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August 2001, Volume 13, Number 4, Pages 221-229
Table of contents    Previous  Abstract  Next   Article  PDF
Paper
ASSESS-3†: A randomised, double-blind, flexible-dose clinical trial of the efficacy and safety of oral sildenafil in the treatment of men with erectile dysfunction in Taiwan
K-K Chen1, J T Hsieh2, S T Huang3, D B-P Jiaan4, J S-N Lin5 and C J Wang6,a for the ASSESS-3 Study Group

1Taipei Veterans General Hospital, Taipei

2National Taiwan University Hospital, Taipei

3Chang Gung Memorial Hospital, Taoyuan

4Kaohsiung Veterans General Hospital, Kaohsiung

5National Cheng Kung University Medical College, Tainan

6Kaohsiung Medical University, Kaohsiung, Taiwan, Republic of China

Correspondence to: K-K Chen, MD, PhD, Division of Urology, Department of Surgery, Veterans General Hospital-Taipei, No. 201, Sec. 2 Shih-Pai Road, Taipai, Taiwan, 112 Republic of China. E-mail: kkchen@vghtpe.gov.tw

aSee Appendix for a complete list of members of the ASSESS-3 Study Group.


Asian Sildenafil Efficacy and Safety Study, #3

Abstract

The efficacy and safety of sildenafil were evaluated in a randomised, double-blind, placebo-controlled, flexible-dose study in Taiwanese men aged 26 to 80 y with erectile dysfunction (ED) of broad-spectrum aetiology and more than 6 months' duration. A total of 236 patients were randomised at six medical centres in Taiwan to receive either sildenafil (50 mg initially increased if necessary to 100 mg or decreased to 25 mg depending on efficacy and toleration) (n=119) or matching placebo (n=117) taken on an 'as needed' basis 1 h prior to anticipated sexual activity for a period of 12 weeks. At the end of 12 weeks, the primary efficacy variables relating to the achievement and maintenance of erections sufficient for sexual intercourse, and the secondary efficacy variables, which included: (1) the five separate domains of sexual functioning of the IIEF (International Index of Erectile Function) scale, (2) the percentage of successful intercourse attempts; and (3) a global assessment of erections, were all statistically significantly improved by sildenafil in comparison with placebo (P<0.0001). Treatment-related adverse events occurred in 43.7% of patients receiving sildenafil and 18.8% receiving placebo. The most common adverse events with sildenafil were flushing, dizziness and headache (25.2, 6.7 and 5.9% of patients, respectively), and most were mild in nature. The efficacy and safety of sildenafil in the population of Taiwanese men appears similar to that reported in other studies in western populations.

International Journal of Impotence Research (2001) 13, 221-229

Keywords

erectile dysfunction; sildenafil; efficacy; safety

Received 22 January 2001; accepted 6 February 2001
August 2001, Volume 13, Number 4, Pages 221-229
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