Effect of Vardenafil on Erectile Dysfunction and Portal Hemodynamics in Patients With Liver Cirrhosis
Cirrhosis, Erectile Dysfunction
About this trial
This is an interventional treatment trial for Cirrhosis focused on measuring cirrhosis, erectile dysfunction, portal hypertension
Eligibility Criteria
Inclusion Criteria:
- Male patients aged older than 18 years with mild to moderate (Child´s Grade A or B) cirrhosis scheduled for hepatic hemodynamic investigation.
- Erectile dysfunction in medical history
- Following beta-blocker therapy will be allowed: carvedilol (up to the max. dose of 25 mg) and propranolol (up to the max. dose of 160 mg)
- Patient living in a stable relationship
- HVPG (Hepatic Venous Pressure Measurement)>= 10 mmHg
Exclusion Criteria:
- HVPG <10
- HVPG > 20 mmHg and varices, unless ligated and treated in an eradication program within 6 months
- history of variceal bleeding without secondary prophylaxis with beta blocker or endoscopic band ligation
- History of endoscopically diagnosed large varices with red spots without previous bleeding and without prophylactic beta blocker or endoscopic band ligation
- History of hypersensitivity to the trial drugs and contrast agent or to drugs with a similar chemical structure
- Treatment with vasoactive or non-steroidal anti-inflammatory drugs or systemic antibiotics one week before the study
- Exclusion criteras for hepatic hemodynamic investigation
- Cardiac, renal or respiratory failure
- previous surgical or transjugular intrahepatic portosystemic shunt
- insulin-dependent diabetes
- Child´s Grade C cirrhosis
Sites / Locations
- Dept. of Internal Medicine III, Gastroenterology and Hepatology, Medical University of ViennaRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Active Comparator
Placebo Comparator
Active Comparator
Placebo Comparator
Vardenafil Phase A
Placebo Phase A
Vardenfil Phase B
Placebo Phase B
HVPG (Hepatic Venous Pressure Measurement) at baseline and Response to Vardenafil 10mg per oral for 7 days at day 7 IIEF5 at baseline and day 7
HVPG (Hepatic Venous Pressure Measurement) Measurement at baseline and Response to Placebo per oral for 7 days at day 7 IIEF 5 at baseline and day 7
IIEF 5 (International Index of Erectile Function) at baseline and Response to Vardenafil 10mg per oral ad libidum in 28 days at day 28
IIEF 5 (International Index of Erectile Function) at baseline and Response to Placebo per oral ad libidum in 28 days at day 28