About this trial
This is a Phase 2a, double-blind, placebo-controlled, crossover study evaluating the efficacy, safety, and patient-reported outcomes of KH-001 in men with lifelong premature ejaculation (LPE). Approximately 40 participants will receive KH-001 or placebo in two 4-week treatment periods separated by a washout.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male participants aged 18 to 65 years (inclusive) at the time of informed consent.
In a stable (≥6 months) monogamous heterosexual relationship.
Self-reported lifelong premature ejaculation (LPE), meeting the ISSM definition.
Intravaginal Ejaculatory Latency Time (IELT) ≤1 minute on at least 75% of intercourse attempts during the 4-week run-in period.
Disqualifiers
IELT >1 minute on more than 25% of attempts during the run-in period.
Fewer than 4 intercourse attempts during the run-in period.
Self-rated control of ejaculation as fair, good, or very good on the PEP.
Low personal distress ("not at all" or "a little bit") on the PEP.
Trial design
Crossover
Treatments tested in this trial
KH-001 ODT
DrugKH-001 besylate formulated as an orally disintegrating tablet (ODT), administered sublingually on demand 15 minutes before vaginal penetration, with intake limited to one dose (2 tablets) per day during the treatment periods.
Placebo ODT
DrugMatching placebo orally disintegrating tablet (ODT), administered sublingually on demand 15 minutes before vaginal penetration, with intake limited to one dose (2 tablets) per day during the treatment periods.
Treatment groups
Trial outcomes
Primary outcomes
Change in Geometric Mean Intravaginal Ejaculatory Latency Time (IELT) from Baseline
The primary endpoint is the change in geometric mean IELT from baseline during each 4-week treatment period (KH-001 vs. placebo). IELT will be measured using a stopwatch by the participant's partner.
Secondary outcomes
Fold Change in Geometric Mean IELT from Baseline
Assessment of the fold change in geometric mean IELT for KH-001 compared to baseline and placebo.
Change in Arithmetic Mean IELT from Baseline
Assessment of the arithmetic mean IELT change from baseline for each treatment period.
Improvement in Patient Global Impression of Change (PGIC)
Proportion of patients reporting at least "better" on the PGIC scale following KH-001 treatment compared to placebo.
Improvement in Patient Global Impression of Severity (PGIS)
Proportion of patients showing at least a one-category improvement in PGIS if baseline severity was moderate or worse.
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