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口服SK3530治疗韩国男性勃起功能障碍的疗效和安全性:一项多中心、随机、双盲、安慰剂对照、固定剂量、平行组临床试验。

Efficacy and safety of oral SK3530 for the treatment of erectile dysfunction in Korean men: a multicenter, randomized, double-blind, placebo-controlled, fixed dose, parallel group clinical trial.

作者信息

Paick Jae-Seung, Choi Hyung-Ki, Kim Sae-Chul, Ahn Tai-Young, Kim Je-Jong, Park Jong-Kwan, Park Kwang-Sung, Lee Sung-Won, Kim Sae-Woong, Park Kwanjin, Jung Hyonggi, Park Nam-Cheol

机构信息

Department of Urology, Seoul National University, College of Medicine, Seoul 110-744, Korea.

出版信息

Asian J Androl. 2008 Sep;10(5):791-8. doi: 10.1111/j.1745-7262.2008.00422.x.

Abstract

AIM

To evaluate the efficacy and safety of SK3530, a newly developed type 5 phosphodiesterase inhibitor (PDE5I), in Korean men with erectile dysfunction (ED).

METHODS

A total of 119 patients were randomized at 10 centers in Korea to receive either SK3530 (50, 100, or 150 mg; n = 89) or placebo (n = 30) taken l h before anticipated sexual activity for an 8-week period. The patients were evaluated at baseline and 4 and 8 weeks after beginning therapy. Efficacy was assessed using the International Index of Erectile Function (IIEF), Sexual Encounter Profile (SEP), and the Global Assessment Question (GAQ). Safety was analyzed by adverse events, laboratory values and vital signs.

RESULTS

At the end of the study, all the primary and secondary efficacy end-points were statistically significantly improved by SK3530 compared with placebo (P<0.05). Of the 89 patients in the treatment arm, 36 (42.3%) achieved normal erectile function after treatment, including six patients with severe ED. Treatment-related adverse events occurred in 32 patients. The most common adverse events were flushing, headache, dizziness and eye redness (10.9%, 7.6%, 2.5% and 2.5%, respectively), and most were mild. Only two patients discontinued treatment during the study period because of adverse events.

CONCLUSION

The results of our phase II study have confirmed the efficacy and safety of SK3530 in a broad population of men with ED of various etiologies and severity. The optimal doses in terms of efficacy and safety were determined to be 50 mg and 100 mg, respectively.

摘要

目的

评估新研发的5型磷酸二酯酶抑制剂(PDE5I)SK3530对韩国勃起功能障碍(ED)男性患者的疗效和安全性。

方法

韩国10个中心的119例患者被随机分为两组,在预期性活动前1小时服用SK3530(50、100或150毫克;n = 89)或安慰剂(n = 30),为期8周。在基线以及开始治疗后的4周和8周对患者进行评估。使用国际勃起功能指数(IIEF)、性经历问卷(SEP)和总体评估问题(GAQ)评估疗效。通过不良事件、实验室检查值和生命体征分析安全性。

结果

研究结束时,与安慰剂相比,SK3530使所有主要和次要疗效终点均有统计学显著改善(P<0.05)。治疗组的89例患者中,36例(42.3%)治疗后达到正常勃起功能,其中包括6例重度ED患者。32例患者发生了与治疗相关的不良事件。最常见的不良事件是面部潮红、头痛、头晕和眼红(分别为10.9%、7.6%、2.5%和2.5%),且大多为轻度。研究期间仅有2例患者因不良事件停药。

结论

我们的II期研究结果证实了SK3530在各种病因和严重程度的广泛ED男性人群中的疗效和安全性。确定疗效和安全性方面的最佳剂量分别为50毫克和100毫克。

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