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Effect of Tadalafil Once a Day in Men With Erectile Dysfunction

A Randomized, Double-Blind, Placebo-Controlled, Parallel Study to Assess the Efficacy and Safety of Tadalafil (LY450190) Once a Day in Subjects With Erectile Dysfunction Who Are Naïve to PDE5 Inhibitors

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00836693
Enrollment
217
Registered
2009-02-04
Start date
2009-01-31
Completion date
2010-01-31
Last updated
2011-01-04

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

Conditions

Erectile Dysfunction

Keywords

Erectile Dysfunction

Brief summary

The primary aim of this study is to assess the efficacy and safety of tadalafil 5 mg administered once a day in patients with erectile dysfunction (ED) who are naïve to PDE5 (phosphodiesterase type 5) inhibitors. Patients may be dose reduced to 2.5mg based on tolerability.

Interventions

DRUGtadalafil

5 milligrams (mg) administered orally once a day for 12 weeks

DRUGplacebo

tablet administered orally once a day for 12 weeks.

Sponsors

Eli Lilly and Company
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
MALE
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* You are male and aged at least 18 years. * Have a history of erectile dysfunction (ED)(defined as the consistent inability to achieve and/or maintain an erection sufficient to permit satisfactory sexual intercourse) of at least 3 months duration. * Agree not to use any other treatment for ED, including herbal and over-the-counter (OTC) medications, during the study * You agree to make at least four sexual intercourse attempts with the female sexual study partner during the 4-week run-in period without medication * Your entry laboratory test results and medical tests meet study requirements * You agree to use the study drug only as instructed by your study doctor and staff and to return any unused study drug and containers at the end of the study or as otherwise instructed by the study doctor. * If currently using cholesterol lowering medications (for example: statins) or medications to lower blood pressure (example: angiotensin-converting enzyme (ACE) inhibitors or calcium channel blocker medications), you need to be on a stable dose and you and your study doctor do not expect any dose change during the study.

Exclusion criteria

* You have received previous or current treatment with tadalafil or any other PDE5 inhibitor. * Currently receives treatment with doxazosin, nitrates, cancer chemotherapy, or anti-androgens (except finasteride e.g. Propecia™ or Proscar®, or dutasteride e.g. Avodart®). * You have had significant heart disease as determined by your doctor in charge of this study or a member of the doctor's staff. * Have a history of significant central nervous system injuries (including stroke or spinal cord injury) within the last 6 months. * Have a history of loss of vision in one eye because of nonarteritic anterior ischemic optic neuropathy (NAION), regardless of whether this episode was in connection or not with previous PDE5 inhibitor exposure.

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in the International Index of Erectile Function - Erectile Function Domain (IIEF-EF) at Week 12Baseline, Week 12Self-reported erectile function over the past 4 weeks. Scores range from 0 (low or no erectile function) to 5 (high erectile function) on 6 questions (1-5, 15 of the IIEF). Total Erectile Function Domain scores range from 0 to 30.
Change From Baseline in Question 2 of the Patient Sexual Encounter Profile (SEP) Diary at Week 12 in Percentage of Yes ResponsesBaseline, Week 12Assessed was the mean change from baseline in the percentage of Yes responses to the SEP diary Question 2. Were you able to insert your penis into your partner's vagina? Data are presented as the mean percentage of yes responses per participant.
Sexual Encounter Profile (SEP) Diary, Question 3 Change From Baseline to Week 12 in Percentage of Yes ResponsesBaseline, 12 weeksAssessed was the mean change from baseline in the percentage of Yes responses to the SEP diary Question 3. Did your erection last long enough for you to have successful intercourse? Data are presented as the mean percentage of yes responses per participant.

