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Female Sexual Arousal DisorderPhase 2NCT06116045

Evaluation of the Efficacy, Safety and Tolerability of BZ371A in Women with Sexual Arousal Disorder

A Phase 2 study testing BZ371A 7.5 mg (1.5 ml), BZ371A 5.0 mg (1.0 ml) and BZ371A 2.5 mg (0.5 ml) in people with Female Sexual Arousal Disorder and Female Sexual Dysfunction, run by Biozeus Biopharmaceutical S.A. at 1 site in Brazil.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

To determine the efficacy in increasing sexual arousal, safety and tolerability of BZ371A in gel form applied to women with sexual arousal disorder. Read more about this study

Who is it for?
Ages 21 to 60 years, women only
What is being tested?
BZ371A 7.5 mg (1.5 ml), BZ371A 5.0 mg (1.0 ml) and BZ371A 2.5 mg (0.5 ml)
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
30 participants
Where
1 siteBrazil
Study dates
1 Oct 2024to 31 Mar 2025
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 to 60 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Women between the ages 21 and 60;
  • Pre-menopausal or post-menopausal women may be included;
  • May or may not be taking female sex hormones (estrogen with or without progesterone, or their derivatives);
  • FSAD, defined as the inability, persistent or recurrent, to obtain or maintain until the conclusion of sexual activity an adequate genital response to sexual arousal (lubrication, warmth and enlargement of the clitoris);
  • Women with FSAD who present marked suffering or interpersonal difficulties;
  • Stable relationship for more than 6 months, with a sexually active partner;
  • Ability to read and understand the Informed Consent Form (ICF) and to answer the questionnaires.

Who cannot join

  • Women who do not agree to use a contraceptive method and who have the capacity to become pregnant during the study;
  • Women who do not agree to attempt sexual activity at least twice a week while taking the study medication;
  • History of unresolved sexual trauma or abuse;
  • Diagnosis of vaginismus, genitopelvic pain/penetration disorder and/or sexual aversion disorder;
  • Uncontrolled diabetes at screening visit (HbA1C > 10%);
  • Prior spinal cord injury, with lower limb paralysis;
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  • History of abdominal or pelvic surgery that may have damaged pelvic nerves, including vulvectomy, colostomy, cytostomy, hysterectomy, or bladder suspension.
  • Current testosterone use, or long-term testosterone use (such as chip) within the past 6 months;
  • Presence of menstrual irregularity or endocrinopathies that significantly alter the menstrual cycle, preventing Cytocam analyses from taking place at the same time;
  • Patients with current depression, characterized by the use or need for use of psychotropic drugs, including bupropion, lithium, or neuroleptics;
  • Presence of genital lesions that impair analysis of local adverse effects on the genitalia;
  • Presence of diseases that cause excessive vaginal discharge, such as recurrent urinary tract infection, vaginal infection and pelvic inflammatory disease.
  • Abnormal Papanicolaou test within the past 3 years;
  • History of gynecological cancer (history of uterine dysplasia can be included, provided it has been properly treated for at least 6 months);
  • History of pelvic irradiation;
  • Use of topical medications in the genital region that may interfere with PSI assessment as well as their absorption or drug interaction, including vaginal estrogens, lubricants, spermicides, creams or gels, vaginal douches;
  • History of symptomatic hypotension, or diseases that increase the risk of symptomatic hypotension, such as patient with heart disease (including history of angina and/or heart failure) and nephropathies;
  • Current use of nitrates, such as propatylnitrate (Sustrate®), isosorbide (Monocordil®, Cincordil®, Isordil®), nitroglycerin (Nitradisc®, Nitroderm TTS®, Nitronal®, Tridil®) and sosorbitol dinitrate (Isocord®)
  • ECG findings that are clinically symptomatic, or that, in the Investigator's judgment, are considered significant and pose a risk to the research volunteer's participation;
  • Findings on laboratory tests that, in the Investigator's judgment, are considered significant and offer risk to the research volunteer's participation or may hinder the study analyses;
  • TSH outside normal limits for age (participants with hypothyroidism on stable dose of medication, over 3 months, may be included);
  • BP outside safe limits: SBP below 90 mmHg or above 170 mmHg; or DBP below 50 mmHg or above 100 mmHg, except for situations such as "white coat" syndrome
  • Severe hypertension, considered as use of three or more antihypertensives;
  • Diseases that can cause clitoral priapism, such as sickle cell anemia, multiple myeloma or leukemia;
  • History of clitoral priapism;
  • Current relevant diarrhea, defined as duration over four weeks, association with abdominal pain or malabsorptive syndrome, or presence of mucus, pus, or blood in the stool;
  • Pregnant or lactating;
  • Current use of nitric oxide donors, guanylate cyclase stimulators (e.g. Riociguat), or 5- phosphodiesterase inhibitors (Sildenafil, Tadalafil, etc.);
  • Any disease or condition or physical finding that the Investigator considers significant and that increases the risk of the research participant's participation or may interfere with the results, including serious debilitating diseases, presence of cancer, serious mental illness, persistent abuse of medication.

