E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Males with Erectile Dysfunction |
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MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The primary objective of this study is to compare the efficacy of vardenafil flexible dose after 12 weeks of treatment versus placebo in terms of: 1. Success of maintenance of erection in men with ED. and 2. Improvement of their female partner’s sexual quality of life.
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E.2.2 | Secondary objectives of the trial | |
E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
E.3 | Principal inclusion criteria |
Subject: •Males known to have had ED for at least six months •Stable, heterosexual relationship for more than 6 months. •Men, 18-64 years of age. •Documented, dated, written Informed Consent. •The subject and his female partner must make at least four attempts at sexual intercourse on four separate days during the untreated baseline period •At least 50% of attempts at sexual intercourse during the untreated baseline period must be unsuccessful.
Partner: •Women, 18 years, and older. •Stable, heterosexual relationship for more than 6 months with male ED subject. •Documented, dated, written Informed Consent. •Motivated to support treatment for male partner’s ED. •Absence of significant sexual dysfunction as assessed by the total score on the FSFI > 23.55.
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E.4 | Principal exclusion criteria |
Subject:
A)Previous or current medical conditions •Any unstable medical, psychiatric, or substance abuse disorder that in the opinion of the Investigator is likely to affect the subject's ability to complete the study or precludes the subject’s participation in the study. •Presence of penile anatomical abnormalities (eg penile fibrosis or Peyronie’s disease) which, in the Investigator’s opinion, would significantly impair sexual performance. •Primary hypoactive sexual desire. •Spinal cord injury. •History of surgical prostatectomy (transurethral interventions not excluded). •Hereditary degenerative retinal disorders such as retinitis pigmentosa. •Loss of vision of one eye because of NAION. •Any underlying cardiovascular condition including unstable angina pectoris, that would preclude sexual activity. •History of myocardial infarction, stroke or life-threatening arrhythmia within the prior 6 months. •Uncontrolled atrial fibrillation/flutter at screening (ventricular response rate ≥ 100 bpm). •Severe chronic or acute liver disease (Child-Pugh B), history of moderate or severe (Child-Pugh C) hepatic impairment. •Clinically significant chronic haematological disease which may lead to priapism such as sickle cell anemia, multiple myeloma and leukemia. •Bleeding disorder. •Significant active peptic ulceration. •Resting hypotension (a resting systolic blood pressure of < 90 mm Hg) or hypertension (a resting systolic blood pressure > 170 mm Hg or a resting diastolic blood pressure > 110 mm Hg). •History of malignancy within the past 5 years (other than squamous or basal cell skin cancer). •History of positive test for Hepatitis B surface antigen (HbsAg) or Hepatitis C. •Symptomatic postural hypotension within 6 months of Visit 1.
B) Concomitant medication •Subjects who are taking nitrates or nitric oxide donors. •Subjects who are taking oral or injectable androgens. •Subjects who are taking anti-androgens. •Subjects who are taking the following potent inhibitors of cytochrome P450 3A4: HIV protease inhibitors such as ritonavir or indinavir, the anti-mycotic agents itraconazole and ketoconazole (topical forms are allowed) or erythromycin. •Subjects who have received any investigational drug (including placebo) within 30 days of Visit 1. •Use of any treatment for ED within 7 days of Visit 1 or during the study, including oral medications, vacuum devices, constrictive devices, injections or urethral suppositories. •Subjects who are taking alpha-blockers at Visit 1.
C) Abnormal laboratory values •Subjects who have a serum total testosterone level more than 25% below the age-adjusted lower limit of normal according to the range of the testing laboratory. •Subjects with a serum creatinine clearance (calculated) < 30.0 mg/mL. •Elevation of AST and/or ALT > 3 times the upper limit of normal.
Partner:
•Any unstable medical condition or substance abuse disorder that, in the opinion of the Investigator, is likely to affect the partner’s ability to complete the study or precludes the partner’s participation in the study.
Other exclusion criteria: Subject and Partner:
•Subjects unwilling to cease use of vacuum devices, intracavernosal injections, or any other therapy for ED during the study. •Unwillingness of the subject and his partner to make 4 attempts at sexual intercourse on four separate days during the untreated baseline period. •Subjects with known hypersensitivity to Vardenafil, BAY 38-9456 or any component of the investigational medication. •Subjects who are illiterate or unable to understand the questionnaires or the Subject Diary. •Subjects who are unwilling or unable to complete the Subject Diary. •Subjects with a history of unresponsiveness to any PDE5 Inhibitor treatment due to lack of efficacy or significant side effects leading to discontinuation of the PDE5 Inhibitor treatment. •Partners who are illiterate or unable to understand the questionnaires. •Subjects or partners who, in the opinion of the investigator, would be non-compliant with the visit schedule of study procedures. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Eficacy: The primary measures of efficacy in this study will be improved success of erection maintenance in men with ED and improvement in female partner’s sexual quality of life after 12 weeks of randomized treatment. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | Information not present in EudraCT |
E.6.2 | Prophylaxis | Information not present in EudraCT |
E.6.3 | Therapy | Information not present in EudraCT |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Information not present in EudraCT |
E.6.7 | Pharmacodynamic | Information not present in EudraCT |
E.6.8 | Bioequivalence | Information not present in EudraCT |
E.6.9 | Dose response | Information not present in EudraCT |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | Information not present in EudraCT |
E.6.12 | Pharmacoeconomic | Information not present in EudraCT |
E.6.13 | Others | Information not present in EudraCT |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | Information not present in EudraCT |
E.7.1.1 | First administration to humans | Information not present in EudraCT |
E.7.1.2 | Bioequivalence study | Information not present in EudraCT |
E.7.1.3 | Other | Information not present in EudraCT |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Information not present in EudraCT |
E.7.3 | Therapeutic confirmatory (Phase III) | Information not present in EudraCT |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Information not present in EudraCT |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Information not present in EudraCT |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | Information not present in EudraCT |
E.8.3 |
The trial involves single site in the Member State concerned
| Information not present in EudraCT |
E.8.4 | The trial involves multiple sites in the Member State concerned | Information not present in EudraCT |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 1 |