Secondary

MeasureTime frameDescription
Change From Baseline to 12 Week Endpoint in the Frequency of Spontaneous Morning Erections Captured by Patient DiaryBaseline, 12 weeksThe morning erection diary allows the participant to record whether he experienced an erection on waking. The participant is to complete the morning erection diary every morning during the run-in, treatment and follow-up periods. The percentage of mornings the participant reported an erection is analysed.
The Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) Questionnaire at 12 Week EndpointWeek 12The subject questionnaire consists of 11 questions. Each question is rated on a scale of 0 (extremely low treatment satisfaction) to 4 (extremely high treatment satisfaction). The EDITS summary score will be obtained by adding each individual result for all questions, dividing by the number of questions answered (mean satisfaction score), and multiplying by 25, thus obtaining a score that ranges from 0 (extremely low treatment satisfaction) to 100 (extremely high satisfaction).
Change From Baseline to 12 Week Endpoint in Total and Subdomain Scores of the Self-Esteem and Relationship (SEAR) QuestionnaireBaseline, Week 12SEAR measures improvement in self-esteem and relationship satisfaction. Questionnaire consists of two domains, Sexual Relationship (items 1-8) and Confidence (items 9-14). All questions except negatively worded questions 8 and 11 are scored from 1=almost never/never to 5=almost always/always. Questions 8 and 11 were reverse scored, thus a higher score signifies a more favorable response for all 14 items. Overall score is transformed into a 0 (least favorable) to 100 (most favorable) scale.
Change From Baseline to 12 Week Endpoint in International Index of Erectile Function (IIEF), Orgasmic Functions (OF)Baseline, Week 12Self-reported overall satisfaction over the past 4 weeks. Scores range from 0 (low/no satisfaction) to 5 (high satisfaction), thus the 2 questions of the IIEF-OF domain range from 0 to 10.
Change From Baseline to 12 Week Endpoint in International Index of Erectile Function (IIEF), Sexual Desire (SD)Baseline, 12 weeksSelf-reported overall satisfaction over the past 4 weeks. Scores range from 0 (low/no satisfaction to 5 (high satisfaction), thus the 2 questions of the IIEF-SD domain range from 0 to 10.
Change From Baseline to 12 Week Endpoint in International Index of Erectile Function (IIEF), Intercourse Satisfaction (IS)Baseline, Week 12Self-reported intercourse satisfaction over the past 4 weeks. Scores range from 0 (low/no satisfaction) to 5 (high satisfaction), thus the 3 questions of the IIEF-IS domain range from 0 to 15.
Change From Baseline to 12 Week Endpoint in Nocturnal Penile Tumescence (NPT) Pattern: Number of Erectile Events Per NightBaseline, Week 12NPT was measured using electrobioimpedance volumetric assessment (NEVA). The NEVA device measures a man's erections during the night. The man wears the device for three nights prior to visit 2 (baseline), visit 5 (end of randomised treatment) and visit 6 (end of follow-up). Data are entered for the 2 nights prior to the visit. During the night the man may have multiple erections. The number of erections is recorded.
Change From Baseline to 12 Week Endpoint in Sexual Encounter Profile (SEP) Question 1 Percentage of Yes ResponsesBaseline, 12 weeksAssessed was the mean change from baseline in the percentage of Yes responses to the SEP diary Question 1. Were you able to achieve at least some erection (some enlargement of the penis)? Data are presented as the mean percentage of yes responses per participant.
Change From Baseline to 12 Week Endpoint in Sexual Encounter Profile (SEP) Question 4 Percentage of Yes ResponsesBaseline, 12 weeksAssessed was the mean change from baseline in the percentage of Yes responses to the SEP diary Question 4. Were you satisfied with the hardness of your erection? Data are presented as the mean percentage of yes responses per participant.
Change From Baseline to 12 Week Endpoint in Sexual Encounter Profile (SEP) Question 5 Percentage of Yes ResponsesBaseline, 12 weeksAssessed was the mean change from baseline in the percentage of Yes responses to the SEP diary Question 5. Were you satisfied overall with this sexual experience? Data are presented as the mean percentage of yes responses per participant.
Global Assessment Question (GAQ) Question 1 at 12 Week EndpointWeek 12GAQ Question 1: Choose the one number which best describes how you perceive your ability to achieve and maintain your erections now, compared to how it was before you began taking medication in this study. Responses range from 1=very much better to 7=very much worse.
Global Assessment Question (GAQ) Question 2 at 12 Week EndpointWeek 12GAQ Question 2: Choose the one number which best describes how you perceive your sexual life is now, compared to how it was before you began taking medication in this study. Responses range from 1=very much better to 7=very much worse.
Change From Baseline to 12 Week Endpoint in International Index of Erectile Function (IIEF), Overall Satisfaction (OS)Baseline, 12 weeksSelf-reported overall satisfaction over the past 4 weeks. Scores range from 0 (low/no satisfaction to 5 (high satisfaction), thus the 2 questions of the IIEF-OS domain range from 0 to 10.
Change From Baseline to 12 Week Endpoint in Nocturnal Penile Tumescence (NPT) Pattern: Duration of Erectile Events Per NightBaseline, Week 12NPT was measured using electrobioimpedance volumetric assessment (NEVA). The NEVA device measures a man's erections during the night. The duration of erections are measured and recorded. Data presented are the duration of erectile events at baseline and the change from baseline to Week 12.
Change From Baseline to 12 Week Endpoint in Nocturnal Penile Tumescence (NPT) Pattern: Percentage Volumetric ChangeBaseline, Week 12NPT was measured using electrobioimpedance volumetric assessment (NEVA). The NEVA device measures a man's erections during the night. The percent of volume change of the penis during erections is measured and recorded for each erection. Data presented are mean percentage of volumetric change from baseline to Week 12.

Countries

Germany, Greece, Italy, Poland, Spain

Participant flow

Participants by arm

ArmCount
Tadalafil
Tadalafil 5 milligrams (mg) administered orally once a day for 12 weeks. Dosing started at 5 mg tadalafil daily and could be down-titrated to 2.5 mg tadalafil daily based on individual tolerability. (Doses could subsequently be increased back to 5 mg based on response.)
147
Placebo
Placebo tablets, matching 5 mg and 2.5 mg tadalafil tablets, given once daily by oral administration for 12 weeks.
70
Total217

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event41
Overall StudyLost to Follow-up10
Overall StudyPhysician Decision20
Overall StudyProtocol Violation10
Overall StudySponsor Decision01
Overall StudyWithdrawal by Subject94

Baseline characteristics

CharacteristicTadalafilPlaceboTotal
Age Continuous52.2 years
STANDARD_DEVIATION 10.9
51.9 years
STANDARD_DEVIATION 10.35
52.1 years
STANDARD_DEVIATION 10.71
Body Mass Index (BMI)27.92 kilograms per square meter (kg/m²)
STANDARD_DEVIATION 4.685
27.74 kilograms per square meter (kg/m²)
STANDARD_DEVIATION 3.423
27.86 kilograms per square meter (kg/m²)
STANDARD_DEVIATION 4.313
Race/Ethnicity, Customized
Asian
2 participants0 participants2 participants
Race/Ethnicity, Customized
Unknown
1 participants1 participants2 participants
Race/Ethnicity, Customized
White
144 participants69 participants213 participants
Region of Enrollment
Germany
39 participants19 participants58 participants
Region of Enrollment
Greece
19 participants9 participants28 participants
Region of Enrollment
Italy
27 participants13 participants40 participants
Region of Enrollment
Poland
31 participants14 participants45 participants
Region of Enrollment
Spain
31 participants15 participants46 participants
Sex: Female, Male
Female
0 Participants0 Participants0 Participants
Sex: Female, Male
Male
147 Participants70 Participants217 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
27 / 1477 / 70
serious
Total, serious adverse events
2 / 1471 / 70

Outcome results

Primary

Change From Baseline in Question 2 of the Patient Sexual Encounter Profile (SEP) Diary at Week 12 in Percentage of Yes Responses

Assessed was the mean change from baseline in the percentage of Yes responses to the SEP diary Question 2. Were you able to insert your penis into your partner's vagina? Data are presented as the mean percentage of yes responses per participant.

Time frame: Baseline, Week 12

Population: The efficacy analysis of the three primary efficacy variables (IIEF-EF, SEP Question 2, and SEP Question 3) was performed on all randomized subjects who had at least one baseline and one post-baseline observation on all three variables.

