Clinical trial • Phase IV | Phase II • Other

N-[4-[2-[4-(3-CYANOPHENYL)PIPERAZIN-1-YL]ETHYL]CYCLOHEXYL]-3-METHOXYPROPANAMIDE for Primary premature ejaculation | Premature ejaculation

Phase IV | Phase II trial of N-[4-[2-[4-(3-CYANOPHENYL)PIPERAZIN-1-YL]ETHYL]CYCLOHEXYL]-3-METHOXYPROPANAMIDE for Primary premature ejaculation | Premature…

Overview

Trial Therapeutic Area
Other
Trial Disease
Primary premature ejaculation | Premature ejaculation
Trial Stage
Phase IV | Phase II
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
14-02-2025
First CTIS Authorization Date
02-06-2025

Trial design

Randomised, active: bp1.4979 (oral tablet) administered per requested need; product info lists max daily dose 60 mg and max total dose 5040 mg. comparator/placebo: matches test product (placebo). no detailed dosing schedule provided beyond 'per requested need'.-controlled Phase IV | Phase II trial in France.

Randomised
Yes
Comparator
Active: BP1.4979 (oral tablet) administered per requested need; product info lists max daily dose 60 mg and max total dose 5040 mg. Comparator/placebo: Matches test product (placebo). No detailed dosing schedule provided beyond 'per requested need'.
Target Sample Size
75
Trial Duration For Participant
84

Eligibility

Recruits 75 No vulnerable populations selected; participants must be able to provide informed consent and must "sign and date an informed consent prior to any study specific procedure". No assent or special consent procedures for minors or other vulnerable groups are described..

Vulnerable Population
No vulnerable populations selected; participants must be able to provide informed consent and must "sign and date an informed consent prior to any study specific procedure". No assent or special consent procedures for minors or other vulnerable groups are described.

Inclusion criteria

  • {"criterion_text":"- 1. Males aged 18 to 50 years old (both inclusive)"}
  • {"criterion_text":"- 2.\tDiagnosis of primary (life long) PE (premature ejaculation) according to the investigator"}
  • {"criterion_text":"- 3.\tIntravaginal Ejaculatory Latency Time (IELT) estimated by the patient around one (1) minute at screening"}
  • {"criterion_text":"- 4.\tConfirmation at randomization visit (Visit 1) that at least 3 timed sexual intercourses with each IELT below 90 seconds occurred during the baseline period"}
  • {"criterion_text":"- 5.\tPatient must be able to provide an informed consent and voluntarily express a willingness to participate in this study, and must sign and date an informed consent prior to any study specific procedure"}
  • {"criterion_text":"- 6.\tCapability to participate in all study tests according to the investigator"}

Exclusion criteria

  • {"criterion_text":"- 1.\tDiagnosis of acquired PE, pseudo-PE or natural variable PE"}
  • {"criterion_text":"- 10.\tPsycho-behavioral therapies, if already ongoing, must be in place at least 4 weeks prior to screening and not modified (type of reeducation and interval between sessions) till the end of treatment (EoT) visit"}
  • {"criterion_text":"- 11.\tHistory of hypersensitivity to any of the study drug constituents"}
  • {"criterion_text":"- 12.\tPatients currently participating in another interventional study and/or having used any investigational therapy within the 30 days prior to screening visit, or a longer and more appropriate time as determined by the investigator (e.g., approximately five half-lives of the previous investigational drug)"}
  • {"criterion_text":"- 13.\tPatient not affiliated to a social security scheme"}
  • {"criterion_text":"- 2.\tHistory of clinically significant abnormalities comprising cardiovascular (including especially prolonged QTc (>450 ms) and high degree (second and third) atrio-ventricular blocks)), hematological, neurological, and endocrine diseases"}
  • {"criterion_text":"- 3.\tPatients at risk of suicide according to the investigator"}
  • {"criterion_text":"- 4.\tOther active clinically significant illness or neoplastic pathology within the last 5 years which could interfere with the study conduct or counter-indicate the study treatments or place the patient at risk during the study or compromise his study participation"}
  • {"criterion_text":"- 5.\tConcomitant prolactin-dependent tumour (e.g., pituitary tumour or breast cancer)"}
  • {"criterion_text":"- 6.\tPatient who has a laboratory abnormality at screening as follows: •\tALT, AST values > 2 x upper limit of normal (ULN) •\tSerum creatinine value >1.5 x ULN •\tAbsolute neutrophils count <1.0 x10^9 /L •\tPlatelets < 100 x10^9 /L •\tor who has any other uncontrolled clinically significant laboratory abnormalities that would affect interpretation of the study data or the patient’s participation in the study."}
  • {"criterion_text":"- 7.\tCurrent therapy with any treatment which may impact PE (including but not limited to dapoxetine, SSRIs, tricyclic antidepressants, tramadol, topical anesthetics, prilocaine/lidocaine, PDE5-inhibitors, and duloxetine) from 4 weeks prior to screening visit"}
  • {"criterion_text":"- 8.\tCurrent therapy with any treatment displaying dopamine D3 receptor agonist properties, including but not limited to: MAO inhibitors antidepressants (iproniazide, moclobemide), antipsychotics (aripiprazole, olanzapine, risperidone, quetiapine), dopamine agonists (metoclopramide, metopimazine, pramipexole, ropinirole, L-Dopa), long-acting benzodiazepines (nitrazepam, bromazepam, diazepam, clobazam, prazepam, clorazepate), antiepileptic drugs (topiramate, zonisamide, lamotrigine) from 4 weeks prior to the screening visit"}
  • {"criterion_text":"- 9.\tConcomitant intake of psychoactive / chem-sex substances, including, but not limited to, methamphetamine, gamma-hydroxybutyrate, gamma-butyrolactone or mephedrone from screening visit"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The primary efficacy endpoint is the mean change on the IELT mean post-baseline values (IELTf) collected from the randomization visit to the end of treatment visit compared to the IELT mean of pre-baseline values (IELTb) collected prior to the randomization visit.","definition_or_measurement_approach":"Mean change in Intravaginal Ejaculatory Latency Time (IELT): comparison of mean post-baseline IELT (IELTf) collected from randomization to end of treatment versus pre-baseline mean IELT (IELTb) collected prior to randomization."}

