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A Multicenter, Double-Blind Study to Evaluate the Effect of Pretreatment With a Daily Dose of Sildenafil on the As-Needed Efficacy of Viagra in Men With Erectile Dysfunction and Type 2 Diabetes
This study has been completed.
First Received: March 20, 2008   No Changes Posted
Sponsor: Pfizer
Information provided by: Pfizer
ClinicalTrials.gov Identifier: NCT00645268
  Purpose

To determine the effect on erectile function in a population of type 2 diabetic men with erectile dysfunction who have undergone the following treatment regimen: pre-treatment with a daily dose of double-blind sildenafil versus placebo for 4 weeks (Phase I) followed by an as-needed, flexible-dose, open-label treatment phase with sildenafil for 12 weeks (Phase II). To assess safety and tolerability of this dosing regimen and to investigate its effects on endothelial function and subject's responses to the Self-Esteem And Relationship (SEAR) questionnaire.


Condition Intervention Phase
Erectile Dysfunction
Diabetes Mellitus, Type 2
Drug: sildenafil
Drug: placebo
Phase IV

Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Investigator), Parallel Assignment, Safety/Efficacy Study
Official Title: A Multicenter, Double-Blind Study to Evaluate the Effect of Pretreatment With a Daily Dose of Viagra® (Sildenafil Citrate) on the PRN Efficacy of Viagra in Men With Erectile Dysfunction and Type 2 Diabetes

Resource links provided by NLM:


Further study details as provided by Pfizer:

Primary Outcome Measures:
  • The IIEF Erectile Function (EF) Domain score [ Time Frame: Week 4 ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Intercourse success rate based on Event Logs [ Time Frame: continuous ] [ Designated as safety issue: No ]
  • Ability to obtain an erection hard enough to attempt sexual intercourse post dose of sildenafil [ Time Frame: continuous ] [ Designated as safety issue: No ]
  • Responses to the Self-Esteem And Relationship (SEAR) Questionnaire (including individual domain scores for the Sexual Activity, Self-Esteem And Relationship domains) [ Time Frame: Week 16 ] [ Designated as safety issue: No ]
  • Responses to International Index of Erectile Function (IIEF) and secondary IIEF Domain scores (Orgasm; Desire; Intercourse Satisfaction; Overall Satisfaction) [ Time Frame: Week 16 ] [ Designated as safety issue: No ]
  • Reponses to the Global Efficacy Assessment Questions [ Time Frame: Week 16 ] [ Designated as safety issue: No ]
  • Flow mediated brachial artery dilation (FMD) as an index of generalized endothelial function [ Time Frame: Week 4, 6, and 16 ] [ Designated as safety issue: No ]

Estimated Enrollment: 300
Study Start Date: December 2002
Study Completion Date: January 2004
Arms Assigned Interventions
Arm 1: Active Comparator Drug: sildenafil
In the double-blind phase, patients received sildenafil 50 mg once daily during Week 1 (7 doses), followed by a daily dose of sildenafil 100 mg during the next 3 weeks.
Arm 2: Placebo Comparator Drug: placebo
In the double-blind phase, patients received placebo once daily during Week 1 (7 doses), followed by a daily dose of placebo during the next 3 weeks.
Open-Label Arm Drug: sildenafil
Eligible subjects then entered an open-label phase during which all subjects received sildenafil 50 mg as needed for sexual activity for the next 2 weeks, which could be titrated to either 25 mg or 100 mg based on the investigator's assessment of efficacy and tolerability, for 10 weeks (12 weeks total).

  Eligibility

Ages Eligible for Study:   35 Years to 70 Years
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

Patients had a documented clinical diagnosis of erectile dysfunction, a sexual partner for the duration of the study, and have a HbAlc of less than or equal to 10 at screening. Type 2 diabetic patients currently on insulin or on combination therapy with an oral hypoglycemic agent were not excluded.