ArmMeasureGroupValue (MEAN)Dispersion
TadalafilChange From Baseline in Question 2 of the Patient Sexual Encounter Profile (SEP) Diary at Week 12 in Percentage of Yes ResponsesBaseline60.1 percentage of yes responsesStandard Deviation 38.77
TadalafilChange From Baseline in Question 2 of the Patient Sexual Encounter Profile (SEP) Diary at Week 12 in Percentage of Yes ResponsesWeek 12 Change23.2 percentage of yes responsesStandard Deviation 31.92
PlaceboChange From Baseline in Question 2 of the Patient Sexual Encounter Profile (SEP) Diary at Week 12 in Percentage of Yes ResponsesBaseline59.9 percentage of yes responsesStandard Deviation 38.83
PlaceboChange From Baseline in Question 2 of the Patient Sexual Encounter Profile (SEP) Diary at Week 12 in Percentage of Yes ResponsesWeek 12 Change11.6 percentage of yes responsesStandard Deviation 25.48
Comparison: Model included terms for baseline value of efficacy variable, treatment group, country, and the baseline-by-treatment-group interaction. In any model,if the interaction was not significant (if p≥0.10), then the interaction term was removed and the main effects model was used to calculate the between-treatment-group p-value. All tests were based on type 3 sums of squares.p-value: <0.00195% CI: [5.1, 18.3]ANCOVA
Primary

Change From Baseline in the International Index of Erectile Function - Erectile Function Domain (IIEF-EF) at Week 12

Self-reported erectile function over the past 4 weeks. Scores range from 0 (low or no erectile function) to 5 (high erectile function) on 6 questions (1-5, 15 of the IIEF). Total Erectile Function Domain scores range from 0 to 30.

Time frame: Baseline, Week 12

Population: The efficacy analysis of the three primary efficacy variables (IIEF-EF, SEP Question 2, and SEP Question 3) was performed on all randomized subjects who had at least one baseline and one post-baseline observation on all three variables.

ArmMeasureGroupValue (MEAN)Dispersion
TadalafilChange From Baseline in the International Index of Erectile Function - Erectile Function Domain (IIEF-EF) at Week 12Baseline15.5 units on a scaleStandard Deviation 6
TadalafilChange From Baseline in the International Index of Erectile Function - Erectile Function Domain (IIEF-EF) at Week 12Week 12 Change7.3 units on a scaleStandard Deviation 6.01
PlaceboChange From Baseline in the International Index of Erectile Function - Erectile Function Domain (IIEF-EF) at Week 12Baseline16.0 units on a scaleStandard Deviation 6.27
PlaceboChange From Baseline in the International Index of Erectile Function - Erectile Function Domain (IIEF-EF) at Week 12Week 12 Change3.3 units on a scaleStandard Deviation 5.98
Comparison: Model included terms for baseline value of efficacy variable, treatment group, country, and the baseline-by-treatment-group interaction. In any model,if the interaction was not significant (if p≥0.10), then the interaction term was removed and the main effects model was used to calculate the between-treatment-group p-value. All tests were based on type 3 sums of squares.p-value: <0.00195% CI: [2.2, 5.5]ANCOVA
Primary

Sexual Encounter Profile (SEP) Diary, Question 3 Change From Baseline to Week 12 in Percentage of Yes Responses

Assessed was the mean change from baseline in the percentage of Yes responses to the SEP diary Question 3. Did your erection last long enough for you to have successful intercourse? Data are presented as the mean percentage of yes responses per participant.

Time frame: Baseline, 12 weeks

Population: The efficacy analysis of the three primary efficacy variables (IIEF-EF, SEP Question 2, and SEP Question 3) was performed on all randomized subjects who had at least one baseline and one post-baseline observation on all three variables.

ArmMeasureGroupValue (MEAN)Dispersion
TadalafilSexual Encounter Profile (SEP) Diary, Question 3 Change From Baseline to Week 12 in Percentage of Yes ResponsesBaseline28.2 percentage of yes responsesStandard Deviation 31.86
TadalafilSexual Encounter Profile (SEP) Diary, Question 3 Change From Baseline to Week 12 in Percentage of Yes ResponsesWeek 12 Change39.4 percentage of yes responsesStandard Deviation 34.71
PlaceboSexual Encounter Profile (SEP) Diary, Question 3 Change From Baseline to Week 12 in Percentage of Yes ResponsesBaseline32.2 percentage of yes responsesStandard Deviation 35.93
PlaceboSexual Encounter Profile (SEP) Diary, Question 3 Change From Baseline to Week 12 in Percentage of Yes ResponsesWeek 12 Change19.3 percentage of yes responsesStandard Deviation 36.18
Comparison: Model included terms for baseline value of efficacy variable, treatment group, country, and the baseline-by-treatment-group interaction. In any model,if the interaction was not significant (if p≥0.10), then the interaction term was removed and the main effects model was used to calculate the between-treatment-group p-value. All tests were based on type 3 sums of squares.p-value: <0.00195% CI: [8.9, 27]ANCOVA
Secondary

Change From Baseline to 12 Week Endpoint in International Index of Erectile Function (IIEF), Intercourse Satisfaction (IS)

Self-reported intercourse satisfaction over the past 4 weeks. Scores range from 0 (low/no satisfaction) to 5 (high satisfaction), thus the 3 questions of the IIEF-IS domain range from 0 to 15.

Time frame: Baseline, Week 12

Population: The ITT analysis set included all randomized subjects who had a baseline and post-baseline observation.

ArmMeasureGroupValue (MEAN)Dispersion
TadalafilChange From Baseline to 12 Week Endpoint in International Index of Erectile Function (IIEF), Intercourse Satisfaction (IS)Baseline8.2 units on a scaleStandard Deviation 2.65
TadalafilChange From Baseline to 12 Week Endpoint in International Index of Erectile Function (IIEF), Intercourse Satisfaction (IS)Week 12 Change2.1 units on a scaleStandard Deviation 2.67
PlaceboChange From Baseline to 12 Week Endpoint in International Index of Erectile Function (IIEF), Intercourse Satisfaction (IS)Baseline7.6 units on a scaleStandard Deviation 2.43
PlaceboChange From Baseline to 12 Week Endpoint in International Index of Erectile Function (IIEF), Intercourse Satisfaction (IS)Week 12 Change1.5 units on a scaleStandard Deviation 2.56
Comparison: Model included terms for baseline value of efficacy variable, treatment group, country, and the baseline-by-treatment-group interaction. In any model,if the interaction was not significant (if p≥0.10), then the interaction term was removed and the main effects model was used to calculate the between-treatment-group p-value. All tests were based on type 3 sums of squares.p-value: 0.046195% CI: [0, 1.5]ANCOVA
Secondary

Change From Baseline to 12 Week Endpoint in International Index of Erectile Function (IIEF), Orgasmic Functions (OF)

Self-reported overall satisfaction over the past 4 weeks. Scores range from 0 (low/no satisfaction) to 5 (high satisfaction), thus the 2 questions of the IIEF-OF domain range from 0 to 10.

