examination including CVS, RS, gastrointestinal, genitourinary and CNS). Subject’s vitals (radial pulse, blood pressure, respiratory rate, and axial temperature) will be recorded. Subject’s erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall satisfaction will be assessed on International Index of Erectile Function (IIEF). Subject’s quality of penile erection will be evaluated on quality of erection questionnaire (QEQ). Subject’s sexual health will be evaluated on Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) questionnaire (patient version). Also subject’s partner will be evaluated on Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) questionnaire. Average (from the daily diary) of the sexual encounters and intra-vaginal ejaculation latency time (IELT) will be recorded in the CRF.
Global assessment of overall improvement will be done by subject and investigator on last follow up visit. Tolerability of the trial drugs will be assessed by the investigator and by subject at the end of the trial. All the subjects will be closely monitored for any adverse event starting from baseline visit till the end of the study visit.
On final follow up visit (i.e. Day 60) subject’s serum total testosterone level will be checked. Subject’s CBC, ESR, Hb%, Liver Function Tests, Lipid Profile, Renal Profile, BSL-F, Urine Routine and Microscopic will be done. Subject will be assessed for anthropometric parameters, Subjective Vitality Score, Perceived Stress Scale Satisfaction with life score.
After completion of 2 months of study treatment, all the subjects will be asked to stop trial medications and take advice of investigator for further treatment.