Padma-Nathan Harin, Montorsi Francesco, Giuliano François, Meuleman Eric, Auerbach Stephen, Eardley Ian, McCullough Andrew, Homering Martin, Segerson Thomas
Male Clinic, Beverly Hills, CA, USA;.
Istituto San Raffaele, Milan, Italy.
J Sex Med. 2007 Jan;4(1):152-161. doi: 10.1111/j.1743-6109.2006.00380.x.
The ability of oral phosphodiesterase type 5 (PDE5) inhibitor therapy to restore erectile function to normal is an important attribute to men with erectile dysfunction (ED).
To assess the ability of vardenafil to restore normal erectile function in men with general ED.
In two fixed-dose, parallel-group, double-blind, placebo-controlled, pivotal studies, patients received vardenafil (5, 10, or 20 mg) or placebo for 12/26 weeks.
In this retrospective analysis, the percentage of patients "returning to normal" erectile function at week 12 (as defined by scores > or =26 on erectile function domain of International Index of Erectile Function [IIEF-EF]) was determined, with further stratification by baseline ED severity, etiology, age, and duration of ED.
Vardenafil 5, 10, and 20 mg returned 32%, 43%, and 49% of patients, respectively, to normal erectile function after 12 weeks, compared with 10% of patients receiving placebo (P < 0.0001). Return to normal IIEF-EF domain scores was noted irrespective of severity, etiology, age, and duration of ED, and was observed even in challenging-to-treat subgroups. With vardenafil 20 mg, 39% of men with severe ED at baseline, 45-49% of men with ED of mixed or organic etiology, 35% of men aged > or =65 years, and 43% of men with ED of > or =3 years of duration returned to normal erectile function at week 12. Mean per-patient SEP3 (question 3 on the Sexual Encounter Profile) success rates in patients achieving IIEF-EF domain scores > or =26 ranged from 87% to 95%.
Vardenafil improves the IIEF-EF domain score to the normal range in a substantial proportion of men with ED.
口服5型磷酸二酯酶(PDE5)抑制剂疗法将勃起功能恢复至正常的能力,对于勃起功能障碍(ED)男性而言是一项重要特性。
评估伐地那非在患有一般性ED的男性中恢复正常勃起功能的能力。
在两项固定剂量、平行组、双盲、安慰剂对照的关键研究中,患者接受伐地那非(5、10或20毫克)或安慰剂治疗12/26周。
在这项回顾性分析中,确定了第12周时“恢复至正常”勃起功能的患者百分比(根据国际勃起功能指数[IIEF-EF]勃起功能领域得分≥26来定义),并按基线ED严重程度、病因、年龄和ED持续时间进一步分层。
12周后,5毫克、10毫克和20毫克伐地那非分别使32%、43%和49%的患者恢复至正常勃起功能,而接受安慰剂的患者为10%(P<0.0001)。无论ED的严重程度、病因、年龄和持续时间如何,均观察到IIEF-EF领域得分恢复至正常,即使在难以治疗的亚组中也是如此。使用20毫克伐地那非时,基线时患有严重ED的男性中有39%、患有混合性或器质性病因ED的男性中有45%-49%、年龄≥65岁的男性中有35%以及ED持续时间≥3年的男性中有43%在第12周时恢复至正常勃起功能。在IIEF-EF领域得分≥26的患者中,每位患者的SEP3(性经历问卷第3题)平均成功率在87%至95%之间。
伐地那非可使相当一部分ED男性的IIEF-EF领域得分提高至正常范围。