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Study to Compare the Tolerability and Efficacy of Once Daily Vardenafil vs Vardenafil PRN vs Placebo in Men Immediately After Nerve-sparing Prostatectomy for Improving ED

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Bayer

Status and phase

Completed
Phase 3

Conditions

Erectile Dysfunction
Sexual Dysfunction, Physiological

Treatments

Drug: Levitra (Vardenafil, BAY38-9456)
Drug: Placebo

Study type

Interventional

Funder types

Industry

Identifiers

NCT00492635
2004-002172-42 (EudraCT Number)
11336 (Registry Identifier)

Details and patient eligibility

About

A study to assess the efficacy of vardenafil, taken as a tablet both nightly or 'as needed' (immediately before intended sexual activity) compared to placebo, to evaluate its tolerability and if it can help in recovery of erections after a nerve sparing radical prostatectomy.

Enrollment

628 patients

Sex

Male

Ages

18 to 64 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

At Screening

  • Males 18-64 years of age
  • Scheduled to undergo bilateral nerve-sparing radical retropubic BNSRRP, as selected according to the investigator's usual clinical practice
  • Surgery scheduled within about 1 month of screening (Visit 1)
  • Expressed an interest in resuming sexual activity as soon as possible after prostatectomy
  • Heterosexual relationship
  • No pre-operative erectile dysfunction:
  • International Index of Erectile Function (IIEF) Erectile Function Domain Score score EF domain =26 at screening without any therapy/devices for improvement of erections
  • No perforation of the prostate capsule by tumor

At Randomization:

Before being randomized subjects must still be meeting all Screening Inclusion Criteria, as well as the following criteria:

  • bilateral nerve-sparing during the retropubic prostatectomy documented on the operating report
  • BNSRRP occurred within approximately 1 month post screening (Visit 1)
  • No perforation of the prostate capsule by tumor:

No positive tumor margins confirmed after surgery: =T2 stage on pathology report from the surgery

Exclusion criteria

  • Subjects who are taking nitrates or nitric oxide donors
  • Subjects who are taking the following inhibitors of cytochrome P 450 CYP 3A4: very potent HIV protease inhibitors (ritonavir, indinavir), the anti-mycotic agents itraconazole and ketoconazole (topical forms are allowed) or erythromycin
  • Known hypersensitivity to Vardenafil
  • Presence of significant penile anatomical abnormalities (e.g. penile fibrosis or Peyronie's disease)
  • History of retinitis pigmentosa
  • Unstable angina pectoris
  • History of myocardial infarction, stroke or life-threatening arrhythmia within the prior 6 months
  • Severe chronic or acute liver disease
  • Symptomatic postural hypotension in the past 6 months
  • NYHA Class III or IV heart failure
  • Life expectancy <3 years
  • Clinical diagnosis of significant untreated sleep apnea or working night shifts (e.g. 23:00h to 7:00 h)
  • Anti-androgens use
  • Residual prostate cancer, or requirement for radiotherapy or ADT after surgery

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Triple Blind

628 participants in 3 patient groups, including a placebo group

Arm 1
Experimental group
Treatment:
Drug: Levitra (Vardenafil, BAY38-9456)
Drug: Levitra (Vardenafil, BAY38-9456)
Arm 2
Experimental group
Treatment:
Drug: Levitra (Vardenafil, BAY38-9456)
Drug: Levitra (Vardenafil, BAY38-9456)
Arm 3
Placebo Comparator group
Treatment:
Drug: Placebo

Trial contacts and locations

86

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Data sourced from clinicaltrials.gov

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