Full Press Release Details
For Immediate Release November 1, 2016
Bremelanotide Meets Co-Primary Endpoints in
Palatin's Phase 3 Trials for Hypoactive Sexual Desire
Both Phase 3 Reconnect Studies of bremelanotide for hypoactive
sexual desire disorder (HSDD) in premenopausal women met the
pre-specified co-primary efficacy endpoints of improvement in
desire and decrease in distress associated with low sexual desire
as measured using validated patient-reported outcome
The Female Sexual Function Index: Desire Domain (FSFI-D) showed a
statistically significant increase for bremelanotide compared to
placebo in both trials
Study 301: Mean change of 0.54 vs. 0.24, median change of 0.60 vs.
0.00, p=0.0002; and,
Study 302: Mean change of 0.63 vs. 0.21, median change of 0.60 vs.
The Female Sexual Distress Scale - Desires/Arousal/Orgasm
(FSDS-DAO) Item 13 showed a statistically significant reduction in
distress related to low sexual desire for bremelanotide compared to
placebo in both trials
Study 301: Mean change of -0.74 vs. -0.35, median change of -1.0
vs. 0.0, p<0.0001; and,
Study 302: Mean change of -0.71 vs. -0.41, median change of -1.0
New Drug Application (NDA) to the FDA targeted for the second half
Conference call and audio webcast at 9:00 am ET tomorrow, November
NJ November 1, 2016 Palatin Technologies, Inc.
(NYSE MKT: PTN), a biopharmaceutical company developing targeted,
receptor-specific peptide therapeutics for the treatment of
diseases with significant unmet medical need and commercial
potential, today announced positive, statistically significant
top-line results from the Reconnect Studies, its Phase 3 clinical
trial program of lead drug candidate bremelanotide. The Reconnect
Studies, investigating bremelanotide as an on-demand treatment for
premenopausal women diagnosed with hypoactive sexual desire
disorder ( HSDD ), met the pre-specified co-primary
efficacy endpoints in both Phase 3 clinical trials.
could not be more pleased with the bremelanotide Phase 3 co-primary
endpoint results. Women with HSDD using bremelanotide had
clinically meaningful and statistically significant improvements in
their desire and associated distress which are the defining
clinical issues for an HSDD diagnosis, said Carl Spana,
Ph.D., President and Chief Executive Officer of Palatin. I
am especially grateful to all of the women who volunteered to be a
part of these studies. I would also like to thank Palatin's
employees and the many consultants and third-parties that
contributed to the advancement of
D. Lucas, M.D., Chief Medical Officer of Palatin, said, In
Phase 3 trials bremelanotide was used as needed by premenopausal
women with HSDD, with a single dose self-administered in
anticipation of sexual activity. The Phase 3 studies demonstrated
that bremelanotide provided a meaningful benefit for those patients
who responded to the drug candidate. We look forward to the
opportunity to provide a new and differentiated treatment option to
the many women suffering from HSDD.
sexual desire disorder is the most prevalent form of female sexual
dysfunction, said Sheryl A. Kingsberg, Ph.D., Professor of
Reproductive Biology at Case Western Reserve University School of
Medicine, Division Chief, OB/GYN Behavioral Medicine, at University
Hospitals Cleveland Medical Center, and a clinical investigator in
the Reconnect Studies. The distress component of HSDD
reflects the profound negative impact that this condition can have
on women's self-image, relationships and quality of life well
outside the bedroom. In the Phase 3 trials we saw significant
reduction in distress with use of
expects to present additional results from the Reconnect Studies at
future sexual medicine and women's health conferences and in
peer reviewed journal publications.
Reconnect Studies Top-line Results Overview
Reconnect Studies consist of two randomized, double-blinded,
placebo-controlled Phase 3 studies, comparing the efficacy and
safety of bremelanotide versus placebo in premenopausal women
diagnosed with HSDD. The Reconnect Studies randomized 1,267 women
with HSDD. The primary efficacy analysis population was the
modified intent-to-treat (MITT) patient population, consisting of
1,202 women with HSDD in the United States and Canada. Patients
self-administered either 1.75 mg of bremelanotide or placebo as
needed in anticipation of sexual activity. The double blind or
efficacy portion of each study consisted of a 24-week treatment
evaluation period. The open-label safety extension portion of the
Reconnect Studies is ongoing.
on discussions with the FDA, it was decided that the co-primary
endpoints for the Phase 3 clinical trials were the Female Sexual
Function Index: Desire Domain (FSFI-D) and Female Sexual Distress
Scale-Desires/Arousal/Orgasm (FSDS-DAO) Item 13. Satisfying sexual
events is a secondary endpoint. The FSFI-D is a validated patient
reported outcome measurement tool of sexual desire in the context
of overall sexual function. The FSDS-DAO Item 13 is a validated
patient reported outcome measurement tool of distress related to
sexual dysfunction, measuring personal distress associated with low
significance of co-primary endpoint study results was evaluated by
an independent committee using multiple anchors of patient
assessment of benefit, consistent with discussions with the FDA and
Significance for the FSFI-D Subscale: Based on application of three
selected anchors, a median value of 0.6 was set for defining
clinical significance in baseline to endpoints changes in FSFI-D
Significance for the FSDS-DAO Item 13 Score: Based on application
of three selected anchors, a median value of 1.0 point improvement
in FSDS-DAO Item 13 scores was set for defining clinical
preliminary review of the overall safety population (1,247
patients), bremelanotide appeared to be well tolerated. The most
frequent adverse event was nausea, which was generally mild in
nature. The safety profile of bremelanotide was consistent with