Evaluation of Safety and Effectiveness of 2 Lower Dose Combined PDE5i's Versus Single Maximal Dose PDE5i Treatment
Recruitment status was Not yet recruiting
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Purpose
Clinical effectiveness is of the finest tools to evaluate treatment success and is combined of 3 elements: treatment effectivity, side effect profile and patient compliance. Since the 3 main PDE5i's differ in their molecular structure, therapeutic profile and pharmacokinetics, it seems logical to assume that combining 2 different PDE5i's at lower dosage each may be beneficial in comparison to a single PDE5i maximal dose therapy. The aim of this study is to compare the clinical effectiveness of combination therapy (2 lower-dose PDE5i's) versus single maximal dose PDE5i therapy.
| Condition | Intervention | Phase |
|---|---|---|
|
Erectile Dysfunction |
Drug: Sildenafil 100 mg Drug: Tadalafil 20 mg Drug: Combination half of maximal dose for sildenafil & tadalafil |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Prospective, Randomized, 3-arm Parallel Trial to Evaluate the Safety and Clinical Effectiveness of 2 Lower Dose Combined PDE5i's vs. Single Maximal Dose PDE5i Treatment |
- International Index of Erectile Function-Erectile Dysfunction (IIEF-ED) Domain Score [ Time Frame: Every visit- altogether 3 months ] [ Designated as safety issue: No ]At each visit after use of different treatment each time
- Erection Hardness Scale [ Time Frame: Each visit- altogether 3 months ] [ Designated as safety issue: No ]At each visit after use of different treatment each time
| Estimated Enrollment: | 30 |
| Study Start Date: | June 2011 |
| Estimated Study Completion Date: | July 2012 |
| Estimated Primary Completion Date: | June 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Maximal dose sildenafil
4 tablets of sildenafil 100mg are given for on demand use
|
Drug: Sildenafil 100 mg
4 tablets for on demand use
Other Name: Viagra
|
|
Active Comparator: Tadalafil 20mg maximal dose
4 tablets of tadalafil 20mg are given for on demand use
|
Drug: Tadalafil 20 mg
4 tablets on demand
Other Name: Cialis
|
|
Active Comparator: Combination half dose
4 tablets of sildenafil 50mg and tadalafil 10mg are given for on demand use
|
Drug: Combination half of maximal dose for sildenafil & tadalafil
4 tablets on demand
Other Name: Combination
|
Detailed Description:
This will be a prospective, randomized, 3-arm parallel trial on 60 males with erectile dysfunction (ED) that have never been exposed to PDE5i therapy (naïve patients) will be enrolled. In each group, every patient will receive three treatment regimes (Viagra®50mg & Cialis®10mg, Viagra®100mg, Cialis®20mg), in different sequences of administration.
Eligibility| Ages Eligible for Study: | 35 Years to 75 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age ranging between 35-75 years.
- Sexually active
- IIEF ED domain score 22 and below
Exclusion Criteria:
- Subjects with premature ejaculation as their main sexual complaint.
- Subjects with severe cardiovascular disease
- Subjects with Contraindications to PDE5i therapy. Namely patients receiving treatment with nitrate based medication or patients that for various reasons cannot take PDE5 inhibitors (i.e severe coronary disease, liver or renal failure, concomitant medications, etc.).
Contacts and Locations| Contact: Ilan Gruenwald, MD | 0097248542882 | i_gruenwald@rambam.health.gov.il |
| Contact: Yoram Vardi, Prof. | 0097248542819 | yvardi@rambam.health.gov.il |
| Israel | |
| Rambam Health Care Campus | Not yet recruiting |
| Haifa, Israel | |
| Contact: Ilan Gruenwald, MD 0097248542882 i_gruenwald@rambam.health.gov.il | |
| Principal Investigator: | Yoram Vardi, Prof. | Rambam Health Care Campus |
More Information
No publications provided
| Responsible Party: | Ilan Gruenwald MD, Rambam Health Care Campus |
| ClinicalTrials.gov Identifier: | NCT01364701 History of Changes |
| Other Study ID Numbers: | 0449-10-RMB |
| Study First Received: | May 18, 2011 |
| Last Updated: | June 17, 2011 |
| Health Authority: | Israel: Ministry of Health |
Keywords provided by Rambam Health Care Campus:
|
Erectile dysfunction combination therapy Sildenafil |
tadalafil PDE5i No Conditions |
Additional relevant MeSH terms:
|
Sexual Dysfunction, Physiological Erectile Dysfunction Genital Diseases, Male Sexual Dysfunctions, Psychological Sexual and Gender Disorders Mental Disorders Sildenafil Tadalafil |
Vasodilator Agents Cardiovascular Agents Therapeutic Uses Pharmacologic Actions Phosphodiesterase 5 Inhibitors Phosphodiesterase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on May 22, 2013