Title

Research Evaluating an Investigational Medication for Erectile Dysfunction - General ED
A Randomized, Double-Blind, Placebo-Controlled Evaluation of the Safety and Efficacy of Avanafil (TA-1790) in Subjects With Generalized Erectile Dysfunction
  • Phase

    Phase 3
  • Study Type

    Interventional
  • Intervention/Treatment

    avanafil ...
  • Study Participants

    646
This study is being conducted to compare the safety and efficacy of 3 doses of avanafil to placebo in men with mild to severe erectile dysfunction.
Study Started
Nov 30
2008
Primary Completion
Aug 31
2009
Study Completion
Aug 31
2009
Results Posted
Jun 28
2012
Estimate
Last Update
Jul 11
2012
Estimate

Drug placebo

30 minutes orally prior to initiation of sexual activity

Drug avanafil

30 minutes orally prior to initiation of sexual activity

  • Other names: TA-1790, Stendra

Drug avanafil

30 minutes orally prior to initiation of sexual activity

  • Other names: TA-1790, Stendra

Drug avanafil

30 minutes orally prior to initiation of sexual activity

  • Other names: TA-1790, Stendra

placebo Placebo Comparator

avanafil 50 mg Experimental

avanafil 100 mg Experimental

avanafil 200 mg Experimental

Criteria

Inclusion Criteria:

Male subjects, age ≥ 18 years;
Minimum 6 month history of mild to severe erectile dysfunction;
Subject is in a monogamous, heterosexual relationship for at least 3 months;
Subject agrees to make at least 4 attempts at intercourse per month;
Subject is willing and able to provide informed consent.

Exclusion Criteria:

Allergy or hypersensitivity to PDE5 inhibitors;
History of dose-limiting AEs during therapy with a PDE5 inhibitor or hx of consistent treatment failure with other PDE5 inhibitors for therapy of ED;
Current or expected use of organic nitrates at any time during the study;
Previous or current antiandrogen therapy;
Use of prescription or over-the-counter drugs known to inhibit the activity of CYP3A4 at any time during the study;
Androgen replacement therapy that has not been stable for at least 3 month;
Initiation or change in dose of any alpha-blocker within 14 days prior to randomization;
ED as a result of spinal cord injury or radical prostatectomy;
Untreated hypogonadism or low serum total testosterone
History of or predisposition to priapism;
Any penile implant;
Elevated PSA, other evidence of prostate cancer, or previous radical prostatectomy;
History of any malignancy (except basal cell carcinoma or squamous cell carcinoma of the skin successfully treated by curative excision);
History of type 1 or type 2 diabetes;
Uncontrolled hypertension;
Hypotension;
Orthostatic hypotension;
Significant cardiovascular disease;
Abnormal ECG;
Hepatic or renal impairment;
Positive STD screen;
Clinically evident penile lesions, abrasions, or anatomical deformities;
Urinary tract or bladder infection;
Use of any treatment for erectile dysfunction other than study drug at any time during the study;
Participation in another investigational study within 30 days of screening or at any time during this study;
Previous participation in any other investigational study of avanafil;
History or current drug, alcohol, or substance abuse;
Any history of bipolar disorder or psychosis, greater than one lifetime episode of major depression, current depression of moderate or greater severity or antidepressant use that has not been stable for at least 3 months;
Partners who are < 18 years of age, who are nursing, who are known to be pregnant at screening, who wish to become pregnant during the study period, who have any gynecologic problems or major medical conditions that would limit participation in sexual intercourse;
Evidence of any other condition by history, physical examination, or laboratory studies that, in the opinion of the investigator, would contraindicate the administration of study medication, affect compliance, interfere with study evaluations, limit study participation, contraindicate sexual activity, or confound the interpretation of study results.

Summary

Placebo

Avanafil 50 mg

Avanafil 100 mg

Avanafil 200 mg

All Events

Event Type Organ System Event Term Placebo Avanafil 50 mg Avanafil 100 mg Avanafil 200 mg

Change in Percentage of Sexual Attempts in Which Subjects Were Able to Insert the Penis Into the Partner's Vagina

Data presented as mean change from baseline in the percentage of Yes responses to Sexual Encounter Profile (SEP) diary question 2 "Were you able to insert your penis into your partner's vagina?"

Placebo

7.1
percentage of sexual attempts (Least Squares Mean)
Standard Error: 2.33

Avanafil 50 mg

18.2
percentage of sexual attempts (Least Squares Mean)
Standard Error: 2.34

Avanafil 100 mg

27.2
percentage of sexual attempts (Least Squares Mean)
Standard Error: 2.32

Avanafil 200 mg

29.8
percentage of sexual attempts (Least Squares Mean)
Standard Error: 2.33

Change in International Index of Erectile Function - Erectile Function Domain (IIEF-EF) Score

Questionnaire assesses subject's evaluation of erectile function over the previous 4-week period. Total score from questions 1-5 & 15 ranges from 1 to 30. A higher score indicates better erectile function.

Placebo

2.9
scores on a scale (Least Squares Mean)
Standard Error: 0.57

Avanafil 50 mg

5.4
scores on a scale (Least Squares Mean)
Standard Error: 0.57

Avanafil 100 mg

8.3
scores on a scale (Least Squares Mean)
Standard Error: 0.56

Avanafil 200 mg

9.5
scores on a scale (Least Squares Mean)
Standard Error: 0.56

Change in Percentage of Sexual Attempts in Which Subjects Were Able to Maintain an Erection of Sufficient Duration to Have Successful Intercourse

Data presented as mean change from baseline in the percentage of Yes responses to Sexual Encounter Profile (SEP) diary question 3 "Did your erection last long enough for you to have successful intercourse?"

Placebo

14.1
percentage of sexual attempts (Least Squares Mean)
Standard Error: 2.57

Avanafil 50 mg

27.8
percentage of sexual attempts (Least Squares Mean)
Standard Error: 2.58

Avanafil 100 mg

43.4
percentage of sexual attempts (Least Squares Mean)
Standard Error: 2.56

Avanafil 200 mg

44.2
percentage of sexual attempts (Least Squares Mean)
Standard Error: 2.57

Total

646
Participants

Age Continuous

55.7
years (Mean)
Standard Deviation: 10.89

Region of Enrollment

Sex: Female, Male

Overall Study

Placebo

Avanafil 50 mg

Avanafil 100 mg

Avanafil 200 mg

Drop/Withdrawal Reasons

Placebo

Avanafil 50 mg

Avanafil 100 mg

Avanafil 200 mg