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Effects of single dose tadalafil on sphincter function in healthy females

Effects of single dose tadalafil on urethral and anal closure function and on urinary flow in healthy females: A randomised, controlled, double-blinded, two-period cross-over study

Status
Active, not recruiting
Phases
Phase 1Phase 2
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2020-005839-76-DK
Enrollment
24
Registered
2021-01-08
Start date
2021-02-15
Completion date
Unknown
Last updated
2022-03-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Urinary stress incontinence and fecal incontinence MedDRA version: 22.0 Level: SOC Classification code 10022891 Term: Investigations System Organ Class: 10022891 - Investigations

Interventions

Trade Name: Tadalafil Stada 20 mg Pharmaceutical Form: Capsule INN or Proposed INN: TADALAFIL CAS Number: 171596-29-5 Concentration unit: mg milligram(s) Concentration type: equal Concentration number

Sponsors

University hospital Bispebjerg and Frederiksberg, Department of Clinical Pharmacology
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: • Female between 18 and 55 years old (both included) • Signed informed consent form • Normal weight (Body weight 50 kg or more, Body Mass Index 18-5-30 kg/m2) • Use of safe contraceptive methods throughout the course of the study i.e. intrauterine devices or hormonal contraception (oral contraceptive pills, implants, transdermal patches, vaginal rings or long acting injections) through the entire trial and until six days after the study has ended for the subject. Subjects who are postmenopausal (defined as no menses for 12 months or more prior enrolment) can be included without use of contraceptive products. • Presentation of a negative urine human chorionic gonadotropin (hCG) urine pregnancy test prior to dosing (on both study days) Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 24 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: • History of clinically significant urinary incontinence • Current acute or chronic condition, unless considered clinically irrelevant and stable by the investigator • Average systolic blood pressure 140 mmHg and/or average diastolic blood pressure 90 mmHg (average of three measurements performed at screening) • Average pulse 100 beats/minute (average of three measurements performed at screening) • Pregnancy within 6 months before screening and throughout the study • Breastfeeding within 3 months before screening • Any drug use within 2 weeks before first study drug administration (prescription drugs, over-the-counter drugs, herbal drugs and illicit drugs), except for occasional use of paracetamol (up to 4 g/day), hormonal contraceptives and hormone replacement therapy. • Smoking (or other regular use of any form of nicotine product) within 3 months before screening • Current or prior participation (within 3 months before screening) in other clinical trials that might affect the results of this study (judged by the investigator)

Design outcomes

Primary

MeasureTime frame
Main Objective: This study investigates the effect of tadalafil, a phosphodiesterase-type 5 (PDE-5) inhibitor, on urethral pressure in healthy female volunteers.;Secondary Objective: To assess the effect of tadalafil on anal pressure, on uroflow parametres, and on the urethral - and anal blood pressure.;Primary end point(s): • Difference in average urethral opening pressure (UOP) after administration of 40 mg tadalafil (UOP-tadalafil) compared to UOP after placebo (during relaxation).;Timepoint(s) of evaluation of this end point: Two hours post dose of study drug (tadalafil/placebo) on study day 1 and 2.

Secondary

MeasureTime frame
Secondary end point(s): • Difference in average anal opening pressure (AOP) after administration of 40 mg tadalafil compared to AOP after placebo (during relaxation). • Difference in average UOP-tadalafil and average UOP-placebo during squeezing. • Difference in average AOP-tadalafil and average AOP-placebo during squeezing. • Elastance (opening/closing) during relaxation and squeezing (tadalafil compared to placebo). • Hysteresis during relaxation and squeezing (tadalafil compared to placebo). • Urethral and anal blood pressure profiles. • Difference in maximum urine flow rate (Qmax) and average urine flow rate (Qave) after tadalafil and placebo administration, respectively. • Difference in voided volume after tadalafil and placebo administration, respectively. ;Timepoint(s) of evaluation of this end point: Two hours post dose of study drug (tadalafil/placebo) on study day 1 and 2.

Countries

Denmark

Contacts

Public ContactInformation

Zelo phase 1 unit

thea.christoffersen@regionh.dk

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026