PMID- 17087804 OWN - NLM STAT- MEDLINE DCOM- 20070518 LR - 20220409 IS - 1743-6095 (Print) IS - 1743-6095 (Linking) VI - 4 IP - 2 DP - 2007 Mar TI - Real-life safety and efficacy of vardenafil in the treatment of erectile dysfunction-results from 30,010 U.S. patients. PG - 432-9 AB - INTRODUCTION: Clinical trials show that vardenafil produces effective and satisfactory first-dose success rates and reliability for erection and intercourse in men with erectile dysfunction (ED). AIM: This study was conducted to evaluate real-life efficacy, safety, and acceptance of vardenafil in men with ED. METHODS: This open-label, prospective study, conducted in 6,740 U.S. centers, included an initial visit and one or two follow-up visits within a 2-month period of the first vardenafil dose. Vardenafil was administered in 5-20 mg doses. MAIN OUTCOME MEASURES: Efficacy variables included first-dose success rates for vaginal penetration, maintenance of erection, and satisfaction based on physician and patient assessments. Safety was assessed by adverse events (AEs). RESULTS: A total of 30,010 men were included in the safety/intent-to-treat (S/ITT) analysis, with 26,043 men in the adjusted S/ITT population. Vardenafil improved erectile function in 78% of men, with 75% rating overall efficacy as "satisfying" or "very satisfying." The overall rates of successful penetration and maintenance with vardenafil following the first dose were 78% and 68%, respectively. For men with mild and moderate ED, first-dose success rates for penetration were 89% and 82%, respectively, and for maintenance, 82% and 71%, respectively. First-dose penetration and maintenance of erection rates were 76% and 66%, respectively, for men with self-reported hypertension, and 70% and 60%, respectively, for men with diabetes mellitus. At study end, 67% of patients preferred to continue using vardenafil. The most frequently reported AEs were headache (4%) and flushing (2%). Vardenafil was well tolerated, with a "satisfied/very satisfied" tolerability rating in 75% of cases as assessed by the physician. CONCLUSIONS: This observational study demonstrated the tolerability and efficacy of vardenafil in men with ED and comorbidities. Vardenafil provided a high rate of first-dose intercourse success and a favorable safety profile in patients with and without comorbid disease. FAU - Cheng, Eric AU - Cheng E AD - Department of Family Medicine, State University of New York, Health Science Center, Brooklyn, New York, USA. mrspeakerz@earthlink.net LA - eng PT - Clinical Trial PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20061106 PL - Netherlands TA - J Sex Med JT - The journal of sexual medicine JID - 101230693 RN - 0 (Imidazoles) RN - 0 (Phosphodiesterase Inhibitors) RN - 0 (Piperazines) RN - 0 (Sulfones) RN - 0 (Triazines) RN - 5O8R96XMH7 (Vardenafil Dihydrochloride) SB - IM MH - Adult MH - Aged MH - *Coitus MH - Dose-Response Relationship, Drug MH - Erectile Dysfunction/*drug therapy/epidemiology MH - Humans MH - Imidazoles/*administration & dosage/adverse effects MH - Male MH - Middle Aged MH - Patient Satisfaction/*statistics & numerical data MH - Penile Erection/drug effects MH - Phosphodiesterase Inhibitors/*administration & dosage/adverse effects MH - Piperazines/*administration & dosage/adverse effects MH - Quality of Life MH - Sulfones/administration & dosage/adverse effects MH - Surveys and Questionnaires MH - Treatment Outcome MH - Triazines/administration & dosage/adverse effects MH - United States/epidemiology MH - Vardenafil Dihydrochloride EDAT- 2006/11/08 09:00 MHDA- 2007/05/19 09:00 CRDT- 2006/11/08 09:00 PHST- 2006/11/08 09:00 [pubmed] PHST- 2007/05/19 09:00 [medline] PHST- 2006/11/08 09:00 [entrez] AID - S1743-6095(15)31547-2 [pii] AID - 10.1111/j.1743-6109.2006.00383.x [doi] PST - ppublish SO - J Sex Med. 2007 Mar;4(2):432-9. doi: 10.1111/j.1743-6109.2006.00383.x. Epub 2006 Nov 6.