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Clinical Proof-of-concept Study for the Combination BAY60-4552 / Vardenafil for the Treatment of Erectile Dysfunction Not Sufficiently Responsive to Standard Therapy With PDE5 Inhibitors

Primary Purpose

Erectile Dysfunction

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
BAY60-4552 plus Vardenafil
Vardenafil
Placebo
Sponsored by
Bayer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Erectile Dysfunction focused on measuring Combination Drug Therapy, Phosphodiesterase inhibitors

Eligibility Criteria

18 Years - 64 Years (Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Open-label run-in phase (first four weeks):

    • Written informed consent signed before any study-specific procedure
    • History of ED (Erectile Dysfunction) for at least 6 months prior to screening, defined as "the inability to achieve and maintain an erection of the penis sufficient to complete satisfactory sexual intercourse"; the diagnosis of ED has to be confirmed by a physician
    • Stable, heterosexual relationship for at least 6 months prior to screening
    • Aged 18 to 64 years (inclusive) at the first screening examination
    • History of previous use of at least 1 marketed PDE5 (Phosphodiesterase 5) inhibitor and insufficient therapeutic efficacy despite use of the highest approved dose
  • Double-blind treatment phase (last four weeks):

    • At least 4 attempts at sexual intercourse on 4 separate days during the open-label run-in phase with use of 20 mg vardenafil approximately 1 hour before attempting intercourse
    • IIEF EF (International Index of Erectile Function - Erectile Function subscale) score <17
    • At least 50% of attempts at sexual intercourse during the open-label run-in phase were unsuccessful

Exclusion Criteria:

  • Contraindication to use of vardenafil
  • History of prostatectomy due to prostate cancer, including nerve-sparing techniques.
  • Concomitant use of adrenergic blockers
  • History of spinal cord injury
  • Resting hypotension, i.e. SBP (Systolic Blood Pressure) <100 mmHg at rest
  • Moderate / severe hypertension, i.e. SBP >170 mmHg or DBP >110 mmHg at rest
  • Symptomatic orthostatic hypotension with a decrease in SBP >20 mmHg or in DBP (Diastolic Blood Pressure) >10 mmHg subsequent to change from the supine to standing position

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Placebo Comparator

Arm Label

Arm 1

Arm 2

Arm 3

Arm Description

Outcomes

Primary Outcome Measures

Severity of erectile dysfunction assessed by the IIEF-EF (International Index of Erectile Function - Erectile Function subscale)

Secondary Outcome Measures

Success rate assessed by subject diary question: 'Maintenance' (Did your erection last long enough to have sexual intercourse?)
Success rate assessed by subject diary question: Penetration' (Were you able to insert your penis into your partner's vagina?)

Full Information

First Posted
July 22, 2010
Last Updated
November 3, 2014
Sponsor
Bayer
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1. Study Identification

Unique Protocol Identification Number
NCT01168817
Brief Title
Clinical Proof-of-concept Study for the Combination BAY60-4552 / Vardenafil for the Treatment of Erectile Dysfunction Not Sufficiently Responsive to Standard Therapy With PDE5 Inhibitors
Official Title
A Prospective, Randomized, Double-blind, Double-dummy, Placebo- and Active Controlled, Multicenter Study Assessing the Efficacy and Safety of the Combination BAY60-4552 / Vardenafil Compared to Vardenafil (20 mg) for the Treatment of Erectile Dysfunction Not Sufficiently Responsive to Standard Therapy With PDE5 (Phosphodiesterase 5) Inhibitors
Study Type
Interventional

2. Study Status

Record Verification Date
November 2014
Overall Recruitment Status
Completed
Study Start Date
August 2010 (undefined)
Primary Completion Date
May 2011 (Actual)
Study Completion Date
May 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bayer

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study examines the efficacy and safety of the combination treatment BAY60-4552 plus vardenafil in patients with erectile dysfunction, who do not sufficiently respond to therapy with PDE5 (Phosphodiesterase 5) inhibitors. Patients meeting the entry criteria, will receive vardenafil alone in the first four weeks of the study to assess the effect of PDE5 inhibitor therapy given alone. Patients with an insufficient therapeutic response to vardenafil alone will enter the next part of the study, and will be randomly assigned to one of 3 treatments. There is a 1 in 3 chance of receiving either the combination BAY60-4552 plus vardenafil, or vardenafil alone, or placebo. Neither patient nor the treating physician will know which treatment is given (double-blinded design).This part of the study will last four weeks Patients will have to go to the clinic/hospital for 7 visits during the 8 weeks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Erectile Dysfunction
Keywords
Combination Drug Therapy, Phosphodiesterase inhibitors

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
140 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Arm 1
Arm Type
Experimental
Arm Title
Arm 2
Arm Type
Active Comparator
Arm Title
Arm 3
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
BAY60-4552 plus Vardenafil
Intervention Description
Treatment with 3 tablets once daily for 4 weeks (Vardenafil 10 mg plus BAY60-4552 1.0 mg)
Intervention Type
Drug
Intervention Name(s)
Vardenafil
Intervention Description
Treatment with 3 tablets once daily for 4 weeks (Vardenafil 20 mg)
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Treatment with 3 tablets once daily for 4 weeks (Placebo)
Primary Outcome Measure Information:
Title
Severity of erectile dysfunction assessed by the IIEF-EF (International Index of Erectile Function - Erectile Function subscale)
Time Frame
Week 4
Secondary Outcome Measure Information:
Title
Success rate assessed by subject diary question: 'Maintenance' (Did your erection last long enough to have sexual intercourse?)
Time Frame
Week 4
Title
Success rate assessed by subject diary question: Penetration' (Were you able to insert your penis into your partner's vagina?)
Time Frame
Week 4