Secondary endpoints

  • {"endpoint_text":"- Change in the ejaculatory control per sexual encounter measured by a 4-point Likert scale from Visit 1 to Visit 4 in BP1.4979-treated versus placebo-treated patients","definition_or_measurement_approach":"Measured by a 4-point Likert scale comparing Visit 1 to Visit 4."}
  • {"endpoint_text":"- Change in the overall ejaculatory control measured by a 5-point Likert scale from Visit 1 to Visit 4 in BP1.4979-treated versus placebo-treated patients","definition_or_measurement_approach":"Measured by a 5-point Likert scale comparing Visit 1 to Visit 4."}
  • {"endpoint_text":"- Change in the Male Sexual Health Questionnaire (MSHQ) total score from Visit 1 to Visit 4 in BP1.4979-treated versus placebo-treated patients","definition_or_measurement_approach":"Change in MSHQ total score between Visit 1 and Visit 4."}
  • {"endpoint_text":"- Change in the Male Sexual Health Questionnaire (MSHQ) sub-score erection scale from Visit 1 to Visit 4 in BP1.4979-treated versus placebo-treated patients","definition_or_measurement_approach":"Change in MSHQ erection sub-score between Visit 1 and Visit 4."}
  • {"endpoint_text":"- Change in the Male Sexual Health Questionnaire (MSHQ) sub-score ejaculation scale from Visit 1 to Visit 4 in BP1.4979-treated versus placebo-treated patients","definition_or_measurement_approach":"Change in MSHQ ejaculation sub-score between Visit 1 and Visit 4."}
  • {"endpoint_text":"- Change in the Male Sexual Health Questionnaire (MSHQ) sub-score ejaculation dysfunction bother item from Visit 1 to Visit 4 in BP1.4979-treated versus placebo-treated patients","definition_or_measurement_approach":"Change in MSHQ ejaculation dysfunction bother item between Visit 1 and Visit 4."}
  • {"endpoint_text":"- Change in the Male Sexual Health Questionnaire (MSHQ) sub-score ejaculation satisfaction scale from Visit 1 to Visit 4 in BP1.4979-treated versus placebo-treated patients","definition_or_measurement_approach":"Change in MSHQ ejaculation satisfaction sub-score between Visit 1 and Visit 4."}
  • {"endpoint_text":"- Change in the Male Sexual Health Questionnaire (MSHQ) sub-score sexual activity and desire scale from Visit 1 to Visit 4 in BP1.4979-treated versus placebo-treated patients","definition_or_measurement_approach":"Change in MSHQ sexual activity and desire sub-score between Visit 1 and Visit 4."}
  • {"endpoint_text":"- Patient Global Impression Scale - Improvement (PGI-I) at visit 4 only","definition_or_measurement_approach":"PGI-I measured at Visit 4 only."}

Recruitment

Planned Sample Size
75
Recruitment Window Months
17
Consent Approach
Participant must be able to provide informed consent: "Patient must be able to provide an informed consent and voluntarily express a willingness to participate in this study, and must sign and date an informed consent prior to any study specific procedure". Adult informed consent (participants aged 18-50). A subject information sheet and informed consent form document is listed (L1_SIS and ICF adult_redacted) but specific languages or assent procedures are not specified in the available data.

