Sexual Function in Men Receiving Dutasteride for Androgenetic Alopecia
Alopecia
Bottom Line
View on ClinicalTrials.gov: NCT02014584 ↗Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Dutasteride (Drug); Placebo (Drug)
- Age
- Adult · 18+ yrs
- Sex
- Male
- Sponsor
- Stiefel, a GSK Company
- Primary completion
- Mar 2016
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Adverse Events (AE) Related to Sexual Function in the Double-blind Treatment Period |
5; 9 | 0.27 |
| PRIMARY Number of Participants With AE Related to Sexual Function in the Open-label Treatment Period |
3; 2 | — |
| PRIMARY Number of Participants With AE Related to Sexual Function for the Double-blind and Open-label Combined Periods |
10 | — |
| SECONDARY Duration and Persistence of AEs Related to Sexual Function in the Double-blind Treatment Period |
88.5; 44.0; 68.3; 78.6; NA; 63.0 | — |
| SECONDARY Duration and Persistence of AEs Related to Sexual Function in the Open-label Treatment Period |
77.5; 135.0; 181.0; 176.0; NA; NA | — |
| SECONDARY Duration and Persistence of AEs Related to Sexual Function in the Double-blind and Open-label Combined Periods |
135.0; 90.8; 63.0 | — |
| SECONDARY Number of Participants Who Discontinued Study Treatment Due to AEs Related to Sexual Function in the Double-blind Treatment Period |
0; 0 | — |
| SECONDARY Number of Participants Who Discontinued Study Treatment Due to AEs Related to Sexual Function in the Open-label Treatment Period |
0; 0 | — |
| SECONDARY Number of Participants Who Discontinued Study Treatment Due to AEs Related to Sexual Function in the Double-blind and Open-label Combined Periods |
— | — |
| SECONDARY Number of Participants With AEs, Serious AEs (SAEs) and Possible Suicidality Related Adverse Events (PSRAEs) in the Double-blind Treatment Period |
18; 19; 1; 1; 0; 0 | — |
| SECONDARY Number of Participants With AEs, SAEs and PSRAEs in the Open-label Treatment Period |
13; 15; 1; 0; 0; 0 | — |
| SECONDARY Number of Participants With AEs, SAEs and PSRAEs in the Double-blind and Open-label Combined Periods |
25; 1; 0 | — |
| SECONDARY Number of Participants With Treatment-related AEs in the Double-blind Treatment Period |
5; 11 | — |
| SECONDARY Number of Participants With Treatment-related AEs in the Open-label Treatment Period |
4; 2 | — |
| SECONDARY Number of Participants With Treatment-related AEs in the Double-blind and Open-label Combined Periods |
11 | — |
| SECONDARY Number of Participants With AEs of Special Interest in the Double-blind Treatment Period |
2; 1; 3; 7; 0; 1 | — |
| SECONDARY Number of Participants With AEs of Special Interest in the Open-label Treatment Period |
2; 1; 1; 1; 0; 0 | — |
| SECONDARY Number of Participants With AEs of Special Interest in the Double-blind and Open-label Combined Periods |
1; 8; 1; 0; 0; 0 | — |
| SECONDARY Suicidality Assessment Score by Using the Columbia Suicide Severity Rating Scale (C-SSRS) in the Double-blind Treatment Period |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Suicidality Assessment Score by Using the Columbia Suicide Severity Rating Scale (C-SSRS) in the Open-label Treatment Period |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) in the Double-blind Treatment Period |
0.9; -0.1; -1.0; -2.0; 2.1; 1.6 | — |
| SECONDARY Change From Baseline in Systolic and Diastolic Blood Pressure in the Open-label Treatment Period |
-0.9; 0.1; -0.7; 0.4; -0.8; -0.6 | — |
| SECONDARY Change From Baseline in Heart Rate in the Double-blind Treatment Period |
0.3; -0.6; 0.6; -0.7 | — |
| SECONDARY Change From Baseline in Heart Rate in the Open-label Treatment Period |
-1.5; 1.1; -0.3; 1.2 | — |
| SECONDARY Number of Participants With Frequency of Systolic and Diastolic Blood Pressure of Clinical Concern in the Double-blind Treatment Period |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Number of Participants With Frequency of Systolic and Diastolic Blood Pressure of Clinical Concern in the Open-label Treatment Period |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Number of Participants With Frequency of Heart Rate of Clinical Concern in the Double-blind Treatment Period |
0; 0; 1; 1; 0; 0 | — |
| SECONDARY Number of Participants With Frequency of Heart Rate of Clinical Concern in the Open-label Treatment Period |
0; 0; 1; 1; 0; 0 | — |
| SECONDARY Change From Baseline in the Indicated Hematology Parameters in the Double-blind Treatment Period |
2.2; 9.6; 2.3; 9.0; 0.1; 0.1 | — |
| SECONDARY Change From Baseline in the Indicated Hematology Parameters in the Open-label Treatment Period |
2.1; -2.5; 2.1; -3.4; 0.2; 0.2 | — |
| SECONDARY Change From Baseline in the Indicated Hematology Parameter in the Double-blind Treatment Period: Hematocrit |
-0.0; 0.0; -0.0; 0.0 | — |
| SECONDARY Change From Baseline in the Indicated Hematology Parameter in the Open-label Treatment Period: Hematocrit |
0.0; 0.0; 0.0; 0.0 | — |
