PMID- 21707928 OWN - NLM STAT- MEDLINE DCOM- 20120113 LR - 20151119 IS - 1743-6109 (Electronic) IS - 1743-6095 (Linking) VI - 8 IP - 9 DP - 2011 Sep TI - A randomized, double-blind, placebo-controlled, parallel study to assess the efficacy and safety of once-a-day tadalafil in men with erectile dysfunction who are naive to PDE5 inhibitors. PG - 2617-24 LID - 10.1111/j.1743-6109.2011.02353.x [doi] AB - INTRODUCTION: The majority of subjects included in previous tadalafil once-a-day clinical trials were non-naive to previous phosphodiesterase 5 (PDE5) inhibitors on demand. A study on PDE5 inhibitor naive subjects was therefore warranted. AIM: To evaluate the efficacy and safety of once-a-day tadalafil in PDE5 inhibitor-naive men with erectile dysfunction (ED). MAIN OUTCOMES MEASURES: Primary efficacy end points were changes from baseline to end point in the International Index of Erectile Function (IIEF) Erectile Function (EF) domain score and the per-subject proportion of "yes" responses to sexual encounter profile (SEP) question 2 (SEP2) and question 3 (SEP3). METHODS: PDE5 inhibitor-naive men with ED (N=217) were randomized in a 1:2 ratio to receive placebo or tadalafil 5 mg once a day for 12 weeks. Enrollment began in January 2009 and the last subject completed in January 2010. RESULTS: At end point, least square mean change from baseline IIEF-EF domain score (7.3 vs. 3.4), SEP2 (23.8% vs. 12.2%) and SEP3 (39.5% vs. 21.5%), was significantly larger for tadalafil vs. placebo (all P<0.001). The most common adverse events (AEs) in tadalafil-treated subjects were back pain, nasopharyngitis, dyspepsia, headache, and myalgia. Four subjects (2.7%) in the tadalafil group and one subject (1.4%) in the placebo group discontinued because of AEs. CONCLUSIONS: In PDE5 inhibitor-naive men, tadalafil once a day significantly improved EF compared with placebo. Safety results were consistent with previous tadalafil once-a-day clinical trials. CI - (c) 2011 International Society for Sexual Medicine. FAU - Montorsi, Francesco AU - Montorsi F AD - Department of Urology, Scientific Institute Hospital San Raffaele, Milan, Italy. FAU - Aversa, Antonio AU - Aversa A FAU - Moncada, Ignacio AU - Moncada I FAU - Perimenis, Petros AU - Perimenis P FAU - Porst, Hartmut AU - Porst H FAU - Barker, Clare AU - Barker C FAU - Shane, Michael A AU - Shane MA FAU - Sorsaburu, Sebastian AU - Sorsaburu S LA - eng SI - ClinicalTrials.gov/NCT00836693 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20110627 PL - Netherlands TA - J Sex Med JT - The journal of sexual medicine JID - 101230693 RN - 0 (Carbolines) RN - 0 (Phosphodiesterase 5 Inhibitors) RN - 742SXX0ICT (Tadalafil) SB - IM MH - Age Factors MH - Carbolines/administration & dosage/adverse effects/*therapeutic use MH - Double-Blind Method MH - Erectile Dysfunction/*drug therapy MH - Humans MH - Male MH - Middle Aged MH - Penile Erection/drug effects MH - Phosphodiesterase 5 Inhibitors/administration & dosage/adverse effects/*therapeutic use MH - Tadalafil MH - Treatment Outcome EDAT- 2011/06/29 06:00 MHDA- 2012/01/14 06:00 CRDT- 2011/06/29 06:00 PHST- 2011/06/29 06:00 [entrez] PHST- 2011/06/29 06:00 [pubmed] PHST- 2012/01/14 06:00 [medline] AID - S1743-6095(15)33661-4 [pii] AID - 10.1111/j.1743-6109.2011.02353.x [doi] PST - ppublish SO - J Sex Med. 2011 Sep;8(9):2617-24. doi: 10.1111/j.1743-6109.2011.02353.x. Epub 2011 Jun 27.