Clinical Drug Experience Knowledgebase

Criteria

Inclusion Criteria:

Is male and at least 19 years of age.
Has a stable monogamous relationship for at least 6 months with a consenting female partner (vaginal intercourse is a required study activity).
Provides written informed consent.
The subject's female partner provides written informed consent.
Has a history of ED (clinically defined as the inability to attain and maintain an erection of the penis sufficient to permit satisfactory sexual intercourse) of at least 3 months duration. The investigator will record the etiology of the ED (organic, psychogenic or mixed).
Has scored between 6-25 for the Erectile Function domain score (Questions Number 1-5, 15) at both Visits 1 & 2.
Completes least four diary entries by Visit 2, showing at least 4 attempts at sexual intercourse with a 50% or greater failure rate in achieving or in maintaining an erection sufficient to complete intercourse (defined as answering "no" to SEP questions #2 or #3).
The subject's partner is not pregnant or lactating and both subject and partner agree to the use of a medically acceptable form of birth control. Exceptions would be subjects with a vasectomy or partners that are post menopausal, and partners that have had a tubal ligation or hysterectomy.

Exclusion Criteria:

Has a history of stroke, myocardial infarction, or coronary artery disease within the past 6 months.
Has a history of cardiac failure, angina, or life-threatening arrhythmia within the past 6 months.
Is taking nitrate medication in any form(Appendix 7)
Is taking alpha blockers.
Has a clinically significant abnormal laboratory value as determined by the principal investigator.
Has a history of uncontrolled diabetes (HbA1c>9%).
Has a history of proliferative diabetic retinopathy.
Has a history of spinal cord injury or a radical prostatectomy or radical pelvic surgery.
Has a supine blood pressure lower than 90/50mmHg or uncontrolled hypertension higher than 170/100mmHg.
Has a anatomical deformity of the penis such as severe penile fibrosis or Peyronie's disease.
Has a thyroid stimulating hormone (TSH) level lower than 30% of LLN.
Has erectile dysfunction caused by neurological or endocrine factors such as hyperprolactinemia or low serum testosterone levels (<300 ng/dl).
Has hepatic impairment (GOT, GPT levels > 3 x ULN).
Has renal impairment (serum creatinine ≥ 2.5mg/dl).
Has a history of hematological disorder such as bleeding disorder or a risk of GI bleeding such as peptic ulceration.
Has a history of retinitis pigmentosa.
Has a history of sickle cell disease, multiple myeloma, leukemia or any other disorders that may cause priapism.
Has a history of significant psychiatric disorder.
Has a history of central nervous system disorders such as stroke, transient ischemic attacks, or spinal cord injury.
Has a history of drug abuse (alcohol, marijuana, cocaine, or opiates).
Has a known sensitivity to drugs especially to phosphodiesterase type 5 inhibitors such as Viagra, Cialis or Levitra.
Has used other erectile dysfunction therapies including nutraceutical and herbal products within 14 days prior to entering into this study.

Is using concomitant medications that are known or suspected to interact with PDE 5 inhibitors such as the following:

Antibacterial: erythromycin
Antifungals: itraconazole, ketoconazole
Antivirals: ritonavir, saquinavir, amprenavir, indinavir, nelfinavir
H2 receptor antagonist: cimetidine
Anticoagulants, androgens, trazodone
Have other sexual disorders such as hypoactive sexual desire.
Have previously failed to respond to PDE-5 inhibitors such as Viagra, Cialis or Levitra.
Have a major illness that in the opinion of the investigator would interfere with the conduct of the study.
Has not participated in a clinical drug study within the last 30 days prior to entering this study.