Sagene 2014 - Parkinson's Disease and Erectile Dysfunction

University of South Florida

Status and phase

Unknown

Phase 4

Conditions

Erectile Dysfunction

Parkinson's Disease

Treatments

Drug: Tadalafil

Drug: Selegiline

Study type

Interventional

Funder types

Other

Identifiers

NCT02225548

Sagene 2014

Details and patient eligibility

About

The purpose of this study is to see if selegiline and tadalafil (generic for Cialis®) results in an improvement in Erectile dysfunction (ED) in male patients with Parkinson's disease (PD) and moderate ED. Male PD patients who have an incomplete response to tadalafil alone will be given both medications to see if the addition of selegiline improves ED symptoms more than tadalafil alone. It is common practice for a medical doctor to prescribe these two drugs to a patient like you. However, there have been no studies conducted to examine the effects of these medications when taken together.

Selegiline is normally prescribed for PD patients that are taking carbidopa/levodopa who are not receiving complete benefit from carbidopa/levodopa.

Tadalafil is normally prescribed to men who have erectile dysfunction and/or benign prostatic hyperplasia (BPH).

Enrollment

10 estimated patients

Sex

Male

Ages

40 to 64 years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria

Diagnosis of idiopathic Parkinson's disease that is optimally treated (motor fluctuations <20% of subject's awake time). Subjects may be on levodopa therapy but must be stable at the time of entry into the study
Sexually active (i.e. ≥1 attempt/week) males, 40 - 64 years of age (inclusive) at time of screening
Diagnosis of moderate erectile dysfunction (defined according to the NIH Consensus Development Panel on Impotence) for more than 6 months and demonstrating and incomplete response to tadalafil alone
Subject demonstrating an IIEF-5 drug-free baseline score that is ≥ 10 but ≤ 16, and an IIEF-5 tadalafil-alone baseline score that is ≤ 18
Subject in a stable heterosexual relationship for at least 6 months. (2)
Subject motivated to seek treatment for erectile dysfunction.
Subject with a total serum testosterone level ≥ 300 ng/dL, with or without supplementation
Hoehn and Yahr Scale score of 1 - 3
Patient able to consent and comply with protocol requirements

Exclusion Criteria:

Subject unwilling to cease use of any treatment for erectile dysfunction during the study, including oral medication, vacuum devices, constrictive devices, injections, urethral suppositories, gels, any over-the-counter or nonprescription medications, and products purchased via the internet
Subject receiving dopamine agonists, nitrates, alpha-receptor blocking agents, or antihypertensive medication (see other exclusionary medications listed below)
Subject with a history of syncope within the last 6 months prior to screening
Subject with symptomatic postural hypotension (severe dizziness or fainting
Subject with hypotension and a resting systolic blood pressure of < 90 mmHG or hypertension with a resting systolic blood pressure > 170 mmHG or a resting diastolic blood pressure > 110 mmHG
Subject with any underlying cardiovascular condition, including unstable angina pectoris, which preclude sexual activity
Subject with a history of myocardial infarction, stroke or life-threatening arrhythmia within 6 months prior to screening
Subject with uncontrolled atrial fibrillation/flutter at screening (defined as ventricular response rate ≥ 100 bpm)
Subject with a bleeding disorder
Subject with a history of prostatectomy because of prostate cancer, including nerve sparing techniques. Subjects with a history of surgical procedures for the treatment of benign prostate hypertrophy are permitted, with the exception of cryosurgery, cryotherapy or cryoablation
Subject with hereditary degenerative retinal disorders such as retinitis pigmentosa
Subject with a history of loss of vision because of non-arteritic anterior ischemic optic neuropathy (NAION), history of temporary or permanent loss of vision, including unilateral loss of vision
Subject with a history of congenital QT prolongation
Subject with a penile anatomical abnormality (e.g., penile fibrosis, fractures, or Peyronie's disease) which, in the investigator's opinion, could significantly impair sexual performance. This will be based on subject's reported medical history (penile exam not required)
Subject with primary hypoactive sexual desire.
Subject with a spinal cord injury
Subject with a severe chronic or acute liver disease, history of moderate (Child-Pugh B), or severe (Child-Pugh C) hepatic impairment
Subject with clinically significant chronic hematological disease which could lead to priapism such as sickle cell anemia, multiple myeloma, and leukemia
Subject with active peptic ulceration
Subject with a history of malignancy within the past 5 years (other than squamous or basal cell skin cancer)
Subject with a history of a positive test for Hepatitis B surface antigen (HbsAg) or Hepatitis C
Subject with a known hypersensitivity to any component of the investigational medications, monoamine oxidase inhibitors, phosphodiesterase type 5 inhibitors or phenylethylamines
Subjects with a history of drug or alcohol abuse within the past 6 months
Subjects currently consuming ≥5 units of alcohol per day
Subject who is illiterate or unable to understand the Informed Consent Form, questionnaires or subject diary
Subject who, in the opinion of the investigator, will be noncompliant with the visit schedule or study procedures
Subject with 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 preclude the subject's participation in the study
Diagnosis of any other neurologic disease
Uncontrolled Diabetes (Hemoglobin A1C > 7.5)