Trial locations and contacts

1 site in 1 country.

Brazil1 site, 1 recruiting
  • Centro de Pesquisa Clínica Multiusuário (CePeM)

    Rio de Janeiro, Rio de Janeiro, 20551030

    Ana Kamilla da Cruz Silva, 55 21 28688000, estudofeminino2024@gmail.com

    Recruiting

Other trials in Brazil

About this study

Official title: Phase 2 Clinical Study to Evaluate the Efficacy in Increasing Sexual Arousal, Safety and Tolerability of BZ371A in Gel Form Applied to Women with Sexual Arousal Disorder

To determine the efficacy in increasing sexual arousal, safety and tolerability of BZ371A in gel form applied to women with sexual arousal disorder.

Read the detailed description

FSAD is defined as the recurrent inability to attain or maintain sufficient genital arousal during sexual activity. Therefore, a healthy blood flow is central to the physiological processes related to sexual arousal, leading to genital lubrication, warmth, and clitoral protrusion.

The vasculature and blood flow in vaginal tissue can be compromised due to natural aging and various risk factors, including cigarette smoking, alcohol abuse, lack of exercise, high-fat diets, hypertension, hypercholesterolemia, and diabetes mellitus. All these risk factors and conditions are highly prevalent among women and can lead to FSAD. BZ371A offers a potential solution by increasing blood flow in genital tissue through its unique mechanism of action, thereby restoring vascular homeostasis and the physiological processes related to sexual arousal in women.

Being tested
BZ371A 7.5 mg (1.5 ml), BZ371A 5.0 mg (1.0 ml), BZ371A 2.5 mg (0.5 ml), Placebo (1.5 ml), Placebo (1.0 ml)
Keywords
Female, Sexual arousal disorder, Sexual dysfunction, FSFI questionnaire, Nitric Oxide, Topic
Medical subject headings
Sexual Dysfunctions, Psychological, Sexual Dysfunction, Physiological

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BZ371A 7.5 mg (1.5 ml)Drug

    Also called BZ371A

    7.5 mg gel

  • BZ371A 5.0 mg (1.0 ml)Drug

    Also called BZ371A

    5.0 mg gel

  • BZ371A 2.5 mg (0.5 ml)Drug

    Also called BZ371A

    2.5 mg gel

  • Placebo (1.5 ml)Drug

    Also called Placebo

    BZ371A-matched placebo

  • Placebo (1.0 ml)Drug

    Also called Placebo

    BZ371A-matched placebo

  • Placebo (0.5 ml)Drug

    Also called Placebo

    BZ371A-matched placebo

Study groups in NCT06116045
Study groupRoleWhat they receive
Group A - BZ371A, then PlaceboExperimentalParticipants will first receive topical BZ371A 7.5 mg for daily use for 2 weeks. After a washout period of 2 weeks, they will receive topical Placebo to be used daily for 2 weeks.
Receives: Drug: BZ371A 7.5 mg (1.5 ml); Drug: Placebo (1.5 ml)
Group B - Placebo, then BZ371AExperimentalParticipants will first receive topical Placebo for daily use for 2 weeks. After a washout period of 2 weeks, they will receive topical BZ371A 7.5 mg to be used daily for 2 weeks.
Receives: Drug: BZ371A 7.5 mg (1.5 ml); Drug: Placebo (1.5 ml)
Group C - BZ371A, then PlaceboExperimentalParticipants will first receive topical BZ371A 5.0 mg for daily use for 2 weeks. After a washout period of 2 weeks, they will receive topical Placebo to be used daily for 2 weeks.
Receives: Drug: BZ371A 5.0 mg (1.0 ml); Drug: Placebo (1.0 ml)
Gorup D - Placebo, then BZ371AExperimentalParticipants will first receive topical Placebo for daily use for 2 weeks. After a washout period of 2 weeks, they will receive topical BZ371A 5.0 mg to be used daily for 2 weeks.
Receives: Drug: BZ371A 5.0 mg (1.0 ml); Drug: Placebo (1.0 ml)
Group E - BZ371A, then PlaceboExperimentalParticipants will first receive topical BZ371A 2.5 mg for daily use for 2 weeks. After a washout period of 2 weeks, they will receive topical Placebo to be used daily for 2 weeks.
Receives: Drug: BZ371A 2.5 mg (0.5 ml); Drug: Placebo (0.5 ml)
Group F - Placebo, then BZ371AExperimentalParticipants will first receive topical Placebo for daily use for 2 weeks. After a washout period of 2 weeks, they will receive topical BZ371A 2.5 mg to be used daily for 2 weeks.
Receives: Drug: BZ371A 2.5 mg (0.5 ml); Drug: Placebo (0.5 ml)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Efficacy in increasing arousal

    Evaluation of the efficacy of BZ371A in increasing arousal using Female Sexual Encounter Profile (FSEP) questionnaire. The study will evaluate number of "yes" answers to question 3 in the Female Sexual Encounter Profile (FSEP) questionnaire, divided by the number of valid attempts (question 7 of the FSEP).

