Daily Tadalafil as Adjunctive Therapy Versus Monotherapy for PDE5 Inhibitor-Resistant Erectile Dysfunction

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexMale
Age18-70
SponsorAl-Azhar University

About this trial

This randomized trial will compare daily tadalafil 5 mg as adjunct therapy versus monotherapy in men with on-demand PDE5 inhibitor-resistant erectile dysfunction. The study will evaluate changes in erectile function, treatment satisfaction, partner satisfaction, and safety over 12 weeks.

Eligibility criteria

Qualifiers

Age: 18 to 70 years.

Diagnosis: Erectile dysfunction for at least 6 months.

International Index of Erectile Function-Erectile Function score less than 26 despite optimal dosing.

Self-reported inability to achieve or maintain an erection sufficient for satisfactory sexual intercourse in at least 50% of attempts.

Disqualifiers

Current use of nitrates.

Unstable cardiovascular disease, including recent myocardial infarction within 6 months, unstable angina, or severe heart failure.

Uncontrolled hypertension greater than 180 over 110 mmHg or severe hypotension less than 90 over 50 mmHg.

Severe hepatic impairment, Child-Pugh class C, or renal impairment with estimated glomerular filtration rate less than 30 mL per minute per 1.73 m².

Trial design

Treatments tested in this trial

  • Tadalafil; Current on-demand PDE5 inhibitor
  • Tadalafil 5 mg

Treatment groups

260 Participants
are divided into 2 treatment groups

Sponsors and collaborators