Study of Sildenafil for Treatment of SSRI-Antidepressant Sexual Dysfunction in Women

NCT00375297

Last updated date
Study Location
University of New Mexico Health Sciences Center
Albuquerque, New Mexico, 87131, United States
Contact
1-800-718-1021

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Eligibility Criteria
condition
The disease, disorder, syndrome, illness, or injury that is being studied.
Sexual Dysfunction, Depression
Sex
Female
Age
Pediatric Trials: 0-17 Years
Adult Trials: 18+ Years
18-50 years
Inclusion Criteria
The factors, or reasons, that allow a person to participate in a clinical study.
Show details

S Subjects will be females only, ages 18 to 50 years.

- Subjects have been taking an SSRI, venlafaxine, nefazodone, or tri/hetero cyclic antidepressant for treatment of depression for at least 8 weeks, are currently at a stable dose of the antidepressant for at least 4 weeks, and have been consistently experiencing arousal dysfunction [inability to attain or maintain until completion of sexual activity an adequate lubrication swelling response of sexual excitement] or orgasmic dysfunction [delayed orgasm/anorgasmia following a normal sexual excitement phase] that interferes with sexual functioning for at least 4 weeks.

- Subjects must currently be euthymic (HAM-D<10) and without significant anxiety symptoms (HAM-A<10).

- Subjects must have had no sexual dysfunction prior to taking an antidepressant and there must be a clear temporal relationship of the sexual dysfunction to the antidepressant treatment. [Note - sexual dysfunction occurring as a symptom of the depressive disorder for which AD treatment was initiated is not considered to be a pre-existing condition in this definition].

- Subjects must meet at least one of the following criteria:

1. Inability to have an orgasm (anorgasmia), according to patient opinion.

2. Clinically significant orgasm delay with masturbation or intercourse that according to patient opinion:

1. represents a meaningful delay compared with the subject's usual time to achieve orgasm in response to sexual stimulation prior to antidepressant medication and

2. interferes with subject's sexual function.

3. Inability to attain or maintain until completion of sexual activity an adequate lubrication swelling response of sexual excitement that according to patient opinion interferes with subject's sexual function compared to prior to antidepressant medication.

- Subjects must experience at least one of the above criterion items (#1-3) with distress and or disability.

- Subjects must be having or had been having some form of regular sexual activity (i.e., masturbation, oral sex, intercourse) at least twice monthly prior to the antidepressant treatment and are willing to continue efforts at sexual activity at least once weekly for the duration of the study.

- Subjects must be in good general physical health.

- Subjects must have given informed consent to participate in the study.

Exclusion Criteria
The factors, or reasons, that prevent a person from participating in a clinical study.
Show details


- Primary or prior diagnosis of a sexual disorder (other than the side effect of the
antidepressant drug or symptom of major depression).


- Vaginal, clitoral, or other sexual organ anatomical deformities.


- Post-hysterectomy with or without oophorectomy without at least six months of
postoperative normal sexual function preceding depression and antidepressant
treatment.


- Any uncontrolled psychiatric disorder.


- Alcohol or substance abuse or dependence within past twelve months.


- Using or likely to use any nitrate or nitric oxide donors in any form (oral,
sublingual, buccal, transdermal, inhalational, or aerosol).


- Hamilton Depression and/or Anxiety Scale score [either] > 10.


- Blood pressure outside 90/50 or 170/100.


- Use of investigational drugs within prior 3 months or during study.


- Current use of other drugs for antidepressant induced sexual dysfunction.


- Hormone replacement therapy unless patient has been on stable dose of hormone therapy
for at least 3 months prior to the antidepressant treatment and had no sexual
dysfunction while on the same hormone therapy regimen, and there is no change in the
hormone replacement therapy during the study.


- Pregnancy, lactating, or planning to become pregnant during the study.


