Stress Management Using an App to Improve Response With PDE5 Inhibitors in Men With Erectile Dysfunction.

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT02757807
Recruitment Status : Unknown
Verified July 2016 by Eco Fusion.
Recruitment status was:  Recruiting
First Posted : May 2, 2016
Last Update Posted : July 20, 2016
Information provided by (Responsible Party):
Eco Fusion

Brief Summary:
The aim of this study is to determine if patients with ED taking PDE5 inhibitors (e.g. Viagra, CIalis, Levitra, Stendra) and experiencing performance anxiety will benefit using a user-friendly stress reducing phone app, Serenita. The study is internet based with no office visits.

Condition or disease Intervention/treatment Phase
Erectile Dysfunction Behavioral: Utilization of Serenita for Relaxation Not Applicable

Detailed Description:

The etiology of erectile dysfunction (ED) has been investigated in many studies. Most often, ED is proposed to have a multifactorial etiology, with organic and/or psychogenic causal factors hypothesized to affect erectile function. Numerous studies show that Deep and Slow Breathing (DSB) reduces stress and anxiety.

Since ED is multifactorial, many physicians rely solely on phosphodiesterase-5 (PDE-5) inhibitors to increase blood flow to the arteries to maintain an erection. Although it works in many patients, some patients can get overly anxious prior to sexual intercourse and not be able to produce or maintain an erection. While some patients may realize that DSB may improve their anxiety they don't know how to perform DSB properly. We hypothesize that by providing software interactivity on deep and slow breathing to this group of ED patients, may in turn help reduce their anxiety, thus, maximize the effect of PDE5 inhibitors. The app called "Serenita" for mobile phones, designed by Eco-Fusion will be utilized in this study. The app performs two functions: it detects stress and focus level and It guides the user through a personalized breathing exercise designed to reduce stress and increase focus. Breathing as a method to treat stress has three scientifically validated variations, the deep diaphragmatic breathing, used for centuries as part of Yoga which often refers as Yogic breathing, biofeedback breathing, a method in which the user sees in real-time how his breathing affects his stress level, and coherence breathing, a method that synchronizes breathing pace with heart rhythms. The technology embedded in Serenita app combines all three methods into a personalized guided breathing regimen. The app acquires data by turning the mobile phone's camera into a biomedical sensor which peers into a person's blood stream, obtaining heart rate, heart rate variability and breathing pace. Then the app processes the data obtained to assess user's stress and focus level.

This study will utilize 6 standardized questionnaires to assess changes in patients' responses while using the app:

  • Erectile Performance Anxiety Index (EPAI), which will ask questions that assess anxiety about being able to achieve or maintain an erection during sexual activity.
  • International Index of Erectile Function (IIEF), which will ask questions about sexual encounters for the past four weeks.
  • Psychological and Interpersonal Relationship Scales (PAIRS), which will ask questions about sexual self-confidence, time concerns and spontaneity with sexual encounters.
  • Self-Esteem and Relationship (SEAR), which will ask questions about sexual relationship, confidence, stress ad perceived stress and overall sexual relationship for the past four weeks.
  • Sexual Encounter Profile (SEP), which will ask question about each sexual attempt.
  • Global Assessment Question, which will ask question at end of study if this app has improved erectile function.

These questionnaires are conducted online for easy access and completion. There are no office visits.

Registration to the study could be done at:

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 100 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Stress Management Using an App to Improve Response With PDE5 Inhibitors in Men With Erectile Dysfunction.
Study Start Date : July 2016
Estimated Primary Completion Date : December 2016
Estimated Study Completion Date : December 2016

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: Utilization of Serenita for Relaxation
Intervention is that Users continue to take their PDE-5 Inhibitor prior to sexual interaction and IN ADDITION Utilize the Serenita App daily and before any sexual encounters.
Behavioral: Utilization of Serenita for Relaxation
Users to use Serenita daily and before sexual interaction in order to assess stress and reduce it

Primary Outcome Measures :
  1. Global Assessment Profile measured by a survey [ Time Frame: 1 month ]
    If the treatment has improved their erectile function

Secondary Outcome Measures :
  1. Index of Erectile Function measured by a survey [ Time Frame: 1 month ]
    if the treatment has improved erectile function

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 55 Years   (Adult)
Sexes Eligible for Study:   Male
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Male ages 18-55 years old
  • Persistent mild to moderate ED on PDE5 inhibitors (Viagra, Cialis, Levitra, Stendra)
  • Understand English
  • Owns smartphone using either iPhone or Android
  • Able to understand the use of "Serenita" app
  • Willing to use Serenita app before sexual attempt
  • Willing to complete all study questionnaires Willing to perform sexual attempt for at least once a week until end of study.

Exclusion Criteria:

  • On testosterone replacement therapy
  • History of Peyronie's disease
  • Significant cardiac history (uncontrolled hypertension, cardiac arrhythmia, coronary artery disease, coronary bypass surgery)
  • Uncontrolled diabetes mellitus
  • History of prostate cancer
  • Poorly controlled, symptomatic, active medical problems (HIV, hepatitis, cancer, benign prostatic hypertrophy, alcohol or drug abuse, major depressive disorder)
  • Neurological or psychiatric disorder that would compromise the patient's ability to give informed consent or adhere to the requirements of the protocol

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT02757807

Contact: Oren Furst, Ph.D.

United States, New York
RMA Recruiting
New York, New York, United States, 10025
Contact: Oren Fuerst, Ph.D.   
Sponsors and Collaborators
Eco Fusion

Additional Information:
Responsible Party: Eco Fusion Identifier: NCT02757807     History of Changes
Other Study ID Numbers: 008
First Posted: May 2, 2016    Key Record Dates
Last Update Posted: July 20, 2016
Last Verified: July 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

Keywords provided by Eco Fusion:
Erectile Dysfunction

Additional relevant MeSH terms:
Erectile Dysfunction
Sexual Dysfunction, Physiological
Genital Diseases, Male
Sexual Dysfunctions, Psychological
Mental Disorders
Phosphodiesterase 5 Inhibitors
Phosphodiesterase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action