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The Management of Erectile Dysfunction With Placebo Only (DAFA06)

Primary Purpose

Impotence, Erectile Dysfunction

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Induction to efficient treatment
Doubt to the efficacy of treatment
Induction to ineffective treatment
Sponsored by
Rio de Janeiro State University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Impotence focused on measuring Placebo, Placebo Effect, Sexual Dysfunction, Erectile Dysfunction, Clinical Trial

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  • 18 years of age or older
  • Complaint of ED for at least 6 months prior the start of the study, according to medical history and to the questionnaires IIEF, SEAR and QEQ.
  • A stable heterosexual relationship.
  • To be in good health prior the participation in the study, with no important clinical abnormalities, determined by: clinical history, physical examination, blood chemistry and hematology, urinalysis (If the standard values of the laboratory for these tests are not evidenced, subjects can be included if the researcher consider the changes as not clinically significant).

Exclusion Criteria:

  • History of significant cardiovascular, pulmonary, gastrointestinal, hematological, neurological (including epilepsy), locomotor, immunologic, ophthalmic, metabolic, endocrine, thromboembolic, rheumatologic, cancer, kidney or liver disease.
  • Diagnosis of psychiatric conditions, e.g. depression, anxiety, dysthymia, mania, panic, agoraphobia, social phobia, suicidal ideation, obsessive-compulsive disorder, post-traumatic stress, psychotic disorders, schizophrenia, alcoholism, dependence on psycho-active substances.
  • History of HIV, hepatitis B or hepatitis C.
  • Hyperprolactinemia or untreated hypothyroidism.
  • Any condition, which, in the opinion of the investigator, may interfere with the participation of the subject in the study (e.g. difficulty to meet the requirements of the study, attend the consultations, answer the questionnaires).
  • Report of significant clinical problems by the subject's partner, such as decreased sexual interest, pain during relations or other forms of sexual dysfunction that interfere in the relationship with the sexual partner.
  • Patient or partner willing to undergo a surgical procedure during the study period, which may interfere in the results.
  • Peyronie's disease, which may lead to impossibility to penetrate or cause pain during the sexual intercourse.
  • Use of nitrates.
  • Illiterate patient.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Placebo Comparator

    Experimental

    Arm Label

    A1

    A2

    A3

    Arm Description

    Arm 1 received an informative letter explaining that they were allocated to receive a substance for Erectile Dysfunction treatment.

    Arm 2 (A2) was written informed that they could or could not receive an active drug for ED treatment.

    Arm 3 (A3) was properly written informed to be using no effective drug for ED treatment.

    Outcomes

    Primary Outcome Measures

    IIEF erectile function domain score
    Quality of Erection Questionnaire (QEQ)

    Secondary Outcome Measures

    IIEF orgasmic function, sexual desire, intercourse satisfaction and overall satisfaction domain scores
    SEAR questionnaire
    EDITS questionnaire
    GEAQ questionnaire

    Full Information

    First Posted
    April 15, 2009
    Last Updated
    April 15, 2009
    Sponsor
    Rio de Janeiro State University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00882934
    Brief Title
    The Management of Erectile Dysfunction With Placebo Only
    Acronym
    DAFA06
    Official Title
    A Single-Blind, Controlled, Randomized, Parallel-Group Study of the Efficacy of Patients' Awareness on the Composition of the Experimental Drug in the Treatment of Erectile Dysfunction.
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2009
    Overall Recruitment Status
    Completed
    Study Start Date
    October 2006 (undefined)
    Primary Completion Date
    October 2007 (Actual)
    Study Completion Date
    January 2008 (Actual)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Rio de Janeiro State University

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    Placebo-controlled randomized clinical trials (RCT) are the gold standard to provide applicable evidence for clinical practice. A vast number of RCTs for treatment of several disorders has shown a mean placebo effect of 30%. Erectile dysfunction (ED) is a high prevalent disease and its first-line therapy is oral phosphodiesterase type-5 inhibitor (iPDE5) (i.e., sildenafil, vardenafil and tadalafil). Although the placebo effect in iPDE5 RCT occurred at a rate as high as 50%, in the last decade, with the revolutionary discovery of effective pharmacotherapy for ED, oral iPDE5 has become one of the most common prescribed drugs for men. The objective of this study is to evaluate the influence of patients' awareness on the composition of the therapeutic drug in the outcomes of the oral treatment for ED.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Impotence, Erectile Dysfunction
    Keywords
    Placebo, Placebo Effect, Sexual Dysfunction, Erectile Dysfunction, Clinical Trial

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    Investigator
    Allocation
    Randomized
    Enrollment
    123 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    A1
    Arm Type
    Experimental
    Arm Description
    Arm 1 received an informative letter explaining that they were allocated to receive a substance for Erectile Dysfunction treatment.
    Arm Title
    A2
    Arm Type
    Placebo Comparator
    Arm Description
    Arm 2 (A2) was written informed that they could or could not receive an active drug for ED treatment.
    Arm Title
    A3
    Arm Type
    Experimental
    Arm Description
    Arm 3 (A3) was properly written informed to be using no effective drug for ED treatment.
    Intervention Type
    Other
    Intervention Name(s)
    Induction to efficient treatment
    Intervention Description
    Informative letters.
    Intervention Type
    Other
    Intervention Name(s)
    Doubt to the efficacy of treatment
    Intervention Description
    Informative letters.
    Intervention Type
    Other
    Intervention Name(s)
    Induction to ineffective treatment
    Intervention Description
    Informative letters
    Primary Outcome Measure Information:
    Title
    IIEF erectile function domain score
    Time Frame
    4 AND 8 Weeks
    Title
    Quality of Erection Questionnaire (QEQ)
    Time Frame
    4 and 8 weeks
    Secondary Outcome Measure Information:
    Title
    IIEF orgasmic function, sexual desire, intercourse satisfaction and overall satisfaction domain scores
    Time Frame
    4 and 8 weeks
    Title
    SEAR questionnaire
    Time Frame
    4 and 8 weeks
    Title
    EDITS questionnaire
    Time Frame
    4 and 8 weeks
    Title
    GEAQ questionnaire
    Time Frame
    4 and 8 weeks

    10. Eligibility

    Sex
    Male
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: 18 years of age or older Complaint of ED for at least 6 months prior the start of the study, according to medical history and to the questionnaires IIEF, SEAR and QEQ. A stable heterosexual relationship. To be in good health prior the participation in the study, with no important clinical abnormalities, determined by: clinical history, physical examination, blood chemistry and hematology, urinalysis (If the standard values of the laboratory for these tests are not evidenced, subjects can be included if the researcher consider the changes as not clinically significant). Exclusion Criteria: History of significant cardiovascular, pulmonary, gastrointestinal, hematological, neurological (including epilepsy), locomotor, immunologic, ophthalmic, metabolic, endocrine, thromboembolic, rheumatologic, cancer, kidney or liver disease. Diagnosis of psychiatric conditions, e.g. depression, anxiety, dysthymia, mania, panic, agoraphobia, social phobia, suicidal ideation, obsessive-compulsive disorder, post-traumatic stress, psychotic disorders, schizophrenia, alcoholism, dependence on psycho-active substances. History of HIV, hepatitis B or hepatitis C. Hyperprolactinemia or untreated hypothyroidism. Any condition, which, in the opinion of the investigator, may interfere with the participation of the subject in the study (e.g. difficulty to meet the requirements of the study, attend the consultations, answer the questionnaires). Report of significant clinical problems by the subject's partner, such as decreased sexual interest, pain during relations or other forms of sexual dysfunction that interfere in the relationship with the sexual partner. Patient or partner willing to undergo a surgical procedure during the study period, which may interfere in the results. Peyronie's disease, which may lead to impossibility to penetrate or cause pain during the sexual intercourse. Use of nitrates. Illiterate patient.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Eloisio Alexsandro da Silva, MD, PhD
    Organizational Affiliation
    Laboratory for Translational Research in Urology
    Official's Role
    Study Chair

    12. IPD Sharing Statement

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