Exclusion Criteria:

Excluded were subjects who had taken more than 6 doses of any PDE5 inhibitor and/or had taken their last dose less than 4 weeks prior to the screening visit; subjects with resting sitting and/or standing hypotension (BP < 90/50mmHg) or hypertension (BP > 170/110mmHg); and subjects with significant cardiovascular disease, including cardiac failure, myocardial infarction, unstable angina, stroke or transient ischemic attack (TIA), symptomatic or clinically significant cardiac arrhythmias including atrial fibrillation in the last 3 months.

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00645268

  Hide Study Locations
Locations
United States, Alabama
Pfizer Investigational Site
Huntsville, Alabama, United States, 35801
United States, Arizona
Pfizer Investigational Site
Phoenix, Arizona, United States, 85006
United States, California
Pfizer Investigational Site
LaJolla, California, United States, 92037
Pfizer Investigational Site
Beverly Hills, California, United States, 90212
Pfizer Investigational Site
SAN DIEGO, California, United States, 92161
Pfizer Investigational Site
Duarte, California, United States, 91010
Pfizer Investigational Site
La Jolla, California, United States, 92093
Pfizer Investigational Site
LOS ANGELES, California, United States, 90048
Pfizer Investigational Site
LAGUNA WOODS, California, United States, 92653
United States, Connecticut
Pfizer Investigational Site
NORWALK, Connecticut, United States, 06850
Pfizer Investigational Site
WATERBURY, Connecticut, United States, 06708
United States, Indiana
Pfizer Investigational Site
New Albany, Indiana, United States, 47150
United States, Kansas
Pfizer Investigational Site
Overland Park, Kansas, United States, 66211
United States, Louisiana
Pfizer Investigational Site
New Orleans, Louisiana, United States, 70112
United States, Maryland
Pfizer Investigational Site
Baltimore, Maryland, United States, 21224
Pfizer Investigational Site
Baltimore, Maryland, United States, 21287
United States, Massachusetts
Pfizer Investigational Site
Boston, Massachusetts, United States, 02215
United States, Minnesota
Pfizer Investigational Site
MINNEAPOLIS, Minnesota, United States, 55416
United States, Missouri
Pfizer Investigational Site
ST. LOUIS, Missouri, United States, 63104
Pfizer Investigational Site
Richmond Heights, Missouri, United States, 63117
United States, New York
Pfizer Investigational Site
Buffalo, New York, United States, 14209
United States, Oregon
Pfizer Investigational Site
Portland, Oregon, United States, 97201
Pfizer Investigational Site
MEDFORD, Oregon, United States, 97504
United States, Texas
Pfizer Investigational Site
SAN ANTONIO, Texas, United States, 78217
Pfizer Investigational Site
San Antonio, Texas, United States, 78229-3894
United States, Washington
Pfizer Investigational Site
TACOMA, Washington, United States, 98023
Pfizer Investigational Site
Tacoma, Washington, United States, 98405
Pfizer Investigational Site
KIRKLAND, Washington, United States, 98034
Pfizer Investigational Site
Kirkland, Washington, United States, 98034
Canada
Pfizer Investigational Site
CALGARY, Canada, T2N2T9
Sponsors and Collaborators
Pfizer
Investigators
Study Director: Pfizer CT.gov Call Center Pfizer
  More Information

Additional Information:
No publications provided

Responsible Party: Pfizer, Inc. ( Director, Clinical Trial Disclosure Group )
Study ID Numbers: A1481146
Study First Received: March 20, 2008
Last Updated: March 20, 2008
ClinicalTrials.gov Identifier: NCT00645268     History of Changes
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Sexual Dysfunctions, Psychological
Vasodilator Agents
Metabolic Diseases
Molecular Mechanisms of Pharmacological Action
Diabetes Mellitus
Endocrine System Diseases
Enzyme Inhibitors
Sildenafil
Cardiovascular Agents
Genital Diseases, Male
Sexual and Gender Disorders
Pharmacologic Actions
Phosphodiesterase Inhibitors
Sexual Dysfunction, Physiological
Mental Disorders
Therapeutic Uses
Diabetes Mellitus, Type 2
Glucose Metabolism Disorders
Erectile Dysfunction

ClinicalTrials.gov processed this record on November 27, 2009