Time frame: Baseline, Week 12

Population: The ITT analysis set included all randomized subjects who had a baseline and post-baseline observation.

ArmMeasureGroupValue (MEAN)Dispersion
TadalafilChange From Baseline to 12 Week Endpoint in International Index of Erectile Function (IIEF), Orgasmic Functions (OF)Baseline6.5 units on a scaleStandard Deviation 2.99
TadalafilChange From Baseline to 12 Week Endpoint in International Index of Erectile Function (IIEF), Orgasmic Functions (OF)Week 12 Change2.0 units on a scaleStandard Deviation 2.78
PlaceboChange From Baseline to 12 Week Endpoint in International Index of Erectile Function (IIEF), Orgasmic Functions (OF)Baseline7.2 units on a scaleStandard Deviation 2.81
PlaceboChange From Baseline to 12 Week Endpoint in International Index of Erectile Function (IIEF), Orgasmic Functions (OF)Week 12 Change0.5 units on a scaleStandard Deviation 2.02
Comparison: Model included terms for baseline value of efficacy variable, treatment group, country, and the baseline-by-treatment-group interaction. In any model,if the interaction was not significant (if p≥0.10), then the interaction term was removed and the main effects model was used to calculate the between-treatment-group p-value. All tests were based on type 3 sums of squares.p-value: <0.00195% CI: [0.7, 1.9]ANCOVA
Secondary

Change From Baseline to 12 Week Endpoint in International Index of Erectile Function (IIEF), Overall Satisfaction (OS)

Self-reported overall satisfaction over the past 4 weeks. Scores range from 0 (low/no satisfaction to 5 (high satisfaction), thus the 2 questions of the IIEF-OS domain range from 0 to 10.

Time frame: Baseline, 12 weeks

Population: The ITT analysis set included all randomized subjects who had a baseline and post-baseline observation.

ArmMeasureGroupValue (MEAN)Dispersion
TadalafilChange From Baseline to 12 Week Endpoint in International Index of Erectile Function (IIEF), Overall Satisfaction (OS)Baseline5.2 units on a scaleStandard Deviation 2.15
TadalafilChange From Baseline to 12 Week Endpoint in International Index of Erectile Function (IIEF), Overall Satisfaction (OS)Week 12 Change2.0 units on a scaleStandard Deviation 2.37
PlaceboChange From Baseline to 12 Week Endpoint in International Index of Erectile Function (IIEF), Overall Satisfaction (OS)Baseline5.1 units on a scaleStandard Deviation 2.11
PlaceboChange From Baseline to 12 Week Endpoint in International Index of Erectile Function (IIEF), Overall Satisfaction (OS)Week 12 Change0.8 units on a scaleStandard Deviation 2.19
Comparison: Model included terms for baseline value of efficacy variable, treatment group, country, and the baseline-by-treatment-group interaction. In any model,if the interaction was not significant (if p≥0.10), then the interaction term was removed and the main effects model was used to calculate the between-treatment-group p-value. All tests were based on type 3 sums of squares.p-value: <0.00195% CI: [0.7, 1.9]ANCOVA
Secondary

Change From Baseline to 12 Week Endpoint in International Index of Erectile Function (IIEF), Sexual Desire (SD)

Self-reported overall satisfaction over the past 4 weeks. Scores range from 0 (low/no satisfaction to 5 (high satisfaction), thus the 2 questions of the IIEF-SD domain range from 0 to 10.

Time frame: Baseline, 12 weeks

Population: The ITT analysis set included all randomized subjects who had a baseline and post-baseline observation.

ArmMeasureGroupValue (MEAN)Dispersion
TadalafilChange From Baseline to 12 Week Endpoint in International Index of Erectile Function (IIEF), Sexual Desire (SD)Baseline6.7 units on a scaleStandard Deviation 1.81
TadalafilChange From Baseline to 12 Week Endpoint in International Index of Erectile Function (IIEF), Sexual Desire (SD)Week 12 Change0.5 units on a scaleStandard Deviation 1.93
PlaceboChange From Baseline to 12 Week Endpoint in International Index of Erectile Function (IIEF), Sexual Desire (SD)Baseline6.6 units on a scaleStandard Deviation 1.87
PlaceboChange From Baseline to 12 Week Endpoint in International Index of Erectile Function (IIEF), Sexual Desire (SD)Week 12 Change-0.1 units on a scaleStandard Deviation 1.78
Comparison: Model included terms for baseline value of efficacy variable, treatment group, country, and the baseline-by-treatment-group interaction. In any model,if the interaction was not significant (if p≥0.10), then the interaction term was removed and the main effects model was used to calculate the between-treatment-group p-value. All tests were based on type 3 sums of squares.p-value: 0.008995% CI: [0.2, 1.1]ANCOVA
Secondary

Change From Baseline to 12 Week Endpoint in Nocturnal Penile Tumescence (NPT) Pattern: Duration of Erectile Events Per Night

NPT was measured using electrobioimpedance volumetric assessment (NEVA). The NEVA device measures a man's erections during the night. The duration of erections are measured and recorded. Data presented are the duration of erectile events at baseline and the change from baseline to Week 12.

Time frame: Baseline, Week 12

Population: The ITT analysis set included all randomized subjects who had a baseline and post-baseline observation.

ArmMeasureGroupValue (MEAN)Dispersion
TadalafilChange From Baseline to 12 Week Endpoint in Nocturnal Penile Tumescence (NPT) Pattern: Duration of Erectile Events Per NightBaseline (n=104, n=56)28.487 minutesStandard Deviation 14.4791
TadalafilChange From Baseline to 12 Week Endpoint in Nocturnal Penile Tumescence (NPT) Pattern: Duration of Erectile Events Per NightWeek 12 Change (n=65, n=33)-1.553 minutesStandard Deviation 16.0073
PlaceboChange From Baseline to 12 Week Endpoint in Nocturnal Penile Tumescence (NPT) Pattern: Duration of Erectile Events Per NightBaseline (n=104, n=56)26.372 minutesStandard Deviation 11.8969
PlaceboChange From Baseline to 12 Week Endpoint in Nocturnal Penile Tumescence (NPT) Pattern: Duration of Erectile Events Per NightWeek 12 Change (n=65, n=33)-0.398 minutesStandard Deviation 12.4585
Secondary

Change From Baseline to 12 Week Endpoint in Nocturnal Penile Tumescence (NPT) Pattern: Number of Erectile Events Per Night

NPT was measured using electrobioimpedance volumetric assessment (NEVA). The NEVA device measures a man's erections during the night. The man wears the device for three nights prior to visit 2 (baseline), visit 5 (end of randomised treatment) and visit 6 (end of follow-up). Data are entered for the 2 nights prior to the visit. During the night the man may have multiple erections. The number of erections is recorded.

Time frame: Baseline, Week 12

Population: The ITT analysis set included all randomized subjects who had a baseline and post-baseline observation.

ArmMeasureGroupValue (MEAN)Dispersion
TadalafilChange From Baseline to 12 Week Endpoint in Nocturnal Penile Tumescence (NPT) Pattern: Number of Erectile Events Per NightBaseline (n=122, n=63)2.75 Number of events per nightStandard Deviation 2.27
TadalafilChange From Baseline to 12 Week Endpoint in Nocturnal Penile Tumescence (NPT) Pattern: Number of Erectile Events Per NightWeek 12 Change (n=96, n=49)-0.11 Number of events per nightStandard Deviation 2.592
PlaceboChange From Baseline to 12 Week Endpoint in Nocturnal Penile Tumescence (NPT) Pattern: Number of Erectile Events Per NightBaseline (n=122, n=63)2.44 Number of events per nightStandard Deviation 2.002
PlaceboChange From Baseline to 12 Week Endpoint in Nocturnal Penile Tumescence (NPT) Pattern: Number of Erectile Events Per NightWeek 12 Change (n=96, n=49)-0.09 Number of events per nightStandard Deviation 2.214
Secondary

Change From Baseline to 12 Week Endpoint in Nocturnal Penile Tumescence (NPT) Pattern: Percentage Volumetric Change

NPT was measured using electrobioimpedance volumetric assessment (NEVA). The NEVA device measures a man's erections during the night. The percent of volume change of the penis during erections is measured and recorded for each erection. Data presented are mean percentage of volumetric change from baseline to Week 12.

Time frame: Baseline, Week 12

Population: The ITT analysis set included all randomized subjects who had a baseline and post-baseline observation.

ArmMeasureValue (MEAN)Dispersion
TadalafilChange From Baseline to 12 Week Endpoint in Nocturnal Penile Tumescence (NPT) Pattern: Percentage Volumetric Change-5.96 percent of volumetric changeStandard Deviation 74.647
PlaceboChange From Baseline to 12 Week Endpoint in Nocturnal Penile Tumescence (NPT) Pattern: Percentage Volumetric Change-50.30 percent of volumetric changeStandard Deviation 150.321
Secondary

Change From Baseline to 12 Week Endpoint in Sexual Encounter Profile (SEP) Question 1 Percentage of Yes Responses

Assessed was the mean change from baseline in the percentage of Yes responses to the SEP diary Question 1. Were you able to achieve at least some erection (some enlargement of the penis)? Data are presented as the mean percentage of yes responses per participant.

Time frame: Baseline, 12 weeks

Population: The ITT analysis set included all randomized subjects who had a baseline and post-baseline observation.

ArmMeasureGroupValue (MEAN)Dispersion
TadalafilChange From Baseline to 12 Week Endpoint in Sexual Encounter Profile (SEP) Question 1 Percentage of Yes ResponsesBaseline80.8 percentage of yes responsesStandard Deviation 28.52
TadalafilChange From Baseline to 12 Week Endpoint in Sexual Encounter Profile (SEP) Question 1 Percentage of Yes ResponsesWeek 12 Change12.5 percentage of yes responsesStandard Deviation 24.03
PlaceboChange From Baseline to 12 Week Endpoint in Sexual Encounter Profile (SEP) Question 1 Percentage of Yes ResponsesBaseline74.2 percentage of yes responsesStandard Deviation 34.26
PlaceboChange From Baseline to 12 Week Endpoint in Sexual Encounter Profile (SEP) Question 1 Percentage of Yes ResponsesWeek 12 Change9.5 percentage of yes responsesStandard Deviation 24.67
Comparison: The model included terms for baseline value of the efficacy variable, treatment group, country, and the baseline-by-treatment-group interaction. In any model, if the interaction was not significant (that is, if p≥0.10), then the interaction term was removed from the model and the main effects model was used to calculate the between-treatment-group p-value. All tests were based on the type 3 sums of squares.p-value: 0.004795% CI: [2, 10.7]ANCOVA
Secondary

Change From Baseline to 12 Week Endpoint in Sexual Encounter Profile (SEP) Question 4 Percentage of Yes Responses

Assessed was the mean change from baseline in the percentage of Yes responses to the SEP diary Question 4. Were you satisfied with the hardness of your erection? Data are presented as the mean percentage of yes responses per participant.

Time frame: Baseline, 12 weeks

Population: The ITT analysis set included all randomized subjects who had a baseline and post-baseline observation.

