Trial Condition(s):

Erectile Dysfunction

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

Bayer Identifier:

14694

ClinicalTrials.gov Identifier:

NCT01168817

EudraCT Number:

2010-020122-18

EU CT Number:

Not Available

Study Completed

Trial Purpose

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.

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

Trial Summary

Enrollment Goal
140
Trial Dates
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Phase
2
Could I receive a placebo?
Yes
Products
BAY98-7081
Accepts Healthy Volunteers
No

Where to Participate

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Locations
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Praxis Hr. Prof. Dr. H. Porst

Hamburg, Germany, 20354

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Universitätsklinikum Hamburg Eppendorf (UKE)

Hamburg, Germany, 20246

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Klinikum Osnabrück GmbH

Osnabrück, Germany, 49076

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Praxis Drs. Tim Schneider /B. Schneider

Mülheim, Germany, 45468

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Praxis Hr. Dr. A. von Keitz

Marburg, Germany, 35039

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Kliniken Nordoberpfalz AG - Klinikum Weiden

Weiden, Germany, 92637

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Hopital Raymond Poincaré Garches

GARCHES, France, 92380

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CETPARP - Carolus - Lille

LILLE, France, 59000

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Hôpital Edouard Herriot - Lyon Cedex

LYON CEDEX, France, 69437

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Centre Hospitalier - Chambéry cedex

CHAMBERY CEDEX, France, 73011

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Hopital Carémeau - Nîmes

NIMES, France, 30000

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Hôpital Pasteur - Nice

NICE, France, 06200

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IRCCS Fondazione San Raffaele

Milano, Italy, 20132

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A.O.U. Federico II

Napoli, Italy, 80131

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A.O.U. Careggi

Firenze, Italy, 50141

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A.O.U. Policlinico Tor Vergata

Roma, Italy, 00133

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Clínica El Ángel

Málaga, Spain, 29007

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Hospital Sanitas La Zarzuela

Aravaca, Spain, 28023

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Hospital Universitario Clinica Puerta de Hierro

Majadahonda, Spain, 28222

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Hospital del Mar

Barcelona, Spain, 08003

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Hospital Clínic i Provincial de Barcelona

Barcelona, Spain, 08036

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Leids Universitair Medisch Centrum

Leiden, Netherlands, 2333 ZA

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HagaZiekenhuis, locatie Leyenburg

DEN HAAG, Netherlands, 2545 CH

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Universitair Medisch Centrum Groningen

Groningen, Netherlands, 9713 GZ

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Karolinska Universitetssjukhuset i Solna

Stockholm, Sweden, 141 86

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Urohälsan Vättern

Jönköping, Sweden, 554 66

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Tampereen yliopistollinen sairaala, keskussairaala

Tampere, Finland, FIN-33520

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Lääkärikeskus Mehiläinen Turku

Turku, Finland, 20100

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Terveystalo Oulu

Oulu, Finland, 90100

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Urologkliniken vid Carlanderska sjukhuset

Göteborg, Sweden, 405 45

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Dr. Wang Urologmottagning

Eskilstuna, Sweden, 633 40

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Universitetssjukhuset i Linköping

Linköping, Sweden, 581 85

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MediPlaza MVZ Koblenz GmbH

Koblenz, Germany, 56068

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Praxis Dr. S. Szymula

Leipzig, Germany, 04105

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Praxis Hr. Dr. J. Willgerodt

Leipzig, Germany, 04109

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Specialistmottagning i urologi, Tudorkliniken

Halmstad, Sweden, 302 45

Trial Design