- Child bearing potential subjects unwilling and/or not prepared and/or who are judged
unreliable to use an acceptable and verifiable form of contraception during the study
(these include IUD, double barrier or hormonal methods of birth control).


- Any clinically significant abnormality of the screening physical examination or safety
laboratory test results.


- Subjects whose sexual partners are suffering from and/or receiving treatment for
sexual dysfunction.


- eceiving psychosexual or other therapy for sexual dysfunction and not willing to
discontinue that treatment at screening.


- Amenorrhea for greater than 1 year.


- Subjects whose sexual dysfunction is considered to be situational, i.e. limited to
certain types of situations, stimulation, or partners.


- Subjects not attempting some form of regular sexual activity at least twice monthly
and at least once weekly during study visit intervals for the duration of the entire
study.


- Changes in antidepressant agent and or dose of prescribed antidepressant agent.

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Sexual Dysfunction, DepressionStudy of Sildenafil for Treatment of SSRI-Antidepressant Sexual Dysfunction in Women
NCT00375297
  1. Albuquerque, New Mexico
Female
18 Years+
years
MULTIPLE SITES
Advanced Information
Descriptive Information
Brief Title  ICMJE Study of Sildenafil for Treatment of SSRI-Antidepressant Sexual Dysfunction in Women
Official Title  ICMJE Randomized Double Blind Placebo Controlled Study of Sildenafil for Treatment of Serotonergic Reuptake Inhibitor Associated Sexual Dysfunction in Women With Major Depression Treated to Remission
Brief Summary This prospective double-blind, placebo-controlled (DBPC) study, assessed the efficacy of sildenafil in women with serotonin reuptake inhibitor antidepressant-associated sexual dysfunction (SRI-AASD) following the same protocol which previously established efficacy in men with SRI-AASD.
Detailed Description This prospective double-blind, placebo-controlled (DBPC) study, assessed the efficacy of sildenafil in women with serotonin reuptake inhibitor antidepressant-associated sexual dysfunction (SRI-AASD) following the same protocol which previously established efficacy in men with SRI-AASD. Women (n=100) with MDD-remission and SRI-AASD were randomized to receive sildenafil (50-100mg) or placebo for 8 weeks, followed by 8-weeks open-label extension. Sexual function was assessed using the Clinical Global Impression-Sexual Function (CGI-SF), with positive response defined as a score <3, and UNM-SFI, ASEX, SFQ-FSD sexual function questionnaires. Depression was monitored using the HAM-D17. Hypothalamic-pituitary-adrenal-gonadal hormones were measured at baseline and DB-endpoint.
Study Type  ICMJE Interventional
Study Phase  ICMJE Phase 4
Study Design  ICMJE Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double
Primary Purpose: Treatment
Condition  ICMJE
  • Sexual Dysfunction
  • Depression
Intervention  ICMJE Drug: sildenafil
Study Arms  ICMJE Not Provided
Publications *

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Completed
Enrollment  ICMJE
 (submitted: September 8, 2006)
100
Original Enrollment  ICMJE Same as current
Study Completion Date  ICMJE June 2005
Primary Completion Date Not Provided
Eligibility Criteria  ICMJE

Inclusion Criteria:S Subjects will be females only, ages 18 to 50 years.

  • Subjects have been taking an SSRI, venlafaxine, nefazodone, or tri/hetero cyclic antidepressant for treatment of depression for at least 8 weeks, are currently at a stable dose of the antidepressant for at least 4 weeks, and have been consistently experiencing arousal dysfunction [inability to attain or maintain until completion of sexual activity an adequate lubrication swelling response of sexual excitement] or orgasmic dysfunction [delayed orgasm/anorgasmia following a normal sexual excitement phase] that interferes with sexual functioning for at least 4 weeks.
  • Subjects must currently be euthymic (HAM-D<10) and without significant anxiety symptoms (HAM-A<10).
  • Subjects must have had no sexual dysfunction prior to taking an antidepressant and there must be a clear temporal relationship of the sexual dysfunction to the antidepressant treatment. [Note - sexual dysfunction occurring as a symptom of the depressive disorder for which AD treatment was initiated is not considered to be a pre-existing condition in this definition].
  • Subjects must meet at least one of the following criteria:

    1. Inability to have an orgasm (anorgasmia), according to patient opinion.
    2. Clinically significant orgasm delay with masturbation or intercourse that according to patient opinion:

      1. represents a meaningful delay compared with the subject's usual time to achieve orgasm in response to sexual stimulation prior to antidepressant medication and
      2. interferes with subject's sexual function.
    3. Inability to attain or maintain until completion of sexual activity an adequate lubrication swelling response of sexual excitement that according to patient opinion interferes with subject's sexual function compared to prior to antidepressant medication.
  • Subjects must experience at least one of the above criterion items (#1-3) with distress and or disability.
  • Subjects must be having or had been having some form of regular sexual activity (i.e., masturbation, oral sex, intercourse) at least twice monthly prior to the antidepressant treatment and are willing to continue efforts at sexual activity at least once weekly for the duration of the study.
  • Subjects must be in good general physical health.
  • Subjects must have given informed consent to participate in the study.

Exclusion Criteria:

  • Primary or prior diagnosis of a sexual disorder (other than the side effect of the antidepressant drug or symptom of major depression).
  • Vaginal, clitoral, or other sexual organ anatomical deformities.
  • Post-hysterectomy with or without oophorectomy without at least six months of postoperative normal sexual function preceding depression and antidepressant treatment.
  • Any uncontrolled psychiatric disorder.
  • Alcohol or substance abuse or dependence within past twelve months.
  • Using or likely to use any nitrate or nitric oxide donors in any form (oral, sublingual, buccal, transdermal, inhalational, or aerosol).
  • Hamilton Depression and/or Anxiety Scale score [either] > 10.
  • Blood pressure outside 90/50 or 170/100.
  • Use of investigational drugs within prior 3 months or during study.
  • Current use of other drugs for antidepressant induced sexual dysfunction.
  • Hormone replacement therapy unless patient has been on stable dose of hormone therapy for at least 3 months prior to the antidepressant treatment and had no sexual dysfunction while on the same hormone therapy regimen, and there is no change in the hormone replacement therapy during the study.
  • Pregnancy, lactating, or planning to become pregnant during the study.
  • Child bearing potential subjects unwilling and/or not prepared and/or who are judged unreliable to use an acceptable and verifiable form of contraception during the study (these include IUD, double barrier or hormonal methods of birth control).
  • Any clinically significant abnormality of the screening physical examination or safety laboratory test results.
  • Subjects whose sexual partners are suffering from and/or receiving treatment for sexual dysfunction.
  • eceiving psychosexual or other therapy for sexual dysfunction and not willing to discontinue that treatment at screening.
  • Amenorrhea for greater than 1 year.
  • Subjects whose sexual dysfunction is considered to be situational, i.e. limited to certain types of situations, stimulation, or partners.
  • Subjects not attempting some form of regular sexual activity at least twice monthly and at least once weekly during study visit intervals for the duration of the entire study.
  • Changes in antidepressant agent and or dose of prescribed antidepressant agent.
Sex/Gender  ICMJE
Sexes Eligible for Study:Female
Ages  ICMJE 18 Years to 50 Years   (Adult)
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE United States
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT00375297
Other Study ID Numbers  ICMJE 99321
Acc# 4-37011
Has Data Monitoring Committee Not Provided
U.S. FDA-regulated Product Not Provided
IPD Sharing Statement  ICMJE Not Provided
Responsible Party Not Provided
Study Sponsor  ICMJE University of New Mexico
Collaborators  ICMJE Pfizer
Investigators  ICMJE
Principal Investigator:George Nurnberg, MDUniversity of New Mexico School of Medicine
PRS Account University of New Mexico
Verification Date September 2006

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP