Page last updated: 2024-10-14

sildenafil citrate

Description

Sildenafil Citrate: A PHOSPHODIESTERASE TYPE-5 INHIBITOR; VASODILATOR AGENT and UROLOGICAL AGENT that is used in the treatment of ERECTILE DYSFUNCTION and PRIMARY PULMONARY HYPERTENSION. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

sildenafil citrate : The citrate salt of sildenafil. [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Cross-References

ID SourceID
PubMed CID135413523
CHEMBL ID1737
CHEBI ID58987
SCHEMBL ID33982
MeSH IDM0327633

Synonyms (123)

Synonym
AC-1310
5-{2-ethoxy-5-[(4-methylpiperazin-1-yl)sulfonyl]phenyl}-1-methyl-3-propyl-1,6-dihydro-7h-pyrazolo[4,3-d]pyrimidin-7-one 2-hydroxypropane-1,2,3-tricarboxylate
chebi:58987 ,
caverta
wan ai ke
x-excite
nvd-401
penegra
duromist
uk-92480-10
ghl-901
1-((3-(6,7-dihydro-1-methyl-7-oxo-3-propyl-1h-pyrazolo(4,3-d)pyrimidin-5-yl)-4-ethoxyphenyl)sulfonyl)-4-methylpiperazine citrate
sildenafil citrate [usan]
1-((3-(6,7-dihydro-1-methyl-7-oxo-3-propyl-1h-pyrazolo(4,3-d)pyrimidin-5-yl)-4-ethoxyphenyl)sulfonyl)-4-methylpiperazine citrate (1:1)
revatio
uk-92,480-10
sildenafil citrate
piperazine, 1-((3-(6,7-dihydro-1-methyl-7-oxo-3-propyl-1h-pyrazolo(4,3-d)pyrimidin-5-yl)-4-ethoxyphenyl)sulfonyl)-4-methyl-, 2-hydroxy-1,2,3-propanetricarboxylate (1:1)
revatio (tn)
viagra (tn)
D02229
sildenafil citrate (jan/usp)
171599-83-0
nsc-758669
sildenafil (as citrate)
CHEMBL1737
nsc744009
5-[2-ethoxy-5-(4-methylpiperazin-1-ylsulfonyl)phenyl]-1,3-d]pyrimidin-7-one-citrate
1-{[3-(6,3-d]pyrimidin-5-yl)-4-ethoxyphenyl]sulfonyl}-4-methylpiperazone citrate
nsc-744009
A807582
5-[2-ethoxy-5-(4-methylpiperazin-1-yl)sulfonyl-phenyl]-1-methyl-3-propyl-4h-pyrazolo[4,3-d]pyrimidin-7-one; 2-oxidanylpropane-1,2,3-tricarboxylic acid
A811336
5-[2-ethoxy-5-[(4-methyl-1-piperazinyl)sulfonyl]phenyl]-1-methyl-3-propyl-4h-pyrazolo[4,3-d]pyrimidin-7-one; 2-hydroxypropane-1,2,3-tricarboxylic acid
HMS3260C20
cas-171599-83-0
dtxcid2026076
tox21_111717
dtxsid4046076 ,
unii-bw9b0ze037
nsc 744009
bw9b0ze037 ,
nsc 758669
nsc758669
pharmakon1600-01504099
AKOS015951281
BCP0726000239
FT-0601540
sildenafil citrate [jan]
liqrev
1-[[3-(6,7-dihydro-1-methyl-7-oxo-3-propyl-1h-pyrazolo[4,3-d]pyrimidin-5-yl)-4-ethoxyphenyl]sulfonyl]-4-methylpiperazine citrate (1:1)
sildenafil citrate [vandf]
sildenafil citrate [mart.]
sildenafil citrate [mi]
sildenafil citrate [usp-rs]
sildenafil citrate [orange book]
sildenafil citrate [who-dd]
sildenafil citrate [ep monograph]
sildenafil citrate [usp monograph]
S1431
AKOS015856298
KS-1112
viagra, sildenafil citrate
CCG-213260
CS-1576
HY-15025A
sildenafil (citrate) ,
SCHEMBL33982
NCGC00095099-05
tox21_111717_1
NCGC00260784-01
sildenafil citrate salt
tox21_500099
DEIYFTQMQPDXOT-UHFFFAOYSA-N
5-(2-ethoxy-5-((4-methylpiperazin-1-yl)sulfonyl)phenyl)-1-methyl-3-propyl-1h-pyrazolo[4,3-d]pyrimidin-7(6h)-one 2-hydroxypropane-1,2,3-tricarboxylate
F0001-2406
1-[[3-(4,7-dihydro-1-methyl-7-oxo-3-propyl-1h-pyrazolo[4,3-d]pyrimidin-5-yl)-4-ethoxyphenyl]sulfonyl]-4-methylpiperazine citrate
uk 92480
5-(2-ethoxy-5-(4-methylpiperazin-1-ylsulfonyl)phenyl)-1-methyl-3-propyl-1h-pyrazolo[4,3-d]pyrimidin-7(6h)-one 2-hydroxypropane-1,2,3-tricarboxylate
sildenafil citrate salt, european pharmacopoeia (ep) reference standard
mfcd09026931
5-[2-ethoxy-5-(4-methylpiperazin-1-yl)sulfonylphenyl]-1-methyl-3-propyl-6h-pyrazolo[4,3-d]pyrimidin-7-one;2-hydroxypropane-1,2,3-tricarboxylic acid
citrate, sildenafil
sr-01000787181
SR-01000787181-2
sildenafil citrate, united states pharmacopeia (usp) reference standard
HMS3654B08
sildenafil citrate, pharmaceutical secondary standard; certified reference material
sildenafil citrate, european pharmacopoeia (ep) reference standard
sildenafil citrate salt, >=98% (hplc)
sildenafil, citrate
J-010743
1-[[3-(6,7-dihydro-1-methyl-7-oxo-3-propyl-1-h-pyrazolo[4,3-d]pyrimidin-5-yl)-4-ethoxyphenyl]sulfonyl]-4-methylpiperazine citrate
SW199664-3
mfcd02102122
BCP02960
n-[6-[(4-aminophenyl)thio]-1h-benzimidazol-2-yl]-carbamic acid methyl ester
Q27126379
5-[2-ethoxy-5-[(4-methylpiperazin-1-yl)sulfonyl]phenyl]-1-methyl-3-propyl-1h-pyrazolo[4,3-d]pyrimidin-7(6h)-one citrate
S0986
SB17346
5-[2-ethoxy-5-(4-methylpiperazin-1-yl)sulfonylphenyl]-1-methyl-3-propyl-4h-pyrazolo[4,3-d]pyrimidin-7-one;2-hydroxypropane-1,2,3-tricarboxylic acid
AMY39993
5-(2-ethoxy-5-((4-methylpiperazin-1-yl)sulfonyl)phenyl)-1-methyl-3-propyl-1h-pyrazolo[4,3-d]pyrimidin-7(4h)-one 2-hydroxypropane-1,2,3-tricarboxylate
5-(2-ethoxy-5-((4-methylpiperazin-1-yl)sulfonyl)phenyl)-1-methyl-3-propyl-1h-pyrazolo[4,3-d]pyrimidin-7(4h)-one2-hydroxypropane-1,2,3-tricarboxylate
5-[2-ethoxy-5-(4-methylpiperazin-1-yl)sulfonylphenyl]-1-methyl-3-propyl-4h-pyrazolo[4,3-d]pyrimidin-7-one,2-hydroxypropane-1,2,3-tricarboxylic acid
A854247
BS164405
sildenafil citrate- bio-x
EN300-19810912
2-hydroxypropane-1,2,3-tricarboxylic acid; 5-{2-ethoxy-5-[(4-methylpiperazin-1-yl)sulfonyl]phenyl}-1-methyl-3-propyl-1h,4h,7h-pyrazolo[4,3-d]pyrimidin-7-one
5-[2-ethoxy-5-[(4-methyl-1-piperazinyl)sulfonyl]phenyl]-1,6-dihydro-1-methyl-3-propyl-7h-pyrazolo[4,3-d]pyrimidin-7-one 2-hydroxy-1,2,3-propanetricarboxylate (1:1)
sildenafil citrate (mart.)
sildenafil citrate (ep monograph)
sildenafil powder,
sildenafil for oral suspension
sildenafil citrate (usp monograph)
5-(2-ethoxy-5-((4-methylpiperazin-1-yl)sulfonyl)phenyl)-1-methyl-3-propyl-1,6-dihydro-7h-pyrazolo(4,3-d)pyrimidin-7-one 2-hydroxypropane-1,2,3-tricarboxylate
1-((3-(6,7-dihydro-1-methyl-7-oxo-3-propyl-1h-pyrazolo(4,3-d)pyrimidin-5-yl)-4-ethoxyphenyl)sulfonyl)-4-methylpiperazine monocitrate
sildinafil
sildenafil citrate (usp-rs)
5-[2-ethoxy-5-(4-methylpiperazin-1-yl)sulfonyl-phenyl]-1-methyl-3-propyl-6h-pyrazolo[4,3-d]pyrimidin-7-one citrate salt
sildenafil citrate, 1mg/ml in methanol

Toxicity

Sildenafil citrate is an effective treatment for ED; it is safe and well tolerated by patients with ED taking multiple antihypertensive agents for arterial hypertension. Low dose oral sildenacetrate tablets are safe and effective to decrease the lesions volume in some LMs children.

ExcerptReference
" The most commonly reported adverse events (all causes) were headache (16% sildenafil, 4% placebo), flushing (10% sildenafil, 1% placebo), and dyspepsia (7% sildenafil, 2% placebo) and they were predominantly transient and mild or moderate in nature."( Clinical safety of oral sildenafil citrate (VIAGRA) in the treatment of erectile dysfunction.
Collins, M; Gingell, C; Morales, A; Osterloh, IH; Wicker, PA, 1998
)
" No patients discontinued treatment due to adverse events."( Efficacy and safety of oral sildenafil (Viagra) in men with erectile dysfunction caused by spinal cord injury.
Derry, FA; Dinsmore, WW; Fraser, M; Gardner, BP; Glass, CA; Maytom, MC; Smith, MD, 1998
)
" The most common adverse events--headache, flushing, and dyspepsia--were generally mild to moderate in nature and rarely (< 1%) a reason for discontinuation of treatment."( Efficacy and safety of oral sildenafil in the treatment of erectile dysfunction: a double-blind, placebo-controlled study of 329 patients. Sildenafil Study Group.
Padma-Nathan, H; Steers, WD; Wicker, PA, 1998
)
" Adverse effects reported at a rate of >2% were headache, flushing, dyspepsia, nasal congestion, urinary tract infection, abnormal vision, diarrhea, dizziness, and rash."( Safety and efficacy of sildenafil citrate in the treatment of male erectile dysfunction.
Goldenberg, MM,
)
" For the sildenafil group, the incidences of the most common adverse events (headache 25%, flushing 14%, and dyspepsia 12%) for patients with ischemic heart disease were similar to those in patients without this concomitant illness (21%, 15%, and 10%, respectively)."( Efficacy and safety of sildenafil citrate in the treatment of erectile dysfunction in patients with ischemic heart disease.
Conti, CR; Pepine, CJ; Sweeney, M, 1999
)
"Sildenafil has been demonstrated to be safe and effective in the treatment of men with erectile dysfunction."( Safety and efficacy of sildenafil in postmenopausal women with sexual dysfunction.
Ikeguchi, EF; Kaplan, SA; Kohn, IJ; Laor, E; Martins, AC; Reis, RB; Te, AE, 1999
)
" The aim of the study was to estimate the efficacy and adverse effects of this treatment."( [Effectiveness and adverse effects of sildenafil in erectile dysfunction].
Fábián, E; Fekete, F, 2000
)
"To date, sildenafil citrate (Viagra) gives every evidence of being a safe drug for the eye despite a series of expressed concerns."( Ocular safety of Viagra, (sildenafil citrate).
Fraunfelder, FT; Laties, AM, 1999
)
" The most common side effect was penile pain in 25 (29."( Intracavernous alprostadil alfadex (EDEX/VIRIDAL) is effective and safe in patients with erectile dysfunction after failing sildenafil (Viagra).
Gittleman, M; Goldstein, I; Kaufman, J; McMurray, J; Padma-Nathan, H; Shabsigh, R, 2000
)
" Response was assessed prospectively by baseline and followup physician interviews, and by a patient self-administered 15-item questionnaire on the domains of patient treatment response and satisfaction, partner treatment satisfaction, comparative previous treatment satisfaction, adverse effects, and patient and partner quality of life."( Efficacy, safety and patient acceptance of sildenafil citrate as treatment for erectile dysfunction.
Johnson, H; McMahon, CG; Samali, R, 2000
)
" Adverse effects in 53."( Efficacy, safety and patient acceptance of sildenafil citrate as treatment for erectile dysfunction.
Johnson, H; McMahon, CG; Samali, R, 2000
)
" Although more than 50% of men reported adverse effects, most were considered mild and rarely resulted in treatment cessation."( Efficacy, safety and patient acceptance of sildenafil citrate as treatment for erectile dysfunction.
Johnson, H; McMahon, CG; Samali, R, 2000
)
" Treatment-related adverse events occurred in 22."( Asian sildenafil efficacy and safety study (ASSESS-1): a double-blind, placebo-controlled, flexible-dose study of oral sildenafil in Malaysian, Singaporean, and Filipino men with erectile dysfunction. The Assess-1 Study Group.
Albano, GJ; Chye, PL; de la Cruz, R; Gana, T; Mendoza, JB; Moh, CL; Sam, CC; Tan, HM, 2000
)
" The main outcome measures were a global efficacy question, a sexual function questionnaire, an event log of erections, and adverse event recording."( Long-term efficacy and safety of oral Viagra (sildenafil citrate) in men with erectile dysfunction and the effect of randomised treatment withdrawal.
Christiansen, E; Cox, D; Guirguis, WR; Osterloh, IH, 2000
)
" Treatment-related adverse events were mild to moderate and occurred in 27% of patients receiving sildenafil, compared with 8% of patients receiving placebo."( A dose-escalation study to assess the efficacy and safety of sildenafil citrate in men with erectile dysfunction.
Bailey, MJ; Cuzin, B; Hartmann, U; Maytom, MC; Meuleman, E; Opsomer, RJ; Osterloh, IH; Smith, MD, 2001
)
" In two years 38 adverse reactions were seen in 25 Dutch patients."( [Side effects of sildenafil: findings from two years practical experience].
Heeringa, M; Straus, SM; van Grootheest, AC, 2001
)
" As in the clinical trials, most adverse events associated with sildenafil use have been transient, mild or moderate effects that rarely lead to treatment discontinuation."( Three-year update of sildenafil citrate (Viagra) efficacy and safety.
Hackett, G; Miller, T; Moskowitz, M; Sadovsky, R, 2001
)
" Besides flushing, no treatment-related cardiovascular adverse events were noted for sildenafil."( Efficacy and safety of sildenafil citrate for the treatment of erectile dysfunction in men with cardiovascular disease.
Olsson, AM; Persson, CA, 2001
)
"Sildenafil is an effective and safe drug in the treatment of erectile dysfunction."( Efficacy, safety, and use of sildenafil in urologic practice.
Fagelman, A; Fagelman, E; Shabsigh, R, 2001
)
"Sildenafil citrate (Viagra), a drug used to treat erectile dysfunctions, causes adverse reactions such as headache, flushing or nasal congestion."( Are adverse effects of sildenafil also caused by inhibition of diamine oxidase?
Focke, M; Götz, M; Hemmer, W; Jarisch, R; Stackl, W; Wantke, F, 2001
)
" Treatment-related adverse events occurred in 43."( 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.
Chen, KK; Hsieh, JT; Huang, ST; Jiaan, DB; Lin, JS; Wang, CJ, 2001
)
" Safety and tolerance were evaluated recording any side effect or adverse event."( Sildenafil: efficacy and safety in daily clinical experience.
Bettocchi, C; Palumbo, F; Pryor, JP; Ralph, DJ; Selvaggi, FP, 2001
)
" Patients recorded the number of successful intercourse encounters for 6 to 8 weeks, and the number of adverse events."( Efficacy and safety of sildenafil citrate for treatment of erectile dysfunction in a population with associated organic risk factors.
Guay, AT; Jacobson, J; Newton, RA; Perez, JB,
)
" No serious adverse events occurred."( Efficacy, safety and predictive factors of therapeutic success with sildenafil for erectile dysfunction in patients with different spinal cord injuries.
Barrera, M; Casado, RM; de Juan, FJ; de la Fuente, M; Giner, M; Jáuregui, ML; Méndez, JL; Moraleda, S; Ramírez, L; Recio, C; Salvador, S; Sánchez Ramos, A; Sanmartín, A; Santos, JF; Toribio, L; Vidal, J, 2001
)
" Commonly reported adverse events (AEs) were headache, flushing, dyspepsia, and rhinitis, which were generally mild to moderate."( Assessment of the efficacy and safety of Viagra (sildenafil citrate) in men with erectile dysfunction during long-term treatment.
Feldman, RA; Gingell, C; Guay, AT; Hargreave, TB; Leriche, A; Price, DE; Steers, W; Wright, PJ, 2001
)
" Studies have shown that sildenafil may not be effective in all patients, and has been associated with a variety of adverse effects and an adverse interaction with nitrates and inhibitors of cytochrome P450 enzymes."( Combination therapy for erectile dysfunction: a randomized, double blind, unblinded active-controlled, cross-over study of the pharmacodynamics and safety of combined oral formulations of apomorphine hydrochloride, phentolamine mesylate and papaverine hyd
Castaneda, J; Castell, R; Hurley, D; Lammers, PI; Lipezker, M; Loehr, LA; Lowrey, F; Ponce de Leon, R; Rubio-Aurioles, E, 2002
)
" The only serious side effect requiring medical treatment was arthralgia on the knee in one subject."( Evaluation of side effects of sildenafil in group of young healthy volunteers.
Dündar, M; Dündar, SO; Erol, H; Koçak, I, 2001
)
" We have recorded outcomes, adverse events and acceptability of Sildenafil (Viagra) therapy in an unselected group of men presenting with ED to a British district general hospital."( Oral sildenafil (Viagra) in male erectile dysfunction: use, efficacy and safety profile in an unselected cohort presenting to a British district general hospital.
Boustead, G; Hanbury, D; Kulinskaya, E; McNicholas, T; Sairam, K, 2002
)
" Side effect profile of sildenafil was different in this study with much higher incidence of headache, dyspepsia, flushing and abnormal vision."( Oral sildenafil (Viagra) in male erectile dysfunction: use, efficacy and safety profile in an unselected cohort presenting to a British district general hospital.
Boustead, G; Hanbury, D; Kulinskaya, E; McNicholas, T; Sairam, K, 2002
)
" Incidence and type of adverse effects were evaluated at 2, 4, 8 and 12 weeks."( Clinical safety profile of sildenafil in Singaporean men with erectile dysfunction: pre-marketing experience (ASSESS-I evaluation).
Chee, CT; Cheng, CW; Lim, PH; Moorthy, P; Ng, FC; Vasan, SS; Wong, MY,
)
" In the recommended single-dose range (25-100 mg), the use of Viagra for erectile dysfunction, in the absence of contraindications, is extremely safe provided the drug is taken under proper conditions."( The clinical safety of viagra.
Benton, KG; Lim, PH; Moorthy, P, 2002
)
"Sildenafil is an effective, safe treatment for erectile dysfunction in diabetic patients."( [Efficacy and safety of sildenafil in men with type 2 diabetes mellitus and erectile dysfunction].
Escobar-Jiménez, F, 2002
)
"Oral sildenafil citrate has been shown to be an effective, safe and well tolerated drug in Singaporean men with ED, as in men from other parts of the world."( Clinical efficacy and safety of sildenafil citrate (Viagra) in a multi-racial population in Singapore: A retrospective study of 1520 patients.
Chia, SJ; Consigliere, D; Gooren, L; Li, MK; Lim, PH; Munisamy, M; Ng, FC; Ng, KK; Perianan, M, 2002
)
" To assess safety, adverse event (AE) data were recorded."( Efficacy and safety of sildenafil citrate in women with sexual dysfunction associated with female sexual arousal disorder.
Basson, R; Hodgson, G; Koppiker, N; McInnes, R; Smith, MD, 2002
)
" The most common adverse events were headache and flushing."( Efficacy and safety of flexible-dose oral sildenafil citrate (Viagra) in the treatment of erectile dysfunction in Brazilian and Mexican men.
Bertero, E; Claro, J; Damião, R; Faria, G; Fregonesi, A; Glina, S; Jaspersen, J; Mattos, D; Mendoza, A; Rocha, LC; Sotomayor, M; Telöken, C; Ugarte, F; Ureta, S; Zonana, E, 2002
)
" Adverse events were reported for 51% and 33% of sildenafil and placebo patients, respectively."( Efficacy and safety of oral sildenafil citrate (Viagra) in the treatment of male erectile dysfunction in Colombia, Ecuador, and Venezuela: a double-blind, multicenter, placebo-controlled study.
Acuña, A; Costa, A; Davila, H; Gómez, F; Plua, P; Wadskier, LA, 2002
)
" The most common adverse events included rhinitis, headache, tachycardia, and nausea, with a higher frequency reported in patients receiving phentolamine than sildenafil (41% vs 33%), with the exception of headache, which was reported more frequently in sildenafil users."( Comparison of the efficacy and safety of sildenafil citrate (Viagra) and oral phentolamine for the treatment of erectile dysfunction.
Hurtado-Coll, A; Ugarte, F, 2002
)
" The most commonly reported adverse events of all causalities associated with sildenafil treatment were headache (19%), flushing (14%), dyspepsia (6%), and nasal congestion (4%), reflecting the inhibitory effects of sildenafil on cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5) in the peripheral vasculature, gastroesophageal sphincter, and nasal mucosa."( Tolerability and safety profile of sildenafil citrate (Viagra) in Latin American patient populations.
Coelho, OR, 2002
)
" At least one side-effect was seen in 17 patients (43%); one had severe hypotension in the PD group."( Efficacy and safety of sildenafil for treating erectile dysfunction in patients on dialysis.
Aslan, G; Camsari, T; Cavdar, C; Celebi, I; Esen, AA; Kefi, A; YeniçerioGlu, Y, 2002
)
"Sildenafil is a safe and satisfactory drug for improving erectile function in patients with ESRD."( Efficacy and safety of sildenafil for treating erectile dysfunction in patients on dialysis.
Aslan, G; Camsari, T; Cavdar, C; Celebi, I; Esen, AA; Kefi, A; YeniçerioGlu, Y, 2002
)
" The most common adverse events included headache and vasodilation, which were mild to moderate in nature and were comparable between groups."( Efficacy and safety of sildenafil citrate (Viagra) in black and Hispanic American men.
Bennett, C; Gilhooly, P; Ramos, DE; Wessells, H; Young, JM, 2002
)
" Incidence rates and types of adverse events that occurred in these studies were similar to those published previously."( Efficacy and safety of sildenafil citrate (Viagra) in men with erectile dysfunction and spinal cord injury: a review.
Derry, F; Hultling, C; Seftel, AD; Sipski, ML, 2002
)
" This concern has stemmed primarily from sporadic reports of adverse events published in the literature and sensationalized by the media."( A 4-year update on the safety of sildenafil citrate (Viagra).
Eardley, I; Kloner, RA; Laties, AM; Montorsi, F; Padma-nathan, H, 2002
)
" - The development of the PDE-5 inhibitors vardenafil and tadalafil prompts the question of whether and how these three substances differ in terms of their efficacy and adverse effects."( Erectile dysfunction: comparison of efficacy and side effects of the PDE-5 inhibitors sildenafil, vardenafil and tadalafil--review of the literature.
Gleiter, CH; Gresser, U, 2002
)
" Rates of discontinuation from sildenafil therapy due to adverse events are similar to placebo in men with cardiovascular disease."( Cardiovascular safety of sildenafil.
Howes, LG; Tran, D, 2003
)
" Adverse events considered treatment-related occurred in 19 patients (30."( The efficacy and safety of oral sildenafil in Thai men with erectile dysfunction: a randomized, double-blind, placebo controlled, flexible-dose study.
Kongkanand, A; Ratana-Olarn, K; Ruangdilokrat, S; Tantiwong, A, 2003
)
"Sildenafil is a safe and effective treatment for erectile dysfunction of broad-spectrum etiology in Thai men."( The efficacy and safety of oral sildenafil in Thai men with erectile dysfunction: a randomized, double-blind, placebo controlled, flexible-dose study.
Kongkanand, A; Ratana-Olarn, K; Ruangdilokrat, S; Tantiwong, A, 2003
)
" Treatment-related adverse events occurred in 56."( A double-blind, randomised- placebo, controlled, parallel group, multicentre, flexible-dose escalation study to assess the efficacy and safety of sildenafil administered as required to male outpatients with erectile dysfunction in Korea.
Ahn, TY; Choi, HK; Chung, TG; Kim, DK; Kim, HS; Kim, JJ; Kim, SC; Kim, SW; Kim, YK; Lee, DS; Lee, WH; Moon, DG; Oh, BH; Paick, JS; Park, CH; Ryu, DS; Ryu, WS; Seo, KK; Suh, JK, 2003
)
" One participant discontinued treatment because of adverse events."( A baseline-controlled, open-label, flexible dose-escalation study to assess the safety and efficacy of sildenafil citrate (Viagra) in patients with erectile dysfunction.
Benchekroun, A; Benjelloun, S; Bennani, S; El Mrini, M; Faik, M; Smires, A, 2003
)
" Headache, dyspepsia, and flushing were the most common adverse events in sildenafil-treated patients."( Efficacy and safety of sildenafil citrate (Viagra) for the treatment of erectile dysfunction in men in Egypt and South Africa.
Khalaf, IM; Levinson, IP; Shaeer, KZ; Smart, DO, 2003
)
" Considering cardiovascular side effects under sildenafil treatment, it would be interesting to determine if genetic factors have an impact on the side effect profile of this drug."( Genetic risk factors for erectile dysfunction and genetic determinants of drug response--on the way to improve drug safety?
Eisenhardt, A; Siffert, W, 2003
)
" Combination strategies may allow lower drug doses and reduced adverse effects."( Viability and safety of combination drug therapies for erectile dysfunction.
Steers, WD, 2003
)
"The encouraging preliminary observations combined with the potential for adverse events provide a scientific rationale for prospective, randomized clinical trials with adequate numbers of subjects."( Viability and safety of combination drug therapies for erectile dysfunction.
Steers, WD, 2003
)
"We hypothesized that 3 months of sildenafil (50 mg orally every 8 hours) added to standard treatment would be safe and improve functional capacity and hemodynamics in PAH patients."( Long-term treatment with oral sildenafil is safe and improves functional capacity and hemodynamics in patients with pulmonary arterial hypertension.
Archer, SL; Lien, D; Michelakis, ED; Modry, D; Noga, M; Tymchak, W; Wang, SH; Webster, L; Wu, XC, 2003
)
"This small pilot study suggests that long-term sildenafil therapy might be a safe and effective treatment for PAH."( Long-term treatment with oral sildenafil is safe and improves functional capacity and hemodynamics in patients with pulmonary arterial hypertension.
Archer, SL; Lien, D; Michelakis, ED; Modry, D; Noga, M; Tymchak, W; Wang, SH; Webster, L; Wu, XC, 2003
)
" No significant adverse events were registered."( [Effectiveness and safety of the treatment with sildenafil (Viagra) in patients with erectile dysfunction and arterial hypertension].
Bassas, L; Manasia, P; Pomerol, J; Ribé Subirà, N, 2003
)
" The rate of adverse events after taking sildenafil were 16."( Long-term efficacy and safety of sildenafil for patients with erectile dysfunction.
Chang, LS; Chang, YH; Chen, KK; Chung, HJ; Hsu, YS; Huang, WJ; Kuo, JY; Lin, AT; Sheu, JY; Wu, HH, 2003
)
" The adverse events after sildenafil were mild and tolerable."( Long-term efficacy and safety of sildenafil for patients with erectile dysfunction.
Chang, LS; Chang, YH; Chen, KK; Chung, HJ; Hsu, YS; Huang, WJ; Kuo, JY; Lin, AT; Sheu, JY; Wu, HH, 2003
)
" Most adverse events were mild to moderate with headache, flushing, rhinitis, nausea and visual symptoms reported most frequently."( Safety and efficacy of sildenafil citrate for the treatment of female sexual arousal disorder: a double-blind, placebo controlled study.
Berman, JR; Berman, LA; Gill, J; Haughie, S; Toler, SM, 2003
)
" Forty-seven percent of sildenafil- and 32% of placebo-treated patients experienced adverse events, including transient headache, hypertension, flushing, and dyspepsia."( Efficacy and safety of sildenafil citrate in men with erectile dysfunction and stable coronary artery disease.
DeBusk, RF; DeRiesthal, H; Glasser, DB; Pepine, CJ; Shpilsky, A; Sweeney, M, 2004
)
" Safety was evaluated according to adverse events (AEs) and patient withdrawal."( A comparative, crossover study of the efficacy and safety of sildenafil and apomorphine in men with evidence of arteriogenic erectile dysfunction.
Athanasopoulos, A; Barbalias, G; Chrysanthopoulou, A; Giannitsas, K; Gyftopoulos, K; Markou, SA; Perimenis, P; Tsota, I, 2004
)
" PT-141 was safe and well tolerated in both studies."( Evaluation of the safety, pharmacokinetics and pharmacodynamic effects of subcutaneously administered PT-141, a melanocortin receptor agonist, in healthy male subjects and in patients with an inadequate response to Viagra.
Diamond, LE; Earle, DC; Molinoff, PB; Rosen, RC; Shadiack, AM, 2004
)
" We hypothesized that sildenafil is a safe and effective treatment for ED in patients with New York Heart Association classes II and III CHF and that treatment of ED will improve symptoms of depression and enhance perceived of quality of life."( Use of sildenafil for safe improvement of erectile function and quality of life in men with New York Heart Association classes II and III congestive heart failure: a prospective, placebo-controlled, double-blind crossover trial.
Archer, SL; Davis, T; Michelakis, ED; Webster, LJ, 2004
)
"Sildenafil caused a mean +/- SEM asymptomatic decrease in blood pressure of 6 +/- 3 mm Hg, and no patient experienced symptomatic hypotension or other significant adverse effects."( Use of sildenafil for safe improvement of erectile function and quality of life in men with New York Heart Association classes II and III congestive heart failure: a prospective, placebo-controlled, double-blind crossover trial.
Archer, SL; Davis, T; Michelakis, ED; Webster, LJ, 2004
)
"Sildenafil is a safe and effective treatment for ED in men with New York Heart Association classes II and III CHF and provides relief of depressive symptoms, explaining an improvement in the perception of quality of life."( Use of sildenafil for safe improvement of erectile function and quality of life in men with New York Heart Association classes II and III congestive heart failure: a prospective, placebo-controlled, double-blind crossover trial.
Archer, SL; Davis, T; Michelakis, ED; Webster, LJ, 2004
)
" Sildenafil citrate (50 mg) was observed to be safe and effective for treatment of hemodialysis patients with careful evaluation and proper patient selection."( Efficacy and safety of sildenafil citrate in hemodialysis patients.
Aygün, C; Kut, A; Ozdemir, FN; Ozkardeş, H; Peşkircioğlu, CL; Sahin, Y; Tekin, MI,
)
"To examine the safety of sildenafil, the first of the phosphodiesterase type 5 inhibitors licensed for the treatment of male erectile dysfunction (ED), as used in general medical practice in England, quantifying the incidence of a range of events in patients treated with sildenafil, and identifying any previously unrecognized adverse drug reactions."( Evaluation of the safety of sildenafil for male erectile dysfunction: experience gained in general practice use in England in 1999.
Boshier, A; Shakir, SA; Wilton, LV, 2004
)
"8%); 145 events were reported as adverse drug reactions to sildenafil."( Evaluation of the safety of sildenafil for male erectile dysfunction: experience gained in general practice use in England in 1999.
Boshier, A; Shakir, SA; Wilton, LV, 2004
)
" In this review, a comparison is made of the pharmcodynamics, pharmacokinetics and adverse reactions between the three PDE-5 inhibitors to assess their efficacy and safety."( [Comparison of efficacy and safety of phosphodiesterase type 5 inhibitors in the treatment of erectile dysfunction].
Chen, Q; Lu, X; Wang, N; Yao, F, 2004
)
" The side-effect profiles for both drugs were in keeping with published data."( An open-label, randomized, flexible-dose, crossover study to assess the comparative efficacy and safety of sildenafil citrate and apomorphine hydrochloride in men with erectile dysfunction.
Eardley, I; Edwards, A; Hole, J; MacDonagh, R; Wright, P, 2004
)
" A total of 71 adverse events were reported among 56 patients (8."( Post-marketing surveillance study of the safety and efficacy of sildenafil prescribed in primary care to erectile dysfunction patients.
Cheon, KS; Cheong, YS; Cho, BL; Hong, MH; Kim, DH; Kim, SW; Kim, YS; Rho, MK; Seo, HG; Sunwoo, S,
)
" Oral sildenafil is safe and effective for the evaluation of PH reactivity in heart failure."( Efficacy and safety of sildenafil in the evaluation of pulmonary hypertension in severe heart failure.
Alaeddini, J; Mehra, MR; Park, MH; Scott, RL; Uber, PA; Ventura, HO, 2004
)
" Sixty percent of patients who received sildenafil and 48% of patients who received placebo developed adverse events, including transient headache, facial flushing, respiratory tract infection, and asthenia."( Efficacy and safety of sildenafil citrate in men with erectile dysfunction and chronic heart failure.
Bank, AJ; Glasser, DB; Katz, SD; Parker, JD; Sherman, N; Sweeney, M; Wang, H, 2005
)
" Addition of oral sildenafil to beraprost appears to represent a safe and effective therapeutic option, at least in the acute phase, for patients with pulmonary hypertension."( Addition of oral sildenafil to beraprost is a safe and effective therapeutic option for patients with pulmonary hypertension.
Ikeda, D; Ishimaru, S; Itoh, N; Kamigaki, M; Nishimura, M; Ohira, H; Sakaue, S; Tsujino, I, 2005
)
" No significant adverse events were reported."( Efficacy and safety of sildenafil in the treatment of severe pulmonary hypertension in patients with hemoglobinopathies.
Bina, P; Cappellini, MD; D'Ascola, G; Derchi, G; Formisano, F; Forni, GL; Galanello, R; Lamagna, M; Magnano, C, 2005
)
" Sildenafil use in children appears to be safe and may be beneficial in the management of pulmonary arterial hypertension."( Safety and efficacy of Sildenafil therapy in children with pulmonary hypertension.
Bush, A; Karatza, AA; Magee, AG, 2005
)
" During the following 8 weeks, patients were evaluated regarding vital signs, adverse events, therapeutic efficacy, satisfaction with treatment and use of concurrent medications."( Efficacy, safety and tolerability of sildenafil in Brazilian hypertensive patients on multiple antihypertensive drugs.
Albuquerque, DC; Miziara, LJ; Ribeiro, AB; Rodrigues, US; Saraiva, JF; Wajngarten, M,
)
" The most frequent adverse events among patients treated with sildenafil were headaches (11."( Efficacy, safety and tolerability of sildenafil in Brazilian hypertensive patients on multiple antihypertensive drugs.
Albuquerque, DC; Miziara, LJ; Ribeiro, AB; Rodrigues, US; Saraiva, JF; Wajngarten, M,
)
"Sildenafil is efficacious and safe for the treatment of hypertensive patients with ED who receive concurrent combinations of anti-hypertensive drugs."( Efficacy, safety and tolerability of sildenafil in Brazilian hypertensive patients on multiple antihypertensive drugs.
Albuquerque, DC; Miziara, LJ; Ribeiro, AB; Rodrigues, US; Saraiva, JF; Wajngarten, M,
)
" Typically the adverse effects reported in patients from clinical trials of sildenafil have been mild to moderate, and commonly include flushing and dyspepsia and transient visual disturbances."( [Efficacy and safety of phosphodiesterase 5 inhibitors in the treatment of erectile dysfunction].
Shen, ZJ; Yu, YL, 2005
)
" No significant adverse events were reported."( Therapeutic approaches to pulmonary hypertension in hemoglobinopathies: Efficacy and safety of sildenafil in the treatment of severe pulmonary hypertension in patients with hemoglobinopathy.
Derchi, G; Forni, GL, 2005
)
" Those safe and effective agents were originally developed for their cardiovascular effects and were incidentally found to enhance erections."( Cardiac safety in clinical trials of phosphodiesterase 5 inhibitors.
Carson, CC, 2005
)
" Spontaneous postmarketing reports of visual adverse events, including nonarteritic anterior ischemic optic neuropathy (NAION), have been reported during the 7 years that sildenafil has been prescribed to more than 27 million men worldwide."( Ocular safety in patients using sildenafil citrate therapy for erectile dysfunction.
Laties, A; Sharlip, I, 2006
)
" Adverse events in patients taking sildenafil (vs."( Efficacy and safety of sildenafil in men with serotonergic antidepressant-associated erectile dysfunction: results from a randomized, double-blind, placebo-controlled trial.
Fava, M; Holloway, W; Nicholas, S; Nurnberg, HG; Seidman, SN; Stecher, VJ; Tseng, LJ, 2006
)
" Among men with erectile dysfunction treated with sildenafil, the adverse event profile is similar overall to that in men with comorbid cardiovascular disease (CVD), it is similar between those with and without CAD, and it is similar between those who take and those who do not take antihypertensive drugs (regardless of the number or class)."( Cardiovascular safety of sildenafil citrate (Viagra): an updated perspective.
Cheitlin, MD; Jackson, G; Montorsi, P, 2006
)
" Treatment-related adverse events were mostly mild/moderate hypotension, headache, and dizziness, which are often associated with NTG alone."( Safety of intravenous nitroglycerin after administration of sildenafil citrate to men with coronary artery disease: a double-blind, placebo-controlled, randomized, crossover trial.
Bart, BA; Glue, P; Jen, F; Koren, MJ; Malhotra, B; Parker, JD; Siegel, RL; Wang, H; Webb, DJ, 2007
)
"To define the efficacy and tolerability of sildenafil in elderly men, as epidemiological data show an increasing life-expectancy of the population, and age is not only correlated with increasing morbidity but also an increase in the prevalence of erectile dysfunction (ED), for which sildenafil, available for >8 years, is effective and safe across a wide variety of medical comorbidities, severity and causes of ED."( Analysis of the efficacy and safety of sildenafil citrate in the geriatric population.
Mulhall, JP; Müller, A; Parker, M; Smith, L, 2007
)
" The database included data on patient demographics, comorbidities, International Index of Erectile Function (IIEF) scores and adverse events (AEs)."( Analysis of the efficacy and safety of sildenafil citrate in the geriatric population.
Mulhall, JP; Müller, A; Parker, M; Smith, L, 2007
)
" The majority of adverse events were mild in severity; the most commonly reported treatment-related events were dizziness (7."( Efficacy and safety of sildenafil in Asian males with erectile dysfunction and cardiovascular risk.
Buranakitjaroen, P; Chee, C; Dato'Johan, RM; Leungwattanakij, S; Malhotra, C; Mangklabruks, A; Mohamed, SR; Ngaothamatasn, W, 2007
)
" The adverse events were facial flushing (20."( An open-label, multicenter, flexible dose study to evaluate the efficacy and safety of Viagra (sildenafil citrate) in Korean men with erectile dysfunction and arterial hypertension who are taking antihypertensive agents.
Kim, SW; Lee, DH; Lee, SW; Moon, KH; Park, HJ; Park, JK; Park, K; Park, NC; Shim, HB; Yoon, SJ, 2008
)
"Sildenafil citrate is an effective treatment for ED; it is safe and well tolerated by patients with ED taking multiple antihypertensive agents for arterial hypertension."( An open-label, multicenter, flexible dose study to evaluate the efficacy and safety of Viagra (sildenafil citrate) in Korean men with erectile dysfunction and arterial hypertension who are taking antihypertensive agents.
Kim, SW; Lee, DH; Lee, SW; Moon, KH; Park, HJ; Park, JK; Park, K; Park, NC; Shim, HB; Yoon, SJ, 2008
)
" We also assessed the number of attempts at sexual intercourse, the number of attempts that were successful and adverse drug effects."( Evaluation of the safety and efficacy of sildenafil citrate for erectile dysfunction in men with multiple sclerosis: a double-blind, placebo controlled, randomized study.
Safarinejad, MR, 2009
)
"Our results showed that 10mg/kg sildenafil decreased the adverse effects of ischemia on the healing of ischemic left colon anastomosis."( Does sildenafil reverse the adverse effects of ischemia on ischemic colon anastomosis: yes, 'no'.
Ankarali, H; Bahadir, B; Cakmak, GK; Comert, M; Demirtas, C; Emre, AU; Irkorucu, O; Karakaya, K; Kertis, G; Ofluoglu, E; Pasaoglu, H; Tascilar, O; Ucan, BH, 2009
)
" Furthermore, full acute and sub-acute toxicity studies showed no toxic effects of Etana."( A new herbal combination, Etana, for enhancing erectile function: an efficacy and safety study in animals.
Badwan, AA; Matalka, KZ; Qinna, N; Taha, H,
)
" No serious adverse reactions were reported."( The efficacy and safety of sildenafil in Chinese patients with pulmonary arterial hypertension.
Jiang, X; Jing, ZC; Pu, JL; Sun, YG; Wang, Y; Wang, ZX; Wu, Y; Xu, XQ; Yang, YJ; Zhang, JH, 2009
)
" The primary outcome measure was the adverse occurrence of any of the following during the treatment period: stroke worsening, new stroke, myocardial infarction, vision loss, hearing loss, or death from any cause."( Sildenafil treatment of subacute ischemic stroke: a safety study at 25-mg daily for 2 weeks.
Chopp, M; Katramados, A; Lewandowski, CA; Lu, M; McCarthy, S; Mitsias, P; Morris, DC; Russman, AN; Silver, B,
)
"Sildenafil (25 mg daily for 2 weeks) appeared to be safe in this group of patients with mild to moderately severe stroke."( Sildenafil treatment of subacute ischemic stroke: a safety study at 25-mg daily for 2 weeks.
Chopp, M; Katramados, A; Lewandowski, CA; Lu, M; McCarthy, S; Mitsias, P; Morris, DC; Russman, AN; Silver, B,
)
" Drug-related adverse events were mild and transient in our group of patients."( One year efficacy and safety of oral sildenafil treatment in severe pulmonary hypertension.
Dumija, Z; Jakopović, M; Knezević, A; Samarzija, M; Samija, M; Sever, B; Vidjak, V; Zuljević, E, 2009
)
" No new safety issues, emerging trends or adverse reactions were identified in conjunction with overdose, dependence, abuse or misuse."( Safety of sildenafil citrate: review of 67 double-blind placebo-controlled trials and the postmarketing safety database.
Giuliano, F; Jackson, G; Martin-Morales, A; Montorsi, F; Raillard, P, 2010
)
" Over the years, adverse events associated with the consumption of natural health products for sexual enhancement and the treatment of erectile dysfunction have been reported."( Safety and quality assessment of 175 illegal sexual enhancement products seized in red-light districts in Singapore.
Bloodworth, BC; Ge, XW; Koh, HL; Lee, R; Li, L; Low, MY; Zeng, Y, 2009
)
" Physicians were presented with a hypothetical pharmaceutical cognitive enhancer that had been approved by the regulatory authorities for use in healthy adults, and was characterized as being safe, effective, and without significant adverse side effects."( Physician attitudes towards pharmacological cognitive enhancement: safety concerns are paramount.
Banjo, OC; Nadler, R; Reiner, PB, 2010
)
" Oral sildenafil is both safe and effective for the treatment of adult PAH patients in China."( [Preliminary study on the efficacy and safety of oral sildenafil in pulmonary arterial hypertension in China].
Bao, CD; Chen, JY; Cheng, XS; Gu, Q; Guo, T; Guo, YJ; He, B; He, JG; Huang, K; Huang, SA; Li, CL; Li, MT; Li, WM; Liu, HM; Liu, S; Liu, ZH; Lu, XL; Ni, XH; Shan, GL; Shen, JY; Tian, HY; Wang, LH; Wu, BX; Wu, GH; Wu, WF; Xiong, CM; Zeng, XF; Zhang, C; Zhang, DZ; Zhang, WJ; Zhao, ZH; Zhou, DX; Zhu, XY, 2011
)
" The incidence of adverse events was similar among the 3 groups."( The efficacy and safety of sildenafil in patients with pulmonary arterial hypertension associated with the different types of congenital heart disease.
Gu, Q; He, JG; Li, JJ; Liu, ZH; Lu, XL; Ni, XH; Shan, GL; Xiong, CM; Zeng, WJ; Zhao, ZH, 2011
)
"Sildenafil therapy seems to be effective and safe for PAH secondary to ASD, VSD, and PDA, although some clinical and hemodynamic parameters were changed in a different manner among the 3 groups."( The efficacy and safety of sildenafil in patients with pulmonary arterial hypertension associated with the different types of congenital heart disease.
Gu, Q; He, JG; Li, JJ; Liu, ZH; Lu, XL; Ni, XH; Shan, GL; Xiong, CM; Zeng, WJ; Zhao, ZH, 2011
)
" Transient visual symptoms such as change in color perception and increased light sensitivity are well-known adverse effects of these drugs and occur in 3-11% of sildenafil users."( Are phosphodiesterase type 5 inhibitors associated with vision-threatening adverse events? A critical analysis and review of the literature.
Abu samra, K; Azzouni, F, 2011
)
" The causality assessment of the reported adverse drug reactions was analyzed by applying both the World Health Organization (WHO) Probability Scale and the criteria utilized by the National Registry of Drug-Induced Ocular Side Effects."( Are phosphodiesterase type 5 inhibitors associated with vision-threatening adverse events? A critical analysis and review of the literature.
Abu samra, K; Azzouni, F, 2011
)
" However, minor visual adverse effects occur in 3-11% of users and they are transient and reversible."( Are phosphodiesterase type 5 inhibitors associated with vision-threatening adverse events? A critical analysis and review of the literature.
Abu samra, K; Azzouni, F, 2011
)
" Phosphodiesterase type-5 inhibitors (PDE5-i) are generally regarded as safe and effective."( 10-Year analysis of adverse event reports to the Food and Drug Administration for phosphodiesterase type-5 inhibitors.
Costabile, RA; Lowe, G, 2012
)
"Summarized reports of adverse events (AEs) for each PDE5-i were requested from the Center for Drug Evaluation and Research within the FDA."( 10-Year analysis of adverse event reports to the Food and Drug Administration for phosphodiesterase type-5 inhibitors.
Costabile, RA; Lowe, G, 2012
)
" 10-year analysis of adverse event reports to the Food and Drug Administration for phosphodiesterase type-5 inhibitors."( 10-Year analysis of adverse event reports to the Food and Drug Administration for phosphodiesterase type-5 inhibitors.
Costabile, RA; Lowe, G, 2012
)
"Ocular safety (ocular examinations, visual function tests, participants' reports of adverse events, and visual disturbance questionnaire completed by investigators) by treatment group at 12 weeks, 24 weeks, 18 months, and yearly."( Ocular safety of sildenafil citrate when administered chronically for pulmonary arterial hypertension: results from phase III, randomised, double masked, placebo controlled trial and open label extension.
Burgess, G; Hwang, LJ; Laties, AM; Tressler, C; Wirostko, BM, 2012
)
" Incidence of ocular adverse events reported on the case report forms and assessed by the investigator was low with all doses, but a modest, dose related incidence of chromatopsia, cyanopsia, photophobia, and visual disturbance was reported with 80 mg three times daily consistent with the indicated dosing for erectile dysfunction."( Ocular safety of sildenafil citrate when administered chronically for pulmonary arterial hypertension: results from phase III, randomised, double masked, placebo controlled trial and open label extension.
Burgess, G; Hwang, LJ; Laties, AM; Tressler, C; Wirostko, BM, 2012
)
"Sildenafil dosing up to 80 mg three times daily is safe and well tolerated from an ocular perspective in patients with pulmonary arterial hypertension."( Ocular safety of sildenafil citrate when administered chronically for pulmonary arterial hypertension: results from phase III, randomised, double masked, placebo controlled trial and open label extension.
Burgess, G; Hwang, LJ; Laties, AM; Tressler, C; Wirostko, BM, 2012
)
"A low incidence of some PDE-related adverse events may be reflected by the high selectivity of avanafil against non-PDE5 isozymes."( Selectivity of avanafil, a PDE5 inhibitor for the treatment of erectile dysfunction: implications for clinical safety and improved tolerability.
Burnett, AL; Day, WW; DiDonato, K; Heller, WH; Kikkawa, K; Kotera, J; Omori, K; Peterson, CA; Wang, R; Yee, S, 2012
)
" Lower selectivity against PDE1, PDE6, and PDE11 is consistent with results from randomized, placebo-controlled, phase 3 trials in which musculoskeletal and hemodynamic adverse events were reported in <2% of patients and no color vision-related abnormalities were reported with avanafil doses up to 200 mg once daily."( Selectivity of avanafil, a PDE5 inhibitor for the treatment of erectile dysfunction: implications for clinical safety and improved tolerability.
Burnett, AL; Day, WW; DiDonato, K; Heller, WH; Kikkawa, K; Kotera, J; Omori, K; Peterson, CA; Wang, R; Yee, S, 2012
)
"Data suggest that avanafil may confer a safety benefit, in terms of a lower incidence of specific adverse events, by virtue of its high specificity to PDE5 and its overall selectivity against other PDE isozymes."( Selectivity of avanafil, a PDE5 inhibitor for the treatment of erectile dysfunction: implications for clinical safety and improved tolerability.
Burnett, AL; Day, WW; DiDonato, K; Heller, WH; Kikkawa, K; Kotera, J; Omori, K; Peterson, CA; Wang, R; Yee, S, 2012
)
" Sildenafil is highly efficacious cheaper and safe alternative to other available therapies for SSc-associated PAH, Raynaud's phenomenon, and digital infarcts/ulcers."( Prospective, open-label, uncontrolled pilot study to study safety and efficacy of sildenafil in systemic sclerosis-related pulmonary artery hypertension and cutaneous vascular complications.
Gokhle, SS; Kaur, S; Kumar, U; Misra, D; Sankalp, G; Sreenivas, V, 2013
)
" Adverse effects occurred in a comparable proportion of patients taking sildenafil and placebo, and none of the patients needed to discontinue therapy."( Is chronic sildenafil therapy safe and clinically beneficial in patients with systolic heart failure?
Amin, A; Chitsazan, M; Mahmoudi, E; Navid, H,
)
" PDE5-Is are generally safe and well tolerated, and there is no major difference on the safety profile."( Comparative effectiveness and safety of oral phosphodiesterase type 5 inhibitors for erectile dysfunction: a systematic review and network meta-analysis.
Chen, Q; Ding, H; Lee, J; Liu, Y; Mao, C; Qin, X; Ren, Z; Tang, J; Tian, J; Yang, Z; Yuan, J; Zhang, R, 2013
)
" Nevertheless, animal and clinical studies have demonstrated that nephrotoxicity is the major adverse effect limiting the prolonged CsA therapeutic use."( Sildenafil protects against nitric oxide deficiency-related nephrotoxicity in cyclosporine A treated rats.
Abdel-latif, RG; El-Moselhy, MA; Khalifa, MA; Morsy, MA, 2013
)
"Because most medications for pediatric pulmonary hypertension (PH) are used off label and based on adult trials, little information is available on pediatric-specific adverse events (AEs)."( Food and Drug Administration (FDA) postmarket reported side effects and adverse events associated with pulmonary hypertension therapy in pediatric patients.
Feinstein, JA; Ivy, DD; Maxey, DM; Ogawa, MT, 2013
)
"Drug-induced ototoxicity, particularly those involving phosphodiesterase type 5 (PDE-5) inhibitors, is considered to be rare and to our knowledge such an adverse effect has not been reported in Canada."( Sildenafil and furosemide associated ototoxicity: consideration of drug-drug interactions, synergy, and broader clinical relevance.
Farquhar, D; Kim, RB; Mehta, S; Skeith, L; Yamashita, C, 2013
)
" The initial drug intake of the drug was not followed by adverse reactions in 12 (75%) of the 16 patients."( [Efficacy and safety of sildenafil in patients with systemic scleroderma].
Alekperov, RT; Ananyeva, LP; Cheremukhina, EO; Korzeneva, EG, 2013
)
" Patient-reported adverse events included headache (4%) and heartburn (2%)."( Safety, tolerability, and efficacy of overnight switching from sildenafil to tadalafil in patients with pulmonary arterial hypertension.
Doran, AK; Hill, W; Shapiro, S; Traiger, G; Zhang, L, 2013
)
" Most treatment emergent adverse events were mild or moderate."( The efficacy and safety of on-demand Elonza; a generic product of sildenafil in Thai men with erectile dysfunction.
Pempongkosol, S; Wijitsettakul, U, 2013
)
" Tadalafil may be a safe drug to treat children and young adults with PAH."( Comparison of the therapeutic and side effects of tadalafil and sildenafil in children and adolescents with pulmonary arterial hypertension.
Beheshtian, E; Sabri, MR, 2014
)
" The safety was assessed by observing drug tolerability and adverse events."( Efficacy and safety of long-term tadalafil 5 mg once daily combined with sildenafil 50 mg as needed at the early stage of treatment for patients with erectile dysfunction.
Cui, H; Deng, Y; Fang, J; Liu, B; Song, Z; Wang, H; Wang, Z; Zhang, S, 2015
)
"94) or Borg dyspnea score relative to placebo, nor did it significantly affect the incidence of serious adverse events."( Efficacy and safety of sildenafil treatment in pulmonary arterial hypertension: a systematic review.
He, CY; Jiang, FM; Li, CT; Liang, ZA; Luo, J; Peng, XY; Wang, RC; Zheng, QL, 2014
)
"Sildenafil therapy lasting ≥ 12 weeks improves multiple clinical and hemodynamic outcomes in patients with PAH, but it appears to have no effect on mortality or serious adverse events."( Efficacy and safety of sildenafil treatment in pulmonary arterial hypertension: a systematic review.
He, CY; Jiang, FM; Li, CT; Liang, ZA; Luo, J; Peng, XY; Wang, RC; Zheng, QL, 2014
)
"There is currently no evidence of serious adverse event in infants exposed to sildenafil."( Safety of sildenafil in infants*.
Samiee-Zafarghandy, S; Smith, PB; van den Anker, JN, 2014
)
"05), and no obvious adverse reactions were found."( [Efficacy and safety of sildenafil in the treatment of high altitude heart disease associated with severe pulmonary arterial hypertension in children: a preliminary evaluation].
Chen, H; Xia, YL; Yan, WX, 2014
)
"For children with high altitude heart disease associated with severe PAH, sildenafil can effectively reduce pulmonary artery pressure and improve cardiac function and does not cause adverse reactions."( [Efficacy and safety of sildenafil in the treatment of high altitude heart disease associated with severe pulmonary arterial hypertension in children: a preliminary evaluation].
Chen, H; Xia, YL; Yan, WX, 2014
)
"The present studies examined the toxic interaction between the non-coxib celecoxib derivative OSU-03012 and phosphodiesterase 5 (PDE5) inhibitors, and also determined the roles of endoplasmic reticulum stress response regulators in cell survival."( Regulation of OSU-03012 toxicity by ER stress proteins and ER stress-inducing drugs.
Booth, L; Cruickshanks, N; Dent, P; Grant, S; Poklepovic, A; Roberts, JL, 2014
)
" It has not yet been observed if transition from sildenafil to tadalafil is beneficial in patients suffering from adverse reactions."( Safety and long-term efficacy of transition from sildenafil to tadalafil due to side effects in patients with pulmonary arterial hypertension.
Egenlauf, B; Ehlken, N; Grünig, E; Harzheim, D; Lichtblau, M; Marra, A; Pinado, FP, 2015
)
"A retrospective analysis of PAH-patients who were stable on sildenafil for >3 months and transitioned to tadalafil due to adverse events was performed."( Safety and long-term efficacy of transition from sildenafil to tadalafil due to side effects in patients with pulmonary arterial hypertension.
Egenlauf, B; Ehlken, N; Grünig, E; Harzheim, D; Lichtblau, M; Marra, A; Pinado, FP, 2015
)
"5 %) adverse events occurred under tadalafil as well and therapy with PDE-5 inhibitors was discontinued."( Safety and long-term efficacy of transition from sildenafil to tadalafil due to side effects in patients with pulmonary arterial hypertension.
Egenlauf, B; Ehlken, N; Grünig, E; Harzheim, D; Lichtblau, M; Marra, A; Pinado, FP, 2015
)
" Neither the tolerability nor pharmacokinetics of nitrite was impacted by conditions of mild hypoxia, or co-administration with sildenafil, supporting the safe use of inhaled nitrite in the clinical setting of PAH."( Pharmacokinetics, pharmacodynamics, safety, and tolerability of nebulized sodium nitrite (AIR001) following repeat-dose inhalation in healthy subjects.
Alcorn, H; Attkins, NJ; Barker, GE; Bott, AW; Bradley, S; Gladwin, MT; Hoye, WL; Hussaini, A; Masamune, H; Parsley, EL; Rix, PJ; Shiva, S; Vick, A, 2015
)
" Specific adverse events with PDE5 inhibitors included headache (12."( Efficacy and safety of phosphodiesterase type 5 (PDE5) inhibitors in treating erectile dysfunction after bilateral nerve-sparing radical prostatectomy.
Cui, Y; Gao, Z; Liu, X; Shi, L, 2016
)
" No serious adverse effects were noted."( Sildenafil therapy in bronchopulmonary dysplasia-associated pulmonary hypertension: a retrospective study of efficacy and safety.
Krishnamurthy, MB; O'Heney, JL; Paul, E; Sehgal, A; Tan, K, 2015
)
" These products represent a major safety threat for the consumers in Egypt and the Middle East, especially; the target audience is mostly affected with heart and blood pressure problems seeking natural and safe alternatives to the well-established Phosphodiesterase 5 Inhibitors (PDE-5Is)."( Male enhancement Nutraceuticals in the Middle East market: Claim, pharmaceutical quality and safety assessments.
ElAgouri, G; ElAmrawy, F; ElYazbi, A; Eshra, A; Nounou, MI, 2015
)
" Safety was assessed by monitoring neurological examination findings and vital signs and for the development of adverse reactions."( A Phase I proof-of-concept and safety trial of sildenafil to treat cerebral vasospasm following subarachnoid hemorrhage.
Arias, EJ; Chicoine, MR; Cross, DT; Dacey, RG; Derdeyn, CP; Dhar, R; Han, BH; Moran, CJ; Rich, KM; Vellimana, AK; Washington, CW; Zipfel, GJ, 2016
)
" There were no adverse reactions."( A Phase I proof-of-concept and safety trial of sildenafil to treat cerebral vasospasm following subarachnoid hemorrhage.
Arias, EJ; Chicoine, MR; Cross, DT; Dacey, RG; Derdeyn, CP; Dhar, R; Han, BH; Moran, CJ; Rich, KM; Vellimana, AK; Washington, CW; Zipfel, GJ, 2016
)
"The results from this Phase I safety and proof-of-concept trial assessing the use of intravenous sildenafil in patients with CVS show that sildenafil is safe and well tolerated in the setting of SAH."( A Phase I proof-of-concept and safety trial of sildenafil to treat cerebral vasospasm following subarachnoid hemorrhage.
Arias, EJ; Chicoine, MR; Cross, DT; Dacey, RG; Derdeyn, CP; Dhar, R; Han, BH; Moran, CJ; Rich, KM; Vellimana, AK; Washington, CW; Zipfel, GJ, 2016
)
" According to the Naranjo adverse drug reaction scale and the Roussel Uclaf Causality Assessment Method (RUCAM) the probability of association of Hepatotoxicity with Sildenafil was "possible" and "probable" respectively (Naranjo score of 4, RUCAM score of 7)."( A Case of Hepatotoxicity Induced by Adulterated "Tiger King", a Chinese Herbal Medicine Containing Sildenafil.
Arieli, M; Berkovitz, R; Fuchs, S; Hess, Z; Nissan, R; Poperno, A; Shapira, B; Stein, GY, 2016
)
" The most common adverse events with sildenafil were headache and flushing in each age subgroup."( Efficacy and Safety of Sildenafil by Age in Men With Erectile Dysfunction.
Creanga, D; Goldstein, I; Kaminetsky, JC; Stecher, V; Tseng, LJ, 2016
)
" We hypothesized there may be more adverse effects associated with intermittent IV sildenafil compared with enteral sildenafil."( Evaluating the safety of intermittent intravenous sildenafil in infants with pulmonary hypertension.
Darland, LK; Dinh, KL; Fernandes, CJ; Kim, S; Mallory, GB; Placencia, JL; Ruiz, F; Varghese, NP, 2017
)
"Low dose oral sildenafil citrate tablets are safe and effective to decrease the lesions volume in some LMs children, especially with macrocystic lesion or mixed type."( Efficacy and safety of oral sildenafil in treatment of pediatric head and neck lymphatic malformations.
Ge, W; Guo, Y; He, Y; Liu, Y; Ni, X; Tai, J; Wang, N; Wang, S; Zhang, J, 2017
)
" The improvement of various symptoms and the adverse effects of sildenafil were recorded during the follow-up period."( Efficacy and safety of oral sildenafil in treatment of pediatric head and neck lymphatic malformations.
Ge, W; Guo, Y; He, Y; Liu, Y; Ni, X; Tai, J; Wang, N; Wang, S; Zhang, J, 2017
)
" Only four patients showed transient mild diarrhea, there was no other adverse effect in this series."( Efficacy and safety of oral sildenafil in treatment of pediatric head and neck lymphatic malformations.
Ge, W; Guo, Y; He, Y; Liu, Y; Ni, X; Tai, J; Wang, N; Wang, S; Zhang, J, 2017
)
" Evidence suggests that low- and moderate-dose sildenafil are safe regimens for children."( Pulmonary Hypertension Therapy and a Systematic Review of Efficacy and Safety of PDE-5 Inhibitors.
Coulson, JD; Noje, C; Romer, L; Segal, JB; Unegbu, C, 2017
)
" The most common all-cause adverse events with sildenafil were headache (16."( Efficacy and Safety of Sildenafil in Men With Sexual Dysfunction and Spinal Cord Injury.
Carlsson, M; Ohl, DA; Rippon, GA; Stecher, VJ, 2017
)
" Although the drug is well tolerated, specific adverse events have been observed, like flushing, headaches, dyspepsia, and visual disturbances."( Sildenafil-associated hepatoxicity: a review of the literature.
Busardò, FP; Graziano, S; Marinelli, E; Minutillo, A; Montana, A; Rotolo, MC; Zaami, S, 2017
)
" The combined dapoxetine with sildenafil therapy could significantly improve PE patients without ED as compared to paroxetine alone or dapoxetine alone or sildenafil alone with tolerated adverse effects."( Comparison of the clinical efficacy and safety of the on-demand use of paroxetine, dapoxetine, sildenafil and combined dapoxetine with sildenafil in treatment of patients with premature ejaculation: A randomised placebo-controlled clinical trial.
Abdelhamed, A; Abu El-Hamd, M, 2018
)
" Adverse events and long-term cancer outcomes were monitored."( A Double-Blind, Randomized Trial on the Efficacy and Safety of Hyperbaric Oxygenation Therapy in the Preservation of Erectile Function after Radical Prostatectomy.
Champagne, A; Chiles, KA; Graydon, RJ; Johnson-Arbor, K; McLaughlin, T; Staff, I, 2018
)
"The new ODF formulation is as efficient and safe as the FCT formulation and offers a new choice of treatment to specialists for more precisely tailored therapy."( Effectiveness and Safety of Oro-Dispersible Sildenafil in a New Film Formulation for the Treatment of Erectile Dysfunction: Comparison Between Sildenafil 100-mg Film-Coated Tablet and 75-mg Oro-Dispersible Film.
Cacciamani, G; Campi, R; Capece, M; Cito, G; Cocci, A; Della Camera, PA; Falcone, M; Gacci, M; Minervini, A; Mirone, V; Mondaini, N; Morelli, G; Morselli, S; Natali, A; Polloni, G; Rizzo, M; Russo, GI; Serni, S; Sessa, F; Timpano, M, 2017
)
"T + S and T + B are well tolerated and safe and significantly increase the number of SSEs in different FSIAD subgroups."( Efficacy and Safety of On-Demand Use of 2 Treatments Designed for Different Etiologies of Female Sexual Interest/Arousal Disorder: 3 Randomized Clinical Trials.
Bloemers, J; Böcker, KBE; de Lange, RPJ; de Leede, L; Derogatis, LR; Eisenegger, C; Everaerd, W; Frijlink, HW; Gerritsen, J; Höhle, D; Kessels, R; Kingsberg, S; Koppeschaar, HPF; Olivier, B; Pfaus, JG; Tuiten, A; van Honk, J; van Rooij, K, 2018
)
" We obtained and analyzed the demographic and clinical characteristics of the patients, the scores of International Index of Erectile Function (IIEF), the success rate of sexual intercourse, and the incidence of adverse events."( [Safety and efficacy of China-made sildenafil citrate in the treatment of erectile dysfunction].
Gao, X; He, ZJ; Hong, K; Jiang, H; Jiang, T; Liu, DF; Pan, TM; Song, XS; Wu, H; Xu, QQ; Zhang, B; Zhang, Z; Zhu, JC; Zhuang, SR, 2017
)
" Mild or temporary adverse events were observed in 32 cases in the SC group as compared with 13 in the placebo control."( [Safety and efficacy of China-made sildenafil citrate in the treatment of erectile dysfunction].
Gao, X; He, ZJ; Hong, K; Jiang, H; Jiang, T; Liu, DF; Pan, TM; Song, XS; Wu, H; Xu, QQ; Zhang, B; Zhang, Z; Zhu, JC; Zhuang, SR, 2017
)
"China-made sildenafil citrate is an effective, safe and well-tolerated drug for ED of different etiologies in the Chinese population."( [Safety and efficacy of China-made sildenafil citrate in the treatment of erectile dysfunction].
Gao, X; He, ZJ; Hong, K; Jiang, H; Jiang, T; Liu, DF; Pan, TM; Song, XS; Wu, H; Xu, QQ; Zhang, B; Zhang, Z; Zhu, JC; Zhuang, SR, 2017
)
" We evaluated the total clinical effectiveness of Wanfeile and analyzed adverse reactions."( [Efficacy and safety of Wanfeile in the treatment of erectile dysfunction: Report of 100 cases and review of the literature].
Cao, J; Chen, WJ; Fu, Q; Liu, XL; Sun, Z; Zhu, XW, 2017
)
" Adverse reactions were observed in 5 cases (5."( [Efficacy and safety of Wanfeile in the treatment of erectile dysfunction: Report of 100 cases and review of the literature].
Cao, J; Chen, WJ; Fu, Q; Liu, XL; Sun, Z; Zhu, XW, 2017
)
"Wanfeile is safe and efficacious for the treatment of ED."( [Efficacy and safety of Wanfeile in the treatment of erectile dysfunction: Report of 100 cases and review of the literature].
Cao, J; Chen, WJ; Fu, Q; Liu, XL; Sun, Z; Zhu, XW, 2017
)
"No serious adverse reactions were observed in any of the patients."( [Efficacy and safety of traditional Chinese medicine combined with sildenafil in the treatment of ED in Chinese men: A real-world study].
Chang, DG; Chen, L; Gao, QH; Geng, Q; Guo, J; Ou-Yang, B; Wang, F; Yu, C; Yu, GJ; Zhang, R; Zhang, XJ, 2017
)
"TCM combined with sildenafil is safe and effective in the treatment of ED in Chinese men, which can significantly improve the IIEF-5 score and erection hardness of the patients."( [Efficacy and safety of traditional Chinese medicine combined with sildenafil in the treatment of ED in Chinese men: A real-world study].
Chang, DG; Chen, L; Gao, QH; Geng, Q; Guo, J; Ou-Yang, B; Wang, F; Yu, C; Yu, GJ; Zhang, R; Zhang, XJ, 2017
)
" Acute dermal toxicity of the SCH exhibited that the formulations are devoid of any toxic effects and safe to be used."( Efficacy and dermal toxicity analysis of Sildenafil citrate based topical hydrogel formulation against traumatic wounds.
Adhikari, JS; Alam, MT; Basu, M; Chawla, R; Kulshrestha, S, 2019
)
" We aimed to determine if initial enteral sildenafil dosing is safe in children receiving concurrent vasoactive infusions."( Safety of enteral sildenafil in hemodynamically unstable children.
Beckman, EJ; Bednarz, AM; Israel, EN; Johansen, M; Thomas, CA, 2019
)
" Adverse events in the Avanafil group occurred in four (5%) patients and in 16 (20%) patients in the Sildenafil group."( Efficacy and safety of avanafil 200 mg versus sildenafil 100 mg in the treatment of erectile dysfunction after robot-assisted unilateral nerve-sparing prostatectomy: A prospective multicentre study.
Altieri, VM; Chini, T; Cito, G; Della Camera, PA; Gacci, M; Maggi, M; Natali, A; Nunzio, C; Rastrelli, G; Serni, S; Tellini, R, 2020
)
"06) and adverse neonatal outcome (20."( Safety and efficacy of sildenafil citrate to reduce operative birth for intrapartum fetal compromise at term: a phase 2 randomized controlled trial.
Dunn, L; Flatley, C; Flenady, V; Kumar, S; Tarnow-Mordi, W; Turner, J, 2020
)
" Then we recorded the IIEF-5 score and penile erection hardness score (EHS) and adverse reactions and compared them among the three groups of patients."( [Efficacy and safety of regular use of sildenafil in the treatment of penile erectile dysfunction].
Jia, DH; Li, R; Wang, CL; Wang, R; Yang, F; Zhang, TB; Zhang, WX; Zheng, T, 2019
)
"Regular use of sildenafil has a therapeutic effect similar to that of tadalafil but better than that of sildenafil on-demand, without more adverse effects."( [Efficacy and safety of regular use of sildenafil in the treatment of penile erectile dysfunction].
Jia, DH; Li, R; Wang, CL; Wang, R; Yang, F; Zhang, TB; Zhang, WX; Zheng, T, 2019
)
" Adverse reactions in the Sildenafil treatment group were tolerated headaches and digestive symptoms, which were relatively safe."( Efficacy and safety of Sildenafil treatment in pulmonary hypertension caused by chronic obstructive pulmonary disease: A meta-analysis.
Hao, Y; He, X; Huang, S; Mao, Y; Qiu, J; Wang, M; Xu, J; Zhu, Y, 2020
)
"Available clinical evidence indicates that Sildenafil seems to be safe and effective for COPD-PH and can improve the patients' 6WMD."( Efficacy and safety of Sildenafil treatment in pulmonary hypertension caused by chronic obstructive pulmonary disease: A meta-analysis.
Hao, Y; He, X; Huang, S; Mao, Y; Qiu, J; Wang, M; Xu, J; Zhu, Y, 2020
)
" Serious treatment-emergent adverse events were reported in 54 (61%) patients in the sildenafil group and 55 (62%) patients in the placebo group."( Efficacy and safety of sildenafil added to pirfenidone in patients with advanced idiopathic pulmonary fibrosis and risk of pulmonary hypertension: a double-blind, randomised, placebo-controlled, phase 2b trial.
Antoniou, K; Behr, J; Bengus, M; Bouros, DE; Gilberg, F; Guiot, J; Harari, S; Kirchgaessler, KU; Kramer, MR; Mogulkoc Bishop, N; Nathan, SD; Perjesi, A; Wells, AU; Wuyts, WA, 2021
)
"Cardiovascular adverse effects in drug development are a major source of compound attrition."( An Integrative Approach for Improved Assessment of Cardiovascular Safety Data.
Gabrielsson, J; Jirstrand, M; Martel, E; Pairet, N; Scheuerer, S; Wallman, M, 2021
)
" Further, these falsely advertised products should be withdrawn from the market due to potential adverse effects on the health of their consumers."( The safety, efficacy and pharmaceutical quality of male enhancement nutraceuticals bought online: Truth versus claim.
AboulFotouh, K; Amine, N; Eassa, HA; Echeverry, N; Helal, NA; Huynh, DM; Kaur, H; Latz, IK; Mansoor, I; Mikhail, MM; Mohamed, D; Nounou, MI; Oakes, MT; Orzechowski, K; Sweeney, J; Szollosi, D; Wiss, AR; Zheng, C, 2021
)
"Diclofenac, one of the most commonly used non-steroidal anti-inflammatory drugs, leads to severe adverse effects on the kidneys."( Phosphodiesterase (1, 3 & 5) inhibitors attenuate diclofenac-induced acute kidney toxicity in rats.
Abdel-Razek, NS; Salem, HA; Wadie, W, 2021
)
" Most common adverse events (AEs) with sildenafil (≥10% infants) were hypotension (n = 8/29), hypokalemia (n = 7/29), anemia, drug withdrawal syndrome (n = 4/29, each), and bradycardia (n = 3/29)."( Efficacy and Safety of IV Sildenafil in the Treatment of Newborn Infants with, or at Risk of, Persistent Pulmonary Hypertension of the Newborn (PPHN): A Multicenter, Randomized, Placebo-Controlled Trial.
Balagtas, CC; Cheruvu, N; Iorga, D; Jonsson, B; Pierce, CM; Steinhorn, RH; Zhang, MH, 2021
)
" Safety was evaluated based on adverse events (AEs), transaminase levels, and mean arterial pressure monitoring."( Safety of sildenafil in extremely premature infants: a phase I trial.
Ahlfeld, SK; Ambalavanan, N; Atz, AM; Cohen-Wolkowiez, M; Gonzalez, D; Hornik, CD; Hornik, CP; Jackson, W; Laughon, MM; Martz, K; Mills, M; Mundakel, G; Poindexter, BB; Smith, PB; Sokol, GM; Stewart, D, 2022
)
"Male reproductive toxicity is a well-established side effect of the chemotherapeutic drug adriamycin (ADR)."( Sildenafil aggravates adriamycin-induced testicular toxicity in rats; a preliminary investigation.
Adeyanju, AA; Oguntibeju, OO; Ojomu, O; Oyenihi, OR, 2023
)
" There was no hypotension or other significant adverse effects in the nitrite group."( Efficacy and safety of inhaled nitrite in addition to sildenafil in thalassemia patients with pulmonary hypertension: A 12-week randomized, double-blind placebo-controlled clinical trial.
Chuncharunee, S; Pienvichit, P; Pussadhamma, B; Sasiprapha, T; Sibmooh, N; Sriwantana, T; Yingchoncharoen, T, 2022
)
" Both avanafil and sildenafil were well tolerated by all the patients in the study; the most common adverse event reported during the study was headache in both the groups."( Efficacy and safety of avanafil as compared with sildenafil in the treatment of erectile dysfunction: A randomized, double blind, multicenter clinical trial.
Goyal, S; Gupta, SV; Kumar, M; Mittal, R; Pathade, AD; Rath, D; Sanmukhani, J; Thakre, M, 2022
)
"RCTs reporting obstetric or perinatal outcomes or maternal adverse outcomes in women taking PDE5i in pregnancy."( Phosphodiesterase-5 inhibitors in pregnancy: Systematic review and meta-analysis of maternal and perinatal safety and clinical outcomes.
Deprest, J; Kumar, S; Mol, BW; Russo, F; Turner, JM, 2022
)
"Tamoxifen-induced hepatotoxicity is an inevitable side effect during breast cancer treatment."( Nrf2 and NF-қB interplay in tamoxifen-induced hepatic toxicity: A promising therapeutic approach of sildenafil and low-dose γ radiation.
Galal, SM; Karam, HM; Lotfy, DM, 2023
)
"8%) in the placebo group reported one or more treatment-emergent adverse events, all of mild or moderate intensity."( Evaluation of the Influence of Sildenafil on the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Vericiguat in Healthy Adults.
Becker, C; Boettcher, M; Krausche, R; Nowotny, B, 2023
)
" This study investigated whether sildenafil was safe to use in individuals treated with vericiguat."( Evaluation of the Influence of Sildenafil on the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Vericiguat in Healthy Adults.
Becker, C; Boettcher, M; Krausche, R; Nowotny, B, 2023
)
" The indicators were the ratio of reduction in lesion volume pre and posttreatment, the number of patients with improved clinical symptoms, and adverse reactions to the two drugs."( Differences in Efficacy and Safety of Sirolimus and Sildenafil in Pediatric Lymphatic Malformations.
Cheng, X; Feng, G; Ji, T; Li, X; Li, Y; Liu, Q; Liu, Y; Liu, Z; Ni, X; Peng, Y; Sun, N; Wang, J; Wang, S; Zhang, J; Zhang, X, 2023
)
" Regarding safety, four patients in the sildenafil group and 23 patients in the sirolimus group with mild adverse reactions were reported."( Differences in Efficacy and Safety of Sirolimus and Sildenafil in Pediatric Lymphatic Malformations.
Cheng, X; Feng, G; Ji, T; Li, X; Li, Y; Liu, Q; Liu, Y; Liu, Z; Ni, X; Peng, Y; Sun, N; Wang, J; Wang, S; Zhang, J; Zhang, X, 2023
)
" Sirolimus is more effective than sildenafil and the adverse reactions associated with both drugs are mild and controllable."( Differences in Efficacy and Safety of Sirolimus and Sildenafil in Pediatric Lymphatic Malformations.
Cheng, X; Feng, G; Ji, T; Li, X; Li, Y; Liu, Q; Liu, Y; Liu, Z; Ni, X; Peng, Y; Sun, N; Wang, J; Wang, S; Zhang, J; Zhang, X, 2023
)
"Sildenafil (SF) is widely used for erectile dysfunction and other conditions, though with limitations regarding oral absorption and adverse effects."( Chitosan Nanoparticles Alleviated the Adverse Effects of Sildenafil on the Oxidative Stress Markers and Antioxidant Enzyme Activities in Rats.
Alian, DME; El-Khordagui, L; Haroun, M; Nounou, MI; Patel, A; Sheweita, SA, 2023
)
" Although adding Sildenafil to the freezing medium decreased the adverse effects of freezing on the sperm of asthenozoospermic patients and improved sperm quality, but it also caused premature acrosome reaction."( Sildenafil citrate ameliorates the adverse effects of cryopreservation on sperm quality in asthenozoospermic men.
Cheraghi, E; Kohzadi, R; Mehranjani, MS; Shariatzadeh, M, 2023
)

Pharmacokinetics

Sildenafil citrate, a highly effective oral treatment for ED, is decreased in men with severe renal insufficiency. The pharmacokinetic and hemodynamic profiles during maintenance hemodialysis in menwith end-stage renal disease have not been studied.

ExcerptReference
" With the exception of male rat, Tmax occurred at approximately 1 h or less."( Pharmacokinetics and metabolism of sildenafil in mouse, rat, rabbit, dog and man.
Ackland, MJ; James, GC; Muirhead, GJ; Rance, DJ; Walker, DK; Wastall, P; Wright, PA, 1999
)
"To investigate the effect of the antiretroviral protease inhibitors saquinavir (soft gelatin capsule) and ritonavir on the pharmacokinetic properties and tolerability of sildenafil and to investigate the effect of sildenafil on the steady-state pharmacokinetics of saquinavir and ritonavir."( Pharmacokinetic interactions between sildenafil and saquinavir/ritonavir.
Buss, N; Fielding, A; Kleinermans, D; Muirhead, GJ; Wulff, MB, 2000
)
"Both protease inhibitors significantly increased Cmax, AUC, tmax and t(1/2) values for both sildenafil and UK-103, 320."( Pharmacokinetic interactions between sildenafil and saquinavir/ritonavir.
Buss, N; Fielding, A; Kleinermans, D; Muirhead, GJ; Wulff, MB, 2000
)
" Absolute bioavailability was determined by comparing pharmacokinetic data after administration of single oral and intravenous 50-mg doses of sildenafil (n=12 subjects)."( Pharmacokinetics of sildenafil after single oral doses in healthy male subjects: absolute bioavailability, food effects and dose proportionality.
Harness, JA; Muirhead, GJ; Nichols, DJ, 2002
)
" Food slowed the rate of absorption, delaying mean tmax by approximately 1 h and reducing Cmax by 29% (90% CI: 19--38)."( Pharmacokinetics of sildenafil after single oral doses in healthy male subjects: absolute bioavailability, food effects and dose proportionality.
Harness, JA; Muirhead, GJ; Nichols, DJ, 2002
)
"Significant differences in Cmax and AUC were observed between the young and the elderly subjects for both the parent drug and the metabolite."( The effects of age and renal and hepatic impairment on the pharmacokinetics of sildenafil.
Colburn, W; Haug-Pihale, G; Muirhead, GJ; Rouviex, B; Wilner, K, 2002
)
"To examine the effect of concomitant cimetidine or antacid administration on the pharmacokinetic profile of sildenafil citrate in healthy male volunteers in two open-label, randomized studies."( The effects of cimetidine and antacid on the pharmacokinetic profile of sildenafil citrate in healthy male volunteers.
Laboy, L; LeBel, M; Wilner, K, 2002
)
"Coadministration of cimetidine had no statistically significant effect on the tmax or kel of sildenafil but caused a statistically significant increase in sildenafil AUCt and Cmax of 56% and 54%, respectively (P<0."( The effects of cimetidine and antacid on the pharmacokinetic profile of sildenafil citrate in healthy male volunteers.
Laboy, L; LeBel, M; Wilner, K, 2002
)
" Antacid coadministration had no effect on the pharmacokinetic profile of sildenafil."( The effects of cimetidine and antacid on the pharmacokinetic profile of sildenafil citrate in healthy male volunteers.
Laboy, L; LeBel, M; Wilner, K, 2002
)
"Repeated dosing with erythromycin caused statistically significant increases in the AUC and Cmax of sildenafil (2."( The effects of steady-state erythromycin and azithromycin on the pharmacokinetics of sildenafil in healthy volunteers.
Faulkner, S; Harness, JA; Muirhead, GJ; Taubel, J, 2002
)
"A population pharmacokinetic sampling strategy was incorporated into five phase III clinical study protocols."( A population pharmacokinetic analysis of sildenafil citrate in patients with erectile dysfunction.
Karlsson, MO; Marshall, SF; Milligan, PA, 2002
)
" Five HIV-infected patients on steady-state nelfinavir-containing therapy were subject to pharmacokinetic sampling for nelfinavir concentration twice: without sildenafil and with sildenafil 25 mg as a single dose."( Sildenafil does not alter nelfinavir pharmacokinetics.
Bratt, G; Ståhle, L, 2003
)
" The clinical efficacy and safety profiles of these medications are related to their molecular mode of action, the selectivity for PDE-5, and the pharmacokinetic properties (absorption, bioavailability, time to onset of action, distribution, metabolism, and elimination)."( Molecular mechanisms and pharmacokinetics of phosphodiesterase-5 antagonists.
Corbin, JD; Francis, SH, 2003
)
" The clearance of sildenafil citrate, a highly effective oral treatment for ED, is decreased in men with severe renal insufficiency, but the pharmacokinetic and hemodynamic profiles during maintenance hemodialysis in men with end-stage renal disease have not been studied."( The pharmacokinetics and hemodynamics of sildenafil citrate in male hemodialysis patients.
Chow, D; Chung, M; DeRiesthal, H; Gaffney, M; Grossman, EB; Muirhead, GJ; Raij, L; Swan, SK, 2004
)
" Administration after hemodialysis was associated with a 17% higher peak plasma concentration and earlier time to peak, which were not clinically meaningful, whereas the overall extent of absorption and the elimination half-life were not affected."( The pharmacokinetics and hemodynamics of sildenafil citrate in male hemodialysis patients.
Chow, D; Chung, M; DeRiesthal, H; Gaffney, M; Grossman, EB; Muirhead, GJ; Raij, L; Swan, SK, 2004
)
"The present study demonstrates that sildenafil is not cleared by hemodialysis, and the pharmacokinetic profile resembles more closely that observed in normal volunteers than that observed in patients with severe renal insufficiency."( The pharmacokinetics and hemodynamics of sildenafil citrate in male hemodialysis patients.
Chow, D; Chung, M; DeRiesthal, H; Gaffney, M; Grossman, EB; Muirhead, GJ; Raij, L; Swan, SK, 2004
)
"1 mg/kg vardenafil is limited by its pharmacokinetic properties (Tmax=1 h; T1/2=1."( Vardenafil preclinical trial data: potency, pharmacodynamics, pharmacokinetics, and adverse events.
Bischoff, E, 2004
)
" This review comparatively discusses the major characteristics of the pharmacokinetic profile of all 3 PDE5 inhibitors, including bioavailability and rate of absorption, Biopharmaceutical Classification System categorization, elimination mechanisms, and metabolic profile including active metabolites, as well as the drug-drug interaction potential and modification of pharmacokinetic properties under selected physiologic and pathophysiologic conditions."( The clinical pharmacokinetics of phosphodiesterase-5 inhibitors for erectile dysfunction.
Gupta, M; Kovar, A; Meibohm, B, 2005
)
"Potential pharmacokinetic interactions between dapoxetine, a serotonin transporter inhibitor developed for the treatment of premature ejaculation (PE), and the phosphodiesterase-5 inhibitors tadalafil and sildenafil, agents used in the treatment of erectile dysfunction (ED), were investigated in an open-label, randomized, crossover study (n=24 men) comparing dapoxetine 60 mg, dapoxetine 60 mg+tadalafil 20 mg, and dapoxetine 60 mg+sildenafil 100 mg."( Dapoxetine, a novel treatment for premature ejaculation, does not have pharmacokinetic interactions with phosphodiesterase-5 inhibitors.
Desai, D; Dresser, MJ; Gidwani, S; Modi, NB; Seftel, AD,
)
" The method was developed and validated for purposes of its application to a pharmacokinetic study in healthy volunteers after an oral dose of 50mg/tablet under fasting conditions."( Simultaneous determination of sildenafil and N-desmethyl sildenafil in human plasma by high-performance liquid chromatography method using electrochemical detection with application to a pharmacokinetic study.
Aburuz, S; Al-Ghazawi, M; Tutunji, M, 2007
)
" This method has been used in a pharmacokinetic study of aildenafil in healthy male volunteers each given an oral administration of one of the three dosages."( Liquid chromatography tandem mass spectrometry assay to determine the pharmacokinetics of aildenafil in human plasma.
Cui, Y; Gu, J; Jiang, Y; Wang, J; Wang, Y; Zhao, X, 2007
)
"The aim of this study was to systematically investigate the mutual pharmacokinetic interactions in healthy volunteers between sildenafil, a phosphodiesterase-5 inhibitor, and bosentan, a dual endothelin receptor antagonist, both approved for treating pulmonary arterial hypertension (PAH)."( Mutual pharmacokinetic interactions between steady-state bosentan and sildenafil.
Burgess, G; Collings, L; Dingemanse, J; Hoogkamer, H, 2008
)
"In healthy volunteers, there is a mutual pharmacokinetic interaction between bosentan and sildenafil that may influence the dosage of each drug in a combination treatment."( Mutual pharmacokinetic interactions between steady-state bosentan and sildenafil.
Burgess, G; Collings, L; Dingemanse, J; Hoogkamer, H, 2008
)
" In comparison with healthy subjects, the maximal concentration in plasma (Cmax), area under the curve (AUC), and elimination half-life of sildenafil were approximately doubled in the patient."( Pharmacokinetics and pharmacodynamics of sildenafil in a patient treated with human immunodeficiency virus protease inhibitors.
Aschmann, YZ; Azzola, A; Bodmer, M; Haschke, M; Krähenbühl, S; Kummer, O; Linka, A; Wenk, M, 2008
)
" After intravenous and oral administration of DA-8159, most of the pharmacokinetic parameters of DA-8159 and DA-8164 were not significantly different between two groups of rats."( Effects of bacterial lipopolysaccharide on the pharmacokinetics of DA-8159, a new erectogenic, in rats.
Kim, WB; Kim, YC; Kwon, JW; Lee, JH; Lee, MG, 2005
)
" The potential for a pharmacokinetic drug interaction exists when sildenafil and DRV/r are co-administered, as these drugs are primarily metabolized by cytochrome P450 (CYP) 3A, and darunavir and ritonavir are CYP3A inhibitors."( Effect of repeated doses of darunavir plus low-dose ritonavir on the pharmacokinetics of sildenafil in healthy male subjects: phase I randomized, open-label, two-way crossover study.
De Marez, T; De Paepe, E; De Pauw, M; Hoetelmans, RM; Lefebvre, E; Sekar, V; Vangeneugden, T, 2008
)
" Full pharmacokinetic profiles of sildenafil, N-desmethyl sildenafil, darunavir and ritonavir were determined."( Effect of repeated doses of darunavir plus low-dose ritonavir on the pharmacokinetics of sildenafil in healthy male subjects: phase I randomized, open-label, two-way crossover study.
De Marez, T; De Paepe, E; De Pauw, M; Hoetelmans, RM; Lefebvre, E; Sekar, V; Vangeneugden, T, 2008
)
" When sildenafil 25 mg was co-administered with DRV/r, the sildenafil maximum plasma concentration (Cmax) was 38% lower compared with Cmax after administration of sildenafil alone at a dose of 100 mg."( Effect of repeated doses of darunavir plus low-dose ritonavir on the pharmacokinetics of sildenafil in healthy male subjects: phase I randomized, open-label, two-way crossover study.
De Marez, T; De Paepe, E; De Pauw, M; Hoetelmans, RM; Lefebvre, E; Sekar, V; Vangeneugden, T, 2008
)
" A mixed-effects pharmacokinetic model that included two-compartment disposition of sildenafil and its metabolite and an effect of postnatal age on sildenafil clearance was used to describe plasma concentration-time data of parent and metabolite."( Population pharmacokinetics of sildenafil in term neonates: evidence of rapid maturation of metabolic clearance in the early postnatal period.
Dombi, T; Lalonde, R; Mukherjee, A; Wittke, B, 2009
)
"The pharmacokinetic interaction between sildenafil, a phosphodiesterase type 5 (PDE-5) inhibitor, and ambrisentan, an ET(A)-selective, propanoic acid-based endothelin receptor antagonist (ERA), was studied in a 2-period crossover study in 19 healthy volunteers, with ambrisentan exposure (AUC(0-infinity)) and maximum plasma concentration (C(max)) determined over 24 hours for a 10-mg dose of ambrisentan alone and again after 7 days of sildenafil 20 mg 3 times daily."( Pharmacokinetics and safety of ambrisentan in combination with sildenafil in healthy volunteers.
Dufton, C; Mandagere, A; Spence, R; Venitz, J, 2008
)
" In vivo pharmacokinetic performance of the selected system ME6 (with no nasal ciliotoxicity) was evaluated in a group of six rabbits in a randomized crossover study and compared to the marketed oral tablets."( Intranasal microemulsion of sildenafil citrate: in vitro evaluation and in vivo pharmacokinetic study in rabbits.
Bendas, ER; Elshafeey, AH; Mohamed, OH, 2009
)
" The focus of this study was to determine the influence of sildenafil on the pharmacokinetics (PK) of pregabalin with the objective of informing the design of a quantitative pharmacodynamic (PD) study."( Population pharmacokinetic model of the pregabalin-sildenafil interaction in rats: application of simulation to preclinical PK-PD study design.
Bender, G; Bies, R; Danhof, M; DeJongh, J; Field, M; Florian, J; Gosset, J; Marshall, S; Tan, K, 2009
)
" * There is a significant pharmacokinetic (PK) interaction between the ETRA bosentan and the phosphodiesterase-type 5 inhibitor sildenafil."( The effects of sitaxentan on sildenafil pharmacokinetics and pharmacodynamics in healthy subjects.
Kramer, WG; Stavros, F; Wilkins, MR, 2010
)
"This study evaluated the effects of sitaxentan on the pharmacodynamic [systemic blood pressure (BP)] and pharmacokinetic (PK) parameters of sildenafil in healthy volunteers."( The effects of sitaxentan on sildenafil pharmacokinetics and pharmacodynamics in healthy subjects.
Kramer, WG; Stavros, F; Wilkins, MR, 2010
)
"The purpose of our study was to characterize the hemodynamic and corresponding pharmacokinetic responses to a single dose of oral sildenafil by children with pulmonary arterial hypertension (PAH) undergoing invasive testing."( Pharmacokinetic and hemodynamic responses to oral sildenafil during invasive testing in children with pulmonary hypertension.
Apitz, C; Holtby, H; Humpl, T; Redington, AN; Reyes, JT, 2010
)
" The population pharmacokinetic parameters of bosentan were estimated by use of the NONMEM program, in which a one-compartment model with repetitive bolus dosing was parameterized in terms of the oral clearance (CL/F) and elimination rate constant (k)."( Pharmacokinetics of bosentan in routinely treated Japanese pediatric patients with pulmonary arterial hypertension.
Akita, C; Hashimoto, Y; Hirono, K; Horiuchi, I; Ichida, F; Kato, Y; Miyawaki, T; Nakamura, T; Nakayama, T; Saji, T; Taguchi, M; Yoshimura, N, 2011
)
" This chromatographic procedure was then applied to the in vivo pharmacokinetic studies in rats for determining the advantages of intranasal administration of the drug over oral administration."( Rapid and sensitive determination of udenafil in plasma by LC-MS/MS for intranasal pharmacokinetic study in rats.
Cha, BJ; Cho, HJ; Chung, SJ; Kang, SK; Kim, DD; Kim, JH; Kim, JS; Kim, KM; Ku, WS; Shim, CK; Yoon, IS, 2011
)
" The clinical pharmacokinetic and safety profile has enabled us to progress the compound to test its efficacy in patients with lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH) and a paper describing its efficacy has recently been published."( The discovery of UK-369003, a novel PDE5 inhibitor with the potential for oral bioavailability and dose-proportional pharmacokinetics.
Ballard, S; Barber, C; Barker, L; Beaumont, K; Bunnage, M; Cole, S; Corless, M; Denton, S; Ellis, D; Floc'h, M; Foster, L; Gosset, J; Holmwood, F; Lane, C; Leahy, D; Mathias, J; Maw, G; Million, W; Poinsard, C; Price, J; Rawson, DJ; Russel, R; Street, S; Watson, L, 2012
)
" We constructed physiologically based pharmacokinetic (PBPK) models for 3 nonrenally eliminated drugs (sildenafil, repaglinide, and telithromycin)."( Evaluation of exposure change of nonrenally eliminated drugs in patients with chronic kidney disease using physiologically based pharmacokinetic modeling and simulation.
Abernethy, DR; Arya, V; Atkinson, AJ; Berglund, EG; Grillo, JA; Huang, SM; Lesko, LJ; Pang, KS; Reynolds, KS; Song, P; Sugiyama, Y; Vieira, Mde L; Wu, TC; Zhang, L; Zhao, P; Zheng, JH, 2012
)
" This study was designed to evaluate the presence of a pharmacokinetic drug interaction between treprostinil diolamine and sildenafil."( Lack of a pharmacokinetic interaction between treprostinil diolamine and sildenafil in healthy adult volunteers.
Gotzkowsky, SK; Kumar, P; Laliberte, K; Mottola, D, 2013
)
"The goal of this study was to compare the pharmacokinetic profiles of a newly developed ODF formulation with those of a FCT formulation of sildenafil in healthy Korean male volunteers."( Pharmacokinetic comparison of an orally disintegrating film formulation with a film-coated tablet formulation of sildenafil in healthy Korean subjects: a randomized, open-label, single-dose, 2-period crossover study.
Kim, H; Kim, HS; Lee, D; Park, K; Roh, H; Son, H; Yeon, KJ, 2013
)
" Pharmacokinetic parameters were determined for sildenafil and its active metabolite (N-desmethyl sildenafil)."( Pharmacokinetic comparison of an orally disintegrating film formulation with a film-coated tablet formulation of sildenafil in healthy Korean subjects: a randomized, open-label, single-dose, 2-period crossover study.
Kim, H; Kim, HS; Lee, D; Park, K; Roh, H; Son, H; Yeon, KJ, 2013
)
" In both parts, all the primary pharmacokinetic parameters were included in the range for assumed bioequivalence in sildenafil, yielding 90% CI ratios of 91."( Pharmacokinetic comparison of an orally disintegrating film formulation with a film-coated tablet formulation of sildenafil in healthy Korean subjects: a randomized, open-label, single-dose, 2-period crossover study.
Kim, H; Kim, HS; Lee, D; Park, K; Roh, H; Son, H; Yeon, KJ, 2013
)
" The pharmacokinetic data demonstrate that the area under the concentration-time curve (AUC) of sildenafil (10 mg/kg) was significantly decreased in groups that received a high dose of Epimedium sagittatum extract."( Herb-drug interaction of Epimedium sagittatum (Sieb. et Zucc.) maxim extract on the pharmacokinetics of sildenafil in rats.
Chiu, AW; Hsueh, TY; Lin, CH; Lin, LC; Tsai, TH; Wu, YT, 2013
)
" Pharmacokinetic studies on rats showed that the glutarate salt exhibits doubled plasma AUC values in a single dose within an hour compared to the citrate salt."( Salt and cocrystals of sildenafil with dicarboxylic acids: solubility and pharmacokinetic advantage of the glutarate salt.
Desiraju, GR; Ganguly, S; Sanphui, P; Tothadi, S, 2013
)
" When sildenafil ODTs were given with water, the 90% CIs for sildenafil AUC0-∞ and AUC0-last were contained within the range of 80% to 125%; however, the 90% CI for sildenafil Cmax was not (79."( Pharmacokinetics of a novel orodispersible tablet of sildenafil in healthy subjects.
Coupe, A; Crownover, P; Damle, B; Duczynski, G; Jeffers, BW; LaBadie, RR, 2014
)
"Although both POPPK and physiologically based pharmacokinetic (PBPK) models can account for age and other covariates within a paediatric population, they generally do not account for real-time growth and maturation of the individuals through the time course of drug exposure; this may be significant in prolonged neonatal studies."( Changes in individual drug-independent system parameters during virtual paediatric pharmacokinetic trials: introducing time-varying physiology into a paediatric PBPK model.
Abduljalil, K; Jamei, M; Johnson, TN; Rostami-Hodjegan, A, 2014
)
"To compare the pharmacokinetic profiles and to assess bioequivalence of a newly developed orally soluble film formulation of sildenafil, taken without water, with those of a conventional formulation of sildenafil."( Pharmacokinetics of a new orally soluble film formulation of sildenafil administered without water.
Chae, SW; Im, YJ; Jeon, JY; Kim, EY; Kim, HI; Kim, MG; Kim, Y; Lee, JY; Lee, SY; Park, JK; Park, SJ; Seo, YH; Shin, KS, 2014
)
" The geometric mean (CV%) for Cmax in the OSF and FCT formulations were 267."( Pharmacokinetics of a new orally soluble film formulation of sildenafil administered without water.
Chae, SW; Im, YJ; Jeon, JY; Kim, EY; Kim, HI; Kim, MG; Kim, Y; Lee, JY; Lee, SY; Park, JK; Park, SJ; Seo, YH; Shin, KS, 2014
)
"The pharmacokinetic parameters of sildenafil were similar between granular and tablet formulations."( Pharmacokinetics and bioequivalence of sildenafil granules and sildenafil tablets in Korean healthy volunteers.
Kim, BH; Zheng, R, 2014
)
"To study the mutual pharmacokinetic interactions between macitentan, an endothelin receptor antagonist, and sildenafil in healthy male subjects."( Investigation of mutual pharmacokinetic interactions between macitentan, a novel endothelin receptor antagonist, and sildenafil in healthy subjects.
Dingemanse, J; Sidharta, PN; van Giersbergen, PL; Wolzt, M, 2014
)
"A minor, not clinically relevant, pharmacokinetic interaction was observed between macitentan and sildenafil."( Investigation of mutual pharmacokinetic interactions between macitentan, a novel endothelin receptor antagonist, and sildenafil in healthy subjects.
Dingemanse, J; Sidharta, PN; van Giersbergen, PL; Wolzt, M, 2014
)
" AUC0-t , Cmax and Tmax were 2285."( Simultaneous quantification of sildenafil and N-desmethyl sildenafil in human plasma by UFLC coupled with ESI-MS/MS and pharmacokinetic and bioequivalence studies in Malay population.
Liew, KB; Loh, GO; Peh, KK; Tan, YT, 2015
)
" Additional blood samples were collected at various times on the last day of treatment to evaluate the pharmacokinetic interactions."( Pharmacokinetic interaction between Kaempferia parviflora extract and sildenafil in rats.
Mekjaruskul, C; Sripanidkulchai, B, 2015
)
" As boceprevir is a potent inhibitor of CYP3A4, potential pharmacokinetic interactions may occur when it is coadministered with sildenafil."( A Phase I study to assess the safety, tolerability and pharmacokinetic profile of boceprevir and sildenafil when dosed separately and together, in healthy male volunteers.
Back, D; Cooke, G; Else, L; Goldmeier, D; Khoo, S; Mears, A; Mora-Peris, B; Weston, R; Winston, A, 2015
)
" Intensive pharmacokinetic sampling was undertaken on Days 0, 15 and 16."( A Phase I study to assess the safety, tolerability and pharmacokinetic profile of boceprevir and sildenafil when dosed separately and together, in healthy male volunteers.
Back, D; Cooke, G; Else, L; Goldmeier, D; Khoo, S; Mears, A; Mora-Peris, B; Weston, R; Winston, A, 2015
)
" The proposed method was successfully applied to a pharmacokinetic study in rats."( Sensitive and precise HPLC method with back-extraction clean-up step for the determination of sildenafil in rat plasma and its application to a pharmacokinetic study.
Jachowicz, R; Krupa, A; Pociecha, K; Strach, B; Wyska, E, 2015
)
"A population pharmacokinetic model was developed using data from 20 single ventricle children receiving single-dose intravenous sildenafil during cardiac catheterisation."( Pharmacokinetics of intravenous sildenafil in children with palliated single ventricle heart defects: effect of elevated hepatic pressures.
Cohen-Wolkowiez, M; Hill, KD; Li, JS; Sampson, MR; Schulman, SR; Tunks, RD, 2016
)
"The analysis included a median (range) of 4 (2-5) pharmacokinetic samples per child."( Pharmacokinetics of intravenous sildenafil in children with palliated single ventricle heart defects: effect of elevated hepatic pressures.
Cohen-Wolkowiez, M; Hill, KD; Li, JS; Sampson, MR; Schulman, SR; Tunks, RD, 2016
)
"A physiological-based pharmacokinetic (PBPK) model was developed by combining observations from clinical studies and physicochemical parameters as well as absorption, distribution, metabolism and excretion parameters determined in vitro."( Physiologically-Based Pharmacokinetic Modeling of Macitentan: Prediction of Drug-Drug Interactions.
Buchmann, S; de Kanter, R; Delahaye, S; Gnerre, C; Kohl, C; Segrestaa, J; Sidharta, PN; Treiber, A, 2016
)
" In adults, the pharmacodynamic effects of the different medications are tested using the 6-minute walking test, changes in the NYHA classification, or by invasive measurement of pulmonary pressure."( Pharmacodynamic considerations in the treatment of pulmonary hypertension in infants: challenges and future perspectives.
Cochius-den Otter, S; Kraemer, U; Snoek, KG; Tibboel, D, 2016
)
" Pharmacokinetic properties of sildenafil in rodents were investigated using (11) C-radiolabeling followed by in vivo positron emission tomography (PET) and ex vivo tissue dissection and gamma counting."( Pharmacokinetic investigation of sildenafil using positron emission tomography and determination of its effect on cerebrospinal fluid cGMP levels.
Cuadrado-Tejedor, M; Dopeso-Reyes, IG; Franco, R; García-Barroso, C; García-Osta, A; Gómez-Vallejo, V; Lanciego, JL; Llop, J; Oyarzabal, J; Szczupak, B; Ugarte, A, 2016
)
" Formulation 2 had a lower Cmax for sildenafil, 173 ng ml(-1) (95% CI 126, 220) and a lower AUC, 476 ng ml(-1)  h (95% CI 401, 551) than formulation 1, 268 ng ml(-1) (95% CI 188, 348) and 577 ng ml(-1)  h (95% CI 462, 692), respectively."( Single dose sublingual testosterone and oral sildenafil vs. a dual route/dual release fixed dose combination tablet: a pharmacokinetic comparison.
Bloemers, J; de Leede, L; Frijlink, HW; Koppeschaar, HP; Olivier, B; Tuiten, A; van Rooij, K, 2016
)
"5 h according to the pharmacokinetic studies."( Rapid-Onset Sildenafil Sublingual Drug Delivery Systems: In Vitro Evaluation and In Vivo Pharmacokinetic Studies in Rabbits.
Chen, RN; Chou, PY; Ho, HO; Hsieh, CM; Sheu, MT, 2016
)
" The pharmacokinetic profile of sildenafil was similar to previously published studies."( A Phase I study to determine the pharmacokinetic profile, safety and tolerability of sildenafil (Revatio
Brunskill, N; Dott, W; Kumar, T; Morris, T; Murphy, GJ; Ring, A; Sullo, N; Vaja, R; Verheyden, V; Wozniak, M, 2017
)
"Pre-administration of Eruca sativa has increased Sildenafil Cmax from 226."( The influence of Eruca sativa (Arugula) on pharmacokinetics of Sildenafil in rats.
Arafat, T; Awad, R; Dayyih, WA; Elhajji, FD; Mallah, E; Mima, M; Rayyan, WA; Saleh, S, 2017
)
" In rabbits, pregnancy impacts PK parameters of sildenafil and its metabolite, leading to an increased peak concentration and 24 h exposure for sildenafil and a decreased 24 h exposure for desmethylsildenafil."( Pregnancy affects the pharmacokinetics of sildenafil and its metabolite in the rabbit.
Allegaert, K; Deprest, J; Krekels, EH; Mian, P; Russo, FM; Tibboel, D; Van Calsteren, K, 2019
)
"In healthy men, sublingual and supralingual administration of sildenafil ODF resulted in a remarkably similar pharmacokinetic profile and confirmed the safety of both study treatments."( Pharmacokinetics of a Novel Sildenafil Orodispersible Film Administered by the Supralingual and the Sublingual Route to Healthy Men.
Frangione, V; Leuratti, C; Loprete, L; Radicioni, M, 2018
)
" The pharmacokinetic parameters were determined using ultra performance liquid chromatography (UPLC) after EA and sildenafil administration (10 mg/Kg)."( Investigation of Interactive Activity of Electro-Acupuncture on Pharmacokinetics of Sildenafil and Their Synergistic Effect on Penile Blood Flow in Rats.
Cheng, YY; Chiu, AW; Dubey, NK; Huang, AC; Tsai, TH; Yeh, KY, 2018
)
" The objective of this study was to investigate pharmacokinetic profiles by oral administration of orally disintegrating film (ODF) and film coated tablet (FCT) formulations and rectal administration of ODF formulation in healthy dogs."( Comparative single-dose pharmacokinetics of sildenafil after oral and rectal administration in healthy beagle dogs.
Jeong, JW; Koo, TS; Oh, YI; Seo, KW; Song, KH; Yang, HJ, 2018
)
"There were no significant differences in all the pharmacokinetic parameters between FCT and ODF formulations when administrated orally."( Comparative single-dose pharmacokinetics of sildenafil after oral and rectal administration in healthy beagle dogs.
Jeong, JW; Koo, TS; Oh, YI; Seo, KW; Song, KH; Yang, HJ, 2018
)
" Sildenafil Cmax (156."( Pharmacokinetics of Sildenafil in Patients with a Left Ventricular Assist Device: A Word of Caution.
Cox, ZL; Haglund, N; Johnson, DC; Keebler, M; Sabato, LA, 2019
)
" Among them, compound 15 (TPN171) with subnanomolar potency for PDE5 and good selectivity over PDE6 was finally recognized as a potential drug candidate, and its pharmacokinetic profiles in rats and dogs are significantly improved compared to the starting compound (3)."( Pharmacokinetics-Driven Optimization of 4(3 H)-Pyrimidinones as Phosphodiesterase Type 5 Inhibitors Leading to TPN171, a Clinical Candidate for the Treatment of Pulmonary Arterial Hypertension.
Aisa, HA; Gong, X; He, Y; Jiang, H; Jiang, X; Li, J; Liu, Z; Shen, J; Shi, J; Suo, J; Tian, G; Wang, Y; Wang, Z; Wu, C; Wu, J; Xu, Y; Xu, Z; Yang, R; Yang, X; Zhang, R; Zhang, X; Zhu, W; Zou, X, 2019
)
" The higher variability of the pharmacokinetic parameters in the fasted state was caused by severely delayed rupture in one-third of the women."( The Effect of Food on the Pharmacokinetics of Sildenafil after Single Administration of a Sublingual Testosterone and Oral Sildenafil Combination Tablet in Healthy Female Subjects.
Bloemers, J; de Leede, L; Frijlink, HW; Gerritsen, J; Koppeschaar, HPF; Olivier, B; Tuiten, A; van der Geest, R; van Rooij, K, 2019
)
"We developed a pharmacokinetic model of intravenous sildenafil in newborns with congenital diaphragmatic hernia (CDH) to achieve a target plasma concentration of over 50 μg/l."( Pharmacokinetic modeling of intravenous sildenafil in newborns with congenital diaphragmatic hernia.
Allegaert, K; Cochius-den Otter, SCM; de Winter, BCM; Kipfmueller, F; Koch, BCP; Mueller, A; Tibboel, D, 2020
)
" The plasma concentrations of sildenafil were determined using high-performance liquid chromatography, and pharmacokinetic parameters were calculated using a noncompartmental analysis."( Pharmacokinetics of single dose sildenafil orally administered in canine models of chronic embolic pulmonary hypertension.
Akabane, R; Miyagawa, Y; Miyakawa, H; Nagakawa, M; Ogawa, M; Sakatani, A; Sato, T; Takemura, N; Tazaki, H, 2020
)
"Physiologically based pharmacokinetic (PBPK) modeling permits clinical scientists to reduce practical constraints for clinical trials on patients with special diseases."( The Effect of Liver and Kidney Disease on the Pharmacokinetics of Clozapine and Sildenafil: A Physiologically Based Pharmacokinetic Modeling.
Ghoneim, AM; Mansour, SM, 2020
)
"The PBPK model adequately predicted the pharmacokinetic parameters of clozapine and sildenafil for the healthy adult population."( The Effect of Liver and Kidney Disease on the Pharmacokinetics of Clozapine and Sildenafil: A Physiologically Based Pharmacokinetic Modeling.
Ghoneim, AM; Mansour, SM, 2020
)
" For pharmacokinetic analysis, blood was analyzed for 24 hours."( [Pharmacokinetic features of sildenafil spray in healthy men depending on food intake].
Krivoborodov, GG; Rodionov, GG; Vasilyuk, VB; Vetrova, MV; Zakharov, KA, 2020
)
"When comparing taking drugs on an empty stomach, the 90% confidence intervals (CI) of the ratios of the mean Cmax and AUC0-t values of sildenafil were 82-106% and 82-101%, respectively."( [Pharmacokinetic features of sildenafil spray in healthy men depending on food intake].
Krivoborodov, GG; Rodionov, GG; Vasilyuk, VB; Vetrova, MV; Zakharov, KA, 2020
)
"To evaluate the pharmacokinetic parameters and bioequivalence of two sildenafil tablets (20 mg) in healthy Chinese subjects."( A UPLC-MS/MS method for simultaneous quantification of sildenafil and N-desmethyl sildenafil applied in pharmacokinetic and bioequivalence studies in a Chinese population.
Cai, H; Guan, H; He, B; Huang, J; Huang, X; Li, W; Wang, X; Yin, Y; Zhang, B, 2021
)
" ANOVA was used to check the difference of the mean values of the pharmacokinetic parameters between the two preparations."( A UPLC-MS/MS method for simultaneous quantification of sildenafil and N-desmethyl sildenafil applied in pharmacokinetic and bioequivalence studies in a Chinese population.
Cai, H; Guan, H; He, B; Huang, J; Huang, X; Li, W; Wang, X; Yin, Y; Zhang, B, 2021
)
"The UPLC-MS/MS method was successfully established to evaluate the pharmacokinetic parameters of sildenafil in healthy Chinese subjects."( A UPLC-MS/MS method for simultaneous quantification of sildenafil and N-desmethyl sildenafil applied in pharmacokinetic and bioequivalence studies in a Chinese population.
Cai, H; Guan, H; He, B; Huang, J; Huang, X; Li, W; Wang, X; Yin, Y; Zhang, B, 2021
)
" Plasma sildenafil concentrations were sampled at regular intervals to establish the pharmacokinetic profile using population pharmacokinetic modeling."( Pharmacokinetics and pharmacodynamics of sildenafil in fetal lambs on extracorporeal support.
Allegaert, K; Annaert, P; Coons, BE; Davey, MG; De Bie, FR; Deprest, J; Flake, AW; Moon, JK; Omann, C; Pang, C; Russo, FM; Senra, JC; Van Brantegem, P; Yang, Z, 2021
)
" The pharmacokinetic parameters of sildenafil were calculated by non-compartmental analysis."( Influence of methylxanthines isolated from Bancha green tea on the pharmacokinetics of sildenafil in rats.
Georgiev, KD; Hvarchanova, N; Radeva-Llieva, M; Stoeva, S; Zhelev, I, 2022
)
" Safety, hemodynamic changes, and pharmacokinetic effects were assessed."( Evaluation of the Influence of Sildenafil on the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Vericiguat in Healthy Adults.
Becker, C; Boettcher, M; Krausche, R; Nowotny, B, 2023
)

Compound-Compound Interactions

The acute effect of nitrate combined with sildenafil citrate was studied by the bolus injection of 0.5mg. Large and sudden decreases in systemic blood pressure were reported.

ExcerptReference
" Patients were treated with sildenafil citrate alone or in combination with intracavernosal injection therapy."( Treatment of intracorporeal injection nonresponse with sildenafil alone or in combination with triple agent intracorporeal injection therapy.
Johnson, H; McMahon, CG; Samali, R, 1999
)
" Sildenafil in combination with intracavernosal injection is associated with a 33% incidence of adverse effects, including a 20% incidence of dizziness."( Treatment of intracorporeal injection nonresponse with sildenafil alone or in combination with triple agent intracorporeal injection therapy.
Johnson, H; McMahon, CG; Samali, R, 1999
)
" Large and sudden decreases in systemic blood pressure were reported in a substantial number of patients taking sildenafil citrate combined with nitroglycerin."( Effects of sildenafil citrate (Viagra) combined with nitrate on the heart.
Beppu, S; Hamada, T; Ishikura, F; Khandheria, BK; Nehra, A; Seward, JB, 2000
)
" Until the 39th Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC), there was little information available on how common drugs interact with anti-HIV treatments."( Drug interactions studied at ICAAC.
Gaylord, G, 1999
)
"To evaluate which vasoactive agents have synergistic effects on the cavernosal smooth muscles of rabbits and rats when the agents are combined with sildenafil."( Synergistic effects of sildenafil on relaxation of rabbit and rat cavernosal smooth muscles when combined with various vasoactive agents.
Jun, IO; Kim, SC; Lee, MY; Oh, MM; Seo, KK, 2001
)
" There was significant synergism on rabbit cavernosal smooth muscle when the sildenafil was combined with forskolin, sodium nitroprusside, VIP or phentolamine."( Synergistic effects of sildenafil on relaxation of rabbit and rat cavernosal smooth muscles when combined with various vasoactive agents.
Jun, IO; Kim, SC; Lee, MY; Oh, MM; Seo, KK, 2001
)
" The present study is a clinical follow-up of patients treated with different therapeutical regimens to document the effectiveness of Sildenafil in combination with DHE."( Drug combinations in the therapy of low response to phosphodiesterase 5 inhibitors in patients with erectile dysfunction.
Behm, A; Dunzendorfer, A; Dunzendorfer, E; Dunzendorfer, U,
)
" Higher levels of NO, theoretically, should produce increased penile blood flow with the potential for a synergistic effect when combined with a PDE5 inhibitor."( Effect of PDE5 inhibition combined with free oxygen radical scavenger therapy on erectile function in a diabetic animal model.
Brock, GB; De Young, L; Freeman, D; Yu, D, 2003
)
"We evaluated the efficacy of testosterone gel (T-gel) alone and in combination with sildenafil in hypogonadal patients with erectile dysfunction (ED)."( Does sildenafil combined with testosterone gel improve erectile dysfunction in hypogonadal men in whom testosterone supplement therapy alone failed?
Chen, J; Greenstein, A; Kaver, I; Mabjeesh, NJ; Matzkin, H; Sofer, M, 2005
)
"Sildenafil in combination with CPAP appears clearly superior to CPAP alone."( Sildenafil combined with continuous positive airway pressure for treatment of erectile dysfunction in men with obstructive sleep apnea.
Karkoulias, K; Konstantinopoulos, A; Markou, S; Perimeni, P; Perimenis, P; Spyropoulos, K, 2007
)
"The aim of this study was to compare the efficacy of fluoxetine alone and combined with sildenafil in patients complaining of premature ejaculation."( Effect of fluoxetine alone and in combination with sildenafil in patients with premature ejaculation.
Hosseini, MM; Yarmohammadi, H, 2007
)
"Fluoxetine combined with sildenafil seems to provide significantly better ejaculatory latency time and intercourse satisfaction as compared with fluoxetine alone in patients with premature ejaculation."( Effect of fluoxetine alone and in combination with sildenafil in patients with premature ejaculation.
Hosseini, MM; Yarmohammadi, H, 2007
)
"Data ascertained in a study of club drug use among 450 gay and bisexual men indicate that at least one class of PDE-5 (phosphodiesterase type 5 inhibitor, sildenafil [Viagra]) is used frequently in combination with club drugs such as methamphetamine, MDMA (3,4 methylenedioxymethamphetamine [ecstasy]), ketamine, cocaine, and GHB (gamma hydroxy butyrate)."( Sildenafil (Viagra) and club drug use in gay and bisexual men: the role of drug combinations and context.
Green, KA; Halkitis, PN, 2007
)
" Interaction with fosamprenavir/ritonavir is not clinically significant, although their plasma levels vary slightly when used in combination with ETR."( [Etravirine drug interactions].
Pérez, VE; Sánchez-Parra, C; Serrano Villar, S, 2009
)
" While sildenafil produced no change in plasma NOx concentrations, S-methylisothiourea alone or combined with sildenafil blunted APE-induced increases in NOx concentrations."( Hemodynamic effects of inducible nitric oxide synthase inhibition combined with sildenafil during acute pulmonary embolism.
Dias-Junior, CA; Montenegro, MF; Neto-Neves, EM; Tanus-Santos, JE, 2010
)
"In our study, we investigated the efficacy of everolimus in combination with sildenafil on hemodynamic and morphological parameters in rats with monocrotaline-induced pulmonary hypertension (PH)."( Effects of everolimus in combination with sildenafil in monocrotaline-induced pulmonary hypertension in rats.
Atli, O; Burukoglu, D; Ilgin, S; Sirmagul, B, 2012
)
"Perform a systematic review and meta-analysis of available prospective and cross-sectional studies on the use of PDE5-Is alone or in combination with α1-adrenergic blockers in patients with LUTS/benign prostatic hyperplasia (BPH)."( A systematic review and meta-analysis on the use of phosphodiesterase 5 inhibitors alone or in combination with α-blockers for lower urinary tract symptoms due to benign prostatic hyperplasia.
Carini, M; Corona, G; Gacci, M; Kaplan, SA; Maggi, M; McVary, KT; Mirone, V; Roehrborn, CG; Salvi, M; Serni, S; Vignozzi, L, 2012
)
"To investigate the protective effect of L-carnitine (LC) combined with sildenafil on the reproductive endocrine function of male rats with diabetes mellitus (DM)."( [Protective effect of L-carnitine combined with sildenafil on the reproductive endocrine function of diabetic male rats].
Cui, YX; Huang, YF; Kang, N; Shang, XJ; Shi, ZR; Xia, XY; Zhan, XX, 2012
)
"We investigated if soluble guanylate cyclase stimulation either alone or in combination with phosphodiesterase-5 (PDE5) inhibition could prevent pressure overload-induced right ventricular (RV) hypertrophy and failure."( The effects of cyclic guanylate cyclase stimulation on right ventricular hypertrophy and failure alone and in combination with phosphodiesterase-5 inhibition.
Andersen, A; Holmboe, S; Nielsen, JM; Nielsen-Kudsk, JE; Vildbrad, MD, 2013
)
"Stimulation of soluble guanylate cyclase by BAY 41-2272 alone or in combination with sildenafil failed to prevent the development of RV hypertrophy and failure in rats subjected to pulmonary trunk banding."( The effects of cyclic guanylate cyclase stimulation on right ventricular hypertrophy and failure alone and in combination with phosphodiesterase-5 inhibition.
Andersen, A; Holmboe, S; Nielsen, JM; Nielsen-Kudsk, JE; Vildbrad, MD, 2013
)
" We outline the likely interplay of patient characteristics, drug synergy and drug-drug interactions in the development of his ototoxicity."( Sildenafil and furosemide associated ototoxicity: consideration of drug-drug interactions, synergy, and broader clinical relevance.
Farquhar, D; Kim, RB; Mehta, S; Skeith, L; Yamashita, C, 2013
)
"This study aimed to evaluate the efficacy and safety of long-term and low-dose tadalafil combined with sildenafil as needed at the early stage of treatment for erectile dysfunction (ED)."( Efficacy and safety of long-term tadalafil 5 mg once daily combined with sildenafil 50 mg as needed at the early stage of treatment for patients with erectile dysfunction.
Cui, H; Deng, Y; Fang, J; Liu, B; Song, Z; Wang, H; Wang, Z; Zhang, S, 2015
)
" In an explorative, randomized, double-blind, placebo-controlled, crossover study we investigated the possible effects of sublingual testosterone combined with a serotonin (5-HT)1A receptor agonist, and of sublingual testosterone combined with a phosphodiesterase type 5 inhibitor (PDE5-i) on sexual functioning in women with SSRI-induced sexual dysfunction."( Efficacy of testosterone combined with a PDE5 inhibitor and testosterone combined with a serotonin (1A) receptor agonist in women with SSRI-induced sexual dysfunction. A preliminary study.
Bloemers, J; Goldstein, A; Koppeschaar, H; Olivier, B; Poels, S; Tuiten, A; van Rooij, K; Worst, P, 2015
)
"This example of the application of PBPK modeling to predict drug-drug interactions was used to support the labeling of macitentan (Opsumit)."( Physiologically-Based Pharmacokinetic Modeling of Macitentan: Prediction of Drug-Drug Interactions.
Buchmann, S; de Kanter, R; Delahaye, S; Gnerre, C; Kohl, C; Segrestaa, J; Sidharta, PN; Treiber, A, 2016
)
" These results suggested that CNP in combination with sildenafil exerts antiproliferative effects on RMS cells by inhibiting the Raf/MEK/ERK pathway."( C-type natriuretic peptide in combination with sildenafil attenuates proliferation of rhabdomyosarcoma cells.
Hosoda, H; Kangawa, K; Kimura, T; Miura, K; Miyazato, M; Nakahata, K; Nojiri, T; Okuyama, H; Uehara, S; Zenitani, M, 2016
)
" Mice bearing DA3 mammary adenocarcinoma with metastases were treated with DaRT wires in combination with a MDSC inhibitor (sildenafil), Treg inhibitor (cyclophosphamide at low dose), and the immunostimulant, CpG."( Inhibition of mouse breast adenocarcinoma growth by ablation with intratumoral alpha-irradiation combined with inhibitors of immunosuppression and CpG.
Confino, H; Efrati, M; Hochman, I; Keisari, Y; Kelson, I; Schmidt, M; Umansky, V, 2016
)
"The stability of sildenafil in combination with heparin and dopamine was evaluated."( Stability of sildenafil in combination with heparin and dopamine.
Brown, SD; Luu, Y; Thigpen, J, 2017
)
" The aim of this study was to assess the efficacy and mechanisms of icariin in combination with daily sildenafil on neurogenic erectile dysfunction and penile atrophy in a rat model of bilateral cavernous nerves injury."( Effect of icariin in combination with daily sildenafil on penile atrophy and erectile dysfunction in a rat model of bilateral cavernous nerves injury.
Fu, X; Guan, R; Lei, H; Wu, Y; Xin, H; Xin, Z; Xu, Y; Yang, Y, 2017
)
"To make a real-world study on the efficacy and safety of traditional Chinese medicine (TCM) combined with sildenafil in the treatment of erectile dysfunction (ED) that failed to respond to TCM medication."( [Efficacy and safety of traditional Chinese medicine combined with sildenafil in the treatment of ED in Chinese men: A real-world study].
Chang, DG; Chen, L; Gao, QH; Geng, Q; Guo, J; Ou-Yang, B; Wang, F; Yu, C; Yu, GJ; Zhang, R; Zhang, XJ, 2017
)
" We administered TCM combined with sildenafil (Viagra, Pfizer Pharmaceutical Co."( [Efficacy and safety of traditional Chinese medicine combined with sildenafil in the treatment of ED in Chinese men: A real-world study].
Chang, DG; Chen, L; Gao, QH; Geng, Q; Guo, J; Ou-Yang, B; Wang, F; Yu, C; Yu, GJ; Zhang, R; Zhang, XJ, 2017
)
"TCM combined with sildenafil is safe and effective in the treatment of ED in Chinese men, which can significantly improve the IIEF-5 score and erection hardness of the patients."( [Efficacy and safety of traditional Chinese medicine combined with sildenafil in the treatment of ED in Chinese men: A real-world study].
Chang, DG; Chen, L; Gao, QH; Geng, Q; Guo, J; Ou-Yang, B; Wang, F; Yu, C; Yu, GJ; Zhang, R; Zhang, XJ, 2017
)
"To explore the effect of sildenafil combined with inhalational nitric oxide (NO) therapy on the curative effects and serum levels of hypoxia-inducible factor (HIF)-1α, endothelin-1 (ET-1), and calcium in persistent pulmonary hypertension of the newborn (PPHN)."( Study on sildenafil combined with inhalational nitric oxide therapy on the curative effects and serum levels of HIF-1α, ET-1, and calcium in neonatal pulmonary hypertension.
Li, ZG; Liu, G; Wu, HW, 2018
)
"Sildenafil combined with inhalational NO therapy for neonatal pulmonary hypertension can quickly improve oxygenation, effectively reduce pulmonary arterial hypertension, and is worthy of clinical application."( Study on sildenafil combined with inhalational nitric oxide therapy on the curative effects and serum levels of HIF-1α, ET-1, and calcium in neonatal pulmonary hypertension.
Li, ZG; Liu, G; Wu, HW, 2018
)
"To study the tocolytic action of nifedipine combined with sildenafil citrate (SC) and if the combination is superior to nifedipine alone in inhibiting threatened preterm labour (PTL)."( Nifedipine alone or combined with sildenafil citrate for management of threatened preterm labour: a randomised trial.
El-Khadry, SW; Maher, MA; Sayyed, TM, 2019
)
" Nifedipine combined with SC was associated with more women remaining undelivered (81."( Nifedipine alone or combined with sildenafil citrate for management of threatened preterm labour: a randomised trial.
El-Khadry, SW; Maher, MA; Sayyed, TM, 2019
)
"Vaginal SC combined with nifedipine is an effective option for tocolytic therapy during threatened PTL."( Nifedipine alone or combined with sildenafil citrate for management of threatened preterm labour: a randomised trial.
El-Khadry, SW; Maher, MA; Sayyed, TM, 2019
)
" In this study, a rapid, sensitive and selective method using thin layer chromatography (TLC) combined with surface-enhanced Raman spectroscopy (SERS) was developed for identification of sildenafil adulteration in herbal drugs and dietary supplements."( Detection of sildenafil adulterated in herbal products using thin layer chromatography combined with surface enhanced Raman spectroscopy: "Double coffee-ring effect" based enhancement.
Anh, NTK; Ha, PTT; Huyen, NTT; Minh, DTC; Thi, LA; Van Vu, L, 2019
)
" An ultralow concentration of the local anesthetic agent bupivacaine reduced 5-HT-evoked intracellular Ca2+ release, and an ultralow concentration of the phosphodiesterase-5 inhibitor sildenafil in combination with vitamin D3 reduced ATP-evoked intracellular Ca2+ release."( Anti-inflammatory effects induced by ultralow concentrations of bupivacaine in combination with ultralow concentrations of sildenafil (Viagra) and vitamin D3 on inflammatory reactive brain astrocytes.
Hansson, E; Skiöldebrand, E, 2019
)
"Cytochrome P450 (CYP) 3A-related drug-drug interaction (DDI) studies are needed during drug development to determine clinical interaction effects."( The utility of CYP3A activity endogenous markers for evaluating drug-drug interaction between sildenafil and CYP3A inhibitors in healthy subjects.
Cho, JY; Jang, IJ; Ji, SC; Kim, AH; Lee, J; Lee, S; Lee, Y; Yoon, S; Yoon, SH; Yu, KS, 2021
)
"To explore the clinical value of phosphodiesterase type-5 inhibitors (PDE-5i) combined with RigiScan-based audiovisual sexual stimulation (AVSS) test in comparison with that of nocturnal penile tumescence (NPT) test in evaluation of erectile function."( [PDE-5i combined with RigiScan-based audiovisual sexual stimulation test versus nocturnal penile tumescence test in evaluation of erectile function].
Ashok, R; Dai, YT; Gao, QQ; Song, T; Sun, GH; Sun, XL; Xu, ZP; Yu, W, 2020
)
"Compared with NPT test, PDE -5i combined with RigiScan-based AVSS test is simple, inexpensive, practical and with a high sensitivity and specificity, and therefore can be used as the first-choice strategy for etiological diagnosis of ED."( [PDE-5i combined with RigiScan-based audiovisual sexual stimulation test versus nocturnal penile tumescence test in evaluation of erectile function].
Ashok, R; Dai, YT; Gao, QQ; Song, T; Sun, GH; Sun, XL; Xu, ZP; Yu, W, 2020
)
"BACKGROUND To explore the efficacy of beraprost sodium combined with sildenafil and its effects on the vascular endothelial function and inflammation in left heart failure patients complicated with pulmonary arterial hypertension."( Efficacy of Beraprost Sodium Combined with Sildenafil and Its Effects on Vascular Endothelial Function and Inflammation in Patients Experiencing Left Heart Failure Complicated with Pulmonary Arterial Hypertension.
Gao, B; Sun, D; Wang, Z; Yang, W, 2021
)
" In this study, we validated a discriminant analysis using an ultra-compact, portable, and low-cost Raman scattering spectrometer combined with multivariate analysis."( Detection Method of Falsified Medicines by Using a Low-Cost Raman Scattering Spectrometer Combined with Soft Independent Modeling of Class Analogy and Partial Least Squares Discriminant Analysis.
Kimura, K; Sanada, T; Tsuboi, H; Yoshida, N, 2021
)
"To provide experimental pharmacological evidence for the use of onabotulinumtoxinA ic alone or in combination with PDE5-Is for difficult-to-treat ED."( Intracavernosal OnabotulinumtoxinA Exerts a Synergistic Pro-Erectile Effect When Combined With Sildenafil in Spontaneously Hypertensive Rats.
Assaly, R; Behr-Roussel, D; Denys, P; Giuliano, F; Joussain, C; Laurin, M, 2022
)
" OnabotulinumtoxinA 10U ic combined with sildenafil iv significantly potentiated erectile responses."( Intracavernosal OnabotulinumtoxinA Exerts a Synergistic Pro-Erectile Effect When Combined With Sildenafil in Spontaneously Hypertensive Rats.
Assaly, R; Behr-Roussel, D; Denys, P; Giuliano, F; Joussain, C; Laurin, M, 2022
)
"First evidence of a synergistic pro-erectile effect of BTX-A combined with PDE5-I, however the mechanism behind the pro-erectile effect of BTX-A ic remains hypothetical."( Intracavernosal OnabotulinumtoxinA Exerts a Synergistic Pro-Erectile Effect When Combined With Sildenafil in Spontaneously Hypertensive Rats.
Assaly, R; Behr-Roussel, D; Denys, P; Giuliano, F; Joussain, C; Laurin, M, 2022
)
"These results support further studies into the mechanisms behind the pro-erectile effect of BTX-A ic, as well as multicenter randomized control trials to evaluate the safety and efficacy of BTX-A ic combined with sildenafil for difficult-to-treat ED."( Intracavernosal OnabotulinumtoxinA Exerts a Synergistic Pro-Erectile Effect When Combined With Sildenafil in Spontaneously Hypertensive Rats.
Assaly, R; Behr-Roussel, D; Denys, P; Giuliano, F; Joussain, C; Laurin, M, 2022
)
"The objective of our work was to analyse drug-drug interactions related to slamming."( New Psychoactive Substances, New Behaviours, New Drug-drug Interactions: Pharmacology of a Slam Session.
Aquizerate, A; Gérardin, M; Grall-Bronnec, M; Guerlais, M; Istvan, M; Laforgue, EJ; Schreck, B; Victorri-Vigneau, C, 2023
)

Bioavailability

The purpose of the present study was to prepare intranasal delivery system of sildenafil citrate and estimate its relative bioavailability after nasal administration in rabbits. The aim was to attain rapid onset of action with good efficacy at lower doses.

ExcerptReference
" The drug is rapidly absorbed after oral administration, with absolute bioavailability of 40%."( Safety and efficacy of sildenafil citrate in the treatment of male erectile dysfunction.
Goldenberg, MM,
)
" Bioavailability was attenuated by pre-systemic hepatic metabolism in all species."( Pharmacokinetics and metabolism of sildenafil in mouse, rat, rabbit, dog and man.
Ackland, MJ; James, GC; Muirhead, GJ; Rance, DJ; Walker, DK; Wastall, P; Wright, PA, 1999
)
"1% when administered intravenously at 30 microg/kg to the chronically hypoxic rats and had an apparent oral bioavailability of about 19."( 4-(3-Chloro-4-methoxybenzyl)aminophthalazines: synthesis and inhibitory activity toward phosphodiesterase 5.
Adachi, H; Ishibashi, K; Ishihara, H; Kabasawa, Y; Kakiki, M; Kodama, K; Matsukura, M; Miyazaki, K; Nishino, M; Ozaki, H; Takase, Y; Watanabe, N, 2000
)
"Because of extensive first-pass metabolism, oral bioavailability of sildenafil reaches only 40%."( Effects of grapefruit juice on the pharmacokinetics of sildenafil.
Bulitta, J; Fuhr, U; Hering, U; Jetter, A; Kinzig-Schippers, M; Schreiner, P; Sörgel, F; Walchner-Bonjean, M, 2002
)
"Grapefruit juice increases sildenafil bioavailability and tends to delay sildenafil absorption."( Effects of grapefruit juice on the pharmacokinetics of sildenafil.
Bulitta, J; Fuhr, U; Hering, U; Jetter, A; Kinzig-Schippers, M; Schreiner, P; Sörgel, F; Walchner-Bonjean, M, 2002
)
" Absolute bioavailability was determined by comparing pharmacokinetic data after administration of single oral and intravenous 50-mg doses of sildenafil (n=12 subjects)."( Pharmacokinetics of sildenafil after single oral doses in healthy male subjects: absolute bioavailability, food effects and dose proportionality.
Harness, JA; Muirhead, GJ; Nichols, DJ, 2002
)
"The calculated absolute oral bioavailability of sildenafil was 41% (90% CI: 36--47)."( Pharmacokinetics of sildenafil after single oral doses in healthy male subjects: absolute bioavailability, food effects and dose proportionality.
Harness, JA; Muirhead, GJ; Nichols, DJ, 2002
)
"Sildenafil had a mean absolute bioavailability of 41%."( Pharmacokinetics of sildenafil after single oral doses in healthy male subjects: absolute bioavailability, food effects and dose proportionality.
Harness, JA; Muirhead, GJ; Nichols, DJ, 2002
)
"Absorption of sildenafil after oral administration was rapid and approximately 92% whilst the absolute bioavailability was limited to 38%, due to first-pass metabolism."( Comparative human pharmacokinetics and metabolism of single-dose oral and intravenous sildenafil.
Muirhead, GJ; Rance, DJ; Walker, DK; Wastall, P, 2002
)
" There was evidence of nonproportionality (40% increase on average) in relative bioavailability with respect to the 200-mg dose (P<0."( A population pharmacokinetic analysis of sildenafil citrate in patients with erectile dysfunction.
Karlsson, MO; Marshall, SF; Milligan, PA, 2002
)
" Endothelial dysfunction, defined as a reduction in the bioavailability of nitric oxide, is associated with many of the common risk factors for cardiovascular disease and erectile dysfunction."( Coronary and systemic hemodynamic effects of sildenafil citrate: from basic science to clinical studies in patients with cardiovascular disease.
Gillies, HC; Jackson, G; Roblin, D, 2002
)
" A bioavailability study of sildenafil was performed on one normal healthy male volunteer by analyzing sildenafil plasma concentrations with this validated HPLC method."( Development of a liquid chromatographic method for bioanalytical applications with sildenafil.
Ho, HO; Hsia, A; Sheu, MT; Wu, AB; Yeh, GC, 2003
)
" The extent of absolute oral bioavailability (F) of DA-8159 was 38."( Pharmacokinetics of DA-8159, a new erectogenic, after intravenous and oral administration to rats: hepatic and intestinal first-pass effects.
Kim, DS; Kim, WB; Kim, YC; Kwon, JW; Lee, MG; Park, KJ; Shim, HJ, 2003
)
" In humans, vardenafil is rapidly absorbed (Tmax approximately 40 min) and more slowly metabolized (T1/2 approximately 4 h), with an absolute bioavailability of 14."( Vardenafil preclinical trial data: potency, pharmacodynamics, pharmacokinetics, and adverse events.
Bischoff, E, 2004
)
" The absolute oral bioavailability is about 15%."( [Pharmacodynamics and pharmacokinetics of vardenafil in patients with erectile dysfunction].
Guo, Y; Jin, J, 2004
)
" Chronic sildenafil may regulate the transduction pathway leading to the activation of eNOS but has no effect on NO bioavailability or on the cGMP pathway, thereby eliminating a possible concern for tachyphylaxis."( Chronic sildenafil improves erectile function and endothelium-dependent cavernosal relaxations in rats: lack of tachyphylaxis.
Alexandre, L; Behr-Roussel, D; Bernabé, J; Burgess, G; Caisey, S; Giuliano, F; Gorny, D; Mevel, K; Wayman, C, 2005
)
"Acute respiratory distress syndrome (ARDS) is associated with increased superoxide (O(2)(*-)) formation in the pulmonary vasculature and negation of the bioavailability of nitric oxide (NO)."( Sildenafil citrate and sildenafil nitrate (NCX 911) are potent inhibitors of superoxide formation and gp91phox expression in porcine pulmonary artery endothelial cells.
Angelini, GD; Jeremy, JY; Muzaffar, S; Shukla, N; Srivastava, A, 2005
)
"Pulmonary hypertension is a frequent complication of sickle cell disease that is associated with haemolysis, impaired nitric oxide bioavailability and high mortality."( Sildenafil therapy in patients with sickle cell disease and pulmonary hypertension.
Anthi, A; Barst, RJ; Castro, O; Coles, W; Gladwin, MT; Hunter, C; Hunter, L; Kato, GJ; Machado, RF; Martyr, S; Nichols, J; Robinson, MR; Sachdev, V, 2005
)
" This review comparatively discusses the major characteristics of the pharmacokinetic profile of all 3 PDE5 inhibitors, including bioavailability and rate of absorption, Biopharmaceutical Classification System categorization, elimination mechanisms, and metabolic profile including active metabolites, as well as the drug-drug interaction potential and modification of pharmacokinetic properties under selected physiologic and pathophysiologic conditions."( The clinical pharmacokinetics of phosphodiesterase-5 inhibitors for erectile dysfunction.
Gupta, M; Kovar, A; Meibohm, B, 2005
)
" Its oral bioavailability is about 40%."( Intestinal absorption and presystemic disposition of sildenafil citrate in the rabbit: evidence for site-dependent absorptive clearance.
El Maghraby, GM; Hedaya, MA; Osman, MA, 2006
)
" Its oral bioavailability is only 40% due to extensive presystemic elimination, mainly by CYP3A4."( The effect of ciprofloxacin and clarithromycin on sildenafil oral bioavailability in human volunteers.
El-Afify, DR; El-Maghraby, GM; Hedaya, MA, 2006
)
" Surprisingly, we found doubled NO synthase (NOS) II and III levels, no evidence for attenuated NO bioavailability as evidenced by the nitrosative/oxidative stress marker protein nitro tyrosine, and no changes in the expression and activity of the NO receptor, soluble guanylyl cyclase (sGC)."( Sildenafil in hypoxic pulmonary hypertension potentiates a compensatory up-regulation of NO-cGMP signaling.
Grimminger, F; Kemp-Harper, B; Kirsch, M; Schmidt, HH; Weissmann, N, 2008
)
"The purpose of the present study was to prepare intranasal delivery system of sildenafil citrate and estimate its relative bioavailability after nasal administration in rabbits to attain rapid onset of action with good efficacy at lower doses."( Intranasal microemulsion of sildenafil citrate: in vitro evaluation and in vivo pharmacokinetic study in rabbits.
Bendas, ER; Elshafeey, AH; Mohamed, OH, 2009
)
"The lack of phosphodiesterase type 5 inhibitor effects in patients with erectile dysfunction (ED) of arterial origin may be caused by an endothelial dysfunction that causes a series of biochemical alterations leading to a reduced nitric oxide (NO) bioavailability and increased oxidative stress."( Endothelial antioxidant administration ameliorates the erectile response to PDE5 regardless of the extension of the atherosclerotic process.
Calogero, AE; Condorelli, R; La Vignera, S; Vicari, E, 2010
)
"Study results showed that pummelo juice reduced the rate and extent of sildenafil bioavailability to around 60% [maximum plasma concentration (C(max)); from 212."( The effects of pummelo juice on pharmacokinetics of sildenafil in healthy adult male Jordanian volunteers.
AbuRuz, SM; Al-Ghazawi, MA; Tutunji, MS, 2010
)
" Interpatient and intrapatient variability for clearance at 100% bioavailability were 87% and 27% (SIL) and 62% and 26% (DMS)."( Sildenafil exposure in neonates with pulmonary hypertension after administration via a nasogastric tube.
Ahsman, MJ; Mathot, RA; Sluiter, I; Tibboel, D; Vulto, AG; Wildschut, ED; Witjes, BC, 2010
)
"The lungs of patients with pulmonary arterial hypertension (PAH) exhibit decreased bioavailability of nitric oxide and downstream signaling through cyclic guanosine monophosphate (cGMP)."( Pulmonary hemodynamic response to acute combination and monotherapy with sildenafil and brain natriuretic peptide in rats with monocrotaline-induced pulmonary hypertension.
Alpert, MA; Carlino, C; Dellsperger, KC; Demarco, VG; Grueber, RE; Heller, RL; Schneider, RI; Tobias, JD, 2010
)
"Increasing NO bioavailability improves hepatic endothelial dysfunction, which ameliorates intrahepatic resistance and portal hypertension."( Administration of a low dose of sildenafil for 1 week decreases intrahepatic resistance in rats with biliary cirrhosis: the role of NO bioavailability.
Hou, MC; Huang, YT; Lee, FY; Lee, KC; Lee, SD; Lin, HC; Yang, YY, 2010
)
" We hypothesized that Ang II augmented PDE1 activation, decreasing the bioavailability of cyclic guanosine 3' 5'-monophosphate (cGMP), and contributing to increased vascular contractility."( Decreased cGMP level contributes to increased contraction in arteries from hypertensive rats: role of phosphodiesterase 1.
Carneiro, FS; Giachini, FR; Lima, VV; Tostes, RC; Webb, RC, 2011
)
"To develop sildenafil lactate, a salt form of sildenafil with improved solubility and bioavailability of poorly water-soluble sildenafil base, this salt form was prepared using a spray dryer."( Comparison of the solubility and pharmacokinetics of sildenafil salts.
Choi, HG; Jung, SY; Kim, GK; Seo, YG; Woo, JS; Yong, CS, 2011
)
"Abnormal vascular activity in diabetes is related not only to impaired nitric oxide bioavailability but also to inflammatory cytokines, endothelin A receptor (ET(A) ) activation and NADPH oxidase in the vasculature."( Sildenafil improves diabetic vascular activity through suppressing endothelin receptor A, iNOS and NADPH oxidase which is comparable with the endothelin receptor antagonist CPU0213 in STZ-injected rats.
Cheng, YS; Dai, DZ; Dai, Y; Luo, L; Yuan, WJ; Zhang, Q, 2011
)
" The vascular abnormalities and abnormal biomarkers were attenuated significantly by either sildenafil or CPU0213 along with an improvement of nitric oxide bioavailability and vascular activity."( Sildenafil improves diabetic vascular activity through suppressing endothelin receptor A, iNOS and NADPH oxidase which is comparable with the endothelin receptor antagonist CPU0213 in STZ-injected rats.
Cheng, YS; Dai, DZ; Dai, Y; Luo, L; Yuan, WJ; Zhang, Q, 2011
)
" Administration of SDF to CPB pigs preserved nitric oxide bioavailability and prevented endothelial dysfunction, regional hypoxia, inflammation, and tubular changes."( Phosphodiesterase-5 inhibition prevents postcardiopulmonary bypass acute kidney injury in swine.
Angelini, GD; Jones, C; Lin, H; Murphy, GJ; Patel, NN; Ray, P; Satchell, SC; Sleeman, P; Toth, T; Welsh, GI, 2011
)
" The oral bioavailability of sildenafil in the orally disintegrating tablet was then compared with the sildenafil citrate-loaded commercial tablet (Viagra(®)) in rabbits."( Development of sildenafil-loaded orally disintegrating tablet with new lactate salt.
Choi, HG; Jung, SY; Kim, DW; Seo, YG; Woo, JS; Yong, CS, 2012
)
"This paper describes our recent efforts to design and synthesise potent and selective PDE5 inhibitors and the use of in vitro predictors of clearance, absorption and permeability to maximise the potential for dose-proportional pharmacokinetics and good oral bioavailability in man."( The discovery of UK-369003, a novel PDE5 inhibitor with the potential for oral bioavailability and dose-proportional pharmacokinetics.
Ballard, S; Barber, C; Barker, L; Beaumont, K; Bunnage, M; Cole, S; Corless, M; Denton, S; Ellis, D; Floc'h, M; Foster, L; Gosset, J; Holmwood, F; Lane, C; Leahy, D; Mathias, J; Maw, G; Million, W; Poinsard, C; Price, J; Rawson, DJ; Russel, R; Street, S; Watson, L, 2012
)
"Low nitric oxide (NO) bioavailability plays a role in the pathogenesis of human as well as of experimental cerebral malaria (ECM) caused by Plasmodium berghei ANKA (PbA)."( Efficacy of different nitric oxide-based strategies in preventing experimental cerebral malaria by Plasmodium berghei ANKA.
Carvalho, LJ; Frangos, JA; Martins, YC; Zanini, GM, 2012
)
" Prophylactic L-arginine when given in bolus or continuous delivery and bolus BH4 supplementation, with or without arginase inhibition, were able to increase NO bioavailability in PbA-infected mice but failed to decrease ECM incidence in the doses and protocol used."( Efficacy of different nitric oxide-based strategies in preventing experimental cerebral malaria by Plasmodium berghei ANKA.
Carvalho, LJ; Frangos, JA; Martins, YC; Zanini, GM, 2012
)
"The goals of the present work were: (1) to design a specific method to quantify SIL plasma levels by using UPLC-MS/MS; (2) to compare oral SIL bioavailability in Mexican men with pharmacokinetic data in other populations; (3) to fulfill local regulatory requests; and (4) to describe the relative tolerability of a new 50-mg chewable tablet."( Comparison of fasting bioavailability among 100-mg commercial, 100-mg generic, and 50-mg chewable generic sildenafil tablets in healthy male Mexican volunteers: a single-dose, 3-period, crossover study.
Angeles-Moreno, AP; Contreras-Zavala, L; García-González, A; Marcelín-Jiménez, G; Ramírez-San Juan, E, 2012
)
" To investigate the effects of NO bioavailability induced by sildenafil intake on muscle Qo(2mv)-to-O(2) utilization matching and Vo(2) kinetics, 10 males with CHF (ejection fraction = 27 ± 6%) undertook constant work-rate exercise (70-80% peak)."( Sildenafil improves microvascular O2 delivery-to-utilization matching and accelerates exercise O2 uptake kinetics in chronic heart failure.
Almeida, DR; Berton, DC; Neder, JA; Nery, LE; Oliveira, MF; Rodrigues, MK; Sperandio, PA; Treptow, E, 2012
)
": ED in middle-aged rats is associated with decreased NO bioavailability in erectile tissue due to upregulation of NADPH oxidase subunit gp91(phox) and downregulation of nNOS/p-eNOS."( Superoxide anion production by NADPH oxidase plays a major role in erectile dysfunction in middle-aged rats: prevention by antioxidant therapy.
Antunes, E; Báu, FR; Brugnerotto, AF; Mónica, FZ; Priviero, FB; Silva, FH; Toque, HA, 2013
)
"Sildenafilcitrate (SILD) orodispersable sublingual tablets (ODSTs) have been developed using two comparative techniques for improving their oral disintegration, dissolution and bioavailability in order to manage acute attacks of pulmonary arterial hypertension (PAH)."( An in vitro and in vivo comparative study of directly compressed solid dispersions and freeze dried sildenafil citrate sublingual tablets for management of pulmonary arterial hypertension.
El-Shamy, Ael-H; Kamel, AO; Shukr, M; Zayed, R, 2012
)
" However, it is not known whether low NO bioavailability and oxidative stress affect the responsiveness of ED patients to sildenafil."( Low nitric oxide bioavailability is associated with better responses to sildenafil in patients with erectile dysfunction.
Jordão, AA; Lacchini, R; Martins, AC; Muniz, JJ; Nobre, YT; Sertório, JT; Tanus-Santos, JE; Tucci, S, 2013
)
" Bioavailability of the NO in the pulmonary vessels correlates with concentration of L-arginine as well as activity of phosphodiesterase-5 enzyme (PDE-5)."( L-arginine in combination with sildenafil potentiates the attenuation of hypoxic pulmonary hypertension in rats.
Al-Hiti, H; Baňasová, A; Chovanec, M; Herget, J; Kautzner, J; Melenovský, V; Vajnerová, O, 2013
)
" Thus, to improve solubility and bioavailability characteristics, cocrystals and salts of the drug have been prepared by treating aliphatic dicarboxylic acids with sildenafil; the N-methylated piperazine of the drug molecule interacts with the carboxyl group of the acid to form a heterosynthon."( Salt and cocrystals of sildenafil with dicarboxylic acids: solubility and pharmacokinetic advantage of the glutarate salt.
Desiraju, GR; Ganguly, S; Sanphui, P; Tothadi, S, 2013
)
" Although not causal, endothelial dysfunction and reduced nitric oxide bioavailability are likely to play an important role in the maternal and fetal pathophysiology of this condition."( The nitric oxide pathway and possible therapeutic options in pre-eclampsia.
Everett, TR; Johal, T; Lees, CC; Wilkinson, IB, 2014
)
" Measurements of intracellular superoxide anions and hydrogen peroxide levels as well as nitric oxide bioavailability were also obtained."( Sildenafil ameliorates oxidative stress and DNA damage in the stenotic kidneys in mice with renovascular hypertension.
Balarini, CM; Campagnaro, BP; Casarini, DE; Dias, AT; Freitas, FP; Gava, AL; Meyrelles, SS; Palomino, Z; Pereira, TM; Porto, ML; Rodrigues, BP; Vasquez, EC, 2014
)
" These limitations include poor solubility and extensive first-pass metabolism, resulting in low (40%) bioavailability and short elimination half-life (4 h)."( Sildenafil citrate as oral solid lipid nanoparticles: a novel formula with higher bioavailability and sustained action for treatment of erectile dysfunction.
Aljaeid, BM; Hosny, KM, 2014
)
"This study was performed to compare the bioavailability of sildenafil fine granules with that of sildenafil tablets for assessing bioequivalence in 40 healthy male volunteers."( Pharmacokinetics and bioequivalence of sildenafil granules and sildenafil tablets in Korean healthy volunteers.
Kim, BH; Zheng, R, 2014
)
" The present study concludes that bioavailability of SIL increases when co-administered chronically with GLIM in the management of DN animals, and the mechanism is supported by molecular modeling studies."( Does glimepiride alter the pharmacokinetics of sildenafil citrate in diabetic nephropathy animals: investigating mechanism of interaction by molecular modeling studies.
Chandewar, A; Mazumder, PM; Timiri, AK; Tripathi, AS, 2015
)
"The aim of the present study was to prepare sublingual delivery systems for sildenafil and evaluate its relative bioavailability after sublingual administration in rabbits to attain a rapid onset of action with good efficacy at lower doses."( Rapid-Onset Sildenafil Sublingual Drug Delivery Systems: In Vitro Evaluation and In Vivo Pharmacokinetic Studies in Rabbits.
Chen, RN; Chou, PY; Ho, HO; Hsieh, CM; Sheu, MT, 2016
)
" The challenges facing the oral administration of the drug include poor bioavailability and short duration of action that requires frequent administration."( Optimized nano-transfersomal films for enhanced sildenafil citrate transdermal delivery: ex vivo and in vivo evaluation.
Ahmed, OA; Badr-Eldin, SM, 2016
)
"The relative bioavailability and bioequivalence of 20-mg doses of a pediatric formulation of sildenafil extemporaneous preparation suspension (EP; 10 mg/mL), the sildenafil 20-mg intact tablet and the crushed sildenafil 20-mg tablet mixed with apple sauce were assessed in a single-dose, randomized, open-label, 3-way crossover study with 18 healthy adult volunteers."( A randomized, open-label 3-way crossover study to investigate the relative bioavailability and bioequivalence of crushed sildenafil 20 mg tablets mixed with apple sauce, extemporaneously prepared suspension (EP), and intact sildenafil 20 mg tablets in hea
Checchio, TM; Cook, J; Duncan, B; Gao, X; LaBadie, RR; Ndongo, MN, 2015
)
" The enhanced bioavailability of sildenafil by Seville orange may be attributed to inhibition of its intestinal first-pass effect (CYP3A4 and or p-glycoprotein)."( Effects of Lemon and Seville Orange Juices on the Pharmacokinetic Properties of Sildenafil in Healthy Subjects.
Abdelkawy, KS; Donia, AM; Elbarbry, F; Turner, RB, 2016
)
" Pharmacokinetic parameters such as oral clearance, oral volume of distribution of the central compartment, time to reach maximum plasma concentration, absorption rate constant, and half-life in humans were predicted from animals using allometric scaling."( Prediction of Plasma Concentration-time Profiles of Drugs in Humans from Animals Following Oral Administration: An Allometric Approach.
Mahmood, I, 2016
)
"Study objective was to investigate sildenafil bioavailability of the novel ODF formulation after sublingual and supralingual administration."( Pharmacokinetics of a Novel Sildenafil Orodispersible Film Administered by the Supralingual and the Sublingual Route to Healthy Men.
Frangione, V; Leuratti, C; Loprete, L; Radicioni, M, 2018
)
" Analysis of the vascular responsiveness showed an increased contractility response to norepinephrine in Ang II animals (Rmax: 70%), which was abolished by sildenafil through increased nitric oxide (NO) bioavailability and decreased reactive oxygen species (ROS) and vasoconstrictor prostanoids."( Beneficial Morphofunctional Changes Promoted by Sildenafil in Resistance Vessels in the Angiotensin II-Induced Hypertension Model.
Alves, GM; Campagnaro, BP; Campos-Toimil, M; Dias, AT; Gava, AL; Leal, MAS; Meyrelles, SS; Nogueira, BV; Pereira, TMC; Porto, ML; Vasquez, EC; Zanardo, TC, 2018
)
"The ATP-binding cassette transporter P-glycoprotein (P-gp) is known to limit both brain penetration and oral bioavailability of many chemotherapy drugs."( A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
Ambudkar, SV; Brimacombe, KR; Chen, L; Gottesman, MM; Guha, R; Hall, MD; Klumpp-Thomas, C; Lee, OW; Lee, TD; Lusvarghi, S; Robey, RW; Shen, M; Tebase, BG, 2019
)
" In the simulation results, the bioavailability of both drugs was remarkably raised in both renal and hepatic impairment in young and elderly populations."( The Effect of Liver and Kidney Disease on the Pharmacokinetics of Clozapine and Sildenafil: A Physiologically Based Pharmacokinetic Modeling.
Ghoneim, AM; Mansour, SM, 2020
)
" The bioequivalence and bioavailability of sildenafil citrate ODT (50 mg) without and with water were compared with conventional sildenafil citrate tablets (50 mg) in an open-label, randomized crossover study."( Bioequivalence and Bioavailability of an Orodispersible Tablet of Sildenafil Citrate in Healthy Chinese Male Subjects.
Crownover, PH; Ernst, C; Feng, Y; LaBadie, RR; Liang, Y; Luo, BY; Lv, Y; Zhao, Q; Zhu, H, 2020
)
" Since oral administration of sildenafil shows pharmacokinetic problems with mean absolute bioavailability of 41%, the goal of this work was to develop a novel sildenafil self-emulsifying drug delivery system (SEDDS) for oral absorption improvement and management of dosage."( In Silico studies of novel Sildenafil self-emulsifying drug delivery system absorption improvement for pulmonary arterial hypertension.
Abrahim-Vieira, BA; Abreu, LCL; Barros, RC; Cabral, LM; Carmo, FAD; HonÓrio, TS; Moreira, RSS; Rodrigues, CR; Sousa, VP; Souza, AMT, 2020
)
" Those two emulsification processes enhanced the solubility, dissolution and oral bioavailability of poorly water-soluble sildenafil base (SB) by producing fine and well-dispersed nanoemulsion droplet."( Comparative study between high-pressure homogenisation and Shirasu porous glass membrane technique in sildenafil base-loaded solid SNEDDS: Effects on physicochemical properties and in vivo characteristics.
Choi, HG; Choi, YJ; Jin, SG; Kim, DS; Kim, JO; Kim, JS; Lee, SM; Ud Din, F; Woo, MR; Youn, YS, 2021
)
" In addition, the pharmacokinetic profiles of the bioavailability of sildenafil and its active metabolite, N-desmethyl sildenafil, as well as the safety of the different dosage forms, were evaluated."( [Pharmacokinetic features of sildenafil spray in healthy men depending on food intake].
Krivoborodov, GG; Rodionov, GG; Vasilyuk, VB; Vetrova, MV; Zakharov, KA, 2020
)
"The bioavailability of the new dosage form, the sildenafil spray, is equivalent to the traditional form, however, it has an advantage in terms of onset of action."( [Pharmacokinetic features of sildenafil spray in healthy men depending on food intake].
Krivoborodov, GG; Rodionov, GG; Vasilyuk, VB; Vetrova, MV; Zakharov, KA, 2020
)
" Phosphodiesterase-5 inhibitors act by inhibiting the degradation of guanosine 3',5'-cyclic monophosphate in the nitric oxide pathway, increasing its bioavailability and promoting vascular endothelial growth factor (VEGF)-mediated neovascular recruitment and the induction of tissue regeneration in the traumatized bone."( Phosphodiesterase-5 inhibition improves bone regeneration at the early stages of ischemic osteonecrosis of the femoral head in rats.
de Campos Pessoa, AL; de Carvalho, JJ; de Oliveira Araújo, VHV; Elias, N; Rosa Nascimento, AL, 2021
)
"The purpose of this study was to screen various drug delivery systems for improving the aqueous solubility and oral bioavailability of sildenafil."( Comparison of Three Different Aqueous Microenvironments for Enhancing Oral Bioavailability of Sildenafil: Solid Self-Nanoemulsifying Drug Delivery System, Amorphous Microspheres and Crystalline Microspheres.
Cheon, S; Choi, HG; Din, FU; Ji, SH; Jin, SG; Kim, DS; Kim, JO; Kim, JS; Lee, SM; Lim, SJ; Oh, KT; Woo, MR; Youn, YS, 2021
)
" Among the formulations, solid SNEDDS demonstrated the highest improvement in oral bioavailability (AUC; 1508."( Comparison of Three Different Aqueous Microenvironments for Enhancing Oral Bioavailability of Sildenafil: Solid Self-Nanoemulsifying Drug Delivery System, Amorphous Microspheres and Crystalline Microspheres.
Cheon, S; Choi, HG; Din, FU; Ji, SH; Jin, SG; Kim, DS; Kim, JO; Kim, JS; Lee, SM; Lim, SJ; Oh, KT; Woo, MR; Youn, YS, 2021
)
"Therefore, solid SNEDDS could be recommended as an oral dosage form for enhancing the oral bioavailability of sildenafil."( Comparison of Three Different Aqueous Microenvironments for Enhancing Oral Bioavailability of Sildenafil: Solid Self-Nanoemulsifying Drug Delivery System, Amorphous Microspheres and Crystalline Microspheres.
Cheon, S; Choi, HG; Din, FU; Ji, SH; Jin, SG; Kim, DS; Kim, JO; Kim, JS; Lee, SM; Lim, SJ; Oh, KT; Woo, MR; Youn, YS, 2021
)
" The oral bioavailability of this formulation is higher than that of the parent drug."( Lodenafil.
Al-Majed, AA; Alshehri, YM; Attwa, MW; Bakheit, AH, 2022
)
"Oral sildenafil (SDF) is used to treat pulmonary arterial hypertension (PAH), and its bioavailability is approximately 40%."( Advanced formulations and nanotechnology-based approaches for pulmonary delivery of sildenafil: A scoping review.
Almeida, SL; Caldonazo, A; Espinoza, JT; Lazo, REL; Mengarda, M; Murakami, FS, 2022
)
" Unfortunately, SC was commonly found in oral, injection, and transdermal dosage forms with some limitations, mainly related to low oral bioavailability caused by the occurrence of first-pass metabolism in the liver, and poor patient comfort and compliance."( Hydrogel forming microneedle-mediated transdermal delivery of sildenafil citrate from polyethylene glycol reservoir: An ex vivo proof of concept study.
Afika, N; Asri, RM; Elim, D; Fitri, AMN; Mahfud, MAS; Permana, AD; Sultan, NAF, 2023
)
"Efficacy of therapies that target the downstream nitric oxide (NO) pathway in pulmonary arterial hypertension (PAH) depends on the bioavailability of NO."( β3 adrenergic agonism: A novel pathway which improves right ventricular-pulmonary arterial hemodynamics in pulmonary arterial hypertension.
Celermajer, DS; Cordina, RL; Figtree, GA; Karimi Galougahi, K; Kienzle, V; Lau, E; Liu, CC; Patel, S; Quek, LE; Zhang, Y, 2023
)

Dosage Studied

The approved dosage strengths of sildenafil citrate are 25 mg, 50 mg, and 100 mg. It is anticipated that the film formulations will provide a more compliant and discreet dosage form. The prescribing information recommends flexible dosing in most men with erectile dysfunction (ED)

ExcerptReference
"In a 24-week dose-response study, 532 men were treated with oral sildenafil (25, 50, or 100 mg) or placebo."( Oral sildenafil in the treatment of erectile dysfunction. Sildenafil Study Group.
Goldstein, I; Lue, TF; Padma-Nathan, H; Rosen, RC; Steers, WD; Wicker, PA, 1998
)
"In the dose-response study, increasing doses of sildenafil were associated with improved erectile function (P values for increases in scores for questions about achieving and maintaining erections were <0."( Oral sildenafil in the treatment of erectile dysfunction. Sildenafil Study Group.
Goldstein, I; Lue, TF; Padma-Nathan, H; Rosen, RC; Steers, WD; Wicker, PA, 1998
)
" In part II, daily diary records of erectile activity and a global efficacy question were used to evaluate once-daily dosing with 25 mg or 50 mg of sildenafil or placebo for 10 days."( Sildenafil: study of a novel oral treatment for erectile dysfunction in diabetic men.
Boolell, M; Gepi-Attee, S; Gingell, JC; Price, DE; Wareham, K; Yates, P, 1998
)
" Its pharmacokinetics are dose proportional over the recommended dosage range."( Safety and efficacy of sildenafil citrate in the treatment of male erectile dysfunction.
Goldenberg, MM,
)
" The approved dosage strengths of sildenafil citrate are 25 mg, 50 mg, and 100 mg."( Effects of sildenafil citrate on human hemodynamics.
Allen, MJ; Benjamin, N; Jackson, G; Jackson, N, 1999
)
" All 21 patients were considered to have erectile dysfunction as assessed by the International Index of Erectile Function (IIEF) and were prescribed sildenafil at a dosage of 50 mg, with a titration to 100 mg if needed."( Treatment of erectile dysfunction with sildenafil citrate (Viagra) after radiation therapy for prostate cancer.
Agarwal, A; Kedia, S; Lakin, MM; Nelson, DR; Zippe, CD, 1999
)
" Twelve (80%) of the 15 responders required titration to the 100-mg dosage for maximal effect."( Treatment of erectile dysfunction with sildenafil citrate (Viagra) after radiation therapy for prostate cancer.
Agarwal, A; Kedia, S; Lakin, MM; Nelson, DR; Zippe, CD, 1999
)
" However, no information has been published to support such a dosage regimen."( Sildenafil causes a dose- and time-dependent downregulation of phosphodiesterase type 6 expression in the rat retina.
Bervig, T; Gonzalez, CM; Huang, CF; McKenna, KE; McVary, KT; Podlasek, C, 1999
)
" The patient took the same dosage for 6-7 days and experienced severe epistaxis that required two visits to the emergency room."( Epistaxis associated with elevation of INR in a patient switched to generic warfarin.
Dent, LA; Wagner, JL, 2000
)
" The dose-response curve was an inverted U in this dose range, although only the dose of 3 mg/kg of sildenafil produced significant effects."( Effects of sildenafil on long-term retention of an inhibitory avoidance response in mice.
Baratti, CM; Boccia, MM, 1999
)
" Such caution is not currently provided by the current dosage guidelines that, for example, recommend the use of sildenafil 50 mg initially for most men between the ages of 18 and 65 years, despite wide differences in bodyweight, age, drug metabolism, health status and usage of other medications."( Should patients be given an initial low test dose of sildenafil?
Cohen, JS, 2000
)
" In chronically instrumented dogs, sildenafil (2 mg/kg per os) augmented the vasodilator response to acetylcholine, with a leftward shift of the dose-response curve relating coronary flow to acetylcholine dose."( Effect of sildenafil on coronary active and reactive hyperemia.
Bache, RJ; Chen, Y; Du, R; Traverse, JH, 2000
)
" Blue-on-yellow and white-on-white HVF testing was performed before and 1 hour after masked dosing of sildenafil 200 mg or placebo."( Acute effects of sildenafil (viagra) on blue-on-yellow and white-on-white Humphrey perimetry.
Feuer, WJ; Hoffman, KB; Lam, BL; Luu, JK; Marmor, MF; McCulley, TJ, 2000
)
" Patients taking antihypertensive medication maintained usual dosing schedules."( Effect of sildenafil citrate on blood pressure and heart rate in men with erectile dysfunction taking concomitant antihypertensive medication. Sildenafil Study Group.
Brown, MJ; Prisant, LM; Zusman, RM, 2000
)
"Sitting systolic (SBP)/diastolic blood pressure (DBP) and heart rate at baseline and after dosing with sildenafil or placebo (end-of-treatment visit)."( Effect of sildenafil citrate on blood pressure and heart rate in men with erectile dysfunction taking concomitant antihypertensive medication. Sildenafil Study Group.
Brown, MJ; Prisant, LM; Zusman, RM, 2000
)
"Wild-type mice and PDEG:(tm1)/+ mice were subjected to electroretinography (ERG) 1 hour after exposure to one of three treatments: 1) no drug, 2) an intraperitoneal injection of sildenafil at 2 times the equivalent maximal daily recommended dosage for humans, or 3) 10 times this dosage."( Sildenafil-mediated reduction in retinal function in heterozygous mice lacking the gamma-subunit of phosphodiesterase.
Behn, D; Potter, MJ, 2001
)
" Using an ex vivo model of coronary perfusion in rabbits, we found a dose-response relationship between VEGF and the efficiency of adenoviral gene transfer."( Phosphodiesterase inhibitor-mediated potentiation of adenovirus delivery to myocardium.
Donahue, JK; Lawrence, JH; Marbán, E; Nagata, K, 2001
)
" Pfizer, the manufacturer of Viagra, released study data on the effects of the drug used in combination with Ritonavir and Saquinavir; the data led Pfizer to alter Viagra dosing recommendations for people on protease inhibitors."( Protease inhibitors, sexual dysfunction and Viagra.
Gilden, D, 1999
)
" Wild-type mice dosed orally with the drug (25 mg."( Sildenafil inhibits hypoxia-induced pulmonary hypertension.
Aldashev, A; Kojonazarov, B; Maripov, A; Mason, NA; Mirrakhimov, MM; Morrell, NW; Sadykov, A; Wilkins, MR; Zhao, L, 2001
)
" After shaving the back hair, SDF was dosed to two sets of three male dark-agouti pigmented rats (5 weeks old) per each group at 25 mg/kg once a day for 5 successive days with intraperitoneal (i."( Hair analysis for pharmaceutical drugs. II. Effective extraction and determination of sildenafil (Viagra) and its N-desmethyl metabolite in rat and human hair by GC-MS.
Morimoto, S; Nakahara, Y; Saisho, K; Scott, KS, 2001
)
" Each dosage form contained 50 microCi of radioactivity."( Comparative human pharmacokinetics and metabolism of single-dose oral and intravenous sildenafil.
Muirhead, GJ; Rance, DJ; Walker, DK; Wastall, P, 2002
)
"Cimetidine co-administration produced an increase in sildenafil plasma levels; however, this increase is not sufficient to warrant dosage adjustment of either drug."( The effects of cimetidine and antacid on the pharmacokinetic profile of sildenafil citrate in healthy male volunteers.
Laboy, L; LeBel, M; Wilner, K, 2002
)
"Repeated dosing with erythromycin caused statistically significant increases in the AUC and Cmax of sildenafil (2."( The effects of steady-state erythromycin and azithromycin on the pharmacokinetics of sildenafil in healthy volunteers.
Faulkner, S; Harness, JA; Muirhead, GJ; Taubel, J, 2002
)
" Azithromycin did not affect the pharmacokinetics of sildenafil; therefore, no adjustment in dosage is necessary for patients receiving these drugs concomitantly."( The effects of steady-state erythromycin and azithromycin on the pharmacokinetics of sildenafil in healthy volunteers.
Faulkner, S; Harness, JA; Muirhead, GJ; Taubel, J, 2002
)
"To analyse the pharmacokinetics of sildenafil citrate in patients with erectile dysfunction in order to characterize covariate relationships and assist in the development of rational dosage strategies."( A population pharmacokinetic analysis of sildenafil citrate in patients with erectile dysfunction.
Karlsson, MO; Marshall, SF; Milligan, PA, 2002
)
" Study I: The time to onset of erections after sildenafil (50 mg) or placebo dosing following visual sexual stimulation (VSS) was assessed in 17 patients."( Onset and duration of action of sildenafil for the treatment of erectile dysfunction.
Boolell, M; Eardley, I; Ellis, P; Wulff, M, 2002
)
" In results pooled from 14 parallel-group, flexible as-needed dosing trials, sildenafil was more likely than placebo to lead to successful sexual intercourse, with a higher percentage of successful intercourse attempts (57% vs 21%; weighted mean difference, 33."( Sildenafil for male erectile dysfunction: a systematic review and meta-analysis.
Fink, HA; Mac Donald, R; Nelson, DB; Rutks, IR; Wilt, TJ, 2002
)
" Again, 10 patients with known risk factors (diabetes mellitus 5 and vasculogenic 5) in the second group seemed to give a good response to repeated dosage of sildenafil citrate which has been found to be very interesting."( Evaluation and therapeutic regulation of erectile dysfunction with visual stimulation test. An objective approach by using sildenafil citrate test.
Erbağci, A; Ozbek, E; Sarica, K; Topcu, O; Yagci, F, 2002
)
" We found a shift in the dose-response curve of only phosphodiesterase 5 inhibitors."( The effect of chronic renal failure on phosphodiesterase inhibitor-induced relaxation responses in rabbit cavernosal strips.
Bagcivan, I; Gokce, G; Kilicarslan, H; Sarac, B; Sarioglu, Y; Yildirim, S, 2003
)
" After oral dosing on an empty stomach the pharmacological activity starts within 30 to 120 minutes (average 60 minutes) whereas the effect of this medication after a meal could be notably delayed."( The start of pharmacological activity after sublingual administration of sildenafil citrate in 30 patients affected by erectile dysfunction.
De Siati, M; Franzolin, N; Saugo, M, 2003
)
"Although sildenafil citrate (Viagra) has demonstrated effectiveness in the treatment of erectile dysfunction (ED), the dosing regimens often used in clinical trials may not always match those employed in clinical practice."( A baseline-controlled, open-label, flexible dose-escalation study to assess the safety and efficacy of sildenafil citrate (Viagra) in patients with erectile dysfunction.
Benchekroun, A; Benjelloun, S; Bennani, S; El Mrini, M; Faik, M; Smires, A, 2003
)
" The dosage of sildenafil and phentolamine was respectively 50-100 mg and 40 mg."( [Assessment of curative effect on erectile dysfunction of two drugs].
Jiao, Y; Ma, XN; Yang, DZ; Yu, ZJ, 2003
)
" The median time to erection leading to successful intercourse after sildenafil dosing was 36 minutes compared with 141 minutes for placebo."( Minimal time to successful intercourse after sildenafil citrate: results of a randomized, double-blind, placebo-controlled trial.
Deriesthal, H; Orazem, J; Padma-Nathan, H; Stecher, VJ; Sweeney, M; Tseng, LJ, 2003
)
" Dose-response relaxation curves to cumulative dosings of vardenafil (1 nM-10 microM) were constructed alone and in the presence of 10 mM L-NAME."( Pro-erectile effect of vardenafil: in vitro experiments in rabbits and in vivo comparison with sildenafil in rats.
Alexandre, L; Bernabe, J; Bischoff, E; Giuliano, F; Haning, H; Niewoehner, U, 2003
)
" Although the study sought to mimic the experience of actual patients receiving treatment for ED, the results are subject to potential limitations due to the design of the study, which included differences in dosing instructions and dosages for sildenafil and tadalafil."( Switching patients with erectile dysfunction from sildenafil citrate to tadalafil: results of a European multicenter, open-label study of patient preference.
Costigan, T; Murphy, A; Ströberg, P, 2003
)
"To assess patient preference for erectile dysfunction treatment between either sildenafil or tadalafil, each administered with their respective dosing instructions, and to evaluate preference for either sildenafil or tadalafil dosing instructions during tadalafil therapy."( A multicenter, randomized, double-blind, crossover study to evaluate patient preference between tadalafil and sildenafil.
Beasley, CM; Costigan, T; Denne, J; Emmick, JT; Lockhart, D; Murphy, A; Rajfer, J; Segal, S; von Keitz, A, 2004
)
" Because the dosing instructions for sildenafil and tadalafil are different, a unique methodology using sham placebo arms was employed to maintain the blind."( A multicenter, randomized, double-blind, crossover study to evaluate patient preference between tadalafil and sildenafil.
Beasley, CM; Costigan, T; Denne, J; Emmick, JT; Lockhart, D; Murphy, A; Rajfer, J; Segal, S; von Keitz, A, 2004
)
"In the doses utilized in this study, 73% of patients preferred tadalafil with tadalafil dosing instructions for the treatment of their erectile dysfunction over sildenafil with sildenafil dosing instructions."( A multicenter, randomized, double-blind, crossover study to evaluate patient preference between tadalafil and sildenafil.
Beasley, CM; Costigan, T; Denne, J; Emmick, JT; Lockhart, D; Murphy, A; Rajfer, J; Segal, S; von Keitz, A, 2004
)
" There is a possible dose-response relationship between dose to the bulb and risk of ED."( Localization of neurovascular bundles on pelvic CT and evaluation of radiation dose to structures putatively involved in erectile dysfunction after prostate brachytherapy.
Ennis, RD; Laguna, JL; Newhouse, JH; Vecchio, D; Wright, JL, 2004
)
" A placebo-controlled and positive-controlled, period-balanced, double-blinded, 6-way crossover study evaluated therapeutic and supratherapeutic oral doses of vardenafil (10 and 80 mg, respectively) and sildenafil (50 and 400 mg, respectively), therapeutic doses of moxifloxacin (400 mg), and a placebo in 58 healthy men (mean age 53 years), with dosing every 3 days."( Evaluation of vardenafil and sildenafil on cardiac repolarization.
Boyle, DA; Dabiri, GA; Ilson, BE; Montague, TH; Morganroth, J; Patel, BR; Sethuraman, VS; Shaddinger, BC, 2004
)
" B-SBP, B-DBP, and HR were recorded before each 50-mg sildenafil dosing and after 30, 60, 120, and 240 minutes."( Cardiovascular parameter changes in patients with erectile dysfunction using pde-5 inhibitors: a study with sildenafil and vardenafil.
Dicuio, M; Dinelli, N; Ghiadoni, L; Mondaini, N; Morelli, G; Pomara, G; Pomara, S; Salvetti, A; Selli, C; Taddei, S; Travaglini, F,
)
"4 mg/kg), sildenafil was administered intravenously in a dose-response manner (0."( Potentiation of apomorphine effect on sildenafil-induced penile erection in conscious rabbits.
Kim, SW; Paick, JS; Park, JY; Son, H, 2004
)
" Gastric emptying of a solid meal (one medium-sized fried egg mixed with 37 MBq [1 mCi] technetium Tc 99m phytate plus 1 slice of bread and 150 mL of water at the end of the meal) was assessed 1 hour after dosing by use of a single-headed camera."( The effect of sildenafil on gastric emptying in patients with end-stage renal failure and symptoms of gastroparesis.
Baumer, M; Cohen Pour, M; Dishy, V; Efrati, S; Feldman, L; Golik, A; Horne, T; Naftali, T; Weissgarten, J, 2004
)
"This is the first report providing experimental support for chronic dosing with sildenafil which could be of use for patients that are poor responders to on-demand treatment."( Chronic sildenafil improves erectile function and endothelium-dependent cavernosal relaxations in rats: lack of tachyphylaxis.
Alexandre, L; Behr-Roussel, D; Bernabé, J; Burgess, G; Caisey, S; Giuliano, F; Gorny, D; Mevel, K; Wayman, C, 2005
)
" Patients were then contacted to ascertain sildenafil citrate efficacy (defined as the continued use of sildenafil citrate), dosage used and medication tolerance."( Success of sildenafil for erectile dysfunction in men treated with brachytherapy or external beam radiation for prostate cancer.
Crook, J; Radomski, SB; Shemtov, OM, 2004
)
"We aimed to assess the effects of sildenafil and evaluate optimal dosing in primary pulmonary hypertension (PPH)."( Efficacy and optimal dose of sildenafil in primary pulmonary hypertension.
Alagesan, R; Chockalingam, A; Dorairajan, S; Elangovan, S; Gnanavelu, G; Jagannathan, V; Subramaniam, T; Venkatesan, S, 2005
)
"9 mmHg) at the end of the dosing interval than those on placebo (n = 8) (95% CI -12."( Phosphodiesterase type 5 and high altitude pulmonary hypertension.
Aldashev, AA; Amatov, TA; Kojonazarov, BK; Mirrakhimov, MM; Morrell, NW; Sooronbaev, TM; Wharton, J; Wilkins, MR, 2005
)
" The review is aimed at providing comparative clinical pharmacology data to allow for scientifically rational, evidence-based prescribing and dosing decisions regarding the clinical use of these medications for the treatment of erectile dysfunction."( The clinical pharmacokinetics of phosphodiesterase-5 inhibitors for erectile dysfunction.
Gupta, M; Kovar, A; Meibohm, B, 2005
)
" One or two days later, the patients' hemodynamics were stable and some patients stopped inhaling nitric oxide and the dosage of prostaglandin E1 decreased."( [Treatment with oral sildenafil in patients with severe pulmonary hypertension after open heart operations].
Cen, JZ; Chen, XX; Xiong, WP; Zeng, R; Zhu, WZ; Zhuang, J, 2005
)
" In a randomized, double-blind, placebo-controlled, crossover study, we evaluated the effects of fluvoxamine dosed to steady state on the pharmacokinetics and pharmacodynamics of sildenafil."( Fluvoxamine affects sildenafil kinetics and dynamics.
Burhenne, J; Haefeli, WE; Hesse, C; Riedel, KD; Siedler, H, 2005
)
" The present analysis used data from patient diaries completed daily, which included information concerning attempts at sexual intercourse, time from dosing to attempt, penetration, and maintenance of erection sufficient for successful intercourse."( Erectile response to vardenafil in men with a history of nonresponse to sildenafil: a time-from-dosing descriptive analysis.
Aliotta, P; Auerbach, S; Barkin, J; Carson, CC; Colopy, MW; Hatzichristou, DG; Lording, D; McBride, TA; Murdock, M; Wilkins, HJ, 2005
)
"25 hour after dosing (62% vs 30%); efficacy continued beyond 6 hours after dosing in 77% and 50% of patients, respectively."( Erectile response to vardenafil in men with a history of nonresponse to sildenafil: a time-from-dosing descriptive analysis.
Aliotta, P; Auerbach, S; Barkin, J; Carson, CC; Colopy, MW; Hatzichristou, DG; Lording, D; McBride, TA; Murdock, M; Wilkins, HJ, 2005
)
"25 hour and lasted for >6 hours after dosing with vardenafil 10 mg in these men with mostly moderate to severe ED and a history of nonresponse to sildenafil and who chose to make attempts during those intervals."( Erectile response to vardenafil in men with a history of nonresponse to sildenafil: a time-from-dosing descriptive analysis.
Aliotta, P; Auerbach, S; Barkin, J; Carson, CC; Colopy, MW; Hatzichristou, DG; Lording, D; McBride, TA; Murdock, M; Wilkins, HJ, 2005
)
" Treatment durations were 4 weeks (or more than four doses) to 1 year, and sildenafil dosing was in the recommended range (25-100 mg)."( Efficacy of sildenafil citrate in men with erectile dysfunction following radical prostatectomy: a systematic review of clinical data.
McCullough, A; Montorsi, F, 2005
)
" No dose-response effects were observed."( Sildenafil improves cardiac output and exercise performance during acute hypoxia, but not normoxia.
Barnholt, KE; Friedlander, AL; Grundmann, NK; Hsu, AR; Lin, JH; McCallum, SW, 2006
)
" Conversely, each rats group was further subdivided: no further treatment or acute sildenafil dosing (25 mg/kg, 1 hour before "in vivo" electrical stimulation [ES])."( Testosterone restores diabetes-induced erectile dysfunction and sildenafil responsiveness in two distinct animal models of chemical diabetes.
Donati, S; Filippi, S; Forti, G; Luconi, M; Maggi, M; Morelli, A; Vignozzi, L; Zhang, XH, 2006
)
" Fifty-nine percent of intercourse attempts were within 4 hours of dosing when patients were treated with tadalafil (88% with sildenafil)."( Timing of dose relative to sexual intercourse attempt in previous sildenafil citrate users treated with tadalafil.
Dyachkova, Y; Gatchalian, E; Glina, S; Kopernicky, V; Markey, C; Sotomayor, M; Yaman, O, 2006
)
"Following the dosing instructions reflecting tadalafil's extended period of effectiveness, men with a history of established sildenafil use changed their dose-attempt behavior when treated with tadalafil."( Timing of dose relative to sexual intercourse attempt in previous sildenafil citrate users treated with tadalafil.
Dyachkova, Y; Gatchalian, E; Glina, S; Kopernicky, V; Markey, C; Sotomayor, M; Yaman, O, 2006
)
" This study examined whether counseling and maximal dosing (100 mg) could achieve better treatment compliance and could possibly improve treatment outcome."( Positive effect of counseling and dose adjustment in patients with erectile dysfunction who failed treatment with sildenafil.
Chen, J; Cohen, A; Gruenwald, I; Raviv, G; Richter, S; Shenfeld, O; Vardi, Y, 2006
)
" Monochromatic fundus photographs were obtained in the study eye before dosing and then 30, 90, 180 and 300 min later."( Effect of viagra on retinal vein diameter in AMD patients.
DuPont, JC; Grunwald, JE; Liu, C; Metelitsina, TI; Ying, GS, 2006
)
" tadalafil and for their respective dosing instructions in a cohort of Spanish patients with erectile dysfunction (ED)."( [Tadalafil vs sildenafil patient preference in Spanish men with erectile dysfunction: results from an International Multicentric Study].
Casariego, J; Cassinello, A; Lledó García, E; Mo, D; Rajmil, O; Rodríguez Vela, L, 2006
)
" Similarly, to evaluate preference for their respective dosing instructions, 30 patients were randomized to one of the 2 arms treated with tadalafil: one with sildenafil (S) dosing instructions and the other with tadalafil (T) dosing instructions."( [Tadalafil vs sildenafil patient preference in Spanish men with erectile dysfunction: results from an International Multicentric Study].
Casariego, J; Cassinello, A; Lledó García, E; Mo, D; Rajmil, O; Rodríguez Vela, L, 2006
)
" Correspondingly, 73% of 13 evaluating each drug dosing instructions preferred T dosing instructions (p>0."( [Tadalafil vs sildenafil patient preference in Spanish men with erectile dysfunction: results from an International Multicentric Study].
Casariego, J; Cassinello, A; Lledó García, E; Mo, D; Rajmil, O; Rodríguez Vela, L, 2006
)
"In this study, 7 out of 10 patients preferred tadalafil and its dosing instructions to sildenafil, for the treatment of their ED."( [Tadalafil vs sildenafil patient preference in Spanish men with erectile dysfunction: results from an International Multicentric Study].
Casariego, J; Cassinello, A; Lledó García, E; Mo, D; Rajmil, O; Rodríguez Vela, L, 2006
)
"In neonates with acute pulmonary hypertension (PHT), the dose-response effect of sildenafil citrate, a selective phosphodiesterase-5 inhibitor that can alleviate PHT, has not been detailedly examined."( Dose response of intravenous sildenafil on systemic and regional hemodynamics in hypoxic neonatal piglets.
Bigam, DL; Cheung, PY; Cravetchi, O; Haase, E, 2006
)
"To develop a model to explore the dose-response of sildenafil citrate in patients with female sexual arousal disorder (FSAD) based on telephone sexual activity daily diary (TSADD) data obtained in double-blind, placebo controlled clinical studies."( Modeling and simulation of sexual activity daily diary data of patients with female sexual arousal disorder treated with sildenafil citrate (Viagra).
Boolell, M; Bruno, R; Claret, L; Cox, EH; Haughie, S; Johnson, PJ; McFadyen, L; Pidgen, A, 2006
)
" The brachial/ankle pulse wave velocity was determined before dosing and at 30, 60, 120, and 180 min after dosing with 25 or 50 mg of sildenafil citrate."( Effect of sildenafil on arterial stiffness, as assessed by pulse wave velocity, in patients with erectile dysfunction.
Arakawa, S; Fujisawa, M; Kamidono, S; Nakano, Y; Shigemura, K, 2006
)
"The systolic blood pressure decreased significantly at 60 min after dosing compared with the placebo control."( Effect of sildenafil on arterial stiffness, as assessed by pulse wave velocity, in patients with erectile dysfunction.
Arakawa, S; Fujisawa, M; Kamidono, S; Nakano, Y; Shigemura, K, 2006
)
" Only 7 (12%) of the 59 men reported that home vardenafil dosing resulted in successful intercourse."( Vardenafil rescue rates of sildenafil nonresponders: objective assessment of 327 patients with erectile dysfunction.
Brisson, TE; Broderick, GA; Heckman, MG; Pinkstaff, DM; Thiel, DD, 2006
)
" Medical records were reviewed for the following information: signalment, duration and type of clinical signs before treatment, underlying disease, estimated or measured PAPs, dosage and dosing interval of sildenafil, and the effect of treatment on clinical signs and pulmonary arterial pressure and survival time."( Retrospective evaluation of sildenafil citrate as a therapy for pulmonary hypertension in dogs.
Bach, JF; Betkowski, JM; MacGregor, J; Rozanski, EA; Rush, JE,
)
" Although a number of investigations have been carried out using cathinone, the psychoactive component of khat, these may not wholly reflect the behavioral effects observed after administering khat in a dosage similar to those used traditionally."( Effect of Catha edulis foresk (khat) extracts on male rat sexual behavior.
Abdulwaheb, M; Abebe, D; Debella, A; Makonnen, E, 2007
)
" Subsequently, sildenafil was given at a dosage of 50 or 100 mg according to the response."( Relationship between nocturnal penile tumescence parameters, International Index of Erectile Function symptom scores and sildenafil responses1This paper was presented at the 6th Congress of the International Society of Sexual and Impotence Research, Bueno
Başar, H; Batislam, E; Murad Başar, M; Tuğlu, D; Yilmaz, E, 2006
)
" Although the reported results in children with pulmonary hypertension are promising, it is an experimental drug and large-scale randomised controlled studies are required to validate the safety, efficacy and dosage in the paediatric population."( Therapeutic applications of sildenafil citrate in the management of paediatric pulmonary hypertension.
Leibovitch, L; Matok, I; Paret, G, 2007
)
" Treatment choices for pulmonary arterial hypertension are limited by drug tolerability, drug cost and inconvenience associated with administration techniques and dosing schedules."( Sildenafil citrate for the treatment of pulmonary hypertension.
Hrometz, SL; Shields, KM, 2006
)
" Daily dosing with sildenafil may improve lower urinary tract symptoms."( Sildenafil citrate improves erectile function and urinary symptoms in men with erectile dysfunction and lower urinary tract symptoms associated with benign prostatic hyperplasia: a randomized, double-blind trial.
Camps, JL; McVary, KT; Monnig, W; Tseng, LJ; van den Ende, G; Young, JM, 2007
)
" Hardness outcomes improved (with a possible dose-response relationship for the achievement of fully hard and rigid erections) and correlated positively with the other outcomes."( Correlations between increased erection hardness and improvements in emotional well-being and satisfaction outcomes in men treated with sildenafil citrate for erectile dysfunction.
Creanga, DL; Juenemann, KP; King, R; Levinson, IP; Stecher, VJ,
)
" However, there are limited data available to suggest dosage regimens."( Effects of escalating doses of sildenafil on hemodynamics and gas exchange in children with pulmonary hypertension and congenital cardiac defects.
Danton, MD; MacArthur, KJ; Pollock, JC; Raja, SG, 2007
)
" However, a large dose-ranging and pharmacokinetic study of sildenafil in children with pulmonary hypertension because of congenital cardiac defects is needed to validate the safety and efficacy of the dose-range and dosing interval suggested by this study."( Effects of escalating doses of sildenafil on hemodynamics and gas exchange in children with pulmonary hypertension and congenital cardiac defects.
Danton, MD; MacArthur, KJ; Pollock, JC; Raja, SG, 2007
)
" At baseline and after 6 months all patients underwent: right-heart catheterization, 6-min walking distance, and a study of endothelial function, including the measure of the flow-mediated vasodilation of the brachial artery, and the dosage of plasma levels of endothelin-1 and von Willebrand factor."( Sildenafil improves endothelial function in patients with pulmonary hypertension.
Coppi, F; Lattanzi, A; Modena, MG; Nuzzo, A; Rossi, R, 2008
)
"With close monitoring of blood pressure and heart rate, men with stable coronary artery disease who have taken sildenafil may tolerate intravenous NTG (( Safety of intravenous nitroglycerin after administration of sildenafil citrate to men with coronary artery disease: a double-blind, placebo-controlled, randomized, crossover trial.
Bart, BA; Glue, P; Jen, F; Koren, MJ; Malhotra, B; Parker, JD; Siegel, RL; Wang, H; Webb, DJ, 2007
)
"In an open-label, crossover study of sildenafil (25, 50 or 100 mg) and tadalafil (10 or 20 mg), dosed as needed, after a 4-week baseline assessment, 367 men with ED were randomly assigned to sildenafil followed by tadalafil or vice versa (8-week dose optimization and 4-week assessment phase for each treatment period)."( Factors associated with preference for sildenafil citrate and tadalafil for treating erectile dysfunction in men naïve to phosphodiesterase 5 inhibitor therapy: post hoc analysis of data from a multicentre, randomized, open-label, crossover study.
Beardsworth, A; Chan, ML; Eardley, I; Jackson, G; Loughney, K; Mirone, V; Montorsi, F; Vail, GM, 2007
)
" Dosage choice, reductions in the PAIRS time concerns domain, IIEF intercourse satisfaction domain improvements, smaller side-effect severity scores, more sexual attempts, and increased SEP4 scores (satisfaction with erection hardness) during the tadalafil or sildenafil treatment periods were all significantly associated with preference for tadalafil or sildenafil."( Factors associated with preference for sildenafil citrate and tadalafil for treating erectile dysfunction in men naïve to phosphodiesterase 5 inhibitor therapy: post hoc analysis of data from a multicentre, randomized, open-label, crossover study.
Beardsworth, A; Chan, ML; Eardley, I; Jackson, G; Loughney, K; Mirone, V; Montorsi, F; Vail, GM, 2007
)
" Patient differences in time concerns, dosage choice, intercourse satisfaction, treatment tolerability, number of sexual attempts and satisfaction with erection hardness were the set of factors most significantly associated with treatment preference, and the preference observed for tadalafil (71%) or sildenafil (29%) might be substantially accounted for by differences in these factors during the tadalafil and sildenafil treatment periods."( Factors associated with preference for sildenafil citrate and tadalafil for treating erectile dysfunction in men naïve to phosphodiesterase 5 inhibitor therapy: post hoc analysis of data from a multicentre, randomized, open-label, crossover study.
Beardsworth, A; Chan, ML; Eardley, I; Jackson, G; Loughney, K; Mirone, V; Montorsi, F; Vail, GM, 2007
)
"8 times the recommended human dosage of epoprostenol."( Treatment of pulmonary arterial hypertension in pregnancy.
DeSantis, ER; Huang, S, 2007
)
" Testosterone gels minimize the skin irritation while providing flexibility in dosing and a low discontinuation rate."( Recent trends in the treatment of testosterone deficiency syndrome.
Ahn, TY; Hong, BS, 2007
)
"Vardenafil has higher affinity to phosphodiesterase-5 (PDE5) than sildenafil and lower administered dosage for the treatment of erectile dysfunction."( Conformational variations of both phosphodiesterase-5 and inhibitors provide the structural basis for the physiological effects of vardenafil and sildenafil.
Francis, SH; Ke, H; Robinson, H; Wang, H; Ye, M, 2008
)
"6%] and the area under the plasma concentration versus time curve over a dosing interval (AUC(tau)) by 62."( Mutual pharmacokinetic interactions between steady-state bosentan and sildenafil.
Burgess, G; Collings, L; Dingemanse, J; Hoogkamer, H, 2008
)
"In healthy volunteers, there is a mutual pharmacokinetic interaction between bosentan and sildenafil that may influence the dosage of each drug in a combination treatment."( Mutual pharmacokinetic interactions between steady-state bosentan and sildenafil.
Burgess, G; Collings, L; Dingemanse, J; Hoogkamer, H, 2008
)
" In the 4 long-term treatment groups, daily continuous doses of drug and ethanol with a single dosage were given for 15, 30 and 45 days and the animals killed 4h after the last dosage."( Effect of sildenafil citrate (Viagra) and ethanol on the Albino rat testis: a scanning electron microscopic approach.
Elanchezhiyan, C; Sabhanayakam, S; Sivasankaran, TG; Udayakumar, R, 2008
)
"To test the hypothesis that a variable dosage of the oral phosphodiesterase type 5 (PDE5) inhibitor sildenafil (25, 50, 100 mg) or vardenafil (5, 10, 25 mg) determined according to results obtained from nocturnal penile tumescence and rigidity (NPTR, RigiScan), given nightly for 1 year, can improve spontaneous erectile function (EF) in men with mild-to-moderate arteriogenic erectile dysfunction (ED); this regimen was compared with a fixed daily dosage of sildenafil 25 mg or vardenafil 5 mg."( Long-term treatment of erectile dysfunction with a phosphodiesterase-5 inhibitor and dose optimization based on nocturnal penile tumescence.
Brandt, AS; Klotz, T; Mathers, MJ; Roth, S; Sommer, F, 2008
)
"In a prospective open-label, parallel-group trial 154 men with ED were randomized either to fixed low-dose sildenafil 25 mg or vardenafil 5 mg (group 1) or to the lowest erectile dosage of sildenafil (25, 50 or 100 mg) or vardenafil (5, 10 or 20 mg) (group 2) provoking an erectile event as measured by NPTR nightly for 1 year."( Long-term treatment of erectile dysfunction with a phosphodiesterase-5 inhibitor and dose optimization based on nocturnal penile tumescence.
Brandt, AS; Klotz, T; Mathers, MJ; Roth, S; Sommer, F, 2008
)
"Nightly PDE5-inhibitor treatment 1 year in a dosage determined by NPTR measurements results in better EF than giving a fixed dosage of sildenafil (25 mg) or vardenafil (5 mg)."( Long-term treatment of erectile dysfunction with a phosphodiesterase-5 inhibitor and dose optimization based on nocturnal penile tumescence.
Brandt, AS; Klotz, T; Mathers, MJ; Roth, S; Sommer, F, 2008
)
" Since a recent randomized study showed no dose-response relationship, the target dose in future will be 20mg tid."( Sildenafil for pulmonary hypertension: dose-dependent improvement in exercise performance.
Fischler, M; Huber, LC; Maggiorini, M; Speich, R; Spring, RM; Treder, U; Ulrich, S, 2008
)
" Sildenafil provides benefits in terms of exercise capacity when added to epoprostenol; however, these findings come from a trial that did not use the approved dosage of sildenafil."( Sildenafil: a review of its use in pulmonary arterial hypertension.
Croom, KF; Curran, MP, 2008
)
"The results of our study have shown that daily dosing with sildenafil improved ED and LUTS independent of baseline LUTS severity or BMI."( Sildenafil citrate improves erectile function and lower urinary tract symptoms independent of baseline body mass index or LUTS severity.
Carlsson, M; McVary, KT; Siegel, RL, 2008
)
" N-desmethyl sildenafil Cmax and AUC from the time of administration until the last time point with a measurable concentration after dosing (calculated by linear trapezoidal summation [AUClast]) values decreased by approximately 95% when sildenafil 25 mg was co-administered with DRV/r compared with sildenafil 100 mg alone."( Effect of repeated doses of darunavir plus low-dose ritonavir on the pharmacokinetics of sildenafil in healthy male subjects: phase I randomized, open-label, two-way crossover study.
De Marez, T; De Paepe, E; De Pauw, M; Hoetelmans, RM; Lefebvre, E; Sekar, V; Vangeneugden, T, 2008
)
" Mean pulmonary artery and systemic arterial pressure were unchanged from baseline when measured 1 hour after sildenafil dosing (mean pulmonary artery pressure, 29+/-1 to 27+/-0."( Use of sildenafil to facilitate weaning from inhaled nitric oxide in children with pulmonary hypertension following surgery for congenital heart disease.
Hillier, SC; Knoderer, CA; Lee, JE,
)
" It is possible that the doses used in this study were not optimal or that repeated dosing may be necessary to achieve therapeutic effects."( A placebo-controlled study of sildenafil effects on cognition in schizophrenia.
Cather, C; Culhane, MA; Evins, AE; Freudenreich, O; Goff, DC; Henderson, DC; Walsh, JP, 2009
)
" The cardiac effects associated with Sildenafil citrate have been extensively studied in medical literature, especially its potent vasodilatory effect when combined with nitrate-based medications, producing intractable hypotension, but a lesser known and potentially lethal side effect is prolonged cardiac repolarization when used at dosage greater than recommended, leading to QT prolongation that could theoretically lead to dangerous cardiac dysrrhythmias and sudden death in men with coronary artery disease."( Sildenafil citrate and Torsade de pointes.
Cabañas, JG; Canales-Colón, I; Falcón-Chévere, JL; Martorell-Millan, G,
)
" It does not appear that chronic sildenafil usage at these dosage levels is seriously toxic or threatening to vision."( ERG evaluation of daily, high-dose sildenafil usage.
Doyle, RL; Marmor, MF; Zamanian, RT; Zoumalan, CI, 2009
)
" The AUC(0-infinity) and C(max) for sildenafil and N-desmethyl sildenafil (active metabolite) were determined over 24 hours for a 20-mg dose of sildenafil alone and again after 7 days of dosing with ambrisentan 10 mg once daily."( Pharmacokinetics and safety of ambrisentan in combination with sildenafil in healthy volunteers.
Dufton, C; Mandagere, A; Spence, R; Venitz, J, 2008
)
"We investigated changes in serum biomarkers of vascular function after short-term, continuous sildenafil dosing in men with type 2 diabetes with erectile dysfunction."( Serum biomarker measurements of endothelial function and oxidative stress after daily dosing of sildenafil in type 2 diabetic men with erectile dysfunction.
Bivalacqua, TJ; Burnett, AL; Jin, L; Musicki, B; Strong, TD; Trock, BJ, 2009
)
" Chronic dosing of oral type V phosphodiesterase inhibitors is now commonly used by urologists after radical prostatectomy despite a lack of convincing evidence from randomized, placebo-controlled clinical trials."( Local therapies to heal the penis: fact or fiction?
Kim, ED,
)
" Ten herbal dietary supplements, each as a capsule dosage form, were found to contain 8-151 mg of thiomethisosildenafil per capsule, and one herbal dietary supplement was found to contain 35 mg of thiosildenafil per capsule."( Structure elucidation of thioketone analogues of sildenafil detected as adulterants in herbal aphrodisiacs.
d'Avignon, DA; Reepmeyer, JC, 2009
)
" Male Sprague-Dawley rats (50) were divided into five groups (10 rats per each group): blank control, sildenafil group and SN plus APO SL high dosage, medium dosage and low dosage group."( Effect of sublingual medication of sildenafil citrate/ apomorphine on sexual behaviour of male rats.
Huang, X; Shen, J; Xiong, C; Zhou, J, 2009
)
" Experimental groups were divided on the basis of the dosage of extract to the animals as follows: 150 mg/kg body weight (Group I), 200mg/kg body weight (Group II) and 250 mg/kg body weight (Group IV) while Group V received Sildenafil citrate (5mg/kg body weight)."( Dose- and time-dependent effects of ethanolic extract of Mucuna pruriens Linn. seed on sexual behaviour of normal male rats.
Prakash, S; Prithiviraj, E; Suresh, S, 2009
)
" The focus of this article is on updates on regular dosing regimens of PDE5I other than the newly approved daily dose tadalafil."( 2009 update on phosphodiesterase type 5 inhibitor therapy part 1: Recent studies on routine dosing for penile rehabilitation, lower urinary tract symptoms, and other indications (CME).
Shindel, AW, 2009
)
"" Articles were screened based on whether or not they addressed issues of routine dosing of PDE5I."( 2009 update on phosphodiesterase type 5 inhibitor therapy part 1: Recent studies on routine dosing for penile rehabilitation, lower urinary tract symptoms, and other indications (CME).
Shindel, AW, 2009
)
"Peer reviewed publications on routine dosing of PDE5I published in the medical literature since 2007."( 2009 update on phosphodiesterase type 5 inhibitor therapy part 1: Recent studies on routine dosing for penile rehabilitation, lower urinary tract symptoms, and other indications (CME).
Shindel, AW, 2009
)
"There have been numerous publications in the past 2 years regarding routine dosing of PDE5I for three major urological indications; penile rehabilitation, stuttering priapism, and management of lower urinary tract symptoms (LUTS)."( 2009 update on phosphodiesterase type 5 inhibitor therapy part 1: Recent studies on routine dosing for penile rehabilitation, lower urinary tract symptoms, and other indications (CME).
Shindel, AW, 2009
)
" Dosing instructions were provided."( Timing of dose relative to sexual intercourse attempt in previous sildenafil citrate users treated with tadalafil: a geographical comparison from a single arm, open-label study.
Abdo, CH; Gallagher, GL; Glina, S; Hernandez-Serrano, R; Lenero, E; Rampazzo, C; Rubio-Aurioles, E; Sotomayor, M; West, TM, 2009
)
" However, the extent to which sexual behavior alters is not uniform across geographical regions, suggesting that dosing instructions and duration of drug effectiveness, in combination with personal and cultural preferences, may determine sexual behavior with PDE5 inhibitor use."( Timing of dose relative to sexual intercourse attempt in previous sildenafil citrate users treated with tadalafil: a geographical comparison from a single arm, open-label study.
Abdo, CH; Gallagher, GL; Glina, S; Hernandez-Serrano, R; Lenero, E; Rampazzo, C; Rubio-Aurioles, E; Sotomayor, M; West, TM, 2009
)
" Those with a score lower than 26 on the International Index of Erectile Function (IIEF-15) and with less than 75% total successful sexual attempts the dosage of sildenafil was increased to 100 mg."( Ten-year follow-up of sildenafil use in spinal cord-injured patients with erectile dysfunction.
Cecconi, F; Del Popolo, G; Lombardi, G; Macchiarella, A, 2009
)
" Daily dosing may be useful in some men; however, the other available PDE5I continue to show excellent efficacy in the management of erectile dysfunction (ED)."( 2009 update on phosphodiesterase type 5 inhibitor therapy part 2: updates on optimal utilization for sexual concerns and rare toxicities in this class.
Shindel, AW, 2009
)
" Although the tablets contained efficacious amounts of PDE-5 inhibitors, neither the active ingredient nor the dosage corresponded to the description on the blister."( The identification of (-)-trans-tadalafil, tadalafil, and sildenafil in counterfeit Cialis and the optical purity of tadalafil stereoisomers.
de Kaste, D; Venhuis, BJ; Vredenbregt, MJ; Zomer, G, 2010
)
" As the second PDE-5 inhibitor to gain approval for PAH, clinical properties such as its long half-life leading to once-daily dosing and possibly improved compliance, as well as potential cost benefit, may distinguish tadalafil from sildenafil in the widespread treatment of PAH."( Tadalafil for the treatment of pulmonary arterial hypertension.
Rosenzweig, EB, 2010
)
"There were significant improvements in edema, glomerular filtration rate (GFR), weight, and loop diuretic dosage required, while strong trends were seen in urine output per day and urine output per unit loop diuretic per day."( The successful use of phosphodiesterase type 5 inhibitors to treat the syndrome of cor pulmonale and prerenal azotemia with diuresis of anasarca (CorPRADA).
Berez, PB, 2010
)
" pruriens and SC were administered in single oral dosage per day for a period of 60 days."( Effect of Mucuna pruriens (Linn.) on sexual behavior and sperm parameters in streptozotocin-induced diabetic male rat.
Prakash, S; Suresh, S, 2012
)
" Sildenafil was used in the dosage of 1-2 milligrams per kilogram 3-4 times per day."( Sildenafil in the management of the failing Fontan circulation.
Bhole, V; Ofoe, V; Onuzo, O; Reinhardt, Z; Stumper, O; Uzun, O; Wilson, D; Wright, JG, 2010
)
"The prescribing information for sildenafil citrate (VIAGRA, Pfizer, New York, NY, USA) recommends flexible dosing (50 mg initially, adjusted to 100 or 25 mg based on effectiveness and tolerability) in most men with erectile dysfunction (ED)."( Hardness, function, emotional well-being, satisfaction and the overall sexual experience in men using 100-mg fixed-dose or flexible-dose sildenafil citrate.
Creanga, DL; Goldfischer, ER; Kaminetsky, JC; Park, NC; Stecher, VJ; Ströberg, P,
)
" The population pharmacokinetic parameters of bosentan were estimated by use of the NONMEM program, in which a one-compartment model with repetitive bolus dosing was parameterized in terms of the oral clearance (CL/F) and elimination rate constant (k)."( Pharmacokinetics of bosentan in routinely treated Japanese pediatric patients with pulmonary arterial hypertension.
Akita, C; Hashimoto, Y; Hirono, K; Horiuchi, I; Ichida, F; Kato, Y; Miyawaki, T; Nakamura, T; Nakayama, T; Saji, T; Taguchi, M; Yoshimura, N, 2011
)
" The 405 patients enrolled in the single pivotal trial give this drug the largest initial placebo-controlled dataset of any of the oral PAH therapies; its once-daily dosing and excellent safety profile make it the most convenient of the therapies by a significant margin."( Novel therapeutic approaches in pulmonary arterial hypertension: focus on tadalafil.
Levin, YD; White, RJ, 2011
)
"Comparison of both hemodynamic data from cardiac catheterization and clinical outcome such as six minute walk test (6MWT) were performed to assess the efficacy of generic sildenafil at the dosage of 50 mg given orally three times daily in patients with PAH over a 12 weeks period."( Efficacy and safety of high dose generic sildenafil in Thai patients with pulmonary arterial hypertension.
Chungsomprasong, P; Durongpisitkul, K; Panjasamanvong, P; Pornrattanarungsi, S, 2011
)
" Further investigation is warranted to determine optimal dosing based on age and weight."( A randomized, double-blind, placebo-controlled, dose-ranging study of oral sildenafil citrate in treatment-naive children with pulmonary arterial hypertension.
Barst, RJ; Gaitan, G; Garcia, AE; Ivy, DD; Layton, GR; Pulido, T; Rudzinski, A; Sastry, BK; Serdarevic-Pehar, M; Szatmari, A; Wessel, DL, 2012
)
"Rectal relaxation following dosing with sildenafil 50 mg increased the first desire to defecate threshold in IBS as a whole, but decreased pain only in the hypersensitive subset."( The effects of sildenafil on rectal sensitivity and tone in patients with the irritable bowel syndrome.
de Leopoldino, DM; de Oliveira, RB; dos Santos, AA; Gonçalves de Medeiros, MT; Lima, MC; Nobre e Souza, MÂ; Nobre, RA, 2012
)
" Our data showed that rolipram and sildenafil enhanced spatial memory consolidation in an inverted U-shaped dose-response curve."( Effects of protein kinase A and G inhibitors on hippocampal cholinergic markers expressions in rolipram- and sildenafil-induced spatial memory improvement.
Abdollahi, M; Beyer, C; Bollen, E; Ghahremani, MH; Hosseini-Sharifabad, A; Naghdi, N; Prickaerts, J; Roghani, A; Sabzevari, O; Sharifzadeh, M, 2012
)
"To assess the ocular effects and safety profile of chronic sildenafil oral dosing in patients with pulmonary arterial hypertension."( Ocular safety of sildenafil citrate when administered chronically for pulmonary arterial hypertension: results from phase III, randomised, double masked, placebo controlled trial and open label extension.
Burgess, G; Hwang, LJ; Laties, AM; Tressler, C; Wirostko, BM, 2012
)
" Incidence of ocular adverse events reported on the case report forms and assessed by the investigator was low with all doses, but a modest, dose related incidence of chromatopsia, cyanopsia, photophobia, and visual disturbance was reported with 80 mg three times daily consistent with the indicated dosing for erectile dysfunction."( Ocular safety of sildenafil citrate when administered chronically for pulmonary arterial hypertension: results from phase III, randomised, double masked, placebo controlled trial and open label extension.
Burgess, G; Hwang, LJ; Laties, AM; Tressler, C; Wirostko, BM, 2012
)
"Sildenafil dosing up to 80 mg three times daily is safe and well tolerated from an ocular perspective in patients with pulmonary arterial hypertension."( Ocular safety of sildenafil citrate when administered chronically for pulmonary arterial hypertension: results from phase III, randomised, double masked, placebo controlled trial and open label extension.
Burgess, G; Hwang, LJ; Laties, AM; Tressler, C; Wirostko, BM, 2012
)
"2) and compared the drug-release profiles of AEA-coated SDN-MMT and Viagra(®), an approved dosage form of SDN."( A nanohybrid system for taste masking of sildenafil.
Chang, HC; Choi, G; Choy, JH; Choy, YB; Lee, HJ; Lee, JH; Oh, YJ; Park, JW; Park, MC; Yoon, YJ, 2012
)
" The use of on demand PDE5 inhibitors (-Is) for the treatment of erectile dysfunction (ED) has recently obtained approval for chronic daily dosing for the same indication."( PDE5 inhibitor treatment options for urologic and non-urologic indications: 2012 update.
Gur, S; Hellstrom, WJ; Kadowitz, PJ; Serefoglu, EC, 2012
)
" We conclude that concomitant dosing with a cardiac stimulant and endothelin antagonist can partially reverse loss of physical performance capacity under hypobaric hypoxia, independent from improving blood oxygen saturation."( The combination of theophylline and endothelin receptor antagonism improves exercise performance of rats under simulated high altitude.
Boico, A; Hamilton, K; Hanna, G; Irwin, D; Palmer, G; Piantadosi, CA; Radiloff, DR; Schroeder, T; Shan, S; Wu, C; Zhao, Y, 2012
)
"The sildenafil dosage was 109±42 mg/day during 163±116 days before HT."( Effects of chronic sildenafil use on pulmonary hemodynamics and clinical outcomes in heart transplantation.
Bergeron, S; Bernier, M; Bourgault, C; Cantin, B; Chateauvert, N; Leblanc, MH; Morin, J; Nalli, C; O'Connor, K; Pons, J; Proulx, G; Sénéchal, M, 2012
)
"To investigate if treatment with a single dosage of T+5-HT(1A)ra will produce improvement in sexual functioning in women with Hypoactive Sexual Desire Disorder (HSDD) as the result of dysfunctional high sexual inhibition."( Toward personalized sexual medicine (part 3): testosterone combined with a Serotonin1A receptor agonist increases sexual satisfaction in women with HSDD and FSAD, and dysfunctional activation of sexual inhibitory mechanisms.
Bloemers, J; Chivers, M; Everaerd, W; Gerritsen, J; Goldstein, I; Koppeschaar, H; Olivier, B; Poels, S; Tuiten, A; van Ham, D; van Mameren, F; van Rooij, K, 2013
)
" Daily sildenafil (10 mg/kg) was dosed to groups B and C by lavage."( [Effects of sildenafil on bladder compliance and endothelin-1 in rabbit model of partial bladder outlet obstruction].
Chen, HD; Li, CD; Weng, ZL; Ye, XT; Zhang, YR, 2012
)
" Our results reveal that sildenafil is protective against scald burn related ALI by decreasing oxidative stress and inflammation and the dosage of 10mg/kg could be apparently better than 20mg/kg."( The protective effects of sildenafil in acute lung injury in a rat model of severe scald burn: A biochemical and histopathological study.
Deveci, K; Duger, C; Gokakin, AK; Karakus, BC; Kurt, A; Topcu, O; Tuzcu, M, 2013
)
" sildenafil dosing in three patients with pulmonary hypertension (PH) and limited venous access is reported."( Intermittent intravenous sildenafil for pulmonary hypertension management in neonates and infants.
Backes, C; Nahata, MC; Puthoff, T; Stultz, JS, 2013
)
" The longer infusion periods were used to minimize the risk of hypotension during infusion, with continued efficacy assessment between dosing intervals by monitoring ongoing oxygenation saturation trends and oxygen requirements when the drug was not infusing."( Intermittent intravenous sildenafil for pulmonary hypertension management in neonates and infants.
Backes, C; Nahata, MC; Puthoff, T; Stultz, JS, 2013
)
" sildenafil dosing provided a well-tolerated, practical, and potentially effective treatment for PH in three patients when enteral intake was undesirable and when there was a need to conserve available venous access."( Intermittent intravenous sildenafil for pulmonary hypertension management in neonates and infants.
Backes, C; Nahata, MC; Puthoff, T; Stultz, JS, 2013
)
"The possible effects of sildenafil citrate administration at therapeutic dosage on visual acuity, color vision, intraocular pressure, macular thickness, macular volume, and central serous chorioretinopathy in patients with erectile dysfunction were evaluated."( Does therapeutic dose of sildenafil citrate treatment lead to central serous chorioretinopathy in patients with erectile dysfunction?
Aslan, Y; Atan, A; Balci, M; Damar, E; Simsek, S; Toklu, Y; Tuncel, A, 2013
)
" This formulation is expected to enhance dosing convenience and increase patient compliance while yielding pharmacokinetics comparable to those of the conventional film-coated tablet (FCT) formulation."( Pharmacokinetic comparison of an orally disintegrating film formulation with a film-coated tablet formulation of sildenafil in healthy Korean subjects: a randomized, open-label, single-dose, 2-period crossover study.
Kim, H; Kim, HS; Lee, D; Park, K; Roh, H; Son, H; Yeon, KJ, 2013
)
" Cardioprotective effects were found over a broad dosage range."( Pharmacological postconditioning by bolus injection of phosphodiesterase-5 inhibitors vardenafil and sildenafil.
Böhme, S; Ebner, A; Ebner, B; Reetz, A; Schauer, A; Strasser, RH; Weinbrenner, C, 2013
)
"To assess persistence/adherence rates of phosphodiesterase type-5 inhibitor (PDE5I) on-demand dosing in Latin American men with erectile dysfunction (ED), and explore patient characteristics and treatment factors that may be predictive for PDE5I persistence and adherence."( A 6 month, prospective, observational study of PDE5 inhibitor treatment persistence and adherence in Latin American men with erectile dysfunction.
Borregales, L; Cairoli, C; Reyes, LA; Rubio-Aurioles, E; Sorsaburu, S, 2013
)
"Men from Brazil, Mexico, and Venezuela with ED who were naïve to PDE5Is were prescribed sildenafil, tadalafil, vardenafil, or lodenafil on-demand dosing and asked to provide information about PDE5I use at baseline and at 1, 3, and 6 months."( A 6 month, prospective, observational study of PDE5 inhibitor treatment persistence and adherence in Latin American men with erectile dysfunction.
Borregales, L; Cairoli, C; Reyes, LA; Rubio-Aurioles, E; Sorsaburu, S, 2013
)
" Persistence was defined as use of ≥1 dose during the prior 4 weeks, adherence as compliance with dosing instructions during the most recent dose."( A 6-month, prospective, observational study of PDE5 inhibitor treatment persistence and adherence in Middle Eastern and North African men with erectile dysfunction.
Al-Mitwalli, K; El-Meliegy, A; Gurbuz, S; Hussein, T; Istarabadi, M; Lei, Y; Mostafa, T; Rabah, D, 2013
)
"01) with no dose-response effect."( Sildenafil exposure and hemodynamic effect after stage II single-ventricle surgery.
Barker, PC; Benjamin, DK; Cohen-Wolkowiez, M; Fleming, GA; Hill, KD; Laughon, M; Li, JS; Tunks, RD, 2013
)
" However, data to guide sildenafil dosing and weaning are limited."( Sildenafil weaning after discharge in infants with congenital diaphragmatic hernia.
Behrsin, J; Cheung, M; Patel, N, 2013
)
" After decreasing his anti-androgen dosage and starting a specified regimen of phosphodiesterase type 5 inhibitor therapy, his serum PSA levels were found to be elevated."( Prostate cancer risk after anti-androgen treatment for priapism.
Burnett, AL; Goetz, T, 2014
)
" Bosentan (1E-7 M) significantly attenuated combined ET-1/NE dose-response curves in PA (93."( Combination of sildenafil and bosentan for pulmonary hypertension in a human ex vivo model.
Hoenicka, M; Hofmann, HS; Liebold, A; Neu, R; Potzger, T; Ried, M; Sziklavari, Z; Szöke, T, 2014
)
"01) with no dose-response effect."( Sildenafil exposure and hemodynamic effect after Fontan surgery.
Barker, PC; Benjamin, DK; Cohen-Wolkowiez, M; Fleming, GA; Hill, KD; Laughon, M; Li, JS; Tunks, RD, 2014
)
" An orally disintegrating tablet (ODT) of sildenafil citrate has been developed for the benefit of patients who have difficulty swallowing solid dosage forms."( Pharmacokinetics of a novel orodispersible tablet of sildenafil in healthy subjects.
Coupe, A; Crownover, P; Damle, B; Duczynski, G; Jeffers, BW; LaBadie, RR, 2014
)
" Food and Drug Administration's warning against the use of sildenafil in pediatric patients, we aimed to provide an updated overview of the dosing and safety of sildenafil in infants and to explore the relevance of the present safety concerns to the infant population."( Safety of sildenafil in infants*.
Samiee-Zafarghandy, S; Smith, PB; van den Anker, JN, 2014
)
" The purpose of this study was to determine the optimal dosage and the effects of sildenafil on prognosis of patients with PH after left-sided valvular surgery."( Effects of sildenafil on prognosis in patients with pulmonary hypertension after left-sided valvular surgery.
Jiang, G; Li, B; Liu, Y; Xu, E; Xu, Z; Zhang, G, 2014
)
" Other regimens such as higher dosage prior to blast exposure and combination with other treatments deserve further investigation to optimize the therapeutic effects."( Therapeutic effect of sildenafil on blast-induced tinnitus and auditory impairment.
Hojjat, H; Kallakuri, S; Mahmood, G; Mei, Z; Pace, E; Zhang, JS, 2014
)
" We conducted a randomized, double-blind, placebo-controlled clinical trial to assess the efficacy and safety of sildenafil by a systematic dosing protocol to prevent recurrent ischemic priapism associated with sickle cell disease."( Randomized controlled trial of sildenafil for preventing recurrent ischemic priapism in sickle cell disease.
Anele, UA; Burnett, AL; Casella, JF; Strouse, JJ; Trueheart, IN, 2014
)
"Sildenafil use by systematic dosing may offer a strategy to prevent recurrent ischemic priapism in patients with sickle cell disease."( Randomized controlled trial of sildenafil for preventing recurrent ischemic priapism in sickle cell disease.
Anele, UA; Burnett, AL; Casella, JF; Strouse, JJ; Trueheart, IN, 2014
)
" Young male Wistar rats were dosed with extract at 100 mg/kg body weight for 28 days and its effects on sexual behavior and penile smooth muscle : collagen level were observed."( Effect of Cinnamomum cassia methanol extract and sildenafil on arginase and sexual function of young male Wistar rats.
Dethe, S; Goswami, SK; Inamdar, MN; Jamwal, R, 2014
)
" Persistence was defined as using ≥ 1 dose during the previous 4 - weeks, and adherence as following dosing instructions for the most recent dose, assessed using the Persistence and Adherence Questionnaire."( PDE5 inhibitor treatment persistence and adherence in Brazilian men: post-hoc analyses from a 6-month, prospective, observational study.
Cairoli, C; Henneges, C; Reyes, LA; Sorsaburu, S,
)
" Pulmonary absorption of nitrite was rapid and complete, and plasma exposure dose was proportional through the MTD dosage level of 90 mg, without accumulation following repeated inhalation."( Pharmacokinetics, pharmacodynamics, safety, and tolerability of nebulized sodium nitrite (AIR001) following repeat-dose inhalation in healthy subjects.
Alcorn, H; Attkins, NJ; Barker, GE; Bott, AW; Bradley, S; Gladwin, MT; Hoye, WL; Hussaini, A; Masamune, H; Parsley, EL; Rix, PJ; Shiva, S; Vick, A, 2015
)
" Sildenafil (SIL) and vardenafil (VAR) are approved for as-needed (PRN) dosing; tadalafil (TAD) is approved for both PRN and once-a-day (OaD) dosing for ED."( Comparative efficacy of tadalafil once daily in men with erectile dysfunction who demonstrated previous partial responses to as-needed sildenafil, tadalafil, or vardenafil.
Baygani, S; Burns, P; Goldfischer, E; Kim, E; Seftel, A, 2015
)
" The aim of this study was to assess the pharmacokinetic profile of sildenafil and boceprevir when dosed separately and together in healthy volunteers."( A Phase I study to assess the safety, tolerability and pharmacokinetic profile of boceprevir and sildenafil when dosed separately and together, in healthy male volunteers.
Back, D; Cooke, G; Else, L; Goldmeier, D; Khoo, S; Mears, A; Mora-Peris, B; Weston, R; Winston, A, 2015
)
" More recently, tadalafil has been introduced allowing once daily dosing with apparently similar efficacy to sildenafil in children."( Risk-benefit considerations when prescribing phosphodiesterase-5 inhibitors in children.
Bentley, S; Magee, AG; Makhecha, S, 2015
)
" All patients were able to perform sexual intercourse without the previously used dosage of PDE5 inhibitor."( Venous leakage treatment revisited: pelvic venoablation using aethoxysclerol under air block technique and Valsalva maneuver.
Herwig, R; Sansalone, S, 2015
)
"To evaluate the correlation between the dosage frequency of sildenafil and its treatment outcomes in men with erectile dysfunction (ED)."( Association Between Dosage Frequency and the Treatment Outcomes of Sildenafil in Young and Middle-aged Men With Erectile Dysfunction: A Chinese, Multicenter, Observational Study.
Hong, K; Jiang, H; Liu, R; Mao, J; Tang, W; Yang, Y; Zhao, L, 2015
)
"Nine hundred thirty-five patients were enrolled in the ≤1 weekly, 573 in the 2-3 weekly, and 158 in the 4-7 weekly dosage frequency cohorts."( Association Between Dosage Frequency and the Treatment Outcomes of Sildenafil in Young and Middle-aged Men With Erectile Dysfunction: A Chinese, Multicenter, Observational Study.
Hong, K; Jiang, H; Liu, R; Mao, J; Tang, W; Yang, Y; Zhao, L, 2015
)
"Higher dosage frequency of sildenafil is associated with a better improvement of sexual function and quality of life of men with ED, and the concomitant treatment of hyperlipidemia is recommended."( Association Between Dosage Frequency and the Treatment Outcomes of Sildenafil in Young and Middle-aged Men With Erectile Dysfunction: A Chinese, Multicenter, Observational Study.
Hong, K; Jiang, H; Liu, R; Mao, J; Tang, W; Yang, Y; Zhao, L, 2015
)
" The model was robust enough to allow prospective predictions of macitentan-drug combinations not studied, including an alternative dosing regimen of ketoconazole and nine other CYP3A4-interacting drugs."( Physiologically-Based Pharmacokinetic Modeling of Macitentan: Prediction of Drug-Drug Interactions.
Buchmann, S; de Kanter, R; Delahaye, S; Gnerre, C; Kohl, C; Segrestaa, J; Sidharta, PN; Treiber, A, 2016
)
" The cerebella of the mice were dissected and processed for immunohistochemistry, immunofluorescence (frozen), western blotting and dosage of cytokines (Elisa)."( Involvement of AMPK, IKβα-NFκB and eNOS in the sildenafil anti-inflammatory mechanism in a demyelination model.
Barbosa, KP; da Cruz-Höfling, MA; Luna, RL; Nunes, AK; Peixoto, CA; Rapôso, C; Rocha, SW, 2015
)
" More data are needed to determine the effectiveness and dosing of sildenafil in improving outcomes for term and premature infants."( Sildenafil in Term and Premature Infants: A Systematic Review.
Laughon, M; Perez, KM, 2015
)
" Despite a higher rate of concomitant diseases, patients in the higher dosage of sildenafil group had a better outcome in the average monthly frequency of sexual intercourse and sexual enjoyment compared with those in the lower dosage."( Effects of Two Different Dosages of Sildenafil on Patients With Erectile Dysfunction.
Bai, G; Davis, MR; Fang, Y; Ji, Z; Jiang, H; Li, H; Liu, D; Shi, B; Zhang, X; Zhu, Z, 2017
)
" This study demonstrates that nightly sildenafil citrate does not provide a therapeutic benefit for recovery of erectile function post-prostatectomy when compared to on-demand dosing using both self-reported as well as objective measures."( A prospective, randomized, placebo-controlled trial of on-Demand vs. nightly sildenafil citrate as assessed by Rigiscan and the international index of erectile function.
Cullen, J; Dean, RC; Hawksworth, DJ; Hurwitz, LM; Kim, DJ; Lue, TF; Rosner, IL, 2016
)
" It was designed to increase dosing practicality and decrease potential temporal non-adherence through circumventing the relatively complex temporal dosing scheme."( Single dose sublingual testosterone and oral sildenafil vs. a dual route/dual release fixed dose combination tablet: a pharmacokinetic comparison.
Bloemers, J; de Leede, L; Frijlink, HW; Koppeschaar, HP; Olivier, B; Tuiten, A; van Rooij, K, 2016
)
" From a patient perspective, it is anticipated that the film formulations of sildenafil citrate will provide a more compliant and discreet dosage form."( Bioequivalence of 2 Formulations of Sildenafil Oral Soluble Film 100 mg and Sildenafil Citrate (Viagra) 100 mg Oral Tablets in Healthy Male Volunteers.
Dadey, E,
)
" For sublingual application, sildenafil and its citrate were formulated in 2 different dosage forms: the first was a sublingual spray consisting of sildenafil in 2 microemulsion systems, oleic acid or propylene glycol (PG), and the second was sublingual tablets prepared with various granulated sublingual sprays adsorbed onto a silicate adsorbant (Florite(®) R), binders (Cyclocel(®) or EMDEX(®)), and disintegrants (Ac-Di-Sol(®) or Kollidon(®) CL)."( Rapid-Onset Sildenafil Sublingual Drug Delivery Systems: In Vitro Evaluation and In Vivo Pharmacokinetic Studies in Rabbits.
Chen, RN; Chou, PY; Ho, HO; Hsieh, CM; Sheu, MT, 2016
)
" Sildenafil inhibited 5-HT dose-response contraction curve mainly in PH+IPF and PH, but not in healthy donors."( Vascular effects of sildenafil in patients with pulmonary fibrosis and pulmonary hypertension: an ex vivo/in vitro study.
Artigues, E; Cortijo, J; Escrivá, J; Juan, G; Milara, J; Morcillo, E; Ortiz, JL, 2016
)
" Plasma samples were collected for 12 h after dosing and analyzed for sildenafil concentration."( Effects of Lemon and Seville Orange Juices on the Pharmacokinetic Properties of Sildenafil in Healthy Subjects.
Abdelkawy, KS; Donia, AM; Elbarbry, F; Turner, RB, 2016
)
"Even though experimental designs are becoming popular especially for conventional dosage forms, limited studies have been performed to optimize formulations of orally disintegrating films (ODFs)."( Formulation Optimization and in Vitro Characterization of Orally Disintegrating Films Using a Factorial Design and Mathematical Modeling for Drug Release.
Choi, DH; Jeong, SH; Lee, Y; Thapa, P; Woo, MH, 2017
)
"The practice of treating PAH patients with oral or intravenous sildenafil suffers from the limitations of short dosing intervals, peripheral vasodilation, unwanted side effects, and restricted use in pediatric patients."( Inhaled sildenafil as an alternative to oral sildenafil in the treatment of pulmonary arterial hypertension (PAH).
Ahsan, F; McMurtry, IF; Nozik-Grayck, E; Patel, B; Rashid, J; Stenmark, KR, 2017
)
"PAH patients receiving a stable combination treatment with ERA and PDE-5i with targeted dosage for at least 1 month were routinely assessed, including clinical parameters and plasma drug concentrations."( Plasma Drug Concentrations in Patients with Pulmonary Arterial Hypertension on Combination Treatment.
Benjamin, N; Burhenne, J; Egenlauf, B; Enderle, Y; Fischer, C; Grünig, E; Haefeli, WE; Harutyunova, S; Huppertz, A; Klose, H; Ohnesorge, J, 2017
)
"We extracted information on sildenafil dosing and clinical characteristics from electronic health records of 348 neonatal ICUs from 1997 to 2013, and we predicted drug exposure using a population pharmacokinetic model."( Association between oral sildenafil dosing, predicted exposure, and systemic hypotension in hospitalised infants.
Clark, RH; Cohen-Wolkowiez, M; Gonzalez, D; Hornik, CP; Laughon, MM; Onufrak, NJ; Smith, PB, 2018
)
" In multivariable analysis, neither dosing nor exposure were associated with systemic hypotension: odds ratio=0."( Association between oral sildenafil dosing, predicted exposure, and systemic hypotension in hospitalised infants.
Clark, RH; Cohen-Wolkowiez, M; Gonzalez, D; Hornik, CP; Laughon, MM; Onufrak, NJ; Smith, PB, 2018
)
"We found no association between sildenafil dosing or exposure with systemic hypotension."( Association between oral sildenafil dosing, predicted exposure, and systemic hypotension in hospitalised infants.
Clark, RH; Cohen-Wolkowiez, M; Gonzalez, D; Hornik, CP; Laughon, MM; Onufrak, NJ; Smith, PB, 2018
)
"Sildenafil and tadalafil are widely-used phosphodiesterase 5 (PDE5) inhibitors for which no clear dose-response relationship could be established."( Cyclic guanosine monophosphate modulates accumulation of phosphodiesterase 5 inhibitors in human platelets.
Bajraktari, G; Bugert, P; Burhenne, J; Haefeli, WE; Weiss, J, 2017
)
" Sildenafil has also been proven as an agent to decrease drug-efflux by cancer cells and increases blood perfusion to lung tissue, which can potentially increase the dosage of chemotherapeutic agents delivered to lung cancer cells compared to healthy tissue."( The Rationale for Repurposing Sildenafil for Lung Cancer Treatment.
Ashton, JC; Keats, T; Rosengren, RJ, 2018
)
" Because various PDE5Is vary in their duration of action and dosage regimen, this may be an important consideration in selecting the optimal agent for the ED patient."( Sexual habits of men with ED who take phosphodiesterase 5 inhibitors: a survey conducted in 7 countries.
Hassan, TA; Mulhall, JP; Rienow, J, 2018
)
" The time to sexual intercourse after dosing was ≤1 hour for 70% and ≤4 hours for 96% of men."( Sexual habits of men with ED who take phosphodiesterase 5 inhibitors: a survey conducted in 7 countries.
Hassan, TA; Mulhall, JP; Rienow, J, 2018
)
"Sildenafil citrate (SIL), a type 5-specific phosphodiesterase inhibitor, demonstrates valuable results in the management of infertility in women; however, the absence of vaginal dosage form in addition to the associated oral adverse effects minimize its clinical performance."( Novel in situ gelling vaginal sponges of sildenafil citrate-based cubosomes for uterine targeting.
Abdel-Razik, AH; Aboud, HM; Ali, AA; Hassan, AH, 2018
)
" Analysed dosage forms contained cyproheptadine and dexamethasone in concentrations higher than therapeutic doses."( Determination of synthetic pharmaceutical adulterants in herbal weight gain supplements sold in herb shops, Tehran, Iran.
Akhgari, M; Bahmanabadi, L; Bazmi, E; Mousavi, Z; Saberi, N, 2018
)
" Compared with the plain drugs, given via the pulmonary or oral route as a single or dual combination, PLGA particles of the drugs, although given at a longer dosing interval compared with the plain drugs, caused more pronounced reduction in mPAP without affecting mean systemic pressure, improved cardiac function, slowed down right heart remodeling, and reduced arterial muscularization."( Inhaled combination of sildenafil and rosiglitazone improves pulmonary hemodynamics, cardiac function, and arterial remodeling.
Ahsan, F; McMurtry, IF; Nozik-Grayck, E; Rashid, J; Stenmark, KR, 2019
)
" The proposed method of microtomographic image analysis and processing enables to identify solid dosage forms, including those that are an accurate chemical copy, with high sensitivity and specificity, 94."( The use of microtomographic imaging in the identification of counterfeit medicines.
Błońska-Fajfrowska, B; Deda, A; Duda, P; Ivanova, D; Kiselova-Kaneva, Y; Koprowski, R; Stolecka-Warzecha, A; Wilczyński, S, 2019
)
" We aimed to determine if initial enteral sildenafil dosing is safe in children receiving concurrent vasoactive infusions."( Safety of enteral sildenafil in hemodynamically unstable children.
Beckman, EJ; Bednarz, AM; Israel, EN; Johansen, M; Thomas, CA, 2019
)
" Herein, we have successfully modeled the U-shaped sildenafil dose-response in vitro and utilized this model to assess potential mechanisms of this dose-response relationship."( Biphasic Effect of Sildenafil on Energy Sensing is Mediated by Phosphodiesterases 2 and 3 in Adipocytes and Hepatocytes.
Banerjee, J; Bruckbauer, A; Thorpe, T; Zemel, MB, 2019
)
" Future studies of dosing and efficacy that target different regimens of sildenafil are warranted before sildenafil is recommended for the prevention of BPD."( Prophylactic Sildenafil in Preterm Infants at Risk of Bronchopulmonary Dysplasia: A Pilot Randomized, Double-Blinded, Placebo-Controlled Trial.
Abounahia, FF; Abounahia, MF; Abu-Ghalwa, M; Abu-Jarir, R; Abushanab, D; Al-Badriyeh, D; Al-Rifai, H; Kurdi, B; Mansour, A, 2019
)
"We successfully characterized the PK of sildenafil and DMS in premature infants and applied the model to inform dosing for a follow-up, phase II study."( Population pharmacokinetics of sildenafil in extremely premature infants.
Ambalavanan, N; Atz, A; Cohen-Wolkowiez, M; Gaedigk, R; Ge, S; Gonzalez, D; Hornik, CD; Hornik, CP; Laughon, MM; Martz, K; Mills, M; Mundakel, G; Poindexter, BB; Smith, PB; Sokol, GM; Stewart, D, 2019
)
" The dosing situation under the tested fasting condition does not represent the expected common use of this product."( The Effect of Food on the Pharmacokinetics of Sildenafil after Single Administration of a Sublingual Testosterone and Oral Sildenafil Combination Tablet in Healthy Female Subjects.
Bloemers, J; de Leede, L; Frijlink, HW; Gerritsen, J; Koppeschaar, HPF; Olivier, B; Tuiten, A; van der Geest, R; van Rooij, K, 2019
)
"6 mg/kg/day, iNO is dosed at 20 ppm."( The CoDiNOS trial protocol: an international randomised controlled trial of intravenous sildenafil versus inhaled nitric oxide for the treatment of pulmonary hypertension in neonates with congenital diaphragmatic hernia.
Allegaert, K; Cochius-den Otter, S; Greenough, A; Patel, N; Schaible, T; Tibboel, D; van Heijst, A; van Rosmalen, J, 2019
)
"Increased ciliary beat frequency occurred after a single dose of 40 mg sildenafil and after extended dosing of 40 mg sildenafil."( The effects of sildenafil on ciliary beat frequency in patients with pulmonary non-tuberculous mycobacteria disease: phase I/II trial.
Barnhart, L; Bryant, C; Fowler, C; Holland, SM; Olivier, K; Shaffer, R; Smith, C; Wu, UI, 2020
)
" These findings suggest that the formulations developed here presented the potential to enhance drug oral absorption with the possibility to control drug dosage as they are liquid pharmaceutical formulations."( In Silico studies of novel Sildenafil self-emulsifying drug delivery system absorption improvement for pulmonary arterial hypertension.
Abrahim-Vieira, BA; Abreu, LCL; Barros, RC; Cabral, LM; Carmo, FAD; HonÓrio, TS; Moreira, RSS; Rodrigues, CR; Sousa, VP; Souza, AMT, 2020
)
"In order to evaluate the bioequivalence and benefits of a new dosage form of the type 5 phosphodiesterase inhibitor, sildenafil, two open-label studies in healthy male volunteers were carried out."( [Pharmacokinetic features of sildenafil spray in healthy men depending on food intake].
Krivoborodov, GG; Rodionov, GG; Vasilyuk, VB; Vetrova, MV; Zakharov, KA, 2020
)
"An open, randomized, crossover study to compare the pharmacokinetics after a single dose of sildenafil at a dosage of 50 mg on an empty stomach in a new spray form (test drug) and in a traditional tablet form (comparison drug) on 44 volunteers (18 to 43 years old) was done."( [Pharmacokinetic features of sildenafil spray in healthy men depending on food intake].
Krivoborodov, GG; Rodionov, GG; Vasilyuk, VB; Vetrova, MV; Zakharov, KA, 2020
)
" In addition, it was shown that when taking Viagra after a meal, the determination of sildenafil in plasma was delayed (after 30 minutes) compared to the tested drugs (after 10 minutes), however, significant differences in Tmax between the dosage forms were not seen."( [Pharmacokinetic features of sildenafil spray in healthy men depending on food intake].
Krivoborodov, GG; Rodionov, GG; Vasilyuk, VB; Vetrova, MV; Zakharov, KA, 2020
)
"The bioavailability of the new dosage form, the sildenafil spray, is equivalent to the traditional form, however, it has an advantage in terms of onset of action."( [Pharmacokinetic features of sildenafil spray in healthy men depending on food intake].
Krivoborodov, GG; Rodionov, GG; Vasilyuk, VB; Vetrova, MV; Zakharov, KA, 2020
)
"Our results suggest that the new dosage form of sildenafil is a reliable alternative therapeutic option for the treatment of erectile dysfunction."( [Pharmacokinetic features of sildenafil spray in healthy men depending on food intake].
Krivoborodov, GG; Rodionov, GG; Vasilyuk, VB; Vetrova, MV; Zakharov, KA, 2020
)
" And also sildenafil as a PDE-5 inhibitor could be used as additive treatment in combination with cisplatin to make a reduction in cisplatin dosage and its side effects."( Sildenafil enhances cisplatin-induced apoptosis in human breast adenocarcinoma cells.
Ayoubzadeh, N; Azimi, AI; Goudarzi, KA; Hassanvand, F; Hassanzadeh, N; Khodamoradi, M; Mirzaei, HR; Mohammadi, T; Pourghadamyari, H; Sanikhani, NS; Tavakoli, A; Zaimy, MA,
)
"Sildenafil is a widely used drug for the treatment of erectile dysfunction in a dosage ranging from 50 to 100 mg per day."( Sildenafil Misuse for its Psychoactive Properties? A Case Report.
Bhad, R; Mathur, R; Parmar, A; Rajpurohit, SS; Rao, R; Tundup, T,
)
" Rapid-dissolving tablets are relatively novel dosage forms that can be prepared by extemporaneous compounding and potentially provide unique advantages for medications like sildenafil."( Physical-chemical Stability of Compounded Sildenafil 100-mg Rapid-dissolving Tablets.
Cheung, M; Dave, VS; Zhao, F,
)
" The study concluded that SC-loaded LPMs could provide better therapeutic efficacy, reduced dosing frequency, and enhanced patient compliance."( Formulation and optimization of sildenafil citrate-loaded PLGA large porous microparticles using spray freeze-drying technique: A factorial design and in-vivo pharmacokinetic study.
Chablani, L; Chougule, MB; Mahmoud, AA; Mansour, SM; Shahin, H; Vinjamuri, BP, 2021
)
" An analysis of drug exposure-time and high-resolution response-time data of HR and mean arterial blood pressure was performed after acute oral dosing of ivabradine, sildenafil, dofetilide, and pimobendan in Han-Wistar rats."( An Integrative Approach for Improved Assessment of Cardiovascular Safety Data.
Gabrielsson, J; Jirstrand, M; Martel, E; Pairet, N; Scheuerer, S; Wallman, M, 2021
)
"We suggested six simple, precise, and sensitive spectrophotometric methods based on mathematical filtration techniques and ratio spectra manipulations to resolve the spectra of DAP and SIL in their bulk and combined pharmaceutical dosage form and estimate the relevant individual concentrations."( Spectral analysis of severely overlapping spectra based on newly developed mathematical filtration techniques and ratio spectra manipulations: An application to the concurrent determination of dapoxetine and sildenafil in combined dosage form.
Abd El-Hay, SS; Attala, K; Eissa, MS; El-Henawee, MM, 2021
)
"We determined the performance of the suggested methods for estimating DAP and SIL in their laboratory mixtures and their combined pharmaceutical dosage form."( Spectral analysis of severely overlapping spectra based on newly developed mathematical filtration techniques and ratio spectra manipulations: An application to the concurrent determination of dapoxetine and sildenafil in combined dosage form.
Abd El-Hay, SS; Attala, K; Eissa, MS; El-Henawee, MM, 2021
)
"The combination of XMA and SIL can improve the efficacy of pulmonary hypertension and reduce the dosage of SIL."( Xinmai 'an extract enhances the efficacy of sildenafil in the treatment of pulmonary arterial hypertension via inhibiting MAPK signalling pathway.
Li, C; Li, G; Sun, Y; Zhang, S; Zhao, B; Zhao, Y; Zhu, Y, 2021
)
"Intravenous (IV) sildenafil may be administered as a continuous infusion or intermittent bolus dosing in infants with pulmonary hypertension (PH)."( Continuous and intermittent administration of intravenous sildenafil in critically ill infants with pulmonary hypertension.
Burns, J; Cerise, JE; Hayes, DA; Kulkarni, A; Molina Berganza, F; Sharma, C, 2021
)
"Therefore, solid SNEDDS could be recommended as an oral dosage form for enhancing the oral bioavailability of sildenafil."( Comparison of Three Different Aqueous Microenvironments for Enhancing Oral Bioavailability of Sildenafil: Solid Self-Nanoemulsifying Drug Delivery System, Amorphous Microspheres and Crystalline Microspheres.
Cheon, S; Choi, HG; Din, FU; Ji, SH; Jin, SG; Kim, DS; Kim, JO; Kim, JS; Lee, SM; Lim, SJ; Oh, KT; Woo, MR; Youn, YS, 2021
)
" The article also discusses the methods for preparation of lodenafil, its physical-chemical properties, analytical methods for its determination, pharmacological-toxicological properties, and dosing information."( Lodenafil.
Al-Majed, AA; Alshehri, YM; Attwa, MW; Bakheit, AH, 2022
)
" Unfortunately, SC was commonly found in oral, injection, and transdermal dosage forms with some limitations, mainly related to low oral bioavailability caused by the occurrence of first-pass metabolism in the liver, and poor patient comfort and compliance."( Hydrogel forming microneedle-mediated transdermal delivery of sildenafil citrate from polyethylene glycol reservoir: An ex vivo proof of concept study.
Afika, N; Asri, RM; Elim, D; Fitri, AMN; Mahfud, MAS; Permana, AD; Sultan, NAF, 2023
)
"Gastroretentive drug delivery systems (GRDDS) are modified-release dosage forms designed to prolong their residence time in the upper gastrointestinal tract, where some drugs are preferentially absorbed, and increase the drug bioavailability."( Model-Informed drug development of gastroretentive release systems for sildenafil citrate.
Diniz, A; Miriam de Souza Lima, M; Novaes Borges, L; Pinheiro de Souza, F; Sonego Zimmermann, E; Tafet Carminato Silva, R; Villa Nova, M, 2023
)
" In group I (n=30), patients took a dispersible form of the drug sildenafil, 50 mg ("Ridzhamp") 60 minutes before sexual intercourse; in group II (n=30), a standard form of the drug sildenafil was prescribed at a dosage of 50 mg, 60 minutes before sexual intercourse."( [Evaluation of the efficiency and safety of the dispersed form of sildenafil (50 mg) in males with erectile dysfunction].
Al-Shukri, AS; Dub, NI; Konyushiy, VS; Maksimova, AV; Petrov, SB, 2023
)
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Roles (2)

RoleDescription
vasodilator agentA drug used to cause dilation of the blood vessels.
EC 3.1.4.35 (3',5'-cyclic-GMP phosphodiesterase) inhibitorAn EC 3.1.4.* (phosphoric diester hydrolase) inhibitor that blocks the action of 3',5'-cyclic-GMP phosphodiesterase (EC 3.1.4.35).
[role information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Drug Classes (1)

ClassDescription
citrate saltA salt of citric acid.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Protein Targets (34)

Potency Measurements

ProteinTaxonomyMeasurementAverage (µ)Min (ref.)Avg (ref.)Max (ref.)Bioassay(s)
GLI family zinc finger 3Homo sapiens (human)Potency6.31910.000714.592883.7951AID1259369; AID1259392
AR proteinHomo sapiens (human)Potency10.13540.000221.22318,912.5098AID1259243; AID1259247; AID1259381
nuclear receptor subfamily 1, group I, member 3Homo sapiens (human)Potency29.84930.001022.650876.6163AID1224838
progesterone receptorHomo sapiens (human)Potency16.08340.000417.946075.1148AID1346784; AID1347036
cytochrome P450 family 3 subfamily A polypeptide 4Homo sapiens (human)Potency2.75400.01237.983543.2770AID1645841
glucocorticoid receptor [Homo sapiens]Homo sapiens (human)Potency1.60930.000214.376460.0339AID720691; AID720692
retinoic acid nuclear receptor alpha variant 1Homo sapiens (human)Potency21.21550.003041.611522,387.1992AID1159552; AID1159553; AID1159555
estrogen-related nuclear receptor alphaHomo sapiens (human)Potency5.76610.001530.607315,848.9004AID1224841; AID1224849; AID1259401
pregnane X nuclear receptorHomo sapiens (human)Potency12.23620.005428.02631,258.9301AID1346982; AID1346985
estrogen nuclear receptor alphaHomo sapiens (human)Potency26.83250.000229.305416,493.5996AID743069
GVesicular stomatitis virusPotency27.54040.01238.964839.8107AID1645842
nuclear receptor subfamily 1, group I, member 2Rattus norvegicus (Norway rat)Potency22.38720.10009.191631.6228AID1346983
potassium voltage-gated channel subfamily H member 2 isoform dHomo sapiens (human)Potency14.12540.01789.637444.6684AID588834
Interferon betaHomo sapiens (human)Potency27.54040.00339.158239.8107AID1645842
HLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)Potency27.54040.01238.964839.8107AID1645842
Inositol hexakisphosphate kinase 1Homo sapiens (human)Potency27.54040.01238.964839.8107AID1645842
cytochrome P450 2C9, partialHomo sapiens (human)Potency27.54040.01238.964839.8107AID1645842
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Inhibition Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
ATP-binding cassette sub-family C member 3Homo sapiens (human)IC50 (µMol)133.00000.63154.45319.3000AID1473740
Multidrug resistance-associated protein 4Homo sapiens (human)IC50 (µMol)26.80000.20005.677410.0000AID1473741
cGMP-specific 3',5'-cyclic phosphodiesteraseHomo sapiens (human)IC50 (µMol)0.00360.00001.18439.6140AID1446346; AID158099; AID634183
Bile salt export pumpHomo sapiens (human)IC50 (µMol)132.00000.11007.190310.0000AID1473738
Canalicular multispecific organic anion transporter 1Homo sapiens (human)IC50 (µMol)133.00002.41006.343310.0000AID1473739
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Other Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Carbonic anhydrase 12Homo sapiens (human)KA73.00000.24000.81921.6700AID431566
Carbonic anhydrase 1Homo sapiens (human)KA1.08000.02001.72197.4000AID431557
Carbonic anhydrase 2Homo sapiens (human)KA31.30000.01101.42737.8000AID431558
Carbonic anhydrase 3Homo sapiens (human)KA13.40000.09100.72851.1200AID431559
Carbonic anhydrase 4Homo sapiens (human)KA15.20000.07904.45607.3000AID431560
Carbonic anhydrase 6Homo sapiens (human)KA2.37001.20005.82769.5400AID431563
Carbonic anhydrase 5A, mitochondrialHomo sapiens (human)KA16.80000.01002.79269.8100AID431561
Carbonic anhydrase 7Homo sapiens (human)KA72.90000.71003.875610.0000AID431564
Carbonic anhydrase 9Homo sapiens (human)KA34.00000.00904.24939.7100AID431565
Carbonic anhydrase 13Mus musculus (house mouse)KA27.50000.01301.51404.6000AID431567
Carbonic anhydrase 14Homo sapiens (human)KA32.40000.01002.28947.2100AID431568
Carbonic anhydrase 5B, mitochondrialHomo sapiens (human)KA6.54000.04402.120510.0000AID431562
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (115)

Processvia Protein(s)Taxonomy
xenobiotic metabolic processATP-binding cassette sub-family C member 3Homo sapiens (human)
xenobiotic transmembrane transportATP-binding cassette sub-family C member 3Homo sapiens (human)
bile acid and bile salt transportATP-binding cassette sub-family C member 3Homo sapiens (human)
glucuronoside transportATP-binding cassette sub-family C member 3Homo sapiens (human)
xenobiotic transportATP-binding cassette sub-family C member 3Homo sapiens (human)
transmembrane transportATP-binding cassette sub-family C member 3Homo sapiens (human)
leukotriene transportATP-binding cassette sub-family C member 3Homo sapiens (human)
monoatomic anion transmembrane transportATP-binding cassette sub-family C member 3Homo sapiens (human)
transport across blood-brain barrierATP-binding cassette sub-family C member 3Homo sapiens (human)
prostaglandin secretionMultidrug resistance-associated protein 4Homo sapiens (human)
cilium assemblyMultidrug resistance-associated protein 4Homo sapiens (human)
platelet degranulationMultidrug resistance-associated protein 4Homo sapiens (human)
xenobiotic metabolic processMultidrug resistance-associated protein 4Homo sapiens (human)
xenobiotic transmembrane transportMultidrug resistance-associated protein 4Homo sapiens (human)
bile acid and bile salt transportMultidrug resistance-associated protein 4Homo sapiens (human)
prostaglandin transportMultidrug resistance-associated protein 4Homo sapiens (human)
urate transportMultidrug resistance-associated protein 4Homo sapiens (human)
glutathione transmembrane transportMultidrug resistance-associated protein 4Homo sapiens (human)
transmembrane transportMultidrug resistance-associated protein 4Homo sapiens (human)
cAMP transportMultidrug resistance-associated protein 4Homo sapiens (human)
leukotriene transportMultidrug resistance-associated protein 4Homo sapiens (human)
monoatomic anion transmembrane transportMultidrug resistance-associated protein 4Homo sapiens (human)
export across plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
transport across blood-brain barrierMultidrug resistance-associated protein 4Homo sapiens (human)
guanine nucleotide transmembrane transportMultidrug resistance-associated protein 4Homo sapiens (human)
estrous cycleCarbonic anhydrase 12Homo sapiens (human)
chloride ion homeostasisCarbonic anhydrase 12Homo sapiens (human)
one-carbon metabolic processCarbonic anhydrase 12Homo sapiens (human)
positive regulation of cardiac muscle hypertrophycGMP-specific 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
regulation of nitric oxide mediated signal transductioncGMP-specific 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
T cell proliferationcGMP-specific 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
negative regulation of T cell proliferationcGMP-specific 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
cGMP catabolic processcGMP-specific 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
oocyte developmentcGMP-specific 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
negative regulation of cardiac muscle contractioncGMP-specific 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
relaxation of cardiac musclecGMP-specific 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
positive regulation of oocyte developmentcGMP-specific 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
cAMP-mediated signalingcGMP-specific 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
fatty acid metabolic processBile salt export pumpHomo sapiens (human)
bile acid biosynthetic processBile salt export pumpHomo sapiens (human)
xenobiotic metabolic processBile salt export pumpHomo sapiens (human)
xenobiotic transmembrane transportBile salt export pumpHomo sapiens (human)
response to oxidative stressBile salt export pumpHomo sapiens (human)
bile acid metabolic processBile salt export pumpHomo sapiens (human)
response to organic cyclic compoundBile salt export pumpHomo sapiens (human)
bile acid and bile salt transportBile salt export pumpHomo sapiens (human)
canalicular bile acid transportBile salt export pumpHomo sapiens (human)
protein ubiquitinationBile salt export pumpHomo sapiens (human)
regulation of fatty acid beta-oxidationBile salt export pumpHomo sapiens (human)
carbohydrate transmembrane transportBile salt export pumpHomo sapiens (human)
bile acid signaling pathwayBile salt export pumpHomo sapiens (human)
cholesterol homeostasisBile salt export pumpHomo sapiens (human)
response to estrogenBile salt export pumpHomo sapiens (human)
response to ethanolBile salt export pumpHomo sapiens (human)
xenobiotic export from cellBile salt export pumpHomo sapiens (human)
lipid homeostasisBile salt export pumpHomo sapiens (human)
phospholipid homeostasisBile salt export pumpHomo sapiens (human)
positive regulation of bile acid secretionBile salt export pumpHomo sapiens (human)
regulation of bile acid metabolic processBile salt export pumpHomo sapiens (human)
transmembrane transportBile salt export pumpHomo sapiens (human)
one-carbon metabolic processCarbonic anhydrase 1Homo sapiens (human)
morphogenesis of an epitheliumCarbonic anhydrase 2Homo sapiens (human)
positive regulation of synaptic transmission, GABAergicCarbonic anhydrase 2Homo sapiens (human)
positive regulation of cellular pH reductionCarbonic anhydrase 2Homo sapiens (human)
angiotensin-activated signaling pathwayCarbonic anhydrase 2Homo sapiens (human)
regulation of monoatomic anion transportCarbonic anhydrase 2Homo sapiens (human)
secretionCarbonic anhydrase 2Homo sapiens (human)
regulation of intracellular pHCarbonic anhydrase 2Homo sapiens (human)
neuron cellular homeostasisCarbonic anhydrase 2Homo sapiens (human)
positive regulation of dipeptide transmembrane transportCarbonic anhydrase 2Homo sapiens (human)
regulation of chloride transportCarbonic anhydrase 2Homo sapiens (human)
carbon dioxide transportCarbonic anhydrase 2Homo sapiens (human)
one-carbon metabolic processCarbonic anhydrase 2Homo sapiens (human)
cell surface receptor signaling pathway via JAK-STATInterferon betaHomo sapiens (human)
response to exogenous dsRNAInterferon betaHomo sapiens (human)
B cell activation involved in immune responseInterferon betaHomo sapiens (human)
cell surface receptor signaling pathwayInterferon betaHomo sapiens (human)
cell surface receptor signaling pathway via JAK-STATInterferon betaHomo sapiens (human)
response to virusInterferon betaHomo sapiens (human)
positive regulation of autophagyInterferon betaHomo sapiens (human)
cytokine-mediated signaling pathwayInterferon betaHomo sapiens (human)
natural killer cell activationInterferon betaHomo sapiens (human)
positive regulation of peptidyl-serine phosphorylation of STAT proteinInterferon betaHomo sapiens (human)
cellular response to interferon-betaInterferon betaHomo sapiens (human)
B cell proliferationInterferon betaHomo sapiens (human)
negative regulation of viral genome replicationInterferon betaHomo sapiens (human)
innate immune responseInterferon betaHomo sapiens (human)
positive regulation of innate immune responseInterferon betaHomo sapiens (human)
regulation of MHC class I biosynthetic processInterferon betaHomo sapiens (human)
negative regulation of T cell differentiationInterferon betaHomo sapiens (human)
positive regulation of transcription by RNA polymerase IIInterferon betaHomo sapiens (human)
defense response to virusInterferon betaHomo sapiens (human)
type I interferon-mediated signaling pathwayInterferon betaHomo sapiens (human)
neuron cellular homeostasisInterferon betaHomo sapiens (human)
cellular response to exogenous dsRNAInterferon betaHomo sapiens (human)
cellular response to virusInterferon betaHomo sapiens (human)
negative regulation of Lewy body formationInterferon betaHomo sapiens (human)
negative regulation of T-helper 2 cell cytokine productionInterferon betaHomo sapiens (human)
positive regulation of apoptotic signaling pathwayInterferon betaHomo sapiens (human)
response to exogenous dsRNAInterferon betaHomo sapiens (human)
B cell differentiationInterferon betaHomo sapiens (human)
natural killer cell activation involved in immune responseInterferon betaHomo sapiens (human)
adaptive immune responseInterferon betaHomo sapiens (human)
T cell activation involved in immune responseInterferon betaHomo sapiens (human)
humoral immune responseInterferon betaHomo sapiens (human)
positive regulation of T cell mediated cytotoxicityHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
adaptive immune responseHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
antigen processing and presentation of endogenous peptide antigen via MHC class I via ER pathway, TAP-independentHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
regulation of T cell anergyHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
defense responseHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
immune responseHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
detection of bacteriumHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
regulation of interleukin-12 productionHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
regulation of interleukin-6 productionHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
protection from natural killer cell mediated cytotoxicityHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
innate immune responseHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
regulation of dendritic cell differentiationHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
antigen processing and presentation of endogenous peptide antigen via MHC class IbHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
response to bacteriumCarbonic anhydrase 3Homo sapiens (human)
one-carbon metabolic processCarbonic anhydrase 3Homo sapiens (human)
bicarbonate transportCarbonic anhydrase 4Homo sapiens (human)
one-carbon metabolic processCarbonic anhydrase 4Homo sapiens (human)
detection of chemical stimulus involved in sensory perception of bitter tasteCarbonic anhydrase 6Homo sapiens (human)
one-carbon metabolic processCarbonic anhydrase 6Homo sapiens (human)
one-carbon metabolic processCarbonic anhydrase 5A, mitochondrialHomo sapiens (human)
positive regulation of synaptic transmission, GABAergicCarbonic anhydrase 7Homo sapiens (human)
positive regulation of cellular pH reductionCarbonic anhydrase 7Homo sapiens (human)
neuron cellular homeostasisCarbonic anhydrase 7Homo sapiens (human)
regulation of chloride transportCarbonic anhydrase 7Homo sapiens (human)
regulation of intracellular pHCarbonic anhydrase 7Homo sapiens (human)
one-carbon metabolic processCarbonic anhydrase 7Homo sapiens (human)
response to hypoxiaCarbonic anhydrase 9Homo sapiens (human)
morphogenesis of an epitheliumCarbonic anhydrase 9Homo sapiens (human)
response to xenobiotic stimulusCarbonic anhydrase 9Homo sapiens (human)
response to testosteroneCarbonic anhydrase 9Homo sapiens (human)
secretionCarbonic anhydrase 9Homo sapiens (human)
one-carbon metabolic processCarbonic anhydrase 9Homo sapiens (human)
inositol phosphate metabolic processInositol hexakisphosphate kinase 1Homo sapiens (human)
phosphatidylinositol phosphate biosynthetic processInositol hexakisphosphate kinase 1Homo sapiens (human)
negative regulation of cold-induced thermogenesisInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol phosphate biosynthetic processInositol hexakisphosphate kinase 1Homo sapiens (human)
xenobiotic metabolic processCanalicular multispecific organic anion transporter 1Homo sapiens (human)
xenobiotic transmembrane transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
negative regulation of gene expressionCanalicular multispecific organic anion transporter 1Homo sapiens (human)
bile acid and bile salt transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
bilirubin transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
heme catabolic processCanalicular multispecific organic anion transporter 1Homo sapiens (human)
xenobiotic export from cellCanalicular multispecific organic anion transporter 1Homo sapiens (human)
transmembrane transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
transepithelial transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
leukotriene transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
monoatomic anion transmembrane transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
transport across blood-brain barrierCanalicular multispecific organic anion transporter 1Homo sapiens (human)
xenobiotic transport across blood-brain barrierCanalicular multispecific organic anion transporter 1Homo sapiens (human)
one-carbon metabolic processCarbonic anhydrase 14Homo sapiens (human)
response to bacteriumCarbonic anhydrase 5B, mitochondrialHomo sapiens (human)
one-carbon metabolic processCarbonic anhydrase 5B, mitochondrialHomo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (52)

Processvia Protein(s)Taxonomy
ATP bindingATP-binding cassette sub-family C member 3Homo sapiens (human)
ABC-type xenobiotic transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
glucuronoside transmembrane transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ABC-type glutathione S-conjugate transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ABC-type bile acid transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ATP hydrolysis activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ATPase-coupled transmembrane transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
xenobiotic transmembrane transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ATPase-coupled inorganic anion transmembrane transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
icosanoid transmembrane transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ABC-type transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
guanine nucleotide transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
protein bindingMultidrug resistance-associated protein 4Homo sapiens (human)
ATP bindingMultidrug resistance-associated protein 4Homo sapiens (human)
ABC-type xenobiotic transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
prostaglandin transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
urate transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
purine nucleotide transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
ABC-type glutathione S-conjugate transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
ABC-type bile acid transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
efflux transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
15-hydroxyprostaglandin dehydrogenase (NAD+) activityMultidrug resistance-associated protein 4Homo sapiens (human)
ATP hydrolysis activityMultidrug resistance-associated protein 4Homo sapiens (human)
glutathione transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
ATPase-coupled transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
xenobiotic transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
ATPase-coupled inorganic anion transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
ABC-type transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
zinc ion bindingCarbonic anhydrase 12Homo sapiens (human)
carbonate dehydratase activityCarbonic anhydrase 12Homo sapiens (human)
3',5'-cyclic-nucleotide phosphodiesterase activitycGMP-specific 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
protein bindingcGMP-specific 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
cGMP bindingcGMP-specific 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
metal ion bindingcGMP-specific 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
3',5'-cyclic-GMP phosphodiesterase activitycGMP-specific 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
3',5'-cyclic-AMP phosphodiesterase activitycGMP-specific 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
protein bindingBile salt export pumpHomo sapiens (human)
ATP bindingBile salt export pumpHomo sapiens (human)
ABC-type xenobiotic transporter activityBile salt export pumpHomo sapiens (human)
bile acid transmembrane transporter activityBile salt export pumpHomo sapiens (human)
canalicular bile acid transmembrane transporter activityBile salt export pumpHomo sapiens (human)
carbohydrate transmembrane transporter activityBile salt export pumpHomo sapiens (human)
ABC-type bile acid transporter activityBile salt export pumpHomo sapiens (human)
ATP hydrolysis activityBile salt export pumpHomo sapiens (human)
arylesterase activityCarbonic anhydrase 1Homo sapiens (human)
carbonate dehydratase activityCarbonic anhydrase 1Homo sapiens (human)
protein bindingCarbonic anhydrase 1Homo sapiens (human)
zinc ion bindingCarbonic anhydrase 1Homo sapiens (human)
hydro-lyase activityCarbonic anhydrase 1Homo sapiens (human)
cyanamide hydratase activityCarbonic anhydrase 1Homo sapiens (human)
arylesterase activityCarbonic anhydrase 2Homo sapiens (human)
carbonate dehydratase activityCarbonic anhydrase 2Homo sapiens (human)
protein bindingCarbonic anhydrase 2Homo sapiens (human)
zinc ion bindingCarbonic anhydrase 2Homo sapiens (human)
cyanamide hydratase activityCarbonic anhydrase 2Homo sapiens (human)
cytokine activityInterferon betaHomo sapiens (human)
cytokine receptor bindingInterferon betaHomo sapiens (human)
type I interferon receptor bindingInterferon betaHomo sapiens (human)
protein bindingInterferon betaHomo sapiens (human)
chloramphenicol O-acetyltransferase activityInterferon betaHomo sapiens (human)
TAP bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
signaling receptor bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
protein bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
peptide antigen bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
TAP bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
protein-folding chaperone bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
carbonate dehydratase activityCarbonic anhydrase 3Homo sapiens (human)
protein bindingCarbonic anhydrase 3Homo sapiens (human)
zinc ion bindingCarbonic anhydrase 3Homo sapiens (human)
nickel cation bindingCarbonic anhydrase 3Homo sapiens (human)
protein bindingCarbonic anhydrase 4Homo sapiens (human)
zinc ion bindingCarbonic anhydrase 4Homo sapiens (human)
carbonate dehydratase activityCarbonic anhydrase 4Homo sapiens (human)
zinc ion bindingCarbonic anhydrase 6Homo sapiens (human)
carbonate dehydratase activityCarbonic anhydrase 6Homo sapiens (human)
carbonate dehydratase activityCarbonic anhydrase 5A, mitochondrialHomo sapiens (human)
zinc ion bindingCarbonic anhydrase 5A, mitochondrialHomo sapiens (human)
zinc ion bindingCarbonic anhydrase 7Homo sapiens (human)
carbonate dehydratase activityCarbonic anhydrase 7Homo sapiens (human)
carbonate dehydratase activityCarbonic anhydrase 9Homo sapiens (human)
protein bindingCarbonic anhydrase 9Homo sapiens (human)
zinc ion bindingCarbonic anhydrase 9Homo sapiens (human)
molecular function activator activityCarbonic anhydrase 9Homo sapiens (human)
inositol-1,3,4,5,6-pentakisphosphate kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol hexakisphosphate kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol heptakisphosphate kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol hexakisphosphate 5-kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
protein bindingInositol hexakisphosphate kinase 1Homo sapiens (human)
ATP bindingInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol hexakisphosphate 1-kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol hexakisphosphate 3-kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol 5-diphosphate pentakisphosphate 5-kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol diphosphate tetrakisphosphate kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
protein bindingCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ATP bindingCanalicular multispecific organic anion transporter 1Homo sapiens (human)
organic anion transmembrane transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ABC-type xenobiotic transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
bilirubin transmembrane transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ABC-type glutathione S-conjugate transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ATP hydrolysis activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ATPase-coupled transmembrane transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
xenobiotic transmembrane transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ATPase-coupled inorganic anion transmembrane transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ABC-type transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
zinc ion bindingCarbonic anhydrase 14Homo sapiens (human)
carbonate dehydratase activityCarbonic anhydrase 14Homo sapiens (human)
carbonate dehydratase activityCarbonic anhydrase 5B, mitochondrialHomo sapiens (human)
zinc ion bindingCarbonic anhydrase 5B, mitochondrialHomo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (44)

Processvia Protein(s)Taxonomy
plasma membraneATP-binding cassette sub-family C member 3Homo sapiens (human)
basal plasma membraneATP-binding cassette sub-family C member 3Homo sapiens (human)
basolateral plasma membraneATP-binding cassette sub-family C member 3Homo sapiens (human)
membraneATP-binding cassette sub-family C member 3Homo sapiens (human)
nucleolusMultidrug resistance-associated protein 4Homo sapiens (human)
Golgi apparatusMultidrug resistance-associated protein 4Homo sapiens (human)
plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
membraneMultidrug resistance-associated protein 4Homo sapiens (human)
basolateral plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
apical plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
platelet dense granule membraneMultidrug resistance-associated protein 4Homo sapiens (human)
external side of apical plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
plasma membraneCarbonic anhydrase 12Homo sapiens (human)
membraneCarbonic anhydrase 12Homo sapiens (human)
basolateral plasma membraneCarbonic anhydrase 12Homo sapiens (human)
apical plasma membraneCarbonic anhydrase 12Homo sapiens (human)
plasma membraneCarbonic anhydrase 12Homo sapiens (human)
cellular_componentcGMP-specific 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
cytosolcGMP-specific 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
basolateral plasma membraneBile salt export pumpHomo sapiens (human)
Golgi membraneBile salt export pumpHomo sapiens (human)
endosomeBile salt export pumpHomo sapiens (human)
plasma membraneBile salt export pumpHomo sapiens (human)
cell surfaceBile salt export pumpHomo sapiens (human)
apical plasma membraneBile salt export pumpHomo sapiens (human)
intercellular canaliculusBile salt export pumpHomo sapiens (human)
intracellular canaliculusBile salt export pumpHomo sapiens (human)
recycling endosomeBile salt export pumpHomo sapiens (human)
recycling endosome membraneBile salt export pumpHomo sapiens (human)
extracellular exosomeBile salt export pumpHomo sapiens (human)
membraneBile salt export pumpHomo sapiens (human)
cytosolCarbonic anhydrase 1Homo sapiens (human)
extracellular exosomeCarbonic anhydrase 1Homo sapiens (human)
cytoplasmCarbonic anhydrase 2Homo sapiens (human)
cytosolCarbonic anhydrase 2Homo sapiens (human)
plasma membraneCarbonic anhydrase 2Homo sapiens (human)
myelin sheathCarbonic anhydrase 2Homo sapiens (human)
apical part of cellCarbonic anhydrase 2Homo sapiens (human)
extracellular exosomeCarbonic anhydrase 2Homo sapiens (human)
cytoplasmCarbonic anhydrase 2Homo sapiens (human)
plasma membraneCarbonic anhydrase 2Homo sapiens (human)
apical part of cellCarbonic anhydrase 2Homo sapiens (human)
extracellular spaceInterferon betaHomo sapiens (human)
extracellular regionInterferon betaHomo sapiens (human)
Golgi membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
endoplasmic reticulumHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
Golgi apparatusHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
plasma membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
cell surfaceHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
ER to Golgi transport vesicle membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
secretory granule membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
phagocytic vesicle membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
early endosome membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
recycling endosome membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
extracellular exosomeHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
lumenal side of endoplasmic reticulum membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
MHC class I protein complexHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
extracellular spaceHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
external side of plasma membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
cytosolCarbonic anhydrase 3Homo sapiens (human)
cytosolCarbonic anhydrase 3Homo sapiens (human)
cytoplasmCarbonic anhydrase 3Homo sapiens (human)
basolateral plasma membraneCarbonic anhydrase 4Homo sapiens (human)
rough endoplasmic reticulumCarbonic anhydrase 4Homo sapiens (human)
endoplasmic reticulum-Golgi intermediate compartmentCarbonic anhydrase 4Homo sapiens (human)
Golgi apparatusCarbonic anhydrase 4Homo sapiens (human)
trans-Golgi networkCarbonic anhydrase 4Homo sapiens (human)
plasma membraneCarbonic anhydrase 4Homo sapiens (human)
external side of plasma membraneCarbonic anhydrase 4Homo sapiens (human)
cell surfaceCarbonic anhydrase 4Homo sapiens (human)
membraneCarbonic anhydrase 4Homo sapiens (human)
apical plasma membraneCarbonic anhydrase 4Homo sapiens (human)
transport vesicle membraneCarbonic anhydrase 4Homo sapiens (human)
secretory granule membraneCarbonic anhydrase 4Homo sapiens (human)
brush border membraneCarbonic anhydrase 4Homo sapiens (human)
perinuclear region of cytoplasmCarbonic anhydrase 4Homo sapiens (human)
extracellular exosomeCarbonic anhydrase 4Homo sapiens (human)
plasma membraneCarbonic anhydrase 4Homo sapiens (human)
extracellular regionCarbonic anhydrase 6Homo sapiens (human)
extracellular spaceCarbonic anhydrase 6Homo sapiens (human)
cytosolCarbonic anhydrase 6Homo sapiens (human)
extracellular exosomeCarbonic anhydrase 6Homo sapiens (human)
extracellular spaceCarbonic anhydrase 6Homo sapiens (human)
mitochondrial matrixCarbonic anhydrase 5A, mitochondrialHomo sapiens (human)
mitochondrionCarbonic anhydrase 5A, mitochondrialHomo sapiens (human)
cytoplasmCarbonic anhydrase 5A, mitochondrialHomo sapiens (human)
mitochondrionCarbonic anhydrase 5A, mitochondrialHomo sapiens (human)
cytosolCarbonic anhydrase 7Homo sapiens (human)
cytoplasmCarbonic anhydrase 7Homo sapiens (human)
nucleolusCarbonic anhydrase 9Homo sapiens (human)
plasma membraneCarbonic anhydrase 9Homo sapiens (human)
membraneCarbonic anhydrase 9Homo sapiens (human)
basolateral plasma membraneCarbonic anhydrase 9Homo sapiens (human)
microvillus membraneCarbonic anhydrase 9Homo sapiens (human)
plasma membraneCarbonic anhydrase 9Homo sapiens (human)
fibrillar centerInositol hexakisphosphate kinase 1Homo sapiens (human)
nucleoplasmInositol hexakisphosphate kinase 1Homo sapiens (human)
cytosolInositol hexakisphosphate kinase 1Homo sapiens (human)
nucleusInositol hexakisphosphate kinase 1Homo sapiens (human)
cytoplasmInositol hexakisphosphate kinase 1Homo sapiens (human)
plasma membraneCanalicular multispecific organic anion transporter 1Homo sapiens (human)
cell surfaceCanalicular multispecific organic anion transporter 1Homo sapiens (human)
apical plasma membraneCanalicular multispecific organic anion transporter 1Homo sapiens (human)
intercellular canaliculusCanalicular multispecific organic anion transporter 1Homo sapiens (human)
apical plasma membraneCanalicular multispecific organic anion transporter 1Homo sapiens (human)
plasma membraneCarbonic anhydrase 14Homo sapiens (human)
membraneCarbonic anhydrase 14Homo sapiens (human)
basolateral plasma membraneCarbonic anhydrase 14Homo sapiens (human)
apical plasma membraneCarbonic anhydrase 14Homo sapiens (human)
plasma membraneCarbonic anhydrase 14Homo sapiens (human)
mitochondrionCarbonic anhydrase 5B, mitochondrialHomo sapiens (human)
mitochondrial matrixCarbonic anhydrase 5B, mitochondrialHomo sapiens (human)
mitochondrionCarbonic anhydrase 5B, mitochondrialHomo sapiens (human)
cytoplasmCarbonic anhydrase 5B, mitochondrialHomo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (82)

Assay IDTitleYearJournalArticle
AID1347095qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for NB-EBc1 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347093qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for SK-N-MC cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347083qHTS for Inhibitors of the Functional Ribonucleoprotein Complex (vRNP) of Lassa (LASV) Arenavirus: Viability assay - alamar blue signal for LASV Primary Screen2020Antiviral research, 01, Volume: 173A cell-based, infectious-free, platform to identify inhibitors of lassa virus ribonucleoprotein (vRNP) activity.
AID1296008Cytotoxic Profiling of Annotated Libraries Using Quantitative High-Throughput Screening2020SLAS discovery : advancing life sciences R & D, 01, Volume: 25, Issue:1
Cytotoxic Profiling of Annotated and Diverse Chemical Libraries Using Quantitative High-Throughput Screening.
AID1347154Primary screen GU AMC qHTS for Zika virus inhibitors2020Proceedings of the National Academy of Sciences of the United States of America, 12-08, Volume: 117, Issue:49
Therapeutic candidates for the Zika virus identified by a high-throughput screen for Zika protease inhibitors.
AID1347101qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for BT-12 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347425Rhodamine-PBP qHTS Assay for Modulators of WT P53-Induced Phosphatase 1 (WIP1)2019The Journal of biological chemistry, 11-15, Volume: 294, Issue:46
Physiologically relevant orthogonal assays for the discovery of small-molecule modulators of WIP1 phosphatase in high-throughput screens.
AID1347086qHTS for Inhibitors of the Functional Ribonucleoprotein Complex (vRNP) of Lymphocytic Choriomeningitis Arenaviruses (LCMV): LCMV Primary Screen - GLuc reporter signal2020Antiviral research, 01, Volume: 173A cell-based, infectious-free, platform to identify inhibitors of lassa virus ribonucleoprotein (vRNP) activity.
AID1347091qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for SJ-GBM2 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1508630Primary qHTS for small molecule stabilizers of the endoplasmic reticulum resident proteome: Secreted ER Calcium Modulated Protein (SERCaMP) assay2021Cell reports, 04-27, Volume: 35, Issue:4
A target-agnostic screen identifies approved drugs to stabilize the endoplasmic reticulum-resident proteome.
AID1347106qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for control Hh wild type fibroblast cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347090qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for DAOY cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347424RapidFire Mass Spectrometry qHTS Assay for Modulators of WT P53-Induced Phosphatase 1 (WIP1)2019The Journal of biological chemistry, 11-15, Volume: 294, Issue:46
Physiologically relevant orthogonal assays for the discovery of small-molecule modulators of WIP1 phosphatase in high-throughput screens.
AID1347097qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Saos-2 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347098qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for SK-N-SH cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347407qHTS to identify inhibitors of the type 1 interferon - major histocompatibility complex class I in skeletal muscle: primary screen against the NCATS Pharmaceutical Collection2020ACS chemical biology, 07-17, Volume: 15, Issue:7
High-Throughput Screening to Identify Inhibitors of the Type I Interferon-Major Histocompatibility Complex Class I Pathway in Skeletal Muscle.
AID1347105qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for MG 63 (6-TG R) cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347082qHTS for Inhibitors of the Functional Ribonucleoprotein Complex (vRNP) of Lassa (LASV) Arenavirus: LASV Primary Screen - GLuc reporter signal2020Antiviral research, 01, Volume: 173A cell-based, infectious-free, platform to identify inhibitors of lassa virus ribonucleoprotein (vRNP) activity.
AID1347102qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Rh18 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347094qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for BT-37 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347107qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Rh30 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347092qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for A673 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347089qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for TC32 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347100qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for LAN-5 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347103qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for OHS-50 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347108qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Rh41 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID651635Viability Counterscreen for Primary qHTS for Inhibitors of ATXN expression
AID1347096qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for U-2 OS cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347104qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for RD cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347099qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for NB1643 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1745845Primary qHTS for Inhibitors of ATXN expression
AID431564Activation of human recombinant carbonic anhydrase 7 by stopped flow CO2 hydration method2009Bioorganic & medicinal chemistry, Aug-15, Volume: 17, Issue:16
Sildenafil is a strong activator of mammalian carbonic anhydrase isoforms I-XIV.
AID431557Activation of human recombinant carbonic anhydrase 1 by stopped flow CO2 hydration method2009Bioorganic & medicinal chemistry, Aug-15, Volume: 17, Issue:16
Sildenafil is a strong activator of mammalian carbonic anhydrase isoforms I-XIV.
AID431561Activation of human recombinant carbonic anhydrase 5A by stopped flow CO2 hydration method2009Bioorganic & medicinal chemistry, Aug-15, Volume: 17, Issue:16
Sildenafil is a strong activator of mammalian carbonic anhydrase isoforms I-XIV.
AID431571Activation of carbonic anhydrase in Sprague-Dawley rat red blood cells at 1 mg/kg, po after 1 hr by colorimetry relative to control2009Bioorganic & medicinal chemistry, Aug-15, Volume: 17, Issue:16
Sildenafil is a strong activator of mammalian carbonic anhydrase isoforms I-XIV.
AID431560Activation of human recombinant carbonic anhydrase 4 by stopped flow CO2 hydration method2009Bioorganic & medicinal chemistry, Aug-15, Volume: 17, Issue:16
Sildenafil is a strong activator of mammalian carbonic anhydrase isoforms I-XIV.
AID431562Activation of human recombinant carbonic anhydrase 5B by stopped flow CO2 hydration method2009Bioorganic & medicinal chemistry, Aug-15, Volume: 17, Issue:16
Sildenafil is a strong activator of mammalian carbonic anhydrase isoforms I-XIV.
AID1386251Anti-hypertensive activity in MCT-induced pulmonary hypertension Wistar rat model assessed as mean pulmonary artery pressure at 10 mg/kg, po administered for 3 weeks (Rvb = 52.55 mmHg)2018Journal of medicinal chemistry, 09-27, Volume: 61, Issue:18
Optimization of Chromeno[2,3- c]pyrrol-9(2 H)-ones as Highly Potent, Selective, and Orally Bioavailable PDE5 Inhibitors: Structure-Activity Relationship, X-ray Crystal Structure, and Pharmacodynamic Effect on Pulmonary Arterial Hypertension.
AID634183Inhibition of human PDE5 isolated from corpus cavernosum after 30 to 60 mins by scintillation counting method2012Bioorganic & medicinal chemistry, Jan-01, Volume: 20, Issue:1
The discovery of UK-369003, a novel PDE5 inhibitor with the potential for oral bioavailability and dose-proportional pharmacokinetics.
AID431570Half life in po dosed human plasma2009Bioorganic & medicinal chemistry, Aug-15, Volume: 17, Issue:16
Sildenafil is a strong activator of mammalian carbonic anhydrase isoforms I-XIV.
AID1596322Inhibition of recombinant N-terminal GST-tagged full length human PDE5A1 expressed in Sf9 cells using FAM-cGMP as substrate at 10xIC50 incubated for 60 mins by fluorescence plate reader analysis2019European journal of medicinal chemistry, Jul-15, Volume: 174InCl
AID1557545Invivo inhibition of PDE5 in Wistar rat assessed as increase in cGMP level in lungs at 10 mg/kg, po administered daily for 3 weeks by ELISA2019Journal of medicinal chemistry, 04-11, Volume: 62, Issue:7
Validation of Phosphodiesterase-10 as a Novel Target for Pulmonary Arterial Hypertension via Highly Selective and Subnanomolar Inhibitors.
AID431559Activation of human recombinant carbonic anhydrase 3 by stopped flow CO2 hydration method2009Bioorganic & medicinal chemistry, Aug-15, Volume: 17, Issue:16
Sildenafil is a strong activator of mammalian carbonic anhydrase isoforms I-XIV.
AID431558Activation of human recombinant carbonic anhydrase 2 by stopped flow CO2 hydration method2009Bioorganic & medicinal chemistry, Aug-15, Volume: 17, Issue:16
Sildenafil is a strong activator of mammalian carbonic anhydrase isoforms I-XIV.
AID431567Activation of mouse recombinant carbonic anhydrase 13 by stopped flow CO2 hydration method2009Bioorganic & medicinal chemistry, Aug-15, Volume: 17, Issue:16
Sildenafil is a strong activator of mammalian carbonic anhydrase isoforms I-XIV.
AID1596323Inhibition of recombinant N-terminal GST-tagged full length human PDE6C expressed in Sf9 cells using FAM-cGMP as substrate at 10xIC50 incubated for 60 mins by fluorescence plate reader analysis2019European journal of medicinal chemistry, Jul-15, Volume: 174InCl
AID1596301Inhibition of recombinant N-terminal GST-tagged full length human PDE6C expressed in Sf9 cells using FAM-cGMP as substrate at 1xIC50 incubated for 60 mins by fluorescence plate reader analysis2019European journal of medicinal chemistry, Jul-15, Volume: 174InCl
AID431565Activation of human recombinant carbonic anhydrase 9 catalytic domain by stopped flow CO2 hydration method2009Bioorganic & medicinal chemistry, Aug-15, Volume: 17, Issue:16
Sildenafil is a strong activator of mammalian carbonic anhydrase isoforms I-XIV.
AID431573Activation of carbonic anhydrase in Sprague-Dawley rat red blood cells at 1 mg/kg, po after 5 hrs by colorimetry relative to control2009Bioorganic & medicinal chemistry, Aug-15, Volume: 17, Issue:16
Sildenafil is a strong activator of mammalian carbonic anhydrase isoforms I-XIV.
AID431572Activation of carbonic anhydrase in Sprague-Dawley rat red blood cells at 1 mg/kg, po after 3 hrs by colorimetry relative to control2009Bioorganic & medicinal chemistry, Aug-15, Volume: 17, Issue:16
Sildenafil is a strong activator of mammalian carbonic anhydrase isoforms I-XIV.
AID1446419Inhibition of hypertrophic response in Wistar rat model of monocrotaline pulmonary arterial hypertension assessed as reduction of MCT-induced increase in small pulmonary artery wall thickness at 10 mg/kg, po for 3 weeks2017Journal of medicinal chemistry, 08-10, Volume: 60, Issue:15
Discovery and Optimization of Chromeno[2,3-c]pyrrol-9(2H)-ones as Novel Selective and Orally Bioavailable Phosphodiesterase 5 Inhibitors for the Treatment of Pulmonary Arterial Hypertension.
AID431569Metabolic stability in po dosed human serum assessed as N-desmethyl sildenafil level2009Bioorganic & medicinal chemistry, Aug-15, Volume: 17, Issue:16
Sildenafil is a strong activator of mammalian carbonic anhydrase isoforms I-XIV.
AID1386255Anti-hypertensive activity in MCT-induced pulmonary hypertension Wistar rat model assessed as reduction in wall thickness percentage at 10 mg/kg, po administered for 3 weeks2018Journal of medicinal chemistry, 09-27, Volume: 61, Issue:18
Optimization of Chromeno[2,3- c]pyrrol-9(2 H)-ones as Highly Potent, Selective, and Orally Bioavailable PDE5 Inhibitors: Structure-Activity Relationship, X-ray Crystal Structure, and Pharmacodynamic Effect on Pulmonary Arterial Hypertension.
AID1557546Invivo inhibition of PDE5 in Wistar rat assessed as effect on cAMP level in lungs at 10 mg/kg, po administered daily for 3 weeks by ELISA2019Journal of medicinal chemistry, 04-11, Volume: 62, Issue:7
Validation of Phosphodiesterase-10 as a Novel Target for Pulmonary Arterial Hypertension via Highly Selective and Subnanomolar Inhibitors.
AID1473741Inhibition of human MRP4 overexpressed in Sf9 cell membrane vesicles assessed as uptake of [3H]-estradiol-17beta-D-glucuronide in presence of ATP and GSH measured after 20 mins by membrane vesicle transport assay2013Toxicological sciences : an official journal of the Society of Toxicology, Nov, Volume: 136, Issue:1
A multifactorial approach to hepatobiliary transporter assessment enables improved therapeutic compound development.
AID1446346Inhibition of PDE5A1 catalytic domain (535 to 860 residues) (unknown origin) expressed in Escherichia coli BL21(DE3) using [3H]cGMP as substrate after 15 mins by liquid scintillation counting method2017Journal of medicinal chemistry, 08-10, Volume: 60, Issue:15
Discovery and Optimization of Chromeno[2,3-c]pyrrol-9(2H)-ones as Novel Selective and Orally Bioavailable Phosphodiesterase 5 Inhibitors for the Treatment of Pulmonary Arterial Hypertension.
AID1557536Anti-hypersensitive activity in Wistar rat model of MCT-induced pulmonary arterial hypertension assessed as effect on mean pulmonary artery pressure at 10 mg/kg, po administered daily for 3 weeks2019Journal of medicinal chemistry, 04-11, Volume: 62, Issue:7
Validation of Phosphodiesterase-10 as a Novel Target for Pulmonary Arterial Hypertension via Highly Selective and Subnanomolar Inhibitors.
AID1386253Anti-hypertensive activity in MCT-induced pulmonary hypertension Wistar rat model assessed as reduction in RVHI at 10 mg/kg, po administered for 3 weeks2018Journal of medicinal chemistry, 09-27, Volume: 61, Issue:18
Optimization of Chromeno[2,3- c]pyrrol-9(2 H)-ones as Highly Potent, Selective, and Orally Bioavailable PDE5 Inhibitors: Structure-Activity Relationship, X-ray Crystal Structure, and Pharmacodynamic Effect on Pulmonary Arterial Hypertension.
AID1446416Reduction in MCT-induced increase in mean pulmonary arterial pressure in Wistar rat model of monocrotaline pulmonary arterial hypertension assessed as mean pulmonary arterial pressure at 10 mg/kg, po for 3 weeks (Rvb = 32.74 mmHg)2017Journal of medicinal chemistry, 08-10, Volume: 60, Issue:15
Discovery and Optimization of Chromeno[2,3-c]pyrrol-9(2H)-ones as Novel Selective and Orally Bioavailable Phosphodiesterase 5 Inhibitors for the Treatment of Pulmonary Arterial Hypertension.
AID1596279Inhibition of recombinant N-terminal GST-tagged full length human PDE6C expressed in Sf9 cells using FAM-cGMP as substrate at 0.1xIC50 incubated for 60 mins by fluorescence plate reader analysis2019European journal of medicinal chemistry, Jul-15, Volume: 174InCl
AID1473738Inhibition of human BSEP overexpressed in Sf9 cell membrane vesicles assessed as uptake of [3H]-taurocholate in presence of ATP measured after 15 to 20 mins by membrane vesicle transport assay2013Toxicological sciences : an official journal of the Society of Toxicology, Nov, Volume: 136, Issue:1
A multifactorial approach to hepatobiliary transporter assessment enables improved therapeutic compound development.
AID1557538Anti-hypersensitive activity in Wistar rat model of MCT-induced pulmonary arterial hypertension assessed as effect on wall thickness at 10 mg/kg, po administered daily for 3 weeks2019Journal of medicinal chemistry, 04-11, Volume: 62, Issue:7
Validation of Phosphodiesterase-10 as a Novel Target for Pulmonary Arterial Hypertension via Highly Selective and Subnanomolar Inhibitors.
AID225951Vasorelaxant effect was evaluated on isolated porcine coronary arteries precontracted with PGF-2 alpha2000Journal of medicinal chemistry, Jun-29, Volume: 43, Issue:13
4-(3-Chloro-4-methoxybenzyl)aminophthalazines: synthesis and inhibitory activity toward phosphodiesterase 5.
AID431566Activation of human recombinant carbonic anhydrase 12 catalytic domain by stopped flow CO2 hydration method2009Bioorganic & medicinal chemistry, Aug-15, Volume: 17, Issue:16
Sildenafil is a strong activator of mammalian carbonic anhydrase isoforms I-XIV.
AID15809950% inhibitory concentration against phosphodiesterase 5 (PDE5) from porcine platelets2000Journal of medicinal chemistry, Jun-29, Volume: 43, Issue:13
4-(3-Chloro-4-methoxybenzyl)aminophthalazines: synthesis and inhibitory activity toward phosphodiesterase 5.
AID1557537Anti-hypersensitive activity in Wistar rat model of MCT-induced pulmonary arterial hypertension assessed as effect on right ventricular hypertrophy index at 10 mg/kg, po administered daily for 3 weeks2019Journal of medicinal chemistry, 04-11, Volume: 62, Issue:7
Validation of Phosphodiesterase-10 as a Novel Target for Pulmonary Arterial Hypertension via Highly Selective and Subnanomolar Inhibitors.
AID1596300Inhibition of recombinant N-terminal GST-tagged full length human PDE5A1 expressed in Sf9 cells using FAM-cGMP as substrate at 1xIC50 incubated for 60 mins by fluorescence plate reader analysis2019European journal of medicinal chemistry, Jul-15, Volume: 174InCl
AID431563Activation of human recombinant carbonic anhydrase 6 by stopped flow CO2 hydration method2009Bioorganic & medicinal chemistry, Aug-15, Volume: 17, Issue:16
Sildenafil is a strong activator of mammalian carbonic anhydrase isoforms I-XIV.
AID1473740Inhibition of human MRP3 overexpressed in Sf9 insect cell membrane vesicles assessed as uptake of [3H]-estradiol-17beta-D-glucuronide in presence of ATP and GSH measured after 10 mins by membrane vesicle transport assay2013Toxicological sciences : an official journal of the Society of Toxicology, Nov, Volume: 136, Issue:1
A multifactorial approach to hepatobiliary transporter assessment enables improved therapeutic compound development.
AID1473739Inhibition of human MRP2 overexpressed in Sf9 cell membrane vesicles assessed as uptake of [3H]-estradiol-17beta-D-glucuronide in presence of ATP and GSH measured after 20 mins by membrane vesicle transport assay2013Toxicological sciences : an official journal of the Society of Toxicology, Nov, Volume: 136, Issue:1
A multifactorial approach to hepatobiliary transporter assessment enables improved therapeutic compound development.
AID1446360Oral bioavailability in rat2017Journal of medicinal chemistry, 08-10, Volume: 60, Issue:15
Discovery and Optimization of Chromeno[2,3-c]pyrrol-9(2H)-ones as Novel Selective and Orally Bioavailable Phosphodiesterase 5 Inhibitors for the Treatment of Pulmonary Arterial Hypertension.
AID1596277Inhibition of recombinant N-terminal GST-tagged full length human PDE5A1 expressed in Sf9 cells using FAM-cGMP as substrate at 0.1xIC50 incubated for 60 mins by fluorescence plate reader analysis2019European journal of medicinal chemistry, Jul-15, Volume: 174InCl
AID431568Activation of human recombinant carbonic anhydrase 14 by stopped flow CO2 hydration method2009Bioorganic & medicinal chemistry, Aug-15, Volume: 17, Issue:16
Sildenafil is a strong activator of mammalian carbonic anhydrase isoforms I-XIV.
AID686947qHTS for small molecule inhibitors of Yes1 kinase: Primary Screen2013Bioorganic & medicinal chemistry letters, Aug-01, Volume: 23, Issue:15
Identification of potent Yes1 kinase inhibitors using a library screening approach.
AID1346986P-glycoprotein substrates identified in KB-3-1 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1346987P-glycoprotein substrates identified in KB-8-5-11 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1347151Optimization of GU AMC qHTS for Zika virus inhibitors: Unlinked NS2B-NS3 protease assay2020Proceedings of the National Academy of Sciences of the United States of America, 12-08, Volume: 117, Issue:49
Therapeutic candidates for the Zika virus identified by a high-throughput screen for Zika protease inhibitors.
AID1347057CD47-SIRPalpha protein protein interaction - LANCE assay qHTS validation2019PloS one, , Volume: 14, Issue:7
Quantitative high-throughput screening assays for the discovery and development of SIRPα-CD47 interaction inhibitors.
AID1347058CD47-SIRPalpha protein protein interaction - HTRF assay qHTS validation2019PloS one, , Volume: 14, Issue:7
Quantitative high-throughput screening assays for the discovery and development of SIRPα-CD47 interaction inhibitors.
AID1347410qHTS for inhibitors of adenylyl cyclases using a fission yeast platform: a pilot screen against the NCATS LOPAC library2019Cellular signalling, 08, Volume: 60A fission yeast platform for heterologous expression of mammalian adenylyl cyclases and high throughput screening.
AID1347059CD47-SIRPalpha protein protein interaction - Alpha assay qHTS validation2019PloS one, , Volume: 14, Issue:7
Quantitative high-throughput screening assays for the discovery and development of SIRPα-CD47 interaction inhibitors.
AID1347405qHTS to identify inhibitors of the type 1 interferon - major histocompatibility complex class I in skeletal muscle: primary screen against the NCATS LOPAC collection2020ACS chemical biology, 07-17, Volume: 15, Issue:7
High-Throughput Screening to Identify Inhibitors of the Type I Interferon-Major Histocompatibility Complex Class I Pathway in Skeletal Muscle.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (5,468)

TimeframeStudies, This Drug (%)All Drugs %
pre-19900 (0.00)18.7374
1990's322 (5.89)18.2507
2000's2586 (47.29)29.6817
2010's2075 (37.95)24.3611
2020's485 (8.87)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials956 (16.31%)5.53%
Reviews810 (13.82%)6.00%
Case Studies622 (10.61%)4.05%
Observational23 (0.39%)0.25%
Other3,451 (58.87%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (396)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Phase 2 Study of Fetal Growth Retardation Treatment by Sildenafil[NCT01107782]Phase 2/Phase 370 participants (Anticipated)Interventional2008-06-30Recruiting
Early Start of Oral Sildenafil 100mg for Erectile Dysfunction After Robotic Assisted Laparoscopic Radical Prostatectomy[NCT01054001]124 participants (Anticipated)Interventional2010-06-30Recruiting
Phase IV Study on the Effects of Sildenafil in Combination With Pulmonary Rehabilitation Program on Exercise Tolerance in Patients With COPD and Pulmonary Hypertension[NCT01055405]Phase 465 participants (Actual)Interventional2008-08-31Completed
A Multinational, Multicentre, Randomized, Double-blind Study To Assess The Efficacy And Safety Of Oral Sildenafil 20mg Tid Or Placebo When Added To Bosentan In The Treatment Of Subjects, Aged 18 Years And Above, With Pulmonary Arterial Hypertension (Pah)[NCT00323297]Phase 4105 participants (Actual)Interventional2006-09-30Completed
Role of CD36 in Nutrient Delivery and Its Dysfunction in African Americans[NCT03012386]Phase 1/Phase 226 participants (Actual)Interventional2017-01-31Completed
Does Modulation of the nNOS System in Patients With Muscular Dystrophy and Defect nNOS Signalling Affect Cardiac, Muscular or Cognitive Function?[NCT01350154]Phase 217 participants (Actual)Interventional2011-11-30Completed
Functional Muscle Ischemia and PDE5A Inhibition in Duchenne Muscular Dystrophy[NCT01359670]Early Phase 130 participants (Actual)Interventional2011-05-31Completed
Effect of Sildenafil Citrate Compared to Estrogen as Adjuvant Therapy on Improvement of Endometrial Thickness and Treatment of Unexplained Infertility[NCT05753098]Phase 4148 participants (Actual)Interventional2021-01-15Completed
Evaluation of the Efficacy of Sildenafil on Time to Healing in Patients With Scleroderma and Ischaemic Digital Ulcers: a Prospective, Longitudinal, Randomized, Comparative, Double-blind, 2-parallel-arm, Placebo-controlled Study[NCT01295736]Phase 384 participants (Actual)Interventional2010-11-30Completed
Pilot Study for Perfusion Heterogeneity: a Mechanistic Image-Based Emphysema Phenotype[NCT03733470]Phase 422 participants (Actual)Interventional2011-06-29Completed
Acute Effect of Sildenafil on Exercise Tolerance and Functional Capacity in COPD, IPF and Post Pneumonectomy Patients[NCT01382368]Phase 460 participants (Anticipated)Interventional2011-09-30Enrolling by invitation
Esomeprazole Alone or With Sildenafil Citrate in Women With Early-onset Preeclampsia: A Randomized Controlled Trial[NCT03724838]180 participants (Anticipated)Interventional2018-12-01Recruiting
Sildenafil Treatment for Traumatic Vascular Injury in Athletes[NCT03598140]Phase 222 participants (Actual)Interventional2018-07-25Terminated(stopped due to PI, Dr. Josh Gaston, left the institution and the study has been stopped.)
"Effect of Tadalafil, Sildenafil and Pentoxyfylline on Endometrial Thickness and Frozen Embryo Transfer Outcomes"[NCT05971667]Phase 2/Phase 3200 participants (Anticipated)Interventional2023-07-30Not yet recruiting
Treatment of Palmar Plantar Erythrodysesthesia (PPE) With Topical Sildenafil[NCT01219023]Phase 110 participants (Actual)Interventional2010-06-30Completed
A Pivotal Randomised, Open-Label 3-Way Crossover Study To Demonstrate Bioequivalence Of The Sildenafil Citrate Powder For Oral Suspension (10 Mg/Ml) And The Sildenafil Citrate 10 Mg Immediate Release (IR) Tablet Relative To The Revatio 20 Mg IR Tablet In [NCT01247805]Phase 142 participants (Anticipated)Interventional2011-01-31Completed
Effect of Vaginal Sildenafil Citrate on Endometrial Preparation and Outcome in Frozen Thawed Embryo Transfer Cycles[NCT03854175]80 participants (Anticipated)Interventional2019-02-28Not yet recruiting
Oral Sildenafil in Persistent Pulmonary Hypertension of Neonates Secondary to Meconium Aspiration Syndrome: A Randomized Placebo Controlled Trial[NCT01757782]Phase 496 participants (Actual)Interventional2011-12-31Completed
Pilot Open-label Trial of Nivolumab Combined With Chemotherapy in Refractory Myelodysplastic Syndromes.[NCT03259516]Phase 1/Phase 22 participants (Actual)Interventional2017-05-25Terminated(stopped due to Slow recruitment rate)
Raising the Bars in the Treatment of Pulmonary Arterial Hypertension: Goal Oriented Strategy to Preserve Ejection Fraction Trial[NCT03236818]Phase 430 participants (Anticipated)Interventional2013-05-31Active, not recruiting
An Open Label Single Arm, Single Centre Study to Investigate the Safety and Efficacy of IV Sildenafil in Neonates With Persistent Pulmonary Hypertension of the Newborn (PPHN)[NCT01360671]Phase 20 participants (Actual)Interventional2012-03-31Withdrawn
Avanafil Versus Sildenafil in Spinal Cord Injury Erectile Dysfunction: Non- Inferiority, Randomized, Crossover, Open Clinical Trial[NCT03169582]Phase 478 participants (Anticipated)Interventional2016-04-01Recruiting
A Randomized Controlled Trial Evaluating Sildenafil Citrate in Relieving Ureteral Stent Related Symptoms[NCT02345980]Phase 494 participants (Actual)Interventional2014-03-31Completed
A Phase IIb, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy, Safety, and Tolerability of Sildenafil Added to Pirfenidone in Patients With Advanced Idiopathic Pulmonary Fibrosis and Intermediate or High Probability[NCT02951429]Phase 2177 participants (Actual)Interventional2016-12-31Completed
Ergogenic Effect of PDE-5 Inhibitors at Moderate Altitude[NCT03710369]10 participants (Actual)Interventional2015-11-01Completed
"Efficacy and Safety of as Required Sildenafil for Patients With Moderate to Severe Raynaud's Phenomenon (RP)"[NCT02050360]Phase 2/Phase 341 participants (Actual)Interventional2013-11-30Completed
A Prospective, Randomized, 3-arm Parallel Trial to Evaluate the Safety and Clinical Effectiveness of 2 Lower Dose Combined PDE5i's vs. Single Maximal Dose PDE5i Treatment[NCT01364701]Phase 430 participants (Anticipated)Interventional2011-06-30Not yet recruiting
A Comparative Study of Strategies for Management of Duchenne Myopathy in Assiut University Children Hospital[NCT03633565]Phase 445 participants (Anticipated)Interventional2018-09-30Not yet recruiting
Compare of Continued Nitro Oxide Inhalation and Nitro Oxide Inhalation Continued With Oral Sildenafil on Treatment of Neonatal Persistent Pulmonary Hypertension[NCT01373749]40 participants (Anticipated)Interventional2011-03-31Recruiting
Randomized Open-label Phase 1b Study of Doxorubicin-based Chemotherapy Regimens, With and Without Sildenafil, With Exploratory Analysis of Intermediate Cardiac Markers[NCT01375699]Phase 126 participants (Actual)Interventional2011-08-11Completed
A Prospective, Multicenter, Randomized, Parallel and Positive Drug-controlled Clinical Study of Ningbitai Capsule in the Treatment of Chronic Pelvic Pain Syndrome With Erectile Dysfunction[NCT06064448]Phase 4254 participants (Actual)Interventional2019-03-19Completed
Pulmonary Hypertension Secondary to Heart Failure With Preserved Systolic Function: a Target of Phosphodiesterase - 5 Inhibition in a 1- Year Duration Study[NCT01156636]Phase 2/Phase 344 participants (Actual)Interventional2006-01-31Completed
Satisfaction With the Treatment, Confidence and Naturalness in Engaging in Sexual Activity in Men With Psychogenic Erectile Dysfunction: Randomized Controlled Trial of Three Therapeutic Approaches.[NCT01153204]Phase 430 participants (Actual)InterventionalCompleted
Randomized Controlled Study of Sildenafil in Children and Young Adults With Mild to Moderate Cystic Fibrosis Lung Disease[NCT01194232]Phase 1/Phase 20 participants (Actual)Interventional2012-08-31Withdrawn(stopped due to Funding, MedWatch change to study drug)
Effect of Preconceptional Sildenafil Citrate Treatment in Women With Early Unexplained Recurrent Pregnancy Loss: a Randomized Controlled Trial[NCT03766594]Phase 190 participants (Actual)Interventional2018-01-01Completed
Study About Effectiveness of the Vasodilator Test With Revatio, Made in Patients With Acute Pulmonary Hypertension, at Last Moderate and Secondary at Valve Disease(Corrected With a Normally Functioning Prosthesis).[NCT01091012]Phase 330 participants (Anticipated)Interventional2011-09-30Recruiting
Effectiveness of Nebulized Magnesium Sulfate Combined With Sildenafil Citrate in Persistent Pulmonary Hypertension of Newborn[NCT04898114]Phase 1/Phase 240 participants (Anticipated)Interventional2021-06-02Recruiting
Sildenafil for Prevention of Cerebral Vasospasm Secondary to Subarachnoid Haemorrhage - Phase II Randomized Clinical Trial[NCT01091870]Phase 20 participants (Actual)Interventional2010-03-31Withdrawn(stopped due to Absence of inclusion criteria)
VIRTUOSE : Efficiency of Sildenafil on the Absolute Claudication Distance of Peripheral Arterial Disease Patients With Intermittent Claudication. A Phase III, National, Multicentre, Prospective, Randomised, Double-blind, Placebo-Controlled Trial.[NCT03686306]Phase 3220 participants (Anticipated)Interventional2021-11-24Recruiting
Sildenafil Versus Low Molecular Weight Heparin in Fetal Growth Restriction Treatment[NCT03230162]Phase 3100 participants (Anticipated)Interventional2017-06-01Recruiting
A Prospective, Multi-center, Randomized Control Trial to Investigate the Efficacy of Pulmonary Artery Denervation to Improved Functional Capacity and Hemodynamics in Patients With Pulmonary Artery Hypertension[NCT02284737]Phase 4100 participants (Actual)Interventional2014-11-28Terminated(stopped due to Lack of subjects.)
Efficacy of Sildenafil Citrate to Reduce the Rate of Cesarean Section for Intrapartum Fetal Distress During Induction of Labor[NCT04325243]Phase 4410 participants (Actual)Interventional2020-09-01Completed
Sildenafil Citrate for Treatment of Growth-restricted Fetuses[NCT03177824]Phase 360 participants (Anticipated)Interventional2017-03-30Recruiting
Reduction de la Morbi-mortalité Cardiovasculaire Chez l'artériopathe Claudicant Par le Sildenafil[NCT02387450]Phase 2/Phase 3400 participants (Anticipated)Interventional2015-09-30Not yet recruiting
A Pilot Study to Investigate the Effect of Phosphodiesterase Inhibitors on Chorioretinal Blood Flow Using Optical Coherence Tomography Angiography.[NCT04052269]Phase 330 participants (Anticipated)Interventional2019-06-21Suspended(stopped due to suspended due to COVID)
Efficacy of Beraprost in Lowering Pulmonary Arterial Pressure in Pulmonary Arterial Hypertension Children Associated With Left to Right Shunt Congenital Heart Defect[NCT03431649]Phase 440 participants (Actual)Interventional2017-04-01Completed
A Multi-Center, Parallel Group, Flexible Dose Trial With A Double-Blind, Randomized, Placebo-Controlled Phase Followed By An Open-Label Phase To Assess The Impact Of Viagra On The Sexual Satisfaction Of Men With Mild Erectile Dysfunction[NCT00301262]Phase 4183 participants (Actual)Interventional2005-11-30Completed
Hemodynamic Effects of Acute Normobaric Hypoxia During Exercise in Patients With Pulmonary Hypertension: Single-center Randomized Controlled Trial[NCT04715113]24 participants (Actual)Interventional2021-02-01Completed
Hemodynamic Effects of Acute Normobaric Hypoxia During Exercise in Patients With Pulmonary Hypertension: Single-center Randomized Controlled Trial[NCT04706546]24 participants (Actual)Interventional2021-02-01Completed
Hemodynamic Effects of Acute Normobaric Hypoxia During Exercise in Patients With Pulmonary Hypertension: Single-center Randomized Controlled Trial[NCT04704440]24 participants (Actual)Interventional2021-02-01Completed
Hemodynamic Effects of Acute Normobaric Hypoxia During Exercise in Patients With Pulmonary Hypertension: Single-center Randomized Controlled Trial[NCT04697862]24 participants (Actual)Interventional2021-02-01Completed
Safety of Sildenafil in Premature Infants With Severe Bronchopulmonary Dysplasia[NCT04447989]Phase 2120 participants (Anticipated)Interventional2021-05-27Recruiting
A Pharmacoscintigraphic Clinical Study to Evaluate a Biphasic Release Sildenafil Formulation (With Immediate and Sustained Release Components) Compared to a Marketed Sildenafil Product in Fed and Fasted States[NCT03510338]Phase 112 participants (Actual)Interventional2018-05-08Completed
An Open-Label, Three Period, Fixed Sequence Study to Assess the Effect of a Single Dose of BIA 5-1058 400 mg on the Steady State Pharmacokinetics of Sildenafil in Healthy Subjects Under Fasting Conditions[NCT04994860]Phase 120 participants (Actual)Interventional2018-03-22Completed
Sildenafil Activates Browning of White Adipose and Improves Insulin Sensitivity in Human Adults[NCT02524184]Phase 411 participants (Anticipated)Interventional2015-08-31Recruiting
Sildenafil Citrate for Treatment of Unexplained Recurrent Spontaneous Abortion[NCT03475160]130 participants (Actual)Interventional2015-12-01Completed
Efficacy and Safety of Endovenous Sildenafil Early Management in Newborns Pulmonary Hypertension: a Clinical Trial[NCT04912726]42 participants (Anticipated)Interventional2021-06-15Not yet recruiting
INSTAGE: A 24-week, Double-blind, Randomized, Parallel-group Study Evaluating the Efficacy and Safety of Oral Nintedanib Co-administered With Oral Sildenafil, Compared to Treatment With Nintedanib Alone, in Patients With Idiopathic Pulmonary Fibrosis (IPF[NCT02802345]Phase 3274 participants (Actual)Interventional2016-06-30Completed
Intrapartum Sildenafil Citrate to Prevent Non Reassuring Foetal Status Among Parturients Delivering at LAUTECH Teaching Hospital, Ogbomoso, a Randomised Controlled Trial[NCT05558176]Phase 4176 participants (Anticipated)Interventional2022-04-08Recruiting
Growth Hormone or Sildenafil as Therapies for Fatigue in MTBI[NCT02114775]Phase 134 participants (Actual)Interventional2014-12-12Completed
A Double-blind, Placebo-controlled, Crossover Study of Sildenafil in Patients With Chronic Obstructive Pulmonary Disease[NCT00104637]Phase 210 participants (Actual)Interventional2005-02-28Completed
Non-Interventional, Prospective Study Of the Evaluation Of Patients Population With ED, Treated With Sildenafil[NCT01108900]100 participants (Actual)Observational2010-07-31Completed
A Local, Multi-Centre, Extension, Open Label Access Study, To Provide Sildenafil Therapy For Patients Who Completed A1481244 Study And Are Judged By The Investigator To Derive Clinical Benefit From Continued Treatment With Sildenafil , Prior To Reimbursem[NCT00866983]0 participants Expanded AccessNo longer available
On Demand Versus Daily Sildenafil for Patients Undergoing Bilateral Nerve Sparing Radical Prostatectomy: a Randomized, Open Label, Parallel Group Trial[NCT01315262]Phase 3200 participants (Anticipated)Interventional2011-01-31Recruiting
Sildenafil for Treatment of Choroidal Ischemia[NCT04356716]Phase 225 participants (Anticipated)Interventional2014-11-11Active, not recruiting
The Effect of Oral Sildenafil on Exercise Capacity, Dyspnea and Cardiopulmonary Function in Chronic Obstructive Pulmonary Disease (COPD)[NCT05061368]Phase 2160 participants (Anticipated)Interventional2022-03-01Recruiting
The Impact of the Vasodilator, Sildenafil, on the Pulmonary Circulation During Exercise in Healthy Trained and Untrained Humans[NCT04985929]Phase 260 participants (Anticipated)Interventional2021-07-01Recruiting
Sildenafil for Treatment of Urinary Incontinence in Patients With Spinal Cord Injuries[NCT04565925]Phase 224 participants (Anticipated)Interventional2021-07-07Recruiting
PDE5-Inhibition With Sildenafil Reverses Exercise Oscillatory Breathing in Chronic Heart Failure: a Long-Term Cardiopulmonary Exercise Testing Placebo-Controlled Study[NCT01185925]Phase 232 participants (Actual)Interventional2008-04-30Completed
A Single-center, Open-label, Single-sequence, 2-part Study to Investigate the Effect of 75 mg Macitentan Once Daily at Steady State on the Pharmacokinetics of Riociguat, Sildenafil, Rosuvastatin and Tadalafil in Healthy Male Subjects[NCT04211272]Phase 147 participants (Actual)Interventional2020-01-14Completed
A Prospective, Randomized, International, Multicenter, Double-arm, Controlled, Open-label Study of Riociguat in Patients With Pulmonary Arterial Hypertension (PAH) Who Are on a Stable Dose of Phosphodiesterase-5 Inhibitors (PDE-5i) With or Without Endothe[NCT02891850]Phase 4225 participants (Actual)Interventional2017-01-11Completed
Evaluation of the Effect of Sildenafil in Hemodialysis Patients With Pulmonary Hypertension[NCT03763045]Phase 2/Phase 360 participants (Actual)Interventional2018-12-02Active, not recruiting
A Clinical Phase III, Comparative, Open, Multicenter, Prospectively, to Evaluate a Possible Superiority Expressed by the Faster Onset of Action and the Efficacy and Safety of Sildenafil Citrate 20mg Sublingual Tablet, Compared to Viagra ® 50mg Tablet Coat[NCT01321489]Phase 378 participants (Anticipated)Interventional2011-09-30Not yet recruiting
An Open Label Crossover Study In Healthy Older Male Subjects To Evaluate The Pharmacokinetics And Safety Of Sildenafil Following Fasted Administration Of An Orally Disintegrating Tablet Formulation Of Sildenafil Administered With Or Without Water Relative[NCT01254383]Phase 136 participants (Actual)Interventional2010-12-31Completed
Pharmacokinetics and Pharmacodynamics of Sildenafil in Adult Smokers and Non-smokers[NCT04100759]Phase 1/Phase 236 participants (Actual)Interventional2019-06-11Completed
Sildenafil for Fontan Associated Liver Disease (SiFALD) Study[NCT03154476]Phase 320 participants (Actual)Interventional2017-07-05Completed
Combined On-demand Sildenafil Citrate and Tramadol Hydrochloride for Treatment of Premature Ejaculation: A Randomized Placebo-controlled Double-blind Clinical Trial[NCT05183334]Phase 4160 participants (Anticipated)Interventional2021-12-30Not yet recruiting
Phase I Study of Regorafenib and Sildenafil for Advanced Solid Tumors[NCT02466802]Phase 132 participants (Actual)Interventional2015-07-01Completed
Effect of Sildenafil on Digital Ulcers in Systemic Sclerosis[NCT00624273]Phase 217 participants (Actual)Interventional2004-02-29Completed
Effect of Sildenafil Citrate on Pregnancy Rate in Women Undergoing Induction of Ovulation[NCT02890238]Phase 4100 participants (Anticipated)Interventional2016-08-31Recruiting
Randomized, Controlled Trial of Regular Sildenafil Citrate in the Prevention of Altitude Illness[NCT00627965]Phase 462 participants (Actual)Interventional2003-03-31Completed
A Comparison of Psychotherapy and Pharmacotherapy in the Treatment of Erectile Dysfunction: A Pilot Study[NCT04179747]28 participants (Actual)Interventional2018-01-18Completed
A Multicenter, Randomized, Parallel Group, Double-Blind, Placebo Controlled, Flexible Dose Escalation Study To Evaluate Sexual And Relationship Satisfaction In The Female Partner Of Men With Erectile Dysfunction Treated With Viagra (Sildenafil Citrate) In[NCT00644631]Phase 4300 participants (Anticipated)Interventional2003-06-30Completed
Pulmonary Vasodilation by Sildenafil in Acute Pulmonary Embolism[NCT04283240]Early Phase 120 participants (Actual)Interventional2015-03-01Completed
Renin-Angiotensin Aldosterone System and Fibrinolysis(RAAS) Interaction in Humans- Specific Aim 3[NCT00685945]24 participants (Actual)Interventional2007-12-31Completed
Pulmonary Hypertension in Adolescents and Adults With Congenital Heart Disease[NCT00772135]15 participants (Anticipated)Interventional2008-09-30Recruiting
Evaluation of Systemic and Penile Microvascular Endothelial Function and Arterial Pressure After Chronic Administration of Sildenafil in Hypertensive Men With Erectile Dysfunction[NCT02620995]Phase 450 participants (Actual)Interventional2014-10-31Completed
A Randomized, Double Blinded Placebo Controlled Cross-over Study of Low Dose B-type Natriuretic Peptide (Nesiritide) With or Without Concomitant Phosphodiesterase V (PDE V) Inhibition(Sildenafil) in Congestive Heart Failure Patients With Renal Dysfunction[NCT00818701]Phase 11 participants (Actual)Interventional2009-02-28Terminated(stopped due to started a NIH study that is competing for same subjects)
A Relative Bioavailability Study Between Two Formulations Of Sildenafil Citrate In Healthy Male Subjects, Fasting Dosing, Being The Test Formulation Sildenafil Citrate 100 Mg CT , And The Reference Formulation Sildenafil Citrate 100 Mg Film-Coated Tablets[NCT00904748]Phase 147 participants (Actual)Interventional2010-01-31Completed
Effect of Sildenafil on Uterine and Endometrial Vasculature in Women With Thin Endometrium Having Frozen-Thawed IVF Cycles[NCT04283435]Phase 1100 participants (Anticipated)Interventional2021-09-01Not yet recruiting
Sildenafil Citrate for Endometrial Preparation in Frozen-thawed Embryo Transfer Cycles[NCT02845388]Phase 290 participants (Actual)Interventional2015-09-30Completed
An Open-label, Multicenter Study of Ambrisentan and a Phosphodiesterase Type-5 Inhibitor Combination Therapy in Subjects With Pulmonary Arterial Hypertension Who Have Demonstrated a Sub-Optimal Response to a Phosphodiesterase Type-5 Inhibitor[NCT00617305]Phase 438 participants (Actual)Interventional2008-04-30Completed
Revatio Special Investigation - Investigation for Long-Term Use of Revatio in Pediatric Patients[NCT03364244]1,023 participants (Actual)Observational2017-11-30Completed
A Randomized, Placebo Controlled, Single Center Clinical Trial for Evaluation of Efficacy and Safety of Sildenafil Administration in the Cardiac ICU Following Mitral Valve Surgery in Patients With Pulmonary Hypertension[NCT02378649]Phase 460 participants (Actual)Interventional2015-03-31Completed
The Effect of Estradiol Valerate With and Without Oral Sildenafil on Endometrial Thickness and Pregnancy Rates in Infertile Women: A R.C.T[NCT03301233]90 participants (Actual)Interventional2017-11-01Completed
Phase I Assessment of NO Mediated Signaling in Cancer Cachexia[NCT02106871]Phase 10 participants (Actual)Interventional2014-04-30Withdrawn(stopped due to Study did not get funded. Study never started)
Randomized Crossover 2 Period Single Dose Bioequivalence Study of 2 Formulations Sildenafil Tablets 100mg (Pharmtechnology LLC, Belarus) and Viagra® Tablets 100mg (Fareva Amboise, France) in Healthy Male Volunteers Under Fasting Conditions[NCT04882826]Phase 144 participants (Anticipated)Interventional2021-05-10Not yet recruiting
Treatment of Neonatal Encephalopathy With Oral Sildenafil Suspension to Repair Brain Injury Secondary to Birth Asphyxia: A Randomized, Double-blind, Placebo-controlled Clinical Trial to Evaluate Safety and Efficacy (Phase II Study)[NCT06098833]Phase 260 participants (Anticipated)Interventional2023-11-30Not yet recruiting
Phase 1 Single-Dose Double-Blind Vehicle-Controlled 3-Way Crossover Study Using Thermography to Assess the Pharmacodynamics and Pharmacokinetics of L-Arginine and Sildenafil Contained in Sildenafil Cream 3.6% in Normal Healthy Premenopausal Women[NCT05765487]Phase 115 participants (Anticipated)Interventional2023-05-13Recruiting
The Role of Hemolysis in Promoting Thrombosis During Mechanical Circulatory Support With Continuous Flow Pumps (Aim 2)[NCT03199612]Early Phase 146 participants (Anticipated)Interventional2019-06-03Recruiting
A Phase I Study to Determine the Pharmacokinetic Profile, Safety and Tolerability of Sildenafil (REVATIO®) in Cardiac Surgery[NCT02136329]Phase 136 participants (Actual)Interventional2013-06-30Completed
Vascular Dysfunction in Black Individuals: Roles of Nitric Oxide and Endothelin-1[NCT04770155]Early Phase 18 participants (Actual)Interventional2021-05-27Terminated(stopped due to Despite significant effort, we were unable to obtain the supply of drugs and supplements needed for the various arms of this Clinical Trial.)
Kids MoD PAH Trial: Mono- vs. Duo-Therapy for Pediatric Pulmonary Arterial Hypertension[NCT04039464]Phase 3100 participants (Anticipated)Interventional2022-08-01Recruiting
A Phase 1, 2-Part, Randomized, Double-Blind, Placebo-controlled, Multiple Dose Study to Test the Potential Interaction of a PDE5 Inhibitor With BMS-986278 and to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of BMS-986278 in He[NCT05684289]Phase 161 participants (Actual)Interventional2023-01-03Completed
Effect of Oral Sildenafil With Digital Therapeutic Iontophoresis of Sodium Nitroprussiate on Cutaneous Blood Flow in Healthy Volunteers[NCT00710099]40 participants (Anticipated)Interventional2008-07-31Completed
Sildenafil for COPD-associated Pulmonary Hypertension. A Randomized Double Blinded Placebo Controlled Study.[NCT00730067]Phase 40 participants (Actual)Interventional2012-06-30Withdrawn(stopped due to As a single center, it was not possible to recruit enough patients with pulmonary hypertension)
The Sildenafil After Fontan Operation Study[NCT00507819]Phase 228 participants (Actual)Interventional2007-12-31Completed
Treatment of Pulmonary Hypertension and Sickle Cell Disease With Sildenafil Therapy[NCT00492531]Phase 274 participants (Actual)Interventional2007-06-30Terminated(stopped due to Subjects on drug were more likely to have severe pain crises requiring hospitalization.)
Cardiovascular Effects of Chronic Sildenafil (Viagra) Treatment in Diabetic Subjects With Endothelial Dysfunction.[NCT00692237]Phase 459 participants (Actual)Interventional2008-01-31Completed
Chronic PDE5-Inhibition With Sildenafil Improves Diastolic Function, Cardiac Geometry and Clinical Status in Patients With Stable HF: A 1-Year Prospective Randomized, Placebo-Controlled Study[NCT00975494]Phase 350 participants (Actual)Interventional2005-04-30Completed
Effect of Sildenafil in Individuals With Migraine Pretreated With Erenumab: A Randomized Double-Blind Placebo-Controlled Two-Way Crossover Trial[NCT05889455]16 participants (Actual)Interventional2023-04-20Completed
Sildenafil Citrate Therapy for Oligohydramnios[NCT02372487]184 participants (Anticipated)Interventional2015-03-31Recruiting
A Double Blind, Placebo Controlled 2-way Cross-over Study to Assess the Clitoral Engorgement Response as Measured by Non-contrast Magnetic Resonance Imaging (MRI) in Women With Female Sexual Arousal Disorder (FSAD) When Administered a Single Dose of Silde[NCT00640458]Phase 220 participants (Actual)Interventional2004-04-30Completed
A Randomized, Placebo Control, Double-blinded, Double-dummy, Phase 2/3 Combination Study to Evaluate the Safety and Efficacy of TD0025 (Rocket1h) Compared With Sildenafil Citrate for Treatment of Erectile Dysfunction[NCT02798159]Phase 2/Phase 3168 participants (Actual)Interventional2016-05-31Completed
A Randomized, Double-blind, Placebo Controlled, Parallel Arm, Multicenter Trial Assessing the Effect of Daily Treatment of Vardenafil 20 mg or Sildenafil 100 mg Compared to Placebo on Spermatogenesis[NCT00655590]Phase 4200 participants (Actual)Interventional2005-01-31Completed
Randomized Double-Blind, Placebo Controlled Evaluation of the Efficacy of Sildenafil Versus Placebo in Preterm Preeclampsia[NCT02782559]Phase 2/Phase 30 participants (Actual)Interventional2016-07-31Withdrawn(stopped due to difficulties acquiring the drug and funding for the drug)
An International, Multicentre, Randomized, Parallel Group, Double Blind, Placebo Controlled, Flexible Dose Study to Evaluate Self-esteem and Relationships in Males With Erectile Dysfunction Treated With Sildenafil Citrate[NCT00648596]Phase 4780 participants (Actual)Interventional2003-05-31Completed
Development and Clinical Evaluation of Thermosensitive Gels for the Vaginal Delivery of Sildenafil Citrate on the Endometrium of Women Use Clomiphene Citrate for Induction of Ovulation[NCT02766725]Phase 2/Phase 390 participants (Actual)Interventional2015-01-31Completed
Sildenafil for Improving Outcomes After Valvular Correction[NCT00862043]Phase 4200 participants (Actual)Interventional2009-04-30Completed
COMPASS 3: An Open-label, Multi-Center Study Employing a Targeted 6-Minute Walk Test (6-MWT) Distance Threshold Approach to Guide Bosentan-Based Therapy and to Assess the Utility of Magnetic Resonance Imaging (MRI) on Cardiac Remodeling[NCT00433329]Phase 4100 participants (Actual)Interventional2007-03-31Completed
Oral Sildenafil Citrate: a Potential Approach for Improvement of Endometrial Thickness and Treatment of Unexplained Infertility in Women[NCT05846906]Phase 2/Phase 3130 participants (Actual)Interventional2021-10-01Completed
Post-Prostatectomy Erectile Dysfunction: Effect of Hyperbaric Oxygen Therapy[NCT00906269]Phase 4100 participants (Anticipated)Interventional2009-07-31Active, not recruiting
Multicenter, Double-Blind, Randomized, Placebo-controlled Study of Flexible, Titration Dose Administered on an As Needed Basis (PRN) to Evaluate the Efficacy and the Safety of Sildenafil for the Treatment of Erectile Dysfunction in Male Patients on Hemodi[NCT00654017]Phase 4100 participants (Anticipated)Interventional2002-10-31Completed
Safety of Sildenafil in Premature Infants at Risk of Bronchopulmonary Dysplasia[NCT03142568]Phase 2120 participants (Anticipated)Interventional2018-04-02Recruiting
A Phase 3, Multi-Center, Open-Label Study to Assess Safety and Efficacy of Sildenafil Citrate 20 mg TID in Subjects With Pulmonary Arterial Hypertension[NCT00454207]Phase 344 participants (Actual)Interventional2007-04-30Completed
A Comparison of Psychosocial Outcomes Following Tadalafil Once a Day or PDE5 Inhibitor As Needed in Men With Erectile Dysfunction.[NCT00734604]Phase 3378 participants (Actual)Interventional2008-08-31Completed
A Phase 2a, Randomized, Double Blind, Placebo-controlled, Parallel Group Study Investigating The Dose-response Of Pf-00489791 On Acute Hemodynamics In Subjects With Idiopathic And Familial Pulmonary Arterial Hypertension[NCT00853112]Phase 248 participants (Actual)Interventional2009-04-30Terminated(stopped due to See termination reason in detailed description.)
A Randomized Controlled Trial Evaluating the Role of Sildenafil in the Treatment of Fetal Growth Restriction[NCT02590536]Phase 390 participants (Actual)Interventional2015-10-31Completed
Randomized, Double-blind, Placebo and Active Controlled Study of the Activity of SAR407899A Single-dose on the Ability to Increase Duration of Penile Rigidity, Under Experimental Condition, in Patients With Mild to Moderate Erectile Dysfunction (ED).[NCT00914277]Phase 224 participants (Actual)Interventional2009-05-31Completed
An Open-Label, Multi-Center Extension Study To Evaluate The Safety, Toleration And Sustained Efficacy Of Oral Sildenafil Administered To Women Who Have Been Diagnosed With Female Sexual Arousal Disorder[NCT00746967]Phase 2267 participants (Actual)Interventional2003-01-31Completed
A Randomised, Open-Label 3-Way Crossover Study To Investigate The Relative Bioavailability Of The Crushed Revatio 20 Mg Tablet Mixed With Apple Sauce, The Extemporaneously Prepared Suspension (EP), And The Intact Revatio 20 Mg Tablet In Healthy Volunteers[NCT01027117]Phase 118 participants (Actual)Interventional2009-09-30Completed
Randomized Phase II Study of Combination Chemotherapy With Sildenafil Plus Carboplatin and Weekly Paclitaxel in Patients With Previously Untreated Advanced Non-small Cell Lung Cancer[NCT00752115]Phase 2/Phase 3120 participants (Anticipated)Interventional2007-02-28Completed
A Pivotal Study of the Bioequivalence of Oral Viagra® and a Test Sublingual Sildenafil Wafer[NCT02850718]Phase 348 participants (Actual)Interventional2016-03-31Completed
A Single-Blind Study In Healthy Adult Volunteers To Investigate The Palatability Of Different Oral Suspension Formulations Of Revatio®[NCT00768573]4 participants (Actual)Observational2008-01-31Completed
[NCT02678221]Phase 2100 participants (Anticipated)Interventional2016-02-29Not yet recruiting
Phase II Study of the Effects of Sildenafil on CFTR-dependent Ion Transport Activity[NCT01132482]Phase 219 participants (Actual)Interventional2015-10-31Completed
A Multinational, Multi-centre, Randomised, Double-blind, Double-dummy, Placebo-controlled Study to Assess the Efficacy and Safety of 20, 40, and 80mg TID Sildenafil in the Treatment of Pulmonary Arterial Hypertension in Subjects Aged 18 Years and Over[NCT00644605]Phase 3275 participants (Anticipated)Interventional2002-10-31Completed
Impact of Tadalafil (LY450190) Once a Day or Tadalafil on Demand Compared to Sildenafil Citrate on Demand on Treatment Discontinuation in Patients With Erectile Dysfunction Who Are naïve to PDE5 Inhibitors[NCT01122264]Phase 4770 participants (Actual)Interventional2010-05-31Completed
The Role of Phosphodiesterase Inhibitors in CF Lung Disease[NCT00659529]Phase 1/Phase 236 participants (Actual)Interventional2008-08-31Completed
Phase 4 Study of the Use of Sildenafil (Viagra) to Alter Fatigue, Functional Status and Impaired Cerebral Blood Flow in Patients With Chronic Fatigue Syndrome.[NCT00598585]Phase 412 participants (Actual)Interventional2002-07-31Completed
A 2-Cohort, Multi-Centre, Randomised, Double Blind, Placebo Controlled 4-Way Crossover Study To Assess The Efficacy Of Single Oral Doses Of PF-00446687 On Erectile Function In Men Suffering From Erectile Dysfunction, Using 100 Mg Sildenafil As A Positive [NCT00862888]Phase 239 participants (Actual)Interventional2007-07-31Completed
Sildenafil and Stroke Recovery[NCT02628847]Phase 111 participants (Actual)Interventional2012-03-31Terminated(stopped due to Recruitment was problematic)
Randomized Placebo-Controlled Study of Sildenafil For The Treatment of Pulmonary Hypertension Secondary to Idiopathic Pulmonary Fibrosis: A Pilot Study[NCT00625079]Phase 40 participants (Actual)Interventional2007-02-28Withdrawn(stopped due to inclusion/exclusion criteria limited enrollment)
Relative Bioavailability Of Two Sildenafil 100mg Oral Tablet Formulations In Healthy Volunteers Under Fasting Conditions.[NCT00902512]Phase 430 participants (Actual)Interventional2009-04-30Completed
Efficacy of Testosterone Replacement Therapy in Penile Rehabilitation Following Radical Prostatectomy (#: 04-07-30-01)[NCT00848497]Early Phase 13 participants (Actual)Interventional2007-11-30Terminated(stopped due to Lack of volunteers who would consent to participate and lack of funding)
[NCT00937144]Phase 415 participants (Anticipated)Interventional2009-09-30Withdrawn(stopped due to we didnt recieved the medicine)
The Assessment of Right Ventricular Contractility in Response to Sildenafil in Pediatric Patients With Pulmonary Arterial Hypertension[NCT00742014]Phase 310 participants (Anticipated)Interventional2008-08-31Terminated(stopped due to absorption of oral sildenafil not consistent)
An Open-Label, Crossover Study In Healthy Volunteers To Evaluate The Pharmacokinetics Of Sildenafil Following Administration Of Three Orally Disintegrating Tablet Formulations Of Sildenafil Without Water Relative To Viagra Conventional Oral Tablet With Wa[NCT00950404]Phase 116 participants (Anticipated)Interventional2009-08-31Completed
A Double-blind, Placebo-controlled, Randomized, 2-way Crossover Study to Investigate the Hemodynamic Effects of a Single Dose of Sildenafil (100mg) in Subjects With Benign Prostatic Hyperplasia Being Treated With Doxazosin[NCT00645034]Phase 220 participants (Actual)Interventional2002-11-30Completed
Evaluation of Drug Interactions of Saxagliptin With Sildenafil in Healthy Volunteers[NCT04170790]18 participants (Anticipated)Interventional2019-12-01Not yet recruiting
Switching From Sildenafil Citrate to Tadalafil in Treatment of Erectile Dysfunction: Assessment of Treatment Preference[NCT00547352]Phase 4160 participants (Actual)Interventional2004-06-30Completed
An Open-Label, Crossover Study In Healthy Volunteers To Evaluate The Pharmacokinetics Of Sildenafil Following Administration Of An Experimental Tablet Of Sildenafil With Or Without Water Relative To Viagra® Conventional Oral Tablet With Water.[NCT00866463]Phase 118 participants (Actual)Interventional2008-10-31Completed
Reproducibility and Responsiveness of Exercise Tests in Pulmonary Arterial Hypertension[NCT01391104]22 participants (Actual)Interventional2009-04-30Completed
Influence of the Nitric Oxide Synthase T-786C Polymorphism on the Response to Acute Inhibition of Phosphodiesterase 5 in Resistant Hypertension[NCT01392638]120 participants (Actual)Interventional2010-07-31Completed
The Effect of CYP3A Genetic Polymorphism on the Pharmacokinetics of Phosphodiesterase type5 Inhibitors(PDE5I) in Male Subjects[NCT00767598]Phase 121 participants (Actual)Interventional2007-12-31Completed
Special Investigation For Long-term Use Of Revatio (Regulatory Post Marketing Commitment Plan)[NCT00666198]3,337 participants (Actual)Observational2008-05-31Completed
Cerebrovascular Reactivity (CVR) Assessed With Functional Near Infrared Spectroscopy (fNIRS) as a Biomarker of Traumatic Cerebrovascular Injury (TCVI) Measured Longitudinally After Acute TBI in Military Personnel[NCT04058132]Phase 250 participants (Anticipated)Interventional2019-08-09Recruiting
An Open Single Dose Study To Assess The Safety, Tolerability And Pharmacokinetics Of An Intravenous Bolus Dose (10 Mg) Of Sildenafil In Patients With Pulmonary Arterial Hypertension (PAH).[NCT00800592]Phase 112 participants (Actual)Interventional2008-10-31Completed
Evaluation of Sildenafil for the Treatment of Moderate Congestive Heart Failure[NCT00793338]Phase 40 participants (Actual)Interventional2008-11-30Withdrawn(stopped due to The project was not funded and could not be initiated.)
Effects of Adding Oral Sildenafil to Intravenous Milrinone on Postoperative Pulmonary Hypertension in Pediatric Undergoing Repair of Ventricular Septal Defect[NCT02595541]Phase 1/Phase 230 participants (Actual)Interventional2015-06-30Completed
Effects of the Dive Reflex on Pulmonary Arterial and Pulmonary Artery Wedge Pressures in Subjects Who Have Experienced Immersion Pulmonary Edema[NCT00815646]Early Phase 110 participants (Actual)Interventional2008-01-31Completed
Addition of Sildenafil to Bosentan Monotherapy in Patients With Pulmonary Arterial Hypertension (PAH)[NCT00780728]Phase 30 participants InterventionalWithdrawn
A Phase 3, Multi-Center, Randomized, Double-Blind, Efficacy And Safety Study Of Monotherapy Sitaxsentan Sodium Versus Combination Therapy With Sitaxsentan Sodium And Sildenafil Citrate In Subjects With Pulmonary Arterial Hypertension Who Have Completed St[NCT00796666]Phase 3131 participants (Actual)Interventional2009-05-31Terminated(stopped due to Safety Issue: The trial was prematurely terminated on Dec 9, 2010, due to safety concerns, specifically new emerging evidence of hepatic injury.)
Vasoreactivity Testing With Intravenous Sildenafil in Patients With Precapillary Pulmonary Hypertension (Treatment Optimisation Study)[NCT01889966]Phase 410 participants (Actual)Interventional2013-04-30Completed
Sildenafil Impact on Ventricular Function in Patients With Heart Failure: Randomized Clinical Trial[NCT01936350]Phase 2/Phase 324 participants (Actual)Interventional2013-09-30Completed
An Open-Label, Crossover Study In Healthy Volunteers To Evaluate The Pharmacokinetics Of Sildenafil Following Administration Of An Experimental Tablet Of Sildenafil With Or Without Water Relative To Viagra® Conventional Oral Tablet With Water.[NCT00795938]Phase 118 participants (Actual)Interventional2008-10-31Completed
An Open-Label, Non-Comparative Study To Evaluate Treatment Responsiveness To The Quality Of Erection Questionnaire (QEQ) In Men With Erectile Dysfunction Treated With Viagra (Sildenafil Citrate)[NCT00151463]Phase 4100 participants Interventional2005-01-31Completed
A Randomized, Double-Blinded, Placebo-Controlled, Two-Way Crossover Study to Investigate The Safety And Toleration Of Single Dose Sildenafil In Subjects Receiving Chronic UK-369,003.[NCT00814736]Phase 122 participants (Actual)Interventional2008-08-31Completed
A Randomized, Double-Blind, Placebo Controlled, Dose Ranging, Parallel Group Study of Oral Sildenafil in the Treatment of Children, Aged 1-17 Years, With Pulmonary Arterial Hypertension.[NCT00159913]Phase 3235 participants (Actual)Interventional2003-08-31Completed
A Multi-Center, Flexible Dose Study With A Double-Blind, Randomized, Placebo-Controlled Phase Followed By An Open-Label Phase To Evaluate The Impact Of Treatment With Sildenafil Citrate On The Symptoms Of Depression And Quality Of Life (Qol) Of Male Patie[NCT00159809]Phase 4140 participants Interventional2004-03-31Completed
A Multi-Centre, Multinational, Long-Term Extension Study, to Assess the Safety and Toleration of Subject Optimised Treatment Regimens of Oral Sildenafil Citrate for Pulmonary Arterial Hypertension in Subjects Who Have Completed Study A1481140.[NCT00159887]Phase 3260 participants (Actual)Interventional2002-12-31Completed
A Multicenter, Open Label, High Dose (100mg) Rapid Titration Study, To Evaluate The Efficacy And Satisfaction Of Patrex® (Sildenafil Citrate) In Men With Erectile Dysfunction In Mexico.[NCT00468650]Phase 4117 participants (Actual)Interventional2007-06-30Completed
A MULTINATIONAL, MULTICENTRE, RANDOMIZED, PARALLEL GROUP, DOUBLE-BLIND STUDY TO ASSESS THE EFFICACY AND SAFETY OF 1MG, 5MG AND 20 MG TID OF ORAL SILDENAFIL IN THE TREATMENT OF SUBJECTS AGED 18 YEARS AND OVER WITH PULMONARY ARTERIAL HYPERTENSION (PAH)[NCT00430716]Phase 4130 participants (Actual)Interventional2008-04-08Terminated(stopped due to This study was terminated at the recommendation of an independent Data Monitoring Committee. The decision was not based on any safety concerns.)
A Randomized, Double-blind, Placebo-Controlled Study to Evaluate the Safety and Efficacy of the Addition of Inhaled Iloprost in Patients With Pulmonary Arterial Hypertension Receiving Oral Sildenafil[NCT00302211]Phase 367 participants (Actual)Interventional2006-02-01Terminated(stopped due to Terminated due to slow enrollment)
SIDAMI - Sildenafil and Diastolic Dysfunction After AMI[NCT01046838]Phase 470 participants (Actual)Interventional2009-12-31Completed
A Multicenter, Long-Term Extension Study to Assess Safety of Oral Sildenafil Citrate In The Treatment Of Subjects Who Have Completed Study A1481131[NCT00159874]Phase 3234 participants (Actual)Interventional2004-01-31Completed
Sildenafil for Prevention of Swimming-Induced Pulmonary Edema (SIPE)[NCT03686813]Phase 218 participants (Actual)Interventional2019-07-15Completed
A Multinational, Multi-Center, Randomised, Double-Bind, Placebo-Controlled, Parallel Group Study to Assess the Safety and Efficacy of a Subject Optimised Dose of Sildenafil Citrate (20, 40, or 80 mg. Sildenafil Citrate TID) Based on the Toleration, When U[NCT00159861]Phase 3267 participants (Actual)Interventional2003-07-31Completed
A LOCAL, SINGLE-CENTRE, EXTENSION, OPEN LABEL ACCESS STUDY, TO PROVIDE SILDENAFIL THERAPY FOR SUBJECTS WHO COMPLETED A1481156 STUDY AND ARE JUDGED BY THE INVESTIGATOR TO DERIVE CLINICAL BENEFIT FROM CONTINUED TREATMENT WITH SILDENAFIL, PRIOR TO REIMBURSEM[NCT01897740]0 participants Expanded AccessNo longer available
A Non-randomised Controlled Trial of Early Intervention to Preserve Erectile Function After Laparoscopic Resection for Rectal Cancer[NCT01912586]Phase 490 participants (Actual)Interventional2013-05-31Completed
Phase III Study to Evaluate Efficacy and Safety of HGP1207 in Patients With Pulmonary Hypertension Associated With Systolic Heart Failure[NCT01913847]Phase 3144 participants (Anticipated)Interventional2013-09-30Recruiting
Trial of Viagra' in Men With Chronic Pelvic Pain Syndrome Type III[NCT00194597]Phase 430 participants Interventional2004-07-31Terminated(stopped due to Illness of PI forced termination.)
An Open Label, Dose Finding Trial of Viagra for the Treatment of Neuropathic Pain (in Diabetes Mellitus)[NCT00194909]Phase 48 participants (Actual)Interventional2004-08-31Completed
Motor Response to Acute Challenge to Sildenafil in Parkinsons Disease[NCT01941732]Phase 48 participants (Actual)Interventional2003-11-30Completed
The Effects of Sildenafil for Liver Fibrosis in Adolescents and Adults After Fontan Operation: An Open-label, Randomized Controlled, Pilot Trial.[NCT04908657]Phase 440 participants (Anticipated)Interventional2017-07-03Recruiting
Sildenafil for the Treatment of Cerebrovascular Dysfunction During the Chronic Stage After Traumatic Brain Injury.[NCT01762475]Phase 259 participants (Actual)Interventional2013-01-31Completed
Sildenafil Prior to Robotic Partial Nephrectomy to Improve Postoperative Renal Function: A Randomized, Placebo-Controlled Pilot Study[NCT01950923]Phase 130 participants (Actual)Interventional2013-09-30Completed
[NCT01986673]Phase 162 participants (Actual)Interventional2013-10-31Completed
A Trial of Phosphodiesterase-5 Inhibitor in Neonatal Congenital Diaphragmatic Hernia (TOP-CDH)[NCT05201144]Phase 240 participants (Anticipated)Interventional2022-09-15Recruiting
A Multi-center, Prospective, Randomized, Double-blind, Flexible-dose, Placebo-controlled, Parallel Group Clinical Trial of Sildenafil Oral Film 25 mg, 50 mg, 75 mg and 100 mg for the Treatment of Erectile Dysfunction (ED)[NCT05490680]Phase 3488 participants (Anticipated)Interventional2023-10-31Not yet recruiting
To Study The Proof of Concept in The Improvement of Cognition and Quality of Life in Cirrhotic Patients With Minimal Hepatic Encephalopathy by Means of a Pharmacological Intervention With Sildenafil (A Phosphodiesterase-5 Inhibitor).[NCT02028429]Phase 1/Phase 250 participants (Actual)Interventional2012-07-31Active, not recruiting
A Randomized, Open-labeled, 6-sequence, 3-period, 3-treatment Crossover Study to Evaluate the Effect of Co-administration of Clomipramine HCl (Condencia Tab.) 15mg and Sildenafil Citrate (Viagra Tab.) 100mg on the Safety and Pharmacokinetic/Pharmacodynami[NCT02028598]Phase 130 participants (Actual)Interventional2014-01-31Completed
The Efficacy and Safety of Dapoxetine/Sildenafil Combination Therapy in the Treatment of Men With Premature Ejaculation and Erectile Dysfunction (DAP-SPEED Study)[NCT02939495]Phase 475 participants (Actual)Interventional2016-10-31Completed
Therapy of Pulmonary Arterial Hypertension (PAH) - Treatment With Sildenafil in Eisenmenger Patients[NCT00586794]Phase 324 participants (Actual)Interventional2007-12-31Terminated
An Interaction Study to Evaluate Changes in Blood Pressure Following 1, 1.5, 2, and 2.5 mg Riociguat Tid (Dose Titration) Compared to Placebo Treatment on the Background of Stable Sildenafil Pretreatment in Subjects With Symptomatic Pulmonary Arterial Hyp[NCT01179334]Phase 218 participants (Actual)Interventional2010-08-31Completed
Effects of the Selective Phosphodiesterase Type 5 Inhibitor Sildenafil Citrate on Exercise Capacity and Vascular Function in Hypertensive Subjects[NCT00599235]30 participants (Actual)Interventional2007-03-31Completed
A Local, Multi-centre, Open Label Access Study, To Provide Sildenafil Therapy To Eligible Adult Patients With Pulmonary Arterial Hypertension Completing A1481244 Study In India Or Ongoing In A1481269 Study Who Continue To Receive Benefit From Sildenafil T[NCT00878943]0 participants Expanded AccessNo longer available
Androgen Modulation of Response to Selective Phosphodiesterase Inhibitors in Erectile Dysfunction[NCT00512707]Phase 4140 participants (Actual)Interventional2006-11-30Completed
Study to Assess the Pharmacodynamic Effects of Repeated Oral Doses of SAR247799 on Endothelial Function in Male and Female Patients With Type 2 Diabetes Mellitus[NCT03462017]Phase 154 participants (Actual)Interventional2018-03-07Completed
Sildenafil Trial of Exercise Performance in Idiopathic Pulmonary Fibrosis[NCT00517933]Phase 3180 participants (Actual)Interventional2007-08-31Completed
Decreased Pulmonary Artery Pressure by Oral Sildenafil Injection During Exercise in Air Pollution Increases Exercise Performance.[NCT00808912]24 participants (Anticipated)Interventional2008-12-31Completed
A Randomized, Open-Label, Crossover, Multicenter, Single Dose Comparator Study Evaluating Onset Of Penile Rigidity In Men With Erectile Dysfunction Who Are Treated With Viagra (Sildenafil Citrate) And Cialis (Tadalafil)[NCT00644956]Phase 456 participants (Actual)Interventional2003-06-30Completed
A Multicenter, Double-blind Study to Evaluate the Effect of Pretreatment With a Daily Dose of Viagra® (Sildenafil Citrate) on the PRN Efficacy of Viagra in Men With Erectile Dysfunction and Type 2 Diabetes[NCT00645268]Phase 4300 participants (Anticipated)Interventional2002-12-31Completed
The Effect of Sildenafil Citrate on the Success Rate of Ovulation Induction Using Clomiphene: A Randomized Controlled Trial.[NCT02663830]Phase 2210 participants (Actual)Interventional2016-01-10Completed
A Placebo-Controlled, Randomized, Two-Way Cross-Over, Double-Blind, Flexible Dose, Multicenter Study to Evaluate the Efficacy and Safety of Viagra in Male Patients With Traumatic Spinal Cord Injury and Erectile Dysfunction[NCT00654082]Phase 488 participants (Actual)Interventional2002-09-30Completed
A Prospective Case-crossover Study to Evaluate the Possible Association Between the Use of PDE5 Inhibitors and the Risk of Acute Nonarteritic Anterior Ischemic Optic Neuropathy (NAION)[NCT01131104]345 participants (Actual)Observational2010-05-31Completed
The Effects of Sildenafil on Exercise Function and Capacity in Patients With Fontan Circulation[NCT00964782]Phase 417 participants (Actual)Interventional2009-08-31Completed
A Pilot Study of Sildenafi in the Treatment of COVID-19[NCT04304313]Phase 310 participants (Anticipated)Interventional2020-02-09Recruiting
A Local, Multi-Centre, Open Label Access Study, To Provide Sildenafil Therapy To Eligible Adult Patients With Pulmonary Arterial Hypertension For One Hundred Twelve Weeks / Prior To Reimbursement And Availability For Patients In Poland.[NCT00946114]32 participants (Actual)Observational2006-06-30Completed
A Phase II, Double Blind Randomized Controlled Trial to Determine the Safety and Efficacy of 12.5mg of Oral Sildenafil (Viagra) Compared to Placebo to Decrease Pulmonary Hypertension in Cardiac Patients After Cardiopulmonary Bypass[NCT00334490]Phase 240 participants (Actual)Interventional2005-03-31Completed
Role of Sildenafil Citrate in Patients With Unexplained Recurrent Miscarriages: a Randomized Clinical Trial[NCT01419392]Phase 480 participants (Anticipated)Interventional2011-09-30Active, not recruiting
[NCT01432665]Phase 2196 participants (Actual)Interventional2011-09-30Completed
Pilot of Oral Sildenafil for the Treatment of Pulmonary Hypertension in Thalassemia With Comparison to Controls[NCT00872170]Phase 2/Phase 327 participants (Actual)Interventional2009-03-31Completed
Cost-effective Treatment of Unexplained Infertility: A Prospective Multicenter, Double-blinded, Randomised Controlled Study[NCT06178523]Phase 4900 participants (Anticipated)Interventional2024-01-01Not yet recruiting
A Phase 3, Multi-Center, Open Label Study To Evaluate The Long-Term Safety Of Monotherapy Sitaxsentan Sodium And Combination Therapy With Sitaxsentan Sodium And Sildenafil Citrate In Subjects With Pulmonary Arterial Hypertension[NCT00796510]Phase 33 participants (Actual)Interventional2010-07-31Terminated(stopped due to Safety Issue: The trial was prematurely terminated on Dec 9, 2010, due to safety concerns, specifically new emerging evidence of hepatic injury)
The Use and Efficacy of Sildenafil in Diabetic Men With Erectile Dysfunction: the Impact on Endothelial Function, a Pilot Feasibility Study[NCT00199563]Phase 424 participants (Actual)Interventional2004-08-31Completed
Sildenafil in Heart Failure (SilHF); An Investigator Initiated Multinational Randomized Controlled Clinical Trial.[NCT01616381]Phase 375 participants (Actual)Interventional2013-03-31Active, not recruiting
Effect of Chronic Administration of Sildenafil on Endothelial Function in Men With Diabetes[NCT00420901]Phase 330 participants Interventional1999-01-31Completed
Effect of Nightly Versus Prn Sildenafil on Early Return of Erectile Function Following Nerve-Sparing Laparoscopic Radical Prostatectomy[NCT00511498]100 participants (Actual)Interventional2006-03-31Completed
Sildenafil in Patients With Pulmonary Nontuberculous Mycobacterial Infection[NCT01853540]Phase 1/Phase 210 participants (Actual)Interventional2013-01-31Completed
A Phase 1, Open Label, Randomized, Four Period, Crossover, Multiple Dose Study To Assess The Pharmacokinetic Interaction Between Sitaxsentan and Tadalafil and The Effect Of Sildenafil On Sitaxsentan PK In Healthy Subjects[NCT01244620]Phase 116 participants (Actual)Interventional2010-11-30Terminated(stopped due to Safety Issue: The trial was prematurely terminated on Dec 9, 2010, due to safety concerns, specifically new emerging evidence of hepatic injury.)
A Postmarketing Observational Study to Assess Respiratory Tract Adverse Events in Pulmonary Arterial Hypertension Patients Treated With Tyvaso® (Treprostinil) Inhalation Solution[NCT01266265]1,333 participants (Actual)Observational2010-12-31Completed
Evaluation and Treatment of Pulmonary Vascular Disease in Moderate to Severe Cystic Fibrosis Lung Disease[NCT02626182]Phase 1/Phase 214 participants (Actual)Interventional2015-12-31Completed
A Placebo-Controlled Single-Dose Trial of Sildenafil in Schizophrenia[NCT00455715]Phase 418 participants (Actual)Interventional2006-02-28Completed
A Double Blind, Randomized, Placebo Controlled, Two Part, Two Session Balanced, Crossover Study to Evaluate Visual Changes in Healthy Male Subjects Aged 18 - 55 Years After Receiving: 1. at Least 15 Doses of 20 mg Vardenafil, Compared to Placebo and 2. Tw[NCT00461565]Phase 463 participants (Actual)Interventional2005-02-28Completed
The Dutch STRIDER (Sildenafil TheRapy In Dismal Prognosis Early-onset Fetal Growth Restriction)[NCT02277132]Phase 2/Phase 3216 participants (Actual)Interventional2015-01-31Terminated(stopped due to Results of interim analysis)
Efficacy of Sildenafil on the Morbi-mortality of Peripheral Arterial Diseased Patients With Intermittent Claudication. A National, Multicentre, Prospective, Randomised, Double-Blind, Placebo-Controlled Trial.[NCT02930811]Phase 30 participants (Actual)InterventionalWithdrawn(stopped due to The Investigator-Coordinator has moved to Rennes University Hospital. It will be done under the sponsor of Rennes University Hospital : NCT03686306)
Pilot Randomized Study of the Sidlenafil Efficacy in Combination With Oral Anticoagulants in the Treatment of Patients With Intermediate-high Risk of Pulmonary Embolism[NCT02946944]Phase 1100 participants (Anticipated)Interventional2016-10-31Recruiting
Functional Muscle Ischemia and PDE5 Inhibition in Duchenne Muscular Dystrophy: Acute Dosing Study[NCT01580501]Phase 112 participants (Anticipated)Interventional2012-03-31Completed
Comparing The Effect of Tadalafil 5 mg/Day to Sildenafil 25 mg/Day on Neutrophil-Lymphocyte and Platelet-Lymphocyte Ratios in Erectile Dysfunction Patients; and Comparison of Clinical Response[NCT05466695]Early Phase 174 participants (Anticipated)Interventional2022-08-01Not yet recruiting
A Multicenter Open-Label Study to Determine Treatment Preference of Tadalafil (IC351, LY450190) or Sildenafil Citrate in the Oral Treatment of Erectile Dysfunction[NCT00547092]Phase 4386 participants (Actual)Interventional2003-10-31Completed
Switching From Sildenafil Citrate to Tadalafil in Treatment of Erectile Dysfunction: Multinational Assessment of Treatment Preference[NCT00547287]Phase 32,760 participants (Actual)Interventional2002-11-30Completed
Finding Solutions to Thrive After Birth Asphyxia in Africa: An Open-label Dose-finding Clinical Trial (Phase Ib Study)[NCT05275725]Phase 130 participants (Anticipated)Interventional2022-07-01Recruiting
Treatment of Neonatal Encephalopathy With Oral Sildenafil Suspension to Repair Brain Injury Secondary to Birth Asphyxia: An Open-label Dose-finding Clinical Trial (Phase Ib Study)[NCT04169191]Phase 120 participants (Anticipated)Interventional2019-09-19Active, not recruiting
Copd Exacerbation and Pulmonary Hypertension Trial[NCT04538976]Phase 42 participants (Anticipated)Interventional2020-02-01Recruiting
Sildenafil Citrate Added to Low Molecular Weight Heparin and Low Dose Aspirin to Improve Uteroplacental Perfusion in High-risk Pregnancy[NCT04110444]0 participants (Actual)Observational2017-01-31Withdrawn
Pharmacokinetic Study of Sildenafil in Neonates and Preterm Infants[NCT02244528]Phase 220 participants (Anticipated)Interventional2014-10-31Completed
Phase 2 Use of Sildenafil for the Treatment of Post-capillary Hypertension in Patients Undergoing Cardiac Surgery[NCT01481350]Phase 220 participants (Actual)Interventional2012-02-29Completed
An Open Label, Multicenter Study to Measure Treatment Responsiveness of Quality of Sexual Life Questionnaire in the Female Partner of Men With Erectile Dysfunction Treated With Viagra (Sildenafil Citrate)[NCT00245596]Phase 4120 participants Interventional2005-10-31Completed
A Prospective Multicenter, Parallel Group Study With A Single Blind Phase And A Double Blind Randomised Phase, To Evaluate The Efficacy And Satisfaction Of Viagra (Sildenafil Citrate) High Dose (100mg) Titration Compared With 50mg Dose, In Men With Erecti[NCT00249730]Phase 4510 participants Interventional2005-10-31Completed
Effect of Sildenafil Citrate on Mid Luteal Phase Uterine Artery Blood Flow in Patients With Recurrent Pregnancy Loss Due to Impaired Uterine Artery Blood Flow[NCT04718233]Phase 280 participants (Actual)Interventional2018-09-05Completed
Combination Treatment With Bosentan and Sildenafil to Patients With Eisenmengers Syndrome[NCT00303004]Phase 320 participants (Anticipated)Interventional2006-03-31Completed
Phase 3 Study of the Effects of Chronic Sildenafil Citrate Therapy on Exercise Tolerance and Hemodynamics in Patients With Advanced Heart Failure.[NCT00309790]Phase 340 participants (Anticipated)Interventional2003-05-31Completed
Effect of Sildenafil on Endothelial Function[NCT00297544]60 participants Interventional2005-10-31Recruiting
The Effect of Sildenafil Citrate on the Endometrial Thickness and Pregnancy Rates of Frozen Embryo Transfer Cycles[NCT05951413]Phase 2/Phase 3110 participants (Anticipated)Interventional2023-06-30Recruiting
Application of Sildenafil in Patients With Documented Coronary Vasospasm to Explore the Pathophysiology of Coronary Vasospasm and the Therapeutic Effect of Sildenafil in Patients Suffering From Coronary Vasospasm[NCT00454714]Phase 30 participants (Actual)Interventional2007-03-01Withdrawn(stopped due to Study not started)
The Pharmacological Basis for the Increase in Visual Time Constants Induced by Single Oral Doses of Sildenafil[NCT00463957]12 participants Interventional2006-08-31Active, not recruiting
Investigation of the Time Course of the Interaction of the Hypotensive Effects of Sildenafil Citrate and Sublingual Glyceryl Trinitrate (GTN) in Men With Stable Angina Pectoris[NCT00479908]Phase 420 participants (Actual)Interventional2004-01-31Completed
Acute Effects of a Single Dose of Sildenafil (20mg/40mg) on Pulmonary Haemodynamics and Gas Exchange at Rest and During Exercise in COPD Patients With Pulmonary Hypertension[NCT00491803]Phase 420 participants (Anticipated)Interventional2007-06-30Completed
A Pilot Study of the Effect of Chronic Administration of Sildenafil on Pulmonary Artery Pressure in Patients With Portopulmonary Hypertension[NCT00145938]Phase 210 participants Interventional2003-09-30Terminated(stopped due to Unable to complete study)
Multicenter, Randomized, Double-Blind, Placebo-Controlled, Fixed-Dose Parallel Study of Men With Mild to Moderate Erectile Dysfunction to Evaluate the Efficacy of Viagra 8 Hours Post-Dose[NCT00137072]Phase 4355 participants (Actual)Interventional2005-04-30Completed
A Multicenter, Parallel Group Flexible Dose Study With A Double Blind, Randomized, Placebo Controlled Phase And An Open-Label Phase To Evaluate The Quality Of Erections In Men With Erectile Dysfunction Treated With Sildenafil Citrate[NCT00159900]Phase 4300 participants Interventional2005-05-31Completed
A Phase 1, Open-Label Study of Intravenous Sildenafil in Patients With Cirrhosis[NCT01954524]Phase 12 participants (Actual)Interventional2014-05-31Terminated(stopped due to The study is closed due to lack of funding to support the study.)
Acute Hemodynamic Effects of Sildenafil in Patients With Severe Aortic Stenosis[NCT01060020]Phase 420 participants (Actual)Interventional2010-01-31Completed
Phase 2 Clinical Trial of Sildenafil for Cardiac Dysfunction in Duchenne Muscular Dystrophy and Becker Muscular Dystrophy[NCT01168908]Phase 220 participants (Actual)Interventional2010-09-30Terminated(stopped due to As recommended by the DSMB.)
An Open Label Crossover Study In Healthy Older Male Subjects To Evaluate The Pharmacokinetics And Safety Of An Orally Disintegrating Tablet Formulation Of Sildenafil Administered Without Water Under Fed Compared To Fasted Conditions[NCT01254396]Phase 112 participants (Actual)Interventional2010-12-31Completed
Acute Effects of Sildenafil on Flow Mediated Dilatation and Cardiovascular Autonomic Nerve Function in Type 2 Diabetic Patients[NCT00527995]Phase 340 participants (Actual)Interventional2001-08-31Completed
Clinical Efficacy of Type-5 Phosphodiesterase Inhibitors (Sildenafil and Vadenafil) in Primary and Secondary Pulmonary Hypertension[NCT00155714]20 participants (Anticipated)Interventional2002-11-30Withdrawn(stopped due to We can't obtained the test drug (Vadenafil) from Bayer. They decided not to carry out this trail in Taiwan. Therefore this trail has never been started.)
A Double-Blind, Randomised, Placebo Controlled Healthy Volunteer Study to Investigate the Nature and Origin of the Disturbance of Vision Induced by Single Oral Doses of Sildenafil[NCT00251784]Phase 40 participants Interventional2002-02-28Completed
The Effect of Sildenafil in Preterm Infants With Evolving Chronic Lung Disease (SPICE Trial): a Pilot Study[NCT00431418]Phase 320 participants (Actual)Interventional2007-01-31Completed
Improvement of Utero-Placental Perfusion and Fetal Growth in IUGR and PET by Administration of Sildenafil Citrate in Pregnancy[NCT00347867]Phase 420 participants Interventional2006-07-31Not yet recruiting
A Randomised, Double-Blind, Placebo-Controlled, Single-Centre Study of the Pre-Operative Effect of Sildenafil Citrate on Pulmonary Related Complications Following Cardiopulmonary Bypass in Children Undergoing Cardiac Surgical Repair.[NCT00350441]Phase 412 participants Interventional2006-06-30Recruiting
Hemodynamic Evaluation of Patients With Pulmonary Arterial Hypertension. Response to Sildenafil Treatment[NCT00483626]Phase 427 participants (Anticipated)Interventional2003-08-31Recruiting
A Prospective, Randomized, 3-arm Parallel Trial to Evaluate the Safety and Clinical Effectiveness of 2 Lower Dose Combined PDE5i's vs. Single Maximal Dose PDE5i Treatment[NCT00498680]Phase 446 participants (Anticipated)Interventional2007-03-31Recruiting
[NCT01514903]Phase 154 participants (Actual)Interventional2011-12-31Completed
Combined Clinical and Surgical Approaches to Congenital Heart Disease Associated With Pulmonary Arterial Hypertension (PAH-CHD)[NCT01548950]50 participants (Actual)Interventional2011-09-30Completed
Revatio Portal-Pulmonary Arterial Hypertension Trial (RePo1 Trial): A Randomized, Double-blinded, Placebo-controlled, Multi-center Study to Evaluate the Effects of Sildenafil Citrate (Revatio) 20 mg TID on Patients With Portal Pulmonary Arterial Hypertens[NCT01517854]Phase 212 participants (Actual)Interventional2012-11-14Terminated(stopped due to Poor recruitment.)
Phosphodiesterase Type 5 Inhibition to Improve Endothelial Function and Vascular Remodeling in Chronic Kidney Disease and End Stage Renal Disease Patients Requiring New Arteriovenous Fistula[NCT02414204]4 participants (Actual)Interventional2015-04-30Completed
A Randomised, Double-Blind, Placebo-Controlled, Flexible-Dose, Parallel-Group Study to Evaluate the Efficacy, Safety and Toleration of Oral Sildenafil Citrate Administered in the Dose Range of 20 - 80 Mg TID for the Treatment of Pre-Eclampsia. (PET)[NCT00141310]Phase 276 participants Interventional2004-09-30Terminated(stopped due to Study prematurely discont'd 20-Apr-2006 after interim analysis suggested sample size could be reduced without losing power. No safety concerns led to decision.)
A Multicenter, Randomized, Parallel Group, Double-blind, Placebo-controlled Flexible Dose Study With and Open-label Extension to Assess the Efficacy and Safety of Viagra (Sildenafil Citrate) in the Treatment of Men With Erectile Dysfunction (ED) and Conco[NCT00143221]Phase 4350 participants Interventional2004-03-31Completed
Multicenter Randomized Double-Blind, Placebo-Controlled, Fixed-Dose Parallel Study Of Men With Mild To Moderate Erectile Dysfunction To Evaluate The Efficacy Of Viagra 8 Hours Post-Dose - II[NCT00143260]Phase 4250 participants Interventional2005-08-31Completed
Evaluation of Potential Synergy of Combining Hydroxyurea With Nitric Oxide Donors on Fetal Hemoglobin Synthesis in Patients With Sickle Cell Anemia[NCT00056433]Phase 139 participants (Actual)Interventional2003-03-10Completed
Treatment Of Erectile Dysfunction In Patients Treated On RTOG-9910 For Prostate Cancer: Impact On Patient And Partner Quality Of Life[NCT00057759]115 participants (Actual)Interventional2003-01-31Completed
Safety, Pharmacokinetics and Hemodynamic Efficacy of Sildenafil in Single Ventricle Patients[NCT01169519]Phase 121 participants (Actual)Interventional2011-04-30Completed
A Randomized Phase II Trial Evaluating the Importance of Early Erectile Dysfunction Rehabilitation and Unilateral Autologous Sural Nerve Sparing Radical Prostatectomy Clinically Localized Prostate Cancer[NCT00080808]Phase 2111 participants (Actual)Interventional2001-08-31Completed
A Multicentre, Double-Blind, Randomized, Placebo-Controlled, Parallel Group Study Of The Efficacy and Safety Of Sildenafil Given For The Acute Treatment Of Meniere's Disease[NCT00145483]Phase 4163 participants (Actual)Interventional2002-06-18Completed
A Multi-Center, Double-Blind Placebo Controlled, Flexible-Dose Study With An Open-Label Phase To Assess The Efficacy Of Sildenafil Citrate On Erectile Function And Intercourse Satisfaction As Well As To Validate The Sexual Experience Questionnaire And Its[NCT00147628]Phase 4209 participants (Actual)Interventional2005-11-30Completed
Open Label, Multicenter, Non Comparative Study, To Confirm The Efficacy And Tolerability Of Viagra In Subjects With Erectile Dysfunction And Arterial Hypertension Who Are Taking Antihypertensive Treatment.[NCT00150358]Phase 4253 participants Interventional2005-03-31Completed
Phase II Study of Sildenafil Citrate in Waldenstrom's Macroglobulinemia[NCT00165295]Phase 230 participants Interventional2005-09-30Completed
Long-Term Use of Sildenafil in the Therapeutic Management of Heart Failure[NCT00407446]Phase 340 participants Interventional2004-01-31Completed
Pharmacokinetic and Pharmacodynamic Evaluation of the Interaction Between Fluvoxamine and Sildenafil in Healthy Males[NCT00175981]Phase 112 participants Interventional2003-02-28Completed
The Pathophysiology and Treatment of Supine Hypertension in Patients With Autonomic Failure[NCT00223717]Phase 1152 participants (Actual)Interventional2001-01-31Completed
Milrinone Versus Sildenafil in Treatment of PPHN in Neonates[NCT04391478]Phase 140 participants (Actual)Interventional2015-01-31Completed
Renin- Angiotensin and Fibrinolysis Interaction in Humans: Effect of Long-term PDE-5 Inhibition on Glucose Homeostasis. Sub-study[NCT02129725]Phase 415 participants (Actual)Interventional2014-04-30Completed
Smoking Cessation and Functional CT Assessment of Pulmonary Arterial Dysfunction in Smoking Associated Emphysema[NCT03382106]Phase 4280 participants (Anticipated)Interventional2018-03-19Recruiting
A Phase 2a, Single-Dose, Double-Blind, Placebo-Controlled, 2-Way Crossover Study to Evaluate the Efficacy and Safety of SST-6006 Compared to Placebo in the Treatment of Erectile Dysfunction[NCT02390960]Phase 233 participants (Actual)Interventional2015-03-31Completed
Phosphodiesterase-5 Inhibition to Improve Clinical Status and Exercise Capacity in Diastolic Heart Failure (RELAX)[NCT00763867]Phase 3216 participants (Actual)Interventional2008-09-30Completed
The Effect of Sildenafil on Diffusion Capacity Measurements in Patients With Pulmonary Hypertension and Parenchymal Lung Disease[NCT01948518]15 participants (Actual)Interventional2009-06-30Completed
Hypersensitivity to Phosphodiesterase 5 Inhibition in Post-Traumatic Headache: A Randomized Clinical Trial[NCT05669885]21 participants (Anticipated)Interventional2023-01-02Recruiting
A Multicenter, Double-Blind Placebo Controlled, Fixed Dose Study With An Open-Label, Flexible Dose Phase To Assess The Efficacy Of Sildenafil Citrate In Providing A Better Sexual Experience Including Quality Of Erections And Satisfaction In Men With Erect[NCT00245258]Phase 4312 participants Interventional2005-11-30Completed
Effect of Sildenafil Citrate on Insulin Resistance and Endothelial Function in Obese African American Women[NCT01334554]Phase 1/Phase 246 participants (Actual)Interventional2011-04-30Completed
A Randomized Double Blind, Placebo Controlled Balanced 4-Way Crossover Study To Assess The Efficacy Of Single Oral Doses Of PF-00592379 On Erectile Function, Using 100mg Sildenafil As A Positive Control[NCT00273416]Phase 232 participants Interventional2006-01-31Completed
Measurement of the Effect of Sildenafil Citrate (Viagra) on the Hemodynamics of Exercise Tolerance in Advanced Congestive Heart Failure.[NCT00309816]Phase 340 participants Interventional2001-12-31Completed
Effects of Regular Treatment With Sildenafil on Blood Pressure and Endothelial Function in Untreated Hypertensives[NCT00317421]Phase 220 participants Interventional2004-03-31Completed
Phase 1 Study of Sildenafil (Viagra) Treatment of Subacute Ischemic Stroke[NCT00452582]Phase 120 participants (Actual)Interventional2005-04-30Terminated(stopped due to Failure to recruit in expected time period.)
A Multicenter, Randomized, Parallel-Group, Double-Blind, Placebo-Controlled Flexible-Dose Study To Assess The Efficacy And Safety Of Viagra (Sildenafil Citrate) In Men With Erectile Dysfunction (ED) Who Do Not Self Identify.[NCT00343200]Phase 4371 participants (Actual)Interventional2006-07-31Completed
The Effect of Treatment for ED on Quality of Life and Satisfaction in a Group of Patients Without Prior Complaints of Sexual Dysfunction[NCT00313898]Phase 4100 participants (Anticipated)Interventional2005-09-30Recruiting
Clinical Study of Effects of Sodium Tanshinone IIA Sulfonate on Pulmonary Hypertension[NCT01637675]Phase 2/Phase 390 participants (Anticipated)Interventional2013-05-31Recruiting
An Open-Label, Randomized, Single-Dose, 2-Way Crossover Study In Healthy Subjects Assessing The Pharmacokinetics And Safety Of Powder For Oral Suspension Of Sildenafil Citrate Administered Under Fasted And Fed Conditions[NCT01656798]Phase 112 participants (Actual)Interventional2012-08-31Completed
Effect of Adding Sildenafil to Protocol of Endometrial Preparation in Outcome of Frozen-thawed Embryo Transfer Cycles[NCT01668446]Phase 42 participants (Actual)Interventional2009-09-30Completed
Evaluation and Validation of Metabolic Markers for the Prediction of Drug-drug Interaction of Various CYP3A4 Substrates and Inhibitors in Healthy Male Subjects[NCT02975037]Phase 132 participants (Actual)Interventional2017-02-06Completed
Phase 2 Study of Sorafenib, Valproic Acid, and Sildenafil in the Treatment of Recurrent High-Grade Glioma[NCT01817751]Phase 247 participants (Actual)Interventional2013-04-11Active, not recruiting
Phase 1, Open-Label, Randomized, Single-Dose, 3-Way Crossover Study Assessing Bioequivalence Of Sildenafil 50 Mg Orally-Disintegrating Tablet With Or Without Water To Viagra® 50 Mg Oral Tablet With Water Under Fasted Condition[NCT01737203]Phase 153 participants (Actual)Interventional2012-08-31Completed
Echo Study - Characterization of LV Strain Patterns in Patients With Mildly Elevated PCWP and Pulmonary Hypertension[NCT01800292]Phase 49 participants (Actual)Interventional2013-02-28Completed
Evaluation of Phosphodiesterase-5 Inhibition on Endothelial Function in Heart Transplant Recipients[NCT01812434]0 participants (Actual)Interventional2010-10-31Withdrawn(stopped due to PI Left University)
Phosphodiesterase-type 5 Inhibitors in Adult and Adolescent Patients With Univentricular Heart Disease: a Multi-center, Randomized, Double Blind Phase III Study[NCT03997097]Phase 30 participants (Actual)Interventional2023-06-01Withdrawn(stopped due to New sponsor)
Effect of Sildenafil on the Microcirculatory Blood Flow and on the Endothelial Progenitor Cells in Patients With Systemic Sclerosis: a Randomized, Double-blind, Placebo-controlled Clinical Trial[NCT01347008]Phase 341 participants (Actual)Interventional2011-04-30Completed
A Phase I Study to Assess the Safety, Tolerability and Pharmacokinetic Profile of Boceprevir and Sildenafil When Dosed Separately and Together in Healthy Male Volunteers[NCT01499498]Phase 113 participants (Actual)Interventional2012-12-31Completed
Randomized Double Blind Placebo Controlled Study of Sildenafil for Treatment of Serotonergic Reuptake Inhibitor Associated Sexual Dysfunction in Women With Major Depression Treated to Remission[NCT00375297]Phase 4100 participants Interventional2001-01-31Completed
Phase 2 Study of Sildenafil for the Treatment of Lymphatic Malformations[NCT02335242]Phase 222 participants (Actual)Interventional2015-05-23Completed
Combined Nifedipine and Sildenafil Citrate Versus Nifedipine Alone in Acute Tocolysis of Preterm Labor: A Randomized Clinical Trial[NCT02337881]Phase 1227 participants (Anticipated)Interventional2015-01-31Recruiting
A Double-Blind, Placebo-Controlled, Cross-Over Study of Sildenafil (Viagra) for the Treatment of Dyskinesias in Parkinson's Disease[NCT02162979]Phase 22 participants (Actual)Interventional2002-02-28Terminated(stopped due to Not enough subjects.)
A Randomized Trial of Pharmacological Penile Rehabilitation in the Preservation of Erectile Function Following Bilateral Nerve-Sparing Radical Prostatectomy[NCT00955929]76 participants (Actual)Interventional2009-08-06Terminated(stopped due to The study was interrupted because of failure to recruit the target study population in a reasonable timeframe.)
A Multicenter, Randomized, Double-blind, Placebo-controlled Study Evaluating the Effect of Sildenafil in the Treatment of Patients With Pulmonary Hypertension Associated to Chronic Obstructive Lung Disease[NCT01441934]Phase 332 participants (Anticipated)Interventional2010-10-31Recruiting
Comparison of Efficacy Different Treatment Regimens in Pulmonary Hypertension Secondary to Lung Disease and or Hypoxia[NCT01449253]Phase 460 participants (Anticipated)Interventional2011-08-31Recruiting
Sildenafil for Treatment of Priapism in Men With Sickle Cell Anemia[NCT00940901]Phase 213 participants (Actual)Interventional2008-06-30Completed
Improving Erectile Function and Quality of Life After Prostate Cancer Treatment[NCT01996852]34 participants (Actual)Interventional2013-07-31Terminated(stopped due to Premature terminated at institution request)
Effects of Sildenafil on Choroidal Thickness in Age-Related Macular Degeneration[NCT01830790]Phase 210 participants (Actual)Interventional2013-03-31Terminated(stopped due to Inadequate support to complete recruitment/data analysis.)
Effect of Nebivolol on Blood Pressure in a Model of Hypertension Sensitive to Potentiation of Nitric Oxide Bioactivity[NCT01044693]20 participants (Actual)Interventional2010-01-31Completed
Evaluate The Clinical Effectiveness, Safety And Tolerability Of Sildenafil Used In Doses ≥20mg TID For The Treatment Of Pulmonary Arterial Hypertension[NCT01365585]227 participants (Actual)Observational2011-07-31Completed
Role of Phosphodiesterase 5 Inhibitors (PDE5i) (Sildenafil) in Management of Distal Ureteral Stone[NCT02519153]Phase 4100 participants (Anticipated)Interventional2014-07-31Active, not recruiting
Use of Sildenafil Citrate in Management of Mild Pre-eclampsia: A Randomized Controlled Trial[NCT03262961]Phase 2/Phase 380 participants (Anticipated)Interventional2016-09-15Recruiting
STRIDER Canada: A Randomized Controlled Trial of Sildenafil Therapy In Dismal Prognosis Early-Onset Intrauterine Growth Restriction (Canada)[NCT02442492]Phase 2/Phase 321 participants (Actual)Interventional2017-01-31Terminated(stopped due to Trial terminated following Dutch DSMB recommendation for their Study)
The Safety and Efficiency of Sildenafil in the Treatment of Severe Post-capillary Pulmonary Hypertension Caused by COPD[NCT03185364]46 participants (Anticipated)Interventional2017-06-15Recruiting
Efficacy of Adding Sildenafil to Dapoxetine in Treatment of Dapoxetine Non-responding Mono-symptomatic Premature Ejaculation (PE)[NCT05556083]Phase 2200 participants (Anticipated)Interventional2022-10-01Not yet recruiting
Sildenafil in Heart Failure With Reactive Pulmonary Hypertension[NCT02304705]Phase 433 participants (Actual)Interventional2015-01-31Terminated(stopped due to Difficulty meeting enrollment goal)
Patterns of Erectile Recovery After Robotic-Assisted Laparoscopic Prostatectomy With and Without Penile Rehabilitation[NCT03406169]Phase 3180 participants (Anticipated)Interventional2017-02-13Recruiting
Comparative Clinical Study Evaluating the Effect of L-arginine Versus Sildenafil in Children With Beta Thalassemia Associated With Pulmonary Hypertension[NCT03402191]Phase 460 participants (Anticipated)Interventional2016-07-31Recruiting
Oxford Haemodynamic Adaptation to Reduce Pulsatility: Randomised, Placebo-controlled, Double-blind Crossover Trial of Effects of Sildenafil on Cerebral Arterial Pulsatility in Patients With Cryptogenic or Lacunar Stroke and Small Vessel Disease[NCT03855332]Phase 275 participants (Actual)Interventional2019-07-11Completed
Early Combined Use of Inhaled Nitric Oxide and Oral Sildenafil on the Outcome of Pulmonary Hypertension in New Born Infants[NCT01558466]Phase 3100 participants (Anticipated)Interventional2011-11-30Recruiting
Fontan Patients: Comprehensive Evaluation of the Pulmonary Circulation to Identify Pulmonary Vascular Disease and Its Influence on Ventricular Hemodynamics.[NCT01572363]10 participants (Actual)Interventional2012-04-30Completed
A Local, Multicentre, Open Label Access Study, To Provide Sildenafil Therapy For Subjects Who Completed A1481156 Study And Are Judged By The Investigator To Derive Clinical Benefit From Continued Treatment With Sildenafil For Subjects In India[NCT01582438]0 participants Expanded AccessNo longer available
A Double-blind, Randomized, Crossover Evaluation of the Hemodynamic Response to Sublingual Glyceryl Trinitrate in Patients Receiving TA-1790, Sildenafil, and Placebo[NCT01616485]Phase 1106 participants (Actual)Interventional2004-03-31Completed
Cerebrovascular Reactivity Assessed With Functional Near-infrared Spectroscopy and Magnetic Resonance Imaging as a Biomarker of Traumatic Microvascular Injury in American Football Players[NCT03417492]Phase 17 participants (Actual)Interventional2018-03-01Terminated(stopped due to Difficulty enrolling participants due to COVID emergency, and planned start of new study to address this question in a more rigorous fashion.)
The Phosphodiesterase 5 Inhibitor Sildenafil as an Adjunct to Antidepressants in Major Depressive Disorder Patients: Randomized, Double-Blind, Placebo-Controlled Trial[NCT04344678]100 participants (Anticipated)Interventional2020-01-01Recruiting
PHASE 1, OPEN-LABEL, RANDOMIZED, SINGLE-DOSE, 3-WAY, 6-SEQUENCE CROSSOVER STUDY TO DEMONSTRATE BIOEQUIVALENCE OF SILDENAFIL ORALLY-DISINTEGRATING FILM 50 MG WITH OR WITHOUT WATER TO ORAL TABLET OF SILDENAFIL CITRATE (VIAGRA(Registered)) 50 MG UNDER FASTED[NCT04391868]Phase 10 participants (Actual)Interventional2021-01-30Withdrawn(stopped due to The project has been transferred to Viatris)
Etude préliminaire Sur l'efficacité Aigue du Sildenafil Sur le Temps de Marche Chez Les Patients Atteints d'AOMI de Stade II présentant Une Claudication artérielle[NCT02832570]Phase 314 participants (Actual)Interventional2016-11-07Completed
Sildenafil Citrate in the Treatment of Primary Dysmenorrhea[NCT00123162]Phase 1/Phase 225 participants (Actual)Interventional2007-05-31Completed
This Protocol is a Randomized Prospective Study Comparing Prophylactic and on Demand Sildenafil Citrate Usage Administered During and After Radiotherapy With or Without Hormone Therapy Versus Radiotherapy With or Without Hormone Therapy Alone for the Pres[NCT00142506]Phase 3290 participants (Actual)Interventional2005-02-28Completed
Vasodilator Therapy and Exercise Tolerance in IPF Patients[NCT00359736]Phase 229 participants (Actual)Interventional2006-07-31Completed
Sildenafil in US Heart Failure Patients (SilHF-US)[NCT03460470]Phase 325 participants (Anticipated)Interventional2018-02-14Recruiting
Sildenafil Treatment in Patients With Idiopathic Pulmonary Fibrosis and Pulmonary Hypertension - a Pilot Cross-over Study[NCT00352482]Phase 220 participants (Anticipated)Interventional2004-11-30Completed
A Clinical Treatment Trial Targeting Vascular Reactivity in Idiopathic Pulmonary Fibrosis[NCT00981747]Phase 2/Phase 312 participants (Actual)Interventional2009-09-30Terminated(stopped due to Funding was withdrawn.)
A Phase 3, Multi-center, Open-label Study To Investigate Safety, Efficacy, And Tolerability Of Sildenafil Citrate In Pediatric Patients With Pulmonary Arterial Hypertension[NCT01642407]Phase 46 participants (Actual)Interventional2012-08-24Completed
Comparative Study Between the Efficacy of Topical Sildenafil 2% and Topical Minoxidil 5% in the Treatment of Male Androgenic Alopecia[NCT05369481]50 participants (Anticipated)Interventional2022-03-01Recruiting
A MULTINATIONAL, MULTICENTER STUDY TO ASSESS THE EFFECTS OF ORAL SILDENAFIL ON MORTALITY IN ADULTS WITH PULMONARY ARTERIAL HYPERTENSION (PAH)[NCT02060487]Phase 4385 participants (Actual)Interventional2014-09-22Terminated(stopped due to Study was terminated by Sponsor at recommendation of Data Monitoring Committee after completion of first interim analysis as primary objective was met.)
Chronic Sildenafil for Severe Diaphragmatic Hernia[NCT00133679]Phase 49 participants (Actual)Interventional2006-02-28Terminated(stopped due to Change in clinical practice allowing chronic therapy at 6 weeks of age, incompatible with possibility of placebo beyond 6 weeks of age on study protocol)
Thalassemia Clinical Research Network (TCRN)[NCT00000623]1,000 participants (Anticipated)Observational2000-07-31Completed
An Investigational Pilot Study to Evaluate Sildenafil for the Treatment of Lymphatic Malformations[NCT01290484]Phase 1/Phase 27 participants (Actual)Interventional2010-12-31Completed
Phase 2 Randomized Controlled Trial of Sildenafil Citrate for Treatment of Cerebrovascular Dysfunction in Chronic Traumatic Brain Injury[NCT05782244]Phase 2160 participants (Anticipated)Interventional2023-12-15Not yet recruiting
Is Blood Flow Through IPAVA and PFO Related to Breath-hold and SCUBA Diving-induced Pulmonary Hypertension?[NCT03945643]Early Phase 182 participants (Actual)Interventional2019-07-01Completed
Safety and Efficacy Trial of Sildenafil Citrate in Attenuation of Cerebral Vasospasm Following Aneurysmal Subarachnoid Hemorrhage[NCT00871065]Phase 20 participants (Actual)Interventional2008-07-31Withdrawn(stopped due to PI decision)
Effect of Sildenafil Vaginal Gel Co-treatment With Clomiphene Citrate on Endometrial Thickness in Infertile Women With Prior Clomiphene Citrate Failure Due to Thin Endometrium: a Prospective Self-controlled Clinical Trial[NCT02710981]42 participants (Actual)Interventional2015-06-30Completed
Does Sildenafil Improve Endothelial Dysfunction in Rheumatoid Arthritis?[NCT02908490]Phase 225 participants (Actual)Interventional2017-04-01Terminated(stopped due to Slow recruitment, lack of continued funding)
Improving Right Ventricular Function in Young Adults Born Preterm: A Pilot Study[NCT03696758]Phase 210 participants (Actual)Interventional2018-10-30Completed
A Phase 1, Open-Label, Within-Subject Dose-Escalation Study to Evaluate the Clinical Vulvar-Vaginal Safety and Pharmacokinetic Profile of SST-6006, a Topical Sildenafil Cream (5% w/w), in Healthy Postmenopausal Women[NCT02364882]Phase 121 participants (Actual)Interventional2015-01-31Completed
Pharmacologic Treatment of Congenital Nephrogenic Diabetes Insipidus[NCT00478335]4 participants (Actual)Interventional2007-05-31Completed
The Effect of Vaginal Sildenafil on the Outcome of IVF/ICSI Cycles in Patients With Repeated IVF/ICSI Failure: a Pilot Study[NCT03192709]Phase 1/Phase 260 participants (Anticipated)Interventional2015-02-28Recruiting
Randomized Controlled Trial to Compare the Efficacy of Combination Therapy vs Monotherapy for Pulmonary Arterial Hypertension in Systemic Sclerosis[NCT03053739]Phase 450 participants (Anticipated)Interventional2016-12-31Recruiting
Effect of Sildenafil for the Treatment of Sustained Pulmonary Artery Hypertension After Corrected Mitral Valve Disease[NCT02435303]Phase 2/Phase 32 participants (Actual)Interventional2016-05-31Terminated(stopped due to Number of candidates for this study is expected to be too small.)
Role of Low-intensity Shock Wave Therapy in Penile Rehabilitation Post Nerve Sparing Radical Cysto-prostatectomy[NCT02422277]Phase 260 participants (Anticipated)Interventional2015-03-31Recruiting
Role of Blood Flow and Vascular Function on Exercise Capacity in Cystic Fibrosis[NCT02057458]Phase 219 participants (Actual)Interventional2014-04-30Completed
Clinical Pharmacology Study of Oral Edaravone in Healthy Adult Males (Drug Interaction Study and Preliminary Regimen-Finding Study)[NCT04481789]Phase 184 participants (Actual)Interventional2018-10-17Completed
The Effect of Sildenafil and Tadalafil on Skeletal Muscle and Perceptual Fatigue.[NCT01661595]30 participants (Actual)Interventional2012-11-30Completed
MR-Angiografi (MRA) og MR-Spektroskopi (MRS) Hos Raske forsøgspersoner og Patienter Med migræne Uden Aura Provokeret Med Calcitonin Gen-relateret Peptid (CGRP) og Sildenafil[NCT03143465]36 participants (Anticipated)Interventional2016-08-31Active, not recruiting
Sildenafil Administration to Treat Neonatal Encephalopathy (SANE) and Repair Brain Injury Secondary to Birth Asphyxia: A Randomized, Double-blind, Placebo-controlled Pilot Phase Ib Study[NCT02812433]Phase 128 participants (Actual)Interventional2016-07-31Completed
The Effect of the Selective PDE5 Inhibitor, Sildenafil, on Aura and Migraine Headache Induction.[NCT02795351]Early Phase 116 participants (Actual)Interventional2015-06-30Completed
Sildenafil for the Treatment of Delayed Cerebral Ischemia Following Subarachnoid Hemorrhage[NCT03028298]Phase 124 participants (Anticipated)Interventional2016-12-31Active, not recruiting
Effect of Sildenafil Citrate on Uteri- Placental Perfusion, Doppler Indices in Growth Restricted Fetuses[NCT02362399]54 participants (Actual)Interventional2015-03-31Completed
Use of Sildenafil for Treatment of Urinary Incontinence[NCT02983461]Phase 124 participants (Anticipated)Interventional2017-03-10Active, not recruiting
A Non-Randomized, Multiple Dose, Three Treatment Period, Open-Label, Single Sequence, Single Group Study to Evaluate the Pharmacokinetic Effect of Two Doses of QTI571 (Imatinib) on the Co-administered Drugs Sildenafil and Bosentan in Pulmonary Arterial Hy[NCT01392469]Phase 321 participants (Actual)Interventional2011-04-20Completed
Mechanisms of Exercise Intolerance in Cystic Fibrosis: Role of PDE5 Inhibition[NCT04039087]Phase 2/Phase 340 participants (Anticipated)Interventional2019-09-05Recruiting
Intérêt de la rééducation érectile précoce Par Sildénafil après radiothérapie et Proctectomie Pour Cancer du Rectum : Essai contrôlé randomisé[NCT06123156]Phase 3188 participants (Anticipated)Interventional2024-06-30Not yet recruiting
Population Pharmacokinetics and Dosage Individualization of Bosentan, Sildenafil and Tadalafil in Persistent Pulmonary Hypertension of the Newborn[NCT04379180]500 participants (Anticipated)Observational2020-04-26Not yet recruiting
A Comparison of Pharmacotherapy and Psychotherapy in the Treatment of Erectile Dysfunction[NCT04126252]116 participants (Actual)Interventional2018-08-29Completed
Phase II Trial of Sildenafil in Newborns With Persistent Pulmonary Hypertension[NCT01409031]Phase 23 participants (Actual)Interventional2011-07-31Terminated(stopped due to This trial was terminated early due to lack of recruitment.)
Role of Skeletal Muscle Nitric Oxide Production in Age-related Fatigue and Fatigability[NCT01059994]12 participants (Actual)Interventional2010-01-31Completed
Pharmacokinetics of Sildenafil in Premature Infants[NCT01670136]Phase 134 participants (Actual)Interventional2013-02-28Completed
A Phase 2b, Multi-Center, Multiple-Dose, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Sildenafil Cream, 3.6% in Premenopausal Patients With Female Sexual Arousal Disorder (FSAD)[NCT04948151]Phase 2440 participants (Anticipated)Interventional2021-06-28Recruiting
Effect of Sildenafil Citrate on the Outcome of in Vitro Fertilization After Multiple IVF Failures Attributed to Poor Endometrial Development[NCT03044561]Phase 480 participants (Anticipated)Interventional2017-01-31Recruiting
A MULTI-CENTRE, RANDOMIZED, PLACEBO-CONTROLLED, DOUBLE-BLIND, TWO-ARMED, PARALLEL GROUP STUDY TO EVALUATE EFFICACY AND SAFETY OF IV SILDENAFIL IN THE TREATMENT OF NEONATES WITH PERSISTENT PULMONARY HYPERTENSION OF THE NEWBORN (PPHN) OR HYPOXIC RESPIRATORY[NCT01720524]Phase 359 participants (Actual)Interventional2013-08-05Completed
Erectile Dysfunction Recovery in Men Age NCT00544076]Phase 3110 participants (Actual)Interventional2006-01-31Terminated(stopped due to Accrual too slow)
Cerebrovascular Reactivity Assessed With Functional Near-infrared Spectroscopy as a Biomarker of Traumatic Microvascular Injury After Moderate-severe Traumatic Brain Injury[NCT02990078]26 participants (Actual)Observational2016-12-31Terminated(stopped due to Sufficient sample size enrolled to demonstrate scientific goals of the study)
Single Dose Sildenafil in Heart Failure Patients Improves 6-minute Walk Test by a Reduction in Left Ventricular Filling Pressure[NCT00781508]Phase 410 participants (Actual)Interventional2006-12-31Completed
Clinical Study to Evaluate the Possible Efficacy and Safety of L- Carnitine and Sildenafil in Children Having Beta Thalassemia With Increased Tricuspid Regurgitant Jet Velocity[NCT05584956]Phase 344 participants (Anticipated)Interventional2022-07-08Recruiting
Sildenafil for Treating Patients With COVID-19 and Perfusion Mismatch: A Pilot Randomised Trial[NCT04489446]Phase 1/Phase 240 participants (Actual)Interventional2020-08-19Completed
PDE5i Use in Renal Transplant Recipients[NCT04122105]100 participants (Anticipated)Interventional2021-04-01Not yet recruiting
Functional CT Assessment of Pulmonary Arterial Dysfunction in Smoking Associated Emphysema[NCT02682147]Phase 480 participants (Anticipated)Interventional2017-07-10Recruiting
Effects of Sildenafil on Pulmonary Arterial Pressure in Patients With Heart Failure With Preserved Ejection Fraction ( HFpEF) and Pulmonary Hypertension[NCT01726049]Phase 352 participants (Actual)Interventional2011-10-31Completed
An Open Label, Pilot Study Evaluating the Effect of Topical Sildenafil as Pre-Treatment for Hand-Foot Skin Reaction[NCT03229512]Early Phase 12 participants (Actual)Interventional2017-04-11Completed
An Evaluation of Tadalafil and Sildenafil Treatment in Men With Erectile Dysfunction in China[NCT01352507]Phase 4383 participants (Actual)Interventional2011-06-30Completed
An Open Label, Three-period, Single Sequence Study to Evaluate the Pharmacokinetic Drug-drug Interaction Between LCZ696 and Sildenafil in Subjects With Mild to Moderate Hypertension[NCT01601470]Phase 228 participants (Actual)Interventional2012-09-30Completed
Sildenafil for Early Pulmonary Vascular Disease in Scleroderma[NCT04797286]Phase 230 participants (Anticipated)Interventional2021-09-20Recruiting
Sildenafil for the Prevention of Right Heart Failure Following Continuous-Flow Left Ventricular Assist Device Implantation (The REVAD Study)[NCT03356353]Phase 324 participants (Anticipated)Interventional2018-03-12Recruiting
[NCT01409993]Phase 478 participants (Actual)Interventional2011-08-31Terminated(stopped due to Aim 1 was stopped by DSMB. Aim 2 was stopped due to ending of funding.)
"Color Doppler Ultrasound Comparison of Topical 10 % Nifedipine Versus 5% Sildenafil in Secondary Raynaud: A Randomized, Double-blind, Placebo-controlled Pilot Study"[NCT03027674]Early Phase 110 participants (Actual)Interventional2016-08-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00104637 (11) [back to overview]Borg Dyspnea(Scale That Measures Breathlessness) Score at Finish of 6 Minute Walk Test (6MWT)
NCT00104637 (11) [back to overview]VO2 Peak (Oxygen Consumption at Peak Exercise)
NCT00104637 (11) [back to overview]Pulmonary Function FVC (Forced Vital Capacity)
NCT00104637 (11) [back to overview]Partial Pressure of Oxygen (PO2) in Arterial Blood Gas (ABG)
NCT00104637 (11) [back to overview]Partial Pressure of Carbon Dioxide (PCO2) in Arterial Blood Gas (ABG)
NCT00104637 (11) [back to overview]Oxygen Pulse
NCT00104637 (11) [back to overview]O2 Saturation at Peak Exercise
NCT00104637 (11) [back to overview]Forced Expiratory Volume in the First Second (FEV1 )
NCT00104637 (11) [back to overview]Diffusing Capacity of Carbon Monoxide (DLCO)
NCT00104637 (11) [back to overview]A-a Gradient (Alveolar-arterial Gradient)
NCT00104637 (11) [back to overview]6 Minute Walk Distance
NCT00123162 (2) [back to overview]Improvement in Pain Severity Determined by Visual Analog Scale (VAS).
NCT00123162 (2) [back to overview]The Primary Outcome Was Total Pain Relief Over 4 Hours (TOPAR4), Comparing a Single Dose of Sildenafil 100 mg to a Single Dose of Placebo.
NCT00142506 (1) [back to overview]Assessment of Erectile Dysfunction
NCT00159861 (9) [back to overview]Change in Epoprostenol Dose From Baseline Maintained for 6 Months
NCT00159861 (9) [back to overview]Change From Baseline in European Quality of Life (EuroQol) Visual Analogue Scale (EQ-5D VAS): Current Health State Score
NCT00159861 (9) [back to overview]Change From Baseline in BORG Dyspnea Score
NCT00159861 (9) [back to overview]Categorized Change From Baseline in 6-Minute Walking Distance
NCT00159861 (9) [back to overview]Change in Pulmonary Hypertension Criteria for Functional Capacity and Therapeutic Class
NCT00159861 (9) [back to overview]Survival Status
NCT00159861 (9) [back to overview]Change From Baseline in European Quality of Life Scale (EuroQol) 5-Dimensions (EQ-5D): Utility Index Score
NCT00159861 (9) [back to overview]Change From Baseline in Medical Outcomes Study Short Form 36 (SF-36)
NCT00159861 (9) [back to overview]Change From Baseline in Medical Outcomes Study Short Form 36 (SF-36): Reported Health Transition Score
NCT00159874 (31) [back to overview]Percentage Change From Baseline in End Tidal Carbon Dioxide (CO2) at Year 1.
NCT00159874 (31) [back to overview]Percentage Change From Baseline in End Tidal Oxygen (O2) at Year 1.
NCT00159874 (31) [back to overview]Percentage Change From Baseline in Percent Predicted Peak VO2 at Year 1.
NCT00159874 (31) [back to overview]Additions From Baseline in Background Therapy up to the End of Study
NCT00159874 (31) [back to overview]Pediatric Motor Development Status at Week 16.
NCT00159874 (31) [back to overview]Pediatric Motor Development Status at Week 52
NCT00159874 (31) [back to overview]Physician Global Assessment at Year 1
NCT00159874 (31) [back to overview]Summary of Shift in Changes From Start of Sildenafil in WHO PH Functional Class by A1481156 Treatment Group at Year 2.
NCT00159874 (31) [back to overview]Summary of Shift in Changes From Start of Sildenafil in WHO PH Functional Class by A1481156 Treatment Group at Year 3.
NCT00159874 (31) [back to overview]Summary of Shift in Changes From Start of Sildenafil in WHO PH Functional Class by A1481156 Treatment Group at Year 4.
NCT00159874 (31) [back to overview]Summary of Shift in Changes From Start of Sildenafil in World Health Organization Pulmonary Hypertension (WHO PH) Functional Class by A1481156 Treatment Group at Year 1.
NCT00159874 (31) [back to overview]Participant (Parent) Global Assessment at Year 1
NCT00159874 (31) [back to overview]Pediatric Cognitive Development Status at Week 16.
NCT00159874 (31) [back to overview]Pediatric Cognitive Development Status at Week 52.
NCT00159874 (31) [back to overview]Change From Baseline in Child Health Questionnaire-Parent Form (CHQ-PF28) as Assessed by the Physical Scale at Year 1.
NCT00159874 (31) [back to overview]Change From Baseline in Child Health Questionnaire-Parent Form (CHQ-PF28) as Assessed by the Psychosocial Scale at Year 1.
NCT00159874 (31) [back to overview]Discontinuation Due to Intolerability
NCT00159874 (31) [back to overview]Downtitration in Dose Due to Intolerability.
NCT00159874 (31) [back to overview]Number of Deaths Reported During This Study
NCT00159874 (31) [back to overview]Number of Deaths Reported in the Study Prior to the Data Monitoring Committee (DMC) Recommendation of Dose Down Titration
NCT00159874 (31) [back to overview]Number of Participants Reporting at Least One Adverse Event
NCT00159874 (31) [back to overview]Number of Participants Reporting at Least One Serious Adverse Event
NCT00159874 (31) [back to overview]Number of Participants Reporting Treatment-related Adverse Events
NCT00159874 (31) [back to overview]Number of Participants Reporting Treatment-related Serious Adverse Events
NCT00159874 (31) [back to overview]Number of Participants With Deterioration Post Baseline in Color Vision Monitoring Safety Tests.
NCT00159874 (31) [back to overview]Number of Participants With Deterioration Post Baseline in Visual Acuity Safety Tests
NCT00159874 (31) [back to overview]Peak Volume of Oxygen (VO2) Consumed at Year 1 Using a Bicycle Ergometry Cardiopulmonary Exercise Test (CPX)
NCT00159874 (31) [back to overview]Percent Change From Baseline in Respiratory Exchange Ratio at Year 1
NCT00159874 (31) [back to overview]Percent Change From Baseline in Time to Maximum VO2 at Year 1
NCT00159874 (31) [back to overview]Percent Change From Start of Sildenafil in Total Ventilation (VE) to Year 1
NCT00159874 (31) [back to overview]Percentage Change From Baseline in Anaerobic Threshold at Year 1.
NCT00159913 (12) [back to overview]Change From Baseline to Week 16 in Pulmonary Vascular Resistance Index (PVRI)
NCT00159913 (12) [back to overview]Change From Baseline to Week 16 in Pulmonary Vascular Resistance (PVR)
NCT00159913 (12) [back to overview]Change From Baseline to Week 16 in Child Health Questionnaire Parent Form (CHQ-PF28), Physical Scale
NCT00159913 (12) [back to overview]Change From Baseline to Week 16 in Child Health Questionnaire Parent Form (CHQ-PF28), Psychosocial Scales
NCT00159913 (12) [back to overview]Change From Baseline to Week 16 in Mean Pulmonary Artery Pressure (mPAP)
NCT00159913 (12) [back to overview]Change From Baseline to Week 16 in Cardiac Index (CI)
NCT00159913 (12) [back to overview]Change From Baseline to Week 16 in World Health Organization (WHO) Pulmonary Hypertension (PH) Functional Class
NCT00159913 (12) [back to overview]Percent Change From Baseline to Week 16 in: Respiratory Exchange Ratio (RER)
NCT00159913 (12) [back to overview]Percent Change From Baseline to Week 16 in Time to Maximum Volume of Oxygen Consumed (VO2)
NCT00159913 (12) [back to overview]Percent Change From Baseline in Peak Volume of Oxygen (VO2) Consumed : Per Protocol Population
NCT00159913 (12) [back to overview]Percent Change From Baseline in Peak Volume of Oxygen (VO2) Consumed : Intent To Treat Population
NCT00159913 (12) [back to overview]Change From Baseline to Week 16 in Right Atrial Pressure (RAP)
NCT00301262 (49) [back to overview]Analog Scales- Firmness
NCT00301262 (49) [back to overview]International Index of Erectile Function (IIEF) Domain Scores- Erectile Function
NCT00301262 (49) [back to overview]Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) Index at the End of the DB Treatment (Week 8)
NCT00301262 (49) [back to overview]Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) Index
NCT00301262 (49) [back to overview]Erectile Distress Scale (EDS) Total Score
NCT00301262 (49) [back to overview]Change From Baseline to Week 8 in Analog Scales- Maintenance
NCT00301262 (49) [back to overview]Baseline to
NCT00301262 (49) [back to overview]Analog Scales- General Sexual Performance
NCT00301262 (49) [back to overview]Analog Scales- Maintenance
NCT00301262 (49) [back to overview]Analog Scales- Reliability
NCT00301262 (49) [back to overview]Baseline to
NCT00301262 (49) [back to overview]Baseline to
NCT00301262 (49) [back to overview]Baseline to
NCT00301262 (49) [back to overview]Baseline to
NCT00301262 (49) [back to overview]Baseline to
NCT00301262 (49) [back to overview]Baseline to
NCT00301262 (49) [back to overview]Baseline to
NCT00301262 (49) [back to overview]Baseline to
NCT00301262 (49) [back to overview]Baseline to
NCT00301262 (49) [back to overview]Baseline to
NCT00301262 (49) [back to overview]Baseline to
NCT00301262 (49) [back to overview]Baseline to
NCT00301262 (49) [back to overview]Change From Baseline to End of DB Phase (Week 8) in Erectile Distress Scale (EDS) Total Score
NCT00301262 (49) [back to overview]Change From Baseline to End of DB Phase (Week 8) in International Index of Erectile Function (IIEF) Domain Scores- Erectile Function
NCT00301262 (49) [back to overview]Change From Baseline to End of DB Phase (Week 8) in International Index of Erectile Function (IIEF) Domain Scores- Intercourse Satisfaction
NCT00301262 (49) [back to overview]Change From Baseline to End of DB Phase (Week 8) in International Index of Erectile Function (IIEF) Domain Scores- Orgasmic Function
NCT00301262 (49) [back to overview]Change From Baseline to End of DB Phase (Week 8) in International Index of Erectile Function (IIEF) Domain Scores- Overall Satisfaction
NCT00301262 (49) [back to overview]Change From Baseline to End of DB Phase (Week 8) in International Index of Erectile Function (IIEF) Domain Scores- Sexual Desire
NCT00301262 (49) [back to overview]Change From Baseline to End of DB Phase (Week 8) in Quality of Erection Questionnaire (QEQ) Total Score
NCT00301262 (49) [back to overview]Change From Baseline to End of Double-Blind Phase (Week 8) in Patient Reported Erectile Function Assessment (PREFA) Total Score
NCT00301262 (49) [back to overview]Change From Baseline to Week 8 in Analog Scales- Firmness
NCT00301262 (49) [back to overview]Change From Baseline to Week 8 in Analog Scales- General Sexual Performance
NCT00301262 (49) [back to overview]Global Efficacy Question 2 (GEQ2) Response at End of the Double-Blind Phase (Week 8) and at End of the Open-Label Phase (Week 14)
NCT00301262 (49) [back to overview]Global Efficacy Question 1 (GEQ1) Response at End of the Double-Blind Phase (Week 8) and at End of the Open-Label Phase (Week 14)
NCT00301262 (49) [back to overview]Quality of Erection Questionnaire (QEQ) Total Score
NCT00301262 (49) [back to overview]Percentage of Occasions of Successful Intercourse (Event Log)
NCT00301262 (49) [back to overview]Percentage of Occasions of Successful Intercourse (Event Log)
NCT00301262 (49) [back to overview]Percentage of Occasions of Ejaculation and/or Orgasm Event Log
NCT00301262 (49) [back to overview]Shift in Responder Rate From Week 8 to Week 14 for Global Efficacy Question (GEQ) 1
NCT00301262 (49) [back to overview]Shift in Responder Rate From Week 8 to Week 14 for GEQ3
NCT00301262 (49) [back to overview]Shift in Responder Rate From Week 8 to Week 14 for GEQ2
NCT00301262 (49) [back to overview]Global Efficacy Question 3 (GEQ3) Response at End of the Double-Blind Phase (Week 8) and at End of the Open-Label Phase (Week 14)
NCT00301262 (49) [back to overview]Change From Baseline to Week 8 in Analog Scales- Reliability
NCT00301262 (49) [back to overview]Percentage of Occasions of Ejaculation and/or Orgasm (Event Log)
NCT00301262 (49) [back to overview]Patient Reported Erectile Function Assessment (PREFA) Total Score
NCT00301262 (49) [back to overview]International Index of Erectile Function (IIEF) Domain Scores- Sexual Desire
NCT00301262 (49) [back to overview]International Index of Erectile Function (IIEF) Domain Scores- Overall Satisfaction
NCT00301262 (49) [back to overview]International Index of Erectile Function (IIEF) Domain Scores- Orgasmic Function
NCT00301262 (49) [back to overview]International Index of Erectile Function (IIEF) Domain Scores- Intercourse Satisfaction
NCT00302211 (4) [back to overview]Number of Participants With Any Adverse Events
NCT00302211 (4) [back to overview]Number of Subjects With WHO Functional Class (WHO FC) Improvement at Week 16
NCT00302211 (4) [back to overview]Time to Clinical Worsening
NCT00302211 (4) [back to overview]Absolute Change From Baseline to Week 16 in 6-Minute Walk Distance (6MWD) During the Double-blind Treatment Period
NCT00323297 (6) [back to overview]Change From Baseline in Borg Dyspnea Score at Week 12
NCT00323297 (6) [back to overview]Change From Baseline in the Total Distance Walked During 6 Minute Walk Time (6MWT) at Week 12
NCT00323297 (6) [back to overview]Clinical Worsening Events
NCT00323297 (6) [back to overview]Number of Participants With Change From Baseline in World Health Organization (WHO) Functional Class in Participants With PAH at Week 12 LOCF
NCT00323297 (6) [back to overview]One Year Survival Probability From the Start of Sildenafil Treatment.
NCT00323297 (6) [back to overview]One Year Survival From the Start of Sildenafil Treatment.
NCT00359736 (2) [back to overview]Change in 6-minute Walk Test
NCT00359736 (2) [back to overview]Dyspnea Score (Borg Scale)
NCT00430716 (8) [back to overview]Change From Baseline in Pro-BNP at Week 12
NCT00430716 (8) [back to overview]Change From Baseline in BORG Dyspnoea Score at Week 12
NCT00430716 (8) [back to overview]Number of Participants With Clinical Worsening
NCT00430716 (8) [back to overview]Number of Participants With Change From Baseline in PAH Criteria for Functional Capacity and Therapeutic Class at Week 12
NCT00430716 (8) [back to overview]Change From Baseline in the Total Distance Walked During 6-Minute Walk Test (6MWT) at Week 12
NCT00430716 (8) [back to overview]Change From Baseline in TAPSE Measurement at Week 12
NCT00430716 (8) [back to overview]Change From Baseline in B-Type Natriuretic Peptide (BNP) at Week 12
NCT00430716 (8) [back to overview]Change From Baseline in Mean Pulmonary Arterial Pressure (mPAP) at Week 12
NCT00433329 (1) [back to overview]Number of Patients Reaching a 6-Minute Walk Test (6MWT) Distance ≥ 380 Meters
NCT00454207 (34) [back to overview]The Area Under the Curve (AUC) From Time 0 to Time 8 Hour of Sildenafil and Sildenafil's Metabolite, UK-103,320
NCT00454207 (34) [back to overview]Maximum Plasma Concentrations (Cmax) of Sildenafil and Sildenafil's Metabolite, UK-103,320
NCT00454207 (34) [back to overview]Changes in the World Health Organization (WHO) Functional Class of Pulmonary Arterial Hypertension From Baseline at Weeks 12 in Participants Who Entered the Study From Part I
NCT00454207 (34) [back to overview]Changes in the the Plasma Brain Natriuretic Peptide Level From Baseline at Week 4, Week 8 and Week 12 in Participants Who Entered the Study From Part I
NCT00454207 (34) [back to overview]Changes in the BORG Dyspnoea Score From Baseline at Week 8 and Week 12 in Participants Who Entered the Study From Part I
NCT00454207 (34) [back to overview]Time to First Occurrence of Maximum Plasma Concentrations (Tmax) of Sildenafil and Sildenafil's Metabolite, UK-103,320
NCT00454207 (34) [back to overview]The Average Plasma Trough Concentration (Ctrough) of Sildenafil
NCT00454207 (34) [back to overview]The Average Plasma Concentration (Css,av) of Sildenafil at Steady State
NCT00454207 (34) [back to overview]Laboratory Test Abnormalities (Without Regard to Baseline Abnormality)
NCT00454207 (34) [back to overview]Changes in the the Plasma Brain Natriuretic Peptide Level From Baseline at Week 12 in Participants Who Newly Enterd the Study From Part II
NCT00454207 (34) [back to overview]Changes in the BORG Dyspnoea Score From Baseline at Week 12 in Participants Who Newly Entered the Study From Part II
NCT00454207 (34) [back to overview]Change in the Systolic Systemic Blood Pressure From Baseline at Week 12 in Participants Who Entered the Study From Part I
NCT00454207 (34) [back to overview]Change in the World Health Organization (WHO) Functional Class From Baseline at Week 12 in Participants Who Newly Entered the Study From Part II
NCT00454207 (34) [back to overview]Change in the Mean Systemic Blood Pressure From Baseline at Week 12 in Participants Who Entered the Study From Part I
NCT00454207 (34) [back to overview]Change in the Mixed Venous Oxygen Saturation From Baseline at Week 12 in Participants Who Entered the Study From Part I
NCT00454207 (34) [back to overview]Change in the Partial Pressure of Mixed Venous Oxygen From Baseline at Week 12 in Participants Who Entered the Study From Part I
NCT00454207 (34) [back to overview]Change in the Pulmonary Capillary Wedge Pressure From Baseline at Week 12 in Participants Who Entered the Study From Part I
NCT00454207 (34) [back to overview]Change in the Pulmonary Vascular Resistance From Baseline at Week 12 in Participants Who Entered the Study From Part I
NCT00454207 (34) [back to overview]Change in the Pulmonary Vascular Resistance Index From Baseline at Week 12 in Participants Who Entered the Study From Part I
NCT00454207 (34) [back to overview]Change in the Arterial Oxygen Partial Pressure From Baseline at Week 12 in Participants Who Entered the Study From Part I
NCT00454207 (34) [back to overview]Change in the 6-minute Walk Distance From Baseline at Week 8 in Participants Who Entered the Study From Part I
NCT00454207 (34) [back to overview]Change in the 6-minute Walk Distance From Baseline at Week 12 in Participants Who Newly Entered the Study From Part II
NCT00454207 (34) [back to overview]Change in the 6-minute Walk Distance From Baseline at Week 12 in Participants Who Entered the Study From Part I
NCT00454207 (34) [back to overview]Change in the Right Atrial Pressure From Baseline at Week 12 in Participants Who Entered the Study From Part I
NCT00454207 (34) [back to overview]Change in the Systemic Vascular Resistance From Baseline at Week 12 in Participants Who Entered the Study From Part I
NCT00454207 (34) [back to overview]Change in the Systemic Vascular Resistance Index From Baseline at Week 12 in Participants Who Entered the Study From Part I
NCT00454207 (34) [back to overview]Change in the Systolic Pulmonary Arterial Pressure From Baseline at Week 12 in Participants Who Entered the Study From Part I
NCT00454207 (34) [back to overview]Change in the Arterial Oxygen Saturation From Baseline at Week 12 in Participants Who Entered the Study From Part I
NCT00454207 (34) [back to overview]Change in the Cardiac Index From Baseline at Week 12 in Participants Who Entered the Study From Part I
NCT00454207 (34) [back to overview]Change in the Cardiac Output From Baseline at Week 12 in Participants Who Entered the Study From Part I
NCT00454207 (34) [back to overview]Change in the Diastolic Pulmonary Arterial Pressure From Baseline at Week 12 in Participants Who Entered the Study From Part I
NCT00454207 (34) [back to overview]Change in the Diastolic Systemic Blood Pressure From Baseline at Week 12 in Participants Who Entered the Study From Part I
NCT00454207 (34) [back to overview]Change in the Heart Rate From Baseline at Week 12 in Participants Who Entered the Study From Part I
NCT00454207 (34) [back to overview]Change in the Mean Pulmonary Arterial Pressure From Baseline at Week 12 in Participants Who Entered the Study From Part I
NCT00468650 (41) [back to overview]International Index of Erectile Function (IIEF), Erectile Function (EF) Domain Score - Change From Baseline at Weeks 2, 4 and 6
NCT00468650 (41) [back to overview]International Index of Erectile Function (IIEF), Erectile Function (EF) Domain Score- Change From Week 2
NCT00468650 (41) [back to overview]International Index of Erectile Function (IIEF), Intercourse Satisfaction Domain Score- Change From Baseline
NCT00468650 (41) [back to overview]International Index of Erectile Function (IIEF), Intercourse Satisfaction Domain Score- Change From Week 2
NCT00468650 (41) [back to overview]International Index of Erectile Function (IIEF), Orgasmic Function Domain- Change From Week 2
NCT00468650 (41) [back to overview]International Index of Erectile Function (IIEF), Overall Satisfaction Domain Score- Change From Baseline
NCT00468650 (41) [back to overview]International Index of Erectile Function (IIEF), Overall Satisfaction Domain Score- Change From Week 2
NCT00468650 (41) [back to overview]International Index of Erectile Function (IIEF), Sexual Desire Domain Score- Change From Baseline
NCT00468650 (41) [back to overview]International Index of Erectile Function (IIEF), Sexual Desire Domain Score- Change From Week 2
NCT00468650 (41) [back to overview]Mean Per-Patient Percentage of 'Yes' Responses to Sexual Encounter Profile (SEP) Question 1 Based on Occasions With Sexual Stimulation- Change From Week 2
NCT00468650 (41) [back to overview]Mean Per-Patient Percentage of 'Yes' Responses to Sexual Encounter Profile (SEP) Question 1 on Occasions With Sexual Stimulation- Change From Baseline
NCT00468650 (41) [back to overview]Mean Per-Patient Percentage of 'Yes' Responses to Sexual Encounter Profile (SEP) Question 2 on Occasions With Sexual Stimulation- Change From Baseline
NCT00468650 (41) [back to overview]Mean Per-Patient Percentage of 'Yes' Responses to Sexual Encounter Profile (SEP) Question 2 on Occasions With Sexual Stimulation- Change From Week 2
NCT00468650 (41) [back to overview]Mean Per-Patient Percentage of 'Yes' Responses to Sexual Encounter Profile (SEP) Question 3 (Q3) Based on Attempts With Sexual Stimulation- Change From Baseline
NCT00468650 (41) [back to overview]Mean Per-Patient Percentage of 'Yes' Responses to Sexual Encounter Profile (SEP) Question 3 (Q3) Based on Attempts With Sexual Stimulation- Change From Week 2
NCT00468650 (41) [back to overview]Mean Per-Patient Percentage of 'Yes' Responses to Sexual Encounter Profile (SEP) Question 3 Based on Occasions With Sexual Stimulation- Change From Week 2
NCT00468650 (41) [back to overview]Mean Per-Patient Percentage of 'Yes' Responses to Sexual Encounter Profile (SEP) Question 3 on Occasions With Sexual Stimulation- Change From Baseline
NCT00468650 (41) [back to overview]Mean Per-Patient Percentage of 'Yes' Responses to Sexual Encounter Profile (SEP) Question 4 Based on Occasions With Sexual Stimulation- Change From Baseline
NCT00468650 (41) [back to overview]Mean Per-Patient Percentage of 'Yes' Responses to Sexual Encounter Profile (SEP) Question 4 Based on Occasions With Sexual Stimulation- Change From Week 2
NCT00468650 (41) [back to overview]Mean Per-Patient Percentage of 'Yes' Responses to Sexual Encounter Profile (SEP) Question 5 Based on Occasions With Sexual Stimulation- Change From Baseline
NCT00468650 (41) [back to overview]Mean Per-Patient Percentage of 'Yes' Responses to Sexual Encounter Profile (SEP) Question 5 Based on Occasions With Sexual Stimulation- Change From Week 2
NCT00468650 (41) [back to overview]Mean Per-Patient Percentage of Grade 1 Events in Erection Hardness Grading Scale (EHGS) Based on Occasions With Sexual Stimulation- Change From Baseline
NCT00468650 (41) [back to overview]Mean Per-Patient Percentage of Grade 1 Events in Erection Hardness Grading Scale (EHGS) Based on Occasions With Sexual Stimulation- Change From Week 2
NCT00468650 (41) [back to overview]Mean Per-Patient Percentage of Grade 2 Events in Erection Hardness Grading Scale (EHGS) Based on Occasions With Sexual Stimulation - Change From Baseline
NCT00468650 (41) [back to overview]Mean Per-Patient Percentage of Grade 2 Events in Erection Hardness Grading Scale (EHGS) Based on Occasions With Sexual Stimulation - Change From Week 2
NCT00468650 (41) [back to overview]Mean Per-Patient Percentage of Grade 3 Events in Erection Hardness Grading Scale (EHGS) Based on Occasions With Sexual Stimulation - Change From Baseline
NCT00468650 (41) [back to overview]Mean Per-Patient Percentage of Grade 3 Events in Erection Hardness Grading Scale (EHGS) Based on Occasions With Sexual Stimulation - Change From Week 2
NCT00468650 (41) [back to overview]Mean Per-Patient Percentage of Grade 3 or 4 Events in Erection Hardness Grading Scale (EHGS) Based on Occasions With Sexual Stimulation - Change From Baseline
NCT00468650 (41) [back to overview]Mean Per-Patient Percentage of Grade 3 or 4 Events in Erection Hardness Grading Scale (EHGS) Based on Occasions With Sexual Stimulation - Change From Week 2
NCT00468650 (41) [back to overview]Mean Per-Patient Percentage of Grade 4 Events in Erection Hardness Grading Scale (EHGS) Based on Occasions With Sexual Stimulation - Change From Baseline
NCT00468650 (41) [back to overview]Mean Per-Patient Percentage of Grade 4 Events in Erection Hardness Grading Scale (EHGS) Based on Occasions With Sexual Stimulation - Change From Week 2
NCT00468650 (41) [back to overview]Quality of Erection Questionnaire (QEQ): Total Score - Change From Baseline
NCT00468650 (41) [back to overview]Quality of Erection Questionnaire (QEQ): Total Score- Change From Week 2
NCT00468650 (41) [back to overview]Sexual Experience Questionnaire (Sex-Q): Erection Domain - Change From Baseline
NCT00468650 (41) [back to overview]Sexual Experience Questionnaire (Sex-Q): Erection Domain- Change From Week 2
NCT00468650 (41) [back to overview]Sexual Experience Questionnaire (Sex-Q): Relationship Domain - Change From Baseline
NCT00468650 (41) [back to overview]Sexual Experience Questionnaire (Sex-Q): Relationship Domain - Change From Week 2
NCT00468650 (41) [back to overview]Sexual Experience Questionnaire (Sex-Q): Satisfaction Domain - Change From Baseline
NCT00468650 (41) [back to overview]Sexual Experience Questionnaire (Sex-Q): Satisfaction Domain - Change From Week 2
NCT00468650 (41) [back to overview]International Index of Erectile Function (IIEF), Orgasmic Function Domain- Change From Baseline
NCT00468650 (41) [back to overview]International Index of Erectile Function (IIEF), Erectile Function (EF) Domain Score- Change From Baseline to Week 6 Last Observation Carried Forward (LOCF)
NCT00478335 (1) [back to overview]24h Urine Volume
NCT00492531 (4) [back to overview]Brain Natriuretic Peptide(BNP)Levels.
NCT00492531 (4) [back to overview]Borg Dyspnea Score
NCT00492531 (4) [back to overview]Change in Exercise Capacity as Assessed by 6 Minute Walk.
NCT00492531 (4) [back to overview]Change From Baseline in Pulmonary Hypertension at Week 16 as Assessed by Tricuspid Regurgitant Jet Velocity
NCT00507819 (4) [back to overview]Change From Baseline in Mean Heart Rate (Bpm) at 6 Weeks
NCT00507819 (4) [back to overview]Change From Baseline in Mean Respiratory Rate (Breaths/Min) at 6 Weeks
NCT00507819 (4) [back to overview]Change From Baseline in Mean Minute Ventilation (L/Min) at 6 Weeks
NCT00507819 (4) [back to overview]Change From Baseline in Mean Oxygen Consumption (mL/kg/Min) at 6 Weeks
NCT00512707 (13) [back to overview]Change From Baseline in Free Testosterone
NCT00512707 (13) [back to overview]Change From Baseline in Marital Interaction Scale of CAncer Rehabilitation Evaluation System-Short Form (CARES-SF)
NCT00512707 (13) [back to overview]Change From Baseline in Men's Sexual Health Questionnaire (MSHQ)
NCT00512707 (13) [back to overview]Change From Baseline in Other Domains of International Index of Erectile Function (IIEF)
NCT00512707 (13) [back to overview]Change From Baseline in Positive Affects Ratio (PAR) of Derogatis Affects Balance Scale (DABS)
NCT00512707 (13) [back to overview]Change From Baseline in Sex Hormone Binding Globulin (SHBG)
NCT00512707 (13) [back to overview]Change From Baseline in Quality of Life Specific to Male Erection Difficulties (QOL-MED)
NCT00512707 (13) [back to overview]Change From Baseline in Erectile Function Domain Score of the International Index of Erectile Function (IIEF)
NCT00512707 (13) [back to overview]Change From Baseline in Psychological General Well-Being Index Score (PGWBI)
NCT00512707 (13) [back to overview]Change From Baseline in Derogatis Affects Balance Scale (DABS)
NCT00512707 (13) [back to overview]Change From Baseline in Total Testosterone
NCT00512707 (13) [back to overview]Change From Baseline in Sexual Encounter Profile (SEP)
NCT00512707 (13) [back to overview]Change From Baseline in Successful Sexual Intercourse of Sexual Encounter Profile (SEP)
NCT00517933 (30) [back to overview]St. George's Respiratory Questionnaire (Symptoms Score)
NCT00517933 (30) [back to overview]St. George's Respiratory Questionnaire (Impacts Score)
NCT00517933 (30) [back to overview]St. George's Respiratory Questionnaire (Activity Score)
NCT00517933 (30) [back to overview]Short Form Health Survey (SF36) General Health
NCT00517933 (30) [back to overview]Short Form Health Survey (SF36) Aggregate Physical
NCT00517933 (30) [back to overview]ICECAP-O
NCT00517933 (30) [back to overview]Forced Vital Capacity (FVC)
NCT00517933 (30) [back to overview]EuroQOL Thermometer
NCT00517933 (30) [back to overview]EuroQOL (EQ-5D) Utility
NCT00517933 (30) [back to overview]Diffusing Capacity of the Lung for Carbon Monoxide (DLCO)
NCT00517933 (30) [back to overview]Borg Dyspnea Index (BDI) After 6 Minute Walk Test (Raw Scores)
NCT00517933 (30) [back to overview]6-minute Walk Distance (6MWT)
NCT00517933 (30) [back to overview]Estimated Change From Baseline to 12 Weeks in 6-minute Walk Distance
NCT00517933 (30) [back to overview]Desaturation During 6-minute Walk Test (6MWT)
NCT00517933 (30) [back to overview]Change in St. George's Respiratory Questionnaire (Total Score) (Adjusted Values)
NCT00517933 (30) [back to overview]Change in St. George's Respiratory Questionnaire (Symptoms Score) Adjusted Value
NCT00517933 (30) [back to overview]Change in St. George's Respiratory Questionnaire (Impacts Score) Adjusted Value
NCT00517933 (30) [back to overview]Change in St. George's Respiratory Questionnaire (Activity Score) Adjusted Value
NCT00517933 (30) [back to overview]Change in Short Form Health Survey (SF36) General Health - Adjusted Value
NCT00517933 (30) [back to overview]Change in SF36 Aggregate Physical (Adjusted Value)
NCT00517933 (30) [back to overview]Change in ICECAP-O Adjusted Value
NCT00517933 (30) [back to overview]Change in Forced Vital Capacity (FVC) Adjusted Values
NCT00517933 (30) [back to overview]Change in EuroQOL Thermometer (Adjusted Value)
NCT00517933 (30) [back to overview]Change in Dyspnea
NCT00517933 (30) [back to overview]Change in Diffusing Capacity of the Lung for Carbon Monoxide (DLCO) Adjusted Values
NCT00517933 (30) [back to overview]Change in Borg Dyspnea Index (BDI) After 6 Minute Walk Test (Adjusted Values)
NCT00517933 (30) [back to overview]Change in 6-minute Walk Distance From Enrollment to Week 12 (≥ 20% Improvement)
NCT00517933 (30) [back to overview]Change in EuroQOL (EQ-5D) Utility - Adjusted Value
NCT00517933 (30) [back to overview]University of California at San Diego (UCSD) Shortness of Breath Questionnaire Total
NCT00517933 (30) [back to overview]St. George's Respiratory Questionnaire (Total Score)
NCT00544076 (4) [back to overview]Potency Rates With or Without Assistance in the Control Group Versus Maintenance MUSE or Maintenance Viagra
NCT00544076 (4) [back to overview]SHIMS-5 Scores in the Control Groups Versus Maintenance MUSE or Maintenance Viagra Groups
NCT00544076 (4) [back to overview]Potency Rates (Ability to Obtain an Erection Sufficient for Penetration) Without Assistance Compared Between Patients in All Three Arms of the Study at 12 Months
NCT00544076 (4) [back to overview]Penile Length
NCT00598585 (1) [back to overview]Change in Fatigue Impact Scale at 6 Weeks
NCT00617305 (11) [back to overview]Time to Clinical Worsening of PAH, Evaluated at Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, and After Week 48
NCT00617305 (11) [back to overview]Overall Survival, Evaluated at Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, and After Week 48
NCT00617305 (11) [back to overview]Change in Dyspnea Index Measured at Weeks 4, 12, 24, 36 and 48 (LOCF)
NCT00617305 (11) [back to overview]Change From Baseline in World Health Organization (WHO) Functional Class (LOCF) Measured at Weeks 4, 12, 24, 36 and 48.
NCT00617305 (11) [back to overview]Change From Baseline in the Cambridge Pulmonary Hypertension Outcome Review (CAMPHOR) Quality of Life (QOL) Survey Overall Score Measured at Weeks 12, 24, 36 and 48 (LOCF)
NCT00617305 (11) [back to overview]Change From Baseline in Six Minute Walk Distance (6MWD) Measured at Weeks 4, 12, 24, 36 and 48 (LOCF)
NCT00617305 (11) [back to overview]Change From Baseline in Pulmonary Vascular Resistance (PVR), Last Observation Carried Forward (LOCF)
NCT00617305 (11) [back to overview]Change From Baseline in Mean Right Atrial Pressure (mRAP) (LOCF)
NCT00617305 (11) [back to overview]Change From Baseline in Log-transformed N-terminal Pro-B-type Natriuretic Peptide (NT-proBNP) Measured at Weeks 4, 12, 24, 36 and 48 (LOCF)
NCT00617305 (11) [back to overview]Change From Baseline in Mean Pulmonary Artery Pressure (mPAP) (LOCF)
NCT00617305 (11) [back to overview]Change From Baseline in Cardiac Output (LOCF)
NCT00659529 (1) [back to overview]Sputum Elastase
NCT00666198 (10) [back to overview]Number of Participants With Treatment-Related Adverse Events by Disease Type
NCT00666198 (10) [back to overview]Number of Paritcipants With Treatment-Related Adverse Events by Age
NCT00666198 (10) [back to overview]Clinical Efficacy Rate by WHO Functional Classificaton of Severity
NCT00666198 (10) [back to overview]Clinical Efficacy Rate by Gender
NCT00666198 (10) [back to overview]Clinical Efficacy Rate by Age
NCT00666198 (10) [back to overview]Number of Participants With Treatment-Related Adverse Events Unexpected From Japanese Package Insert
NCT00666198 (10) [back to overview]Number of Paritcipants With Treatment-Related Adverse Events by Gender
NCT00666198 (10) [back to overview]Number of Participants With Treatment-Related Adverse Events
NCT00666198 (10) [back to overview]Clinical Efficacy Rate by Disease Type
NCT00666198 (10) [back to overview]Number of Participants With Treatmnt-Related Adverse Events by WHO Functional Classification of Severity
NCT00685945 (3) [back to overview]Net Tissue-type Plasminogen Activator (t-PA) Release
NCT00685945 (3) [back to overview]Net Glucose Uptake
NCT00685945 (3) [back to overview]Forearm Blood Flow (FBF)
NCT00692237 (2) [back to overview]Left Ventricular Torsion Defined as Change in Ventricular Mid-wall Rotation (°) Measured by Cine-Cardiac Magnetic Resonance (CMR) Imaging With Tagging, Before and After Three Months of Treatment With Sildenafil and Placebo (100 mg/Day).
NCT00692237 (2) [back to overview]Ejection Fraction (EF) Defined as the Volume of Blood Ejected With Each Beat Was Measured on Cine-Cardiac Magnetic Resonance (CMR) Images Before and After Three Months Treatment With Sildenafil and Placebo (100 mg/Day).
NCT00734604 (15) [back to overview]"Question 1 I Felt as if I Did Not Have ED Score of the Patient Perception and Feelings Questions (PPF-Q) at Endpoint"
NCT00734604 (15) [back to overview]"Question 2 I Felt in Control of my Sex Life Score of the Patient Perception and Feelings Questions (PPF-Q) at Endpoint"
NCT00734604 (15) [back to overview]"Question 3 I Felt the Drug Was in Control of my Erections Score of the Patient Perception and Feelings Questions (PPF-Q) at Endpoint"
NCT00734604 (15) [back to overview]"Question 4 I Felt Like a Whole Man Score of the Patient Perception and Feelings Questions (PPF-Q) at Endpoint"
NCT00734604 (15) [back to overview]Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) Score at Endpoint
NCT00734604 (15) [back to overview]Number of Participants With at Least One Serious Adverse Event
NCT00734604 (15) [back to overview]Change From Baseline Between Tadalafil Once a Day (OaD) and Sildenafil as Needed (PRN) in Sexual Self-Confidence Domain of Psychological and Interpersonal Relationship Scales (PAIRS)
NCT00734604 (15) [back to overview]Change From Baseline Between Tadalafil Once a Day (OaD) and Tadalafil as Needed (PRN) in Sexual Self-Confidence Domain of Psychological and Interpersonal Relationship Scales (PAIRS)
NCT00734604 (15) [back to overview]Change From Baseline to Endpoint in the Erectile Function Domain of the International Index of Erectile Function (IIEF)
NCT00734604 (15) [back to overview]Change From Baseline to Endpoint in the Intercourse Satisfaction (IS) Domain of the IIEF
NCT00734604 (15) [back to overview]Change From Baseline to Endpoint in the Proportion of Days With at Least One Morning Erection
NCT00734604 (15) [back to overview]Change From Baseline to Endpoint in the Time Concerns Domain of PAIRS
NCT00734604 (15) [back to overview]Change From Baseline to Endpoint in the Spontaneity Domain of PAIRS
NCT00734604 (15) [back to overview]Change From Baseline to Endpoint in the Self-Esteem And Relationship (SEAR) Questionnaire Transformed Total Score
NCT00734604 (15) [back to overview]Change From Baseline to Endpoint in the Overall Satisfaction (OS) Domain of the IIEF
NCT00763867 (45) [back to overview]Minnesota Living With Heart Failure Questionnaire (MLWHFQ)
NCT00763867 (45) [back to overview]MRI Aortic Distensibility
NCT00763867 (45) [back to overview]MRI Aortic Thickness
NCT00763867 (45) [back to overview]MRI Effective Arterial Elastance
NCT00763867 (45) [back to overview]MRI Left Ventricular Ejection Fraction (LVEF)
NCT00763867 (45) [back to overview]MRI Left Ventricular End Diastolic Volume
NCT00763867 (45) [back to overview]MRI Left Ventricular End Diastolic Volume Index
NCT00763867 (45) [back to overview]MRI Left Ventricular End Systolic Volume Index
NCT00763867 (45) [back to overview]MRI Left Ventricular Mass
NCT00763867 (45) [back to overview]MRI Left Ventricular Mass Index
NCT00763867 (45) [back to overview]MRI Systemic Vascular Resistance
NCT00763867 (45) [back to overview]N-terminal Pro B-type Natriuretic Peptide (NT Pro-BNP)
NCT00763867 (45) [back to overview]Procollagen III N-terminal Peptide
NCT00763867 (45) [back to overview]Uric Acid
NCT00763867 (45) [back to overview]Ventilatory Anaerobic Threshold
NCT00763867 (45) [back to overview]Ventilatory Anaerobic Threshold
NCT00763867 (45) [back to overview]Best Available Glomerular Filtration Rate (GFR)
NCT00763867 (45) [back to overview]Aldosterone
NCT00763867 (45) [back to overview]Best Available Creatinine
NCT00763867 (45) [back to overview]Cardiopulmonary Exercise Test (CPET) Duration
NCT00763867 (45) [back to overview]Cardiopulmonary Exercise Test (CPET) Duration
NCT00763867 (45) [back to overview]Collagen Type I (CITP)
NCT00763867 (45) [back to overview]Composite Score Reflective of Clinical Status
NCT00763867 (45) [back to overview]Cyclic Guanosine Monophosphate (cGMP)
NCT00763867 (45) [back to overview]Cystatin C
NCT00763867 (45) [back to overview]ECHO Effective Arterial Elastance
NCT00763867 (45) [back to overview]ECHO Pulmonary Artery Systolic Pressure
NCT00763867 (45) [back to overview]ECHO Systemic Vascular Resistance
NCT00763867 (45) [back to overview]Echocardiogram Left Ventricular Mass
NCT00763867 (45) [back to overview]Endothelin-1
NCT00763867 (45) [back to overview]Exercise Capacity as Determined by Walk Distance
NCT00763867 (45) [back to overview]Exercise Capacity as Determined by Walk Distance
NCT00763867 (45) [back to overview]Exercise Capacity, as Determined by Peak Oxygen Uptake
NCT00763867 (45) [back to overview]Exercise Capacity, as Determined by Peak Oxygen Uptake
NCT00763867 (45) [back to overview]Furosemide-Equivalent Dose
NCT00763867 (45) [back to overview]Galectin 3
NCT00763867 (45) [back to overview]High Sensitivity C-Reactive Protein
NCT00763867 (45) [back to overview]High Sensitivity Troponin I
NCT00763867 (45) [back to overview]Lateral Diastolic Elastance
NCT00763867 (45) [back to overview]Lateral Filling Pressure
NCT00763867 (45) [back to overview]Lateral Left Ventricular Relaxation
NCT00763867 (45) [back to overview]Medial Diastolic Elastance
NCT00763867 (45) [back to overview]Medial Filling Pressure
NCT00763867 (45) [back to overview]Medial Left Ventricular Relaxation
NCT00763867 (45) [back to overview]Minnesota Living With Heart Failure Questionnaire
NCT00781508 (2) [back to overview]The Distance Walked During the 6-minute Walk Test 1 hr After the Oral Administration of Sildenafil 50 mg.
NCT00781508 (2) [back to overview]Reduction of the Left Ventricular Filling Pressure in Association With Administration of Sildenafil
NCT00796666 (13) [back to overview]Change in 36-Item Short-Form Health Survey (SF-36) From Baseline at Weeks 12, 24 and 48 - Composite Mental Health
NCT00796666 (13) [back to overview]Change in 36-Item Short-Form Health Survey (SF-36) From Baseline at Weeks 12, 24 and 48 - General Health Domain
NCT00796666 (13) [back to overview]Change in 36-Item Short-Form Health Survey (SF-36) From Baseline at Weeks 12, 24 and 48 - Bodily Pain Domain
NCT00796666 (13) [back to overview]Change From Baseline in World Health Organization (WHO) Functional Class in Participants With PAH at Weeks 12, 24, 48
NCT00796666 (13) [back to overview]Change From Baseline in the Total Distance Walked During 6 Minute Walk Distance (6MWD)
NCT00796666 (13) [back to overview]Time to Clinical Worsening (TTCW)
NCT00796666 (13) [back to overview]Change in 36-Item Short-Form Health Survey (SF-36) From Baseline at Weeks 12, 24 and 48 - Social Functioning Domain
NCT00796666 (13) [back to overview]Change in 36-Item Short-Form Health Survey (SF-36) From Baseline at Weeks 12, 24 and 48 - Vitality Domain
NCT00796666 (13) [back to overview]Change in 36-Item Short-Form Health Survey (SF-36) From Baseline at Weeks 12, 24 and 48 - Composite Physical Health
NCT00796666 (13) [back to overview]Change in 36-Item Short-Form Health Survey (SF-36) From Baseline at Weeks 12, 24 and 48 - Mental Health Domain
NCT00796666 (13) [back to overview]Change in 36-Item Short-Form Health Survey (SF-36) From Baseline at Weeks 12, 24 and 48 - Physical Functioning Domain
NCT00796666 (13) [back to overview]Change in 36-Item Short-Form Health Survey (SF-36) From Baseline at Weeks 12, 24 and 48 - Role Limitation Due to Emotional Problems Domain
NCT00796666 (13) [back to overview]Change in 36-Item Short-Form Health Survey (SF-36) From Baseline at Weeks 12, 24 and 48 - Role Limitations Due to Physical Health Problems Domain
NCT00848497 (4) [back to overview]Change in the IIEF (International Index of Erectile Function) Score 6 Months After the Initial Screening Visit.
NCT00848497 (4) [back to overview]Change in SHIM (Sexual Health Inventory for Males) Score at 6 Months After Initial Screening Visit.
NCT00848497 (4) [back to overview]Change in the ADAM (Androgen Deficiency in the Aging Male)Score 6 Months After the Initial Screening Visit.
NCT00848497 (4) [back to overview]Change in the EPIC (Expanded Prostate Cancer Index Composite) Score 6 Months After the Initial Screening Visit.
NCT00853112 (13) [back to overview]Number of Participants With Clinically Significant Change in Electrocardiogram (ECG) Values
NCT00853112 (13) [back to overview]Change From Baseline in Pulmonary Capillary Wedge Pressure (PCWP), Mean Systemic Arterial Pressure (SAP), Systolic Systemic Arterial Pressure (sSAP) and Diastolic Systemic Arterial Pressure (dSAP) at Hour 1, 2, 3 and 4 Post Dose
NCT00853112 (13) [back to overview]Change From Baseline in Mean Pulmonary Artery Pressure (mPAP), Systolic Pulmonary Artery Pressure (sPAP), Diastolic Pulmonary Artery Pressure (dPAP), Right Atrial Pressure (RAP) at Hour 1, 2, 3 and 4 Post Dose
NCT00853112 (13) [back to overview]Change From Baseline in Mean Partial Pressure of Oxygen (PaO2) and Carbon Dioxide (PaCO2) at Hour 1 and 4 Post Dose
NCT00853112 (13) [back to overview]Change From Baseline in Cardiac Index (CI) at Hour 1, 2, 3 and 4 Post Dose
NCT00853112 (13) [back to overview]Mean Change From Baseline in Heart Rate (HR) at Hour 1, 2, 3 and 4 Post Dose
NCT00853112 (13) [back to overview]Number of Participants With Clinically Significant Laboratory Values
NCT00853112 (13) [back to overview]Mean Change From Baseline in Systemic Vascular Resistance Index (SVRI) Over 4 Hours Post Dose
NCT00853112 (13) [back to overview]Change From Baseline in Pulmonary Vascular Resistance Index (PVRI) at Hour 1, 2, 3 and 4 Post Dose
NCT00853112 (13) [back to overview]Change From Baseline in Systemic Vascular Resistance Index (SVRI) at Hour 1, 2, 3 and 4 Post Dose
NCT00853112 (13) [back to overview]Greatest Reduction From Baseline in Pulmonary Vascular Resistance Index (PVRI) and Systemic Vascular Resistance Index (SVRI) Over 4 Hours Post Dose
NCT00853112 (13) [back to overview]Mean Change From Baseline in Pulmonary Vascular Resistance (PVR) and Systemic Vascular Resistance (SVR) at Hour 1, 2, 3 and 4 Post Dose
NCT00853112 (13) [back to overview]Mean Change From Baseline in Pulmonary Vascular Resistance Index (PVRI) Over 4 Hours Post Dose
NCT00872170 (11) [back to overview]Change in Tricuspid Regurgitant Jet Velocity (TRV) From Baseline to Week 12 Among Sildenafil Group
NCT00872170 (11) [back to overview]Change in Echo Left Ventricular End Diastolic Volume (LVEDV) From Baseline to Week 12 Among Sildenafil Group
NCT00872170 (11) [back to overview]Change in Arginase Activity From Baseline to Week 12 Among Sildenafil Group
NCT00872170 (11) [back to overview]Change in Arginase Concentration From Baseline to Week 12 Among Sildenafil Group
NCT00872170 (11) [back to overview]Change in Cell Free Hemoglobin From Baseline to Week 12 Among Sildenafil Group
NCT00872170 (11) [back to overview]Change in Echo Left Ventricular End Systolic Volume (LVESV) From Baseline to Week 12 Among Sildenafil Group
NCT00872170 (11) [back to overview]Change in Lactate Dehydrogenase (LDH) From Baseline to Week 12 Among Sildenafil Group
NCT00872170 (11) [back to overview]Change in Plasma Arginine From Baseline to Week 12 Among Sildenafil Group
NCT00872170 (11) [back to overview]Change in Red Blood Cell (RBC) Arginine From Baseline to Week 12 Among Sildenafil Group
NCT00872170 (11) [back to overview]Change in Six-minute Walk Test (6MWT) Distance From Baseline to Week 12 Among Sildenafil Group
NCT00872170 (11) [back to overview]Change in Soluble Platelet Selectin (sP-SELECTIN) From Baseline to Week 12 Among Sildenafil Group
NCT00904748 (6) [back to overview]Half-life (T 1/2)
NCT00904748 (6) [back to overview]Maximum Plasma Concentration (Cmax)
NCT00904748 (6) [back to overview]Number of Participants With Clinically Significant Findings in Vital Signs
NCT00904748 (6) [back to overview]Time to Maximum Plasma Concentration (Tmax)
NCT00904748 (6) [back to overview]Area Under the Curve (AUC 0-t)
NCT00904748 (6) [back to overview]Area Under the Curve From 0 to Infinity (AUC 0-inf )
NCT00940901 (2) [back to overview]Greater Than or Equal to a 50% Reduction in Priapic Episodes
NCT00940901 (2) [back to overview]Greater Than or Equal to a 50% Reduction in Priapic Episodes
NCT00946114 (1) [back to overview]Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs)
NCT00964782 (5) [back to overview]The Change in Exercise Capacity Measured Via Minimum Oxygen Saturation Levels.
NCT00964782 (5) [back to overview]The Change in Exercise Capacity Measured Via Metabolic Equivalents of Task (METs).
NCT00964782 (5) [back to overview]The Change in Exercise Capacity Measured Via Maximum Oxygen Consumed During Exercise (VO2)
NCT00964782 (5) [back to overview]The Change in Exercise Capacity Measured Via Exercise Time
NCT00964782 (5) [back to overview]The Change in Exercise Capacity Measured Via Maximum Heart Rate
NCT00981747 (3) [back to overview]Change in Six Minute Walk Distance in Meters
NCT00981747 (3) [back to overview]Change in Shortness of Breath (SOB) Score
NCT00981747 (3) [back to overview]Change in Forced Vital Capacity (FVC)
NCT01044693 (4) [back to overview]Change in Heart Rate During the Night
NCT01044693 (4) [back to overview]Nocturnal Urinary Sodium Excretion
NCT01044693 (4) [back to overview]Change in Systolic Blood Pressure During the Night
NCT01044693 (4) [back to overview]Orthostatic Tolerance the Following Morning
NCT01059994 (2) [back to overview]Protein Synthesis Rate After 1 Week of Sildenafil or Placebo
NCT01059994 (2) [back to overview]Change in Muscle Fatigue After 1 Week of Placebo or Sildenafil
NCT01060020 (5) [back to overview]Percent Change in Mean Pulmonary Artery Pressure in the Whole Cohort.
NCT01060020 (5) [back to overview]Percent Change in Pulmonary Vascular Resistance in the Whole Cohort.
NCT01060020 (5) [back to overview]Global Longitudinal Strain
NCT01060020 (5) [back to overview]Load Independent Index of Diastolic Filling.
NCT01060020 (5) [back to overview]Percent Change in Cardiac Index.
NCT01122264 (18) [back to overview]Patterns of Erectile Dysfunction Treatment Change
NCT01122264 (18) [back to overview]Change From Baseline to 4, 8, 16, and 24 Weeks of the Sexual Relationship Domain of the Self-Esteem and Relationship (SEAR) Questionnaire
NCT01122264 (18) [back to overview]Global Assessment Questions (GAQ)
NCT01122264 (18) [back to overview]Change From Baseline to 24 Week Endpoint of the Sexual Self-Confidence, Spontaneity, and Time Concerns Domains (23-items) of the Psychological and Interpersonal Relationships Scale (PAIRS)
NCT01122264 (18) [back to overview]Time to Discontinuation of Randomized Treatment
NCT01122264 (18) [back to overview]Number of Treatment Switches
NCT01122264 (18) [back to overview]Number of Days From the 8-Week Study Visit to the Time the Participant Discontinues From All Phosphodiesterase Type 5 (PDE5) Inhibitor Treatments
NCT01122264 (18) [back to overview]Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) Questionnaire at 4, 8, 16, and 24 Weeks
NCT01122264 (18) [back to overview]Change From Baseline to 4, 8, 16, and 24 Weeks of the Confidence Domain of the Self-Esteem and Relationship (SEAR) Questionnaire
NCT01122264 (18) [back to overview]Reasons for Discontinuation of Randomized Erectile Dysfunction Treatment
NCT01122264 (18) [back to overview]Change From Baseline to 4, 8, 16 and 24 Weeks of the International Index of Erectile Function (IIEF) Erectile Function (EF) Domain
NCT01122264 (18) [back to overview]Change From Baseline to 4, 8, 16 and 24 Weeks of the International Index of Erectile Function (IIEF) Intercourse Satisfaction Domain
NCT01122264 (18) [back to overview]Change From Baseline to 4, 8, 16 and 24 Weeks of the International Index of Erectile Function (IIEF) Orgasmic Function Domain
NCT01122264 (18) [back to overview]Change From Baseline to 4, 8, 16 and 24 Weeks of the International Index of Erectile Function (IIEF) Overall Satisfaction Domain
NCT01122264 (18) [back to overview]Change From Baseline to 4, 8, 16 and 24 Weeks of the International Index of Erectile Function (IIEF) Sexual Desire Domain
NCT01122264 (18) [back to overview]Change From Baseline to 4, 8, 16 and 24 Weeks of the Sexual Encounter Profile (SEP)
NCT01122264 (18) [back to overview]Change From Baseline to 4, 8, 16, and 24 Weeks of the Overall Relationship Domain of the Self-Esteem and Relationship (SEAR) Questionnaire
NCT01122264 (18) [back to overview]Change From Baseline to 4, 8, 16, and 24 Weeks of the Self Esteem Domain of the Self-Esteem and Relationship (SEAR) Questionnaire
NCT01131104 (1) [back to overview]30-Day Person Time Analysis Risk of NAION Associated With PDE5 Inhibitor Use
NCT01132482 (7) [back to overview]Change in Chloride Conductance by NPD
NCT01132482 (7) [back to overview]Change in Sweat Chloride Concentration by Pilocarpine Iontophoresis
NCT01132482 (7) [back to overview]Change in Serum Sildenafil Pharmacokinetics
NCT01132482 (7) [back to overview]Change in Pulmonary Function by Spirometry
NCT01132482 (7) [back to overview]Change in Lung Clearance Index
NCT01132482 (7) [back to overview]Change in CF Heath Related Quality of Life Questionnaire (CFQ-R)
NCT01132482 (7) [back to overview]Change in Sodium Conductance by Nasal Potential Difference (NPD)
NCT01168908 (6) [back to overview]Change in Skeletal Muscle Strength
NCT01168908 (6) [back to overview]Ejection Fraction
NCT01168908 (6) [back to overview]Change in Forced Vital Capacity (FVC) by Pulmonary Function Testing
NCT01168908 (6) [back to overview]Change in Cardiac Mass
NCT01168908 (6) [back to overview]Change in Cardiac Left Ventricular End-systolic Volume (LVESV) by Cardiac Magnetic Resonance (CMR) Imaging.
NCT01168908 (6) [back to overview]Change in Cardiac Systolic and Diastolic Function by CMR
NCT01169519 (2) [back to overview]Maximum Sildenafil Plasma Concentration
NCT01169519 (2) [back to overview]Hemodynamic Safety and Efficacy
NCT01179334 (12) [back to overview]Area Under Effect Curve (AUEC) of Supine DBP Within 4 Hours Post-dose at Visit 6 (Week 12)
NCT01179334 (12) [back to overview]Area Under Effect Curve (AUEC) of Standing DBP Within 4 Hours Post-dose at Visit 6 (Week 12)
NCT01179334 (12) [back to overview]Area Under Effect Curve (AUEC) of Standing HR Within 4 Hours Post-dose at Visit 6 (Week 12)
NCT01179334 (12) [back to overview]Maximum Change From Baseline in Supine Heart Rate (HR) Within 4 Hours Post-dose at Visit 6 (Week 12)
NCT01179334 (12) [back to overview]Maximum Change From Baseline in Supine Diastolic Blood Pressure (DBP) Within 4 Hours Post-dose at Visit 6 (Week 12)
NCT01179334 (12) [back to overview]Maximum Change From Baseline in Standing Systolic Blood Pressure (SBP) Within 4 Hours Post-dose at Visit 6 (Week 12)
NCT01179334 (12) [back to overview]Maximum Change From Baseline in Supine Systolic Blood Pressure (SBP) Within 4 Hours Post-dose at Visit 6 (Week 12)
NCT01179334 (12) [back to overview]Maximum Change From Baseline in Standing Heart Rate (HR) Within 4 Hours Post-dose at Visit 6 (Week 12)
NCT01179334 (12) [back to overview]Maximum Change From Baseline in Standing Diastolic Blood Pressure (DBP) Within 4 Hours Post-dose at Visit 6 (Week 12)
NCT01179334 (12) [back to overview]Area Under Effect Curve (AUEC) of Supine SBP Within 4 Hours Post-dose at Visit 6 (Week 12)
NCT01179334 (12) [back to overview]Area Under Effect Curve (AUEC) of Supine HR Within 4 Hours Post-dose at Visit 6 (Week 12)
NCT01179334 (12) [back to overview]Area Under Effect Curve (AUEC) of Standing SBP Within 4 Hours Post-dose at Visit 6 (Week 12)
NCT01254396 (5) [back to overview]Maximum Observed Plasma Concentration (Cmax)
NCT01254396 (5) [back to overview]Plasma Decay Half Life (t1/2)
NCT01254396 (5) [back to overview]Time to Reach Maximum Observed Plasma Concentration (Tmax)
NCT01254396 (5) [back to overview]Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-∞)]
NCT01254396 (5) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast)
NCT01266265 (1) [back to overview]Prevalence of Respiratory Tract-Related Adverse Events of Interest
NCT01290484 (1) [back to overview]Change in Volume of Lymphatic Malformation
NCT01334554 (2) [back to overview]Endothelial Function
NCT01334554 (2) [back to overview]Insulin Sensitivity
NCT01347008 (3) [back to overview]Daily Frequency of Raynaud's Phenomenon Attacks
NCT01347008 (3) [back to overview]Digital Skin Microvascular Blood Flow Measured by Laser Doppler Imaging (LDI) After Cold Stimulus.
NCT01347008 (3) [back to overview]Digital Skin Microvascular Blood Flow Measured by Laser Doppler Imaging (LDI) Before Cold Stimulus
NCT01352507 (13) [back to overview]Change in International Index of Erectile Function (IIEF) Sexual Desire Domain
NCT01352507 (13) [back to overview]"Percentage of Participants Preferring Tadalafil Over Sildenafil Measured at Week 18 Using Question 1 of the Phosphodiesterase 5 Inhibitor Treatment Preference Questionnaire (PITPQ)"
NCT01352507 (13) [back to overview]Change in PAIRS Spontaneity Domain
NCT01352507 (13) [back to overview]Change in PAIRS Time Concerns Domain
NCT01352507 (13) [back to overview]Change in Psychosocial and Interpersonal Relationship Scale (PAIRS) Sexual Self-Confidence Domain
NCT01352507 (13) [back to overview]Change in International Index of Erectile Function (IIEF) Erectile Function Domain
NCT01352507 (13) [back to overview]Change in International Index of Erectile Function (IIEF) Intercourse Satisfaction Domain
NCT01352507 (13) [back to overview]Change in International Index of Erectile Function (IIEF) Orgasmic Function Domain
NCT01352507 (13) [back to overview]Change in International Index of Erectile Function (IIEF) Overall Satisfaction Domain
NCT01352507 (13) [back to overview]Change in Sexual Encounter Profile (SEP) Question 2
NCT01352507 (13) [back to overview]Change in Sexual Encounter Profile (SEP) Question 3
NCT01352507 (13) [back to overview]Drug Attributes Questionnaire (DRAQ) at Week 18
NCT01352507 (13) [back to overview]Percentage of Participants Moderately or Strongly Preferring the Selected Treatment at Week 18 Using Question 2 of the PITPQ
NCT01365585 (6) [back to overview]Change From Baseline in New York Heart Association, World Health Organization (NYHA/WHO) Functional Class in Participants With Pulmonary Arterial Hypertension (PAH) at Year 1, 2, 3 and 4
NCT01365585 (6) [back to overview]Change From Baseline in Borg Dyspnea Index at Year 1, 2, 3 and 4
NCT01365585 (6) [back to overview]Change From Baseline in 6-Minute Walk Distance (6MWD) at Year 4
NCT01365585 (6) [back to overview]Change From Baseline in 6-Minute Walk Distance (6MWD) at Year 1
NCT01365585 (6) [back to overview]Change From Baseline in 6-Minute Walk Distance (6MWD) at Year 2
NCT01365585 (6) [back to overview]Change From Baseline in 6-Minute Walk Distance (6MWD) at Year 3
NCT01392469 (7) [back to overview]Geometric Mean Ratio of Dose Normalized AUCtau for Sildenafil Before and After Imatinib Administrations
NCT01392469 (7) [back to overview]Geometric Mean Ratio of Dose Normalized Area Under the Curve From Time Zero to Tau (AUCtau) for Bosentan Before and After Imatinib Administrations
NCT01392469 (7) [back to overview]Geometric Mean Ratio of Dose Normalized Cmax for Sildenafil Before and After Imatinib Administrations
NCT01392469 (7) [back to overview]Geometric Mean Ratio of Dose Normalized Maximum Plasma Concentration (Cmax) for Bosentan Before and After Imatinib Administrations
NCT01392469 (7) [back to overview]Number of Participants With At Least One or More Adverse Events (AEs)
NCT01392469 (7) [back to overview]Dose Normalized AUCtau of Imatinib and CGP74588 (Active Metabolite of Imatinib)
NCT01392469 (7) [back to overview]Dose Normalized Cmax of Imatinib and CGP74588 (Active Metabolite of Imatinib)
NCT01409993 (5) [back to overview]Blood Pressure
NCT01409993 (5) [back to overview]Fasting Plasma Glucose
NCT01409993 (5) [back to overview]Glucose Infusion Rate
NCT01409993 (5) [back to overview]Index of Tissue Sensitivity to Insulin
NCT01409993 (5) [back to overview]Insulin Secretion
NCT01499498 (5) [back to overview]Boceprevir Alone Maximum Plasma Concentration
NCT01499498 (5) [back to overview]Boceprevir Maximum Plasma Concentration
NCT01499498 (5) [back to overview]Number of Patients With Adverse Events
NCT01499498 (5) [back to overview]Sildenafil Maximum Plasma Concentration
NCT01499498 (5) [back to overview]Sildenafil Alone Maximum Plasma Concentration
NCT01601470 (10) [back to overview]Time to Reach the Maximum Concentration After Drug Administration (Tmax) of LCZ696 Analytes (AHU377, LBQ657 and Valsartan)
NCT01601470 (10) [back to overview]Area Under the Plasma Concentration-time Curve From Time Zero to the End of the Dosing Interval (AUCtau) of LCZ696 Analytes
NCT01601470 (10) [back to overview]Area Under the Plasma Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUClast) of Sildenafil and N-desmethyl-sildenafil Analytes
NCT01601470 (10) [back to overview]Maximum Plasma Concentration Following Drug Administration at Steady State (Cmax,ss) of LCZ696 Analytes (AHU377, LBQ657 and Valsartan)
NCT01601470 (10) [back to overview]Minimum Plasma Concentration Following Drug Administration at Steady State (Cmin,ss) of LCZ696 Analytes (AHU377, LBQ696 and Valsartan)
NCT01601470 (10) [back to overview]Terminal Elimination Half-life (T1/2) of Sildenafil and N-desmethyl-sildenafil Analytes
NCT01601470 (10) [back to overview]Time to Reach the Maximum Concentration After Drug Administration (Tmax) of Sildenafil and N-desmethyl-sildenafil Analytes
NCT01601470 (10) [back to overview]Adverse Events, Serious Adverse Events and Deaths Were Monitored From Screening to End of Study
NCT01601470 (10) [back to overview]Area Under the Plasma Concentration-time Curve From Time Zero to Infinity (AUCinf) of Sildenafil and N-desmethyl-sildenafil Analytes
NCT01601470 (10) [back to overview]Maximum Plasma Concentration Following Drug Administration (Cmax) of Sildenafil and N-desmethyl-sildenafil Analytes
NCT01642407 (42) [back to overview]Change From Baseline in World Health Organization (WHO) Functional Class in Participants With Pulmonary Arterial Hypertension (PAH) at Week 16
NCT01642407 (42) [back to overview]Change From Baseline in World Health Organization (WHO) Functional Class in Participants With Pulmonary Arterial Hypertension (PAH) at Week 4
NCT01642407 (42) [back to overview]Change From Baseline in World Health Organization (WHO) Functional Class in Participants With Pulmonary Arterial Hypertension (PAH) at Week 8
NCT01642407 (42) [back to overview]Change From Baseline in World Health Organization (WHO) Functional Class in Participants With Pulmonary Arterial Hypertension (PAH) at Weeks 28, 40, 52, 64, 76, 88, 100, 112 and 124
NCT01642407 (42) [back to overview]Maximum Observed Plasma Concentration (Cmax) of Sildenafil and UK-103,320
NCT01642407 (42) [back to overview]Number of Participants With Clinically Significant 12-Lead Electrocardiogram (ECG) Abnormalities
NCT01642407 (42) [back to overview]Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
NCT01642407 (42) [back to overview]Number of Participants With Treatment-Emergent Treatment-Related Adverse Events (AEs) and Serious Adverse Events (SAEs)
NCT01642407 (42) [back to overview]Terminal Half Life (t1/2) of Sildenafil and UK-103,320
NCT01642407 (42) [back to overview]Time to Reach Maximum Observed Plasma Concentration (Tmax) of Sildenafil and UK-103,320
NCT01642407 (42) [back to overview]Change From Baseline in Pulmonary Artery Systolic and Diastolic Pressure at Week 16
NCT01642407 (42) [back to overview]Apparent Oral Clearance (CL/F) of Sildenafil
NCT01642407 (42) [back to overview]Apparent Volume of Distribution (Vz/F) of Sildenafil
NCT01642407 (42) [back to overview]Number of Participants With Laboratory Abnormalities
NCT01642407 (42) [back to overview]Number of Participants With Ocular Examination Abnormalities
NCT01642407 (42) [back to overview]Number of Participants With Pericardial Effusion
NCT01642407 (42) [back to overview]Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) of Sildenafil and UK-103,320
NCT01642407 (42) [back to overview]Change From Baseline in Arterial Oxygen Saturation (SaO2) at Week 16
NCT01642407 (42) [back to overview]Change From Baseline in Brain Natriuretic Peptide (BNP) at Week 16
NCT01642407 (42) [back to overview]Change From Baseline in Brain Natriuretic Peptide (BNP) at Week 52 and End of Treatment (EOT)
NCT01642407 (42) [back to overview]Change From Baseline in Cardiac Index (CI) at Week 16
NCT01642407 (42) [back to overview]Change From Baseline in Cardiac Output (CO) at Week 16
NCT01642407 (42) [back to overview]Change From Baseline in Heart Rate at Weeks 4, 8, 16, 28, 40, 52, 64, 76, 88, 100, 112 and 124
NCT01642407 (42) [back to overview]Change From Baseline in Mean Pulmonary Artery Pressure (mPAP) at Week 16
NCT01642407 (42) [back to overview]Change From Baseline in Mixed Venous Oxygen Saturation (SvO2) at Week 16
NCT01642407 (42) [back to overview]Change From Baseline in N-terminal Pro Brain Natriuretic Peptide (NT Pro-BNP) at Week 16
NCT01642407 (42) [back to overview]Change From Baseline in N-terminal Pro Brain Natriuretic Peptide (NT Pro-BNP) at Week 52 and End of Treatment (EOT)
NCT01642407 (42) [back to overview]Change From Baseline in Pulmonary Capillary Wedge Pressure (PCWP) at Week 16
NCT01642407 (42) [back to overview]Change From Baseline in Pulmonary Regurgitation - Pressure Gradient (PR-PG) End-Diastole at Week 16
NCT01642407 (42) [back to overview]Change From Baseline in Pulmonary Vascular Resistance (PVR) at Week 16
NCT01642407 (42) [back to overview]Change From Baseline in Pulmonary Vascular Resistance Index (PVRI) at Week 16
NCT01642407 (42) [back to overview]Change From Baseline in Ratio of Acceleration Time to Ejection Time (AcT/ET) at Week 16
NCT01642407 (42) [back to overview]Change From Baseline in Right Atrial Pressure (RAP) at Week 16
NCT01642407 (42) [back to overview]Change From Baseline in Right Ventricular Size at Week 16
NCT01642407 (42) [back to overview]Change From Baseline in Right Ventricular Tei Index at Week 16
NCT01642407 (42) [back to overview]Change From Baseline in Systemic Artery Systolic and Diastolic Pressure at Week 16
NCT01642407 (42) [back to overview]Change From Baseline in Systemic Vascular Resistance (SVR) at Week 16
NCT01642407 (42) [back to overview]Change From Baseline in Systemic Vascular Resistance Index (SVRI) at Week 16
NCT01642407 (42) [back to overview]Change From Baseline in Systolic and Diastolic Blood Pressure (BP) at Weeks 4, 8, 16, 28, 40, 52, 64, 76, 88, 100, 112 and 124
NCT01642407 (42) [back to overview]Change From Baseline in Tricuspid Annular Plane Systolic Excursion (TAPSE) at Week 16
NCT01642407 (42) [back to overview]Change From Baseline in Tricuspid Regurgitation - Pressure Gradient (TR-PG) Peak at Week 16
NCT01642407 (42) [back to overview]Change From Baseline in Tricuspid Valve Annulus Size at Week 16
NCT01661595 (25) [back to overview]Hemoglobin Level Measured at Week 8
NCT01661595 (25) [back to overview]Lean Body Mass as Measured by Dual Energy X-ray Absorptiometry at Week 0.
NCT01661595 (25) [back to overview]Skeletal Muscle Fatigue as Measured by Biodex 4 Pro After 4 Weeks of Active Drug
NCT01661595 (25) [back to overview]Lean Body Mass as Measured by Dual Energy X-ray Absorptiometry at Week 8.
NCT01661595 (25) [back to overview]Maximum Peak Isokinetic Leg Strength as Measured by Biodex Pro4 After 4 Weeks of Active Drug
NCT01661595 (25) [back to overview]Maximum Peak Isokinetic Leg Strength as Measured by Biodex Pro4 After 4 Weeks of Placebo.
NCT01661595 (25) [back to overview]Maximum Peak Isometric Leg Strength as Measured by Biodex Pro4 After 4 Weeks of Active Drug.
NCT01661595 (25) [back to overview]Maximum Peak Isometric Leg Strength as Measured by Biodex Pro4 After 4 Weeks of Placebo
NCT01661595 (25) [back to overview]Perceptual Fatigue as Measured by Multidimensional Fatigue Symptom Inventory - Short Form Total Score at Week 0
NCT01661595 (25) [back to overview]Perceptual Fatigue as Measured by Multidimensional Fatigue Symptom Inventory - Short Form Total Score at Week 4
NCT01661595 (25) [back to overview]Lean Body Mass as Measured by Dual Energy X-ray Absorptiometry at Week 4.
NCT01661595 (25) [back to overview]Walking Distance at 100% Effort as Measured by Walking Test After 4 Weeks of Placebo
NCT01661595 (25) [back to overview]Walking Distance at 100% Effort as Measured by Walking Test After 4 Weeks of Active Drug
NCT01661595 (25) [back to overview]Skeletal Muscle Fatigue as Measured by Biodex 4 Pro After 4 Weeks of Placebo
NCT01661595 (25) [back to overview]Perceptual Fatigue as Measured by Multidimensional Fatigue Symptom Inventory - Short Form Total Score at Week 8
NCT01661595 (25) [back to overview]Exercised Induced Fatigability as Measured by Fatigue Rating Scale After 4 Weeks of Active Drug
NCT01661595 (25) [back to overview]Exercised Induced Fatigability as Measured by Fatigue Rating Scale After 4 Weeks of Placebo
NCT01661595 (25) [back to overview]Fat Mass as Measured by Dual Energy X-ray Absorptiometry at Week 0.
NCT01661595 (25) [back to overview]Fat Mass as Measured by Dual Energy X-ray Absorptiometry at Week 4.
NCT01661595 (25) [back to overview]Fat Mass as Measured by Dual Energy X-ray Absorptiometry at Week 8.
NCT01661595 (25) [back to overview]Hematocrit Level Measured at Week 0
NCT01661595 (25) [back to overview]Hematocrit Level Measured at Week 8
NCT01661595 (25) [back to overview]Hematocrit Level Was Measured at 4 Weeks
NCT01661595 (25) [back to overview]Hemoglobin Level at Week 0
NCT01661595 (25) [back to overview]Hemoglobin Level Measured at Week 4
NCT01720524 (33) [back to overview]Treatment Failure Rate
NCT01720524 (33) [back to overview]Central Volume of Distribution (Vc) of Sildenafil and Its Metabolite
NCT01720524 (33) [back to overview]Change From Baseline in Differential Saturation at Hours 6, 12 and 24 Post-Infusion
NCT01720524 (33) [back to overview]Change From Baseline in Ratio of Partial Pressure of Oxygen in Arterial Blood to Fraction of Inspired Oxygen (P/F) at Hours 6, 12 and 24
NCT01720524 (33) [back to overview]Maximum Plasma Concentration (Cmax) of Sildenafil and Its Metabolite
NCT01720524 (33) [back to overview]Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
NCT01720524 (33) [back to overview]Number of Treatment-Emergent Adverse Events (AEs) According to Severity
NCT01720524 (33) [back to overview]Part B: Audiological Status of Participants as Assessed by Air Conduction Via Phones/Headphones Through Pure Tone Audiometry Test
NCT01720524 (33) [back to overview]Part B: Audiological Status of Participants as Assessed by Air Conduction Via Soundfield Through Pure Tone Audiometry Test
NCT01720524 (33) [back to overview]Part B: Audiological Status of Participants as Assessed by Behavior Hearing Assessment Through Pure Tone Audiometry Test
NCT01720524 (33) [back to overview]Part B: Audiological Status of Participants as Assessed by Bone Conduction Through Pure Tone Audiometry Test
NCT01720524 (33) [back to overview]Part B: Audiological Status of Participants as Assessed by Bone Conduction Through Pure Tone Audiometry Test
NCT01720524 (33) [back to overview]Part B: Audiological Status of Participants as Assessed by Distort Product Through Otoacoustic Emissions Assessment
NCT01720524 (33) [back to overview]Part B: Audiological Status of Participants as Assessed by Ipsilateral Stapedial Reflex Through Immittance Audiometry Test
NCT01720524 (33) [back to overview]Part B: Audiological Status of Participants as Assessed by Transient Evoked Emission Through Otoacoustic Emissions Assessment
NCT01720524 (33) [back to overview]Part B: Audiological Status of Participants as Assessed by Tympanometry Assessment (Peak Pressure) Through Immittance Audiometry Test
NCT01720524 (33) [back to overview]Part B: Audiological Status of Participants as Assessed by Tympanometry Assessment (Static Acoustic Admittance) Through Immittance Audiometry Test
NCT01720524 (33) [back to overview]Part B: Composite Scores of Social-Emotional and Adaptive Behavior Questionnaire as Assessed by Bayley Scales of Infant and Toddler Development Third Edition (Bayley-III)
NCT01720524 (33) [back to overview]Part B: Neurological Progress of Participants as Assessed by the Neurology Optimality Score
NCT01720524 (33) [back to overview]Part B: Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), and Deaths
NCT01720524 (33) [back to overview]Part B: Number of Participants With Eye Movement Disorders as Assessed by Eye Examination
NCT01720524 (33) [back to overview]Change From Baseline in Oxygenation Index (OI) at Hours 6, 12 and 24 Post-Infusion
NCT01720524 (33) [back to overview]Part B: Visual Acuity of Non-Verbal Participants as Assessed by Ophthalmological Assessment
NCT01720524 (33) [back to overview]Part B: Visual Acuity of Verbal Participants as Assessed by LogMAR Through Visual Acuity Chart
NCT01720524 (33) [back to overview]Part B: Visual Acuity of Verbal Participants as Assessed by Ophthalmological Assessment
NCT01720524 (33) [back to overview]Part B: Visual Status of Participants With Abnormality as Assessed by Eye Examination of the Anterior and Posterior Segments
NCT01720524 (33) [back to overview]Percentage of Participants With Individual Components of Treatment Failure
NCT01720524 (33) [back to overview]Total Plasma Clearance (CL) of Sildenafil and Its Metabolite
NCT01720524 (33) [back to overview]Part B: Composite Scores of Cognitive, Language, and Motor Developmental Progress of Participants as Assessed by Bayley Scales of Infant and Toddler Development Third Edition (Bayley-III)
NCT01720524 (33) [back to overview]Number of Participants With Laboratory Abnormalities
NCT01720524 (33) [back to overview]Time From Initiation of Intravenous (IV) Study Drug to Final Weaning of Mechanical Ventilation
NCT01720524 (33) [back to overview]Time From Initiation of Intravenous (IV) Study Drug to First Treatment Failure
NCT01720524 (33) [back to overview]Time on Inhaled Nitric Oxide (iNO) Treatment After Initiation of Intravenous (IV) Study Drug For Participants Without Treatment Failure
NCT01726049 (4) [back to overview]Wedge Pressure Measured Invasively by Right Heart Catheterization
NCT01726049 (4) [back to overview]VO2max
NCT01726049 (4) [back to overview]Mean Pulmonary Artery Pressure Measured by Right Heart Catheterization
NCT01726049 (4) [back to overview]Cardiac Output Measured Invasively by Right Heart Catheterization
NCT01948518 (2) [back to overview]Change in Diffusion Capacity Measured at Baseline and One Hour.
NCT01948518 (2) [back to overview]Change in 6 Minute Walk Distance
NCT02057458 (10) [back to overview]Baseline Diameter
NCT02057458 (10) [back to overview]VO2 Peak (Absolute)
NCT02057458 (10) [back to overview]VO2 Peak (Percent Predicted)
NCT02057458 (10) [back to overview]FEV1 (% Predicted)
NCT02057458 (10) [back to overview]VO2 Peak (Relative)
NCT02057458 (10) [back to overview]VE Peak
NCT02057458 (10) [back to overview]Acute Study: Percentage Flow-Mediated Dilation (FMD)
NCT02057458 (10) [back to overview]RER Peak
NCT02057458 (10) [back to overview]Peak Diameter
NCT02057458 (10) [back to overview]Absolute Change in Diameter
NCT02060487 (4) [back to overview]Overall Survival
NCT02060487 (4) [back to overview]Change From Baseline in 6-Minute Walk Distance (6MWD) at Month 12
NCT02060487 (4) [back to overview]Change From Baseline in 6-Minute Walk Distance (6MWD) at Month 6
NCT02060487 (4) [back to overview]Number of Participants With Clinical Worsening Events
NCT02129725 (1) [back to overview]Insulin-stimulated AKT Phosphorylation
NCT02304705 (1) [back to overview]Change in Exercise Tolerance
NCT02335242 (2) [back to overview]Change in Subject's Assessment of Change in Lymphatic Malformation Overall Score
NCT02335242 (2) [back to overview]Change in Lesion Volume of the Test Medication as Evaluated by MRI Examination.
NCT02414204 (2) [back to overview]Change in Baseline and 2 Week FMD/VP Measurements Between Sildenafil Group and Placebo Group
NCT02414204 (2) [back to overview]Number of Participants With a Change in Blood Flow Rate
NCT02626182 (3) [back to overview]6 Minute Walk Distance
NCT02626182 (3) [back to overview]Cardiopulmonary Exercise Test Work Rate
NCT02626182 (3) [back to overview]Cystic Fibrosis Quality of Life-Revised Respiratory Domain Score
NCT02710981 (3) [back to overview]Clinical Pregnancy Rate
NCT02710981 (3) [back to overview]Endometrial Thickness
NCT02710981 (3) [back to overview]Uterine Blood Flow
NCT02802345 (5) [back to overview]Percentage of Patients With On-treatment Serious Adverse Events (SAE) From Baseline to Week 24
NCT02802345 (5) [back to overview]Change From Baseline in St George's Respiratory Questionnaire (SGRQ) Total Score at Week 12
NCT02802345 (5) [back to overview]Change From Baseline in Dyspnoea Using UCSD SOBQ at Week 24
NCT02802345 (5) [back to overview]Change From Baseline in Dyspnoea Using the University of California San Diego Shortness of Breath Questionnaire (UCSD SOBQ) at Week 12
NCT02802345 (5) [back to overview]Change From Baseline in SGRQ Total Score at Week 24
NCT02891850 (5) [back to overview]Number of Participants With Satisfactory Clinical Response at Week 24
NCT02891850 (5) [back to overview]Change in 6 Minute Walking Distance (6MWD) With Last Observation Carried Forward From Baseline to 24 Weeks
NCT02891850 (5) [back to overview]Change in N-terminal Pro-Brain Natriuretic Peptide (NT-proBNP) With Last Observation Carried Forward at Week 24
NCT02891850 (5) [back to overview]Change in World Health Organization Functional Class (WHO FC) With Last Observation Carried Forward From Baseline to Week 24
NCT02891850 (5) [back to overview]Number of Participants With Adjudicated Clinical Worsening at Week 24
NCT02908490 (15) [back to overview]Change From Baseline in MMP-9 at 3 Months
NCT02908490 (15) [back to overview]Change From Baseline in Number of Participants With Detectable IL-6 at 3 Months
NCT02908490 (15) [back to overview]Change From Baseline in Peripheral Arterial Tone (PAT) LnRHI at 3 Months
NCT02908490 (15) [back to overview]Change From Baseline in RF at 3 Months
NCT02908490 (15) [back to overview]Change From Baseline in VCAM-1 at 3 Months
NCT02908490 (15) [back to overview]Change From Baseline in Brachial Artery Flow Mediated Dilation (FMD) Without Nitroglycerin at 3 Months
NCT02908490 (15) [back to overview]Adverse Events (AE) Related to Treatment
NCT02908490 (15) [back to overview]Serious Adverse Events (SAE)
NCT02908490 (15) [back to overview]Change From Baseline in CCP at 3 Months
NCT02908490 (15) [back to overview]Change From Baseline in CD40L at 3 Months
NCT02908490 (15) [back to overview]Change From Baseline in E-selectin at 3 Months
NCT02908490 (15) [back to overview]Change From Baseline in ESR at 3 Months
NCT02908490 (15) [back to overview]Change From Baseline in hsCRP at 3 Months
NCT02908490 (15) [back to overview]Change From Baseline in ICAM-1 at 3 Months
NCT02908490 (15) [back to overview]Change From Baseline in MPO at 3 Months
NCT02951429 (27) [back to overview]Borg Scale Result at the End of the Test at Week 52
NCT02951429 (27) [back to overview]Change From Baseline in Distance Walked, 6-minute Walking Distance (6MWD) Test at Week 52
NCT02951429 (27) [back to overview]Change From Baseline in N-terminal Pro-Brain Natriuretic Peptide (NT-proBNP) Level (pg/mL) at Week 52
NCT02951429 (27) [back to overview]Change From Baseline in Oxygen Requirements, 6-minute Walking Distance (6MWD) Test at Week 52
NCT02951429 (27) [back to overview]Change From Baseline to Week 52 in Carbon Monoxide Diffusing Capacity/ Pulmonary Diffusing Capacity (DLCO)
NCT02951429 (27) [back to overview]Change From Baseline to Week 52 in Forced Vital Capacity (FVC)
NCT02951429 (27) [back to overview]Change From Baseline to Week 52 in Transthoracic Echocardiography (ECHO) Parameter: Inferior Vena Cava Diameter
NCT02951429 (27) [back to overview]Change From Baseline to Week 52 in Transthoracic Echocardiography (ECHO) Parameter: Left Ventricular Ejection Fraction (LVEF)
NCT02951429 (27) [back to overview]Change From Baseline to Week 52 in Transthoracic Echocardiography (ECHO) Parameter: Peak Tricuspid Regurgitation Velocity
NCT02951429 (27) [back to overview]Percentage of Participants With Lung Transplantation
NCT02951429 (27) [back to overview]Percentage of Participants With Disease Progression, as Determined by Relevant Decline in 6 Minute Walk Distance (6MWD) of At Least (>=) 15 Percent (%) From Baseline, Respiratory-Related Non-Elective Hospitalization, or Death From Any Cause
NCT02951429 (27) [back to overview]Percentage of Participants With Decline From Baseline in 6-minute Walking Distance (6MWD) of >= 15%
NCT02951429 (27) [back to overview]Percentage of Participants With Adverse Events
NCT02951429 (27) [back to overview]Change From Baseline to Week 52 in Transthoracic Echocardiography (ECHO) Parameter: Tricuspid Annular Plane Systolic Excursion (TAPSE)
NCT02951429 (27) [back to overview]Change From Baseline to Week 52 in Transthoracic Echocardiography (ECHO) Parameter: Right Ventricle Basal Diameter
NCT02951429 (27) [back to overview]Change From Baseline to Week 52 in Transthoracic Echocardiography (ECHO) Parameter: Pulmonary Artery Pressure (PAPs)
NCT02951429 (27) [back to overview]Time to Respiratory-Related Non-Elective Hospitalization From Baseline to Week 52
NCT02951429 (27) [back to overview]Time to Death From Any Cause
NCT02951429 (27) [back to overview]St. George's Respiratory Questionnaire (SGRQ) Changes From Baseline at Week 52
NCT02951429 (27) [back to overview]Percentage of Participants by World Health Organization (WHO) Functional Class at Week 52
NCT02951429 (27) [back to overview]Change From Baseline in Other 6-minute Walking Distance (6MWD) Parameters at Week 52
NCT02951429 (27) [back to overview]University of California, San Diego-Shortness of Breath Questionnaire (UCSD-SOBQ) Changes From Baseline at Week 52
NCT02951429 (27) [back to overview]Time to Respiratory-Related Death
NCT02951429 (27) [back to overview]Time to Multiple Occurrence of Disease Progression Events
NCT02951429 (27) [back to overview]Time to First Occurrence of Relevant ≥15% Decline From Baseline in 6-minute Walking Distance (6MWD)
NCT02951429 (27) [back to overview]Time to First Occurrence of Disease Progression
NCT02951429 (27) [back to overview]Time to All-Cause Non-Elective Hospitalization
NCT03012386 (2) [back to overview]Change in Microvascular Blood Volume (MBV) During Insulin Infusion
NCT03012386 (2) [back to overview]Change in Microvascular Blood Volume (MBV) During Insulin Infusion After 4 Weeks of Sildenafil Treatment in Both Groups
NCT03154476 (1) [back to overview]Liver Stiffness as Measured by Magnetic Resonance Elastography (MRE)
NCT03686813 (4) [back to overview]"Number of Participants With Comet Tails Seen on Ultrasound of the Lungs"
NCT03686813 (4) [back to overview]Number of Participants With Dyspnea Leading to Voluntary Premature Cessation of Exercise
NCT03686813 (4) [back to overview]Number of Participants With Pulmonary Edema
NCT03686813 (4) [back to overview]Number of Participants With Post-exercise 10% Decrease in Forced Vital Capacity (FVC) or Forced Expiratory Volume in One Second (FEV1) as Measured by Spirometry
NCT03696758 (20) [back to overview]Right Ventricular Energetic Efficiency Pre and Post Sildenafil
NCT03696758 (20) [back to overview]Right Ventricular Energetic Efficiency Pre and Post Metoprolol
NCT03696758 (20) [back to overview]Right Ventricular Ejection Fraction Pre and Post Sildenafil
NCT03696758 (20) [back to overview]Right Ventricular Stroke Volume Pre and Post Metoprolol
NCT03696758 (20) [back to overview]Left Ventricular Stroke Volume Pre and Post Metoprolol
NCT03696758 (20) [back to overview]Left Ventricular Energetic Efficiency Pre and Post Sildenafil
NCT03696758 (20) [back to overview]Left Ventricular Energetic Efficiency Pre and Post Metoprolol
NCT03696758 (20) [back to overview]Right Ventricular Ejection Fraction Pre and Post Metoprolol
NCT03696758 (20) [back to overview]Left Ventricular Stroke Volume Pre and Post Sildenafil
NCT03696758 (20) [back to overview]Left Ventricular Ejection Fraction Pre and Post Sildenafil
NCT03696758 (20) [back to overview]Left Ventricular Ejection Fraction Pre and Post Metoprolol
NCT03696758 (20) [back to overview]Left Ventricular Diastolic Volume Pre and Post Sildenafil
NCT03696758 (20) [back to overview]Left Ventricular Diastolic Volume Pre and Post Metoprolol
NCT03696758 (20) [back to overview]Left Ventricular Systolic Volume Pre and Post Metoprolol
NCT03696758 (20) [back to overview]Right Ventricular Diastolic Volume Pre and Post Metoprolol
NCT03696758 (20) [back to overview]Left Ventricular Systolic Volume Pre and Post Sildenafil
NCT03696758 (20) [back to overview]Right Ventricular Diastolic Volume Pre and Post Sildenafil
NCT03696758 (20) [back to overview]Right Ventricular Systolic Volume Pre and Post Sildenafil
NCT03696758 (20) [back to overview]Right Ventricular Systolic Volume Pre and Post Metoprolol
NCT03696758 (20) [back to overview]Right Ventricular Stroke Volume Pre and Post Sildenafil
NCT03733470 (1) [back to overview]Perfused Blood Volume Assessed for a Change in Lung Inflammation Pre and Post Dose Sildenafil Administration

Borg Dyspnea(Scale That Measures Breathlessness) Score at Finish of 6 Minute Walk Test (6MWT)

Participants were asked to scale the breathlessness felt at the end of 6MWT from 0 to 10, with 0 being the least discomfort and 10 being the most discomfort in breathing. (NCT00104637)
Timeframe: Period 1 and Period 3 ( within 8 weeks)

InterventionScores on a scale (Least Squares Mean)
Sildenafil3.9
Placebo3.8

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VO2 Peak (Oxygen Consumption at Peak Exercise)

Oxygen consumption at peak exercise was measured at scheduled timepoints during treatment periods 1 and 3. (NCT00104637)
Timeframe: Period 1 and Period 3 ( within 8 weeks)

Interventionml/kg/min (Least Squares Mean)
Sildenafil13.7
Placebo13.8

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Pulmonary Function FVC (Forced Vital Capacity)

Data to calculate results for FVC was based on Period 1. (NCT00104637)
Timeframe: Period 1 (4 weeks)

Interventionliters (Least Squares Mean)
Sildenafil2.8
Placebo2.8

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Partial Pressure of Oxygen (PO2) in Arterial Blood Gas (ABG)

Partial Pressure of Oxygen in ABG breathing room air at rest. (NCT00104637)
Timeframe: Period 1 and Period 3 ( within 8 weeks)

Interventionmm Hg (Least Squares Mean)
Sildenafil73
Placebo77

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Partial Pressure of Carbon Dioxide (PCO2) in Arterial Blood Gas (ABG)

Partial pressure of carbon dioxide in ABG performed breathing room air at rest. (NCT00104637)
Timeframe: Period 1 and Period 3 ( within 8 weeks)

Interventionmm Hg (Least Squares Mean)
Sildenafil42
Placebo40

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Oxygen Pulse

Oxygen pulse during Cardiopulmonary exercise test at peak exercise. (NCT00104637)
Timeframe: Period 1 and Period 3 ( within 8 weeks)

Interventionml/beat (Least Squares Mean)
Sildenafil8.7
Placebo9.5

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O2 Saturation at Peak Exercise

O2 Saturation at Peak Exercise measured during the Cardiopulmonary exercise test. (NCT00104637)
Timeframe: Period 1 and Period 3 ( within 8 weeks)

Interventionpercentage of oxygen saturation (Least Squares Mean)
Sildenafil95
Placebo96

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Forced Expiratory Volume in the First Second (FEV1 )

The volume of air exhaled in the first second. Data to calculate results for FEV1 was based on Period 1 only. (NCT00104637)
Timeframe: Period 1 ( 4 weeks)

Interventionliters (Least Squares Mean)
Sildenafil1.1
Placebo1.1

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Diffusing Capacity of Carbon Monoxide (DLCO)

Carbon Monoxide Diffusing Capacity was measured on the same days as the pulmonary function tests. (NCT00104637)
Timeframe: Period 1 and Period 3 ( within 8 weeks)

Interventionml/min/torr (Least Squares Mean)
Sildenafil11
Placebo11

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A-a Gradient (Alveolar-arterial Gradient)

A-a gradient was measured with ABG breathing room air at rest. (NCT00104637)
Timeframe: Period 1 and Period 3 ( within 8 weeks)

Interventionmm Hg (Least Squares Mean)
Sildenafil25
Placebo23

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6 Minute Walk Distance

The distance a subject walked within 6 minutes was measured and documented. (NCT00104637)
Timeframe: Period 1 and Period 3 ( within 8 weeks)

Interventionmeters (Least Squares Mean)
Sildenafil458.2
Placebo466.1

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Improvement in Pain Severity Determined by Visual Analog Scale (VAS).

"The Visual Analog Scale (VAS) assesses pain intensity. The scale is 100 mm long; the extremes of the scale are to the left, no pain and to the right, worst pain I have ever felt. The VAS score is determined by measuring the distance (in mm) from the left side of the scale to the point that the patient marked. The score ranges from 0 to 100, with higher values indicating greater pain." (NCT00123162)
Timeframe: Each hour of the study (0, 1, 2, 3, 4).

,
Interventionmm (Mean)
Hour 0Hour 1Hour 2Hour 3Hour 4
Placebo95.688.672.558.551.4
Sildenafil Citrate91.265.223.413.88.8

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The Primary Outcome Was Total Pain Relief Over 4 Hours (TOPAR4), Comparing a Single Dose of Sildenafil 100 mg to a Single Dose of Placebo.

The Total Pain Relief (TOPAR) Scale rates the level of pain relief on a scale of 0=None, 1=Mild, 2=Moderate, 3=Excellent, 4=Complete. The TOPAR scale was completed each hour after administration of study drug for a total of 4 hours. The 4 hourly scores were summed for a final TOPAR4 score that ranged between 0 and 16, with higher values indicating greater pain relief over time. Missing TOPAR scores after the first hour were imputed using the last-observation-carried-forward approach. (NCT00123162)
Timeframe: Hours 1, 2, 3 and 4.

Interventionunits on a scale (Mean)
Sildenafil Citrate11.9
Placebo6.4

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Assessment of Erectile Dysfunction

The International Index of Erectile Function (IIEF) is used for the evaluation of male sexual function and diagnostic evaluation of Erectile Dysfunction (ED) severity. There are 5 domains of the IIEF: erectile function, orgasmic function, sexual desire, intercourse satisfaction, and overall satisfaction. A score of 0-5 is awarded to each question of the IIEF. Total IIEF scores range from 0-75. Lower scores indicate severe erectile dysfunction (0=severe erectile dysfunction), while higher scores indicate less erectile dysfunction (75=no erectile dysfunction). (NCT00142506)
Timeframe: Baseline, 6 months, 12 months, 24 months

,
Interventionunits on a scale (Median)
Baseline6 mos12 mos24 months (2 years)
Placebo With Radiotherapy64585154.50
Prophylactic Sildenafil Citrate With Radiotherapy6459.0058.0058

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Change in Epoprostenol Dose From Baseline Maintained for 6 Months

Number of subjects with changes in Epoprostenol dose from baseline maintained continuously for 6 months. Increased = Epoprostenol dose continuously more than 20% greater than core study Baseline for at least 6 months. Decrease = Epoprostenol dose continuously more than 20% less than core study Baseline for at least 6 months. No change = Epoprostenol dose change met neither Increase or Decrease criteria. Stopped = Epoprostenol dose stopped for at least 6 months. (NCT00159861)
Timeframe: Baseline, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24, Month 9, and at 3-month intervals through Month 69

Interventionparticipants (Number)
Week 4: >20% IncreaseWeek 4: No ChangeWeek 4: >20% DecreaseWeek 4: StoppedWeek 4: MissingWeek 8: >20% IncreaseWeek 8: No ChangeWeek 8: >20% DecreaseWeek 8: StoppedWeek 8: MissingWeek 12: >20% IncreaseWeek 12: No ChangeWeek 12: >20% DecreaseWeek 12: StoppedWeek 12: MissingWeek 16: >20% IncreaseWeek 16: No ChangeWeek 16: >20% DecreaseWeek 16: StoppedWeek 16: MissingWeek 20: >20% IncreaseWeek 20: No ChangeWeek 20: >20% DecreaseWeek 20: StoppedWeek 20: MissingWeek 24: >20% IncreaseWeek 24: No ChangeWeek 24: >20% DecreaseWeek 24: StoppedWeek 24: MissingMonth 9: >20% IncreaseMonth 9: No ChangeMonth 9: >20% DecreaseMonth 9: StoppedMonth 9: MissingMonth 12: >20% IncreaseMonth 12: No ChangeMonth 12: >20% DecreaseMonth 12: StoppedMonth 12: MissingMonth 15: >20% IncreaseMonth 15: No ChangeMonth 15: >20% DecreaseMonth 15: StoppedMonth 15: MissingMonth 18: >20% IncreaseMonth 18: No ChangeMonth 18: >20% DecreaseMonth 18: StoppedMonth 18: MissingMonth 21: >20% IncreaseMonth 21: No ChangeMonth 21: >20% DecreaseMonth 21: StoppedMonth 21: MissingMonth 24: >20% IncreaseMonth 24: No ChangeMonth 24: >20% DecreaseMonth 24: StoppedMonth 24: MissingMonth 27: >20% IncreaseMonth 27: No ChangeMonth 27: >20% DecreaseMonth 27: StoppedMonth 27: MissingMonth 30: >20% IncreaseMonth 30: No ChangeMonth 30: >20% DecreaseMonth 30: StoppedMonth 30: MissingMonth 33: >20% IncreaseMonth 33: No ChangeMonth 33: >20% DecreaseMonth 33: StoppedMonth 33: MissingMonth 36: >20% IncreaseMonth 36: No ChangeMonth 36: >20% DecreaseMonth 36: StoppedMonth 36: MissingMonth 39: >20% IncreaseMonth 39: No ChangeMonth 39: >20% DecreaseMonth 39: StoppedMonth 39: MissingMonth 42: >20% IncreaseMonth 42: No ChangeMonth 42: >20% DecreaseMonth 42: StoppedMonth 42: MissingMonth 45: >20% IncreaseMonth 45: No ChangeMonth 45: >20% DecreaseMonth 45: StoppedMonth 45: MissingMonth 48: >20% IncreaseMonth 48: No ChangeMonth 48: >20% DecreaseMonth 48: StoppedMonth 48: MissingMonth 51: >20% IncreaseMonth 51: No ChangeMonth 51: >20% DecreaseMonth 51: StoppedMonth 51: MissingMonth 54: >20% IncreaseMonth 54: No ChangeMonth 54: >20% DecreaseMonth 54: StoppedMonth 54: MissingMonth 57: >20% IncreaseMonth 57: No ChangeMonth 57: >20% DecreaseMonth 57: StoppedMonth 57: MissingMonth 60: >20% IncreaseMonth 60: No ChangeMonth 60: >20% DecreaseMonth 60: StoppedMonth 60: MissingMonth 63: >20% IncreaseMonth 63: No ChangeMonth 63: >20% DecreaseMonth 63: StoppedMonth 63: MissingMonth 66: >20% IncreaseMonth 66: No ChangeMonth 66: >20% DecreaseMonth 66: StoppedMonth 66: MissingMonth 69: >20% IncreaseMonth 69: No ChangeMonth 69: >20% DecreaseMonth 69: StoppedMonth 69: Missing
All Subjects00001300001100001400001990000186000019000001744162900513020101010927101010527201593242018872330197823301876222020661940195519501955185024511540233817501733143014311450122712401222112062141041521049100

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Change From Baseline in European Quality of Life (EuroQol) Visual Analogue Scale (EQ-5D VAS): Current Health State Score

EQ-5D: subject rated questionnaire to assess health-related quality of life in terms of a single index value. The VAS component rates current health state on a scale from 0 (worst imaginable health state) to 100 (best imaginable health state); higher scores indicate a better health state. (NCT00159861)
Timeframe: Baseline, Month 15, Month 27, Month 39

,
Interventionscores on scale (Mean)
Month 15 (n=57, 81)Month 27 (n=55, 60)Month 39 (n=40, 41)
Placebo/Sildenafil6.85.54.7
Sildenafil/Sildenafil12.811.211.5

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Change From Baseline in BORG Dyspnea Score

BORG Dyspnea score: change from core study Baseline. Subject rating of maximum degree of dyspnea experienced at any time during the 6-Minute Walk Test. Range: 0 (no breathlessness at all) to 10 (maximum breathlessness). (NCT00159861)
Timeframe: Baseline, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24, Month 9, Month 12, Month 15, Month 18, Month 21, Month 24, Month 27, Month 30, Month 33, Month 36

,
Interventionscores on scale (Median)
Week 4 (n=112, 120)Week 8 (n=106, 113)Week 12 (n=102, 108)Week 16 (n=95, 106)Week 20 (n=80, 96)Week 24 (n=91, 105)Month 9 (n=75, 98)Month 12 (n=72, 90)Month 15 (n=75, 91)Month 18 (n=67, 74)Month 21 (n=67, 79)Month 24 (n=68, 60)Month 27 (n=67, 69)Month 30 (n=55, 68)Month 33 (n=62, 65)Month 36 (n=51, 62)
Placebo/Sildenafil0.00.00.00.00.00.00.00.00.00.00.00.00.00.00.00.0
Sldenafil/Sildenafil0.00.00.00.00.00.00.00.00.00.00.00.00.00.00.00.0

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Categorized Change From Baseline in 6-Minute Walking Distance

Number of subjects with categorized change in 6-minute walking distance. Distance that a subject could walk in 6-minutes at a comfortable pace with as many breaks as needed. Performed as close to trough levels of sildenafil as possible (just before dosing; at least 4 hours after the previous dose of study drug). Scores for categorized changes for missing visits were imputed as the worse score of its non-missing neighbors. If a visit was missing and there was no subsequent score, the score was coded to missing. (NCT00159861)
Timeframe: 1 Year, 2 Year, 3 Year

,
Interventionparticipants (Number)
1 Year: >= 60 m Improvement1 Year: 60 - 30 m Improvement1 Year: 30 - 0 m Improvement1 Year: 0 - 30 m Worsening1 Year: 30 - 60 m Worsening1 Year: > 60 m Worsening1 Year: Discontinued1 Year: Died1 Year: Missing2 Year: >= 60 m Improvement2 Year: 60 - 30 m Improvement2 Year: 30 - 0 m Improvement2 Year: 0 - 30 m Worsening2 Year: 30 - 60 m Worsening2 Year: > 60 m Worsening2 Year: Discontinued2 Year: Died2 Year: Missing3 Year: >= 60 m Improvement3 Year: 60 - 30 m Improvement3 Year: 30 - 0 m Improvement3 Year: 0 - 30 m Worsening3 Year: 30 - 60 m Worsening3 Year: > 60 m Worsening3 Year: Discontinued3 Year: Died3 Year: Missing
Placebo/Sildenafil27202312662214123161518272524122910153535311
Sildenafil/Sildenafil46261510661410144108977232422910857833331

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Change in Pulmonary Hypertension Criteria for Functional Capacity and Therapeutic Class

Pulmonary hypertension (PH) criteria: Class I: PH without limitation of physical activity (PA) (no undue dyspnea, fatigue, chest pain, near syncope); Class II: PH with slight limitation in PA, comfortable at rest, ordinary PA causes undue dyspnea, fatigue, chest pain, near syncope; Class III: PH with marked limitation in PA, comfortable at rest, less than ordinary activity causes undue dyspnea, fatigue, chest pain or syncope; Class IV: PH with inability to carry out PA without symptoms, signs of right heart failure, dyspnea or fatigue may be present at rest, discomfort increased by any PA. (NCT00159861)
Timeframe: 1 Year, 2 Year, 3 Year

,
Interventionparticipants (Number)
1 Year: Improved 2 Classes1 Year: Improved 1 Class1 Year: No Change1 Year: Worsened 1 Class1 Year: Worsened 2 Classes1 Year: Discontinued1 Year: Died2 Year: Improved 2 Classes2 Year: Improved 1 Class2 Year: No Change2 Year: Worsened 1 Class2 Year: Worsened 2 Classes2 Year: Discontinued2 Year: Died3 Year: Improved 2 Classes3 Year: Improved 1 Class3 Year: No Change3 Year: Worsened 1 Class3 Year: Worsened 2 Classes3 Year: Discontinued3 Year: Died
Placebo/Sildenafil227597022141245070252412139313531
Sildenafil/Sildenafil346573114104314750232442137603333

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Survival Status

Yearly survival status: number of subjects who survived, discontinued, and died. Analysis includes post-treatment visit data from subjects who discontinued study treatment. Time to death was taken relative to the first dose of study treatment in A1481141, and was censored on the last day the subject was known to be alive in A1481141 or A1481153. (NCT00159861)
Timeframe: 1, 2, 3, 4, and 5 years

Interventionparticipants (Number)
1 year: Deaths1 Year: Survived 1 Year of Study1 Year: Discontinued before 1 Year of Study2 Years: Deaths2 Years: Survived 2 Years of Study2 Years: Discontinued before 2 Years of Study3 Years: Deaths3 Years: Survived 3 Years of Study3 Years: Discontinued before 3 Years of Study4 Years: Deaths4 Years: Survived 4 Years of Study4 Years: Discontinued before 4 Years of Study4 Years: Ongoing for Less than Timepoint5 Years: Deaths5 Years: Survived 5 Years of Study5 Years: Discontinued before 5 Years of Study5 Years: Ongoing for Less than Timepoint
All Subjects2420536481694864133687188752682297478

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Change From Baseline in European Quality of Life Scale (EuroQol) 5-Dimensions (EQ-5D): Utility Index Score

EQ-5D: subject rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state (confined to bed). Scoring formula developed by EuroQol Group assigns a utility value for each domain in the profile. Score is transformed and results in a total score range -0.594 to 1.000; higher score indicates a better health state. (NCT00159861)
Timeframe: Baseline, Month 15, Month 27, Month 39

,
Interventionscores on scale (Mean)
Month 15 (n=58, 78)Month 27 (n=56, 60)Month 39 (n=40, 43)
Placebo/Sildenafil0.05050.0489-0.0278
Sildenafil/Sildenafil0.04730.04830.0770

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Change From Baseline in Medical Outcomes Study Short Form 36 (SF-36)

Subject-rated measure of health status comprised of 36 items: 8 subscale scores (physical functioning, role limitations due to physical health problems, bodily pain, general health, vitality, social functioning, role limitations due to emotional problems, and mental health), 2 summary scores (physical component and mental component), and a self-evaluated change in health status. Subscale and summary scores range: 0-100. Higher subscale and summary scores = better health status. Change from baseline = score at observation minus score at baseline. (NCT00159861)
Timeframe: Baseline, Month 15, Month 27, Month 39

,
Interventionscores on scale (Mean)
Month 15: Physical Functioning Score (n=59, 83)Month 27: Physical Functioning Score (n=60, 62)Month 39: Physical Functioning Score (n=42, 47)Month 15: Role Limitations (phys health)(n=59, 82)Month 27: Role Limitations (phys health)(n=60, 62)Month 39: Role Limitations (phys health)(n=42, 47)Month 15: Bodily Pain Score (n=59, 82)Month 27: Bodily Pain Score (n=60, 62)Month 39: Bodily Pain Score (n=42, 46)Month 15: General Health Score (n=59, 83)Month 27: General Health Score (n=60, 62)Month 39: General Health Score (n=41, 47)Month 15: Vitality Score (n=59, 83)Month 27: Vitality Score (n=60, 62)Month 39: Vitality Score (n=42, 47)Month 15: Social Functioning Score (n=59, 83)Month 27: Social Functioning Score (n=60, 63)Month 39: Social Functioning Score (n=42, 47)Month 15: Role Limitations (Emotional) (n=59, 82)Month 27: Role Limitations (Emotional) (n=60, 62)Month 39: Role Limitations (Emotional) (n=42, 47)Month 15: Mental Health Score (n=59, 83)Month 27: Mental Health Score (n=60, 62)Month 39: Mental Health Score (n=42, 47)
Placebo/Sildenafil10.59.78.915.74.64.210.4-0.1-4.9-0.22.73.15.05.76.95.96.72.41.7-1.73.20.50.90.8
Sildenafil/Sildenafil14.812.514.014.22.65.15.94.03.510.16.93.48.97.25.25.11.4-0.81.2-7.02.13.30.13.7

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Change From Baseline in Medical Outcomes Study Short Form 36 (SF-36): Reported Health Transition Score

Subject-rated measure of health status (36 items): 8 subscale scores (physical functioning, role limitations due to physical health problems, bodily pain, general health, vitality, social functioning, role limitations due to emotional problems, mental health), 2 summary scores (physical component, mental component), and a self-evaluated change in health status. Change from Baseline in SF-36 Health Transition score at each visit. I=much better than 1 year ago; II=somewhat better than 1 year ago; III=about the same as 1 year ago; IV=somewhat worse than 1 year ago; V=much worse than 1 year ago (NCT00159861)
Timeframe: Baseline, Month 15, Month 27, Month 39

,
Interventionparticipants (Number)
BL I; Month 15: IBL I; Month 15: IIBL I; Month 15: IIIBL I; Month 15: IVBL I; Month 15: VBL II; Month 15: IBL II; Month 15: IIBL II; Month 15: IIIBL II; Month 15: IVBL II; Month 15: VBL III; Month 15: IBL III; Month 15: IIBL III; Month 15: IIIBL III; Month 15: IVBL III; Month 15: VBL IV; Month 15: IBL IV; Month 15: IIBL IV; Month 15: IIIBL IV; Month 15: IVBL IV; Month 15: VBL V; Month 15: IBL V; Month 15: IIBL V; Month 15: IIIBL V; Month 15: IVBL V; Month 15: VMonth 15: Missing DataBL I; Month 27: IBL I; Month 27: IIBL I; Month 27: IIIBL I; Month 27: IVBL I; Month 27: VBL II; Month 27: IBL II; Month 27: IIBL II; Month 27: IIIBL II; Month 27: IVBL II; Month 27: VBL III; Month 27: IBL III; Month 27: IIBL III; Month 27: IIIBL III; Month 27: IVBL III; Month 27: VBL IV; Month 27: IBL IV; Month 27: IIBL IV; Month 27: IIIBL IV; Month 27: IVBL IV; Month 27: VBL V; Month 27: IBL V; Month 27: IIBL V; Month 27: IIIBL V; Month 27: IVBL V; Month 27: VMonth 27: Missing DataBL I; Month 39: IBL I; Month 39: IIBL I; Month 39: IIIBL I; Month 39: IVBL I; Month 39: VBL II; Month 39: IBL II; Month 39: IIBL II; Month 39: IIIBL II; Month 39: IVBL II; Month 39: VBL III; Month 39: IBL III; Month 39: IIBL III; Month 39: IIIBL III; Month 39: IVBL III; Month 39: VBL IV; Month 39: IBL IV; Month 39: IIBL IV; Month 39: IIIBL IV; Month 39: IVBL IV; Month 39: VBL V; Month 39: IBL V; Month 39: IIBL V; Month 39: IIIBL V; Month 39: IVBL V; Month 39: VMonth 39: Missing Data
Placebo/Sildenafil2550079310361100202110000073422304981037920111100000073123104663023810010100000089
Sildenafil/Sildenafil9421051272048720533401310051262003773056730133301010071244105361033610002401010087

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Percentage Change From Baseline in End Tidal Carbon Dioxide (CO2) at Year 1.

Exercise Tolerance Test (CPX test) was performed on developmentally able participants to measure the End Tidal CO2 at Year 1. Participants were assumed to be developmentally able if they had a CPX exercise assessment at any visit during study A1481131 (NCT00159913). The CPX tests were performed as close to trough plasma levels of sildenafil as possible, i.e., prior to dosing and at least 4 hours after the previous dose. If participants were able to perform the CPX test in Study A1481131 (NCT00159913), they were expected to be able to perform the exercise paradigm in the extension study (A1481156) unless their clinical condition had deteriorated and the investigator considered this was unsafe for the participant. (NCT00159874)
Timeframe: Baseline, Year 1

InterventionPercent (Mean)
Sildenafil Low Dose7.83
Sildenafil Medium Dose7.68
Sildenafil High Dose13.16

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Percentage Change From Baseline in End Tidal Oxygen (O2) at Year 1.

Exercise Tolerance Test (CPX test) was performed on developmentally able participants to measure the End Tidal O2 at Year 1. Participants were assumed to be developmentally able if they had a CPX exercise assessment at any visit during study A1481131 (NCT00159913). The CPX tests were performed as close to trough plasma levels of sildenafil as possible, i.e., prior to dosing and at least 4 hours after the previous dose. If participants were able to perform the CPX test in Study A1481131 (NCT00159913), they were expected to be able to perform the exercise paradigm in the extension study (A1481156) unless their clinical condition had deteriorated and the investigator considered this was unsafe for the participant. (NCT00159874)
Timeframe: Baseline, Year 1

InterventionPercent (Mean)
Sildenafil Low Dose0.59
Sildenafil Medium Dose-0.52
Sildenafil High Dose0.08

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Percentage Change From Baseline in Percent Predicted Peak VO2 at Year 1.

Exercise Tolerance Test (CPX test) was performed on developmentally able participants to measure the percent predicted peak VO2 at Week 16 and Year 1. Participants were assumed to be developmentally able if they had a CPX exercise assessment at any visit during study A1481131 (NCT00159913). The CPX tests were performed as close to trough plasma levels of sildenafil as possible, i.e., prior to dosing and at least 4 hours after the previous dose. If participants were able to perform the CPX test in Study A1481131 (NCT00159913), they were expected to be able to perform the exercise paradigm in the extension study (A1481156) unless their clinical condition had deteriorated and the investigator considered this was unsafe for the participant. (NCT00159874)
Timeframe: Baseline, Year 1

InterventionPercent (Mean)
Sildenafil Low/Low Dose12.79
Sildenafil Medium/ Medium Dose7.65
Sildenafil High/ High Dose5.83
Placebo/ Low Dose8.70
Placebo/ Medium Dose0.20
Placebo/ High Dose-6.13
Placebo Non-randomizedNA

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Additions From Baseline in Background Therapy up to the End of Study

This was defined as an addition or discontinuation in the class(es) of drugs used as background medication (e.g., anticoagulants, oxygen, diuretics, calcium channel blockers, and digoxin) compared to baseline of Study A1481131 (NCT00159913). (NCT00159874)
Timeframe: Up to the end of study

,,,,,,
InterventionParticipants (Number)
All Classes (N = 18, 26, 43, 7, 8, 14, 4)At least one class (N = 42, 55, 77, 13, 19, 23, 5)
Placebo Non-randomized11
Placebo/ High Dose22
Placebo/ Low Dose23
Placebo/ Medium Dose15
Sildenafil High/ High Dose1123
Sildenafil Low/Low Dose613
Sildenafil Medium/ Medium Dose513

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Pediatric Motor Development Status at Week 16.

Participant's motor development status was assessed at A1481156 baseline (Week 16 in A1481131; NCT00159913) using the physician assessment questions. Assessment question (i.e., compared to other children the participant's age group is this participant's motor development limited?) included the following criteria : severely limited, moderately limited, mildly limited and not limited. (NCT00159874)
Timeframe: Week 16

,,,,,,
InterventionParticipants (Number)
Severely LimitedModerately LimitedMildly LimitedNot Limited
Placebo Non-randomized0101
Placebo/ High Dose01220
Placebo/ Low Dose00112
Placebo/ Medium Dose1459
Sildenafil High/ High Dose072049
Sildenafil Low/Low Dose051024
Sildenafil Medium/ Medium Dose051139

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Pediatric Motor Development Status at Week 52

Participant's motor development status was assessed at Week 52 using the physician assessment questions. Assessment question (i.e., compared to other children the participant's age group is this participant's motor development limited?) included the following criteria : severely limited, moderately limited, mildly limited and not limited. (NCT00159874)
Timeframe: Week 52

,,,,,
InterventionParticipants (Number)
Severely LimitedModerately LimitedMildly LimitedNot Limited
Placebo/ High Dose00317
Placebo/ Low Dose0039
Placebo/ Medium Dose02610
Sildenafil High/ High Dose051546
Sildenafil Low/Low Dose04824
Sildenafil Medium/ Medium Dose09835

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Physician Global Assessment at Year 1

The physician global assessment of disease severity was assessed at Year 1 in this extension study. The number and percentage of participants with markedly improved, moderately improved, mild improvement, no change, slightly worse, moderately worse, markedly worse were evaluated. Participants who withdrew from study treatment after at least 10 weeks of treatment were requested to perform the global assessments. (NCT00159874)
Timeframe: Year 1

,,
InterventionParticipants (Number)
Markedly ImprovedModerately ImprovedMild ImprovementNo ChangeSlightly WorseModerately WorseMarkedly WorseDiscontinuedDiedMissing
Sildenafil High Dose62737170001012
Sildenafil Low Dose681915100501
Sildenafil Medium Dose6182616110402

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Summary of Shift in Changes From Start of Sildenafil in WHO PH Functional Class by A1481156 Treatment Group at Year 2.

The WHO PH functional classification was as follows: Class I : Participants with PH but without resulting limitation of physical activity. Class II : Participants with PH resulting in slight limitation of physical activity. Class III : Participants with PH resulting in marked limitation of physical activity. Class IV : Participants with PH with inability to carry out any physical activity without symptoms. Changes from baseline in functional class were summarised at Years 1, 2, 3, and 4. Numbers of participants improving by 3 classes, improving by 2 classes, improving by 1 class, not changing, worsening by 1 class, worsening by 2 classes or worsening by 3 classes from A1481131 baseline at Years 1, 2, 3 and 4 were evaluated. (NCT00159874)
Timeframe: Baseline, Year 2

,,
InterventionParticipants (Number)
Improved by 3 ClassesImproved by 2 ClassesImproved by 1 ClassNo changeWorsened by 1 ClassWorsened by 2 ClassesWorsened by 3 ClassesDiscontinuedDiedMissing
Sildenafil High Dose0116555001652
Sildenafil Low Dose001128300913
Sildenafil Medium Dose011147200922

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Summary of Shift in Changes From Start of Sildenafil in WHO PH Functional Class by A1481156 Treatment Group at Year 3.

The WHO PH functional classification was as follows: Class I : Participants with PH but without resulting limitation of physical activity. Class II : Participants with PH resulting in slight limitation of physical activity. Class III : Participants with PH resulting in marked limitation of physical activity. Class IV : Participants with PH with inability to carry out any physical activity without symptoms. Changes from baseline in functional class were summarised at Years 1, 2, 3, and 4. Numbers of participants improving by 3 classes, improving by 2 classes, improving by 1 class, not changing, worsening by 1 class, worsening by 2 classes or worsening by 3 classes from A1481131 (NCT00159913) baseline at Years 1, 2, 3 and 4 were evaluated. (NCT00159874)
Timeframe: Baseline, Year 3

,,
InterventionParticipants (Number)
Improved by 3 ClassesImproved by 2 ClassesImproved by 1 ClassNo changeWorsened by 1 ClassWorsened by 2 ClassesWorsened by 3 ClassesDiscontinuedDiedMissing
Sildenafil High Dose0117445101994
Sildenafil Low Dose0111213101422
Sildenafil Medium Dose0016363001333

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Summary of Shift in Changes From Start of Sildenafil in WHO PH Functional Class by A1481156 Treatment Group at Year 4.

The WHO PH functional classification was as follows: Class I : Participants with PH but without resulting limitation of physical activity. Class II : Participants with PH resulting in slight limitation of physical activity. Class III : Participants with PH resulting in marked limitation of physical activity. Class IV : Participants with PH with inability to carry out any physical activity without symptoms. Changes from baseline in functional class were summarised at Years 1, 2, 3, and 4. Numbers of participants improving by 3 classes, improving by 2 classes, improving by 1 class, not changing, worsening by 1 class, worsening by 2 classes or worsening by 3 classes from A1481131 baseline at Years 1, 2, 3 and 4 were evaluated. (NCT00159874)
Timeframe: Baseline, Year 4

,,
InterventionParticipants (Number)
Improved by 3 ClassesImproved by 2 ClassesImproved by 1 ClassNo changeWorsened by 1 ClassWorsened by 2 ClassesWorsened by 3 ClassesDiscontinuedDiedMissing
Sildenafil High Dose02164151020132
Sildenafil Low Dose0013156101523
Sildenafil Medium Dose0014294201852

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Summary of Shift in Changes From Start of Sildenafil in World Health Organization Pulmonary Hypertension (WHO PH) Functional Class by A1481156 Treatment Group at Year 1.

The WHO PH functional classification was as follows: Class I : Participants with PH but without resulting limitation of physical activity. Class II : Participants with PH resulting in slight limitation of physical activity. Class III : Participants with PH resulting in marked limitation of physical activity. Class IV : Participants with PH with inability to carry out any physical activity without symptoms. Changes from baseline in functional class were summarized at Years 1, 2, 3, and 4. Numbers of participants improving by 3 classes, improving by 2 classes, improving by 1 class, not changing, worsening by 1 class, worsening by 2 classes or worsening by 3 classes from A1481131 baseline at Years 1, 2, 3 and 4 were evaluated. (NCT00159874)
Timeframe: Baseline, Year 1

,,
InterventionParticipants (Number)
Improved by 3 ClassesImproved by 2 ClassesImproved by 1 ClassNo changeWorsened by 1 ClassWorsened by 2 ClassesWorsened by 3 ClassesDiscontinuedDiedMissing
Sildenafil High Dose0119643001012
Sildenafil Low Dose011330410501
Sildenafil Medium Dose001548600401

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Participant (Parent) Global Assessment at Year 1

The participant (parent) global assessment of disease severity was assessed at Year 1 in this extension study. The number and percentage of participants markedly improved, moderately improved, mild improvement, no change, slightly worse, moderately worse, markedly worse were evaluated. Participants who withdrew from study treatment after at least 10 weeks of treatment were requested to perform the global assessments. (NCT00159874)
Timeframe: Year 1

,,
InterventionParticipants (Number)
Markedly ImprovedModerately ImprovedMild ImprovementNo ChangeSlightly WorseModerately WorseMarkedly WorseDiscontinuedDiedMissing
Sildenafil High Dose212615210001016
Sildenafil Low Dose9131213100502
Sildenafil Medium Dose1427156210405

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Pediatric Cognitive Development Status at Week 16.

Participant's cognitive development status was assessed at A1481156 baseline (Week 16 in A1481131; NCT00159913) using the physician assessment questions. Assessment question (i.e., compared to other children the participant's age group is this participant's cognitive development limited?) included the following criteria : severely limited, moderately limited, mildly limited and not limited. (NCT00159874)
Timeframe: Week 16

,,,,,,
InterventionParticipants (Number)
Severely LimitedModerately LimitedMildly LimitedNot Limited
Placebo Non-randomized0101
Placebo/ High Dose12119
Placebo/ Low Dose01111
Placebo/ Medium Dose15112
Sildenafil High/ High Dose281254
Sildenafil Low/Low Dose25626
Sildenafil Medium/ Medium Dose46738

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Pediatric Cognitive Development Status at Week 52.

Participant's cognitive development status was assessed at Week 52 using the physician assessment questions. Assessment question (i.e., compared to other children the participant's age group is this participant's cognitive development limited?) included the following criteria : severely limited, moderately limited, mildly limited and not limited. (NCT00159874)
Timeframe: Week 52

,,,,,
InterventionParticipants (Number)
Severely LimitedModerately LimitedMildly LimitedNot Limited
Placebo/ High Dose02315
Placebo/ Low Dose01011
Placebo/ Medium Dose05310
Sildenafil High/ High Dose26850
Sildenafil Low/Low Dose15327
Sildenafil Medium/ Medium Dose110536

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Change From Baseline in Child Health Questionnaire-Parent Form (CHQ-PF28) as Assessed by the Physical Scale at Year 1.

CHQ: 50-item, 15 subscale parent or legal guardian assessed instrument of child's physical, emotional, social well-being, and relative burden of disease on the parents; rated on Likert-type scale: range 0 to 100; higher scores indicate a more positive health status. Global indicators for Physical Health and Psychosocial Health are weighted composites derived from subscale items using scoring algorithms (transformed scores); range 0 to 100: higher scores indicate more positive health status. (NCT00159874)
Timeframe: Baseline, Year 1

InterventionUnits on a scale (Mean)
Sildenafil Low/Low Dose14.29
Sildenafil Medium/ Medium Dose9.34
Sildenafil High/ High Dose5.91
Placebo/ Low Dose8.51
Placebo/ Medium Dose9.86
Placebo/ High Dose4.64
Placebo Non-randomizedNA

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Change From Baseline in Child Health Questionnaire-Parent Form (CHQ-PF28) as Assessed by the Psychosocial Scale at Year 1.

CHQ: 50-item, 15 subscale parent or legal guardian assessed instrument of child's physical, emotional, social well-being, and relative burden of disease on the parents; rated on Likert-type scale: range 0 to 100; higher scores indicate a more positive health status. Global indicators for Physical Health and Psychosocial Health are weighted composites derived from subscale items using scoring algorithms (transformed scores); range 0 to 100: higher scores indicate more positive health status. (NCT00159874)
Timeframe: Baseline, Year 1

InterventionUnits on a scale (Mean)
Sildenafil Low/Low Dose5.63
Sildenafil Medium/ Medium Dose3.92
Sildenafil High/ High Dose3.48
Placebo/ Low Dose13.74
Placebo/ Medium Dose5.30
Placebo/ High Dose4.27
Placebo Non-randomizedNA

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Discontinuation Due to Intolerability

Participant who experienced drug-related intolerance, the participant's dose was reduced by 50%. If, after a dose reduction, the participant continued to appear intolerant, they were discontinued from study treatment. (NCT00159874)
Timeframe: Throughout the treatment duration (median treatment duration 1689 to 1744 days)

InterventionParticipants (Number)
Sildenafil Low Dose2
Sildenafil Medium Dose1
Sildenafil High Dose3

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Downtitration in Dose Due to Intolerability.

Based on review of the survival data, DMC concluded that the high dose of sildenafil was associated with a harmful effect on survival when compared to the low dose. The DMC also expressed concern as to the potential dose-response relationship between increasing dose and mortality. Therefore, on 04 August 2011, the DMC recommended discontinuation of the 40 mg and 80 mg three times a day (TID) doses, as well as the 20 mg TID dose in children with body weight ≤20 kg. The protocol was amended per DMC recommendations. (NCT00159874)
Timeframe: Pre-DMC recomendation (04 August 2011)

InterventionParticipants (Number)
Sildenafil Low/Low Dose0
Sildenafil Medium/ Medium Dose0
Sildenafil High/ High Dose3
Placebo/ Low Dose0
Placebo/ Medium Dose2
Placebo/ High Dose1
Placebo Non-randomized0

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Number of Deaths Reported During This Study

Deaths were reported immediately independent of the circumstances or suspected cause at any time during the study through the last follow-up visit or 30 days after the last administration of study drug, whichever comes later. (NCT00159874)
Timeframe: Last follow-up visit or 30 days after the last administration of study drug

InterventionParticipants (Number)
Sildenafil Low Dose5
Sildenafil Medium Dose13
Sildenafil High Dose24

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Number of Deaths Reported in the Study Prior to the Data Monitoring Committee (DMC) Recommendation of Dose Down Titration

Deaths were reported immediately independent of the circumstances or suspected cause at any time during the study through the last follow-up visit or 30 days after the last administration of study drug, whichever comes later. (NCT00159874)
Timeframe: Pre-DMC Recommendation dose down titration (04 August 2011)

InterventionParticipants (Number)
Sildenafil Low Dose5
Sildenafil Medium Dose10
Sildenafil High Dose22

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Number of Participants Reporting at Least One Adverse Event

Safety was measured according to standard adverse event collection as described in the adverse event section of the results. Complete tables of the adverse events according to the A1481156 treatment groups are provided in the reported adverse event section. (NCT00159874)
Timeframe: Up to Follow-Up visit (30 to 40 days after study completion or treatment discontinuation)

InterventionParticipants (Number)
Sildenafil Low/Low Dose41
Sildenafil Medium/ Medium Dose55
Sildenafil High/ High Dose73
Placebo/ Low Dose13
Placebo/ Medium Dose19
Placebo/ High Dose22
Placebo Non-randomized3

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Number of Participants Reporting at Least One Serious Adverse Event

Safety was measured according to standard adverse event collection as described in the adverse event section of the results. Complete tables of the serious adverse events according to the A1481156 treatment groups are provided in the reported adverse event section. (NCT00159874)
Timeframe: Up to Follow-Up visit (30 to 40 days after study completion or treatment discontinuation)

InterventionParticipants (Number)
Sildenafil Low/Low Dose13
Sildenafil Medium/ Medium Dose33
Sildenafil High/ High Dose38
Placebo/ Low Dose1
Placebo/ Medium Dose4
Placebo/ High Dose10
Placebo Non-randomized0

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Number of Participants With Deterioration Post Baseline in Color Vision Monitoring Safety Tests.

Colour vision was measured where appropriate via the Farnsworth-Munsell D-15 Hue test. This test was performed in both eyes simultaneously or just in a single specific eye. If using a single eye the same eye was used throughout the study. In case of young participants an age-and-ability-appropriate evaluation such as the Ishihara Test for Unlettered Persons were conducted. (NCT00159874)
Timeframe: Week 36

InterventionParticipants (Number)
Sildenafil Low/Low Dose2
Sildenafil Medium/ Medium Dose2
Sildenafil High/ High Dose1
Placebo/ Low Dose0
Placebo/ Medium Dose0
Placebo/ High Dose1
Placebo Non-randomized1

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Number of Participants With Deterioration Post Baseline in Visual Acuity Safety Tests

Visual Acuity is measured either using the reduced Snellen test or via Teller cards, and was assessed in the left and right eyes separately. There were 9 lines on the reduced Snellen chart which were coded as 6/60, 6/36, 6/24, 6/18, 6/12, 6/9, 6/6, 6/5, 6/4 (where 6/60 was the easiest to read and 6/4 was the most difficult to read). If a participant experienced a visual adverse event the investigator was asked to perform additional ocular assessments either at the visit when the participant reported the visual adverse event or at an unplanned visit. (NCT00159874)
Timeframe: Week 36

InterventionParticipants (Number)
Sildenafil Low/Low Dose10
Sildenafil Medium/ Medium Dose11
Sildenafil High/ High Dose17
Placebo/ Low Dose0
Placebo/ Medium Dose4
Placebo/ High Dose4
Placebo Non-randomized0

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Peak Volume of Oxygen (VO2) Consumed at Year 1 Using a Bicycle Ergometry Cardiopulmonary Exercise Test (CPX)

Exercise Tolerance Test (CPX test) was performed on developmentally able participants to determine the peak volume of VO2 consumed. Participants were assumed to be developmentally able if they had a CPX exercise assessment at any visit during study A1481131 (NCT00159913). The CPX tests were performed as close to trough plasma levels of sildenafil as possible, i.e., prior to dosing and at least 4 hours after the previous dose. If participants were able to perform the CPX test in Study A1481131 (NCT00159913), they were expected to be able to perform the exercise paradigm in the extension study (A1481156) unless their clinical condition had deteriorated and the investigator considered this was unsafe for the participant (NCT00159874)
Timeframe: 1 year

InterventionmL/kg/min (Mean)
Sildenafil Low Dose19.97
Sildenafil Medium Dose18.69
Sildenafil High Dose17.93

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Percent Change From Baseline in Respiratory Exchange Ratio at Year 1

This is the ratio of carbon dioxide (CO2) produced to O2 consumed [VCO2/VO2]. Exercise Tolerance Test was performed on developmentally able participants to determine the respiratory exchange ratio on week 16 and Year 1. Participants were assumed to be developmentally able if they had a CPX exercise assessment at any visit during study A1481131 (NCT00159913). (NCT00159874)
Timeframe: Baseline, Year 1

InterventionPercent (Mean)
Sildenafil Low/Low Dose2.15
Sildenafil Medium/ Medium Dose5.63
Sildenafil High/ High Dose0.68
Placebo/ Low Dose-3.69
Placebo/ Medium Dose0.27
Placebo/ High Dose10.75
Placebo Non-randomizedNA

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Percent Change From Baseline in Time to Maximum VO2 at Year 1

Exercise Tolerance Test (CPX test) was performed on developmentally able participants to determine the time to maximum VO2. Participants were assumed to be developmentally able if they had a CPX exercise assessment at any visit during study A1481131 (NCT00159913). The CPX tests were performed as close to trough plasma levels of sildenafil as possible, i.e., prior to dosing and at least 4 hours after the previous dose. If participants were able to perform the CPX test in Study A1481131 (NCT00159913), they were expected to be able to perform the exercise paradigm in the extension study (A1481156) unless their clinical condition had deteriorated and the investigator considered this was unsafe for the participant. (NCT00159874)
Timeframe: Baseline, Year 1

InterventionPercent (Mean)
Sildenafil Low/Low Dose25.47
Sildenafil Medium/ Medium Dose13.08
Sildenafil High/ High Dose7.70
Placebo/ Low Dose21.17
Placebo/ Medium Dose36.68
Placebo/ High Dose-9.64
Placebo Non-randomizedNA

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Percent Change From Start of Sildenafil in Total Ventilation (VE) to Year 1

Exercise Tolerance Test (CPX test) was performed on developmentally able participants to determine the total ventilation. Participants were assumed to be developmentally able if they had a CPX exercise assessment at any visit during study A1481131 (NCT00159913). The CPX tests were performed as close to trough plasma levels of sildenafil as possible, i.e., prior to dosing and at least 4 hours after the previous dose. If participants were able to perform the CPX test in Study A1481131 (NCT00159913), they were expected to be able to perform the exercise paradigm in the extension study (A1481156) unless their clinical condition had deteriorated and the investigator considered this was unsafe for the participant. (NCT00159874)
Timeframe: Year 1

InterventionPercent (Mean)
Sildenafil Low Dose14.29
Sildenafil Medium Dose12.38
Sildenafil High Dose11.80

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Percentage Change From Baseline in Anaerobic Threshold at Year 1.

Exercise Tolerance Test (CPX test) was performed on developmentally able participants to measure the anaerobic threshold at Week 16 and Year 1. Participants were assumed to be developmentally able if they had a CPX exercise assessment at any visit during study A1481131 (NCT00159913). The CPX tests were performed as close to trough plasma levels of sildenafil as possible, i.e., prior to dosing and at least 4 hours after the previous dose. If participants were able to perform the CPX test in Study A1481131 (NCT00159913), they were expected to be able to perform the exercise paradigm in the extension study (A1481156) unless their clinical condition had deteriorated and the investigator considered this was unsafe for the participant. (NCT00159874)
Timeframe: Baseline, Year 1

InterventionPercent (Mean)
Sildenafil Low/Low Dose-1.22
Sildenafil Medium/ Medium Dose1.99
Sildenafil High/ High Dose3.28
Placebo/ Low Dose7.23
Placebo/ Medium Dose-3.59
Placebo/ High Dose8.96
Placebo Non-randomizedNA

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Change From Baseline to Week 16 in Pulmonary Vascular Resistance Index (PVRI)

PVRI equals Pulmonary Vascular Resistance (PVR) times Body Surface Area (BSA). Wood unit = 80dyn•s/cm5. Change is observed value at Week 16 minus Baseline value. (NCT00159913)
Timeframe: Baseline, Week 16

Interventionwood units. m2 (Mean)
Sildenafil Low Dose0.1
Sildenafil Medium Dose-2.9
Sildenafil High Dose-5.1
Combined Sildenafil-3.2
Placebo1.6

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Change From Baseline to Week 16 in Pulmonary Vascular Resistance (PVR)

Change calculated as (mean PAP - PCWP)/COpulm in PVR is observed value at Week 16 minus Baseline value. (NCT00159913)
Timeframe: Baseline, Week 16

Interventionwood units (Mean)
Sildenafil Low Dose-0.1
Sildenafil Medium Dose-3.3
Sildenafil High Dose-5.2
Combined Sildenafil-3.4
Placebo0.1

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Change From Baseline to Week 16 in Child Health Questionnaire Parent Form (CHQ-PF28), Physical Scale

CHQ-PF28: validated generic Quality of Life (QoL) questionnaire for subjects >= 5 years. Includes 12 domain scores of QoL concepts including physical functioning, social & school activities, mental health, parent/family concepts. Scores range 0-100: lower scores = lower QoL. Change is observed value at Week 16 minus Baseline value. (NCT00159913)
Timeframe: Baseline, Week 16

Interventionscore on scale (Mean)
Sildenafil Low Dose14.0
Sildenafil Medium Dose9.8
Sildenafil High Dose5.9
Combined Sildenafil9.4
Placebo8.3

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Change From Baseline to Week 16 in Child Health Questionnaire Parent Form (CHQ-PF28), Psychosocial Scales

CHQ-PF28: validated generic Quality of Life (QoL) questionnaire for subjects >= 5 years. Includes 12 domain scores of QoL concepts including physical functioning, social & school activities, mental health, parent/family concepts. Scores range 0-100: lower scores = lower QoL. Change is observed value at Week 16 minus Baseline value. (NCT00159913)
Timeframe: Baseline, Week 16

Interventionscore on scale (Mean)
Sildenafil Low Dose5.1
Sildenafil Medium Dose4.1
Sildenafil High Dose4.3
Combined Sildenafil4.5
Placebo5.6

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Change From Baseline to Week 16 in Mean Pulmonary Artery Pressure (mPAP)

mPAP, a hemodynamic parameter, was measured using a pressure transducer positioned at the mid-axillary line with the patient in the supine position. Change is observed value at Week 16 minus Baseline value. (NCT00159913)
Timeframe: Baseline, Week 16

Interventionmm Hg (Mean)
Sildenafil Low Dose0.9
Sildenafil Medium Dose-3.9
Sildenafil High Dose-7.4
Combined Sildenafil-4.3
Placebo-0.4

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Change From Baseline to Week 16 in Cardiac Index (CI)

CI is observed value at Week 16 minus Baseline value. Calculated as cardiac output in systemic circulation (COsys) / body surface area (BSA). (NCT00159913)
Timeframe: Baseline, Week 16

Interventionliters/minute/meters squared (Mean)
Sildenafil Low Dose0.20
Sildenafil Medium Dose0.02
Sildenafil High Dose0.24
Combined Sildenafil0.16
Placebo-0.60

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Change From Baseline to Week 16 in World Health Organization (WHO) Pulmonary Hypertension (PH) Functional Class

WHO PH functional class definitions adapted from New York Heart Association Criteria for Functional Capacity and Therapeutic Class Definitions. Class I = PH without resulting limitation of physical activity, Class II = PH resulting in slight limitation of physical activity, Class III = PH resulting in marked limitation of physical activity, Class IV = PH with inability to carry out any physical activity without symptoms. Improved by 1 class = Class 4 to 3, Class 3 to 2, Class 2 to 1. Improved by 2 classes = Class 4 to 2, Class 3 to 1. Change is observed value at Week 16 minus Baseline value. (NCT00159913)
Timeframe: Baseline, Week 16

,,,,
Interventionunits (Number)
No changeImproved by 1 classImproved by 2 classes
Combined Sildenafil84321
Placebo3140
Sildenafil High Dose38161
Sildenafil Low Dose2560
Sildenafil Medium Dose24100

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Percent Change From Baseline to Week 16 in: Respiratory Exchange Ratio (RER)

RER is the ratio of carbon dioxide produced to oxygen consumed [VCO2/VO2]). Percent change is [(Week 16 value minus Baseline value)/Baseline value] * 100% (NCT00159913)
Timeframe: Baseline, Week 16

Interventionpercent change (Mean)
Sildenafil Low Dose-0.00
Sildenafil Medium Dose-0.05
Sildenafil High Dose-0.02
Combined Sildenafil-0.03
Placebo-0.03

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Percent Change From Baseline to Week 16 in Time to Maximum Volume of Oxygen Consumed (VO2)

Time to maximum VO2 was assessed on the subset of subjects who are developmentally able to perform the exercise test. Percent change is [(value at Week 16 minus Baseline value)/Baseline value] * 100% (NCT00159913)
Timeframe: Baseline, Week 16

Interventionpercent change (Mean)
Sildenafil Low Dose64.83
Sildenafil Medium Dose64.42
Sildenafil High Dose31.33
Combined Sildenafil52.95
Placebo8.84

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Percent Change From Baseline in Peak Volume of Oxygen (VO2) Consumed : Per Protocol Population

Peak VO2 (normalized for body weight) at trough plasma levels assessed by CPX testing (bicycle ergometry)at the end of treatment (Week 16 for those who completed the study). Mean Percent change = [(week 16 value minus baseline mean)/mean at baseline]*100%. (NCT00159913)
Timeframe: Baseline, Week 16

Interventionpercent change (Mean)
Sildenafil Low Dose5.43
Sildenafil Medium Dose15.66
Sildenafil High Dose9.34
Combined Sildenafil10.10
Placebo2.81

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Percent Change From Baseline in Peak Volume of Oxygen (VO2) Consumed : Intent To Treat Population

Peak VO2 (normalized for body weight) at trough plasma levels assessed by CPX testing (bicycle ergometry)at the end of treatment (Week 16 for those who completed the study). Mean Percent change = [(week 16 value minus baseline mean)/mean at baseline]*100%. (NCT00159913)
Timeframe: Baseline, Week 16

Interventionpercent change (Mean)
Sildenafil Low Dose6.44
Sildenafil Medium Dose13.40
Sildenafil High Dose10.58
Combined Sildenafil10.24
Placebo0.53

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Change From Baseline to Week 16 in Right Atrial Pressure (RAP)

RAP was measured using a pressure transducer positioned at the mid-axillary line with the patient in the supine position. Change is observed value at Week 16 minus Baseline value. (NCT00159913)
Timeframe: Baseline, Week 16

Interventionmm Hg (Mean)
Sildenafil Low Dose7.92
Sildenafil Medium Dose8.05
Sildenafil High Dose7.75
Combined Sildenafil7.89
Placebo8.11

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Analog Scales- Firmness

mean - scale of 0 (worst) to 10 (best) (NCT00301262)
Timeframe: Week 8, Week 14

Interventionunits on a scale (Mean)
DB Viagra Week 87.87
DB Viagra/OL Viagra Week 148.25
DB Placebo Week 86.60
DB Placebo/OL Viagra Week 148.64

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International Index of Erectile Function (IIEF) Domain Scores- Erectile Function

Possible total scores for IIEF-EF range from 1 (worst) to 30 (best). (NCT00301262)
Timeframe: Week 8, Week 14

Interventionscores on a scale (Mean)
DB Viagra Week 824.92
DB Viagra/OL Viagra Week 1426.43
DB Placebo Week 822.40
DB Placebo/OL Viagra Week 1427.67

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Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) Index at the End of the DB Treatment (Week 8)

adjusted mean : Possible scores for the EDITS Index range from 0 (extremely low treatment satisfaction) to 100 (extremely high treatment satisfaction). (NCT00301262)
Timeframe: Week 8

Interventionscores on a scale (Least Squares Mean)
DB Viagra80.27
DB Placebo62.15

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Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) Index

Possible scores for the EDITS Index range from 0 (extremely low treatment satisfaction) to 100 (extremely high treatment satisfaction). (NCT00301262)
Timeframe: Week 8, Week 14

Interventionscores on a scale (Mean)
DB Viagra Week 879.21
DB Viagra/OL Viagra Week 1484.12
DB Placebo Week 861.64
DB Placebo/OL Viagra Week 1487.42

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Erectile Distress Scale (EDS) Total Score

Possible total scores for EDS range from 5 (all of the time) to 30 (none of the time). Higher scores indicate less impact of ED. (NCT00301262)
Timeframe: Week 8, Week 14

Interventionscores on a scale (Mean)
DB Viagra Week 824.58
DB Viagra/OL Viagra Week 1424.55
DB Placebo Week 821.23
DB Placebo/OL Viagra Week 1426.58

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Change From Baseline to Week 8 in Analog Scales- Maintenance

mean change - scale of 0 (worst) to 10 (best). (NCT00301262)
Timeframe: baseline to Week 8

Interventionunits on a scale (Mean)
DB Viagra1.84
DB Placebo0.40

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Baseline to

Per-patient percentage of hardness of second erections:Grade 3 = hard enough for penetration but not completely hard. Calculation for each subject for each event log endpoint: percentage = (number of occasions with an answer of 'Yes' within visit interval) / (number of occasions within visit interval) x 100. (NCT00301262)
Timeframe: Baseline to

Interventionpercentage of occasions (Mean)
DB Viagra Baseline < Week 837.41
DB Placebo Baseline < Week 847.59
DB Viagra/OL Viagra Week 8 to <=Week 1442.97
DB Placebo/OL Viagra Week 8 to <=Week 1433.29

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Analog Scales- General Sexual Performance

mean - scale of 0 (worst) to 10 (best) (NCT00301262)
Timeframe: Week 8, Week 14

Interventionunits on a scale (Mean)
DB Viagra Week 87.58
DB Viagra/OL Viagra Week 148.01
DB Placebo Week 86.53
DB Placebo/OL Viagra Week 148.49

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Analog Scales- Maintenance

mean - scale of 0 (worst) to 10 (best) (NCT00301262)
Timeframe: Week 8, Week 14

Interventionunits on a scale (Mean)
DB Viagra Week 87.65
DB Viagra/OL Viagra Week 148.01
DB Placebo Week 85.99
DB Placebo/OL Viagra Week 148.55

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Analog Scales- Reliability

mean - scale of 0 (worst) to 10 (best) (NCT00301262)
Timeframe: Week 8, Week 14

Interventionunits on a scale (Mean)
DB Viagra Week 87.35
DB Viagra/OL Viagra Week 147.96
DB Placebo Week 86.04
DB Placebo/OL Viagra Week 148.55

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Baseline to

Percentage of occasions at which second erection was achieved. Calculation for each subject for each event log endpoint: percentage = (number of occasions with an answer of 'Yes' within visit interval) / (number of occasions within visit interval) x 100. (NCT00301262)
Timeframe: Baseline to

Interventionpercentage of occasions (Mean)
DB Viagra Baseline < Week 838.06
DB Placebo Baseline < Week 819.20
DB Viagra/OL Viagra Week 8 to <=Week 1444.07
DB Placebo/OL Viagra Week 8 to <=Week 1439.15

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Baseline to

Per-patient percentage of hardness of erections:Grade 0 = no erection at all. Calculation for each subject for each event log endpoint: percentage = (number of occasions with an answer of 'Yes' within visit interval) / (number of occasions within visit interval) x 100. (NCT00301262)
Timeframe: Baseline to

Interventionpercentage of occasions (Mean)
DB Viagra Baseline < Week 87.09
DB Placebo Baseline to < Week 812.64
DB Viagra/OL Viagra Week 8 to <=Week 144.50
DB Placebo/OL Viagra Week 8 to <=Week 143.12

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Baseline to

Per-patient percentage of hardness of erections: Grade 1 = increase in size but not hard. Calculation for each subject for each event log endpoint: percentage = (number of occasions with an answer of 'Yes' within visit interval) / (number of occasions within visit interval) x 100. (NCT00301262)
Timeframe: Baseline to <= Week 14

Interventionpercentage of occasions (Mean)
DB Viagra Baseline < Week 83.83
DB Placebo Baseline < Week 86.31
DB Viagra/OL Viagra Week 8 to <=Week 143.48
DB Placebo/OL Viagra Week 8 to <=Week 141.88

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Baseline to

Per-patient percentage of hardness of erections: Grade 2 = hard but not hard enough for penetration. Calculation for each subject for each event log endpoint: percentage = (number of occasions with an answer of 'Yes' within visit interval) / (number of occasions within visit interval) x 100. (NCT00301262)
Timeframe: Baseline to

Interventionpercentage of occasions (Mean)
DB Viagra Baseline < Week 86.96
DB Placebo Baseline < Week 88.72
DB Viagra/OL Viagra Week 8 to <=Week 144.62
DB Placebo/OL Viagra Week 8 to <=Week 142.26

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Baseline to

Per-patient percentage of hardness of erections: Grade 3 = hard enough for penetration but not completely hard. Calculation for each subject for each event log endpoint: percentage = (number of occasions with an answer of 'Yes' within visit interval) / (number of occasions within visit interval) x 100. (NCT00301262)
Timeframe: Baseline to

Interventionpercentage of occasions (Mean)
DB Viagra Baseline < Week 834.94
DB Placebo Baseline < Week 847.17
DB Viagra/OL Viagra Week 8 to <=Week 1429.50
DB Placebo/OL Viagra Week 8 to <=Week 1430.12

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Baseline to

Per-patient percentage of hardness of erections: Grade 3 = hard enough for penetration but not completely hard, Grade 4 = completely hard. Calculation for each subject for each event log endpoint: percentage = (number of occasions with an answer of 'Yes' within visit interval) / (number of occasions within visit interval) x 100. (NCT00301262)
Timeframe: Baseline to

Interventionpercentage of occasions (Mean)
DB Viagra Baseline < Week 882.13
DB Placebo Baseline < Week 872.33
DB Viagra/OL Viagra Week 8 to <=Week 1487.39
DB Placebo/OL Viagra Week 8 to <=Week 1492.75

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Baseline to

Per-patient percentage of hardness of erections: Grade 4 = completely hard. Calculation for each subject for each event log endpoint: percentage = (number of occasions with an answer of 'Yes' within visit interval) / (number of occasions within visit interval) x 100. (NCT00301262)
Timeframe: Baseline to

Interventionpercentage of occasions (Mean)
DB Viagra Baseline < Week 847.19
DB Placebo Baseline < Week 825.16
DB Viagra/OL Viagra Week 8 to <=Week 1457.89
DB Placebo/OL Viagra Week 8 to <=Week 1462.63

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Baseline to

Per-patient percentage of hardness of second erections: Grade 0 = no erection at all. Calculation for each subject for each event log endpoint: percentage = (number of occasions with an answer of 'Yes' within visit interval) / (number of occasions within visit interval) x 100. (NCT00301262)
Timeframe: Baseline to

Interventionpercentage of occasions (Mean)
DB Viagra Baseline < Week 80.00
DB Placebo Baseline < Week 83.18
DB Viagra/OL Viagra Week 8 to <=Week 140.13
DB Placebo/OL Viagra Week 8 to <=Week 142.17

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Baseline to

Per-patient percentage of hardness of second erections: Grade 1 = increase in size but not hard. Calculation for each subject for each event log endpoint: percentage = (number of occasions with an answer of 'Yes' within visit interval) / (number of occasions within visit interval) x 100. (NCT00301262)
Timeframe: Baseline to

Interventionpercentage of occasions (Mean)
DB Viagra Baseline < Week 86.43
DB Placebo Baseline < Week 87.47
DB Viagra/OL Viagra Week 8 to <=Week 141.70
DB Placebo/OL Viagra Week 8 to <=Week 142.03

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Baseline to

Per-patient percentage of hardness of second erections:Grade 2 = hard but not hard enough for penetration. Calculation for each subject for each event log endpoint: percentage = (number of occasions with an answer of 'Yes' within visit interval) / (number of occasions within visit interval) x 100. (NCT00301262)
Timeframe: Baseline to

Interventionpercentage of occasions (Mean)
DB Viagra Baseline < Week 814.93
DB Placebo Baseline < Week 815.27
DB Viagra/OL Viagra Week 8 to <=Week 1411.96
DB Placebo/OL Viagra Week 8 to <=Week 1412.66

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Baseline to

Per-patient percentage of hardness of second erections: Grade 3 = hard enough for penetration but not completely hard, Grade 4 = completely hard. Calculation for each subject for each event log endpoint: percentage = (number of occasions with an answer of 'Yes' within visit interval) / (number of occasions within visit interval) x 100. (NCT00301262)
Timeframe: Baseline to

Interventionpercentage of occasions (Mean)
DB Viagra Baseline < Week 878.64
DB Placebo Baseline < Week 874.08
DB Viagra/OL Viagra Week 8 to <=Week 1486.21
DB Placebo/OL Viagra Week 8 to <=Week 1483.14

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Baseline to

Per-patient percentage of hardness of second erections:Grade 4 = completely hard. Calculation for each subject for each event log endpoint: percentage = (number of occasions with an answer of 'Yes' within visit interval) / (number of occasions within visit interval) x 100. (NCT00301262)
Timeframe: Baseline to

Interventionpercentage of occasions (Mean)
DB Viagra Baseline < Week 841.23
DB Placebo Baseline < Week 826.49
DB Viagra/OL Viagra Week 8 to <=Week 1443.24
DB Placebo/OL Viagra Week 8 to <=Week 1449.86

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Change From Baseline to End of DB Phase (Week 8) in Erectile Distress Scale (EDS) Total Score

adjusted mean change - Possible total scores for EDS range from 5 (all of the time) to 30 (none of the time). Higher scores indicate less impact of ED. (NCT00301262)
Timeframe: Week 8

Interventionscores on a scale (Least Squares Mean)
DB Viagra5.14
DB Placebo2.36

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Change From Baseline to End of DB Phase (Week 8) in International Index of Erectile Function (IIEF) Domain Scores- Erectile Function

adjusted mean change - Possible total scores for IIEF-EF range from 1 (worst) to 30 (best). (NCT00301262)
Timeframe: Week 8

Interventionscores on a scale (Least Squares Mean)
DB Viagra2.08
DB Placebo-0.53

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Change From Baseline to End of DB Phase (Week 8) in International Index of Erectile Function (IIEF) Domain Scores- Intercourse Satisfaction

adjusted mean - Possible total scores for IIEF-IS range from 0 (worst) to 15 (best). (NCT00301262)
Timeframe: Week 8

Interventionscores on a scale (Least Squares Mean)
DB Viagra2.20
DB Placebo1.00

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Change From Baseline to End of DB Phase (Week 8) in International Index of Erectile Function (IIEF) Domain Scores- Orgasmic Function

adjusted mean change - Possible total scores for IIEF-OF range from 0 (worst) to 10 (best). (NCT00301262)
Timeframe: Week 8

Interventionscores on a scale (Least Squares Mean)
DB Viagra0.59
DB Placebo0.30

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Change From Baseline to End of DB Phase (Week 8) in International Index of Erectile Function (IIEF) Domain Scores- Overall Satisfaction

adjusted mean change - Possible total scores for IIEF-OS range from 2 (worst) to 10 (best). (NCT00301262)
Timeframe: Week 8

Interventionscores on a scale (Least Squares Mean)
DB Viagra2.35
DB Placebo1.46

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Change From Baseline to End of DB Phase (Week 8) in International Index of Erectile Function (IIEF) Domain Scores- Sexual Desire

adjusted mean change - Possible total scores for IIEF-SD range from 2 (worst) to 10 (best). (NCT00301262)
Timeframe: Week 8

Interventionscores on a scale (Least Squares Mean)
DB Viagra0.60
DB Placebo-0.08

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Change From Baseline to End of DB Phase (Week 8) in Quality of Erection Questionnaire (QEQ) Total Score

adjusted mean change - QEQ raw total score (defined as the sum of scores from QEQ Questions 1 and 3 to 7 and ranged from 6 to 30) was transformed to QEQ total score on a scale of 0 (lowest) to 100 (highest). (NCT00301262)
Timeframe: Week 8

Interventionscores on a scale (Least Squares Mean)
DB Viagra24.04
DB Placebo5.62

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Change From Baseline to End of Double-Blind Phase (Week 8) in Patient Reported Erectile Function Assessment (PREFA) Total Score

adjusted mean change; PREFA Total Score: 8 = worst; 32 = best. (NCT00301262)
Timeframe: Week 8

Interventionscores on a scale (Least Squares Mean)
DB Viagra3.97
DB Placebo2.21

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Change From Baseline to Week 8 in Analog Scales- Firmness

mean change - scale of 0 (worst) to 10 (best). (NCT00301262)
Timeframe: baseline to Week 8

Interventionunits on a scale (Mean)
DB Viagra1.55
DB Placebo0.38

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Change From Baseline to Week 8 in Analog Scales- General Sexual Performance

mean change - scale of 0 (worst) to 10 (best) (NCT00301262)
Timeframe: baseline to week 8

Interventionunits on a scale (Mean)
DB Viagra1.72
DB Placebo0.51

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Global Efficacy Question 2 (GEQ2) Response at End of the Double-Blind Phase (Week 8) and at End of the Open-Label Phase (Week 14)

"GEQ 2: Compared to having no treatment at all for your erection problem, has the medication you have been taking over the past 4 weeks improved your ability to have sexual intercourse? Responder was defined as answering Yes. % of responders/non-responders was calculated based on subjects who attempted intercourse." (NCT00301262)
Timeframe: Week 8, Week 14

,,,
Interventionpercentage of subjects (Number)
GEQ2 ResponderGEQ2 Non-Responder
Week 14 DB Placebo/OL Viagra92.57.5
Week 14 DB Viagra/OL Viagra86.313.8
Week 8 DB Placebo45.254.8
Week 8 DB Viagra79.320.7

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Global Efficacy Question 1 (GEQ1) Response at End of the Double-Blind Phase (Week 8) and at End of the Open-Label Phase (Week 14)

"GEQ 1: Compared to having no treatment at all for your erection problem, has the medication you have been taking over the past 4 weeks improved your erections?Responder was defined as answering Yes. % of responders/non-responders was calculated based on subjects who attempted intercourse." (NCT00301262)
Timeframe: Week 8, Week 14

,,,
Interventionpercentage of subjects (Number)
GEQ1 ResponderGEQ1 Non-Responder
Week 14 DB Placebo/OL Viagra94.06.0
Week 14 DB Viagra/OL Viagra90.010.0
Week 8 DB Placebo43.856.2
Week 8 DB Viagra81.818.2

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Quality of Erection Questionnaire (QEQ) Total Score

QEQ raw total score (defined as the sum of scores from QEQ Questions 1 and 3 to 7 and ranged from 6 to 30) was transformed to QEQ total score on a scale of 0 (lowest) to 100 (highest). (NCT00301262)
Timeframe: Week 8, Week 14

Interventionscores on a scale (Mean)
DB Viagra Week 880.20
DB Viagra/OL Viagra Week 1486.46
DB Placebo Week 863.64
DB Placebo/OL Viagra Week 1489.74

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Percentage of Occasions of Successful Intercourse (Event Log)

Percentage of occasions at which subjects answered yes to the question, did your erection last long enough to have successful intercourse. Calculation for each subject for each event log endpoint: percentage = (number of occasions with an answer of 'Yes' within visit interval) / (number of occasions within visit interval) x 100. (NCT00301262)
Timeframe: Week 8 to Week 14

Interventionpercentage of occasions (Mean)
DB Viagra / OL Viagra79.65
DB Placebo/OL Viagra87.63

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Percentage of Occasions of Successful Intercourse (Event Log)

Percentage of occasions at which subjects answered yes to the question, did your erection last long enough to have successful intercourse. Calculation for each subject for each event log endpoint: percentage = (number of occasions with an answer of 'Yes' within visit interval) / (number of occasions within visit interval) x 100. (NCT00301262)
Timeframe: Baseline to Week 8

Interventionpercentage of occasions (Mean)
DB Viagra73.64
DB Placebo59.73

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Percentage of Occasions of Ejaculation and/or Orgasm Event Log

Percentage of occasions at which subjects answered yes to the question, did your erection last long enough to have successful intercourse. Calculation for each subject for each event log endpoint: percentage = (number of occasions with an answer of 'Yes' within visit interval) / (number of occasions within visit interval) x 100. (NCT00301262)
Timeframe: Week 8 to Week 14

Interventionpercentage of occasions (Mean)
DB Viagra / OL Viagra77.69
DB Placebo/OL Viagra85.29

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Shift in Responder Rate From Week 8 to Week 14 for Global Efficacy Question (GEQ) 1

GEQ 1: Compared to having no treatment at all for your erection problem, has the medication you have been taking over the past 4 weeks improved your erections? Responder was defined as answering Yes to GEQ 1. (NCT00301262)
Timeframe: Week 8 to Week 14

,
Interventionsubjects (Number)
Responder at Week 8 / Responder at Week 14Responder at Week 8 / Non-Responder at Week 14Non-Responder at Week 8 / Responder at Week 14Non-Responder at Week 8 / Non-Responder at Week 14
DB Placebo/ OL Viagra270364
DB Viagra / OL Viagra613115

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Shift in Responder Rate From Week 8 to Week 14 for GEQ3

GEQ3: When you took a dose of study drug and had sexual stimulation, how often did you get an erection that allowed you to engage in satisfactory sexual intercourse? Responder = almost always or always, most times, or sometimes. Non-responder = a few times (much less than half the time) or almost never or never. (NCT00301262)
Timeframe: Week 8 to Week 14

,
Interventionsubjects (Number)
Responder at Week 8 / Responder at Week 14Responder at Week 8 / Non-Responder at Week 14Non-Responder at Week 8 / Responder at Week 14Non-Responder at Week 8 / Non-Responder at Week 14
DB Placebo / OL Viagra540101
DB Viagra / OL Viagra74014

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Shift in Responder Rate From Week 8 to Week 14 for GEQ2

GEQ 2: Compared to having no treatment at all for your erection problem, has the medication you have been taking over the past 4 weeks improved your ability to have sexual intercourse? Responder was defined as answering Yes to GEQ 2. (NCT00301262)
Timeframe: Week 8 to Week 14

,
Interventionsubjects (Number)
Responder at Week 8 / Responder at Week 14Responder at Week 8 / Non-Responder at Week 14Non-Responder at Week 8 / Responder at Week 14Non-Responder at Week 8 / Non-Responder at Week 14
DB Placebo / OL Viagra290335
DB Viagra / OL Viagra601810

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Global Efficacy Question 3 (GEQ3) Response at End of the Double-Blind Phase (Week 8) and at End of the Open-Label Phase (Week 14)

GEQ 3: When you took a dose of study drug and had sexual stimulation, how often did you get an erection that allowed you to engage in satisfactory sexual intercourse? Resp. was defined as answering almost always or always, most times, or sometimes, and non-resp was defined as answering a few times or almost never or never. (NCT00301262)
Timeframe: Week 8, Week 14

,,,
Interventionpercentage of subjects (Number)
GEQ3 RespondersGEQ3 Non-Responders
Week 14 DB Placebo/OL Viagra98.51.5
Week 14 DB Viagra/OL Viagra95.05.0
Week 8 DB Placebo81.718.3
Week 8 DB Viagra94.35.7

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Change From Baseline to Week 8 in Analog Scales- Reliability

mean change - scale of 0 (worst) to 10 (best). (NCT00301262)
Timeframe: baseline to Week 8

Interventionunits on a scale (Mean)
DB Viagra1.61
DB Placebo0.42

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Percentage of Occasions of Ejaculation and/or Orgasm (Event Log)

Percentage of occasions at which subjects answered yes to the question, did your erection last long enough to have successful intercourse. Calculation for each subject for each event log endpoint: percentage = (number of occasions with an answer of 'Yes' within visit interval) / (number of occasions within visit interval) x 100. (NCT00301262)
Timeframe: Baseline to Week 8

InterventionPercentage of occasions (Mean)
DB Viagra74.31
DB Placebo64.60

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Patient Reported Erectile Function Assessment (PREFA) Total Score

PREFA Total Score: 8 = worst, 32 = best. (NCT00301262)
Timeframe: Week 8, Week 14

Interventionscores on a scale (Mean)
DB Viagra Week 828.54
DB Viagra /OL Viagra Week 1429.58
DB Placebo Week 826.79
DB Placebo/OL Viagra Week 1429.73

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International Index of Erectile Function (IIEF) Domain Scores- Sexual Desire

Possible total scores for IIEF-SD and IIEF-OS range from 2 (worst) to 10 (best). (NCT00301262)
Timeframe: Week 8, Week 14

Interventionscores on a scale (Mean)
DB Viagra Week 87.90
DB Viagra/OL Viagra Week 148.10
DB Placebo Week 87.37
DB Placebo/OL Viagra Week 148.18

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International Index of Erectile Function (IIEF) Domain Scores- Overall Satisfaction

Possible total scores for IIEF-SD and IIEF-OS range from 2 (worst) to 10 (best). (NCT00301262)
Timeframe: Week 8, Week 14

Interventionscores on a scale (Mean)
DB Viagra Week 88.19
DB Viagra/OL Viagra Week 148.94
DB Placebo Week 87.25
DB Placebo/OL Viagra Week 149.12

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International Index of Erectile Function (IIEF) Domain Scores- Orgasmic Function

Possible total scores for IIEF-OF range from 0 (worst) to 10 (best). (NCT00301262)
Timeframe: Week 8, Week 14

Interventionscores on a scale (Mean)
DB Viagra Week 88.62
DB Viagra/OL Viagra Week 148.95
DB Placebo Week 87.81
DB Placebo/OL Viagra Week 149.21

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International Index of Erectile Function (IIEF) Domain Scores- Intercourse Satisfaction

Possible total scores for IIEF-IS range from 0 (worst) to 15 (best). (NCT00301262)
Timeframe: Week 8, Week 14

Interventionscores on a scale (Mean)
DB Viagra Week 811.82
DB Viagra/OL Viagra Week 1412.64
DB Placebo Week 810.84
DB Placebo/OL Viagra Week 1413.12

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Number of Participants With Any Adverse Events

This is the overall number of participants in each group who reported at least one adverse event (i.e., any untoward medical occurrence or unfavorable and unintended sign whether or not considered related to the study drug) with an onset from the first administration of study drug up to the last study visit. (NCT00302211)
Timeframe: From Day 1 to Week 16 and Week 48

InterventionParticipants (Count of Participants)
DB Iloprost 6×/Day24
DB Iloprost 4×/Day22
DB Placebo 6×/Day14
OL Iloprost 6x/Day23
OL Iloprost 4x/Day30

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Number of Subjects With WHO Functional Class (WHO FC) Improvement at Week 16

This test is used to assess disease severity. Four fucntional classes (FC) are defined from FC I (no limitation of physical activity) to FC IV (inability to carry out any physical activity without symptoms). Improvement is considered when a participant changes from a higher class to a lower class. (NCT00302211)
Timeframe: Day 1 and Week 16

InterventionParticipants (Count of Participants)
DB Iloprost 6×/Day4
DB Iloprost 4×/Day6
DB Placebo 6×/Day0

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Time to Clinical Worsening

Clinical worsening is defined as one of the following: death due to worsening PAH, receipt of lung or heart-lung transplantation, or atrial septostomy, hospitalization for worsening PAH, any early discontinuation from study during the blinded or open-label phase due to worsening PAH, initiation of additional PAH-specific treatment. Due to insufficient data, time could not be assessed accurately and only number of patients with clinical worsening could be reported. (NCT00302211)
Timeframe: Week 16 and Week 48

InterventionParticipants (Count of Participants)
DB Iloprost 6×/Day0
DB Iloprost 4×/Day1
DB Placebo 6×/Day1
OL Iloprost 6x/Day2
OL Iloprost 4x/Day3

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Absolute Change From Baseline to Week 16 in 6-Minute Walk Distance (6MWD) During the Double-blind Treatment Period

The 6MWD test is a non-encouraged test, performed in a 30-meter long flat corridor, where the patient is instructed to walk as far as possible, back and forth around two cones during 6 minutes. They can slow down, rest, or stop if needed. This test is used to assess exercise capacity. The test was performed about 30 minutes after study drug administration. Any increase in the walk distance was considered improvement from baseline. (NCT00302211)
Timeframe: Day 1 and Week 16

InterventionMeters (Mean)
DB Iloprost 6×/Day10.1
DB Iloprost 4×/Day29.6
DB Placebo 6×/Day-22.0

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Change From Baseline in Borg Dyspnea Score at Week 12

"Borg dyspnea scale is a 10-point scale where following scores stands for severity of dyspnea: 0 (no breathlessness at all); 0.5 (very very slight [just noticeable]);~(very slight);~(slight breathlessness);~(moderate); 4 (some what severe);~5 (severe breathlessness); 7 (very severe breathlessness); 9 (very very severe [almost maximum]); and 10 (maximum)." (NCT00323297)
Timeframe: Week 12

,
InterventionUnits on a scale (Mean)
Change from Baseline at Week 12 (n=46,43)Change from Baseline at Week 12 LOCF (n=53,49)
Placebo0.160.24
Sildenafil-0.73-0.62

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Change From Baseline in the Total Distance Walked During 6 Minute Walk Time (6MWT) at Week 12

6MWT is the distance that a participant could walk in 6 minutes. Participants were asked to perform the test at a pace that was comfortable to them, with as many breaks as they needed. Continuous pulse oximetry was conducted during the test for safety. (NCT00323297)
Timeframe: Week 12

,
InterventionMeters (Mean)
Change from baseline at Week 12 (n=46,44)Change from baseline at Week 12 LOCF (n=53,49)
Placebo17.4214.08
Sildenafil14.0813.62

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Clinical Worsening Events

"No survival analysis was carried out for the study due to very few events of clinical worsening. Hence, we present a summary of clinical worsening events instead.~Events of clinical worsening were categorized as (A). Death, (B). Heart/lung transplantation, (C). Hospitalization due to pulmonary arterial hypertension (PAH), and (D). Clinical deterioration of PAH requiring additional therapy." (NCT00323297)
Timeframe: Week 12

,
InterventionParticipants (Number)
None(A)(B)(C)(D)
Placebo510020
Sildenafil471020

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Number of Participants With Change From Baseline in World Health Organization (WHO) Functional Class in Participants With PAH at Week 12 LOCF

WHO functional classification for PAH range from Class I (no limitation in physical activity, no dyspnea with normal activity) to Class IV (can not perform a physical activity without any symptoms, dyspnea at rest). Improvement=reduction in functional class; deterioration = increase in functional class, no change = no change in functional class. (NCT00323297)
Timeframe: Week 12

,
InterventionParticipants (Number)
Worsened 2 ClassesWorsened 1 ClassNo ChangeImproved 1 ClassImproved 2 ClassesDiscontinuedDiedMissing
Placebo014570000
Sildenafil0039100010

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One Year Survival Probability From the Start of Sildenafil Treatment.

The survival probability of all participants up to 1-year post start of Sildenafil treatment; for participants who were randomized to Sildenafil, this was the week 52 from randomization, and for participants who were originally randomized to Placebo group, this was the Week 64 from Baseline (Week 52 from Week 12, when the first dose of Sildenafil was administered to these participants). Those participants who discontinued from the study prior to 1 year after start of sildenafil were considered as censored at the time of discontinuation and those who discontinued from the study post 1-year after start of sildenafil were considered as censored at the time of 1-year post start of sildenafil. (NCT00323297)
Timeframe: One year from the time of starting sildenafil

InterventionProbability of death (Number)
Placebo0.042
Sildenafil0.040

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One Year Survival From the Start of Sildenafil Treatment.

The survival status of all participants who discontinued from the study, including those participants who discontinued during the double-blind phase, was to be assessed at one year post their Week 12 visit/ End of treatment visit. (NCT00323297)
Timeframe: One year from the time of starting sildenafil

InterventionParticipants who died (Number)
Placebo2
Sildenafil2

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Change in 6-minute Walk Test

Distance in meters -- Distance (meters) walked in 6 minutes (NCT00359736)
Timeframe: 0 - 6 months

Interventionmeters (Mean)
Sildenafil-26
Placebo-7

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Dyspnea Score (Borg Scale)

"The Dyspnea score or Borg Rating of Perceived Exertion (RPE) Scale score is a subjective rating of perceived exertion. In medicine this is used to document the patient's effort and exertion, breathlessness and fatigue during a physical test.~The Dyspnea score ranges from 0 (No breathlessness at all) to 10 (Maximum or extremely strong breathlessness).~IN this study the Specific Objective 2 was to assess and compare changes from baseline in pre- and post-exercise dyspnea in the sildenafil and placebo control groups." (NCT00359736)
Timeframe: 0 - 6 months

,
Interventionunits on a scale (Mean)
Pre-Exercise Dypsnea scorePost-Exercise Dypsnea score
Placebo0.380.15
Sildenafil0.860.89

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Change From Baseline in Pro-BNP at Week 12

Pro- BNP which is a precursor of BNP, is a non-invasive biomarker and an indicator of progression of PAH / RV dysfunction in participants with PAH. (NCT00430716)
Timeframe: Baseline and Week 12

Interventionpg/mL (Mean)
Sildenafil 1 mg-111.53
Sildenafil 5 mg-306.76
Sildenafil 20 mg-428.54

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Change From Baseline in BORG Dyspnoea Score at Week 12

BORG dyspnoea scale is a 10-point scale where following scores stands for severity of dyspnoea: 0 (no breathlessness at all); 0.5 (very very slight [just noticeable]); 1 (very slight); 2 (slight breathlessness); 3 (moderate); 4 (some what severe); 5 (severe breathlessness); 7 (very severe breathlessness); 9 (very very severe [almost maximum] and 10 (maximum). (NCT00430716)
Timeframe: Baseline and Week 12

InterventionUnits on a scale (Mean)
Sildenafil 1 mg-0.28
Sildenafil 5 mg-0.89
Sildenafil 20 mg-0.43

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Number of Participants With Clinical Worsening

Clinical worsening was defined as death; or lung transplantation; or hospitalization due to pulmonary hypertension; or initiation of prostacyclin therapy; or initiation of endothelin receptor antagonist therapy. (PAH=pulmonary arterial hypertension) Due to very low number of events of clinical worsening reported, the median days to clinical worsening could not be estimated. (NCT00430716)
Timeframe: Baseline through Week 12

,,
InterventionParticipants (Count of Participants)
deathlung transplantationhospitalisation due to pulmonary hypertensionPAH deterioration requiring therapyreceptor antagonist therapy
Sildenafil 1 mg10100
Sildenafil 20 mg00200
Sildenafil 5 mg10001

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Number of Participants With Change From Baseline in PAH Criteria for Functional Capacity and Therapeutic Class at Week 12

Pulmonary arterial hypertension (PAH) Criteria for WHO Class: Class I (Participants without resulting limitation of physical activity);Class II (Participants with slight limitation of physical activity though comfortable at rest);Class III (Participants with marked limitation of physical activity,though comfortable at rest);Class IV(Participants with inability to carry out any physical activity without symptoms,manifest signs of right heart failure; dyspnoea and/or fatigue may even be present at rest; and discomfort is increased by any physical activity). (NCT00430716)
Timeframe: Baseline and Week 12

,,
InterventionParticipants (Number)
Worsened 2 ClassesWorsened 1 ClassNo ChangeImproved 1 ClassImproved 2 ClassesMissing
Sildenafil 1 mg0135410
Sildenafil 20 mg0235602
Sildenafil 5 mg03271003

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Change From Baseline in the Total Distance Walked During 6-Minute Walk Test (6MWT) at Week 12

6 MWT was the distance that a participant could walk in 6 minutes. Participants were asked to perform the test at a pace that was comfortable to them, with as many breaks as they needed. Continuous pulse oximetry was conducted during the test for safety. (NCT00430716)
Timeframe: Baseline and Week 12

InterventionMeters (Mean)
Sildenafil 1 mg14.21
Sildenafil 5 mg40.75
Sildenafil 20 mg38.36

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Change From Baseline in TAPSE Measurement at Week 12

"Tricuspid annular plane systolic excursion (TAPSE) was measured as the total displacement of the tricuspid annulus in cm from end diastole to end systole.TAPSE is an indicator of progression of PAH /right ventricular dysfunction.~The baseline data for 33 participants were measured incorrectly and the results from the 33 participants (both baseline and post-baseline) were excluded from the analysis." (NCT00430716)
Timeframe: Baseline and Week 12

Interventioncm (Mean)
Sildenafil 1 mg0.08
Sildenafil 5 mg0.17
Sildenafil 20 mg-0.02

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Change From Baseline in B-Type Natriuretic Peptide (BNP) at Week 12

BNP is a non-invasive biomarker and an indicator of progression of PAH/ right ventricular dysfunction in participants with PAH. (NCT00430716)
Timeframe: Baseline and Week 12

Interventionpg/mL (Mean)
Sildenafil 1 mg-6.28
Sildenafil 5 mg-53.46
Sildenafil 20 mg-97.42

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Change From Baseline in Mean Pulmonary Arterial Pressure (mPAP) at Week 12

mPAP was measured using a pressure transducer positioned at the mid-axillary line. (NCT00430716)
Timeframe: Baseline and Week 12

InterventionmmHg (Mean)
Sildenafil 1 mg-1.73
Sildenafil 5 mg-3.44
Sildenafil 20 mg-3.29

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Number of Patients Reaching a 6-Minute Walk Test (6MWT) Distance ≥ 380 Meters

The 6MWT is a non encouraged test, which measures the walking distance covered over a 6 minute period (NCT00433329)
Timeframe: at 16 weeks and at 28 weeks of a stepped approach to therapy

Interventionparticipants (Number)
Week 16Week 28
Bosentan/Sildenafil1624

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The Area Under the Curve (AUC) From Time 0 to Time 8 Hour of Sildenafil and Sildenafil's Metabolite, UK-103,320

The area under the curve from time 0 to time 8 hour was calculated from area under the curve in each perticipant on the date of blood sampling using the linear/log trapezoidal rule (NCT00454207)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 4, 6, 8 hours after dosing

Interventionnanogram*hour/milliliter (Mean)
SildenafilSildenafil's Metabolite, UK-103,320
Sildenafil:Pharmacokinetic Analysis Participant545.14365.85

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Maximum Plasma Concentrations (Cmax) of Sildenafil and Sildenafil's Metabolite, UK-103,320

Maximum plasma concentrations was calculated from the observed value of plasma concentrations in each participant (NCT00454207)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 4, 6, 8 hours after dosing

Interventionnanograms/milliliter (Mean)
SildenafilSildenafil's Metabolite, UK-103,320
Sildenafil:Pharmacokinetic Analysis Participant164.8887.27

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Changes in the World Health Organization (WHO) Functional Class of Pulmonary Arterial Hypertension From Baseline at Weeks 12 in Participants Who Entered the Study From Part I

The cross-tabulation table on the WHO functional classes of pulmonary arterial hypertension at baseline and Week 12. The WHO functional classes of pulmonary arterial hypertension:Class I (pulmonary arterial hypertension patients with no limitation in physical activity) to Class IV (pulmonary arterial hypertension patients who can not perform a physical activity without any symptoms). (NCT00454207)
Timeframe: Baseline, Week 12

,
Interventionparticipants (Number)
Functional class at Week 12:IFunctional class at Week 12:IIFunctional class at Week 12:IIIFunctional class at Week 12:IV
Sildenafil, Part I, Functional Class at Baseline: III1570
Sildenafil:Part I, Functional Class at Baseline: II0610

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Changes in the the Plasma Brain Natriuretic Peptide Level From Baseline at Week 4, Week 8 and Week 12 in Participants Who Entered the Study From Part I

Change:Plasma brain natriuretic peptide level at Week 4, Week 8 and Week 12 minus plasma brain natriuretic peptide level at baseline (NCT00454207)
Timeframe: Baseline, Week 4, Week 8, Week 12

Interventionpicograms/milliliter (Mean)
Week 4 (n=20, 0)Week 8 (n=19, 0)Week 12 (n=20, 7)
Sildenafil:Part I-78.00-88.25-61.82

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Changes in the BORG Dyspnoea Score From Baseline at Week 8 and Week 12 in Participants Who Entered the Study From Part I

Change:BORG dyspnoea score at Week 8 and Week 12 minus BORG dyspnoea score at baseline. BORG dyspnoea score:Scale 0 (no breathlessness at all) to 10 (maximum). The score reflected the maximum degree of dyspnoea that the participants experienced at any time during the 6-minute walk distance. (NCT00454207)
Timeframe: Baseline, Week 8, Week 12

Interventionscores on a scale (Mean)
Week 8 (n=19, 0)Week 12 (n=20, 6)
Sildenafil:Part I-0.84-0.95

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Time to First Occurrence of Maximum Plasma Concentrations (Tmax) of Sildenafil and Sildenafil's Metabolite, UK-103,320

Time to first occurrence of maximum plasma concentrations were calculated from the observed value of plasma concentrations in each participant. (NCT00454207)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 4, 6, 8 hours after dosing

Interventionhours (Mean)
SildenafilSildenafil's Metabolite, UK-103,320
Sildenafil:Pharmacokinetic Analysis Participant1.1021.611

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The Average Plasma Trough Concentration (Ctrough) of Sildenafil

The average plasma trough concentration of sildenafil was calculated from the observed value before administration of the drug in each participants. (NCT00454207)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 4, 6, 8 hours after dosing

Interventionnanograms/milliliter (Mean)
Sildenafil:Pharmacokinetic Analysis Participant19.608

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The Average Plasma Concentration (Css,av) of Sildenafil at Steady State

The average plasma concentration of sildenafil at steady state was calculated from the area under the curve from time 0 to 8 hour/dosing interval (8 hours). (NCT00454207)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 4, 6, 8 hours after dosing

Interventionnanograms/milliliter (Mean)
Sildenafil:Pharmacokinetic Analysis Participant68.14

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Laboratory Test Abnormalities (Without Regard to Baseline Abnormality)

The total number of participants with laboratory test abnormalities without regard to baseline abnormality. (NCT00454207)
Timeframe: Baseline up to 1.3 years

Interventionparticipants (Number)
Sildenafil: Part I and Part II35

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Changes in the the Plasma Brain Natriuretic Peptide Level From Baseline at Week 12 in Participants Who Newly Enterd the Study From Part II

Change:Plasma brain natriuretic peptide level at Week 12 minus plasma brain natriuretic peptide level at baseline (NCT00454207)
Timeframe: Baseline, Week 12

Interventionpicograms/milliliter (Mean)
Sildenafil:Part II15.91

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Changes in the BORG Dyspnoea Score From Baseline at Week 12 in Participants Who Newly Entered the Study From Part II

Change:BORG dyspnoea score at Week 12 minus BORG dyspnoea score at baseline. BORG dyspnoea score:Scale 0 (no breathlessness at all) to 10 (maximum). The score reflected the maximum degree of dyspnoea that the participants experienced at any time during the 6-minute walk distance. (NCT00454207)
Timeframe: Baseline, Week 12

Interventionscores on a scale (Mean)
Sildenafil: Part II0.33

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Change in the Systolic Systemic Blood Pressure From Baseline at Week 12 in Participants Who Entered the Study From Part I

Change:Systolic systemic blood pressure at Week 12 minus systolic systemic blood pressure at baseline. (NCT00454207)
Timeframe: Baseline, Week 12

InterventionmmHg (Mean)
Sildenafil:Part I0.7

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Change in the World Health Organization (WHO) Functional Class From Baseline at Week 12 in Participants Who Newly Entered the Study From Part II

The cross-tabulation table on the WHO functional classes of pulmonary arterial hypertension at baseline and Week 12. The WHO functional classes of pulmonary arterial hypertension:Class I (pulmonary arterial hypertension patients with no limitation in physical activity) to Class IV (pulmonary arterial hypertension patients who can not perform a physical activity without any symptoms). (NCT00454207)
Timeframe: Baseline, Week 12

,
Interventionparticipants (Number)
Functional class at Week 12: IFunctional class at Week 12: IIFunctional class at Week 12: IIIFunctional class at Week 12: IV
Sildenafil:Part II, Functional Class at Baseline: I1000
Sildenafil:Part II, Functional Class at Baseline: II0510

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Change in the Mean Systemic Blood Pressure From Baseline at Week 12 in Participants Who Entered the Study From Part I

"Mean systemic blood pressure:diastolic blood pressure+(systolic blood pressure-diastolic blood pressure)/3.~Change:Mean systemic blood pressure at Week 12 minus mean systemic blood pressure at baseline." (NCT00454207)
Timeframe: Baseline, Week 12

InterventionmmHg (Mean)
Sildenafil:Part I-0.9

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Change in the Mixed Venous Oxygen Saturation From Baseline at Week 12 in Participants Who Entered the Study From Part I

Change:Mixed venous oxygen saturation at Week 12 minus mixed venous oxygen saturation at baseline. (NCT00454207)
Timeframe: Baseline, Week 12

Interventionpercent saturation (Mean)
Sildenafil:Part I2.91

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Change in the Partial Pressure of Mixed Venous Oxygen From Baseline at Week 12 in Participants Who Entered the Study From Part I

Change:Partial pressure of mixed venous oxygen at Week 12 minus partial pressure of mixed venous oxygen at baseline. (NCT00454207)
Timeframe: Baseline, Week 12

InterventionmmHg (Mean)
Sildenafil:Part I0.57

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Change in the Pulmonary Capillary Wedge Pressure From Baseline at Week 12 in Participants Who Entered the Study From Part I

Change:Pulmonary capillary wedge pressure at Week 12 minus pulmonary capillary wedge pressure at baseline. (NCT00454207)
Timeframe: Baseline, Week 12

InterventionmmHg (Mean)
Sildenafil:Part I0.68

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Change in the Pulmonary Vascular Resistance From Baseline at Week 12 in Participants Who Entered the Study From Part I

Change:Pulmonary vascular resistance at Week 12 minus pulmonary vascular resistance at baseline (NCT00454207)
Timeframe: Baseline, Week 12

Interventiondyne·second/centimeter^5 (Mean)
Sildenafil:Part I-246.49

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Change in the Pulmonary Vascular Resistance Index From Baseline at Week 12 in Participants Who Entered the Study From Part I

Change:Pulmonary vascular resistance index at Week 12 minus pulmonary vascular resistance index at baseline. (NCT00454207)
Timeframe: Baseline, Week 12

Interventiondyne*second/centimeter^5/meter^2 (Mean)
Sildenafil:Part I-382.00

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Change in the Arterial Oxygen Partial Pressure From Baseline at Week 12 in Participants Who Entered the Study From Part I

Change:Arterial oxygen partial pressure at Week 12 minus arterial oxygen partial pressure at baseline. (NCT00454207)
Timeframe: baseline, Week 12

InterventionmmHg (Mean)
Sildenafil:Part I-2.02

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Change in the 6-minute Walk Distance From Baseline at Week 8 in Participants Who Entered the Study From Part I

"Change:6-minute walk distance at Week 8 minus 6-minute walk distance at baseline.~The 6-minute walk distance:Total distance walked during the 6- minute walk test." (NCT00454207)
Timeframe: Baseline, Week 8

Interventionmeters (Mean)
Sildenafil:Part I87.5

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Change in the 6-minute Walk Distance From Baseline at Week 12 in Participants Who Newly Entered the Study From Part II

Change:6-minute walk distance at Week 12 minus 6-minute walk distance at baseline. The 6-minute walk distance:Total distance walked during the 6- minute walk test. (NCT00454207)
Timeframe: Baseline, Week 12

Interventionmeters (Mean)
Sildenafil:Part II-23.5

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Change in the 6-minute Walk Distance From Baseline at Week 12 in Participants Who Entered the Study From Part I

Change:6-minute walk distance at Week 12 minus 6-minute walk distance at baseline. The 6-minute walk distance:total distance walked during the 6-minute walk test. (NCT00454207)
Timeframe: Baseline, Week 12

Interventionmeters (Mean)
Sildenafil: Part I84.2

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Change in the Right Atrial Pressure From Baseline at Week 12 in Participants Who Entered the Study From Part I

Change:Right atrial pressure at Week 12 minus right atrial pressure at baseline. (NCT00454207)
Timeframe: Baseline, Week 12

InterventionmmHg (Mean)
Sildenafil:Part I-0.3

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Change in the Systemic Vascular Resistance From Baseline at Week 12 in Participants Who Entered the Study From Part I

Change:Systemic vascular resistance at Week 12 minus systemic vascular resistance at baseline. (NCT00454207)
Timeframe: Baseline, Week 12

Interventiondyne*second/centimeter^5 (Mean)
Sildenafil:Part I-265.77

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Change in the Systemic Vascular Resistance Index From Baseline at Week 12 in Participants Who Entered the Study From Part I

Change:Systemic vascular resistance index at Week 12 minus systemic vascular resistance index at baseline. (NCT00454207)
Timeframe: baseline, Week 12

Interventiondyne*second/centimeter^5/meter^2 (Mean)
Sildenafil:Part I-409.89

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Change in the Systolic Pulmonary Arterial Pressure From Baseline at Week 12 in Participants Who Entered the Study From Part I

Change:Systolic pulmonary arterial pressure at Week 12 minus Systolic pulmonary arterial pressure at baseline. (NCT00454207)
Timeframe: Baseline, Week 12

InterventionmmHg (Mean)
Sildenafil:Part I-3.4

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Change in the Arterial Oxygen Saturation From Baseline at Week 12 in Participants Who Entered the Study From Part I

Change:Arterial oxygen saturation at Week 12 minus arterial oxygen saturation at baseline. (NCT00454207)
Timeframe: Baseline, Week 12

Interventionpercent saturation (Mean)
Sildenafil:Part I0.440

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Change in the Cardiac Index From Baseline at Week 12 in Participants Who Entered the Study From Part I

Change:Cardiac index at Week 12 minus cardiac index at baseline. (NCT00454207)
Timeframe: Baseline, Week 12

Interventionliter/minute/meter^2 (Mean)
Sildenafil:Part I0.32

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Change in the Cardiac Output From Baseline at Week 12 in Participants Who Entered the Study From Part I

Change:Cardiac output at Week 12 minus cardiac output at baseline (NCT00454207)
Timeframe: Baseline, week 12

Interventionliter/minute (Mean)
Sildenafil:Part I0.556

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Change in the Diastolic Pulmonary Arterial Pressure From Baseline at Week 12 in Participants Who Entered the Study From Part I

Change:Diastolic pulmonary arterial pressure at Week 12 minus diastolic pulmonary arterial pressure at baseline. (NCT00454207)
Timeframe: Baseline, Week 12

InterventionmmHg (Mean)
Sildenafil:Part I-3.2

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Change in the Diastolic Systemic Blood Pressure From Baseline at Week 12 in Participants Who Entered the Study From Part I

Change:Diastolic systemic blood pressure at Week 12 minus diastolic systemic blood pressure at baseline. (NCT00454207)
Timeframe: Baseline, Week 12

InterventionmmHg (Mean)
Sildenafil:Part I-3.1

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Change in the Heart Rate From Baseline at Week 12 in Participants Who Entered the Study From Part I

Change:Heart rate at Week 12 minus heart rate at baseline. (NCT00454207)
Timeframe: Baseline, Week 12

Interventionbeats/minute (Mean)
Sildenafil:Part I-4.14

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Change in the Mean Pulmonary Arterial Pressure From Baseline at Week 12 in Participants Who Entered the Study From Part I

Change:Mean pulmonary arterial pressure at Week 12 minus mean pulmonary arterial pressure at baseline. (NCT00454207)
Timeframe: Baseline, Week 12

InterventionmmHg (Mean)
Sildenafil:Part I-4.7

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International Index of Erectile Function (IIEF), Erectile Function (EF) Domain Score - Change From Baseline at Weeks 2, 4 and 6

IIEF is a self-administered scale designed to assess erectile functioning: includes 15 questions on 5 relevant domains of male sexual function; one is erectile function (EF). IIEF-EF Domain: sum of scores for Questions 1, 2, 3, 4, 5 & 15 from IIEF. Score range: 0 to 5 (Q1 to Q5), 1 to 5 (Q15); total 1 to 30. Higher score indicates better outcome. (NCT00468650)
Timeframe: Week 2, Week 4 and Week 6

Interventionscore on a scale (Mean)
Week 2 (N=113)Week 4 (N=112)Week 6 (N=110)Week 6 Endpoint (N=112)
Open Label Sildenafil Citrate7.1410.5710.9310.95

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International Index of Erectile Function (IIEF), Erectile Function (EF) Domain Score- Change From Week 2

IIEF is a self-administered scale designed to assess erectile functioning: includes 15 questions on 5 relevant domains of male sexual function; one is erectile function (EF). IIEF-EF Domain: sum of scores for Questions 1, 2, 3, 4, 5 & 15 from IIEF. Score range: 0 to 5 (Q1 to Q5), 1 to 5 (Q15); total 1 to 30. Higher score indicates better outcome. (NCT00468650)
Timeframe: Week 4 and Week 6

Interventionscore on scale (Mean)
Week 4 (N=112)Week 6 (N=110)Week 6 LOCF (N=112)Week 6 Endpoint (N=112)
Open Label Sildenafil Citrate3.483.883.863.86

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International Index of Erectile Function (IIEF), Intercourse Satisfaction Domain Score- Change From Baseline

IIEF is a self-administered scale to assess erectile functioning. IIEF includes 15 questions and addresses the 5 relevant domains of male sexual function, one is intercourse satisfaction. IIEF Intercourse Satisfaction Domain: sum of scores for Questions 6, 7 and 8 from IIEF. Score range: 0 to 5; total 0 to 15. Higher score indicates better outcome. (NCT00468650)
Timeframe: Week 2, Week 4, and Week 6

Interventionscore on scale (Mean)
Week 2 (N=113)Week 4 (N=112)Week 6 (N=110)Week 6 LOCF (N=113)Week 6 Endpoint (N=112)
Open Label Sildenafil Citrate3.184.384.734.704.72

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International Index of Erectile Function (IIEF), Intercourse Satisfaction Domain Score- Change From Week 2

IIEF is a self-administered scale to assess erectile functioning. IIEF includes 15 questions and addresses the 5 relevant domains of male sexual function, one is intercourse satisfaction. IIEF Intercourse Satisfaction Domain: sum of scores for Questions 6, 7 and 8 from IIEF. Score range: 0 to 5; total 0 to 15. Higher score indicates better outcome. (NCT00468650)
Timeframe: Week 4 and Week 6

Interventionscore on scale (Mean)
Week 4 (N=112)Week 6 (N=110)Week 6 LOCF (N=112)Week 6 Endpoint (N=112)
Open Label Sildenafil Citrate1.201.541.541.54

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International Index of Erectile Function (IIEF), Orgasmic Function Domain- Change From Week 2

IIEF is a self-administered scale to assess erectile functioning. IIEF includes 15 questions and addresses the 5 relevant domains of male sexual function, one is orgasmic function. IIEF Orgasmic Function Domain was sum of scores for Questions 9 and 10 from the IIEF. Score range: 0 to 5; total 0 to 10. Higher score indicates better outcome. (NCT00468650)
Timeframe: Week 4 and Week 6

Interventionscore on scale (Mean)
Week 4 (N=112)Week 6 (N=110)Week 6 LOCF (N=112)Week 6 Endpoint (N=112)
Open Label Sildenafil Citrate0.610.750.740.74

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International Index of Erectile Function (IIEF), Overall Satisfaction Domain Score- Change From Baseline

IIEF is a self-administered scale to assess erectile functioning. IIEF includes 15 questions and addresses the 5 relevant domains of male sexual function, one is overall satisfaction. IIEF Overall Satisfaction Domain was sum of scores for Questions 13 and 14 from the IIEF. Score range: 1 to 5; total 2 to 10. Higher score indicates better outcome. (NCT00468650)
Timeframe: Week 2, Week 4 and Week 6

Interventionscore on scale (Mean)
Week 2 (N=113)Week 4 (N=112)Week 6 (N=110)Week 6 LOCF (N=113)Week 6 Endpoint (N=112)
Open Label Sildenafil Citrate2.733.673.923.913.89

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International Index of Erectile Function (IIEF), Overall Satisfaction Domain Score- Change From Week 2

IIEF is a self-administered scale to assess erectile functioning. IIEF includes 15 questions and addresses the 5 relevant domains of male sexual function, one is overall satisfaction. IIEF Overall Satisfaction Domain was sum of scores for Questions 13 and 14 from the IIEF. Score range: 1 to 5; total 2 to 10. Higher score indicates better outcome. (NCT00468650)
Timeframe: Week 4 and Week 6

Interventionscore on scale (Mean)
Week 4 (N=112)Week 6 (N=110)Week 6 LOCF (N=112)Week 6 Endpoint (N=112)
Open Label Sildenafil Citrate0.971.211.201.20

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International Index of Erectile Function (IIEF), Sexual Desire Domain Score- Change From Baseline

IIEF is a self-administered scale to assess erectile functioning. IIEF includes 15 questions and addresses the 5 relevant domains of male sexual function, one of which is sexual desire. IIEF Sexual Desire Domain was sum of scores for Questions 11 and 12 from the IIEF. Score range: 1 to 5; total 2 to 10. Higher score indicates better outcome. (NCT00468650)
Timeframe: Week 2, Week 4 and Week 6

Interventionscore on scale (Mean)
Week 2 (N=113)Week 4 (N=112)Week 6 (N=110)Week 6 LOCF (N=113)Week 6 Endpoint (N=112)
Open Label Sildenafil Citrate1.432.002.252.262.28

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International Index of Erectile Function (IIEF), Sexual Desire Domain Score- Change From Week 2

IIEF is a self-administered scale to assess erectile functioning. IIEF includes 15 questions and addresses the 5 relevant domains of male sexual function, one of which is sexual desire. IIEF Sexual Desire Domain was sum of scores for Questions 11 and 12 from the IIEF. Score range: 1 to 5; total 2 to 10. Higher score indicates better outcome. (NCT00468650)
Timeframe: Week 4 and Week 6

Interventionscore on scale (Mean)
Week 4 (N=112)Week 6 (N=110)Week 6 LOCF (N=112)Week 6 Endpoint (N=112)
Open Label Sildenafil Citrate0.550.810.830.83

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Mean Per-Patient Percentage of 'Yes' Responses to Sexual Encounter Profile (SEP) Question 1 Based on Occasions With Sexual Stimulation- Change From Week 2

"Mean change: mean change at each visit minus mean at Week 2. Percent of Yes responses to Question 1 based on occasions (= sexual stimulation): 100*(number of occasions where SEP Question 1 [Were you able to achieve at least some erection (some enlargement of the penis)?] = Yes) / (number of occasions where Question 1 was answered Yes or No)" (NCT00468650)
Timeframe: Week 4 and Week 6

Interventionper-patient percentage (Mean)
Question 1 (Week 4) N=111Question 1 (Week 6) N=108Question 1 (Week 6 LOCF) N=113Question 1 (Week 6 Endpoint) N=111
Open Label Sildenafil Citrate1.373.122.983.04

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Mean Per-Patient Percentage of 'Yes' Responses to Sexual Encounter Profile (SEP) Question 1 on Occasions With Sexual Stimulation- Change From Baseline

"Mean change: mean change at each visit minus mean at baseline. Percent of Yes responses to Question 1 based on occasions (= sexual stimulation): 100*(number of occasions where SEP Question 1 [Were you able to achieve at least some erection (some enlargement of the penis)?] = Yes) / (number of occasions where Question 1 was answered Yes or No)" (NCT00468650)
Timeframe: Week 2, Week 4 and Week 6

Interventionper-patient percentage (Mean)
Question 1 (Week 2) N=110Question 1 (Week 4) N=108Question 1 (Week 6) N=105Question 1 (Week 6 LOCF) N=110Question 1 (Week 6 Endpoint) N=108
Open Label Sildenafil Citrate8.8410.1812.2911.9611.95

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Mean Per-Patient Percentage of 'Yes' Responses to Sexual Encounter Profile (SEP) Question 2 on Occasions With Sexual Stimulation- Change From Baseline

"Mean change: mean change at each visit minus mean at baseline. Percent of Yes responses to SEP Question 2 based on occasions (= sexual stimulation): 100*(number of occasions where SEP Question 2 [Were you able to insert your penis into your partner's vagina?] = Yes) / (number of occasions where SEP Question 2 was answered Yes or No)." (NCT00468650)
Timeframe: Week 2, Week 4 and Week 6

Interventionper-patient percentage (Mean)
Question 2 (Week 2) N=102Question 2 (Week 4) N=100Question 2 (Week 6) N=97Question 2 (Week 6 LOCF) N=102Question 2 (Week 6 Endpoint) N=100
Open Label Sildenafil Citrate15.3717.1518.2217.3317.68

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Mean Per-Patient Percentage of 'Yes' Responses to Sexual Encounter Profile (SEP) Question 2 on Occasions With Sexual Stimulation- Change From Week 2

"Mean change: mean change at each visit minus mean at Week 2. Percent of Yes responses to SEP Question 2 based on occasions (= sexual stimulation): 100*(number of occasions where SEP Question 2 [Were you able to insert your penis into your partner's vagina?] = Yes) / (number of occasions where SEP Question 2 was answered Yes or No)." (NCT00468650)
Timeframe: Week 4 and Week 6

Interventionper-patient percentage (Mean)
Question 2 (Week 4) N=110Question 2 (Week 6) N=107Question 2 (Week 6 LOCF) N=112Question 2 (Week 6 Endpoint) N=110
Open Label Sildenafil Citrate1.461.181.131.15

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Mean Per-Patient Percentage of 'Yes' Responses to Sexual Encounter Profile (SEP) Question 3 (Q3) Based on Attempts With Sexual Stimulation- Change From Baseline

"Mean change: mean change at each visit minus mean at baseline. Percent of Yes responses to SEP Q3 based on attempts with sexual stimulation (SS): 100* (number of attempts with SS where SEP Q3 [Did your erection last long enough for you to have successful intercourse?] = Yes)/(number of attempts with SS where SEP Q3 was answered Yes or No)" (NCT00468650)
Timeframe: Week 2, Week 4, and Week 6

Interventionper-patient percentage (Mean)
Week 2 (N=102)Week 4 (N=100)Week 6 (N=97)Week 6 LOCF (N=102)Week 6 Endpoint (N=100)
Open Label Sildenafil Citrate56.9670.7871.2372.1571.60

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Mean Per-Patient Percentage of 'Yes' Responses to Sexual Encounter Profile (SEP) Question 3 (Q3) Based on Attempts With Sexual Stimulation- Change From Week 2

"Mean change: mean change at each visit minus mean at Week 2. Percent of Yes responses to SEP Q3 based on attempts with sexual stimulation (SS): 100* (number of attempts with SS where SEP Q3 [Did your erection last long enough for you to have successful intercourse?] = Yes)/(number of attempts with SS where SEP Q3 was answered Yes or No)" (NCT00468650)
Timeframe: Week 4 and Week 6

Interventionper-patient percentage (Mean)
Week 4 (N=110)Week 6 (N=107)Week 6 LOCF (N=112)Week 6 Endpoint (N=110)
Open Label Sildenafil Citrate13.5614.2514.5114.77

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Mean Per-Patient Percentage of 'Yes' Responses to Sexual Encounter Profile (SEP) Question 3 Based on Occasions With Sexual Stimulation- Change From Week 2

"Mean change: mean change at each visit minus mean at Week 2. Percent of Yes responses to SEP Question 2 based on occasions (= sexual stimulation): 100*(number of occasions where SEP Question 3 [Did your erection last long enough for you to have successful intercourse?] = Yes) / (number of occasions where SEP Question 3 was answered Yes or No)" (NCT00468650)
Timeframe: Week 4 and Week 6

Interventionper-patient percentage (Mean)
Question 3 (Week 4) N=110Question 3 (Week 6) N=107Question 3 (Week 6 LOCF) N=112Question 3 (Week 6 Endpoint) N=110
Open Label Sildenafil Citrate13.5614.2514.5114.77

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Mean Per-Patient Percentage of 'Yes' Responses to Sexual Encounter Profile (SEP) Question 3 on Occasions With Sexual Stimulation- Change From Baseline

"Mean change: mean change at each visit minus mean at baseline. Percent of Yes responses to SEP Question 2 based on occasions (= sexual stimulation): 100*(number of occasions where SEP Question 3 [Did your erection last long enough for you to have successful intercourse?] = Yes) / (number of occasions where SEP Question 3 was answered Yes or No)" (NCT00468650)
Timeframe: Week 2, Week 4 and Week 6

Interventionper-patient percentage (Mean)
Question 3 (Week 2) N=102Question 3 (Week 4) N=100Question 3 (Week 6) N=97Question 3 (Week 6 LOCF) N=102Question 3 (Week 6 Endpoint) N=100
Open Label Sildenafil Citrate56.9670.7871.2372.1571.60

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Mean Per-Patient Percentage of 'Yes' Responses to Sexual Encounter Profile (SEP) Question 4 Based on Occasions With Sexual Stimulation- Change From Baseline

"Mean change: mean change at each visit minus mean at baseline. Percent of Yes responses to SEP Question 4 based on occasions (= sexual stimulation): 100*(number of occasions where SEP Question 4 [Were you satisfied with the hardness of your erection?] = Yes) / (number of occasions where SEP Question 4 was answered Yes or No)." (NCT00468650)
Timeframe: Week 2, Week 4 and Week 6

Interventionper-patient percentage (Mean)
Question 4 (Week 2) N=102Question 4 (Week 4) N=100Question 4(Week 6) N=97Question 4 (Week 6 LOCF) N=102Question 4 (Week 6 Endpoint) N=100
Open Label Sildenafil Citrate58.5876.2977.6978.7978.36

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Mean Per-Patient Percentage of 'Yes' Responses to Sexual Encounter Profile (SEP) Question 4 Based on Occasions With Sexual Stimulation- Change From Week 2

"Mean change: mean change at each visit minus mean at Week 2. Percent of Yes responses to SEP Question 4 based on occasions (= sexual stimulation): 100*(number of occasions where SEP Question 4 [Were you satisfied with the hardness of your erection?] = Yes) / (number of occasions where SEP Question 4 was answered Yes or No)." (NCT00468650)
Timeframe: Week 4 and Week 6

Interventionper-patient percentage (Mean)
Question 4 (Week 4) N=110Question 4 (Week 6) N=107Question 4 (Week 6 LOCF) N=112Question 4 (Week 6 Endpoint) N=110
Open Label Sildenafil Citrate17.9019.5019.5219.88

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Mean Per-Patient Percentage of 'Yes' Responses to Sexual Encounter Profile (SEP) Question 5 Based on Occasions With Sexual Stimulation- Change From Baseline

"Mean change: mean change at each visit minus mean at baseline. Percent of Yes responses to SEP Question 5 based on occasions (= sexual stimulation): 100*(number of occasions where SEP Question 5 [Were you satisfied with this sexual encounter?] = Yes) / (number of occasions where SEP Question 5 was answered Yes or No)" (NCT00468650)
Timeframe: Week 2, Week 4 and Week 6

Interventionper-patient percentage (Mean)
Question 5 (Week 2) N=101Question 5 (Week 4) N=100Question 5 (Week 6) N=97Question 5 (Week 6 LOCF) N=102Question 5 (Week 6 Endpoint) N=100
Open Label Sildenafil Citrate57.3470.7270.6372.0771.51

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Mean Per-Patient Percentage of 'Yes' Responses to Sexual Encounter Profile (SEP) Question 5 Based on Occasions With Sexual Stimulation- Change From Week 2

"Mean change: mean change at each visit minus mean at Week 2. Percent of Yes responses to SEP Question 5 based on occasions (= sexual stimulation): 100*(number of occasions where SEP Question 5 [Were you satisfied with this sexual encounter?] = Yes) / (number of occasions where SEP Question 5 was answered Yes or No)" (NCT00468650)
Timeframe: Week 4 and Week 6

Interventionper-patient percentage (Mean)
Question 5 (Week 4) N=109Question 5 (Week 6) N=106Question 5 (Week 6 LOCF) N=111Question 5 (Week 6 Endpoint) N=109
Open Label Sildenafil Citrate13.1014.1113.4713.72

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Mean Per-Patient Percentage of Grade 1 Events in Erection Hardness Grading Scale (EHGS) Based on Occasions With Sexual Stimulation- Change From Baseline

Mean change: mean change at each visit minus mean at baseline. Percent of Grade 1 (1=increase in size, but not hard) erection hardness based on occasions: 100*(number of occasions where Erection Hardness Scale Answer 1)/(number of occasions where Erection Hardness Scale was answered) (NCT00468650)
Timeframe: Week 2, Week 4 and Week 6

Interventionper-patient percentage (Mean)
Grade 1 (Week 2) N=103Grade 1 (Week 4) N=101Grade 1 (Week 6) N=98Grade 1 (Week 6 LOCF) N=103Grade 1 (Week 6 Endpoint) N=101
Open Label Sildenafil Citrate-12.58-20.55-22.53-21.44-21.86

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Mean Per-Patient Percentage of Grade 1 Events in Erection Hardness Grading Scale (EHGS) Based on Occasions With Sexual Stimulation- Change From Week 2

Mean change: mean change at each visit minus mean at Week 2. Percent of Grade 1 (1=increase in size, but not hard) erection hardness based on occasions: 100*(number of occasions where Erection Hardness Scale Answer 1)/(number of occasions where Erection Hardness Scale was answered) (NCT00468650)
Timeframe: Week 4 and Week 6

Interventionper-patient percentage (Mean)
Grade 1 (Week 4) N=110Grade 1 (Week 6) N=107Grade 1 (Week 6 LOCF) N=112Grade 1 (Week 6 Endpoint) N=110
Open Label Sildenafil Citrate-6.79-6.85-7.43-7.57

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Mean Per-Patient Percentage of Grade 2 Events in Erection Hardness Grading Scale (EHGS) Based on Occasions With Sexual Stimulation - Change From Baseline

Mean change: mean change at each visit minus mean at baseline. Percent of Grade 2 (2= hard, but not hard enough for penetration) erection hardness based on occasions: 100*(number of occasions where Erection Hardness Scale Answer 2)/(number of occasions where Erection Hardness Scale was answered) (NCT00468650)
Timeframe: Week 2, Week 4 and Week 6

InterventionPer-patient percentage (Mean)
Grade 2 (Week 2) N=103Grade 2 (Week 4) N=101Grade 2 (Week 6) N=98Grade 2 (Week 6 LOCF) N=103Grade 2 (Week 6 Endpoint) N=101
Open Label Sildenafil Citrate-9.87-11.74-12.78-13.13-12.40

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Mean Per-Patient Percentage of Grade 2 Events in Erection Hardness Grading Scale (EHGS) Based on Occasions With Sexual Stimulation - Change From Week 2

Mean change: mean change at each visit minus mean at Week 2. Percent of Grade 2 (2= hard, but not hard enough for penetration) erection hardness based on occasions: 100*(number of occasions where Erection Hardness Scale Answer 2)/(number of occasions where Erection Hardness Scale was answered) (NCT00468650)
Timeframe: Week 4 and Week 6

Interventionper-patient percentage (Mean)
Grade 2 (Week 4) N=110Grade 2 (Week 6) N=107Grade 2 (Week 6 LOCF) N=112Grade 2 (Week 6 Endpoint) N=110
Open Label Sildenafil Citrate-2.39-1.91-2.71-2.76

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Mean Per-Patient Percentage of Grade 3 Events in Erection Hardness Grading Scale (EHGS) Based on Occasions With Sexual Stimulation - Change From Baseline

Mean change: mean change at each visit minus mean at baseline. Percent of Grade 3 (3= hard enough for penetration [but not completely hard]) erection hardness based on occasions: 100*(number of occasions where Erection Hardness Scale Answer 3)/(number of occasions where Erection Hardness Scale was answered) (NCT00468650)
Timeframe: Week 2, Week 4 and Week 6

Interventionper-patient percentage (Mean)
Grade 3 (Week 2) N=103Grade 3 (Week 4) N=101Grade 3 (Week 6) N=98Grade 3 (Week 6 LOCF) N=103Grade 3 (Week 6 Endpoint) N=101
Open Label Sildenafil Citrate-10.82-29.16-30.79-30.27-30.87

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Mean Per-Patient Percentage of Grade 3 Events in Erection Hardness Grading Scale (EHGS) Based on Occasions With Sexual Stimulation - Change From Week 2

Mean change: mean change at each visit minus mean at Week 2. Percent of Grade 3 (3= hard enough for penetration [but not completely hard]) erection hardness based on occasions: 100*(number of occasions where Erection Hardness Scale Answer 3)/(number of occasions where Erection Hardness Scale was answered) (NCT00468650)
Timeframe: Week 4 and Week 6

Interventionper-patient percentage (Mean)
Grade 1 (Week 4) N=110Grade 1 (Week 6) N=107Grade 1 (Week 6 LOCF) N=112Grade 1 (Week 6 Endpoint) N=110
Open Label Sildenafil Citrate-18.36-22.16-20.28-20.65

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Mean Per-Patient Percentage of Grade 3 or 4 Events in Erection Hardness Grading Scale (EHGS) Based on Occasions With Sexual Stimulation - Change From Baseline

Mean change: mean change at each visit minus mean at baseline. Percent of Grade 3 (hard enough for penetration [but not completely hard]) or 4 (completely hard) erection hardness based on occasions: 100*(number of occasions where Erection Hardness Scale Answer 3 or 4)/ (number of occasions where Erection Hardness Scale was answered) (NCT00468650)
Timeframe: Week 2, Week 4 and Week 6

Interventionper-patient percentage (Mean)
Grade 3 or 4 (Week 2) N=103Grade 3 or 4 (Week 4) N=101Grade 3 or 4 (Week 6) N=98Grade 3 or 4 (Week 6 LOCF) N=103Grade 3 or 4 (Week 6 Endpoint) N=101
Open Label Sildenafil Citrate22.4532.3035.3134.5734.26

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Mean Per-Patient Percentage of Grade 3 or 4 Events in Erection Hardness Grading Scale (EHGS) Based on Occasions With Sexual Stimulation - Change From Week 2

Mean change: mean change at each visit minus mean at Week 2. Percent of Grade 3 (hard enough for penetration [but not completely hard]) or 4 (completely hard) erection hardness based on occasions: 100*(number of occasions where Erection Hardness Scale Answer 3 or 4)/ (number of occasions where Erection Hardness Scale was answered) (NCT00468650)
Timeframe: Week 4 and Week 6

Interventionper-patient percentage (Mean)
Grade 3 or 4 (Week 4) N=110Grade 3 or 4 (Week 6) N=107Grade 3 or 4 (Week 6 LOCF ) N=112Grade 3 or 4 (Week 6 Endpoint ) N=110
Open Label Sildenafil Citrate9.188.7510.1510.33

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Mean Per-Patient Percentage of Grade 4 Events in Erection Hardness Grading Scale (EHGS) Based on Occasions With Sexual Stimulation - Change From Baseline

Mean change: mean change at each visit minus mean at baseline. Percent of Grade 4 (4= completely hard) erection hardness based on occasions: 100*(number of occasions where Erection Hardness Scale Answer 4)/(number of occasions where Erection Hardness Scale was answered) (NCT00468650)
Timeframe: Week 2, Week 4 and Week 6

Interventionper-patient percentage (Mean)
Grade 4 (Week 2) N=103Grade 4 (Week 4) N=101Grade 4 (Week 6) N=98Grade 4 (Week 6 LOCF) N=103Grade 4 (Week 6 Endpoint) N=101
Open Label Sildenafil Citrate33.2761.4566.1064.8465.13

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Mean Per-Patient Percentage of Grade 4 Events in Erection Hardness Grading Scale (EHGS) Based on Occasions With Sexual Stimulation - Change From Week 2

Mean change: mean change at each visit minus mean at Week 2. Percent of Grade 4 (4= completely hard) erection hardness based on occasions: 100*(number of occasions where Erection Hardness Scale Answer 4)/(number of occasions where Erection Hardness Scale was answered) (NCT00468650)
Timeframe: Week 4 and Week 6

Interventionper-patient percentage (Mean)
Grade 4 (Week 4) N=110Grade 4 (Week 6) N=107Grade 4 (Week 6 LOCF) N=112Grade 4 (Week 6 Endpoint) N=110
Open Label Sildenafil Citrate27.5330.9230.4330.98

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Quality of Erection Questionnaire (QEQ): Total Score - Change From Baseline

QEQ is a self-administered scale used to assess erection hardness and overall quality of erections. The QEQ total score is defined as the sum of the scores from QEQ Questions 1-6. Score range: 1 to 5. Higher score indicates better outcome. Raw QEQ score ranges from 6-30 and is transformed onto a 0-100 scale. (NCT00468650)
Timeframe: Week 2, Week 4, and Week 6

Interventionscore on scale (Mean)
Week 2 (N=113)Week 4 (N=112)Week 6 (N=110)Week 6 LOCF (N=113)Week 6 Endpoint (N=112)
Open Label Sildenafil Citrate32.7146.2145.5345.2845.05

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Quality of Erection Questionnaire (QEQ): Total Score- Change From Week 2

QEQ is a self-administered scale used to assess erection hardness and overall quality of erections. The QEQ total score is defined as the sum of the scores from QEQ Questions 1-6. Score range: 1 to 5. Higher score indicates better outcome. Raw QEQ score ranges from 6-30 and is transformed onto a 0-100 scale. (NCT00468650)
Timeframe: Week 4 and Week 6

Interventionscore on scale (Mean)
Week 4 (N=112)Week 6 (N=110)Week 6 LOCF (N=112)Week 6 Endpoint (N=112)
Open Label Sildenafil Citrate13.8413.0712.6912.69

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Sexual Experience Questionnaire (Sex-Q): Erection Domain - Change From Baseline

Sexual Experience Questionnaire (Sex-Q) is a self-administered questionnaire designed to assess functional, emotional, and social aspects of sexual experience. Sex-Q includes 15 questions. Sex-Q Erection domain: sum of scores for Questions 1, 2, 3, 4, 5 and 6 from the Sex-Q. Score range: 1 to 5; total 6 to 30. Higher score indicates better outcome. (NCT00468650)
Timeframe: Week 2, Week 4 and Week 6

Interventionscore on scale (Mean)
Week 2 (N=113)Week 4 (N=112)Week 6 (N=110)Week 6 LOCF (N=113)Week 6 Endpoint (N=112)
Open Label Sildenafil Citrate5.418.859.219.289.25

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Sexual Experience Questionnaire (Sex-Q): Erection Domain- Change From Week 2

Sexual Experience Questionnaire (Sex-Q) is a self-administered questionnaire designed to assess functional, emotional, and social aspects of sexual experience. Sex-Q includes 15 questions. Sex-Q Erection domain: sum of scores for Questions 1, 2, 3, 4, 5 and 6 from the Sex-Q. Score range: 1 to 5; total 6 to 30. Higher score indicates better outcome. (NCT00468650)
Timeframe: Week 4 and Week 6

Interventionscore on scale (Mean)
Week 4 (N=112)Week 6 (N=110)Week 6 LOCF (N=112)Week 6 Endpoint (N=112)
Open Label Sildenafil Citrate3.513.913.913.91

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Sexual Experience Questionnaire (Sex-Q): Relationship Domain - Change From Baseline

Sexual Experience Questionnaire (Sex-Q) is a self-administered questionnaire designed to assess functional, emotional, and social aspects of sexual experience. Sex-Q includes 15 questions. Sex-Q Relationship domain was sum of scores for Questions 7, 8 and 9 from the Sex-Q. Score range: 1 to 5; total 3 to 15. Higher score indicates better outcome. (NCT00468650)
Timeframe: Week 2, Week 4, and Week 6

Interventionscore on scale (Mean)
Week 2 (N=112)Week 4 (N=111)Week 6 (N=108)Week 6 LOCF (N=111)Week 6 Endpoint (N=110)
Open Label Sildenafil Citrate2.794.234.744.784.76

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Sexual Experience Questionnaire (Sex-Q): Relationship Domain - Change From Week 2

Sexual Experience Questionnaire (Sex-Q) is a self-administered questionnaire designed to assess functional, emotional, and social aspects of sexual experience. Sex-Q includes 15 questions. Sex-Q Relationship domain was sum of scores for Questions 7, 8 and 9 from the Sex-Q. Score range: 1 to 5; total 3 to 15. Higher score indicates better outcome. (NCT00468650)
Timeframe: Week 4 and Week 6

Interventionscore on scale (Mean)
Week 4 (N=112)Week 6 (N=109)Week 6 LOCF (N=111)Week 6 Endpoint (N=111)
Open Label Sildenafil Citrate1.491.961.981.98

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Sexual Experience Questionnaire (Sex-Q): Satisfaction Domain - Change From Baseline

Sexual Experience Questionnaire (Sex-Q) is a self-administered questionnaire designed to assess functional, emotional, and social aspects of sexual experience. Sex-Q includes 15 questions (q). Sex-Q Satisfaction domain:sum of scores for q 10, 11, 12, 13, 14 and 15 from Sex-Q. Score range:1 to 5; total 6 to 30. Higher score indicates better outcome (NCT00468650)
Timeframe: Week 2, Week 4, and Week 6

Interventionscore on scale (Mean)
Week 2 (N=113)Week 4 (N=112)Week 6 (N=108)Week 6 LOCF (N=111)Week 6 Endpoint (N=110)
Open Label Sildenafil Citrate6.689.9410.5910.6310.64

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Sexual Experience Questionnaire (Sex-Q): Satisfaction Domain - Change From Week 2

Sexual Experience Questionnaire (Sex-Q) is a self-administered questionnaire designed to assess functional, emotional, and social aspects of sexual experience. Sex-Q includes 15 questions (q). Sex-Q Satisfaction domain:sum of scores for q 10, 11, 12, 13, 14 and 15 from Sex-Q. Score range:1 to 5; total 6 to 30. Higher score indicates better outcome (NCT00468650)
Timeframe: Week 4 and Week 6

Interventionscore on scale (Mean)
Week 4 (N=112)Week 6 (N=108)Week 6 LOCF (N=110)Week 6 Endpoint (N=110)
Open Label Sildenafil Citrate3.294.034.014.01

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International Index of Erectile Function (IIEF), Orgasmic Function Domain- Change From Baseline

IIEF is a self-administered scale to assess erectile functioning. IIEF includes 15 questions and addresses the 5 relevant domains of male sexual function, one is orgasmic function. IIEF Orgasmic Function Domain was sum of scores for Questions 9 and 10 from the IIEF. Score range: 0 to 5; total 0 to 10. Higher score indicates better outcome. (NCT00468650)
Timeframe: Week 2, Week 4 and Week 6

Interventionscore on scale (Mean)
Week 2 (N=113)Week 4 (N=112)Week 6 (N=110)Week 6 LOCF (N=113)Week 6 Endpoint (N=112)
Open Label Sildenafil Citrate1.892.462.592.632.59

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International Index of Erectile Function (IIEF), Erectile Function (EF) Domain Score- Change From Baseline to Week 6 Last Observation Carried Forward (LOCF)

IIEF is a self-administered scale designed to assess erectile functioning: includes 15 questions on 5 relevant domains of male sexual function; one is erectile function (EF). IIEF-EF Domain: sum of scores for Questions 1, 2, 3, 4, 5 & 15 from IIEF. Score range: 0 to 5 (Q1 to Q5), 1 to 5 (Q15); total 1 to 30. Higher score indicates better outcome. (NCT00468650)
Timeframe: Week 6 LOCF

Interventionscore on scale (Mean)
Open Label Sildenafil Citrate10.96

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24h Urine Volume

urine volume in mL/d (NCT00478335)
Timeframe: 4-days

,
Interventionurine volume in mL/d (Mean)
Period 1Period 2
Experimental First Then Standard64756652
Standard First Then Experimental41784188

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Brain Natriuretic Peptide(BNP)Levels.

(NCT00492531)
Timeframe: 16 weeks

,
Interventionpg/dl (Mean)
BaselineWeek 6Week 10Week 16
Placebo2.02.02.22.3
Sildenafil2.32.42.32.5

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Borg Dyspnea Score

Borg dyspnea score was used to measure the level of severity of breathlessness perceived by the patient before and after 6 minute walk. The severity is measured on a 10 point scale with 0= nothing at all and 10=maximum severity of breathlessness. (NCT00492531)
Timeframe: baseline to 16 weeks

,
InterventionScore on a scale (Mean)
BaselineWeek 6Week 10Week 16
Placebo2.11.82.72.8
Sildenafil2.53.42.72.0

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Change in Exercise Capacity as Assessed by 6 Minute Walk.

The primary outcome measure was change in exercise capacity assessed by 6 minute walk distance in meters from baseline to 16 weeks. Subjects without a week 16 assessment had their last observation carried forward. (NCT00492531)
Timeframe: Baseline to week 16/Imputed last visit.

Interventionmeters (Mean)
Sildenafil-16
Placebo-7

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Change From Baseline in Pulmonary Hypertension at Week 16 as Assessed by Tricuspid Regurgitant Jet Velocity

Secondary outcome measure was change from baseline in Pulmonary hypertension at week 16 as assessed by Tricuspid regurgitant jet velocity(TRV). Tricuspid regurgitant jet velocity was measured by transthoracic Doppler Echocardiography. (NCT00492531)
Timeframe: 16 weeks

,
Interventionmeters/second (Mean)
BaselineWeek 6Week 16
Placebo3.02.92.9
Sildenafil3.13.22.9

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Change From Baseline in Mean Heart Rate (Bpm) at 6 Weeks

Heart rate was measured at peak exercise. Subjects were exercised to maximal volition with an electronically braked cycle ergometer. The protocol consisted of 3 minutes of pedaling in an unloaded state followed by a ramp increase in work rate (watts) to maximal exercise. Metabolic and ventilatory data were obtained throughout the exercise study and for the first 2 minutes of recovery on a breath-by-breath basis with a metabolic cart. (NCT00507819)
Timeframe: Baseline and 6 Weeks

,
Interventionbpm (Mean)
Heart rate at Baseline (bpm)Heart rate at 6 Weeks (bpm)
Placebo163163
Sildenafil163163

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Change From Baseline in Mean Respiratory Rate (Breaths/Min) at 6 Weeks

Respiratory rate was measured at peak exercise. Subjects were exercised to maximal volition with an electronically braked cycle ergometer. The protocol consisted of 3 minutes of pedaling in an unloaded state followed by a ramp increase in work rate (watts) to maximal exercise. Metabolic and ventilatory data were obtained throughout the exercise study and for the first 2 minutes of recovery on a breath-by-breath basis with a metabolic cart. (NCT00507819)
Timeframe: Baseline and 6 Weeks

,
Interventionbreaths/min (Mean)
Mean Respiratory rate at Baseline (breaths/min)Mean Respiratory rate at 6 Weeks (breaths/min)
Placebo53.053.0
Sildenafil53.751.0

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Change From Baseline in Mean Minute Ventilation (L/Min) at 6 Weeks

Minute ventilation measurements were taken at peak exercise. Subjects were exercised to maximal volition with an electronically braked cycle ergometer. The protocol consisted of 3 minutes of pedaling in an unloaded state followed by a ramp increase in work rate (watts) to maximal exercise. Metabolic and ventilatory data were obtained throughout the exercise study and for the first 2 minutes of recovery on a breath-by-breath basis with a metabolic cart. (NCT00507819)
Timeframe: Baseline and 6 Weeks

,
InterventionL/min (Mean)
Minute Ventilation at Baseline (L/min)Minute Ventilation at 6 Weeks (L/min)
Placebo68.168.8
Sildenafil68.867.2

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Change From Baseline in Mean Oxygen Consumption (mL/kg/Min) at 6 Weeks

Oxygen consumption measurements were taken at peak exercise. Subjects were exercised to maximal volition with an electronically braked cycle ergometer. The protocol consisted of 3 minutes of pedaling in an unloaded state followed by a ramp increase in work rate (watts) to maximal exercise. Metabolic and ventilatory data were obtained throughout the exercise study and for the first 2 minutes of recovery on a breath-by-breath basis with a metabolic cart. (NCT00507819)
Timeframe: Baseline and 6 Weeks

,
InterventionmL/kg/min (Mean)
Oxygen Consumption at Baseline (mL/kg/min)Oxygen Consumption at 6 Weeks (mL/kg/min)
Placebo30.531.3
Sildenafil30.531.3

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Change From Baseline in Free Testosterone

Free testosterone levels were calculated from total testosterone at screening and equilibrium dialysis at randomization and at trial end. (NCT00512707)
Timeframe: Week 0, Week 14

,
Interventionpg/mL (Mean)
Free Testosterone at week 0Free Testosterone at week 14
Placebo101103
Testosterone110239

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Change From Baseline in Marital Interaction Scale of CAncer Rehabilitation Evaluation System-Short Form (CARES-SF)

CAncer Rehabilitation Evaluation System-short form (CARES-SF) marital interaction scale consists of 6 items (range from 0 (best) to 4) and mean of these 6 questions was used to determine intimacy and partner interaction. Lower CARES-SF scores correspond with improved marital interaction. (NCT00512707)
Timeframe: Week 0, Week 8, Week 14

,
Interventionunits on a scale (Mean)
CARES-SF: Marital relationship at week 0CARES-SF: Marital relationship at week 8CARES-SF: Marital relationship at week 14
Placebo0.740.790.79
Testosterone0.790.860.81

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Change From Baseline in Men's Sexual Health Questionnaire (MSHQ)

MSHQ, a 25-item questionnaire, assesses sexual function and satisfaction. It consists 5 domains: Erection (3 items, ranging from 0 to 15 (best)), Ejaculation (7 items, ranging from 1 to 35 (best)), Satisfaction (6 items, ranging from 6 to 30 (best)), Sexual desire (4 items, ranging 4-20 (best)), and Sexual activity (3 items, ranging 3-15 (best)). A composite score is the sum of Ejaculation and Satisfaction domains, ranging from 7 to 65 (best), with higher score representing better sexual function and satisfaction. (NCT00512707)
Timeframe: Week 0, Week 8, Week 14

,
Interventionunits on a scale (Mean)
Erectile at week 0Erectile at week 8Erectile at week 14Ejaculation at week 0Ejaculation at week 8Ejaculation at week 14Sexual satisfaction at week 0Sexual satisfaction at week 8Sexual satisfaction at week 14Sexual desire at week 0Sexual desire at week 8Sexual desire at week 14Sexual activity at week 0Sexual activity at week 8Sexual activity at week 14Composite MSHQ at week 0Composite MSHQ at week 8Composite MSHQ at week 14
Placebo5.96.97.226.127.826.921.622.421.510.310.710.16.76.96.547.750.248.5
Testosterone5.36.36.926.828.328.422.122.322.59.910.510.57.07.17.048.850.651.1

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Change From Baseline in Other Domains of International Index of Erectile Function (IIEF)

IIEF is a validated, 15-item questionnaire that assesses 5 domains of sexual function: erectile function (range 1-30), orgasmic function (range 0-10), sexual desire (range 2-10), intercourse satisfaction (range 0-15), and overall sexual satisfaction (range 2-10). Each question was answered on a 6-point or 5-point scale from 0/1 to 5 (best) with a total possible score (sum of 5 domains) range of 5 to 75 with higher scores representing better function. (NCT00512707)
Timeframe: Week 0, week 8, week 11, week 14

,
Interventionunits on a scale (Mean)
Orgasmic function at week 0Orgasmic function at week 8Orgasmic function at week 11Orgasmic function at week 14Sexual desire at week 0Sexual desire at week 8Sexual desire at week 11Sexual desire at week 14Intercourse satisfaction at week 0Intercourse satisfaction at week 8Intercourse satisfaction at week 11Intercourse satisfaction at week 14Overall satisfaction at week 0Overall satisfaction at week 8Overall satisfaction at week 11Overall satisfaction at week 14Composite IIEF at week 0Composite IIEF at week 8Composite IIEF at week 11Composite IIEF at week 14
Placebo7.07.87.47.46.77.06.86.89.49.89.58.86.67.37.07.050535150
Testosterone7.07.67.97.96.57.07.17.09.510.110.610.06.46.87.46.747535653

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Change From Baseline in Positive Affects Ratio (PAR) of Derogatis Affects Balance Scale (DABS)

The Derogatis Affects Balance Scale (DABS) is a 40-item mood inventory and consists of 4 positive affect dimensions (joy, contentment, vigor, and affection) as well as 4 negative affect dimensions(anxiety, depression, guilt, and hostility). Positive Affects Ratio (PAR), ranging from 0 to 1, is the proportion of total scores (sum of all 8 domains) that is positive (sum of 4 positive domains). Higher PAR represents better affectivity. (NCT00512707)
Timeframe: Week 0, Week 8, Week 14

,
Interventionratios (Mean)
Positive Affect Ratio at week 0Positive Affect Ratio at week 8Positive Affect Ratio at week 14
Placebo0.760.770.76
Testosterone0.750.760.78

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Change From Baseline in Sex Hormone Binding Globulin (SHBG)

(NCT00512707)
Timeframe: Week 0, Week 14

,
Interventionnmol/L (Mean)
SHBG at week 0SHBG at week 14
Placebo27.528
Testosterone32.232

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Change From Baseline in Quality of Life Specific to Male Erection Difficulties (QOL-MED)

The Quality of Life for men with Erection Difficulties (QOL-MED) is a cross-cultural instrument to measure quality of life specific to male erection difficulties. The 18 items for this scale were generated from interviews with men with erection difficulties by TH Wagner in 1996. Higher QOL-MED scores reflect better quality of life. Scores were standardized to range of 0 to 100. (NCT00512707)
Timeframe: Week 0, Week 8, Week 14

,
Interventionunits on a scale (Mean)
QOL-MED scale at week 0QOL-MED scale at week 8QOL-MED scale at week 14
Placebo627069
Testosterone566566

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Change From Baseline in Erectile Function Domain Score of the International Index of Erectile Function (IIEF)

IIEF is a validated, 15-item questionnaire that assesses 5 domains of sexual function: erectile function (range 1-30), orgasmic function (range 0-10), sexual desire (range 2-10), intercourse satisfaction (range 0-15), and overall sexual satisfaction (range 2-10). Each question was answered on a 6-point or 5-point scale from 0/1 to 5 (best) with Erectile Function domain range of 1 to 30 with higher scores representing better function. (NCT00512707)
Timeframe: Week 0, week 8, week 11, week 14

,
Interventionunits on a scale (Mean)
Erectile function at week 0Erectile function at week 8Erectile function at week 11Erectile function at week 14
Placebo20.121.320.119.8
Testosterone19.621.322.521.7

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Change From Baseline in Psychological General Well-Being Index Score (PGWBI)

Well-being and mood were assessed using the Psychological General Well-Being Index (PGWBI), a 22-item questionnaire that evaluated six dimensions of self-reported wellness: Anxiety (5 questions), Depressed Mood (3 questions), Positive Well-Being (4 questions), Self Control (3 questions), General Health (3 questions), and Vitality (4 questions). Higher scores in each dimension reflect increasing well-being. A global score (ranging from 0 (poor QoL) to 110 (good QoL)) was calculated as the sum of each domain score. The global score and those of its 6 dimensions were normalized to a 100% scale to facilitate comparison. (NCT00512707)
Timeframe: Week 0, Week 8, Week 14

,
Interventionunits on a scale (Mean)
Positive Well-being at week 0Positive Well-being at week 8Positive Well-being at week 14Depressed Mood at week 0Depressed Mood at week 8Depressed Mood at week 14General Health at week 0General Health at week 8General Health at week 14Anxiety at week 0Anxiety at week 8Anxiety at week 14Self Control at week 0Self Control at week 8Self Control at week 14Vitality at week 0Vitality at week 8Vitality at week 14Global Score at week 0Global Score at week 8Global Score at week 14
Placebo636360868683747570767672848684686967747572
Testosterone606564868585727372767677868687666869737575

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Change From Baseline in Derogatis Affects Balance Scale (DABS)

The Derogatis Affects Balance Scale (DABS) is a 40-item mood inventory and consists of 4 positive affect dimensions (joy, contentment, vigor, and affection) as well as 4 negative affect dimensions(anxiety, depression, guilt, and hostility). Each domain was calculated as the sum of 5-items and could range from 0 to 20, wherein higher scores indicate greater affectivity. (NCT00512707)
Timeframe: Week 0, Week 8, Week 14

,
Interventionunits on a scale (Mean)
Joy at week 0Joy at week 8Joy at week 14Contentment at week 0Contentment at week 8Contentment at week 14Vigor at week 0Vigor at week 8Vigor at week 14Affection at week 0Affection at week 8Affection at week 14Depression at week 0Depression at week 8Depression at week 14Anxiety at week 0Anxiety at week 8Anxiety at week 14Guilt at week 0Guilt at week 8Guilt at week 14Hostility at week 0Hostility at week 8Hostility at week 14
Placebo13.113.512.713.213.712.812.013.012.614.614.714.53.94.34.15.55.65.84.14.53.74.34.64.4
Testosterone12.713.113.212.813.413.311.812.512.613.914.214.24.14.14.24.95.14.93.43.73.84.74.64.7

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Change From Baseline in Total Testosterone

Total testosterone levels were measured between 7:30 and 10:10 a.m. using a liquid chromatography-tandem mass spectrometry assay certified by the Centers for Disease Control and Prevention's Hormone Standardization Program. (NCT00512707)
Timeframe: Week 0, Week 14

,
Interventionng/dL (Mean)
Total Testosterone at week 0Total Testosterone at week 14
Placebo347339
Testosterone364649

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Change From Baseline in Sexual Encounter Profile (SEP)

Sexual Encounter Profile (SEP) diaries were used to assess frequency of sexual activity, sildenafil use, vaginal penetration, completion of intercourse with ejaculation, and overall satisfaction with sexual encounters. Minimum value is 0 with no maximum limit, wherein higher values representing better sexual encounter. (NCT00512707)
Timeframe: Week 0, week 8, week 14

,
Interventionevents/week (Mean)
Sexual Encounter Attempts at week 0Sexual Encounter Attempts at week 8Sexual Encounter Attempts at week 14Vaginal Penetration at week 0Vaginal Penetration at week 8Vaginal Penetration at week 14Ejaculation at week 0Ejaculation at week 8Ejaculation at week 14Overall Satisfied with Sexual Encounters at week0Overall Satisfied with Sexual Encounters at week8Overall Satisfied with Sexual Encounters at wk 14
Placebo3.03.03.02.62.72.62.22.52.31.92.32.5
Testosterone2.82.83.32.72.42.72.12.32.62.02.22.8

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Change From Baseline in Successful Sexual Intercourse of Sexual Encounter Profile (SEP)

Sexual Encounter Profile (SEP) diaries were used to assess frequency of sexual activity, sildenafil use, vaginal penetration, completion of intercourse with ejaculation, and overall satisfaction with sexual encounters. Higher percentage of Ejaculations or Satisfaction in successful sexual intercourse represents better sexual function. (NCT00512707)
Timeframe: Week 0, week 8, week 14

,
Interventionpercentage of sexual intercourses (Mean)
Successful Sexual Intercourse (Ejaculations) wk0Successful Sexual Intercourse (Ejaculations) wk8Successful Sexual Intercourse (Ejaculations)wk14Successful Sexual Intercourse (Satisfaction) wk0Successful Sexual Intercourse (Satisfaction) wk8Successful Sexual Intercourse (Satisfaction)wk14
Placebo748479677583
Testosterone767880697683

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St. George's Respiratory Questionnaire (Symptoms Score)

The St. George's Respiratory Questionnaire asks patients how breathing problems impair their life and is scored from 0 (no impairment) to 100 (maximum impairment). Mean raw scores of the St. George's Respiratory Questionnaire. Mean raw scores of the St. George's Respiratory Questionnaire. (NCT00517933)
Timeframe: Baseline, 6 weeks, 12 weeks

,
Interventionunits on a scale (Mean)
Baseline6 week12 WeekChange from Baseline to 6 weeksChange from Baseline to 12 weeks
Placebo53.9956.2655.553.152.80
Sildenafil58.2055.8954.49-2.05-3.57

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St. George's Respiratory Questionnaire (Impacts Score)

The St. George's Respiratory Questionnaire asks patients how breathing problems impair their life and is scored from 0 (no impairment) to 100 (maximum impairment). Mean raw scores of the St. George's Respiratory Questionnaire. (NCT00517933)
Timeframe: Baseline, 6 weeks, 12 weeks

,
Interventionunits on a scale (Mean)
Baseline6 week12 WeekChange from Baseline to 6 weeksChange from Baseline to 12 weeks
Placebo39.7741.5841.052.373.15
Sildenafil43.2041.6241.95-0.67-0.91

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St. George's Respiratory Questionnaire (Activity Score)

The St. George's Respiratory Questionnaire asks patients how breathing problems impair their life and is scored from 0 (no impairment) to 100 (maximum impairment). Mean raw scores of the St. George's Respiratory Questionnaire. (NCT00517933)
Timeframe: Baseline, 6 weeks, 12 weeks

,
Interventionunits on a scale (Mean)
Baseline6 week12 WeekChange from Baseline to 6 weeksChange from Baseline to 12 weeks
Placebo68.0267.4469.130.282.77
Sildenafil71.2069.9569.75-1.95-1.25

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Short Form Health Survey (SF36) General Health

"The SF36 measures functional health and well-being scores on eight scales that correlate with two aggregate scores.~Each score ranges from 0 to 100, with a higher score indicating better function.~Mean raw scores of SF36 General Health" (NCT00517933)
Timeframe: Baseline, 6 weeks, 12 weeks

,
Interventionunits on a scale (Mean)
Baseline6 week12 Week
Placebo37.6634.9734.39
Sildenafil36.9936.0036.31

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Short Form Health Survey (SF36) Aggregate Physical

"The SF36 measures functional health and well-being scores on eight scales that correlate with two aggregate scores.~Each score ranges from 0 to 100, with a higher score indicating better function.~Mean raw scores of SF36 Aggregate Physical." (NCT00517933)
Timeframe: Baseline, 6 weeks, 12 weeks

,
Interventionunits on a scale (Mean)
Baseline6 week12 WeekChange from Baseline to week 6Change from Baseline to week 12
Placebo-1.52-1.58-1.51-0.08-0.05
Sildenafil-1.68-1.70-1.71-0.06-0.05

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ICECAP-O

The ICEpop CAPability measure for Older people (ICECAP-O) is a measure of capability in older people for use in economic evaluation. The values of ICECAP-O range from 0 (worst) to 1 (best). Mean raw scores of ICECAP-O. (NCT00517933)
Timeframe: Baseline, 6 weeks, 12 weeks

,
Interventionunits on a scale (Mean)
Baseline6 week12 WeekChange from Baseline to 6 weeksChange from Baseline to 12 weeks
Placebo0.810.760.81-0.05-0.02
Sildenafil0.790.800.790.020.00

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Forced Vital Capacity (FVC)

Raw scores of FVC (liters) from baseline (time 0) to week 6 and 12 comparing the sildenafil and placebo groups (NCT00517933)
Timeframe: Baseline, Week 6, Week 12

,
Interventionliters (Mean)
BaselineWeek 6Week 12Change from baseline to 6 weeksChange from baseline to 12 weeks
Placebo / Sildenafil2.422.402.36-0.03-0.05
Sildenafil / Sildenafil2.252.252.22-0.03-0.04

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EuroQOL Thermometer

"The thermometer score ranges from 0 (worst imaginable health state) to 100 (best imaginable health state). Higher scores indicate a better health state.~Mean raw scores of EuroQOL Thermometer." (NCT00517933)
Timeframe: Baseline, 6 weeks, 12 weeks

,
Interventionunits on a scale (Mean)
Baseline6 week12 WeekChange from Baseline to 6 weeksChange from Baseline to 12 weeks
Placebo67.6667.0967.05-1.40-2.12
Sildenafil66.4969.4766.962.510.49

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EuroQOL (EQ-5D) Utility

"EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state (eg, confined to bed). Scoring formula developed by EuroQol Group assigns a utility value for each domain in the profile. Score is transformed and results in total score range -0.594 to 1.000; higher score indicates better health state.~Mean raw scores of EuroQOL Utility." (NCT00517933)
Timeframe: Baseline, 6 weeks, 12 weeks

,
Interventionunits on a scale (Mean)
Baseline6 week12 WeekChange from Baseline to 6 weeksChange from Baseline to 12 weeks
Placebo0.740.710.72-0.02-0.03
Sildenafil0.710.750.700.04-0.01

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Diffusing Capacity of the Lung for Carbon Monoxide (DLCO)

Raw scores of DLCO (% predicted) measured at baseline (time 0), week 6, and week 12 comparing the sildenafil and placebo groups (NCT00517933)
Timeframe: Baseline, Week 6, Week 12

,
Interventionpercentage of predicted (DLCO) (Mean)
BaselineWeek 6Week 12Change from baseline to 6 weeksChange from baseline to 12 weeks
Placebo / Sildenafil26.7326.1125.38-1.15-1.78
Sildenafil / Sildenafil25.8126.0025.66-0.07-0.33

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Borg Dyspnea Index (BDI) After 6 Minute Walk Test (Raw Scores)

The BDI was calculated by using a 10-point scale (0 = None, 10 = Maximum) and indicates the degree of breathlessness after completion of the 6-minute walk test. (NCT00517933)
Timeframe: Baseline, 6 week, 12 week

,
Interventionunits on a scale (Mean)
Baseline6 week12 weekChange from Baseline to 6 weekChange from Baseline to 12 week
Placebo3.233.423.490.370.39
Sildenafil3.723.533.76-0.230.09

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6-minute Walk Distance (6MWT)

The 6MWT measures the distance that a participant can walk in a period of 6 minutes. (NCT00517933)
Timeframe: Baseline, 6 week, 12 week

,
Interventionmeters (Mean)
1st baseline2nd baseline6 week12 week
Placebo267.71269.55257.55249.48
Sildenafil246.93246.39237.29239.09

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Estimated Change From Baseline to 12 Weeks in 6-minute Walk Distance

The 6MWT measures the distance that a participant can walk in a period of 6 minutes. All models adjust for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo. (NCT00517933)
Timeframe: Baseline, week 12

Interventionmeters (Mean)
Sildenafil-28.5
Placebo-45.2

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Desaturation During 6-minute Walk Test (6MWT)

The 6MWT was stopped when the pulse oximetry (SpO2) dropped to below 80% for six consecutive seconds. The estimates are based on the Kaplan-Meier event curves with minutes walked as the x-axis. (NCT00517933)
Timeframe: Week 12

Interventionpercentage of participants (Number)
Sildenafil / Sildenafil83.6
Placebo / Sildenafil75.3

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Change in St. George's Respiratory Questionnaire (Total Score) (Adjusted Values)

The St. George's Respiratory Questionnaire asks patients how breathing problems impair their life and is scored from 0 (no impairment) to 100 (maximum impairment.) Values adjusted for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo. (NCT00517933)
Timeframe: Baseline, 12 week

Interventionunits on a scale (Mean)
Sildenafil-1.6
Placebo2.5

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Change in St. George's Respiratory Questionnaire (Symptoms Score) Adjusted Value

The St. George's Respiratory Questionnaire asks patients how breathing problems impair their life and is scored from 0 (no impairment) to 100 (maximum impairment). Values adjusted for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo. (NCT00517933)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Mean)
Sildenafil-3.6
Placebo2.2

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Change in St. George's Respiratory Questionnaire (Impacts Score) Adjusted Value

The St. George's Respiratory Questionnaire asks patients how breathing problems impair their life and is scored from 0 (no impairment) to 100 (maximum impairment). Values adjusted for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo. (NCT00517933)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Mean)
Sildenafil-0.9
Placebo2.8

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Change in St. George's Respiratory Questionnaire (Activity Score) Adjusted Value

The St. George's Respiratory Questionnaire asks patients how breathing problems impair their life and is scored from 0 (no impairment) to 100 (maximum impairment). Values adjusted for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo. (NCT00517933)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Mean)
Sildenafil-1.2
Placebo2.5

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Change in Short Form Health Survey (SF36) General Health - Adjusted Value

"The SF36 measures functional health and well-being scores on eight scales that correlate with two aggregate scores.~Each score ranges from 0 to 100, with a higher score indicating better function.~Values adjusted for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo." (NCT00517933)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Mean)
Sildenafil-1.0
Placebo-3.9

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Change in SF36 Aggregate Physical (Adjusted Value)

"The SF36 measures functional health and well-being scores on eight scales that correlate with two aggregate scores.~Each score ranges from 0 to 100, with a higher score indicating better function.~Values adjusted for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo." (NCT00517933)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Mean)
Sildenafil-0.5
Placebo-0.4

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Change in ICECAP-O Adjusted Value

"The ICEpop CAPability measure for Older people (ICECAP-O) is a measure of capability in older people for use in economic evaluation. The values of ICECAP-O range from 0 (worst) to 1 (best).~Values adjusted for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo." (NCT00517933)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Mean)
Sildenafil0.00
Placebo-0.02

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Change in Forced Vital Capacity (FVC) Adjusted Values

Change in FVC (liters) from baseline (time 0) to week 12 comparing the sildenafil and placebo groups. Values adjusted for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo. (NCT00517933)
Timeframe: Baseline, Week 12

Interventionliters (Least Squares Mean)
Sildenafil / Sildenafil-0.04
Placebo / Sildenafil-0.05

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Change in EuroQOL Thermometer (Adjusted Value)

"The thermometer score ranges from 0 (worst imaginable health state) to 100 (best imaginable health state). Higher scores indicate a better health state.~Values adjusted for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo." (NCT00517933)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Mean)
Sildenafil0.5
Placebo-1.8

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Change in Dyspnea

"The University of California at San Diego Shortness of Breath Questionnaire (SOBQ) uses a 6-point scale (0 = not at all to 5 = maximal or unable to do because of breathlessness) to rate 24 items. The final score ranges from 0 to 120 -- lower scores are better." (NCT00517933)
Timeframe: Measured from enrollment to 12 weeks (phase I)

Interventionunits on a scale (Mean)
Sildenafil0.22
Placebo6.81

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Change in Diffusing Capacity of the Lung for Carbon Monoxide (DLCO) Adjusted Values

Change in DLCO (% predicted) measured at baseline (time 0), and week 12 comparing the sildenafil and placebo groups. All models adjust for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo. (NCT00517933)
Timeframe: Baseline, Week 12

Interventionpercentage of predicted (DLCO) (Least Squares Mean)
Sildenafil / Sildenafil-0.30
Placebo / Sildenafil-1.9

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Change in Borg Dyspnea Index (BDI) After 6 Minute Walk Test (Adjusted Values)

The BDI was calculated by using a 10-point scale (0 = None, 10 = Maximum) and indicates the degree of breathlessness after completion of the 6-minute walk test. Values adjusted for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo. (NCT00517933)
Timeframe: Baseline, 12 week

Interventionunits on a scale (Mean)
Sildenafil0.04
Placebo0.37

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Change in 6-minute Walk Distance From Enrollment to Week 12 (≥ 20% Improvement)

This is a binary score (1 or 0) with 1 being better than 0. All models adjust for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo. (NCT00517933)
Timeframe: Measured at Week 12

Interventionparticipants (Number)
Sildenafil9
Placebo6

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Change in EuroQOL (EQ-5D) Utility - Adjusted Value

"EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state (eg, confined to bed). Scoring formula developed by EuroQol Group assigns a utility value for each domain in the profile. Score is transformed and results in total score range -0.594 to 1.000; higher score indicates better health state.~Values adjusted for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo." (NCT00517933)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Mean)
Sildenafil-0.01
Placebo-0.03

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University of California at San Diego (UCSD) Shortness of Breath Questionnaire Total

"The University of California at San Diego Shortness of Breath Questionnaire (SOBQ) uses a 6-point scale (0 = not at all to 5 = maximal or unable to do because of breathlessness) to rate 24 items. The final score ranges from 0 to 120 -- lower scores are better. (Raw scores)~Values adjusted for baseline values of age, height, sex, white race, and DLCO. Values from models are estimated changes from baseline to 12 weeks (with 95% confidence intervals). The difference estimate is based on sildenafil - placebo." (NCT00517933)
Timeframe: Baseline, 6 weeks, 12 weeks

,
Interventionunits on a scale (Mean)
Baseline6 week12 WeekChange from Baseline to 6 weeksChange from Baseline to 12 weeks
Placebo43.2847.6448.134.426.99
Sildenafil50.7149.6750.58-1.270.30

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St. George's Respiratory Questionnaire (Total Score)

Mean raw scores of the St. George's Respiratory Questionnaire. The St. George's Respiratory Questionnaire asks patients how breathing problems impair their life and is scored from 0 (no impairment) to 100 (maximum impairment.) (NCT00517933)
Timeframe: Baseline, 6 weeks, 12 weeks

,
Interventionunits on a scale (Mean)
Baseline6 week12 WeekChange from Baseline to 6 weeksChange from Baseline to 12 weeks
Placebo51.7251.7452.191.652.88
Sildenafil54.5552.5652.58-1.45-1.71

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Potency Rates With or Without Assistance in the Control Group Versus Maintenance MUSE or Maintenance Viagra

Potency rates with or without assistance in the control group versus maintenance MUSE or maintenance Viagra were compared at each of 6 and 18 months (NCT00544076)
Timeframe: At 6 and 18 months

,,
InterventionParticipants (Count of Participants)
6 month potency18 month potency
Daily Sildenafil Citrate1715
Sildenafil Citrate Monthly1116
Sildenafil Citrate/Mo+Aprostadil/Day1014

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SHIMS-5 Scores in the Control Groups Versus Maintenance MUSE or Maintenance Viagra Groups

Median and range of SHIM scores evaluated at 1, 3, 6, 9, 12, and 18 months. SHIMS-5 is the Sexual Health Inventory for Men, which includes 5 questions that are scored from 1 to 5 each. The total score is obtained by adding all five response scores, and can range from 5 to 25 when all 5 questions are answered. Questions that are left unanswered are scored as a 0, and can result in an overall score lower than 5 (as low as 0). Higher scores are more desirable. A Score of 22-25 = no ED, 17-21=Mild ED, 12-16=Mild to moderate ED, 8-11=Moderate ED, and 5-7 =Severe ED (ED=Erectile Dysfunction). There are no sub-scale scores within this questionnaire. (NCT00544076)
Timeframe: At 1, 3, 6, 9, 12, and 18 months

,,
Interventionunits on a scale (Median)
SHIM score 1 monthSHIM score 3 monthsSHIM score 6 monthsSHIM score 9 monthsSHIM score 12 monthsSHIM score 18 months
Daily Sildenafil Citrate121820191820.5
Sildenafil Citrate Monthly31418.517.51920
Sildenafil Citrate/Mo+Aprostadil/Day9.5141818.52019.5

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Potency Rates (Ability to Obtain an Erection Sufficient for Penetration) Without Assistance Compared Between Patients in All Three Arms of the Study at 12 Months

Potency rates (ability to obtain an erection sufficient for penetration) without assistance in those patients receiving maintenance Viagra compared to non-pharmacology controls was compared at 12 months from start of treatment using the fisher's exact test (NCT00544076)
Timeframe: 12 months following BNS-RAP

InterventionParticipants (Count of Participants)
Sildenafil Citrate/Mo+Aprostadil/Day13
Sildenafil Citrate Monthly16
Daily Sildenafil Citrate16

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Penile Length

measurement of penile length in centimeters (NCT00544076)
Timeframe: At pre-treatment and 18 months

,,
Interventioncentimeters (Median)
Baseline Penile MeasurementMonth 18 Penile Measurement
Daily Sildenafil Citrate10.212
Sildenafil Citrate Monthly1211
Sildenafil Citrate/Mo+Aprostadil/Day1112.5

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Change in Fatigue Impact Scale at 6 Weeks

change in fatigue impact scale there are 42 questions. Each question can be answered from 0 (no problem) to 4 (extreme problem), so a higher score indicates more severe fatigue impact. minimum score=0, maximum score =148 values are calculated at baseline and 6 months and the score at 6 months compared to baseline months is calculated (NCT00598585)
Timeframe: 6 weeks

Interventionunits on a scale (Mean)
Sildenafil-32.6
Placebo-1.5

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Time to Clinical Worsening of PAH, Evaluated at Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, and After Week 48

The time to clinical worsening was defined as the time from enrollment to the first occurrence of death, lung transplantation, hospitalization for PAH, atrial septostomy, or initiation of chronic parenteral prostanoid therapy. Results are presented as the Kaplan-Meier estimate (% probability) of having clinical worsening after a given time. (NCT00617305)
Timeframe: Baseline to Week 48+

,
InterventionProbability of clinical worsening (%) (Number)
At Week 4At Week 8At Week 12At Week 16At Week 20At Week 24At Week 28At Week 32At Week 36At Week 40At Week 44At Week 48After Week 48
Ambrisentan Only0000336161620202020
Any Ambrisentan0000336141417171717

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Overall Survival, Evaluated at Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, and After Week 48

Overall survival was defined as the time from initiation of active treatment to death. Results are presented as the Kaplan-Meier estimate (% probability) of death after a given time. (NCT00617305)
Timeframe: Baseline to Week 48+

,
InterventionProbability of death occurring (%) (Number)
At Week 4At Week 8At Week 12At Week 16At Week 20At Week 24At Week 28At Week 32At Week 36At Week 40At Week 44At Week 48After Week 48
Ambrisentan Only0000000004444
Any Ambrisentan0000000003333

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Change in Dyspnea Index Measured at Weeks 4, 12, 24, 36 and 48 (LOCF)

The primary analysis of this secondary outcome measure is mean change from Baseline to Week 24. The changes from Baseline to Weeks 4, 12, 36, and 48 were also evaluated. The dyspnea index measures the degree of breathlessness after completion of the 6MWT using a scale of 0 to 10, with 0 indicating no breathlessness and 10 indicating maximum breathlessness. (NCT00617305)
Timeframe: Baseline to Week 48

,,,,
Interventionunits on a scale (Mean)
BaselineWeek 4Week 12Week 24Week 36Week 48
Ambrisentan Only3.73.23.22.93.23.1
Any Ambrisentan3.63.23.32.83.23.1
Any Placebo2.63.03.82.13.43.4
Placebo Only3.02.03.03.03.03.0
Placebo/Ambrisentan2.53.34.01.93.53.5

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Change From Baseline in World Health Organization (WHO) Functional Class (LOCF) Measured at Weeks 4, 12, 24, 36 and 48.

The primary analysis of this secondary outcome measure is change from Baseline to Week 24. The changes from Baseline to Weeks 4, 12, 36, and 48 were also evaluated. WHO categories are 1 to 4 with the worst category being 4. Improvement is represented by a change in category to a lower number (for example, change from category 3 to 2), and deterioration is represented by a change in category to a higher number (for example, change from category 2 to 4). No change is represented by no change in category (for example, category 2 which remains 2). (NCT00617305)
Timeframe: Baseline to Week 48

,,,,
Interventionparticipants (Number)
Week 4 - ImprovementWeek 4 - No ChangeWeek 4 - DeteriorationWeek 4 - Missing DataWeek 12 - ImprovementWeek 12 - No ChangeWeek 12 - DeteriorationWeek 12 - Missing DataWeek 24 - ImprovementWeek 24 - No ChangeWeek 24 - DeteriorationWeek 24 - Missing DataWeek 36 - ImprovementWeek 36 - No ChangeWeek 36 - DeteriorationWeek 36 - Missing DataWeek 48 - ImprovementWeek 48 - No ChangeWeek 48 - DeteriorationWeek 48 - Missing Data
Ambrisentan Only3290182401121911171411141711
Any Ambrisentan3330192701142111191611152011
Any Placebo14002300320032002300
Placebo Only10001000100010001000
Placebo/Ambrisentan04001300220022001300

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Change From Baseline in the Cambridge Pulmonary Hypertension Outcome Review (CAMPHOR) Quality of Life (QOL) Survey Overall Score Measured at Weeks 12, 24, 36 and 48 (LOCF)

The primary analysis of this secondary outcome measure is mean change from Baseline to Week 24. The changes from Baseline to Weeks 12, 36, and 48 were also evaluated. Lower scores and decreases from baseline represent improved functioning and QOL. The CAMPHOR survey was not assessed at Week 4. The total CAMPHOR score scale ranges from 0 (good) to 25 (poor). A reduction in score over time represents improvement in this patient population. (NCT00617305)
Timeframe: Baseline to Week 48

,,,,
Interventionunits on a scale (Mean)
BaselineWeek 12Week 24Week 36Week48
Ambrisentan Only8.26.87.27.77.6
Any Ambrisentan7.76.76.77.27.1
Any Placebo4.24.82.83.43.6
Placebo Only4.02.02.03.03.0
Placebo/Ambrisentan4.35.53.03.53.8

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Change From Baseline in Six Minute Walk Distance (6MWD) Measured at Weeks 4, 12, 24, 36 and 48 (LOCF)

The primary analysis of this secondary outcome measure is mean change from Baseline to Week 24. The changes from Baseline to Weeks 4, 12, 36, and 48 were also evaluated. An increase in measurement value (meters walked) indicates improvement for this patient population. (NCT00617305)
Timeframe: Baseline to Week 48

,,,,
Interventionmeters walked (Mean)
BaselineWeek 4Week 12Week 24Week 36Week 48
Ambrisentan Only361.9376.5377.9382.4366.5378.9
Any Ambrisentan369.6383.7384.3387.0370.2379.4
Any Placebo413.6441.2433.0423.4399.8387.2
Placebo Only335.0442.0422.0422.0402.0402.0
Placebo/Ambrisentan433.3441.0435.8423.8399.3383.5

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Change From Baseline in Pulmonary Vascular Resistance (PVR), Last Observation Carried Forward (LOCF)

The primary objective of this study is to evaluate the change from baseline in PVR, and other hemodynamic parameters, following the addition of ambrisentan to background PDE-5i therapy in subjects with PAH who have demonstrated a sub-optimal response to PDE-5i monotherapy. A decrease in measurement value (dynes sec/cm^5) indicates improvement for this patient population. (NCT00617305)
Timeframe: Baseline to Week 24

,,,
Interventiondynes sec/cm^5 (Mean)
BaselineWeek 24
Ambrisentan Only761.2518.8
Any Ambrisentan758.0509.8
Any Placebo703.6439.8
Placebo/Ambrisentan731.6439.8

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Change From Baseline in Mean Right Atrial Pressure (mRAP) (LOCF)

This secondary hemodynamic outcome is supportive of the primary outcome. A decrease in measurement value (mmHg) indicates improvement for this patient population. (NCT00617305)
Timeframe: Baseline to Week 24

,,,
InterventionmmHg (Mean)
BaselineWeek 24
Ambrisentan Only8.58.4
Any Ambrisentan8.78.1
Any Placebo11.16.3
Placebo/Ambrisentan10.36.3

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Change From Baseline in Log-transformed N-terminal Pro-B-type Natriuretic Peptide (NT-proBNP) Measured at Weeks 4, 12, 24, 36 and 48 (LOCF)

The primary analysis of this secondary outcome measure is mean percent change from Baseline to Week 24. The changes from Baseline to Weeks 4, 12, 36, and 48 were also evaluated. A decrease in log-transformed measurement value (pg/mL) indicates improvement for this patient population. (NCT00617305)
Timeframe: Baseline to Week 48

,,,,
Interventionpg/mL (log-transformed) (Mean)
BaselineWeek 4Week 12Week 24Week 36Week 48
Ambrisentan Only6.15.75.75.75.75.6
Any Ambrisentan6.25.75.85.75.75.7
Any Placebo6.76.76.86.46.36.7
Placebo Only0.07.57.67.68.08.0
Placebo/Ambrisentan6.76.26.36.05.96.4

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Change From Baseline in Mean Pulmonary Artery Pressure (mPAP) (LOCF)

This secondary hemodynamic outcome is supportive of the primary outcome. A decrease in measurement value (mmHg) indicates improvement for this patient population. (NCT00617305)
Timeframe: Baseline to Week 24

,,,
InterventionmmHg (Mean)
BaselineWeek 24
Ambrisentan Only49.944.4
Any Ambrisentan50.443.8
Any Placebo52.838.8
Placebo/Ambrisentan54.538.8

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Change From Baseline in Cardiac Output (LOCF)

This secondary hemodynamic outcome is supportive of the primary outcome. An increase in measurement value (L/min) indicates improvement for this patient population. (NCT00617305)
Timeframe: Baseline to Week 24

,,,
InterventionL/min (Mean)
BaselineWeek 24
Ambrisentan Only4.45.2
Any Ambrisentan4.45.2
Any Placebo4.85.2
Placebo/Ambrisentan4.85.2

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Sputum Elastase

(NCT00659529)
Timeframe: Pre/post therapy

Interventionmicrograms/mL (Mean)
Open-label (All Subjects)-57

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Clinical Efficacy Rate by WHO Functional Classificaton of Severity

"Clinical effectiveness rate, which was defined as the percentage of participants who achieved clinical effectiveness over the total number of assessable effectiveness analysis population, was presented. Clinical effectiveness of sildenafil citrate was assessed as effective, ineffective or unassessable by the physician/investigator. Overall effectiveness of sildenafil citrate was determined by the physician/investigator based on clinical symptoms, laboratory values, and other examinations such as echocardiogram. Participants achieved clinical effectiveness by severity (WHO functional classification of PAH;The grades range from Functional Class (FC) I, where the patient's disease does not affect their day-to-day activities, to FC IV, where patients are severely functionally impaired, even at rest. This functional classification system links) were counted to assess whether it contributes to the clinical effectiveness." (NCT00666198)
Timeframe: 3 years

InterventionPercentage of Participants (Number)
Class I (n=344)Class II (n=1010)Class III (n=1279)Class IV (n=544)Not Classified (n=124)
Revatio (Sildenafil Citrate)76.270.564.252.457.3

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Clinical Efficacy Rate by Gender

"Clinical effectiveness rate, which was defined as the percentage of participants who achieved clinical effectiveness over the total number of assessable effectiveness analysis population, was presented. Clinical effectiveness of sildenafil citrate was assessed as effective, ineffective or unassessable by the physician/investigator. Overall effectiveness of sildenafil citrate was determined by the physician/investigator based on clinical symptoms, laboratory values, and other examinations such as echocardiogram. Participants achieved clinical effectiveness by gender were counted to assess whether it contributes to the clinical effectiveness." (NCT00666198)
Timeframe: 3 years

InterventionPercentage of Participants (Number)
Female (n=2054)Male (n=1247)
Revatio (Sildenafil Citrate)65.964.0

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Clinical Efficacy Rate by Age

"Clinical effectiveness rate, which was defined as the percentage of participants who achieved clinical effectiveness over the total number of assessable effectiveness analysis population, was presented. Clinical effectiveness of sildenafil citrate was assessed as effective, ineffective or unassessable by the physician/investigator. Overall effectiveness of sildenafil citrate was determined by the physician/investigator based on clinical symptoms, laboratory values, and other examinations such as echocardiogram. Participants achieved clinical effectiveness by age were counted to assess whether it contributes to the clinical effectiveness." (NCT00666198)
Timeframe: 3 years

InterventionPercentage of Participants (Number)
˂15 years (n=1049)≥15 years (n=2252)
Revatio (Sildenafil Citrate)72.062.0

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Clinical Efficacy Rate by Disease Type

"Clinical effectiveness rate, which was defined as the percentage of participants who achieved clinical effectiveness over the total number of assessable effectiveness analysis population, was presented. Clinical effectiveness of sildenafil citrate was assessed as effective, ineffective or unassessable by the physician/investigator. Overall effectiveness of sildenafil citrate was determined by the physician/investigator based on clinical symptoms, laboratory values, and other examinations such as echocardiogram. Participants achieved clinical effectiveness by disease type were counted to assess whether it contributes to the clinical effectiveness.~* indicates Associated Pulmonary Arterial Hypertension (APAH). ** refers to Pulmonary Veno Occlusive Disease/Pulmonary Capillary Hemangiomatosis." (NCT00666198)
Timeframe: 3 years

InterventionPercentage of Participants (Number)
Idiopathic/Familial PAH(IPAH/FPAH) (n=743)Collagen Vascular Disease* (n=666)Congenital Systemic to Pulmonary Shunts* (n=984)PVOD/PCH** (n=44)Persistent PH of the Newborn (PPHN) (n=59)Other PAH (n=139)Other Than PAH (n=665)Unknown (n=1)
Revatio (Sildenafil Citrate)67.661.672.940.955.967.656.5100.0

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Net Tissue-type Plasminogen Activator (t-PA) Release

Individual net t-PA release at each time point were calculated by the following formula: net release = (Cv-CA) x {FBF x [101-hematocrit/100]}, where Cv and CA represent the concentration of t-PA in the brachial vein and artery, respectively. (NCT00685945)
Timeframe: During and after each study drug administration

,,,
Interventionng/min/100ml (Mean)
Net t-PA release (bradykinin 0ng/min)Net t-PA release (bradykinin 50ng/min)Net t-PA release (bradykinin 100ng/min)Net t-PA release (bradykinin 200ng/min)
Control0.241.0211.8130.03
Isosorbide + L-NMMA + Control-0.383.1415.9045.32
L-NMMA + Control0.593.6522.1039.90
Sildenafil + L-NMMA + Control0.292.4618.4837.39

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Net Glucose Uptake

Individual net reuptake rates at each time point were calculated by the following formula: net uptake = (Cv-CA) x {FBF x [101-hematocrit/100]}, where Cv and CA represent the concentration of glucose in the brachial vein and artery, respectively. (NCT00685945)
Timeframe: At baseline and after maximum dose of bradykinin

,,,
Interventionmicrogram/min/100ml (Mean)
Net glucose uptake (bradykinin 0 ng/min)Net glucose uptake (bradykinin 200 ng/min)
Control-79.95-319.85
Isosorbide + L-NMMA + Control-71.4-163.233
L-NMMA + Control-74.36-142.86
Sildenafil + L-NMMA + Control-67.3-125.32

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Forearm Blood Flow (FBF)

Forearm blood flow was measured by strain gauge plethysmography (NCT00685945)
Timeframe: During and after each study drug administration

,,,
Interventionml/min/100ml (Mean)
FBF (bradykinin 0 ng/min)FBF (bradykinin 50ng/min)FBF (bradykinin 100ng/min)FBF (bradykinin 200 ng/min)
Control4.037.0213.1717.74
Isosorbide + L-NMMA + Control2.184.736.839.91
L-NMMA + Control2.365.168.6711.21
Sildenafil + L-NMMA + Control2.805.879.1312.92

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Left Ventricular Torsion Defined as Change in Ventricular Mid-wall Rotation (°) Measured by Cine-Cardiac Magnetic Resonance (CMR) Imaging With Tagging, Before and After Three Months of Treatment With Sildenafil and Placebo (100 mg/Day).

Diabetic cardiomyopathy and hypertrophy are characterized by an increase in cardiac torsion Normal value of rotation are < 12°; in hypertrophic heart such values can raise up to 20-25°. A reduction in left ventricular wall rotation is a sign of improvement after removal of known causes of hypertrophy (for example after surgical repair of aortic stenosis). Based on previous studies a reduction of 3 degrees (°) is considered clinically significant. (NCT00692237)
Timeframe: 0 and + 3 months

InterventionDegree angle (delta) (Mean)
Sildenafil-3.89
Placebo2.13

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Ejection Fraction (EF) Defined as the Volume of Blood Ejected With Each Beat Was Measured on Cine-Cardiac Magnetic Resonance (CMR) Images Before and After Three Months Treatment With Sildenafil and Placebo (100 mg/Day).

The volume of blood within a ventricle immediately before a contraction is known as the end-diastolic volume; the volume of blood left in a ventricle at the end of contraction is end-systolic volume. The difference between end-diastolic volume and end-systolic volumes is the volume of blood ejected with each beat. Ejection fraction (Ef) is the fraction of the end-diastolic volume that is ejected with each beat; expressed as percentage of EDV. This is a measure of cardiac performance that can be deteriorated in diabetic cardiomyopathy. (NCT00692237)
Timeframe: 0 and + 3 months

InterventionPercentage % of volume (delta) (Mean)
Sildenafil2.77
Placebo3.14

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"Question 1 I Felt as if I Did Not Have ED Score of the Patient Perception and Feelings Questions (PPF-Q) at Endpoint"

Scores for Question 1 range from 0 (not at all) to 4 (extremely). (NCT00734604)
Timeframe: 8 weeks of each treatment

Interventionunits on a scale (Mean)
Tadalafil Once a Day [T(OaD)]1.83
Sildenafil as Needed [S(PRN)]1.78
Tadalafil as Needed [T(PRN)]1.77

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"Question 2 I Felt in Control of my Sex Life Score of the Patient Perception and Feelings Questions (PPF-Q) at Endpoint"

Scores for Question 2 range from 0 (not at all) to 4 (extremely). (NCT00734604)
Timeframe: 8 weeks of each treatment

Interventionunits on a scale (Mean)
Tadalafil Once a Day [T(OaD)]2.33
Sildenafil as Needed [S(PRN)]2.14
Tadalafil as Needed [T(PRN)]2.36

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"Question 3 I Felt the Drug Was in Control of my Erections Score of the Patient Perception and Feelings Questions (PPF-Q) at Endpoint"

Scores for Question 3 range from 0 (not at all) to 4 (extremely). (NCT00734604)
Timeframe: 8 weeks of each treatment

Interventionunits on a scale (Mean)
Tadalafil Once a Day [T(OaD)]1.99
Sildenafil as Needed [S(PRN)]2.28
Tadalafil as Needed [T(PRN)]2.50

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"Question 4 I Felt Like a Whole Man Score of the Patient Perception and Feelings Questions (PPF-Q) at Endpoint"

Scores for Question 4 range from 0 (not at all) to 4 (extremely). (NCT00734604)
Timeframe: 8 weeks of each treatment

Interventionunits on a scale (Mean)
Tadalafil Once a Day [T(OaD)]2.53
Sildenafil as Needed [S(PRN)]2.57
Tadalafil as Needed [T(PRN)]2.44

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Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) Score at Endpoint

EDITS is a questionnaire-based inventory capturing a participant's subjective evaluation of treatment for the participant's erection problems. All items on the 11-item Patient EDITS were scored from zero (no satisfaction or dissatisfaction) to four (high satisfaction). The EDITS Summary Score (transformed) is obtained by adding each individual score for all questions, dividing by the number of questions, and multiplying by 25, so that EDITS scores could range from a low of 0 (extremely low treatment satisfaction) to a high of 100 (extremely high treatment satisfaction). (NCT00734604)
Timeframe: 8 weeks of each treatment

Interventionunits on a scale (Mean)
Tadalafil Once a Day [T(OaD)]75.81
Sildenafil as Needed [S(PRN)]75.68
Tadalafil as Needed [T(PRN)]79.50

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Number of Participants With at Least One Serious Adverse Event

Serious adverse events are listed in the Reported Adverse Event module. (NCT00734604)
Timeframe: baseline through 26 weeks (including two washout periods of 1 week each)

Interventionparticipants (Number)
Tadalafil Once a Day [T(OaD)]4
Sildenafil as Needed [S(PRN)]5
Tadalafil as Needed [T(PRN)]2

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Change From Baseline Between Tadalafil Once a Day (OaD) and Sildenafil as Needed (PRN) in Sexual Self-Confidence Domain of Psychological and Interpersonal Relationship Scales (PAIRS)

The PAIRS is a self-administed scale that assesses the broader psychological and interpersonal outcomes associated with erectile dysfunction and its treatment. Sexual Self-Confidence score is the average of responses on 6 PAIRS item scores. Sexual Self-Confidence scores range from 1 (strongly disagree) to 4 (strongly agree). Higher scores are indicative of greater sexual self-confidence. (NCT00734604)
Timeframe: baseline, 8 weeks of each treatment

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Sildenafil as Needed [S(PRN)]2.230.39
Tadalafil Once a Day [T(OaD)]2.240.50

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Change From Baseline Between Tadalafil Once a Day (OaD) and Tadalafil as Needed (PRN) in Sexual Self-Confidence Domain of Psychological and Interpersonal Relationship Scales (PAIRS)

The PAIRS is a self-administed scale that assesses the broader psychological and interpersonal outcomes associated with erectile dysfunction and its treatment. Sexual Self-Confidence score is the average of responses on 6 PAIRS item scores. Sexual Self-Confidence scores range from 1 (strongly disagree) to 4 (strongly agree). Higher scores are indicative of greater sexual self-confidence. (NCT00734604)
Timeframe: baseline, 8 weeks of each treatment

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Tadalafil as Needed [T(PRN)]2.240.50
Tadalafil Once a Day [T(OaD)]2.240.50

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Change From Baseline to Endpoint in the Erectile Function Domain of the International Index of Erectile Function (IIEF)

Self-reported erectile function over the past 4 weeks. Scores range from 0 (low or no erectile function) to 5 (high erectile function) on 6 questions (1-5, 15 of the IIEF). Total Erectile Function Domain scores range from 0 to 30. (NCT00734604)
Timeframe: baseline, 8 weeks of each treatment

,,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Sildenafil as Needed [S(PRN)]15.409.70
Tadalafil as Needed [T(PRN)]15.559.54
Tadalafil Once a Day [T(OaD)]15.608.68

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Change From Baseline to Endpoint in the Intercourse Satisfaction (IS) Domain of the IIEF

Self-reported intercourse satisfaction over the past 4 weeks. Scores range from 0 (low/no satisfaction to 5 (high satisfaction), thus the 3 questions of the IIEF-IS domain range from 0 to 15. (NCT00734604)
Timeframe: baseline, 8 weeks of each treatment

,,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Sildenafil as Needed [S(PRN)]8.343.99
Tadalafil as Needed [T(PRN)]8.373.83
Tadalafil Once a Day [T(OaD)]8.353.33

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Change From Baseline to Endpoint in the Proportion of Days With at Least One Morning Erection

(NCT00734604)
Timeframe: baseline, 8 weeks of each treatment

,,
Interventionproportion of days (Mean)
BaselineChange from Baseline
Sildenafil as Needed [S(PRN)]0.270.11
Tadalafil as Needed [T(PRN)]0.280.20
Tadalafil Once a Day [T(OaD)]0.280.26

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Change From Baseline to Endpoint in the Time Concerns Domain of PAIRS

The PAIRS is a self-administed scale that assesses the broader psychological and interpersonal outcomes associated with erectile dysfunction and its treatment. Time Concerns score is the average of responses on 8 PAIRS item scores. Time Concerns scores range from 1 (strongly disagree) to 4 (strongly agree). Higher scores are indicative of greater sexual self-confidence. (NCT00734604)
Timeframe: baseline, 8 weeks of each treatment

,,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Sildenafil as Needed [S(PRN)]2.420.00
Tadalafil as Needed [T(PRN)]2.42-0.17
Tadalafil Once a Day [T(OaD)]2.43-0.30

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Change From Baseline to Endpoint in the Spontaneity Domain of PAIRS

The PAIRS is a self-administed scale that assesses the broader psychological and interpersonal outcomes associated with erectile dysfunction and its treatment. Spontaneity score is the average of responses on 9 PAIRS item scores. Spontaneity scores range from 1 (strongly disagree) to 4 (strongly agree). Higher scores are indicative of greater spontaneity. (NCT00734604)
Timeframe: baseline, 8 weeks of each treatment

,,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Sildenafil as Needed [S(PRN)]3.07-0.05
Tadalafil as Needed [T(PRN)]3.070.07
Tadalafil Once a Day [T(OaD)]3.060.10

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Change From Baseline to Endpoint in the Self-Esteem And Relationship (SEAR) Questionnaire Transformed Total Score

Measures improvement in self-esteem and relationship satisfaction. Questionnaire consists of two domains, Sexual Relationship (items 1-8) and Confidence (items 9-14). Overall score is transformed onto a 0 (least favorable) to 100 (most favorable) scale. Overall score was calculated from two domains and subscales scores. (NCT00734604)
Timeframe: baseline, 8 weeks of each treatment

,,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Sildenafil as Needed [S(PRN)]50.5022.87
Tadalafil as Needed [T(PRN)]50.6924.13
Tadalafil Once a Day [T(OaD)]50.2822.94

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Change From Baseline to Endpoint in the Overall Satisfaction (OS) Domain of the IIEF

Self-reported overall satisfaction over the past 4 weeks. Scores range from 0 (low/no satisfaction to 5 (high satisfaction), thus the 2 questions of the IIEF-OS domain range from 0 to 10. (NCT00734604)
Timeframe: baseline, 8 weeks of each treatment

,,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Sildenafil as Needed [S(PRN)]5.222.87
Tadalafil as Needed [T(PRN)]5.272.84
Tadalafil Once a Day [T(OaD)]5.262.60

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Minnesota Living With Heart Failure Questionnaire (MLWHFQ)

"The MLWHFQ is a self-administered, disease-specific measure of health related quality of life (QOL) that assesses patients perceptions of the influence of heart failure on physical, socioeconomic and psychological aspects of life. Patients respond to 21 items using a six-point response scale (0-5). The total summary score can range from 0-105 with a lower score reflecting better heart failure related QOL. Two sub-scale scores reflect physical (8 items) and emotional (5 items) impairment.~Total score: 0 - 105 Physical subscore: 0 - 40 Emotional subscore: 0 - 25" (NCT00763867)
Timeframe: Change from Baseline to Week 12

Interventionunits on a scale (Mean)
Placebo-8.3
Sildenafil-6.2

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MRI Aortic Distensibility

An increase in Aortic Distensibility is considered to be an improvement (NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventioncm^2*dyne-1 (Mean)
Placebo0.12
Sildenafil0.29

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MRI Aortic Thickness

A decrease in Aortic Thickness is considered an improvement (NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventionmm (Mean)
Placebo0.01
Sildenafil-0.03

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MRI Effective Arterial Elastance

A decrease in Effective Arterial Elastance is considered an improvement (NCT00763867)
Timeframe: Change from Baseline to Week 24

InterventionFarads-1 (Mean)
Placebo0.04
Sildenafil-0.15

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MRI Left Ventricular Ejection Fraction (LVEF)

An increase in LVEF is considered an improvement (NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventionpercentage of volume (Mean)
Placebo0.55
Sildenafil0.62

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MRI Left Ventricular End Diastolic Volume

An increase in Left Ventricular End Diastolic Volume is considered an improvement (NCT00763867)
Timeframe: Change from Baseline to Week 24

InterventionmL (Mean)
Placebo-3.70
Sildenafil3.61

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MRI Left Ventricular End Diastolic Volume Index

An increase in Left Ventricular End Diastolic Volume Index is considered an improvement (NCT00763867)
Timeframe: Change from Baseline to Week 24

InterventionmL/m^2 (Mean)
Placebo-1.73
Sildenafil2.11

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MRI Left Ventricular End Systolic Volume Index

An increase in Left Ventricular End Systolic Volume Index is considered an improvement (NCT00763867)
Timeframe: Change from Baseline to Week 24

InterventionmL/m^2 (Mean)
Placebo-0.82
Sildenafil0.25

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MRI Left Ventricular Mass

A decrease in LV Mass is considered an improvement (NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventiongm (Mean)
Placebo0.29
Sildenafil-0.07

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MRI Left Ventricular Mass Index

A decrease in Left Ventricular Mass Index is considered an improvement (NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventiongm/m^2 (Mean)
Placebo0.47
Sildenafil0.61

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MRI Systemic Vascular Resistance

A decrease in Systemic Vascular Resistance is considered an improvement (NCT00763867)
Timeframe: Change from Baseline to Week 24

InterventionWoods units (Mean)
Placebo0.06
Sildenafil-0.10

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N-terminal Pro B-type Natriuretic Peptide (NT Pro-BNP)

(NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventionpg/mL (Mean)
Placebo-50.52
Sildenafil158.25

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Procollagen III N-terminal Peptide

(NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventionug/L (Mean)
Placebo0.58
Sildenafil0.41

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Uric Acid

(NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventionmg/dL (Mean)
Placebo-0.11
Sildenafil0.51

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Ventilatory Anaerobic Threshold

To interpret the Ventilatory Anaerobic Threshold (VAT) change endpoints, an increase in VAT between Baseline and Week 12/Week 24 is considered to be an improvement (NCT00763867)
Timeframe: Change from Baseline to Week 12

Interventionml/min/kg (Mean)
Placebo-0.01
Sildenafil0.06

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Ventilatory Anaerobic Threshold

To interpret the Ventilatory Anaerobic Threshold (VAT) change endpoints, an increase in VAT between Baseline and Week 12/Week 24 is considered to be an improvement (NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventionml/min/kg (Mean)
Placebo-0.10
Sildenafil0.17

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Best Available Glomerular Filtration Rate (GFR)

Best available=local lab results when core lab results not available (NCT00763867)
Timeframe: Change from Baseline to Week 24

InterventionmL/min/1.73m^2 (Mean)
Placebo-0.91
Sildenafil-3.27

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Aldosterone

(NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventionpg/mL (Mean)
Placebo7.04
Sildenafil1.22

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Best Available Creatinine

Best available=local lab results only when core lab results not available (NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventionmg/dL (Mean)
Placebo0.02
Sildenafil0.09

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Cardiopulmonary Exercise Test (CPET) Duration

To interpret the CPET Exercise Duration change endpoints, an increase in exercise duration between Baseline and Week 12/Week 24 is considered to be an improvement (NCT00763867)
Timeframe: Change from Baseline to Week 12

Interventionminutes (Mean)
Placebo0.25
Sildenafil-0.15

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Cardiopulmonary Exercise Test (CPET) Duration

To interpret the CPET Exercise Duration change endpoints, an increase in exercise duration between Baseline and Week 12/Week 24 is considered to be an improvement (NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventionminutes (Mean)
Placebo9.82
Sildenafil9.77

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Collagen Type I (CITP)

(NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventionug/L (Mean)
Placebo-0.17
Sildenafil5.61

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Composite Score Reflective of Clinical Status

"Participants ranked sequentially with ranking stratified in one of three tiers based on:~Death (lowest tier) The person with the shortest time from randomization to death is given the lowest rank within the tier.~Hospitalizations due to cardiovascular or renal causes (middle tier) For patients alive, the ranking within this tier is based on time to hospitalization from randomization date. The person with the first cardiovascular or renal cause hospitalization will be given the lowest rank within the tier.~Change in Minnesota Living with Heart Failure Questionnaire (MLWHFQ) from baseline (highest tier)~The use of three tiers within the ranking reflects the greater adverse impact of death or cardiovascular hospitalization on clinical status without an arbitrary assignment as to the relative value of these events in relation to changes in quality of life. Rank order: 1-189 (higher values are better)" (NCT00763867)
Timeframe: Measured at Week 24

Interventionunits on a scale (Mean)
Placebo95.8
Sildenafil94.2

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Cyclic Guanosine Monophosphate (cGMP)

(NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventionpmol/mL (Mean)
Placebo1.28
Sildenafil8.72

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Cystatin C

(NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventionmg/L (Mean)
Placebo-0.01
Sildenafil0.10

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ECHO Effective Arterial Elastance

A decrease in Effective Arterial Elastance is considered an improvement (NCT00763867)
Timeframe: Change from Baseline to Week 24

InterventionFarads-1 (Mean)
Placebo0.03
Sildenafil-0.07

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ECHO Pulmonary Artery Systolic Pressure

A decrease in Pulmonary Artery Systolic Pressure is considered to be an improvement (NCT00763867)
Timeframe: Change from Baseline to Week 24

InterventionmmHg (Mean)
Placebo-0.15
Sildenafil0.32

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ECHO Systemic Vascular Resistance

A decrease in Systemic Vascular Resistance is considered an improvement (NCT00763867)
Timeframe: Change from Baseline to Week 24

InterventionWoods units (Mean)
Placebo0.01
Sildenafil-0.01

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Echocardiogram Left Ventricular Mass

A decrease in Left Ventricular Mass is considered an improvement (NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventiongm (Mean)
Placebo-1.93
Sildenafil-8.79

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Endothelin-1

(NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventionpg/mL (Mean)
Placebo0.04
Sildenafil0.49

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Exercise Capacity as Determined by Walk Distance

6 Minute Walk Distance (NCT00763867)
Timeframe: Change from Baseline to Week 12

Interventionmeters (Mean)
Placebo26.2
Sildenafil5.2

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Exercise Capacity as Determined by Walk Distance

6 minute walk distance (NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventionmeters (Mean)
Placebo17.5
Sildenafil12.0

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Exercise Capacity, as Determined by Peak Oxygen Uptake

(NCT00763867)
Timeframe: Change from Baseline to Week 12

Interventionml/min/kg (Mean)
Placebo0.02
Sildenafil0.03

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Exercise Capacity, as Determined by Peak Oxygen Uptake

(NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventionml/min/kg (Mean)
Placebo-0.07
Sildenafil-0.12

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Furosemide-Equivalent Dose

(NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventionmg (Mean)
Placebo-0.23
Sildenafil7.27

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Galectin 3

(NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventionng/mL (Mean)
Placebo1.10
Sildenafil1.26

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High Sensitivity C-Reactive Protein

(NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventionmg/L (Mean)
Placebo0.36
Sildenafil0.32

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High Sensitivity Troponin I

(NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventionpg/mL (Mean)
Placebo3.88
Sildenafil11.11

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Lateral Diastolic Elastance

A decrease in Lateral Diastolic Elastance is considered an improvement (NCT00763867)
Timeframe: Change from Baseline to Week 24

Intervention(m/sec)/cc (Mean)
Placebo-0.00
Sildenafil-0.01

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Lateral Filling Pressure

A decrease in lateral filling pressure is considered an improvement (NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventionm/sec (Mean)
Placebo-0.44
Sildenafil-0.04

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Lateral Left Ventricular Relaxation

An increase in Left Ventricular relaxation is considered to be an improvement (NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventionm/sec (Mean)
Placebo-0.00
Sildenafil-0.00

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Medial Diastolic Elastance

A decrease in Medial Diastolic Elastance is considered an improvement (NCT00763867)
Timeframe: Change from Baseline to Week 24

Intervention(m/sec)/cc (Mean)
Placebo-0.03
Sildenafil-0.01

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Medial Filling Pressure

A decrease in medial filling pressure is considered an improvement (NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventionm/sec (Mean)
Placebo-1.64
Sildenafil0.33

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Medial Left Ventricular Relaxation

An increase in Left Ventricular relaxation is considered to be an improvement (NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventionm/sec (Mean)
Placebo0.00
Sildenafil-0.00

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Minnesota Living With Heart Failure Questionnaire

The MLWHFQ is a self-administered, disease-specific measure of health related quality of life (QOL) that assesses patients perceptions of the influence of heart failure on physical, socioeconomic and psychological aspects of life. Patients respond to 21 items using a six-point response scale (0-5). The total summary score can range from 0-105 with a lower score reflecting better heart failure related QOL. Two sub-scale scores reflect physical (8 items) and emotional (5 items) impairment. (NCT00763867)
Timeframe: Change from Baseline to Week 24

Interventionunits on a scale (Mean)
Placebo-9.2
Sildenafil-8.3

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The Distance Walked During the 6-minute Walk Test 1 hr After the Oral Administration of Sildenafil 50 mg.

A standardized course was used to determine the distance walked (meters) during a 6 min walk supervised by a nurse trained in performance of the test. (NCT00781508)
Timeframe: Measured 1 hr after oral administration of sildenafil 50 mg

Interventionmeters (Mean)
Sildenafil First Then Placebo210
Placebo First Then Sildenafil219

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Reduction of the Left Ventricular Filling Pressure in Association With Administration of Sildenafil

Left ventricular filling pressure was assessed by the ratio of the velocity of early mitral inflow (E) divided by the early tissue velocity (e). E/e (NCT00781508)
Timeframe: Left ventricular filling pressure was assessed 1 hr after oral administration of sildenafil

InterventionE/e' ratio (Mean)
Sildenafil First Then Placebo16.7
Placebo First Then Sildenafil16.4

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Change in 36-Item Short-Form Health Survey (SF-36) From Baseline at Weeks 12, 24 and 48 - Composite Mental Health

SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning). Change from baseline = Composite Mental Health score at Week x minus score at baseline. (NCT00796666)
Timeframe: Baseline, Weeks 12, 24 or ET

,
Interventionunits on a scale (Mean)
BaselineChange at Week 12Change at Week 24
Sitaxsentan and Placebo45.1-0.40.3
Sitaxsentan and Sildenafil43.91.6-0.6

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Change in 36-Item Short-Form Health Survey (SF-36) From Baseline at Weeks 12, 24 and 48 - General Health Domain

SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning). Change from baseline = General Health score at Week x minus score at baseline. (NCT00796666)
Timeframe: Baseline, Weeks 12, 24 or ET

,
Interventionunits on a scale (Mean)
BaselineChange at Week 12Change at Week 24
Sitaxsentan and Placebo38.8-0.50.5
Sitaxsentan and Sildenafil38.92.12.8

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Change in 36-Item Short-Form Health Survey (SF-36) From Baseline at Weeks 12, 24 and 48 - Bodily Pain Domain

SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning). Change from baseline = Bodily Pain score at Week x minus score at baseline. (NCT00796666)
Timeframe: Baseline, Weeks 12, 24 or ET

,
Interventionunits on a scale (Mean)
BaselineChange at Week 12Change at Week 24
Sitaxsentan and Placebo46.9-0.7-1.6
Sitaxsentan and Sildenafil45.13.10.8

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Change From Baseline in World Health Organization (WHO) Functional Class in Participants With PAH at Weeks 12, 24, 48

WHO PAH Functional Classification of physical activity limitations: I (no limitation), II (slight limitation), III (marked limitations, comfortable at rest) and IV (unable to carry out any physical activity without symptoms). The change from baseline in WHO class was classified as Improved (decrease in functional class), No Change (functional class stayed the same), and Worsened (functional class increased). The change from baseline in WHO functional class at Week X was summarized with frequency count and percentage in each category based on imputed data for missing values at Week X. (NCT00796666)
Timeframe: Baseline, Weeks 12, 24 or ET

,
Interventionparticipant (Number)
Week 12 ImprovementWeek 12 No ChangeWeek 12 DeteriorationWeek 24 ImprovementWeek 24 No ChangeWeek 24 Deterioration
Sitaxsentan and Placebo1452113531
Sitaxsentan and Sildenafil1449116471

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Change From Baseline in the Total Distance Walked During 6 Minute Walk Distance (6MWD)

6 MWD was the distance that a participant could walk in 6 minutes. Participants were asked to perform the test at a pace that was comfortable to them, with as many breaks as they needed. Continuous pulse oximetry was conducted during the test for safety. Change from baseline = score at Week x - score at baseline. (NCT00796666)
Timeframe: Baseline to Weeks 12 and 24

,
Interventionmeters (m) (Mean)
BaselineChange at Week 12Change at Week 24
Sitaxsentan and Placebo350.9-6.9-5.4
Sitaxsentan and Sildenafil354.723.217.5

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Time to Clinical Worsening (TTCW)

Clinical worsening defined as time between first dose of study drug and occurrence of death; or heart-lung/lung transplant; or hospitalization for worsening pulmonary atrial hypertension (PAH); or atrial septostomy; or withdrawal due to addition of chronic medications for treatment of worsening PAH: prostacyclin/prostacyclin analogues/phosphodiesterase-5inhibitors/alternative endothelin receptor antagonists/intravenous inotropes; or increase of calcium channel blockers or oxygen. TTCW measured as duration between study's first dose date in and date when first clinical worsening event occurs. (NCT00796666)
Timeframe: Baseline, Weeks 12, 24 or Early Termination (ET)

InterventionDays (Median)
Sitaxsentan and PlaceboNA
Sitaxsentan and SildenafilNA

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Change in 36-Item Short-Form Health Survey (SF-36) From Baseline at Weeks 12, 24 and 48 - Social Functioning Domain

SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning). Change from baseline = Social Functioning score at Week x minus score at baseline. (NCT00796666)
Timeframe: Baseline, Weeks 12, 24 or ET

,
Interventionunits on a scale (Mean)
BaselineChange at Week 12Change at Week 24
Sitaxsentan and Placebo41.80.40.9
Sitaxsentan and Sildenafil41.52.50.7

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Change in 36-Item Short-Form Health Survey (SF-36) From Baseline at Weeks 12, 24 and 48 - Vitality Domain

SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning). Change from baseline = Vitality score at Week x minus score at baseline. (NCT00796666)
Timeframe: Baseline, Weeks 12, 24 or ET

,
Interventionunits on a scale (Mean)
BaselineChange at Week 12Change at Week 24
Sitaxsentan and Placebo46.6-0.71.4
Sitaxsentan and Sildenafil45.73.22.9

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Change in 36-Item Short-Form Health Survey (SF-36) From Baseline at Weeks 12, 24 and 48 - Composite Physical Health

SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning). Change from baseline = Composite Physical Health score at Week x minus score at baseline. (NCT00796666)
Timeframe: Baseline, Weeks 12, 24 or ET

,
Interventionunits on a scale (Mean)
BaselineChange at Week 12Change at Week 24
Sitaxsentan and Placebo39.7-0.1-0.1
Sitaxsentan and Sildenafil39.12.43.1

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Change in 36-Item Short-Form Health Survey (SF-36) From Baseline at Weeks 12, 24 and 48 - Mental Health Domain

SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning). Change from baseline = Mental Health score at Week x minus score at baseline. (NCT00796666)
Timeframe: Baseline, Weeks 12, 24 or ET

,
Interventionunits on a scale (Mean)
BaselineChange at Week 12Change at Week 24
Sitaxsentan and Placebo45.00.21.6
Sitaxsentan and Sildenafil44.52.51.3

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Change in 36-Item Short-Form Health Survey (SF-36) From Baseline at Weeks 12, 24 and 48 - Physical Functioning Domain

SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning). Change from baseline = Physical Functioning score at Week x minus score at baseline. (NCT00796666)
Timeframe: Baseline, Weeks 12, 24 and ET

,
Interventionunits on a scale (Mean)
BaselineChange at Week 12Change at Week 24
Sitaxsentan and Placebo37.7-0.30.7
Sitaxsentan and Sildenafil37.02.93.7

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Change in 36-Item Short-Form Health Survey (SF-36) From Baseline at Weeks 12, 24 and 48 - Role Limitation Due to Emotional Problems Domain

SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning). Change from baseline = Role Limitations Due to Emotional Problems score at Week x minus score at baseline. (NCT00796666)
Timeframe: Baseline, Weeks 12, 24 or ET

,
Interventionunits on a scale (Mean)
BaselineChange at Week 12Change at Week 24
Sitaxsentan and Placebo40.1-1.9-0.5
Sitaxsentan and Sildenafil37.70.9-1.2

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Change in 36-Item Short-Form Health Survey (SF-36) From Baseline at Weeks 12, 24 and 48 - Role Limitations Due to Physical Health Problems Domain

SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning). Change from baseline = Role Limitations Due to Physical Health Problems score at Week x minus score at baseline. (NCT00796666)
Timeframe: Baseline, Weeks 12, 24 or ET

,
Interventionunits on a scale (Mean)
BaselineChange at Week 12Change at Week 24
Sitaxsentan and Placebo37.9-2.20.7
Sitaxsentan and Sildenafil36.81.52.6

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Change in the IIEF (International Index of Erectile Function) Score 6 Months After the Initial Screening Visit.

There are 15 questions, each divided into 5 domains. Maximum score is 75 = best function, and minimum is 5 = worst function (NCT00848497)
Timeframe: Baseline and 6 months

Interventionunits on a scale (Number)
Placebo Testim + Viagra1

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Change in SHIM (Sexual Health Inventory for Males) Score at 6 Months After Initial Screening Visit.

SHIM range is 0-25. 0= no sexual activity;1-7 severe ED; 8-11 Moderate ED; 12-16 Mild to Moderate ED; 17-21 Mild ED (NCT00848497)
Timeframe: Baseline and 6 months

Interventionunits on a scale (Number)
Placebo Testim + Viagra0

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Change in the ADAM (Androgen Deficiency in the Aging Male)Score 6 Months After the Initial Screening Visit.

"ADAM scores of one evaluated patient. ADAM is 10 questions (yes or no answers) and if you answer yes to question 1 or 7 or yes to any 3 questions you are said to test positive to the ADAM questionnaire." (NCT00848497)
Timeframe: Baseline and 6 months

Interventionnumber of yes answers (Number)
Placebo Testim + Viagra1

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Change in the EPIC (Expanded Prostate Cancer Index Composite) Score 6 Months After the Initial Screening Visit.