    The study will evaluate the increase in the FSEP score based on the baseline FSEP value, obtained before using the BZ371A. Thus, the higher the number of yes answers, the better the efficacy of the drug.

    Measured: Baseline, 4 weeks and 8 weeks

Secondary outcomes (12)
  1. Efficacy in increasing desire, lubrification, orgasm and arousal

    Evaluation of the success rate for desire, lubrification, orgasm and for arousal using Female Sexual Encounter Profile (FSEP). The number of successes for desire will be assessed using FSEP Question 2 / FSEP Question 7, for lubrication FSEP Question 4 / FSEP Question 7, for orgasm FSEP Question 5 / FSEP Question 7 and for the degree of arousal FSEP Question 6 / FSEP Question 7.

    For each question, the number of "yes" answers will be counted as success. Therefore, for each "no" answer the value will be 0 and for each "yes" answer the value will be 1.

    Measured: Baseline, 4 weeks and 8 weeks

  2. Evaluation of the quality of female sexual encounters

    Evaluation based on the total score of the Female Sexual Encounter Profile (FSEP) questionnaire. The score ranges from 0 to 9. Therefore, the higher the score, the better the participant's sexual encounter.

    Measured: Baseline, 4 weeks and 8 weeks

  3. Efficacy in increasing genital blood flow

    Evaluation of the efficacy of BZ371A in increasing genital blood flow using Cytocam system

    Measured: Baseline, 4 weeks (pre-dose, 15, 30, 60, 90 and 120 minutes) and 8 weeks (pre-dose, 15, 30, 60, 90 and120 minutes)

  4. Female Sexual Function Index (FSFI)

    Evaluation of the score for each domain (Desire, Arousal, Lubrication, Orgasm, Satisfaction, Pain) using the Female Sexual Function Index (FSFI) questionnaire. The score ranges from 2 to 36. Thus, the higher the score, the better the participant's sexual satisfaction.

    Measured: Baseline, 4 weeks and 8 weeks

  5. Assessment of treatment satisfaction

    Response rate to the Global Assessment Question (GAQ), by the number of "yes" answers to the question about arousal and sexual pleasure.

    Measured: 4 weeks after baseline and 8 weeks after baseline

  6. Adverse effects report

    Adverse effects evaluation of compound use and application

    Measured: 4 weeks after baseline, 8 weeks after baseline and, approximately, 11 weeks after baseline

  7. Physical examination of the genitalia

    Number of participants with abnormal physical exam findings in the applied region.

    Measured: From up to 30 days before Baseline, Baseline, 4 weeks, 8 weeks and, approximately, 11 weeks

  8. Change in systemic blood pressure

    Change in Diastolic Blood Pressure and Systolic Blood Pressure

    Measured: From up to 30 days before Baseline, Baseline, 4 weeks, 8 weeks and, approximately, 11 weeks

  9. Change in Heart Rate (HR)

    Change in Heart Rate

    Measured: From up to 30 days before Baseline, Baseline, 4 weeks, 8 weeks and, approximately, 11 weeks

  10. Basal chest electrocardiogram (ECG)

    Number of participants with abnormal electrocardiogram (ECG) findings.

    Measured: From up to 30 days before Baseline, 4 weeks after baseline, 8 weeks after baseline

  11. Blood evaluation

    Number of participants with abnormal laboratory test results

    Measured: From up to 30 days before Baseline, 4 weeks after baseline and 8 weeks after baseline

  12. Urine evaluation

    Number of participants with abnormal laboratory test results

    Measured: From up to 30 days before Baseline, 4 weeks after baseline and 8 weeks after baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Nov 2023
  2. Study start1 Oct 2024
  3. Primary completion1 Feb 2025 (estimated)
  4. Study completion31 Mar 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
30 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06116045
Sponsor's protocol ID
BZ371CLI601
Status last verified
Oct 2024
First submitted
18 Oct 2023
Last updated
22 Oct 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing BZ371A 7.5 mg (1.5 ml), BZ371A 5.0 mg (1.0 ml) and BZ371A 2.5 mg (0.5 ml) in people with Female Sexual Arousal Disorder and Female Sexual Dysfunction, run by Biozeus Biopharmaceutical S.A. at 1 site in Brazil.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 29 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 22 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Brazil. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Camilla Trindade, PhD (+55 21 25239089, camilla.nunes@biozeus.com.br), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Efficacy in increasing arousal (time frame: Baseline, 4 weeks and 8 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Oct 2024.

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