Tan Hui Meng, Chin Chong Min, Chua Chong Beng, Gatchalian Edsal, Kongkanand Apichat, Moh Clarence Lei Chang, Ng Foo Cheong, Ratana-Olarn Krisada, Serrano Dennis, Taher Akmal, Tambi Ismail, Tantiwong Anupan, Chen Michael Wong Yuet, Yip Wai-Chun
Faculty of Medicine, University of Malaya, 1, SS12/1A, Subang Jaya Medical Centre, 47500 Petaling Jaya, Selangor Malaysia.
Asian J Androl. 2008 May;10(3):495-502. doi: 10.1111/j.1745-7262.2008.00388.x.
To evaluate the efficacy and tolerability of vardenafil, a phosphodiesterase type-5 (PDE-5) inhibitor, in men of Asian ethnicity with erectile dysfunction (ED).
In this prospective, double-blind, multinational study, Asian men were randomized to receive vardenafil (10 mg) or placebo (4:1 ratio) for 12 weeks. The primary efficacy variables were the International Index of Erectile Function erectile function domain (IIEF-EF), and Sexual Encounter Profile (SEP) questions related to penetration and intercourse completion. Significant mean improvements were required in all three measures to show positive benefits of vardenafil treatment. Secondary efficacy variables included the Global Assessment Question (GAQ) on erection improvement.
Least-squares mean baseline IIEF-EF domain scores (vardenafil 14.6, placebo 13.4) were consistent with moderate ED. After 12 weeks, vardenafil treatment was associated with significant increases from the baseline in IIEF-EF domain scores compared with the placebo (22.4 vs. 14.3; P<0.001). Vardenafil was associated with significant improvements from baseline in least squares (LS) mean success rates for SEP-2 (vardenafil 82.2 vs. placebo 43.6; P<0.001) and SEP-3 (vardenafil 66.1 vs. placebo 24.0; P<0.001). Positive GAQ responses were reported by 81.8% of vardenafil recipients vs. 24.3% of placebo recipients. Adverse events were reported by 25.4% of the vardenafil group, the majority mild and transient.
Vardenafil (10 mg) is a highly effective and well-tolerated treatment for moderate ED in Asian men. These results add to the increasing amount of data demonstrating the safety and efficacy of vardenafil for the treatment of ED in a range of patient populations.
评估磷酸二酯酶5(PDE - 5)抑制剂伐地那非对亚洲裔勃起功能障碍(ED)男性患者的疗效和耐受性。
在这项前瞻性、双盲、多国研究中,亚洲男性被随机分为接受伐地那非(10毫克)或安慰剂(4:1比例)治疗12周。主要疗效变量为国际勃起功能指数勃起功能领域(IIEF - EF)以及与插入和性交完成相关的性接触概况(SEP)问题。所有这三项指标均需有显著的平均改善才能表明伐地那非治疗有积极效果。次要疗效变量包括关于勃起改善的总体评估问题(GAQ)。
最小二乘均值基线IIEF - EF领域评分(伐地那非组为14.6,安慰剂组为13.4)与中度ED相符。12周后,与安慰剂相比,伐地那非治疗使IIEF - EF领域评分较基线有显著提高(22.4对14.3;P<0.001)。伐地那非使SEP - 2的最小二乘(LS)平均成功率较基线有显著改善(伐地那非组为82.2,安慰剂组为43.6;P<0.001)以及SEP - 3(伐地那非组为66.1,安慰剂组为24.0;P<0.001)。81.8%的伐地那非接受者报告GAQ反应为阳性,而安慰剂接受者中这一比例为24.3%。伐地那非组有25.4%的患者报告了不良事件,多数为轻度且短暂性。
伐地那非(10毫克)是治疗亚洲男性中度ED的高效且耐受性良好的药物。这些结果进一步增加了表明伐地那非在一系列患者群体中治疗ED安全性和有效性的数据量。