ArmMeasureGroupValue (MEAN)Dispersion
TadalafilChange From Baseline to 12 Week Endpoint in Sexual Encounter Profile (SEP) Question 4 Percentage of Yes ResponsesBaseline11.7 percentage of yes responsesStandard Deviation 21.16
TadalafilChange From Baseline to 12 Week Endpoint in Sexual Encounter Profile (SEP) Question 4 Percentage of Yes ResponsesWeek 12 Change44.1 percentage of yes responsesStandard Deviation 35.75
PlaceboChange From Baseline to 12 Week Endpoint in Sexual Encounter Profile (SEP) Question 4 Percentage of Yes ResponsesBaseline14.6 percentage of yes responsesStandard Deviation 23.3
PlaceboChange From Baseline to 12 Week Endpoint in Sexual Encounter Profile (SEP) Question 4 Percentage of Yes ResponsesWeek 12 Change18.3 percentage of yes responsesStandard Deviation 32.14
Comparison: The model included terms for baseline value of the efficacy variable, treatment group, country, and the baseline-by-treatment-group interaction. In any model, if the interaction was not significant (that is, if p≥0.10), then the interaction term was removed from the model and the main effects model was used to calculate the between-treatment-group p-value. All tests were based on the type 3 sums of squares.p-value: <0.00195% CI: [14.6, 34.3]ANCOVA
Secondary

Change From Baseline to 12 Week Endpoint in Sexual Encounter Profile (SEP) Question 5 Percentage of Yes Responses

Assessed was the mean change from baseline in the percentage of Yes responses to the SEP diary Question 5. Were you satisfied overall with this sexual experience? Data are presented as the mean percentage of yes responses per participant.

Time frame: Baseline, 12 weeks

Population: The ITT analysis set included all randomized subjects who had a baseline and post-baseline observation.

ArmMeasureGroupValue (MEAN)Dispersion
TadalafilChange From Baseline to 12 Week Endpoint in Sexual Encounter Profile (SEP) Question 5 Percentage of Yes ResponsesBaseline10.3 percentage of yes responsesStandard Deviation 20.36
TadalafilChange From Baseline to 12 Week Endpoint in Sexual Encounter Profile (SEP) Question 5 Percentage of Yes ResponsesWeek 12 Change43.2 percentage of yes responsesStandard Deviation 35.52
PlaceboChange From Baseline to 12 Week Endpoint in Sexual Encounter Profile (SEP) Question 5 Percentage of Yes ResponsesBaseline12.9 percentage of yes responsesStandard Deviation 22.11
PlaceboChange From Baseline to 12 Week Endpoint in Sexual Encounter Profile (SEP) Question 5 Percentage of Yes ResponsesWeek 12 Change18.5 percentage of yes responsesStandard Deviation 30.98
Comparison: The model included terms for baseline value of the efficacy variable, treatment group, country, and the baseline-by-treatment-group interaction. In any model, if the interaction was not significant (that is, if p≥0.10), then the interaction term was removed from the model and the main effects model was used to calculate the between-treatment-group p-value. All tests were based on the type 3 sums of squares.p-value: <0.00195% CI: [13.7, 33.2]ANCOVA
Secondary

Change From Baseline to 12 Week Endpoint in the Frequency of Spontaneous Morning Erections Captured by Patient Diary

The morning erection diary allows the participant to record whether he experienced an erection on waking. The participant is to complete the morning erection diary every morning during the run-in, treatment and follow-up periods. The percentage of mornings the participant reported an erection is analysed.

Time frame: Baseline, 12 weeks

Population: The ITT analysis set included all randomized subjects who had a baseline and post-baseline observation.

ArmMeasureGroupValue (MEAN)Dispersion
TadalafilChange From Baseline to 12 Week Endpoint in the Frequency of Spontaneous Morning Erections Captured by Patient DiaryBaseline (n=145, n=67)31.0 percentStandard Deviation 27.21
TadalafilChange From Baseline to 12 Week Endpoint in the Frequency of Spontaneous Morning Erections Captured by Patient DiaryWeek 12 Change (n=145, n=66)27.5 percentStandard Deviation 25.29
PlaceboChange From Baseline to 12 Week Endpoint in the Frequency of Spontaneous Morning Erections Captured by Patient DiaryBaseline (n=145, n=67)28.9 percentStandard Deviation 25.74
PlaceboChange From Baseline to 12 Week Endpoint in the Frequency of Spontaneous Morning Erections Captured by Patient DiaryWeek 12 Change (n=145, n=66)11.9 percentStandard Deviation 22
Comparison: The change from baseline to endpoint in morning erection percentages was analyzed with an ANCOVA model including terms for baseline value, treatment group, country, age and the baseline-by-treatment-group interaction. In any model, if the interaction was not significant (at p≥0.10), then the interaction term was removed from the model and the main effects model was used to calculate the between-treatment-group p-value. All tests were based on type 3 sums of squares.p-value: <0.00195% CI: [9.5, 22.8]ANCOVA
Secondary

Change From Baseline to 12 Week Endpoint in Total and Subdomain Scores of the Self-Esteem and Relationship (SEAR) Questionnaire

SEAR measures improvement in self-esteem and relationship satisfaction. Questionnaire consists of two domains, Sexual Relationship (items 1-8) and Confidence (items 9-14). All questions except negatively worded questions 8 and 11 are scored from 1=almost never/never to 5=almost always/always. Questions 8 and 11 were reverse scored, thus a higher score signifies a more favorable response for all 14 items. Overall score is transformed into a 0 (least favorable) to 100 (most favorable) scale.

Time frame: Baseline, Week 12

Population: The ITT analysis set included all randomized subjects who had a baseline and post-baseline observation.

