PMID- 19125990 OWN - NLM STAT- MEDLINE DCOM- 20090515 LR - 20211020 IS - 1742-1241 (Electronic) IS - 1368-5031 (Print) IS - 1368-5031 (Linking) VI - 63 IP - 1 DP - 2009 Jan TI - Improvement in duration of erection following phosphodiesterase type 5 inhibitor therapy with vardenafil in men with erectile dysfunction: the ENDURANCE study. PG - 27-34 LID - 10.1111/j.1742-1241.2008.01947.x [doi] AB - OBJECTIVE: The ENDURANCE study evaluated the efficacy of vardenafil, a phosphodiesterase type 5 (PDE5) inhibitor, in men with erectile dysfunction (ED), by measuring the duration of erection leading to successful intercourse using a stopwatch as the assessment instrument. METHODS: This was a randomised, multicentre, double-blind, placebo-controlled, crossover study consisting of a 4-week treatment-free run-in phase after which patients were randomised to either fixed-dose vardenafil 10 mg or placebo (to be administered 60 min prior to intercourse) and entered the first of the two 4-week double-blind treatment periods, separated by a 1-week washout. The primary efficacy end-point was the stopwatch-assessed duration of erection, which was defined as the time from erection perceived hard enough for penetration until withdrawal from the partner's vagina leading to successful intercourse as measured by Sexual Encounter Profile Question 3 (SEP-3). Secondary efficacy end-points included SEP-2 and SEP-3 success rates, the erectile function domain of the International Index of Erectile Function, global assessment questionnaire, change from baseline in duration of erection and duration of erection not leading to successful intercourse. Safety was assessed by adverse events (AEs), laboratory samples, vital signs and ECGs. RESULTS: Of the 191 men included in the safety population, 40% had moderate ED and 33% had severe ED at baseline. The duration of erection (least squares mean +/- SE) leading to successful intercourse was longer with vardenafil than with placebo (12.81 +/- 1.00 min vs. 5.45 +/- 1.00 min; p < 0.001). The differences recorded for all secondary end-points were statistically significant in favour of vardenafil compared with placebo (p < 0.001), with the exception of duration of erection not leading to successful intercourse. Vardenafil was well tolerated in this study; the majority of AEs being mild-to-moderate in intensity. CONCLUSION: Vardenafil 10-mg therapy provided a statistically superior duration of erection leading to successful intercourse in men with ED compared with placebo. FAU - Rosenberg, M T AU - Rosenberg MT AD - Mid-Michigan Health Centers, Jackson, MI 49201, USA. matttoren@yahoo.com FAU - Adams, P L AU - Adams PL FAU - McBride, T A AU - McBride TA FAU - Roberts, J N AU - Roberts JN FAU - McCallum, S W AU - McCallum SW LA - eng PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - India TA - Int J Clin Pract JT - International journal of clinical practice JID - 9712381 RN - 0 (Imidazoles) RN - 0 (Phosphodiesterase Inhibitors) RN - 0 (Piperazines) RN - 0 (Sulfones) RN - 0 (Triazines) RN - 5O8R96XMH7 (Vardenafil Dihydrochloride) SB - IM CIN - Int J Clin Pract. 2009 Jan;63(1):1. PMID: 19125984 MH - Adult MH - *Coitus MH - Cross-Over Studies MH - Double-Blind Method MH - Erectile Dysfunction/*drug therapy MH - Humans MH - Imidazoles/adverse effects/*therapeutic use MH - Male MH - Middle Aged MH - Patient Satisfaction MH - Penile Erection/*drug effects MH - Phosphodiesterase Inhibitors/adverse effects/*therapeutic use MH - Piperazines/adverse effects/*therapeutic use MH - Severity of Illness Index MH - Sulfones/adverse effects/therapeutic use MH - Surveys and Questionnaires MH - Time Factors MH - Treatment Outcome MH - Triazines/adverse effects/therapeutic use MH - Vardenafil Dihydrochloride MH - Young Adult PMC - PMC2705823 EDAT- 2009/01/08 09:00 MHDA- 2009/05/16 09:00 CRDT- 2009/01/08 09:00 PHST- 2009/01/08 09:00 [entrez] PHST- 2009/01/08 09:00 [pubmed] PHST- 2009/05/16 09:00 [medline] AID - IJCP1947 [pii] AID - 10.1111/j.1742-1241.2008.01947.x [doi] PST - ppublish SO - Int J Clin Pract. 2009 Jan;63(1):27-34. doi: 10.1111/j.1742-1241.2008.01947.x.