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The purpose of the study is to assess the correlation of FMD of brachial artery and carotid intima media thickness with ED severity and clinical response to vardenafil in hypertensive men.
To achieve this objective, a prospective study will be conducted, with hypertensive patients ranging from 50 to 70 years, presenting vasculogenic erectile dysfunction for over six months and sexually actives. All patients will be assessed for clinical and laboratorial data, endothelial dysfunction, endothelium independent vasodilation and carotid intima media thickness at the inclusion of the study. They will receive medical orientations from the same urologist and will return after four attempts with 20 mg of vardenafil.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| vardenafil on demand | Active Comparator | four sexual attempts with 20 mg vardenafil during next four weeks |
|
| placebo | Placebo Comparator | placebo of vardenafil during four weeks |
|
| daily vardenafil | Active Comparator | 10 mg of vardenafil each day during four weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vardenafil | Drug | vardenafil 20 mg on demand or vardenafil daily or placebo |
|
| Measure | Description | Time Frame |
|---|---|---|
| clinical response to vardenafil | SEP 2; SEP 3 and IIEF variation | four weeks |
| Measure | Description | Time Frame |
|---|---|---|
| endothelial dysfunction | variation of FMD of brachial artery from baseline | four weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mario F Neves, MD, PhD. | Hospital Universitario Pedro Ernesto | Study Chair |
| Valter Javaroni, MD, MSc | State University of Rio de Janeiro | Principal Investigator |
| Wille Oigman, MD, PhD | State University of Rio de Janeiro | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Universitário Pedro Ernesto | Rio de Janeiro | Rio de Janeiro | 20551030 | Brazil |
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| ID | Term |
|---|---|
| D007172 | Erectile Dysfunction |
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D005832 | Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D012735 | Sexual Dysfunction, Physiological |
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| ID | Term |
|---|---|
| D000069058 | Vardenafil Dihydrochloride |
| ID | Term |
|---|---|
| D007093 | Imidazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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| D052801 | Male Urogenital Diseases |
| D020018 | Sexual Dysfunctions, Psychological |
| D001523 | Mental Disorders |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D010879 |
| Piperazines |