Geography

Total Number Of Sites
16
Total Number Of Participants
75

France

Earliest CTIS Part Ii Submission Date
14-04-2025
Latest Decision Or Authorization Date
20-11-2025
Processing Time Days
220
Number Of Sites
16
Number Of Participants
75

Sites

Site Name
Hopital Prive La Chataigneraie
Department Name
Urology and andrology
Principal Investigator Name
Bertrand Long
Principal Investigator Email
bertrandlong@hotmail.fr
Contact Person Name
Bertrand Long
Contact Person Email
bertrandlong@hotmail.fr
Site Name
Hospices Civils De Lyon
Department Name
Urology
Principal Investigator Name
Damien Carnicelli
Principal Investigator Email
damien.carnicelli@chu-lyon.fr
Contact Person Name
Damien Carnicelli
Contact Person Email
damien.carnicelli@chu-lyon.fr
Site Name
Centre Hospitalier Universitaire De Rennes
Department Name
Urology
Principal Investigator Name
Lucas Freton
Principal Investigator Email
lucas.freton@chu-rennes.fr
Contact Person Name
Lucas Freton
Contact Person Email
lucas.freton@chu-rennes.fr
Site Name
Centre Hospitalier Universitaire De Toulouse
Department Name
Urology
Principal Investigator Name
Eric Huygue
Principal Investigator Email
huygue.sec@chu-toulouse.fr
Contact Person Name
Eric Huygue
Contact Person Email
huygue.sec@chu-toulouse.fr
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Urology
Principal Investigator Name
Morgan Roupret
Principal Investigator Email
morgan.roupret@aphp.fr
Contact Person Name
Morgan Roupret
Contact Person Email
morgan.roupret@aphp.fr
Site Name
Centre Hospitalier Universitaire De Nimes
Department Name
Urology
Principal Investigator Name
Stéphane Droupy
Principal Investigator Email
stephane.droupy@chu-nimes.fr
Contact Person Name
Stéphane Droupy
Contact Person Email
stephane.droupy@chu-nimes.fr
Site Name
Centre Hospitalier Universitaire Rouen
Department Name
Urology
Principal Investigator Name
Hugo Dupuis
Principal Investigator Email
hugo.dupuis@chu-rouen.fr
Contact Person Name
Hugo Dupuis
Contact Person Email
hugo.dupuis@chu-rouen.fr
Site Name
Centre Hospitalier Et Universitaire De Limoges
Department Name
Urological and andrological surgery
Principal Investigator Name
Aurélien Descazeaud
Principal Investigator Email
aurelien.descazeaud@chu-limoges.fr
Contact Person Name
Aurélien Descazeaud
Site Name
Maison De Sante Protestante Bagatelle
Department Name
Urology
Principal Investigator Name
Ludovic Ferretti
Principal Investigator Email
l.ferretti@mspb.com
Contact Person Name
Ludovic Ferretti
Contact Person Email
l.ferretti@mspb.com
Site Name
Ug Clinique Mutualiste De La Porte De L'orient
Department Name
Urology
Principal Investigator Name
Jean-Pierre Graziana
Principal Investigator Email
jp.graziana@hospigrandouest.fr
Contact Person Name
Jean-Pierre Graziana
Contact Person Email
jp.graziana@hospigrandouest.fr
Site Name
Institut Mutualiste Montsouris
Department Name
Medically assisted procreation
Principal Investigator Name
Mehdi Dahoun
Principal Investigator Email
mehdi.dahoun@imm.fr
Contact Person Name
Mehdi Dahoun
Contact Person Email
mehdi.dahoun@imm.fr
Site Name
Les Hopitaux Universitaires De Strasbourg
Department Name
Urology
Principal Investigator Name
Pierre Werlé
Principal Investigator Email
pierre.werle@chru-strasbourg.fr
Contact Person Name
Pierre Werlé
Site Name
Hopital Prive Drome-Ardeche
Department Name
Urology
Principal Investigator Name
Ibrahim Bah-Clozel
Principal Investigator Email
ibahclo@yahoo.fr
Contact Person Name
Ibrahim Bah-Clozel
Contact Person Email
ibahclo@yahoo.fr
Site Name
Hospital Edouard Herriot
Department Name
Urology and Transplantation
Principal Investigator Name
Béatrice Cuzin
Principal Investigator Email
beatrice.cuzin@chu-lyon.fr
Contact Person Name
Béatrice Cuzin
Contact Person Email
beatrice.cuzin@chu-lyon.fr
Site Name
Centre Hospitalier Universitaire Amiens Picardie
Department Name
Urology
Principal Investigator Name
Manuel Demailly
Principal Investigator Email
demailly.manuel@chu-amiens.fr
Contact Person Name
Manuel Demailly
Contact Person Email
demailly.manuel@chu-amiens.fr
Site Name
Hopital Prive De La Loire
Department Name
Urology
Principal Investigator Name
Victor Soulier
Principal Investigator Email
drvictorsoulier@gmail.com
Contact Person Name
Victor Soulier
Contact Person Email
drvictorsoulier@gmail.com

Sponsor

Primary sponsor

Full Name
Bioprojet Pharma
Organisation Type
Pharmaceutical company
Country Of Registered Address
France

Investigational products

Investigational Product Name
BP1.4979
Active Substance
N-[4-[2-[4-(3-CYANOPHENYL)PIPERAZIN-1-YL]ETHYL]CYCLOHEXYL]-3-METHOXYPROPANAMIDE
Modality
Small molecule
Routes Of Administration
Oral
Route
Oral
Authorisation Status
No marketing authorisation indicated (investigational)
Frequency
Per requested need (as needed)
Maximum Dose
60 mg (max daily); max total 5040 mg
Investigational Product Name
Matches test product
Modality
Other

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