ArmMeasureGroupValue (MEAN)Dispersion
TadalafilChange From Baseline to 12 Week Endpoint in Total and Subdomain Scores of the Self-Esteem and Relationship (SEAR) QuestionnaireTotal (Baseline)47.3 units on a scaleStandard Deviation 21.95
TadalafilChange From Baseline to 12 Week Endpoint in Total and Subdomain Scores of the Self-Esteem and Relationship (SEAR) QuestionnaireTotal (Change)20.4 units on a scaleStandard Deviation 23.85
TadalafilChange From Baseline to 12 Week Endpoint in Total and Subdomain Scores of the Self-Esteem and Relationship (SEAR) QuestionnaireSexual Relationship Domain (Baseline)43.0 units on a scaleStandard Deviation 22.54
TadalafilChange From Baseline to 12 Week Endpoint in Total and Subdomain Scores of the Self-Esteem and Relationship (SEAR) QuestionnaireSexual Relationship Domain (Change)23.4 units on a scaleStandard Deviation 25.88
TadalafilChange From Baseline to 12 Week Endpoint in Total and Subdomain Scores of the Self-Esteem and Relationship (SEAR) QuestionnaireConfidence Domain (Baseline)53.1 units on a scaleStandard Deviation 25.58
TadalafilChange From Baseline to 12 Week Endpoint in Total and Subdomain Scores of the Self-Esteem and Relationship (SEAR) QuestionnaireConfidence Domain (Change)16.5 units on a scaleStandard Deviation 25.58
TadalafilChange From Baseline to 12 Week Endpoint in Total and Subdomain Scores of the Self-Esteem and Relationship (SEAR) QuestionnaireSelf-Esteem Domain (Baseline)50.5 units on a scaleStandard Deviation 28.15
TadalafilChange From Baseline to 12 Week Endpoint in Total and Subdomain Scores of the Self-Esteem and Relationship (SEAR) QuestionnaireSelf-Esteem Domain (Change)19.2 units on a scaleStandard Deviation 27.85
TadalafilChange From Baseline to 12 Week Endpoint in Total and Subdomain Scores of the Self-Esteem and Relationship (SEAR) QuestionnaireOverall Relationship Domain (Baseline)58.2 units on a scaleStandard Deviation 31.47
TadalafilChange From Baseline to 12 Week Endpoint in Total and Subdomain Scores of the Self-Esteem and Relationship (SEAR) QuestionnaireOverall Relationship Domain (Change)11.0 units on a scaleStandard Deviation 32.51
PlaceboChange From Baseline to 12 Week Endpoint in Total and Subdomain Scores of the Self-Esteem and Relationship (SEAR) QuestionnaireSelf-Esteem Domain (Change)9.3 units on a scaleStandard Deviation 30.05
PlaceboChange From Baseline to 12 Week Endpoint in Total and Subdomain Scores of the Self-Esteem and Relationship (SEAR) QuestionnaireTotal (Baseline)47.9 units on a scaleStandard Deviation 21.58
PlaceboChange From Baseline to 12 Week Endpoint in Total and Subdomain Scores of the Self-Esteem and Relationship (SEAR) QuestionnaireConfidence Domain (Change)6.5 units on a scaleStandard Deviation 24.57
PlaceboChange From Baseline to 12 Week Endpoint in Total and Subdomain Scores of the Self-Esteem and Relationship (SEAR) QuestionnaireTotal (Change)8.3 units on a scaleStandard Deviation 21.14
PlaceboChange From Baseline to 12 Week Endpoint in Total and Subdomain Scores of the Self-Esteem and Relationship (SEAR) QuestionnaireOverall Relationship Domain (Change)0.9 units on a scaleStandard Deviation 30.17
PlaceboChange From Baseline to 12 Week Endpoint in Total and Subdomain Scores of the Self-Esteem and Relationship (SEAR) QuestionnaireSexual Relationship Domain (Baseline)43.9 units on a scaleStandard Deviation 21.68
PlaceboChange From Baseline to 12 Week Endpoint in Total and Subdomain Scores of the Self-Esteem and Relationship (SEAR) QuestionnaireSelf-Esteem Domain (Baseline)48.5 units on a scaleStandard Deviation 30.06
PlaceboChange From Baseline to 12 Week Endpoint in Total and Subdomain Scores of the Self-Esteem and Relationship (SEAR) QuestionnaireSexual Relationship Domain (Change)9.7 units on a scaleStandard Deviation 22.35
PlaceboChange From Baseline to 12 Week Endpoint in Total and Subdomain Scores of the Self-Esteem and Relationship (SEAR) QuestionnaireOverall Relationship Domain (Baseline)62.3 units on a scaleStandard Deviation 29.01
PlaceboChange From Baseline to 12 Week Endpoint in Total and Subdomain Scores of the Self-Esteem and Relationship (SEAR) QuestionnaireConfidence Domain (Baseline)53.1 units on a scaleStandard Deviation 24.85
Comparison: The model included terms for baseline value of the efficacy variable, treatment group, country, and the baseline-by-treatment-group interaction. In any model, if the interaction was not significant (at p≥0.10), then the interaction term was removed from the model and the main effects model was used to calculate the between-treatment-group p-value. All tests were based on type 3 sums of squares.p-value: <0.00195% CI: [5.5, 18]ANCOVA
Comparison: The model included terms for baseline value of the efficacy variable, treatment group, country, and the baseline-by-treatment-group interaction. In any model, if the interaction was not significant (at p≥0.10), then the interaction term was removed from the model and the main effects model was used to calculate the between-treatment-group p-value. All tests were based on type 3 sums of squares.p-value: <0.00195% CI: [6.6, 19.8]ANCOVA
Comparison: The model included terms for baseline value of the efficacy variable, treatment group, country, and the baseline-by-treatment-group interaction. In any model, if the interaction was not significant (at p≥0.10), then the interaction term was removed from the model and the main effects model was used to calculate the between-treatment-group p-value. All tests were based on type 3 sums of squares.p-value: 0.003495% CI: [3.3, 16.5]ANCOVA
Comparison: The model included terms for baseline value of the efficacy variable, treatment group, country, and the baseline-by-treatment-group interaction. In any model, if the interaction was not significant (at p≥0.10), then the interaction term was removed from the model and the main effects model was used to calculate the between-treatment-group p-value. All tests were based on type 3 sums of squares.p-value: 0.00295% CI: [4.1, 17.9]ANCOVA
Comparison: The model included terms for baseline value of the efficacy variable, treatment group, country, and the baseline-by-treatment-group interaction. In any model, if the interaction was not significant (at p≥0.10), then the interaction term was removed from the model and the main effects model was used to calculate the between-treatment-group p-value. All tests were based on type 3 sums of squares.p-value: 0.065395% CI: [-0.5, 15.6]ANCOVA
Secondary

Global Assessment Question (GAQ) Question 1 at 12 Week Endpoint

GAQ Question 1: Choose the one number which best describes how you perceive your ability to achieve and maintain your erections now, compared to how it was before you began taking medication in this study. Responses range from 1=very much better to 7=very much worse.