| SECONDARY Change From Baseline in the Indicated Hematology Parameter in the Double-blind Treatment Period: Hemoglobin |
-2.0; -0.8; -2.0; -0.8 | — |
| SECONDARY Change From Baseline in the Indicated Hematology Parameter in the Open-label Treatment Period: Hemoglobin |
-1.5; -1.4; -1.5; -1.4 | — |
| SECONDARY Change From Baseline in the Indicated Hematology Parameter in the Double-blind Treatment Period: Red Blood Cell (RBC) Count |
-0.0; 0.0; -0.0; 0.0 | — |
| SECONDARY Change From Baseline in the Indicated Hematology Parameter in the Open-label Treatment Period: Red Blood Cell (RBC) Count |
-0.1; -0.1; -0.1; -0.1 | — |
| SECONDARY Change From Baseline in the Indicated Clinical Chemistry Parameters in the Double-blind Treatment Period: Albumin and Total Protein |
0.2; -0.1; 0.2; -0.1; -0.1; -0.0 | — |
| SECONDARY Change From Baseline in Clinical Chemistry Parameters in the Open-label Treatment Period: Albumin and Total Protein |
-0.6; -1.1; -0.5; -1.1; -0.8; -2.4 | — |
| SECONDARY Change From Baseline in the Indicated Clinical Chemistry Parameters in the Double-blind Treatment Period |
0.9; 4.0; 1.0; 3.5; -4.8; -4.1 | — |
| SECONDARY Change From Baseline in the Indicated Clinical Chemistry Parameters in the Open-label Treatment Period |
-1.4; -1.7; -1.3; -1.7; 0.0; -3.3 | — |
| SECONDARY Change From Baseline in the Indicated Clinical Chemistry Parameters in the Double-blind Treatment Period: Creatinine, Direct Bilirubin and Total Bilirubin |
1.7; -0.7; 1.6; -0.8; -0.2; -0.3 | — |
| SECONDARY Change From Baseline in the Clinical Chemistry Parameters in the Open-label Treatment Period: Creatinine, Direct Bilirubin and Total Bilirubin. |
1.1; -0.2; 1.2; -0.2; 0.1; 0.1 | — |
| SECONDARY Change From Baseline in the Indicated Clinical Chemistry Parameters in the Double-blind Treatment Period: Glucose, Potassium, Sodium and Urea/Blood Urea Nitrogen (BUN) |
0.1; 0.0; 0.1; 0.0; 0.0; 0.0 | — |
| SECONDARY Change From Baseline in the Indicated Clinical Chemistry Parameters in the Open-label Treatment Period: Glucose, Potassium, Sodium and Urea/BUN. |
0.3; 0.2; 0.3; 0.2; -0.1; -0.0 | — |
| SECONDARY Incidence of Premature Discontinuations in the Double-blind Treatment Period |
2; 6 | — |
| SECONDARY Incidence of Premature Discontinuations in the Open-label Treatment Period |
5; 1 | — |
| SECONDARY Number of Participants With a Change in Sexual Function Defined as a Negative Change From Baseline in the International Index of Erectile Function (IIEF) Erectile Function Domain (IIEF-EF) Score of >=4 Units in the Double-blind Treatment Period |
3; 1; 4; 7; 3; 6 | 0.62 |
| SECONDARY Number of Participants With a Change in Sexual Function Defined as a Negative Change From Baseline in the IIEF Erectile Function Domain (IIEF-EF) Score of >=4 Units in the Open-label Treatment Period |
2; 2; 2; 3; 1; 5 | — |
| SECONDARY Change From Baseline in Total Score of the IIEF in the Double-blind Treatment Period |
-1.4; -0.0; -0.9; -2.2; -1.2; -1.2 | 0.082 |
| SECONDARY Change From Baseline in Total Score of the IIEF in the Open-label Treatment Period |
0.4; 0.2; -0.6; -0.3; -0.1; -2.6 | — |
| SECONDARY Change From Baseline in the Individual Domain Scores (Erectile Function, Orgasmic Function, Sexual Desire, Intercourse Satisfaction and Overall Sexual Satisfaction) of the IIEF in the Double-blind Treatment Period |
-0.5; -0.3; -0.5; -1.3; -0.5; -1.2 | 0.46 |
| SECONDARY Change From Baseline in the Individual Domain Scores (Erectile Function, Orgasmic Function, Sexual Desire, Intercourse Satisfaction and Overall Sexual Satisfaction) of the IIEF in the Open-label Treatment Period |
0.0; -0.1; -0.1; -0.3; 0.0; -1.4 | — |
| SECONDARY Change From Baseline in Participant Satisfaction With Hair Growth as Assessed by the Total Score of the Hair Growth Satisfaction Scale (HGSS) in the Double-blind Treatment Period |
1.3; 2.4; -0.1; 3.2 | 0.33 |
| SECONDARY Change From Baseline in Participant Satisfaction With Hair Growth as Assessed by the Total Score of the HGSS in the Open-label Treatment Period |
4.5; 4.5 | — |
| SECONDARY Change From Baseline in the Total Score of the Dermatology Life Quality Index (DLQI) in the Double-blind Treatment Period |
0.2; -0.4; 0.7; 0.2 | 0.22 |
| SECONDARY Change From Baseline in the Total Score of the DLQI in the Open-label Treatment Period |
-1.0; -0.8 | — |
| SECONDARY Change From Baseline in Participants Perception of Sexual Function Measured by Responses to the Global Assessment Questions in the Double-blind Treatment Period |
0; 0; 1; 1; 1; 1 | — |
| SECONDARY Change From Baseline in Participants Perception of Sexual Function Measured by Responses to the Global Assessment Questions Open-label Treatment Period |
1; 0; 0; 0; 1; 4 | — |
Summary
Eligibility Criteria
Inclusion Criteria
- Subject agrees to participate in the study and has signed and dated the informed consent form prior to the initiation of any study-related activities.