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
64 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Open-label run-in phase (first four weeks): Written informed consent signed before any study-specific procedure History of ED (Erectile Dysfunction) for at least 6 months prior to screening, defined as "the inability to achieve and maintain an erection of the penis sufficient to complete satisfactory sexual intercourse"; the diagnosis of ED has to be confirmed by a physician Stable, heterosexual relationship for at least 6 months prior to screening Aged 18 to 64 years (inclusive) at the first screening examination History of previous use of at least 1 marketed PDE5 (Phosphodiesterase 5) inhibitor and insufficient therapeutic efficacy despite use of the highest approved dose Double-blind treatment phase (last four weeks): At least 4 attempts at sexual intercourse on 4 separate days during the open-label run-in phase with use of 20 mg vardenafil approximately 1 hour before attempting intercourse IIEF EF (International Index of Erectile Function - Erectile Function subscale) score <17 At least 50% of attempts at sexual intercourse during the open-label run-in phase were unsuccessful Exclusion Criteria: Contraindication to use of vardenafil History of prostatectomy due to prostate cancer, including nerve-sparing techniques. Concomitant use of adrenergic blockers History of spinal cord injury Resting hypotension, i.e. SBP (Systolic Blood Pressure) <100 mmHg at rest Moderate / severe hypertension, i.e. SBP >170 mmHg or DBP >110 mmHg at rest Symptomatic orthostatic hypotension with a decrease in SBP >20 mmHg or in DBP (Diastolic Blood Pressure) >10 mmHg subsequent to change from the supine to standing position
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bayer Study Director
Organizational Affiliation
Bayer
Official's Role
Study Director
Facility Information:
City
Oulu
ZIP/Postal Code
90100
Country
Finland
City
Tampere
ZIP/Postal Code
FIN-33520
Country
Finland
City
Turku
ZIP/Postal Code
20100
Country
Finland
City
Chambery Cedex
ZIP/Postal Code
73011
Country
France
City
Garches
ZIP/Postal Code
92380
Country
France
City
Lille
ZIP/Postal Code
59000
Country
France
City
Lyon Cedex
ZIP/Postal Code
69437
Country
France
City
Nice
ZIP/Postal Code
06200
Country
France
City
Nimes
ZIP/Postal Code
30000
Country
France
City
Weiden
State/Province
Bayern
ZIP/Postal Code
92637
Country
Germany
City
Marburg
State/Province
Hessen
ZIP/Postal Code
35039
Country
Germany
City
Osnabrück
State/Province
Niedersachsen
ZIP/Postal Code
49076
Country
Germany
City
Mülheim
State/Province
Nordrhein-Westfalen
ZIP/Postal Code
45468
Country
Germany
City
Koblenz
State/Province
Rheinland-Pfalz
ZIP/Postal Code
56068
Country
Germany
City
Leipzig
State/Province
Sachsen
ZIP/Postal Code
04105
Country
Germany
City
Leipzig
State/Province
Sachsen
ZIP/Postal Code
04109
Country
Germany
City
Hamburg
ZIP/Postal Code
20246
Country
Germany
City
Hamburg
ZIP/Postal Code
20354
Country
Germany
City
Firenze
ZIP/Postal Code
50141
Country
Italy
City
Milano
ZIP/Postal Code
20132
Country
Italy
City
Napoli
ZIP/Postal Code
80131
Country
Italy
City
Roma
ZIP/Postal Code
00133
Country
Italy
City
Den Haag
ZIP/Postal Code
2545 CH
Country
Netherlands
City
Groningen
ZIP/Postal Code
9713 GZ
Country
Netherlands
City
Leiden
ZIP/Postal Code
2333 ZA
Country
Netherlands
City
Aravaca
State/Province
Madrid
ZIP/Postal Code
28023
Country
Spain
City
Majadahonda
State/Province
Madrid
ZIP/Postal Code
28222
Country
Spain
City
Barcelona
ZIP/Postal Code
08003
Country
Spain
City
Barcelona
ZIP/Postal Code
08036
Country
Spain
City
Málaga
ZIP/Postal Code
29007
Country
Spain
City
Eskilstuna
ZIP/Postal Code
633 40
Country
Sweden
City
Göteborg
ZIP/Postal Code
405 45
Country
Sweden
City
Halmstad
ZIP/Postal Code
302 45
Country
Sweden
City
Jönköping
ZIP/Postal Code
554 66
Country
Sweden
City
Linköping
ZIP/Postal Code
581 85
Country
Sweden
City
Stockholm
ZIP/Postal Code
141 86
Country
Sweden

12. IPD Sharing Statement

Links:
URL
http://www.clinicaltrialsregister.eu
Description
Click here and search for information of Bayer products for Europe

Learn more about this trial

Clinical Proof-of-concept Study for the Combination BAY60-4552 / Vardenafil for the Treatment of Erectile Dysfunction Not Sufficiently Responsive to Standard Therapy With PDE5 Inhibitors

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