UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000020816
Receipt number R000024016
Scientific Title Study of the link between Dopamine Transporter Gene Polymorphisms and Response To Paroxetin and Escitalopram in Patients With Lifelong Premature Ejaculation
Date of disclosure of the study information 2016/02/01
Last modified on 2017/08/11 07:16:17

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Basic information

Public title

Study of the link between Dopamine Transporter Gene Polymorphisms and Response To Paroxetin and Escitalopram in Patients With Lifelong Premature Ejaculation

Acronym

Dopamine transporter gene polymorphisms and SSRIs

Scientific Title

Study of the link between Dopamine Transporter Gene Polymorphisms and Response To Paroxetin and Escitalopram in Patients With Lifelong Premature Ejaculation

Scientific Title:Acronym

Dopamine transporter gene polymorphisms and SSRIs

Region

Africa


Condition

Condition

lifelong premature ejaculation

Classification by specialty

Urology Adult

Classification by malignancy

Others

Genomic information

YES


Objectives

Narrative objectives1

to assess role of dopamine gene transporter polymorphisms in lifelong premature ejaculation and their responses to selective serotonin reuptake inhibitors

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Majority of dopamine transporter gene polymorphisms majority were 10R/10R and 6R/10R

Key secondary outcomes

At the end of our study we found 27 patients out of 60 patients responded to paroxetin and escitalopram. Both of them were statistically highly significant in delaying ejaculation in the responders.Also, they demonstrated statistically highly significant relation with dopamine transporter gene polymorphism


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

The patients were divided into 2 equal groups; one group was given paroxetine and the other escitalopram single dose daily for 3 months to compare efficacy of both drugs in delaying ejaculation in patients with lifelong PE. Also, to evaluate role of the studied gene polymorphisms in lifelong PE and determining response to both drugs

Interventions/Control_2

we only measured gene polymorphisms in the controls. The controls were not given medication

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

25 years-old <=

Age-upper limit

50 years-old >=

Gender

Male

Key inclusion criteria

The patients' age was between 25-50 years with a stable and continuous marital relationship for at least one year. Condoms, topical anesthetic cream or spray before sexual intercourse were prohibited, being unable to satisfy their partners with intravaginal ejaculation latency time < 1 minute since their first sexual experience on all or nearly all vaginal penetrations with negative personal consequences on him and his partner and subsequent avoidance of sexual intimacy.

Key exclusion criteria

Men suffered from ED (IIEF score< 21), reduced sexual desire or inhibited male orgasm. Also, patients with history of urinary tract infection, mental disorders and chronic physical illnesses affecting ejaculatory function, abusers of Alcohol or drug and finally, patients who received psychotropic medications that may affect response to selective serotonin reuptake inhibitors (SSRIs) or any medical treatment for premature ejaculation in the last 6 months were also excluded from the study.

Target sample size

80


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name tymour khalifa Eltonsi

Organization

Al-Azhar university

Division name

andrology and dermatology

Zip code


Address

Al-Azhar Street

TEL

+81-1222182039

Email

tarek_tawfik117@yahoo.com


Public contact

Name of contact person

1st name
Middle name
Last name Sameh Fayek

Organization

Cairo University

Division name

Andrology department

Zip code


Address

Kasr AlAini street

TEL

+81-1227109309

Homepage URL

http://scholar.cu.edu.eg/sfayek

Email

samehfayek@hotmail.com


Sponsor or person

Institute

nil

Institute

Department

Personal name



Funding Source

Organization

EVA and MEPACO pharmaceutical companies

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Egypt


Other related organizations

Co-sponsor

nil

Name of secondary funder(s)

nil


IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

Al-Azhar and Cairo Universities


Other administrative information

Date of disclosure of the study information

2016 Year 02 Month 01 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

Our prospective study revealed that 18 patients were LL, 42 patients were SL and SS genotypes of the serotonin transporter gene promoter polymorphism, meanwhile; the controls were 10 LL, 6 SL and 4 SS which was statistically insignificant (p-value=0.265). Thirty seven patients were 10R/10R, 17 patients were 6R/10R and 6 patients were 6R/6R genotypes of the dopamine transporter gene polymorphism, meanwhile; the controls were 15 6R/6R, 1 10R/10R and 4 6R/10R which was statistically significant (p-value=<0.001). Both paroxetin and escitalopram were highly statistically significant in delaying ejaculation in the responders (p-value=<0.001). This response was irrelevant to serotonin transporter gene promoter polymorphism (p-value= 0.275), meanwhile; such response revealed highly statistically significant relation with dopamine transporter gene polymorphism (p-value=0.019).

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2014 Year 09 Month 15 Day

Date of IRB


Anticipated trial start date

2014 Year 10 Month 27 Day

Last follow-up date

2015 Year 12 Month 01 Day

Date of closure to data entry

2015 Year 12 Month 15 Day

Date trial data considered complete

2015 Year 12 Month 15 Day

Date analysis concluded

2016 Year 01 Month 05 Day


Other

Other related information



Management information

Registered date

2016 Year 02 Month 01 Day

Last modified on

2017 Year 08 Month 11 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000024016


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name