- AGA classified utilizing the Norwood-Hamilton classification.
- Men 18 to 50 years old, inclusively.
- Fluent and literate in local language with the ability to comprehend and record information on the International Index of Erectile Function, Hair Growth Satisfaction Scale, and DLQI questionnaires.
- Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) 1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin is 2.0 ng/mL at screening.
- Serum creatinine >1.5xULN at screening.
- Unstable liver disease (chronic stable hepatitis B and C are acceptable if the subject otherwise meets entry criteria).
- History of malignancy (including prostate cancer) within the past 5 years, except basal cell or squamous cell carcinoma of the skin.
- History of prostate cancer before the age of 50 years in a first degree relative.
- History of breast cancer or clinical breast examination suggestive of malignancy.
- Any unstable, serious co-existing medical condition(s) including, but not limited to, myocardial infarction, coronary bypass surgery, unstable angina, cardiac arrhythmias, clinically evident congestive heart failure, or cerebrovascular accident within 6 months prior to screening; and uncontrolled diabetes or peptic ulcer disease that is uncontrolled by medical management.
- History or current evidence of any serious and/or unstable pre-existing medical or psychiatric disorder, or other conditions that could, in the opinion of the investigator or the medical monitor, interfere with the subject's safety, obtaining informed consent, or compliance with study procedures.Note: the investigator may consult with the GSK medical monitor if a condition could interfere with the subject's safety.
- Global scalp hair thinning, including occipital areas.
- Scarring of the scalp, including prior hair transplant or scalp reduction, or any other condition or disease of the scalp or hair, including diseases of the hair shaft (e.g., tinea infection, non-androgenetic-cause of alopecia, psoriatic dermatitis or other psoriatic lesions, or uncontrolled seborrheic dermatitis).
- History of hair transplantation at any time to correct AGA or use of hair weaving within 6 months prior to screening.
- History or evidence of hair loss other than AGA (e.g., due to an auto-immune, endocrine, mechanical or infectious process, or secondary to a scalp dermatological disorder).
- Use of any cosmetic product aimed at improving or correcting the signs of hair loss (e.g., scalp preparations with claims aiming at improved hair growth) within 2 weeks prior to screening.
- Use of light or laser treatments on the scalp (e.g., light emitting diode [LED] lamps) within 3 months prior to screening.
- Hypersensitivity to any 5-alpha reductase inhibitor (5-ARI) or its components or excipients or drugs chemically related to the study treatment.
- Use of dutasteride within 10 months prior to screening or use of finasteride within 6 months prior to screening.
- Previous use of systemic cytotoxic agents.
- Use of glucocorticoids (inhaled glucocorticoids are allowed; topical corticosteroids are allowed provided that they are not used on the scalp) within 3 months prior to screening.
- Use of the following prior to Baseline (within 1 week for topical products; within
1 week or 5 half-lives, whichever is longer, for systemic treatments): Phosphodiesterase type 5 (PDE5) inhibitors (e.g., sildenafil, tadalafil, vardenafil); Minoxidil (oral or topical); Carpronium chloride; Systemic drugs with anti-androgenic properties (e.g., cyproterone acetate, spironolactone, ketoconazole, flutamide, and bicalutamide); Topical or systemic estrogen or progesterone; Drugs potentially causing hypertrichosis (e.g., cyclosporine, diazoxide, phenytoin, psoralens); Drugs potentially causing hypertrichosis or t
Data sourced from ClinicalTrials.gov (NCT02014584). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.