Time frame: Week 12

Population: The ITT analysis set included all randomized subjects who had a baseline and post-baseline observation.

ArmMeasureGroupValue (NUMBER)Dispersion
TadalafilGlobal Assessment Question (GAQ) Question 1 at 12 Week EndpointVery Much Better49 participants 33.6
TadalafilGlobal Assessment Question (GAQ) Question 1 at 12 Week EndpointMuch Better41 participants 28.1
TadalafilGlobal Assessment Question (GAQ) Question 1 at 12 Week EndpointLittle Better29 participants 19.9
TadalafilGlobal Assessment Question (GAQ) Question 1 at 12 Week EndpointNo Change14 participants 9.6
TadalafilGlobal Assessment Question (GAQ) Question 1 at 12 Week EndpointA Little Worse5 participants 3.4
TadalafilGlobal Assessment Question (GAQ) Question 1 at 12 Week EndpointMuch Worse4 participants 1.4
TadalafilGlobal Assessment Question (GAQ) Question 1 at 12 Week EndpointVery Much Worse2 participants 1.4
TadalafilGlobal Assessment Question (GAQ) Question 1 at 12 Week EndpointMissing4 participants 2.7
PlaceboGlobal Assessment Question (GAQ) Question 1 at 12 Week EndpointMissing2 participants 2.9
PlaceboGlobal Assessment Question (GAQ) Question 1 at 12 Week EndpointVery Much Better7 participants 10.1
PlaceboGlobal Assessment Question (GAQ) Question 1 at 12 Week EndpointA Little Worse5 participants 7.2
PlaceboGlobal Assessment Question (GAQ) Question 1 at 12 Week EndpointMuch Better8 participants 11.6
PlaceboGlobal Assessment Question (GAQ) Question 1 at 12 Week EndpointVery Much Worse1 participants 1.4
PlaceboGlobal Assessment Question (GAQ) Question 1 at 12 Week EndpointLittle Better19 participants 27.5
PlaceboGlobal Assessment Question (GAQ) Question 1 at 12 Week EndpointMuch Worse3 participants 4.3
PlaceboGlobal Assessment Question (GAQ) Question 1 at 12 Week EndpointNo Change24 participants 34.8
Comparison: Wilcoxon's rank sum test was used to compare responses to GAQs between treatment groups.p-value: <0.0001Wilcoxon (Mann-Whitney)
Secondary

Global Assessment Question (GAQ) Question 2 at 12 Week Endpoint

GAQ Question 2: Choose the one number which best describes how you perceive your sexual life is now, compared to how it was before you began taking medication in this study. Responses range from 1=very much better to 7=very much worse.

Time frame: Week 12

Population: The ITT analysis set included all randomized subjects who had a baseline and post-baseline observation.

ArmMeasureGroupValue (NUMBER)Dispersion
TadalafilGlobal Assessment Question (GAQ) Question 2 at 12 Week EndpointVery Much Better40 participants 27.4
TadalafilGlobal Assessment Question (GAQ) Question 2 at 12 Week EndpointA Little Worse3 participants 2.1
TadalafilGlobal Assessment Question (GAQ) Question 2 at 12 Week EndpointLittle Better28 participants 19.2
TadalafilGlobal Assessment Question (GAQ) Question 2 at 12 Week EndpointMuch Better49 participants 33.6
TadalafilGlobal Assessment Question (GAQ) Question 2 at 12 Week EndpointVery Much Worse1 participants 0.7
TadalafilGlobal Assessment Question (GAQ) Question 2 at 12 Week EndpointNo Change17 participants 11.6
TadalafilGlobal Assessment Question (GAQ) Question 2 at 12 Week EndpointMissing4 participants 2.7
TadalafilGlobal Assessment Question (GAQ) Question 2 at 12 Week EndpointMuch Worse4 participants
PlaceboGlobal Assessment Question (GAQ) Question 2 at 12 Week EndpointMissing2 participants 2.9
PlaceboGlobal Assessment Question (GAQ) Question 2 at 12 Week EndpointVery Much Better5 participants 7.2
PlaceboGlobal Assessment Question (GAQ) Question 2 at 12 Week EndpointMuch Better11 participants 15.9
PlaceboGlobal Assessment Question (GAQ) Question 2 at 12 Week EndpointLittle Better17 participants 24.6
PlaceboGlobal Assessment Question (GAQ) Question 2 at 12 Week EndpointNo Change27 participants 39.1
PlaceboGlobal Assessment Question (GAQ) Question 2 at 12 Week EndpointA Little Worse4 participants 5.8
PlaceboGlobal Assessment Question (GAQ) Question 2 at 12 Week EndpointMuch Worse3 participants
PlaceboGlobal Assessment Question (GAQ) Question 2 at 12 Week EndpointVery Much Worse0 participants 0
Comparison: Wilcoxon's rank sum test was used to compare responses to GAQs between treatment groups.p-value: <0.0001Wilcoxon (Mann-Whitney)
Secondary

The Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) Questionnaire at 12 Week Endpoint

The subject questionnaire consists of 11 questions. Each question is rated on a scale of 0 (extremely low treatment satisfaction) to 4 (extremely high treatment satisfaction). The EDITS summary score will be obtained by adding each individual result for all questions, dividing by the number of questions answered (mean satisfaction score), and multiplying by 25, thus obtaining a score that ranges from 0 (extremely low treatment satisfaction) to 100 (extremely high satisfaction).

Time frame: Week 12

Population: The ITT analysis set included all randomized subjects who had a baseline and post-baseline observation.

ArmMeasureValue (MEAN)Dispersion
TadalafilThe Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) Questionnaire at 12 Week Endpoint72.8 units on a scaleStandard Deviation 20.66
PlaceboThe Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) Questionnaire at 12 Week Endpoint52.7 units on a scaleStandard Deviation 22.62
Comparison: The models included terms for baseline value of the efficacy variable,treatment group,country, and the baseline-by-treatment-group interaction.In any model, if the interaction was not significant (at p≥0.10), then the interaction term was removed from the model and the main effects model was used to calculate the between-treatment-group p-value. All tests were based on type 3 sums of squares.p-value: >0.00195% CI: [13.9, 26.1]ANOVA

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026