Use of Sildenafil (Viagra) in Diabetic Men With Erectile Dysfunction: the Impact on Blood Vessels

NCT ID: NCT00199563

Last Updated: 2018-11-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-08-31

Study Completion Date

2007-12-31

Brief Summary

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* To evaluate the impact of nightly sildenafil vs placebo use on diabetic men with and without proven endothelial dysfunction and coexisting erectile concerns.
* To determine if chronic sildenafil use compared to placebo positively impacts endothelial function among a cohort of diabetic mend with erectile dysfunction
* To assess the salvage rate of sildenafil - failures who demonstrate improved response rates over time with chronic use
* To assess if microalbuminuria predicts flow-mediated dilation (FMD) response
* To measure and identify if other patient specific characteristics predict for sildenafil erectile response and flow-mediated dilatation (FMD) response over time (patient specifics; blood pressure, HBA1c, weight, BMI, age IIEF score at baseline)

Detailed Description

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60 type II diabetic men with erectile dysfunction will be enrolled in this trial, evaluated over a 12 week period. Randomization into one of two arms (placebo, daily sildenafil 50mg) will be a doubly blinded. Subjects will be followed by IIEF, diaries and brachial forearm medial dilatation duplex scans, urinary microalbuminuria and serum chemistry.

Study time-points are at baseline, 6 and 12 weeks.

Study participants will be instructed to use the study medication at the specified frequency but will be allowed flexibility to suit their erectile needs.

Conditions

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Impotence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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active drug

Viagra 100 mg / daily for 12 weeks.

Group Type ACTIVE_COMPARATOR

Viagra

Intervention Type DRUG

Sildenafil 100mg daily for 12 weeks

Placebo

placebo/daily for 12 weeks

Group Type PLACEBO_COMPARATOR

Viagra

Intervention Type DRUG

Sildenafil 100mg daily for 12 weeks

Interventions

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Viagra

Sildenafil 100mg daily for 12 weeks

Intervention Type DRUG

Other Intervention Names

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Sildenafil

Eligibility Criteria

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Inclusion Criteria

* Age \> 18 years of age
* Type 2 diabetes \> 6 months in duration. Men using oral hypoglycemic agents and /or insulin will be permitted into the trial.
* Stable hetero- sexual relationship for \> 6 months
* IIEF score at baseline \<21ยท
* Agrees to sign informed consent

Exclusion Criteria

* Known hypersensitivity to sildenafil
* Use of nitrates
* Use of anti-coagulants
* History of significant heart disease, +/or myocardial infarction within last 6 months
* Unable to understand or unwilling to sign informed consent
* Concomitant use of erectogenic agent during study
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gerald B Brock, MD

Role: PRINCIPAL_INVESTIGATOR

Lawson Health Research Institute/St. Joseph's Health Care London

Locations

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St. Joseph's Health Care London/Urology Clinic

London, Ontario, Canada

Site Status

Countries

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Canada

References

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Yu HI, Sheu WH, Lai CJ, Lee WJ, Chen YT. Endothelial dysfunction in type 2 diabetes mellitus subjects with peripheral artery disease. Int J Cardiol. 2001 Mar;78(1):19-25. doi: 10.1016/s0167-5273(00)00423-x.

Reference Type RESULT
PMID: 11259809 (View on PubMed)

De Angelis L, Marfella MA, Siniscalchi M, Marino L, Nappo F, Giugliano F, De Lucia D, Giugliano D. Erectile and endothelial dysfunction in Type II diabetes: a possible link. Diabetologia. 2001 Sep;44(9):1155-60. doi: 10.1007/s001250100616.

Reference Type RESULT
PMID: 11596671 (View on PubMed)

Feldt-Rasmussen B. Microalbuminuria, endothelial dysfunction and cardiovascular risk. Diabetes Metab. 2000 Jul;26 Suppl 4:64-6.

Reference Type RESULT
PMID: 10922975 (View on PubMed)

Desouza C, Parulkar A, Lumpkin D, Akers D, Fonseca VA. Acute and prolonged effects of sildenafil on brachial artery flow-mediated dilatation in type 2 diabetes. Diabetes Care. 2002 Aug;25(8):1336-9. doi: 10.2337/diacare.25.8.1336.

Reference Type RESULT
PMID: 12145231 (View on PubMed)

Dishy V, Sofowora G, Harris PA, Kandcer M, Zhan F, Wood AJ, Stein CM. The effect of sildenafil on nitric oxide-mediated vasodilation in healthy men. Clin Pharmacol Ther. 2001 Sep;70(3):270-9. doi: 10.1067/mcp.2001.117995.

Reference Type RESULT
PMID: 11557915 (View on PubMed)

Katz SD, Balidemaj K, Homma S, Wu H, Wang J, Maybaum S. Acute type 5 phosphodiesterase inhibition with sildenafil enhances flow-mediated vasodilation in patients with chronic heart failure. J Am Coll Cardiol. 2000 Sep;36(3):845-51. doi: 10.1016/s0735-1097(00)00790-7.

Reference Type RESULT
PMID: 10987609 (View on PubMed)

Other Identifiers

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Ethics Review: 10331

Identifier Type: -

Identifier Source: secondary_id

R-04-402

Identifier Type: OTHER

Identifier Source: secondary_id

R-04-402

Identifier Type: -

Identifier Source: org_study_id

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