EPIC is scored from 0 -100,lower EPIC score= worse, higher EPIC score= better (NCT00848497)
Timeframe: Basline and 6 months

Interventionunits on a scale (Number)
Placebo Testim + Viagra-11

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Number of Participants With Clinically Significant Change in Electrocardiogram (ECG) Values

Criteria for clinically significant changes (changes of potential clinical concern) in ECG parameters: increase from baseline of >=30 to <60 milliseconds (msec) or >=60 msec in corrected QT interval (QTc), QT interval corrected using Fridericia's correction (QTcF) and QT interval corrected using Bazett's correction (QTcB); Increase from baseline of >= 25% (when baseline was >200 msec) or increase from baseline of >=50% (when baseline was <=200 msec) in PR interval; and Increase from baseline of >= 25% (when baseline was >100 msec) or increase from baseline of >=50% (when baseline was <=100 msec) in QRS interval. Number of participants with any clinically significant change in ECG values were reported. (NCT00853112)
Timeframe: Baseline up-to follow up (Day 3 to 5)

InterventionParticipants (Count of Participants)
Placebo0
PF-00489791 1 mg0
PF-00489791 2 mg0
PF-00489791 4 mg0
PF-00489791 10 mg0
PF-00489791 20 mg0
Sildenafil0

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Change From Baseline in Pulmonary Capillary Wedge Pressure (PCWP), Mean Systemic Arterial Pressure (SAP), Systolic Systemic Arterial Pressure (sSAP) and Diastolic Systemic Arterial Pressure (dSAP) at Hour 1, 2, 3 and 4 Post Dose

Hourly changes from baseline in hemodynamic parameters were reported. Hemodynamic parameters including PCWP, SAP, sSAP and dSAP were measured using a pressure transducer positioned at the mid-axillary line with the participant in the supine position. All hemodynamic pressure measurements (except PCWP for which 1 measurement is sufficient) were performed as triplicate measurements and average was used. (NCT00853112)
Timeframe: Baseline, 1, 2, 3, 4 hours post-dose on Day 1

,,,,,,
InterventionmmHg (Mean)
Baseline: PCWPBaseline: SAPBaseline: sSAPBaseline: dSAPPCWP: Change at hour 1SAP: Change at hour 1sSAP: Change at hour 1dSAP: Change at hour 1PCWP: Change at hour 2SAP: Change at hour 2sSAP: Change at hour 2dSAP: Change at hour 2PCWP: Change at hour 3SAP: Change at hour 3sSAP: Change at hour 3dSAP: Change at hour 3PCWP: Change at hour 4SAP: Change at hour 4sSAP: Change at hour 4dSAP: Change at hour 4
PF-00489791 1 mg8.291.0132.067.00.3-5.8-9.5-4.3-0.3-6.1-8.2-4.30.8-1.5-5.5-1.20.8-4.3-4.3-2.3
PF-00489791 10 mg9.594.7131.571.00.3-1.4-2.3-0.7-0.2-6.1-5.2-4.51.0-1.7-9.2-1.01.7-2.2-4.7-0.8
PF-00489791 2 mg11.791.6116.974.9-0.3-5.9-0.6-6.7-1.0-3.3-0.7-3.0-0.7-4.71.3-5.4-0.1-4.6-1.7-4.1
PF-00489791 20 mg10.495.5126.578.2-1.7-6.7-7.3-7.2-1.7-6.8-5.8-7.7-0.8-10.5-9.3-9.5-1.0-9.0-9.3-7.7
PF-00489791 4 mg7.396.0131.277.20.8-6.3-7.2-5.00.0-5.3-6.0-3.00.3-7.0-8.0-6.7-0.7-4.3-6.8-3.7
Placebo11.089.2122.571.3-0.5-2.02.3-0.70.2-3.3-0.5-2.5-0.3-2.5-0.3-1.3-0.7-5.8-1.3-2.8
Sildenafil10.297.5128.379.3-0.6-4.2-5.2-3.5-0.4-8.8-10.3-7.5-0.6-10.8-12.2-9.20.0-8.8-10.8-7.5

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Change From Baseline in Mean Pulmonary Artery Pressure (mPAP), Systolic Pulmonary Artery Pressure (sPAP), Diastolic Pulmonary Artery Pressure (dPAP), Right Atrial Pressure (RAP) at Hour 1, 2, 3 and 4 Post Dose

Hourly changes from baseline in hemodynamic parameters were reported. Hemodynamic parameters including mPAP, sPAP, dPAP and RAP were measured using a pressure transducer positioned at the mid-axillary line with the participant in the supine position. All hemodynamic pressure measurements were performed as triplicate measurements and average was used. (NCT00853112)
Timeframe: Baseline, 1, 2, 3, 4 hours post-dose on Day 1

,,,,,,
Interventionmillimeters of mercury (mmHg) (Mean)
Baseline: mPAPBaseline: sPAPBaseline: dPAPBaseline: RAPmPAP: Change at hour 1sPAP: Change at hour 1dPAP: Change at hour 1RAP: Change at hour 1mPAP: Change at hour 2sPAP: Change at hour 2dPAP: Change at hour 2RAP: Change at hour 2mPAP: Change at hour 3sPAP: Change at hour 3dPAP: Change at hour 3RAP: Change at hour 3mPAP: Change at hour 4sPAP: Change at hour 4dPAP: Change at hour 4RAP: Change at hour 4
PF-00489791 1 mg45.6771.229.35.3-3.00-5.3-0.31.2-3.67-8.5-0.50.01.17-2.83.30.5-3.50-7.7-0.71.0
PF-00489791 10 mg44.9568.229.75.70.38-2.84.70.21.05-1.73.80.52.10-1.34.80.7-0.28-8.75.30.3
PF-00489791 2 mg60.2984.145.09.3-2.00-3.3-2.3-1.01.29-0.61.6-1.0-1.71-5.0-0.4-1.1-0.86-4.91.1-0.7
PF-00489791 20 mg50.1768.639.18.3-6.00-7.0-6.4-1.4-5.50-6.4-7.3-1.0-6.33-8.6-6.7-2.4-6.33-4.9-8.9-1.7
PF-00489791 4 mg53.8383.835.78.5-1.50-3.0-0.5-1.3-0.83-4.2-0.5-1.5-3.17-4.0-1.80.8-2.50-3.3-2.20.0
Placebo53.6788.334.511.52.171.02.20.32.838.30.71.02.835.01.71.32.670.33.71.2
Sildenafil55.3382.541.06.5-2.67-6.5-2.0-0.3-1.00-6.5-0.30.0-0.67-4.5-1.3-0.2-0.67-3.7-1.00.5

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Change From Baseline in Mean Partial Pressure of Oxygen (PaO2) and Carbon Dioxide (PaCO2) at Hour 1 and 4 Post Dose

Arterial blood samples for PaO2 and PaCO2 collected via an arterial line were assessed. PaO2 is the measure of oxygen level in the arterial blood and PaCO2 is the measure of carbon dioxide level in the arterial blood. (NCT00853112)
Timeframe: Baseline; 1, 4 hours post-dose on Day 1

,,,,,,
InterventionmmHg (Mean)
PaO2: BaselinePaCO2: BaselinePaO2: Change at Hour 1PaCO2: Change at Hour 1PaO2: Change at Hour 4PaCO2: Change at Hour 4
PF-00489791 1 mg63.032.0-4.41.4-0.41.0
PF-00489791 10 mg72.436.3-10.8-2.1-10.3-3.3
PF-00489791 2 mg65.438.7-0.6-0.70.3-1.9
PF-00489791 20 mg73.239.3-13.71.4-7.70.6
PF-00489791 4 mg82.031.4-6.5-0.2-4.0-1.6
Placebo64.132.8-1.40.50.8-0.7
Sildenafil64.941.62.4-1.43.60.8

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Change From Baseline in Cardiac Index (CI) at Hour 1, 2, 3 and 4 Post Dose

CI was calculated as: CI (liters per minute per square meter [L/min/m^2]) = CO (taken as the average of the triplicate measurements) divided by BSA. BSA (m^2) = (0.007184) multiplied by (height in cm)^0.725 multiplied by (weight in kg)^0.425. (NCT00853112)
Timeframe: Baseline, 1, 2, 3, 4 hours post-dose on Day 1

,,,,,,
InterventionL/min/m^2 (Mean)
BaselineChange at hour 1Change at hour 2Change at hour 3Change at hour 4
PF-00489791 1 mg2.900.200.360.120.10
PF-00489791 10 mg2.300.490.590.540.38
PF-00489791 2 mg2.99-0.060.09-0.15-0.12
PF-00489791 20 mg3.07-0.130.140.190.26
PF-00489791 4 mg2.050.270.170.190.36
Placebo1.900.120.220.190.20
Sildenafil2.43-0.15-0.11-0.24-0.27

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Mean Change From Baseline in Heart Rate (HR) at Hour 1, 2, 3 and 4 Post Dose

Hourly changes from baseline in HR were reported. (NCT00853112)
Timeframe: Baseline, 1, 2, 3, 4 hours post-dose on Day 1

,,,,,,
Interventionbeats per minute (bpm) (Mean)
BaselineChange at hour 1Change at hour 2Change at hour 3Change at hour 4
PF-00489791 1 mg85.3-3.5-2.8-1.2-3.3
PF-00489791 10 mg77.26.89.710.25.7
PF-00489791 2 mg90.1-1.10.1-3.3-2.0
PF-00489791 20 mg91.9-0.9-2.3-3.1-6.1
PF-00489791 4 mg75.54.34.2-1.86.0
Placebo78.2-0.3-0.5-1.01.5
Sildenafil86.7-2.7-0.5-0.8-0.5

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Number of Participants With Clinically Significant Laboratory Values

Criteria for clinically significant laboratory values:hemoglobin, hematocrit and red blood cells(less than[<]0.8*lower limit of normal[LLN]); leucocytes (<0.6*LLN/greater than[>]1.5*upper limit of normal[ULN]);platelets (<0.5*LLN>1.75* ULN);neutrophils, lymphocytes(<0.8*LLN>1.2* ULN); eosinophils, basophils, monocytes (>1.2*ULN);bilirubin (>1.5*ULN);aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase(>3*ULN);creatinine, blood urea nitrogen (>1.3*ULN);glucose(<0.6*LLN>1.5* ULN); uric acid(>1.2*ULN);sodium(<0.95*LLN>1.05*ULN); potassium, chloride, calcium(<0.9*LLN>1.1* ULN); albumin, total protein(<0.8>1.2* ULN); creatine kinase(>2.0*ULN);urine red blood cells(RBCs), urine white blood cells(WBCs)(>=6 per high-powered field);qualitative urine glucose, urine ketones, urine protein, urine blood/hemoglobin(>=1); urine bacteria(>20 per high-powered field); pregnancy test, urine protein, quantitative random serum pregnancy test (>=1). (NCT00853112)
Timeframe: Baseline up-to follow up (Day 3 to 5)

InterventionParticipants (Count of Participants)
Placebo3
PF-00489791 1 mg3
PF-00489791 2 mg3
PF-00489791 4 mg3
PF-00489791 10 mg3
PF-00489791 20 mg3
Sildenafil3

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Mean Change From Baseline in Systemic Vascular Resistance Index (SVRI) Over 4 Hours Post Dose

SVRI was calculated as: SVRI (Wood units*m^2) = SVR multiplied by BSA. SVR (Wood units) = (mean SAP minus RAP) divided by CO (taken as the average of the triplicate measurements). BSA (m^2) = (0.007184) multiplied by (height in cm)^0.725 multiplied by (weight in kg)^0.425. SVRI values were converted to dyne*s*m^2/cm^5 from Woods units by multiplying by a factor of 79.9. The change from baseline in SVRI over 4-hour interval was calculated as the average of the change from baseline values at 1, 2, 3, and 4 hours post dose on Day 1. (NCT00853112)
Timeframe: Baseline, up to 4 hours post-dose on Day 1

Intervention(dyne*s*m^2)/cm^5 (Mean)
Placebo-486.8
PF-00489791 1 mg-193.9
PF-00489791 2 mg-145.7
PF-00489791 4 mg-609.6
PF-00489791 10 mg-704.7
PF-00489791 20 mg-272.8
Sildenafil97.6

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Change From Baseline in Pulmonary Vascular Resistance Index (PVRI) at Hour 1, 2, 3 and 4 Post Dose

PVRI was calculated as: PVR multiplied by BSA. PVR = (mean PAP minus PCWP) divided by CO (taken as the average of the triplicate measurements). BSA (m^2) = 0.007184 times height (cm)^0.725 times weight (kilogram)^0.425. Wood unit equals to 79.9 dyne*second/cm^5. Hourly changes from baseline in PVRI was reported. (NCT00853112)
Timeframe: Baseline, 1, 2, 3, 4 hours post-dose on Day 1

,,,,,,
Intervention(dyne*s*m^2)/cm^5 (Mean)
Change at hour 1Change at hour 2Change at hour 3Change at hour 4
PF-00489791 1 mg-121.86-167.42-22.45-115.49
PF-00489791 10 mg-228.30-302.42-244.54-292.65
PF-00489791 2 mg-15.842.9116.6442.55
PF-00489791 20 mg-183.51-315.71-276.37-240.48
PF-00489791 4 mg-333.75-210.86-326.88-416.28
Placebo32.03-84.78-51.15-85.20
Sildenafil121.33252.41392.24453.54

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Change From Baseline in Systemic Vascular Resistance Index (SVRI) at Hour 1, 2, 3 and 4 Post Dose

SVRI is the product of SVR and BSA. SVR equals to (mean SAP subtracted by RAP) divided by CO (taken as the average of the triplicate measurements). BSA (m^2) equals to 0.007184 times height (cm)^0.725 times weight (kilogram) ^0.425. Wood unit equals to 79.9 dyne*second/cm^5. Hourly changes from baseline in SVRI was reported. (NCT00853112)
Timeframe: Baseline, 1, 2, 3, 4 hours post-dose on Day 1

,,,,,,
Intervention(dyne*s*m^2)/cm^5 (Mean)
Change at hour 1Change at hour 2Change at hour 3Change at hour 4
PF-00489791 1 mg-281.26-308.47-115.91-69.89
PF-00489791 10 mg-616.40-893.81-739.16-569.43
PF-00489791 2 mg-145.25-222.83-92.23-122.36
PF-00489791 20 mg-48.54-347.45-369.29-325.95
PF-00489791 4 mg-602.63-381.01-502.93-874.51
Placebo-278.74-518.41-489.10-660.98
Sildenafil125.7134.4479.04151.18

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Greatest Reduction From Baseline in Pulmonary Vascular Resistance Index (PVRI) and Systemic Vascular Resistance Index (SVRI) Over 4 Hours Post Dose

PVRI was calculated as: PVRI (in Wood units*m^2) = PVR multiplied by BSA. PVR (in Wood units) = (mean PAP minus PCWP) divided by CO (taken as the average of the triplicate measurements). SVRI was calculated as: SVRI (Wood units*m^2) = systemic vascular resistance (SVR) multiplied by BSA. SVR (Wood units) = (mean systemic arterial pressure [mean SAP] minus right atrial pressure [RAP]) divided by CO (taken as the average of the triplicate measurements). BSA (m^2) = (0.007184) multiplied by (height in cm)^0.725 multiplied by (weight in kg)^0.425. PVRI and SVRI values were converted to dyne*s*m^2/cm^5 from Woods units by multiplying by a factor of 79.9. For each participant the greatest reduction (GR) from baseline in PVRI and SVRI over 4-hour interval was defined as the maximum reduction (greatest decrease or smallest increase) observed at 1, 2, 3, and 4 hours post dose on Day 1. (NCT00853112)
Timeframe: Baseline, up to 4 hours post-dose on Day 1

,,,,,,
Intervention(dyne*s*m^2)/cm^5 (Mean)
Baseline: SVRIGR over 4 hours: PVRIGR over 4 hours: SVRI
PF-00489791 1 mg2512.2-210.2-387.6
PF-00489791 10 mg3175.8-397.8-1000.6
PF-00489791 2 mg2599.6-143.4-394.1
PF-00489791 20 mg2577.1-385.9-524.1
PF-00489791 4 mg3679.1-600.9-1110.5
Placebo3560.6-180.8-806.1
Sildenafil3121.855.8-113.6

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Mean Change From Baseline in Pulmonary Vascular Resistance (PVR) and Systemic Vascular Resistance (SVR) at Hour 1, 2, 3 and 4 Post Dose

Hourly changes from baseline in PVR and SVR were reported. PVR was calculated by: PVR (Wood units) = (mean PAP minus PCWP) divided by CO (taken as the average of the triplicate measurements). SVR (Wood units) = (mean SAP minus RAP) divided by CO (taken as the average of the triplicate measurements). (NCT00853112)
Timeframe: Baseline, 1, 2, 3, 4 hours post-dose on Day 1

,,,,,,
InterventionWood units (Mean)
PVR: BaselineSVR: BaselinePVR: Change at hour 1SVR: Change at hour 1PVR: Change at hour 2SVR: Change at hour 2PVR: Change at hour 3SVR: Change at hour 3PVR: Change at hour 4SVR: Change at hour 4
PF-00489791 1 mg665.11537.4-82.9-174.7-112.5-194.2-8.4-66.6-81.7-53.2
PF-00489791 10 mg820.51873.9-147.1-373.1-196.7-538.9-153.9-432.3-188.5-353.9
PF-00489791 2 mg995.31648.8-24.2-139.0-6.5-173.7-3.2-93.810.5-117.8
PF-00489791 20 mg815.41654.8-138.4-39.1-194.4-206.3-150.7-233.7-133.6-215.6
PF-00489791 4 mg1117.22089.7-182.4-371.3-114.0-238.7-215.6-337.2-247.4-505.2
Placebo1217.02122.760.2-125.0-19.8-281.40.9-269.3-28.9-385.7
Sildenafil966.61948.867.963.9142.812.7223.330.9260.992.3

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Mean Change From Baseline in Pulmonary Vascular Resistance Index (PVRI) Over 4 Hours Post Dose

PVRI was calculated as: PVRI (in Wood units*meter^2 [m^2]) = pulmonary vascular resistance (PVR) multiplied by body surface area (BSA). PVR (in Wood units) = (mean pulmonary artery pressure [mean PAP] minus pulmonary capillary wedge pressure [PCWP]) divided by cardiac output (CO, taken as the average of the triplicate measurements). BSA (m^2) = (0.007184) multiplied by (height in centimeters [cm])^0.725 multiplied by (weight in kilograms [kg])^0.425. PVRI values were converted to dyne*second (s)*m^2/centimeter (cm)^5 from Woods units by multiplying by a factor of 79.9. The change from baseline in PVRI over 4-hour interval was calculated as the average of the change from baseline values at 1, 2, 3, and 4 hours post dose on Day 1. (NCT00853112)
Timeframe: Baseline, up to 4 hours post-dose on Day 1

,,,,,,
Intervention(dyne*s*m^2)/cm^5 (Mean)
BaselineChange over 4 hours post-dose
PF-00489791 1 mg1043.1-106.8
PF-00489791 10 mg1328.2-267.0
PF-00489791 2 mg1602.411.6
PF-00489791 20 mg1380.8-254.0
PF-00489791 4 mg1934.3-335.3
Placebo2026.5-47.3
Sildenafil1674.0304.9

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Change in Tricuspid Regurgitant Jet Velocity (TRV) From Baseline to Week 12 Among Sildenafil Group

Change in tricuspid regurgitant jet velocity (TRV) was calculated as TRV at week 12 minus TRV at baseline. The TRV provides an estimate of pulmonary artery pressure. (NCT00872170)
Timeframe: Baseline and Week 12

Interventionm/s (Mean)
Sildenafil-0.45

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Change in Echo Left Ventricular End Diastolic Volume (LVEDV) From Baseline to Week 12 Among Sildenafil Group

Change in echo left ventricular end diastolic volume (LVEDV) was calculated as LVEDV at week 12 minus LVEDV at baseline. (NCT00872170)
Timeframe: Baseline and Week 12

Interventionml (Mean)
Sildenafil-7.89

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Change in Arginase Activity From Baseline to Week 12 Among Sildenafil Group

Change in Arginase activity was calculated as Arginase activity at week 12 minus Arginase activity at baseline. (NCT00872170)
Timeframe: Baseline and Week 12

InterventionU/L (Mean)
Sildenafil0.33

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Change in Arginase Concentration From Baseline to Week 12 Among Sildenafil Group

Change in Arginase concentration was calculated as Arginase concentration at week 12 minus Arginase concentration at baseline. (NCT00872170)
Timeframe: Baseline and Week 12

Interventionng/ml (Mean)
Sildenafil-17.06

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Change in Cell Free Hemoglobin From Baseline to Week 12 Among Sildenafil Group

Change in Cell Free Hemoglobin was calculated as Cell Free Hemoglobin at week 12 minus Cell Free Hemoglobin at baseline. (NCT00872170)
Timeframe: Baseline and Week 12

Interventionug/ml (Mean)
Sildenafil-67.60

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Change in Echo Left Ventricular End Systolic Volume (LVESV) From Baseline to Week 12 Among Sildenafil Group

Change in echo left ventricular end systolic volume (LVESV) was calculated as LVESV at week 12 minus LVESV at baseline. (NCT00872170)
Timeframe: Baseline and Week 12

Interventionml (Mean)
Sildenafil-3.82

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Change in Lactate Dehydrogenase (LDH) From Baseline to Week 12 Among Sildenafil Group

Change in Lactate dehydrogenase (LDH) was calculated as LDH at week 12 minus LDH at baseline. (NCT00872170)
Timeframe: Baseline and Week 12

InterventionU/L (Mean)
Sildenafil23.37

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Change in Plasma Arginine From Baseline to Week 12 Among Sildenafil Group

Change in Plasma Arginine was calculated as Plasma Arginine at week 12 minus Plasma Arginine at baseline. (NCT00872170)
Timeframe: Baseline and Week 12

InterventionµM (Mean)
Sildenafil31.77

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Change in Red Blood Cell (RBC) Arginine From Baseline to Week 12 Among Sildenafil Group

Change in Red Blood Cell (RBC) Arginine was calculated as Red Blood Cell (RBC) Arginine at week 12 minus Red Blood Cell (RBC) Arginine at baseline. (NCT00872170)
Timeframe: Baseline and Week 12

InterventionµM (Mean)
Sildenafil3.67

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Change in Six-minute Walk Test (6MWT) Distance From Baseline to Week 12 Among Sildenafil Group

Change in six-minute walk test (6MWT) distance was calculated as 6MWT at week 12 minus 6MWT at baseline. (NCT00872170)
Timeframe: Baseline and Week 12

Interventionmeters (Mean)
Sildenafil-1.38

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Change in Soluble Platelet Selectin (sP-SELECTIN) From Baseline to Week 12 Among Sildenafil Group

Change in Soluble platelet selectin (sP-SELECTIN) was calculated as sP-SELECTIN at week 12 minus sP-SELECTIN at baseline. (NCT00872170)
Timeframe: Baseline and Week 12

Interventionng/ml (Mean)
Sildenafil121.13

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Half-life (T 1/2)

Terminal elimination half-life. (NCT00904748)
Timeframe: Day 1 (Period 1), Day 8 (Period 2), and Day 15 (Period 3): Pre-dose and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours post-dose

Interventionhours (Mean)
Test 1: 100 mg Chewable, Without Water2.96
Test 2: 100 mg Chewable, With Water2.84
Reference: 100 mg Coated, With Water2.93

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Maximum Plasma Concentration (Cmax)

Maximum plasma concentration measured in nanograms per milliliter (ng/mL). (NCT00904748)
Timeframe: Day 1 (Period 1), Day 8 (Period 2), and Day 15 (Period 3): Pre-dose and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours post-dose

Interventionng/mL (Mean)
Test 1: 100 mg Chewable, Without Water439.38
Test 2: 100 mg Chewable, With Water434.38
Reference: 100 mg Coated, With Water532.31

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Number of Participants With Clinically Significant Findings in Vital Signs

Clinically significant abnormalities in blood pressure (BP), pulse, and temperature reported as an adverse event. Clinically significant = values outside the normal range and/or values judged as significant by the investigator (normal range: systolic BP 100-140 mmHg; diastolic BP 60- 90 mmHg; temperature 35-37°Celsius). Pulse rate based on investigator discretion. (NCT00904748)
Timeframe: Day 1 (Period 1), Day 8 (Period 2), and Day 15 (Period 3): Pre-dose and 0.5, 1, 2, 4, 8 and 12 hours post-dose.

Interventionparticipants (Number)
Test 1: 100 mg Chewable, Without Water0
Test 2: 100 mg Chewable, With Water1
Reference: 100 mg Coated, With Water0

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Time to Maximum Plasma Concentration (Tmax)

Time at which maximum plasma concentration (Cmax) occurred. (NCT00904748)
Timeframe: Day 1 (Period 1), Day 8 (Period 2), and Day 15 (Period 3): Pre-dose and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours post-dose

Interventionhours (Mean)
Test 1: 100 mg Chewable, Without Water1.46
Test 2: 100 mg Chewable, With Water1.29
Reference: 100 mg Coated, With Water1.28

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Area Under the Curve (AUC 0-t)

Area under the blood concentration-time profile from time zero to last experimentally determined concentration measured in nanograms*hour/milliliter (ng*hr/mL). (NCT00904748)
Timeframe: Day 1 (Period 1), Day 8 (Period 2), and Day 15 (Period 3): Pre-dose and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours post-dose

Interventionng*hr/mL (Mean)
Test 1: 100 mg Chewable, Without Water1467.00
Test 2: 100 mg Chewable, With Water1458.45
Reference: 100 mg Coated, With Water1493.53

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Area Under the Curve From 0 to Infinity (AUC 0-inf )

Area under the blood concentration-time profile from time zero extrapolated to infinite time measured in nanograms *hour/milliliter (ng*hr/mL). (NCT00904748)
Timeframe: Day 1 (Period 1), Day 8 (Period 2), and Day 15 (Period 3): Pre-dose and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours post-dose

Interventionng*hr/mL (Mean)
Test 1: 100 mg Chewable, Without Water1547.92
Test 2: 100 mg Chewable, With Water1534.66
Reference: 100 mg Coated, With Water1573.81

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Greater Than or Equal to a 50% Reduction in Priapic Episodes

"A Priapism sexual activity log was administered to participants. In the log, participants were asked to quantify the number of priapic episodes they had experienced in the previous 2 weeks according to the following scale/tiers: 0 = no episodes, 1 = 1-2 episodes, 2 = 3-4 episodes, 3 = 5-8 episodes and 6 = greater than 20 episodes." (NCT00940901)
Timeframe: change between 8 weeks post intervention and 16 weeks post intervention

InterventionNumber of participants (Number)
Sildenafil2
Placebo Then Sildenafil3

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Greater Than or Equal to a 50% Reduction in Priapic Episodes

"A Priapism sexual activity log was administered to participants. In the log, participants were asked to quantify the number of priapic episodes they had experienced in the previous 2 weeks according to the following scale/tiers: 0 = no episodes, 1 = 1-2 episodes, 2 = 3-4 episodes, 3 = 5-8 episodes and 6 = greater than 20 episodes." (NCT00940901)
Timeframe: change between baseline and 8 weeks post intervention

InterventionNumber of participants (Number)
Sildenafil3
Placebo Then Sildenafil3

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Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs)

Adverse event = any untoward medical occurrence in a subject administered study medication regardless of causality including abnormal test findings, clinically significant signs/symptoms, changes in physical examination findings, hypersensitivity, progression/worsening of underlying disease, and exposure in utero. Serious adverse event = any untoward medical occurrence at any dose that resulted in death, was life-threatening, required inpatient hospitalization or prolongation of hospitalization, or resulted in persistent or significant disability/incapacity or congenital anomaly/birth defect. (NCT00946114)
Timeframe: Baseline up to 116 Weeks

,
Interventionparticipants (Number)
AEsSAEs
Sildenafil 240 mg82
Sildenafil 60 mg118

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The Change in Exercise Capacity Measured Via Minimum Oxygen Saturation Levels.

A change in exercise capacity measured via minimum oxygen saturation (%). The measurement will be obtained from the Exercise Stress Test (NCT00964782)
Timeframe: Baseline to 1 Hour

,
InterventionPercentage of oxygen saturation (Mean)
Sildenafil minimum oxygen saturation %Placebo minimum oxygen saturation %
Placebo Crossover to Sidenafil94.693.8
Sildenafil Crossover to Placebo94.193.1

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The Change in Exercise Capacity Measured Via Metabolic Equivalents of Task (METs).

A change in exercise capacity measured via metabolic equivalents of task (METs). The measurement will be obtained from the Exercise Stress Test. One MET is defined as 3.5 mL 02 uptake/kg per minute (NCT00964782)
Timeframe: Baseline to 1 hour

,
InterventionMets (Mean)
Sildenafil Metabolic EquivalentPlacebo Metabolic Equivalent
Placebo12.412.1
Sildenafil13.614.1

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The Change in Exercise Capacity Measured Via Maximum Oxygen Consumed During Exercise (VO2)

A change in exercise capacity measured via maximum oxygen consumed during exercise (VO2). The measurement will be obtained from the Exercise Stress Test (NCT00964782)
Timeframe: baseline to 1 hour

,
Interventionml/min/kg (Mean)
Sildenafil VO2Placebo VO2
Placebo Crossover to Sidenafil36.834.4
Sildenafil Crossover to Placebo39.441.2

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The Change in Exercise Capacity Measured Via Exercise Time

A change in exercise capacity measured via exercise time (in minutes). The measurement will be obtained from the Exercise Stress Test (NCT00964782)
Timeframe: baseline to 1 hour

,
Interventionminutes (Mean)
Sildenafil TimePlacebo Time
Placebo Crossover to Sidenafil10.510.5
Sildenafil Crossover to Placebo11.612.1

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The Change in Exercise Capacity Measured Via Maximum Heart Rate

A change in exercise capacity measured via maximum heart rate (in beats per minute). The measurement will be obtained from the Exercise Stress Test (NCT00964782)
Timeframe: Baseline to 1 Hour

,
Interventionbeats per minute (Mean)
Sildenafil Heart RatePlacebo Heart Rate
Placebo Crossover to Sidenafil175.4167.8
Sildenafil Crossover to Placebo182.3182.6

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Change in Six Minute Walk Distance in Meters

Change in 6MWD before and after treatment compared to placebo (NCT00981747)
Timeframe: At baseline and three months post each intervention.

Interventionmeters (Mean)
Sildenafil10.5
Losartan15.8
Sildenafil and Losartan-11.1
Placebo12.1

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Change in Shortness of Breath (SOB) Score

Change in symptoms of SOB as determined by St. Georges Respiratory Questionnaire score. This score ranges from 0 to 100 with a higher score indicating more problems breathing. (NCT00981747)
Timeframe: At baseline and three months post each intervention.

Interventionscore on a scale (Mean)
Sildenafil2.1
Losartan1.5
Sildenafil and Losartan3.3
Placebo-3.0

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Change in Forced Vital Capacity (FVC)

Change in FVC before and after treatment compared to placebo. FVC is a measure of lung size. (NCT00981747)
Timeframe: At baseline and three months post each intervention.

Interventionliters (Mean)
Sildenafil-0.04
Losartan-0.06
Sildenafil and Losartan0.002
Placebo-0.02

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Change in Heart Rate During the Night

Change from baseline (8 pm) in heart rate at the time of maximal BP-lowering effect (NCT01044693)
Timeframe: 8 pm - 8 am

Interventionbpm (Mean)
Placebo Capsule-3
Nebivolol 5 mg-6
Metoprolol Tartrate 50 mg-6
Sildenafil 25 mg0

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Nocturnal Urinary Sodium Excretion

Nocturnal sodium excretion was defined as the ratio of urinary sodium to urinary creatinine. (NCT01044693)
Timeframe: 8 pm - 8 am

InterventionmEq/mg (Mean)
Placebo Capsule0.145
Nebivolol 5 mg0.127
Metoprolol Tartrate 50 mg0.139
Sildenafil 25 mg0.125

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Change in Systolic Blood Pressure During the Night

Maximal change from baseline in systolic blood pressure, measured from 8 pm to 8 am, after a single dose of the intervention (NCT01044693)
Timeframe: 8 pm - 8 am

,,,
Interventionmm Hg (Mean)
Baseline supine at 8 pmChange in systolic BP
Metoprolol Tartrate 50 mg157-7
Nebivolol 5 mg162-24
Placebo Capsule1541
Sildenafil 25 mg158-20

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Orthostatic Tolerance the Following Morning

Orthostatic tolerance was defined as the area under the curve of standing systolic blood pressure calculated by the trapezoidal rule (upright systolic blood pressure multiplied by standing time) during a 10-minute standing test (NCT01044693)
Timeframe: 10 min standing

Interventionmm Hg*min (Mean)
Placebo Capsule594
Nebivolol 5 mg675
Metoprolol Tartrate 50 mg696
Sildenafil 25 mg575

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Protein Synthesis Rate After 1 Week of Sildenafil or Placebo

Skeletal muscle protein synthesis, measured as the fractional synthesis rate (the percent of the total synthesized per unit time) after 1 week of either Placebo or Sildenafil (25 mg/day). Example: if FSR = 0.06 hr-1 it means that 6% of proteins in a given sample were synthesized in the last hour or proteins is synthesized at 6% per hour. A higher rate means that more synthesis is occurring. (NCT01059994)
Timeframe: 1 week

Interventionfraction of proteins synthesized/hr (Mean)
Placebo Sildenafil Young0.06
Sildenafil Young0.11
Placebo Sildenafil Older0.04
Sildenafil Older0.10

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Change in Muscle Fatigue After 1 Week of Placebo or Sildenafil

"Muscle fatigue was tested before and after 1 week of placebo/sildenafil (25mg/day) treatment.~Subjects were asked to perform maximum effort isokinetic knee extensions until force production reached 50% of their MVC (maximum voluntary contraction). Data was collected as number of successful repetitions completed between start and 50% MVC.~Data is presented as percent change in repetitions (1 week of treatment / baseline)." (NCT01059994)
Timeframe: baseline to 1 week

Interventionpercent change of successful repetitions (Mean)
Placebo Sildenafil Young107
Sildenafil Young115
Placebo Sildenafil Older54
Sildenafil Older158

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Percent Change in Mean Pulmonary Artery Pressure in the Whole Cohort.

(NCT01060020)
Timeframe: Baseline and 60 minutes after drug administered

Interventionpercent change (Median)
Sildenafil 40mg or 80mg-25

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Percent Change in Pulmonary Vascular Resistance in the Whole Cohort.

(NCT01060020)
Timeframe: Baseline and 60 minutes after drug administered

Interventionpercent change (Median)
Sildenafil 40mg or 80mg-29

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Global Longitudinal Strain

Global longitudinal strain was measured at baseline and 60 minutes after drug administration. (NCT01060020)
Timeframe: Baseline and 60 minutes after drug administered

Interventionpercent (Mean)
Baseline60 minutes
Sildenafil 40mg or 80mg-13.5-13.8

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Load Independent Index of Diastolic Filling.

Measurements of the load independent index of diastolic filling were made with the parameterized diastolic filling formalism as previously described and validated with the use of transmitral Doppler E waves recorded during different respiratory states (regular breathing and held expiration and inspiration). (NCT01060020)
Timeframe: Baseline and 60 minutes after drug administered

Interventionunitless (Mean)
Baseline60 minutes
Sildenafil 40mg or 80mg1.021.03

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Percent Change in Cardiac Index.

Cardiac index is cardiac output divided by body surface area. (NCT01060020)
Timeframe: Baseline and 60 minutes after drug administered

Interventionpercent change (Median)
Sildenafil 40mg or 80mg4

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Patterns of Erectile Dysfunction Treatment Change

Results are reported as the number of participants per sequence of study medications (tadalafil on demand, tadalafil once a day, or sildenafil citrate on demand) that were taken as a result of switching treatments. The Other Treatment Sequence reports the number of participants per sequence of study medications that were taken as a result of switching treatments more than once. The number of participants who did not switch is also reported. (NCT01122264)
Timeframe: Baseline through 24 weeks

Interventionparticipants (Number)
No Treatment IntakeNo SwitchFrom Once a Day to Any On DemandFrom Any On Demand to Once a DayFrom Any On Demand to Any On DemandReturning Back to Randomized TreatmentOther Treatment Sequence
Entire Study Population34099584973547

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Change From Baseline to 4, 8, 16, and 24 Weeks of the Sexual Relationship Domain of the Self-Esteem and Relationship (SEAR) Questionnaire

SEAR assesses psychosocial outcomes in men with erectile dysfunction. Sexual Relationship domain consists of 8 items (items 1-8). Items 2-8 are rated on a scale of 1 (Never) to 5 (Always), whereas item 1 is reverse scored (1=Always and 5=Never). The domain score was computed by summing its respective items, then transforming it into a 0 (least favorable) to 100 (most favorable) scale. Transformed score = 100 x [(actual raw score - lowest possible raw score)/possible raw score range]. Least Squares Mean changes adjusted for baseline score, treatment group, country, visit, and visit*treatment. (NCT01122264)
Timeframe: Baseline, 4, 8, 16, and 24 weeks

,,
Interventionunits on a scale (Least Squares Mean)
Change from Baseline to Week 4Change from Baseline to Week 8 (n=230, 232, 231)Change from Baseline to Week 16 (n=167, 146, 101)Change from Baseline to Week 24 (n=140, 117, 81)
Sildenafil Citrate On Demand29.5031.1537.3237.46
Tadalafil On Demand27.6531.4237.5939.37
Tadalafil Once a Day29.2631.0732.9034.96

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Global Assessment Questions (GAQ)

The GAQ consists of 2 Yes/No/No Response (No Respo) questions. GAQ Question (Q)1: Has the treatment you have been taking during this study improved your erections? GAQ Q2: Has the treatment improved your ability to engage in sexual activity? (NCT01122264)
Timeframe: 24 weeks

,,
Interventionparticipants (Number)
Q1:Treatment improved erections? YesQ1:Treatment improved erections? NoQ1: Treatment improved erections? No ResponseQ2:Treatment improved ability to engage? YesQ2:Treatment improved ability to engage? NoQ2: Treatment improved ability to engage? No Respo
Sildenafil Citrate On Demand2033424204849
Tadalafil On Demand21820142091429
Tadalafil Once a Day2192315214736

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Change From Baseline to 24 Week Endpoint of the Sexual Self-Confidence, Spontaneity, and Time Concerns Domains (23-items) of the Psychological and Interpersonal Relationships Scale (PAIRS)

The PAIRS is a 23-item scale that assesses broader psychological/interpersonal outcomes associated with erectile dysfunction and its treatment. Each question is rated on a Likert scale from 1 (strongly disagree) to 4 (strongly agree). The scale consists of 3 domains: Sexual Self-Confidence (items 1-6), Spontaneity domain (items 7-15), and Time Concerns (items 16-23). The average domain score for each domain was calculated by adding the nonmissing items for the respective domain, then dividing by the number of nonmissing items for the respective domain. Each average domain score ranged from 1 to 4. Higher scores represent the following: greater sexual self-confidence (better outcome); greater spontaneity (better outcome); higher time concerns (worse outcome). The Least Squares Mean changes were adjusted for treatment group, country, baseline IIEF-EF severity, baseline domain score, and baseline domain score*treatment (if p<0.10). (NCT01122264)
Timeframe: Baseline, 24 weeks

,,
Interventionunits on a scale (Least Squares Mean)
Sexual Self-Confidence Domain (n=196, 203, 185)Spontaneity Domain (n=197, 202, 186)Time Concerns Domain (n=196, 200, 184)
Sildenafil Citrate On Demand0.730.020.04
Tadalafil On Demand0.930.13-0.08
Tadalafil Once a Day0.900.11-0.20

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Time to Discontinuation of Randomized Treatment

Time to discontinuation of randomized treatment was defined as the number of days from randomization until the day the participant discontinued the randomized treatment. Discontinuation of randomized treatment was defined as switching between the 3 study treatments (tadalafil on demand, tadalafil once a day, or sildenafil citrate on demand) or discontinuing from all treatments. A change of dose within the same treatment was not considered switching of treatment. This outcome measure was estimated using the Kaplan-Meier product-limit method. (NCT01122264)
Timeframe: Baseline up to 334 days

Interventiondays (Median)
Tadalafil On DemandNA
Tadalafil Once a Day130
Sildenafil Citrate On Demand67

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Number of Treatment Switches

The number of times participants switched erectile dysfunction medication within the 3 treatments being studied (tadalafil on demand, tadalafil once a day, or sildenafil citrate on demand). (NCT01122264)
Timeframe: Baseline through 24 weeks

Interventionnumber of treatment switches (Mean)
Tadalafil On Demand1.2
Tadalafil Once a Day1.2
Sildenafil Citrate On Demand1.3

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Number of Days From the 8-Week Study Visit to the Time the Participant Discontinues From All Phosphodiesterase Type 5 (PDE5) Inhibitor Treatments

The differences in time between the 8-week time point and the discontinuation of all study treatments (that is, discontinuation from the study and not switching to another treatment) are reported by the median (95% confidence interval). Duration was measured as the number of days from Week 8 to the date of the last dose of the study drug. This outcome measure was estimated using the Kaplan-Meier product-limit method. (NCT01122264)
Timeframe: 8 weeks up to 334 days

Interventiondays (Median)
Tadalafil On DemandNA
Tadalafil Once a DayNA
Sildenafil Citrate On Demand187

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Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) Questionnaire at 4, 8, 16, and 24 Weeks

The participant questionnaire consists of 11 questions. Each question is rated on a scale of 0 (extremely low treatment satisfaction) to 4 (extremely high treatment satisfaction). The EDITS summary score was obtained by adding each individual result for all questions, dividing by the number of questions answered (mean satisfaction score), then multiplying by 25, thus obtaining a score range from 0 (extremely low treatment satisfaction) to 100 (extremely high satisfaction). Least Squares Mean changes were adjusted for treatment group, country, visit, and visit*treatment. (NCT01122264)
Timeframe: 4, 8, 16, and 24 weeks

,,
Interventionunits on a scale (Least Squares Mean)
EDITS at Week 4EDITS at Week 8 (n=231, 235, 231)EDITS at Week 16 (n=168, 147, 100)EDITS at Week 24 (n=141, 118, 80)
Sildenafil Citrate On Demand71.9872.7476.6477.98
Tadalafil On Demand72.3675.2879.6481.01
Tadalafil Once a Day75.2076.6477.6678.75

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Change From Baseline to 4, 8, 16, and 24 Weeks of the Confidence Domain of the Self-Esteem and Relationship (SEAR) Questionnaire

SEAR assesses psychosocial outcomes in men with erectile dysfunction. Confidence domain measures improvement in confidence; 2 subscales (6 items: Self-Esteem [items 9-12]; Overall Relationship [items 13-14]). Each item range: 1 (Never) to 5 (Always); item 11 reverse scored. Domain score=sum of domain's respective items, then transformed into 0 (least favorable) to 100 (most favorable) scale. Transformed score=100x[(actual raw score-lowest possible raw score)/possible raw score range]. Least Squares Mean change adjusted for baseline score, treatment group, country, visit, and visit*treatment. (NCT01122264)
Timeframe: Baseline, 4, 8, 16, and 24 weeks

,,
Interventionunits on a scale (Least Squares Mean)
Change from Baseline to Week 4Change from Baseline to Week 8 (n=230, 233, 232)Change from Baseline to Week 16 (n=167, 147, 100)Change from Baseline to Week 24 (n=140, 116, 81)
Sildenafil Citrate On Demand25.0327.1431.8631.66
Tadalafil On Demand23.4326.9733.1533.74
Tadalafil Once a Day23.0426.1028.3330.42

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Reasons for Discontinuation of Randomized Erectile Dysfunction Treatment

The reported reasons for a decision to discontinue from initial randomized treatment prior to Week 24 are reported. Discontinuation of randomized treatment was defined as switching between the 3 study treatments (tadalafil on demand, tadalafil once a day, or sildenafil citrate on demand) or discontinuing from all treatments. A change of dose within the same treatment was not considered as switching of treatment. (NCT01122264)
Timeframe: Baseline through 24 weeks

,,
Interventionparticipants (Number)
Slow onset of actionCompleted treatmentLack of efficacy (hardness of erection)Lack of efficacy (duration of erection)Lack of confidence in medication working each timeAdverse eventFeel medication controls my sexual lifeNon-desired spontaneous erectionsTime constraints due to short drug action windowPartner's requestDon't want to take a pill every dayPrefer a pill every day, not on demandParticipant discontinuation from the trialParticipant did not take any study drugParticipants without discontinuation event
Sildenafil Citrate On Demand10155242167011302814189
Tadalafil On Demand51467371210020112146
Tadalafil Once a Day9155115100402270110122

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Change From Baseline to 4, 8, 16 and 24 Weeks of the International Index of Erectile Function (IIEF) Erectile Function (EF) Domain

Self-reported EF score over past 4 weeks. Items 1-5 scores range from 0 (no sexual activity) to 5 (high EF). Item 15 score ranges from 1 (very low confidence to get/keep erection) to 5 (very high confidence). Total scores range from 1 to 30; lower scores denote greater erectile dysfunction severity. Least Squares Mean changes from baseline to endpoint for each visit from repeated measures analysis included terms for baseline score, treatment group, country, baseline*treatment (if p<0.10), visit, and visit*treatment. Correlation matrix for repeated observations assumed to be unstructured. (NCT01122264)
Timeframe: Baseline, 4, 8, 16, and 24 weeks

,,
Interventionunits on a scale (Least Squares Mean)
Change from Baseline to Week 4Change from Baseline to Week 8 (n=231, 232, 232)Change from Baseline to Week 16 (n=167, 146, 101)Change from Baseline to Week 24 (n=141, 116, 81)
Sildenafil Citrate On Demand8.869.7010.5611.05
Tadalafil On Demand7.928.9810.6010.70
Tadalafil Once a Day8.609.089.9310.01

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Change From Baseline to 4, 8, 16 and 24 Weeks of the International Index of Erectile Function (IIEF) Intercourse Satisfaction Domain

Self-reported intercourse satisfaction score over past 4 weeks (1 intercourse attempt item, 2 intercourse satisfaction items). Each item range: 0 (no intercourse attempts/no satisfaction) to 5 (more attempts/high satisfaction). Total scores range: 0-15; lower scores=lower intercourse satisfaction. Least Squares Mean changes from baseline to endpoint for each visit from repeated measures analysis and included terms for baseline score, treatment group, country, baseline*treatment (if p<0.10), visit, and visit*treatment. Correlation matrix for repeated observations assumed to be unstructured. (NCT01122264)
Timeframe: Baseline, 4, 8, 16, and 24 weeks

,,
Interventionunits on a scale (Least Squares Mean)
Change from Baseline to Week 4Change from Baseline to Week 8 (n=231, 232, 232)Change from Baseline to Week 16 (n=167, 146, 101)Change from Baseline to Week 24 (n=141, 116, 81)
Sildenafil Citrate On Demand3.533.954.414.70
Tadalafil On Demand3.213.694.384.48
Tadalafil Once a Day3.223.153.603.71

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Change From Baseline to 4, 8, 16 and 24 Weeks of the International Index of Erectile Function (IIEF) Orgasmic Function Domain

Self-reported orgasmic function on the IIEF over past 4 weeks and consists of 2 questions (items 9 and 10). Each question is rated on a scale from 0 (no sexual stimulation) to 5 (almost always/always). Total scores range from 0 to 10; lower scores represent lower orgasmic function. Least Squares Mean changes from baseline to endpoint for each visit were from a repeated measures analysis and included terms for baseline score, treatment group, country, baseline*treatment (if p<0.10), visit, and visit*treatment. The correlation matrix for the repeated observations was assumed to be unstructured. (NCT01122264)
Timeframe: Baseline, 4, 8, 16, and 24 weeks

,,
Interventionunits on a scale (Least Squares Mean)
Change from Baseline to Week 4Change from Baseline to Week 8 (n=231, 232, 232)Change from Baseline to Week 16 (n=167, 146, 101)Change from Baseline to Week 24 (n=141, 116, 81)
Sildenafil Citrate On Demand1.922.262.662.62
Tadalafil On Demand1.641.772.372.55
Tadalafil Once a Day1.752.082.252.48

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Change From Baseline to 4, 8, 16 and 24 Weeks of the International Index of Erectile Function (IIEF) Overall Satisfaction Domain

Self-reported overall satisfaction on the IIEF over past 4 weeks and consists of 2 questions (items 13 and 14), each rated on a scale from 1 (very dissatisfied) to 5 (very satisfied). Total scores range from 2 to 10; lower numerical scores represent lower overall satisfaction. Least Squares Mean changes from baseline to endpoint for each visit were from a repeated measures analysis and included terms for baseline score, treatment group, country, baseline*treatment (if p<0.10), visit, and visit*treatment. The correlation matrix for the repeated observations was assumed to be unstructured. (NCT01122264)
Timeframe: Baseline, 4, 8, 16, and 24 weeks

,,
Interventionunits on a scale (Least Squares Mean)
Change from Baseline to Week 4Change from Baseline to Week 8 (n=230, 231, 233)Change from Baseline to Week 16 (n=167, 145, 101)Change from Baseline to Week 24 (n=141, 116, 81)
Sildenafil Citrate On Demand2.722.983.483.41
Tadalafil On Demand2.462.803.343.50
Tadalafil Once a Day2.582.853.093.24

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Change From Baseline to 4, 8, 16 and 24 Weeks of the International Index of Erectile Function (IIEF) Sexual Desire Domain

Self-reported sexual desire on IIEF over past 4 weeks; comprises 2 questions (items 11 and 12). Each question rated on a scale from 1 (almost never or low/no sexual desire) to 5 (almost always or very high sexual desire). Total scores range: 2 to 10; lower numerical scores denote lower sexual desire. Least Squares Mean changes from baseline to endpoint for each visit from repeated measures analysis and included terms for baseline score, treatment group, country, baseline*treatment (if p<0.10), visit, and visit*treatment. Correlation matrix for repeated observations assumed to be unstructured. (NCT01122264)
Timeframe: Baseline, 4, 8, 16, and 24 weeks

,,
Interventionunits on a scale (Least Squares Mean)
Change from Baseline to 4 WeeksChange from Baseline to 8 Weeks (n=230, 232, 232)Change from Baseline to 16 Weeks (n=167, 146, 101)Change from Baseline to 24 Weeks (n=140, 117, 81)
Sildenafil Citrate On Demand0.690.871.071.29
Tadalafil On Demand0.770.961.151.19
Tadalafil Once a Day0.750.900.870.78

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Change From Baseline to 4, 8, 16 and 24 Weeks of the Sexual Encounter Profile (SEP)

Participant-assessed diary. Has 5 questions (Question[Q]1:erection achievement, Q2:successful penetration, Q3:successful intercourse, Q4:satisfied with erection, and Q5:satisfied with sexual experience) for each sexual encounter made over specified period of time. SEP Q1-Q5 scores determined as percentage of 'Yes' responses to each of 5 questions out of all sexual attempts recorded during the time period. Least Squares Mean changes from baseline to endpoint for each visit from a repeated measures analysis included terms for baseline score, treatment group, country, visit, and visit*treatment. (NCT01122264)
Timeframe: Baseline, 4, 8, 16, and 24 weeks

,,
Intervention"percentage of yes responses" (Least Squares Mean)
Q1:Change from Baseline to 4 WeeksQ1:Change from Baseline to 8 Weeks (n=224,231,229)Q1:Change from Baseline to 16 Weeks (n=166,146,99)Q1:Change from Baseline to 24 Weeks (n=139,115,81)Q2:Change from Baseline to 4 WeeksQ2:Change from Baseline to 8 Weeks (n=224,231,229)Q2:Change from Baseline to 16 Weeks (n=166,146,99)Q2:Change from Baseline to 24 Weeks (n=139,115,81)Q3:Change from Baseline to 4 WeeksQ3:Change from Baseline to 8 Weeks (n=224,231,229)Q3:Change from Baseline to 16 Weeks (n=166,146,99)Q3:Change from Baseline to 24 Weeks (n=139,115,81)Q4:Change from Baseline to 4 WeeksQ4:Change from Baseline to 8 Weeks (n=224,231,229)Q4:Change from Baseline to 16 Weeks (n=166,146,99)Q4:Change from Baseline to 24 Weeks (n=139,115,81)Q5:Change from Baseline to 4 WeeksQ5:Change from Baseline to 8 Weeks (n=224,231,229)Q5:Change from Baseline to 16 Weeks (n=166,146,99)Q5:Change from Baseline to 24 Weeks (n=139,115,81)
Sildenafil Citrate On Demand18.4120.4120.5820.3429.6434.0836.0735.9344.4552.1156.9656.2851.4559.2866.4869.0449.6355.7362.4066.57
Tadalafil On Demand14.5016.6218.4619.9727.4831.1632.7635.8341.5247.4554.2656.3949.5960.8666.1772.6746.1253.9261.5765.45
Tadalafil Once a Day18.4919.8819.1919.6028.5631.6632.7634.7041.7644.5850.6253.8351.7855.5963.0068.0645.7150.0654.5662.17

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Change From Baseline to 4, 8, 16, and 24 Weeks of the Overall Relationship Domain of the Self-Esteem and Relationship (SEAR) Questionnaire

SEAR assesses psychosocial outcomes in men with erectile dysfunction. The Overall Relationship domain consists of 2 items (items 13-14), each rated on a scale of 1 (Never) to 5 (Always). The domain score was computed by summing its respective items, then transforming it into a 0 (least favorable) to 100 (most favorable) scale. The transformed score = 100 x [(actual raw score - lowest possible raw score)/possible raw score range]. Least Squares Mean changes were adjusted for baseline score, treatment group, country, visit, and visit*treatment. (NCT01122264)
Timeframe: Baseline, 4, 8, 16, and 24 weeks

,,
Interventionunits on a scale (Least Squares Mean)
Change from Baseline to Week 4Change from Baseline to Week 8 (n=229, 232, 232)Change from Baseline to Week 16 (n=166, 147, 100)Change from Baseline to Week 24 (n=139, 116, 81)
Sildenafil Citrate On Demand22.0023.7428.5728.74
Tadalafil On Demand19.9222.7529.6330.28
Tadalafil Once a Day21.1022.9626.9629.93

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Change From Baseline to 4, 8, 16, and 24 Weeks of the Self Esteem Domain of the Self-Esteem and Relationship (SEAR) Questionnaire

SEAR assesses psychosocial outcomes in men with erectile dysfunction. The Self-Esteem domain consists of 4 items (items 9-12), each rated on a scale of 1 (Never) to 5 (Always). Item 11 is reverse scored (1=Always and 5=Never). The domain score was computed by summing its respective items, then transforming it into a 0 (least favorable) to 100 (most favorable) scale. The transformed score = 100 x [(actual raw score - lowest possible raw score)/possible raw score range]. Least Squares Mean changes were adjusted for baseline score, treatment group, country, visit, and visit*treatment. (NCT01122264)
Timeframe: Baseline, 4, 8, 16, and 24 weeks

,,
Interventionunits on a scale (Least Squares Mean)
Change from Baseline to 4 WeeksChange from Baseline to 8 Weeks (n=230, 233, 233)Change from Baseline to 16 Weeks (n=167, 147, 100)Change from Baseline to 24 Weeks (n=140, 116, 81)
Sildenafil Citrate On Demand26.5928.9233.8533.52
Tadalafil On Demand25.1829.1435.2335.86
Tadalafil Once a Day24.1027.8029.4631.14

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30-Day Person Time Analysis Risk of NAION Associated With PDE5 Inhibitor Use

Total participant days of PDE5 inhibitor exposure within 30 days prior to onset of NAION. (NCT01131104)
Timeframe: 30 days prior to NAION onset

InterventionRelative risk of exposure (Number)
Cohort 12.27

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Change in Chloride Conductance by NPD

Amount of chloride transport across the nasal epithelium (NCT01132482)
Timeframe: Baseline and day 28

InterventionmV (Mean)
Sildenafil2.53
Placebo-0.28

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Change in Sweat Chloride Concentration by Pilocarpine Iontophoresis

Amount of chloride transport across the skin (NCT01132482)
Timeframe: Baseline and day 28

Interventionmmol/L (Mean)
Sildenafil6.13
Placebo-0.42

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Change in Serum Sildenafil Pharmacokinetics

Trough sildenafil levels (NCT01132482)
Timeframe: Baseline and day 28

Interventionug/mL (Mean)
Sildenafil0
Placebo0

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Change in Pulmonary Function by Spirometry

ppFEV1 (NCT01132482)
Timeframe: Baseline and day 28

Intervention% predicted (Mean)
Sildenafil-0.92
Placebo-1.00

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Change in Lung Clearance Index

The lung clearance index (LCI) measures how long it takes for an inert gas (e.g. nitrogen) to be washed out of the lungs during relaxed tidal breathing. A higher value of the LCI indicates worse disease. LCI is calculated as the number of functional residual capacity (FRC) turnovers required to reduce the end-tidal concentration of nitrogen to 1/40th of the starting concentration and is calculated by dividing the sum of exhaled tidal breaths (cumulative exhaled volume (CEV)) by simultaneously measured FRC. (NCT01132482)
Timeframe: Baseline and day 28

InterventionLCI (Mean)
Sildenafil-0.33
Placebo-1.14

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Change in Sodium Conductance by Nasal Potential Difference (NPD)

Amount of sodium transported across the nasal epithelium (NCT01132482)
Timeframe: Baseline and day 28

InterventionmV (Mean)
Sildenafil-0.70
Placebo1.81

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Change in Skeletal Muscle Strength

Skeletal muscle strength will be assessed by pincher and grip dynamometry (NCT01168908)
Timeframe: 6 months and 12 months

,
Interventionpounds (Mean)
pinch strengthgrip strength
Placebo0.120.17
Revatio (Sildenafil)-0.060.37

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Ejection Fraction

Left ventricular ejection fraction by cardiac MRI was measured (NCT01168908)
Timeframe: 6 months

Interventionpercentage of volume (Mean)
Revatio (Sildenafil)43.25
Placebo45.64

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Change in Forced Vital Capacity (FVC) by Pulmonary Function Testing

Skeletal muscle function of the diaphragm will be measured using FVC by pulmonary function testing. (NCT01168908)
Timeframe: 6 months and 12 months

Interventionliters (Mean)
Revatio (Sildenafil)-0.13
Placebo-0.19

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Change in Cardiac Mass

Left ventricular (LV) mass will be measured by CMR . (NCT01168908)
Timeframe: 6 months and 12 months

Interventiongrams (Mean)
Revatio (Sildenafil)-3.4
Placebo-1.05

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Change in Cardiac Left Ventricular End-systolic Volume (LVESV) by Cardiac Magnetic Resonance (CMR) Imaging.

To determine whether a 6 month trial of oral sildenafil compared to placebo improves cardiac contractile function in DBMD as determined by a > 10% decline in end-systolic volume as detected by CMR. (NCT01168908)
Timeframe: 6 months compared to baseline

Interventionml (Mean)
Revatio (Sildenafil)5.2
Placebo-0.19

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Change in Cardiac Systolic and Diastolic Function by CMR

Cardiac volumes and systolic ejection parameters will be measured. (NCT01168908)
Timeframe: 6 months and 12 months

,
Interventionml (Mean)
LV end-diastolic volumestroke volume
Placebo0.240.43
Revatio (Sildenafil)5.540.34

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Maximum Sildenafil Plasma Concentration

Assessment of peak sildenafil plasma concentration. (NCT01169519)
Timeframe: 5 minutes after completion of sildenafil infusion

Interventionng/mL (Mean)
Peak Sildenafil Level (ng/mL) for Dose = 0.125mg/kg181
Peak Sildenafil Level (ng/mL) for Dose = 0.35mg/kg515
Peak Sildenafil Level (ng/mL) for Dose = 0.45mg/kg545
Peak Sildenafil Level (ng/mL) for Dose = 0.25mg/kg202

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Hemodynamic Safety and Efficacy

Assessment of pulmonary vascular resistance (NCT01169519)
Timeframe: 10 minutes after completion of sildenafil infusion

InterventionWood units * m^2 (Median)
Baseline2.3
Sildenafil1.6

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Area Under Effect Curve (AUEC) of Supine DBP Within 4 Hours Post-dose at Visit 6 (Week 12)

The area under effect curve (AUEC) at each visit of supine DBP describes an average within-subject change in DBP from baseline over a time-period of 4 hours post-dose (Note that the area only takes values below the individual baseline for the respective visit into account. The area that would result from an increase from baseline is not taken into account for the calculation of the area). Baseline was the last DBP recorded at and within 30 minutes before intake of study drug. (NCT01179334)
Timeframe: Pre-dose (baseline) and within 4 hours post-dose at visit 6 (week 12)

InterventionmmHg*h (Mean)
Riociguat (Adempas, BAY63-2521) up to 2.5 mg_IDT30.79
Placebo32.92

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Area Under Effect Curve (AUEC) of Standing DBP Within 4 Hours Post-dose at Visit 6 (Week 12)

The area under effect curve (AUEC) at each visit of standing DBP describes an average within-subject change in DBP from baseline over a time-period of 4 hours post-dose (Note that the area only takes values below the individual baseline for the respective visit into account. The area that would result from an increase from baseline is not taken into account for the calculation of the area). Baseline was the last DBP recorded at and within 30 minutes before intake of study drug. (NCT01179334)
Timeframe: Pre-dose (baseline) and within 4 hours post-dose at visit 6 (week 12)

InterventionmmHg*h (Mean)
Riociguat (Adempas, BAY63-2521) up to 2.5 mg_IDT32.50
Placebo24.20

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Area Under Effect Curve (AUEC) of Standing HR Within 4 Hours Post-dose at Visit 6 (Week 12)

The area under effect curve (AUEC) at each visit of standing HR describes an average within-subject increase in HR from baseline over a time-period of 4 hours post-dose (Note that the area only takes values above the individual baseline for the respective visit into account. The area that would result from a decrease from baseline is not taken into account for the calculation of the area). Baseline was the last HR recorded at and within 30 minutes before intake of study drug. (NCT01179334)
Timeframe: Pre-dose (baseline) and within 4 hours post-dose at visit 6 (week 12)

InterventionBeats/min*h (Mean)
Riociguat (Adempas, BAY63-2521) up to 2.5 mg_IDT13.18
Placebo15.69

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Maximum Change From Baseline in Supine Heart Rate (HR) Within 4 Hours Post-dose at Visit 6 (Week 12)

Heart rate (HR) was measured as standard vital sign parameter. Range allowed in this study: <= 105 beats per minute (bpm) in the first 2 hours after intake of background treatment with sildenafil. The maximum change from baseline at each visit was defined as the within-subject maximum increase from baseline (or zero if baseline was higher than all subsequent HR measurements in that profile) within 4 hours post-dose. Baseline was the last HR recorded at and within 30 minutes before intake of study drug. (NCT01179334)
Timeframe: Pre-dose (baseline) and within 4 hours post-dose at visit 6 (week 12)

InterventionBeats/min (Mean)
Riociguat (Adempas, BAY63-2521) up to 2.5 mg_IDT5.90
Placebo9.60

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Maximum Change From Baseline in Supine Diastolic Blood Pressure (DBP) Within 4 Hours Post-dose at Visit 6 (Week 12)

Diastolic blood pressure (DBP) was measured as standard vital sign parameter. Range allowed in this study: <= 110 mmHg. The maximum change from baseline at each visit was defined as the within-subject maximum decrease from baseline (or zero if baseline was lower than all subsequent DBP measurements in that profile) within 4 hours post-dose. Baseline was the last DBP recorded at and within 30 minutes before intake of study drug. (NCT01179334)
Timeframe: Pre-dose (baseline) and within 4 hours post-dose at visit 6 (week 12)

InterventionmmHg (Mean)
Riociguat (Adempas, BAY63-2521) up to 2.5 mg_IDT-13.70
Placebo-13.80

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Maximum Change From Baseline in Standing Systolic Blood Pressure (SBP) Within 4 Hours Post-dose at Visit 6 (Week 12)

Systolic blood pressure (SBP) was measured as standard vital sign parameter. Range allowed in this study: <= 180 mmHg. In addition, SBP must be >=95 mmHg in the first 2 hours after intake of background treatment with sildenafil. The maximum change from baseline at each visit was defined as the within-subject maximum decrease from baseline (or zero if baseline was lower than all subsequent SBP measurements in that profile) within 4 hours post-dose. Baseline was the last SBP recorded at and within 30 minutes before intake of study drug. (NCT01179334)
Timeframe: Pre-dose (baseline) and within 4 hours post-dose at visit 6 (week 12)

InterventionmmHg (Mean)
Riociguat (Adempas, BAY63-2521) up to 2.5 mg_IDT-18.00
Placebo-16.80

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Maximum Change From Baseline in Supine Systolic Blood Pressure (SBP) Within 4 Hours Post-dose at Visit 6 (Week 12)

Systolic blood pressure (SBP) was measured as standard vital sign parameter. Range allowed in this study: <= 180 mmHg. In addition, SBP must be >=95 mmHg in the first 2 hours after intake of background treatment with sildenafil. The maximum change from baseline at each visit was defined as the within-subject maximum decrease from baseline (or zero if baseline was lower than all subsequent SBP measurements in that profile) within 4 hours post-dose. Baseline was the last SBP recorded at and within 30 minutes before intake of study drug. (NCT01179334)
Timeframe: Pre-dose (baseline) and within 4 hours post-dose at visit 6 (week 12)

InterventionmmHg (Mean)
Riociguat (Adempas, BAY63-2521) up to 2.5 mg_IDT-20.70
Placebo-20.20

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Maximum Change From Baseline in Standing Heart Rate (HR) Within 4 Hours Post-dose at Visit 6 (Week 12)

Heart rate (HR) was measured as standard vital sign parameter. Range allowed in this study: <= 105 beats per minute (bpm) in the first 2 hours after intake of background treatment with sildenafil. The maximum change from baseline at each visit was defined as the within-subject maximum increase from baseline (or zero if baseline was higher than all subsequent HR measurements in that profile) within 4 hours post-dose. Baseline was the last HR recorded at and within 30 minutes before intake of study drug. (NCT01179334)
Timeframe: Pre-dose (baseline) and within 4 hours post-dose at visit 6 (week 12)

InterventionBeats/min (Mean)
Riociguat (Adempas, BAY63-2521) up to 2.5 mg_IDT6.50
Placebo10.40

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Maximum Change From Baseline in Standing Diastolic Blood Pressure (DBP) Within 4 Hours Post-dose at Visit 6 (Week 12)

Diastolic blood pressure (DBP) was measured as standard vital sign parameter. Range allowed in this study: <= 110 mmHg. The maximum change from baseline at each visit was defined as the within-subject maximum decrease from baseline (or zero if baseline was lower than all subsequent DBP measurements in that profile) within 4 hours post-dose. Baseline was the last DBP recorded at and within 30 minutes before intake of study drug. (NCT01179334)
Timeframe: Pre-dose (baseline) and within 4 hours post-dose at visit 6 (week 12)

InterventionmmHg (Mean)
Riociguat (Adempas, BAY63-2521) up to 2.5 mg_IDT-14.40
Placebo-14.20

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Area Under Effect Curve (AUEC) of Supine SBP Within 4 Hours Post-dose at Visit 6 (Week 12)

The area under the effect curve (AUEC) at each visit of supine SBP describes an average within-subject change in SBP from baseline over a time-period of 4 hours post-dose (Note that the area only takes values below the individual baseline for the respective visit into account. The area that would result from an increase from baseline is not taken into account for the calculation of the area). Baseline was the last SBP recorded at and within 30 minutes before intake of study drug. (NCT01179334)
Timeframe: Pre-dose (baseline) and within 4 hours post-dose at visit 6 (week 12)

InterventionmmHg*h (Mean)
Riociguat (Adempas, BAY63-2521) up to 2.5 mg_IDT46.32
Placebo42.44

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Area Under Effect Curve (AUEC) of Supine HR Within 4 Hours Post-dose at Visit 6 (Week 12)

The area under effect curve (AUEC) at each visit of supine HR describes an average within-subject change in HR from baseline over a time-period of 4 hours post-dose (Note that the area only takes values above the individual baseline for the respective visit into account. The area that would result from a decrease from baseline is not taken into account for the calculation of the area). Baseline was the last HR recorded at and within 30 minutes before intake of study drug. (NCT01179334)
Timeframe: Pre-dose (baseline) and within 4 hours post-dose at visit 6 (week 12)

InterventionBeats/min*h (Mean)
Riociguat (Adempas, BAY63-2521) up to 2.5 mg_IDT9.86
Placebo18.85

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Area Under Effect Curve (AUEC) of Standing SBP Within 4 Hours Post-dose at Visit 6 (Week 12)

The area under effect curve (AUEC) at each visit of standing SBP describes an average within-subject change in SBP from baseline over a time-period of 4 hours post-dose (Note that the area only takes values below the individual baseline for the respective visit into account. The area that would result from an increase from baseline is not taken into account for the calculation of the area). Baseline was the last SBP recorded at and within 30 minutes before intake of study drug. (NCT01179334)
Timeframe: Pre-dose (baseline) and within 4 hours post-dose at visit 6 (week 12)

InterventionmmHg*h (Mean)
Riociguat (Adempas, BAY63-2521) up to 2.5 mg_IDT38.96
Placebo30.41

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Maximum Observed Plasma Concentration (Cmax)

(NCT01254396)
Timeframe: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 and 14 hrs post-dose

Interventionng/mL (Geometric Mean)
Sildenafil 50 mg (Fasted)292.60
Sildenafil 50 mg (Fed)121.00

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Plasma Decay Half Life (t1/2)

Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. (NCT01254396)
Timeframe: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 and 14 hrs post-dose

Interventionhrs (Mean)
Sildenafil 50 mg (Fasted)3.039
Sildenafil 50 mg (Fed)2.503

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Time to Reach Maximum Observed Plasma Concentration (Tmax)

(NCT01254396)
Timeframe: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 and 14 hrs post-dose

Interventionhrs (Median)
Sildenafil 50 mg (Fasted)0.625
Sildenafil 50 mg (Fed)4.000

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Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-∞)]

AUC (0-∞) = Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-∞). It is obtained from AUC (0-t) plus AUC (t-∞). (NCT01254396)
Timeframe: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 and 14 hrs post-dose

Interventionng*hr/mL (Geometric Mean)
Sildenafil 50 mg (Fasted)838.60
Sildenafil 50 mg (Fed)804.00

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Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast)

Area under the plasma concentration time-curve from zero (pre-dose) to the last measured concentration (AUClast). (NCT01254396)
Timeframe: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 and 14 hours (hrs) post-dose

Interventionng*hr/mL (Geometric Mean)
Sildenafil 50 mg (Fasted)813.20
Sildenafil 50 mg (Fed)712.80

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Change in Volume of Lymphatic Malformation

Participants were given sildenafil for 20 weeks. Participants weighing more than 20 kg were given 20 mg 3 times daily (60 mg/day). Participants weighing between 8 kg and 20 kg were given 10 mg 3 times daily (30 mg/day). (NCT01290484)
Timeframe: Baseline, 20 weeks

Interventionpercentage of volume change (Number)
Subject 1Subject 2Subject 3Subject 4Subject 5Subject 6Subject 7
Sildenafil3.7-4.3-1.0-31.7-21.71.129.6

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Endothelial Function

Endothelial function was measured with flow mediated dilation, percent change (NCT01334554)
Timeframe: Difference between FMD at baseline and 4 weeks

Interventionpercentage of brachial artery diameter (Mean)
Sildenafil4.7
Placebo5.3

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Insulin Sensitivity

insulin sensitivity as measured by frequently sampled intravenous glucose tolerance test (NCT01334554)
Timeframe: Insulin sensitivity measured at baseline and 4 weeks after the intervention

,
Interventionmin-1/pmol/mlx10-5 (Median)
Baseline4-week during intervention
Placebo2.73.0
Sildenafil3.43.2

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Daily Frequency of Raynaud's Phenomenon Attacks

Daily frequency of RP attacks as self registered in a 1-week diary. Any episode of pallor or cyanosis of the hand/fingers was considered as a RP attack, and patients were supposed to register the daily amount of such episodes on a 1-week diary, previously to the medical visit. (NCT01347008)
Timeframe: 8 weeks

Interventionnumber of attacks per day (Mean)
Sildenafil Citrate1.9
Sugar Pill1.7

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Digital Skin Microvascular Blood Flow Measured by Laser Doppler Imaging (LDI) After Cold Stimulus.

(NCT01347008)
Timeframe: 8 weeks

Interventionperfusion units (Mean)
Sildenafil Citrate257.7
Sugar Pill220.5

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Digital Skin Microvascular Blood Flow Measured by Laser Doppler Imaging (LDI) Before Cold Stimulus

Finger blood flow of the four medial fingers, measured by laser Doppler imaging and expressed in arbitrary perfusion units (p.u.). (NCT01347008)
Timeframe: 8 weeks

Interventionperfusion units (Mean)
Sildenafil Citrate260.0
Sugar Pill246.3

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Change in International Index of Erectile Function (IIEF) Sexual Desire Domain

Self-reported sexual desire over the past 4 weeks. IIEF sexual desire was the sum of Q11 and Q12. Scores ranged from 1 (low/almost never) to 5 (very high/almost always) for each question, with the total possible score for the 2 questions ranging from 2 to 10. Change was defined as endpoint minus baseline domain score. Change in IIEF sexual desire domain at Week 8 and Week 18 were averaged to produce an overall change in IIEF sexual desire domain score. Higher scores were indicative of increased sexual desire. (NCT01352507)
Timeframe: Baseline, Week 8, and Week 18

Interventionunits on a scale (Mean)
Tadalafil2.55
Sildenafil2.60

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"Percentage of Participants Preferring Tadalafil Over Sildenafil Measured at Week 18 Using Question 1 of the Phosphodiesterase 5 Inhibitor Treatment Preference Questionnaire (PITPQ)"

PITPQ Question (Q) 1 was a dichotomous outcome measure in which the participant selected his preferred study treatment (tadalafil or sildenafil) to receive during the Extension Phase. (NCT01352507)
Timeframe: Week 18

Interventionpercentage of participants (Number)
All Randomized Participants69.1

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Change in PAIRS Spontaneity Domain

PAIRS was a self-administered, 29-item scale that assessed the broader psychological and interpersonal outcomes associated with ED and its treatment. Each question was rated on a Likert scale that ranged from 1 (strongly disagree) to 4 (strongly agree). The spontaneity domain score was the average score for Items 3, 12, 13, 16, 17, 19, 21, 22, and 28. Spontaneity domain scores ranged from 1 (strongly disagree) to 4 (strongly agree). Change was defined as endpoint minus baseline domain score. Change in PAIRS spontaneity domain at Week 8 and Week 18 were averaged to produce an overall change in PAIRS spontaneity domain score. Higher scores were indicative of greater spontaneity. (NCT01352507)
Timeframe: Baseline, Week 8, and Week 18

Interventionunits on a scale (Mean)
Tadalafil0.33
Sildenafil0.20

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Change in PAIRS Time Concerns Domain

PAIRS was a self-administered, 29-item scale that assessed the broader psychological and interpersonal outcomes associated with ED and its treatment. Each question was rated on a Likert scale that ranged from 1 (strongly disagree) to 4 (strongly agree). The time concerns domain score was the average score for Items 1, 2, 6, 7, 8, 20, 24, and 25. Time concern domain scores ranged from 1 (strongly disagree) to 4 (strongly agree). Change was defined as endpoint minus baseline domain score. Change in PAIRS time concerns at Week 8 and Week 18 were averaged to produce an overall change in PAIRS time concerns domain score. Higher scores were indicative of more time concerns. (NCT01352507)
Timeframe: Baseline, Week 8, and Week 18

Interventionunits on a scale (Mean)
Tadalafil-0.28
Sildenafil-0.14

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Change in Psychosocial and Interpersonal Relationship Scale (PAIRS) Sexual Self-Confidence Domain

PAIRS was a self-administered, 29-item scale that assessed the broader psychological and interpersonal outcomes associated with ED and its treatment. Each question was rated on a Likert scale that ranged from 1 (strongly disagree) to 4 (strongly agree). The sexual self-confidence domain score was the average score for Items 5, 10, 15, 23, 27, and 29. Sexual self-confidence domain scores ranged from 1 (strongly disagree) to 4 (strongly agree). Change was defined as endpoint minus baseline domain score. Change in PAIRS sexual self-confidence domain scores at Week 8 and Week 18 were averaged to produce an overall change in PAIRS sexual self-confidence domain score. Higher scores were indicative of greater sexual self-confidence. (NCT01352507)
Timeframe: Baseline, Week 8, and Week 18

Interventionunits on a scale (Mean)
Tadalafil0.75
Sildenafil0.72

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Change in International Index of Erectile Function (IIEF) Erectile Function Domain

Self-reported erectile function over the past 4 weeks. IIEF erectile function was the sum of Q1 through Q5 and Q15 of the IIEF. Q1 through Q5 were scored 0 (low/no erectile function) to 5 (high erectile function) and Q15 was scored 1 (no/low confidence) to 5 (high confidence). IIEF erectile function domain scores ranged from 1 to 30. Change was defined as endpoint minus baseline domain score. Change in IIEF erectile function domain at Week 8 and Week 18 were averaged to produce an overall change in IIEF EF domain score. Higher scores were indicative of better erectile function. (NCT01352507)
Timeframe: Baseline, Week 8, and Week 18

Interventionunits on a scale (Mean)
Tadalafil12.03
Sildenafil11.86

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Change in International Index of Erectile Function (IIEF) Intercourse Satisfaction Domain

Self-reported intercourse satisfaction over the past 4 weeks. IIEF intercourse satisfaction was the sum of Q6, Q7, and Q8 of the IIEF. Scores ranged from 0 (low/no satisfaction) to 5 (high satisfaction) for each question, with the total possible score for the 3 questions ranging from 0 to 15. Change was defined as endpoint minus baseline domain score. Change in IIEF intercourse satisfaction domain at Week 8 and Week 18 were averaged to produce an overall change in IIEF intercourse satisfaction domain score. Higher scores were indicative of an increase in intercourse satisfaction. (NCT01352507)
Timeframe: Baseline, Week 8, and Week 18

Interventionunits on a scale (Mean)
Tadalafil5.88
Sildenafil5.91

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Change in International Index of Erectile Function (IIEF) Orgasmic Function Domain

Self-reported orgasmic function over the past 4 weeks. IIEF orgasmic function was the sum of Q9 and Q10 of the IIEF. Scores ranged from 0 (no stimulation) to 5 (almost always) for each question, with the total possible score for the 2 questions ranging from 0 to 10. Change was defined as endpoint minus baseline domain score. Change in IIEF orgasmic function domain at Week 8 and Week 18 were averaged to produce an overall change in IIEF orgasmic function domain score. Higher scores were indicative of better orgasmic function. (NCT01352507)
Timeframe: Baseline, Week 8, and Week 18

Interventionunits on a scale (Mean)
Tadalafil3.70
Sildenafil3.71

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Change in International Index of Erectile Function (IIEF) Overall Satisfaction Domain

Self-reported overall satisfaction over the past 4 weeks. IIEF overall satisfaction was the sum of Q13 and Q14. Scores ranged from 1 (low/no satisfaction) to 5 (high satisfaction) for each question, with the total possible score for the 2 questions ranging from 2 to 10. Change was defined as endpoint minus baseline domain score. Change in IIEF overall satisfaction domain at Week 8 and Week 18 were averaged to produce an overall change in IIEF overall satisfaction domain score. Higher IIEF overall satisfaction domain scores were indicative of greater overall satisfaction. (NCT01352507)
Timeframe: Baseline, Week 8, and Week 18

Interventionunits on a scale (Mean)
Tadalafil3.74
Sildenafil3.71

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Change in Sexual Encounter Profile (SEP) Question 2

"Participant-assessed diary that assessed the mean change from baseline in the percentage of yes responses to SEP Q2, Were you able to insert your penis into your partner's vagina?. The SEP Q2 score was determined as the percentage of yes responses to SEP Q2 out of all sexual attempts recorded during the time period. Change was defined as the percentage of yes responses at endpoint minus the percentage of yes responses at baseline. Change in percentage of yes responses to SEP Q2 at Week 8 and Week 18 were averaged to produce an overall change in SEP Q2." (NCT01352507)
Timeframe: Baseline, Week 8, and Week 18

Intervention"percentage of yes responses" (Mean)
Tadalafil45.28
Sildenafil44.94

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Change in Sexual Encounter Profile (SEP) Question 3

"Participant-assessed diary that assessed the mean change from baseline in the percentage of yes responses to SEP Q3, Did your erection last long enough for you to have successful intercourse?. The SEP Q3 score was determined as the percentage of yes responses to SEP Q3 out of all sexual attempts recorded during the time period. Change was defined as the percentage of yes responses at endpoint minus percentage of yes responses at baseline. Change in the percentage of yes responses to SEP Q3 at Week 8 and Week 18 were averaged to produce an overall change in SEP Q3." (NCT01352507)
Timeframe: Baseline, Week 8, and Week 18

Intervention"percentage of yes responses" (Mean)
Tadalafil64.53
Sildenafil63.72

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Drug Attributes Questionnaire (DRAQ) at Week 18

DRAQ was a questionnaire used to record explanations for why participants preferred a drug. Participants identified their first and second reasons for drug preference from a choice of 7 reasons. Each reason for drug preference includes participants who selected that reason as their first or second reason. (NCT01352507)
Timeframe: Week 18

,
Interventionpercentage of participants (Number)
Time between drug and first erection was shortWas able to get an erection long after having drugHad erections the next morningThe firmness of erectionsWas able to get an erection every timeHad few side effectsPartner preferred this treatment
Sildenafil35.211.111.151.956.525.97.4
Tadalafil10.355.024.036.437.623.610.7

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Percentage of Participants Moderately or Strongly Preferring the Selected Treatment at Week 18 Using Question 2 of the PITPQ

"PITPQ Q2 was a measure of the degree of treatment preference based on the participant's opinion. The question was, For the treatment preference you selected in Q1, what is your degree of preference?. Choices were moderate or strong." (NCT01352507)
Timeframe: Week 18

,
Interventionpercentage of participants (Number)
Strong preferenceModerate preference
Sildenafil34.365.7
Tadalafil38.062.0

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Change From Baseline in New York Heart Association, World Health Organization (NYHA/WHO) Functional Class in Participants With Pulmonary Arterial Hypertension (PAH) at Year 1, 2, 3 and 4

NYHA/WHO functional classification for PAH range from Class I (no limitation in physical activity, no dyspnea with normal activity) to Class IV (can not perform a physical activity without any symptoms, dyspnea at rest). Improvement=reduction in functional class, deterioration = increase in functional class, no change = no change in functional class. Number of participants in each functional class was reported. (NCT01365585)
Timeframe: Baseline, Year 1, 2, 3, 4

Interventionparticipants (Number)
Year 1: Improved >1 class (n=214)Year 1: Improved 1 class (n=214)Year 1: No change (n=214)Year 1: Worsened 1 class (n=214)Year 1: Worsened >1 class (n=214)Year 2: Improved >1 class (n=156)Year 2: Improved 1 class (n=156)Year 2: No change (n=156)Year 2: Worsened 1 class (n=156)Year 2: Worsened >1 class (n=156)Year 3: Improved >1 class (n=88)Year 3: Improved 1 class (n=88)Year 3: No change (n=88)Year 3: Worsened 1 class (n=88)Year 3: Worsened >1 class (n=88)Year 4: Improved >1 class (n=45)Year 4: Improved 1 class (n=45)Year 4: No change (n=45)Year 4: Worsened 1 class (n=45)Year 4: Worsened >1 class (n=45)
Sildenafil336140125127100741125770062720

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Change From Baseline in Borg Dyspnea Index at Year 1, 2, 3 and 4

Borg dyspnea scale: 10-point scale where following scores stands for severity of dyspnea: 0=no breathlessness at all;0.5=very very slight (just noticeable); 1=very slight; 2=slight breathlessness; 3=moderate; 4=some what severe; 5=severe; 7=very severe breathlessness; 9=very very severe (almost maximum) and 10=maximum. (NCT01365585)
Timeframe: Baseline, Year 1, 2, 3, 4

Interventionunits on a scale (Mean)
Change at Year 1 (n=118)Change at Year 2 (n=65)Change at Year 3 (n=27)Change at Year 4 (n=8)
Sildenafil-0.40.00.30.4

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Change From Baseline in 6-Minute Walk Distance (6MWD) at Year 4

6MWD was the distance that a participant could walk in 6 minutes. Participants were asked to perform the test at a pace that was comfortable to them, with as many breaks as they needed. (NCT01365585)
Timeframe: Baseline, Year 4

Interventionmeter (Mean)
Sildenafil-50.2

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Change From Baseline in 6-Minute Walk Distance (6MWD) at Year 1

6MWD was the distance that a participant could walk in 6 minutes. Participants were asked to perform the test at a pace that was comfortable to them, with as many breaks as they needed. (NCT01365585)
Timeframe: Baseline, Year 1

Interventionmeter (Mean)
Sildenafil29.4

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Change From Baseline in 6-Minute Walk Distance (6MWD) at Year 2

6MWD was the distance that a participant could walk in 6 minutes. Participants were asked to perform the test at a pace that was comfortable to them, with as many breaks as they needed. (NCT01365585)
Timeframe: Baseline, Year 2

Interventionmeter (Mean)
Sildenafil20.8

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Change From Baseline in 6-Minute Walk Distance (6MWD) at Year 3

6MWD was the distance that a participant could walk in 6 minutes. Participants were asked to perform the test at a pace that was comfortable to them, with as many breaks as they needed. (NCT01365585)
Timeframe: Baseline, Year 3

Interventionmeter (Mean)
Sildenafil8.7

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Geometric Mean Ratio of Dose Normalized AUCtau for Sildenafil Before and After Imatinib Administrations

"AUCtau was the area under the curve calculated to the end of the dosing interval, tau. The effect of co-administration of imatinib at two doses (200 and 400 mg) on the pharmacokinetics of sildenafil was performed on dose normalized AUCtau of sildenafil. A mixed effects linear model was fitted to the log-transformed PK parameters. This model included treatment (i.e., dose of imatinib) as a fixed effect, and participant as a random effect. Estimates for the treatment differences and associated 90% confidence intervals were obtained from the above model. These estimates and confidence intervals were then back-transformed to the original scale, giving, for each dose level of imatinib, the ratio of imatinib + co-administered sildenafil and bosentan (test) relative to the co-administered drugs alone (sildenafil + bosentan) (reference)." (NCT01392469)
Timeframe: Day 1: pre-dose, Day 8: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10 and 12 hours post-dose, Day 9: pre-dose, Days 22 and 36: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post-dose

Interventionhr*ng/mL/mg (Geometric Mean)
Bosentan + Sildenafil (Reference)7.22
Imatinib (200 mg/Day) + Bosentan + Sildenafil (Test 1)9.82
Imatinib (400 mg/Day) + Bosentan + Sildenafil (Test 2)12.3

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Geometric Mean Ratio of Dose Normalized Area Under the Curve From Time Zero to Tau (AUCtau) for Bosentan Before and After Imatinib Administrations

"AUCtau was the area under the curve calculated to the end of the dosing interval, tau. The effect of co-administration of imatinib at two doses (200 and 400 mg) on the pharmacokinetics of bosentan was performed on dose normalized AUCtau of bosentan. A mixed effects linear model was fitted to the log-transformed PK parameters. This model included treatment (i.e., dose of imatinib) as a fixed effect, and participant as a random effect. Estimates for the treatment differences and associated 90% confidence intervals were obtained from the above model. These estimates and confidence intervals were then back-transformed to the original scale, giving, for each dose level of imatinib, the ratio of imatinib + co-administered sildenafil and bosentan (test) relative to the co-administered drugs alone (sildenafil + bosentan) (reference)." (NCT01392469)
Timeframe: Day 1: pre-dose, Day 8: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10 and 12 hours post-dose, Day 9: pre-dose, Days 22 and 36: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post-dose

Interventionhr*ng/mL/mg (Geometric Mean)
Bosentan + Sildenafil (Reference)93.3
Imatinib (200 mg/Day) + Bosentan + Sildenafil (Test 1)109
Imatinib (400 mg/Day) + Bosentan + Sildenafil (Test 2)131

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Geometric Mean Ratio of Dose Normalized Cmax for Sildenafil Before and After Imatinib Administrations

"Cmax was the maximum (peak) observed plasma, blood, serum, or other body fluid drug concentration after dose administration. The effect of co-administration of imatinib at two doses (200 and 400 mg) on the pharmacokinetics of sildenafil was performed on dose normalized Cmax of sildenafil. A mixed effects linear model was fitted to the log-transformed PK parameters. This model included treatment (i.e., dose of imatinib) as a fixed effect, and participant as a random effect. Estimates for the treatment differences and associated 90% confidence intervals were obtained from the above model. These estimates and confidence intervals was then back-transformed to the original scale, giving, for each dose level of imatinib, the ratio of imatinib + co-administered sildenafil and bosentan (test) relative to the co-administered drugs alone (sildenafil + bosentan) (reference)." (NCT01392469)
Timeframe: Day 1: pre-dose, Day 8: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10 and 12 hours post-dose, Day 9: pre-dose, Days 22 and 36: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post-dose

Interventionng/mL/mg (Geometric Mean)
Bosentan + Sildenafil (Reference)2.44
Imatinib (200 mg/Day) + Bosentan + Sildenafil (Test 1)3.14
Imatinib (400 mg/Day) + Bosentan + Sildenafil (Test 2)3.81

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Geometric Mean Ratio of Dose Normalized Maximum Plasma Concentration (Cmax) for Bosentan Before and After Imatinib Administrations

"Cmax was the maximum (peak) observed plasma, blood, serum, or other body fluid drug concentration after dose administration. The effect of co-administration of imatinib at two doses (200 and 400 mg) on the pharmacokinetics of bosentan was performed on dose normalized Cmax of bosentan. A mixed effects linear model was fitted to the log-transformed PK parameters. This model included treatment (i.e., dose of imatinib) as a fixed effect, and participant as a random effect. Estimates for the treatment differences and associated 90% confidence intervals were obtained from the above model. These estimates and confidence intervals were then back-transformed to the original scale, giving, for each dose level of imatinib, the ratio of imatinib + co-administered sildenafil and bosentan (test) relative to the co-administered drugs alone (sildenafil + bosentan) (reference)." (NCT01392469)
Timeframe: Day 1: pre-dose, Day 8: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10 and 12 hours post-dose, Day 9: pre-dose, Days 22 and 36: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post-dose

Interventionng/mL/mg (Geometric Mean)
Bosentan + Sildenafil (Reference)21.9
Imatinib (200 mg/Day) + Bosentan + Sildenafil (Test 1)21.8
Imatinib (400 mg/Day) + Bosentan + Sildenafil (Test 2)23.4

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Number of Participants With At Least One or More Adverse Events (AEs)

An adverse event was the appearance or worsening of any undesirable sign, symptom, or medical condition that occurred after starting the study drug even if the event was not considered to be related to study drug. Number of participants with AEs were reported by treatment period. (NCT01392469)
Timeframe: From time of first administration of study drug until end of study (up to approximately 18 months)

InterventionParticipants (Count of Participants)
Bosentan + Sildenafil10
Imatinib (200 mg/Day) + Bosentan + Sildenafil9
Imatinib (400 mg/Day) + Bosentan+ Sildenafil16

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Dose Normalized AUCtau of Imatinib and CGP74588 (Active Metabolite of Imatinib)

(NCT01392469)
Timeframe: Day 1: pre-dose, Day 8: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10 and 12 hours post-dose, Day 9: pre-dose, Days 22 and 36: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post-dose

,
Interventionhr*ng/mL/mg (Mean)
Imatinib AUCtau/DoseCGP74588 AUCtau/Dose
Imatinib (200 mg/Day) + Bosentan + Sildenafil90.919.3
Imatinib (400 mg/Day) + Bosentan + Sildenafil88.420.6

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Dose Normalized Cmax of Imatinib and CGP74588 (Active Metabolite of Imatinib)

(NCT01392469)
Timeframe: Day 1: pre-dose, Day 8: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10 and 12 hours post-dose, Day 9: pre-dose, Days 22 and 36: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post-dose

,
Interventionng/ml/mg (Mean)
Imatinib Cmax/DoseCGP74588 Cmax/Dose
Imatinib (200 mg/Day) + Bosentan + Sildenafil7.551.37
Imatinib (400 mg/Day) + Bosentan + Sildenafil6.711.39

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Blood Pressure

Systolic blood pressure (NCT01409993)
Timeframe: 3 months

InterventionmmHg (Mean)
Sildenafil Aim 1122
Placebo Aim 1123.1
Sildenafil Aim 2114.3
Placebo Aim 2112.5

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Fasting Plasma Glucose

(NCT01409993)
Timeframe: 3 months

Interventionmg/dL (Mean)
Sildenafil Aim 198.6
Placebo Aim 196.9
Sildenafil Aim 298.8
Placebo Aim 297.5

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Glucose Infusion Rate

In the group of subjects undergoing euglycemic clamp (Aim 2) (NCT01409993)
Timeframe: 2.5 hours after 3 months of therapy

InterventionmL/hr (Mean)
Sildenafil Aim 2140.45
Placebo Aim 2162.61

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Index of Tissue Sensitivity to Insulin

in the group of subjects undergoing hyperglycemic clamp (Aim 1), calculated by dividing the average glucose infusion rate during the last hour of the clamp by the average plasma insulin concentration during the same interval (NCT01409993)
Timeframe: 2.5 hours after 3 months of therapy

Intervention(mg/kg/min per microU/mL)*100 (Mean)
Sildenafil Aim 16.45
Placebo Aim 14.66

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Insulin Secretion

in the group of subjects undergoing hyperglycemic clamp (Aim 1) (NCT01409993)
Timeframe: 2.5 hours after 3 months of therapy

InterventionmicroU/mL (Mean)
Sildenafil Aim 1109.4
Placebo Aim 1103.1

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Boceprevir Alone Maximum Plasma Concentration

Day 10 commence BOC 800mg three times a day with food. On day 15 at steady state, subjects will attend for witnessed dosing and an intensive pharmacokinetic visit over 8 hours (samples drawn 0, 0.5, 1, 2, 3, 4, 6 and 8 hours post dose) (NCT01499498)
Timeframe: day 10-15

Interventionng/mL (Geometric Mean)
Bocepreprivir Alone1432.5

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Boceprevir Maximum Plasma Concentration

administer BOC 800mg and single dose sildenafil 25mg with food. Intensive pharmacokinetic sampling will be taken over a 24 hour period (0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post dose) (NCT01499498)
Timeframe: Day 16

Interventionng/mL (Geometric Mean)
Sildenafil and Boceprevir1440.5

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Number of Patients With Adverse Events

The number of repeated adverse events will be used to assess the safety of the drugs in combination (NCT01499498)
Timeframe: Day 1 - 16

Interventionparticipants (Number)
Sildenafil and Boceprevir0

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Sildenafil Maximum Plasma Concentration

administer BOC 800mg and single dose sildenafil 25mg with food. Intensive pharmacokinetic sampling will be taken over a 24 hour period (0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post dose) (NCT01499498)
Timeframe: Day 16

Interventionng/mL (Geometric Mean)
Sildenafil and Boceprevir150.9

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Sildenafil Alone Maximum Plasma Concentration

Single dose sildenafil 25mg will be administered with food. Intensive pharmacokinetic sampling will be taken over a 24 hour period (0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post dose) (NCT01499498)
Timeframe: Day 1

Interventionng/mL (Geometric Mean)
Sildenafil Only79.9

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Time to Reach the Maximum Concentration After Drug Administration (Tmax) of LCZ696 Analytes (AHU377, LBQ657 and Valsartan)

The effect of co-administration of sildenafil on the pharmacokinetics of LCZ696 (analytes of LCZ696: AHU377, LBQ657 and valsartan) was assessed. Blood samples were collected at pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post-dose from day 1 to day 7, 24 hours post-dose from day 7, day 8 at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post-dose. Tmax is a mathematically-derived value from all measurements. Tmax is a measure of the area under the curve that is obtained from plotting the plasma concentration by time point. All time-points were used to derive the single PK parameters. (NCT01601470)
Timeframe: From pre-dose on day 1 until 12 hours post dose on day 8

Interventionhours (Median)
AHU377LBQ657valsartan
Period 1:Sildenafil;Period 2:LCZ696;Period 3:LCZ696+Sildenafil1.003.002.00

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Area Under the Plasma Concentration-time Curve From Time Zero to the End of the Dosing Interval (AUCtau) of LCZ696 Analytes

The effect of co-administration of sildenafil on the pharmacokinetics of LCZ696 (analytes of LCZ696: AHU377, LBQ657 and valsartan) was assessed. Blood samples were collected at pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post-dose from day 1 to day 7, 24 hours post-dose from day 7, and day 8 at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post-dose. AUC is a mathematically-derived value from all measurements. AUC is a measure of the area under the curve that is obtained from plotting the plasma concentration by time point. All time-points were used to derive the single PK parameters. (NCT01601470)
Timeframe: From pre-dose on day 1 until 12 hours post dose on day 8

Interventionh*ng/mL (Mean)
AHU377LBQ657valsartan
Period 1:Sildenafil;Period 2:LCZ696;Period 3:LCZ696+Sildenafil370014700023600

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Area Under the Plasma Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUClast) of Sildenafil and N-desmethyl-sildenafil Analytes

The effect of co-administration of LCZ696 on the pharmacokinetics of Sildenafil and N-desmethyl-sildenafil was assessed. Blood samples were collected at pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post-dose from day 1 to day 7, 24 hours post-dose from day 7, day 8 at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post-dose. AUC is a mathematically-derived value from all measurements. AUC is a measure of the area under the curve that is obtained from plotting the plasma concentration by time point. All time-points were used to derive the single PK parameters. (NCT01601470)
Timeframe: From pre-dose on day 1 until 12 hours post dose on day 8

Interventionh*ng/mL (Mean)
SildenafilN-desmethyl-sildenafil
Period 1:Sildenafil;Period 2:LCZ696;Period 3:LCZ696+Sildenafil612305

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Maximum Plasma Concentration Following Drug Administration at Steady State (Cmax,ss) of LCZ696 Analytes (AHU377, LBQ657 and Valsartan)

The effect of co-administration of sildenafil on the pharmacokinetics of LCZ696 (analytes of LCZ696: AHU377, LBQ657 and valsartan) was assessed. Blood samples were collected at pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post-dose from day 1 to day 7, 24 hours post-dose from day 7, and day 8 at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post-dose. Cmax is a mathematically-derived value from all measurements. Cmax is a measure of the area under the curve that is obtained from plotting the plasma concentration by time point. All time-points were used to derive the single PK parameters. (NCT01601470)
Timeframe: From pre-dose on day 1 until 12 hours post dose on day 8

Interventionng/mL (Mean)
AHU377LBQ696valsartan
Period 1:Sildenafil;Period 2:LCZ696;Period 3:LCZ696+Sildenafil2310140003350

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Minimum Plasma Concentration Following Drug Administration at Steady State (Cmin,ss) of LCZ696 Analytes (AHU377, LBQ696 and Valsartan)

The effect of co-administration of sildenafil on the pharmacokinetics of LCZ696 (analytes of LCZ696: AHU377, LBQ657 and valsartan) was assessed. Blood samples were collected at pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post-dose from day 1 to day 7, 24 hours post-dose from day 7, day 8 at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post-dose. Cmin is a mathematically-derived value from all measurements. Cmin is a measure of the area under the curve that is obtained from plotting the plasma concentration by time point. All time-points were used to derive the single PK parameters. (NCT01601470)
Timeframe: From pre-dose on day 1 until 12 hours post dose on day 8

Interventionng/mL (Mean)
AHU377LBQ657valsartan
Period 1:Sildenafil;Period 2:LCZ696;Period 3:LCZ696+Sildenafil0.02170197

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Terminal Elimination Half-life (T1/2) of Sildenafil and N-desmethyl-sildenafil Analytes

The effect of co-administration of LCZ696 on the pharmacokinetics of Sildenafil and N-desmethyl-sildenafil was assessed. Blood samples were collected at pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post-dose from day 1 to day 7, 24 hours post-dose from day 7, day 8 at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post-dose. T1/2 is a mathematically-derived value from all measurements. T1/2 is a measure of the area under the curve that is obtained from plotting the plasma concentration by time point. All time-points were used to derive the single PK parameters. (NCT01601470)
Timeframe: From pre-dose on day 1 until 12 hours post dose on day 8

Interventionhours (Mean)
SildenafilN-desmethyl-sildenafil
Period 1:Sildenafil;Period 2:LCZ696;Period 3:LCZ696+Sildenafil3.846.20

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Time to Reach the Maximum Concentration After Drug Administration (Tmax) of Sildenafil and N-desmethyl-sildenafil Analytes

The effect of co-administration of LCZ696 on the pharmacokinetics of Sildenafil and N-desmethyl-sildenafil will be assessed. 8pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post-dose from day 1 to day 7, 24 hours post-dose from day 7, day 8 at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post-dose. All time-points were used to mathematically derive the single PK parameter. (NCT01601470)
Timeframe: From pre-dose on day 1 until 12 hours post dose on day 8

Interventionhours (Median)
SildenafilN-desmethyl-sildenafil
Period 1:Sildenafil;Period 2:LCZ696;Period 3:LCZ696+Sildenafil1.001.00

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Adverse Events, Serious Adverse Events and Deaths Were Monitored From Screening to End of Study

Number of patients with adverse events, serious adverse events and death (NCT01601470)
Timeframe: From the screening visit until 30 days past the final study assessment

InterventionParticipants (Number)
Adverse Events (Serious and non-serious)Serious Adverse EventsDeaths
Period 1:Sildenafil;Period 2:LCZ696;Period 3:LCZ696+Sildenafil1700

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Area Under the Plasma Concentration-time Curve From Time Zero to Infinity (AUCinf) of Sildenafil and N-desmethyl-sildenafil Analytes

The effect of co-administration of LCZ696 on the pharmacokinetics of Sildenafil and N-desmethyl-sildenafil was assessed. Blood samples were collected at pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post-dose from day 1 to day 7, 24 hours post-dose from day 7, day 8 at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post-dose. AUC is a mathematically-derived value from all measurements. AUC is a measure of the area under the curve that is obtained from plotting the plasma concentration by time point. All time-points were used to derive the single PK parameters. (NCT01601470)
Timeframe: From pre-dose on day 1 until 12 hours post dose on day 8

Interventionh*ng/mL (Mean)
SildenafilN-desmethyl-sildenafil
Period 1:Sildenafil;Period 2:LCZ696;Period 3:LCZ696+Sildenafil629325

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Maximum Plasma Concentration Following Drug Administration (Cmax) of Sildenafil and N-desmethyl-sildenafil Analytes

The effect of co-administration of LCZ696 on the pharmacokinetics of Sildenafil and N-desmethyl-sildenafil was assessed. Blood samples were collected at pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post-dose from day 1 to day 7, 24 hours post-dose from day 7, day 8 at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post-dose. All time-points were used to mathematically derive the single PK parameter. (NCT01601470)
Timeframe: From pre-dose on day 1 until 12 hours post dose on day 8

Interventionng/mL (Mean)
SildenafilN-desmethyl-sildenafil
Period 1:Sildenafil;Period 2:LCZ696;Period 3:LCZ696+Sildenafil18984.6

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Change From Baseline in World Health Organization (WHO) Functional Class in Participants With Pulmonary Arterial Hypertension (PAH) at Week 16

"WHO functional classification for PAH range from Class I (no limitation in physical activity, no dyspnea with normal activity), Class II (slight limitation of physical activity), Class III (marked limitation of physical activity) and Class IV (cannot perform a physical activity without any symptoms, dyspnea at rest). The change from baseline in WHO functional class was classified into Improved, No change and Worsened. Improvement = reduction in functional class, worsened = increase in functional class and no change = no change in functional class. Change from baseline in number of participants in each functional class were reported." (NCT01642407)
Timeframe: Baseline, Week 16

Interventionparticipants (Number)
ImprovedNo changeWorsened
Sildenafil130

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Change From Baseline in World Health Organization (WHO) Functional Class in Participants With Pulmonary Arterial Hypertension (PAH) at Week 4

"WHO functional classification for PAH range from Class I (no limitation in physical activity, no dyspnea with normal activity), Class II (slight limitation of physical activity), Class III (marked limitation of physical activity) and Class IV (cannot perform a physical activity without any symptoms, dyspnea at rest). The change from baseline in WHO functional class was classified into Improved, No change and Worsened. Improvement = reduction in functional class, worsened = increase in functional class and no change = no change in functional class. Change from baseline in number of participants in each functional class were reported." (NCT01642407)
Timeframe: Baseline, Week 4

Interventionparticipants (Number)
Baseline: Class IBaseline: Class IIBaseline: Class IIIBaseline: Class IVWeek 4: ImprovedWeek 4: No changeWeek 4: Worsened
Sildenafil2310150

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Change From Baseline in World Health Organization (WHO) Functional Class in Participants With Pulmonary Arterial Hypertension (PAH) at Week 8

"WHO functional classification for PAH range from Class I (no limitation in physical activity, no dyspnea with normal activity), Class II (slight limitation of physical activity), Class III (marked limitation of physical activity) and Class IV (cannot perform a physical activity without any symptoms, dyspnea at rest). The change from baseline in WHO functional class was classified into Improved, No change and Worsened. Improvement = reduction in functional class, worsened = increase in functional class and no change = no change in functional class. Change from baseline in number of participants in each functional class were reported." (NCT01642407)
Timeframe: Baseline, Week 8

Interventionparticipants (Number)
ImprovedNo changeWorsened
Sildenafil140

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Change From Baseline in World Health Organization (WHO) Functional Class in Participants With Pulmonary Arterial Hypertension (PAH) at Weeks 28, 40, 52, 64, 76, 88, 100, 112 and 124

"WHO functional classification for PAH range from Class I (no limitation in physical activity, no dyspnea with normal activity), Class II (slight limitation of physical activity), Class III (marked limitation of physical activity) and Class IV (cannot perform a physical activity without any symptoms, dyspnea at rest). The change from baseline in WHO functional class was classified into Improved, No change and Worsened. Improvement = reduction in functional class, worsened = increase in functional class and no change = no change in functional class. Change from baseline in number of participants in each functional class were reported." (NCT01642407)
Timeframe: Baseline, Weeks 4, 8, 16, 28, 40, 52, 64, 76, 88, 100, 112 and 124

InterventionParticipants (Count of Participants)
Baseline: Class IBaseline: Class IIBaseline: Class IIIBaseline: Class IVWeek 28: ImprovedWeek 28: No ChangeWeek 28: WorsenedWeek 40: ImprovedWeek 40: No ChangeWeek 40: WorsenedWeek 52: ImprovedWeek 52: No ChangeWeek 52: WorsenedWeek 64: ImprovedWeek 64: No ChangeWeek 64: WorsenedWeek 76: ImprovedWeek 76: No ChangeWeek 76: WorsenedWeek 88: ImprovedWeek 88: No ChangeWeek 88: WorsenedWeek 100: ImprovedWeek 100: No ChangeWeek 100: WorsenedWeek 112: ImprovedWeek 112: No ChangeWeek 112: WorsenedWeek 124: ImprovedWeek 124: No ChangeWeek 124:Worsened
Sildenafil1200120120120110101100100100100

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Maximum Observed Plasma Concentration (Cmax) of Sildenafil and UK-103,320

UK-103,320 was the main metabolite of Sildenafil and was produced by cytochrome P450 3A4. (NCT01642407)
Timeframe: Pre-dose (0 hour) on Week 4, 8, 16 and 1, 2, 4, 8 hours post-dose on Week 16

Interventionnanogram per milliliter (ng/mL) (Geometric Mean)
SildenafilUK-103,320
Sildenafil138.173.66

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Number of Participants With Clinically Significant 12-Lead Electrocardiogram (ECG) Abnormalities

Criteria for clinically significant abnormality in ECG parameters: Maximum corrected QT interval (QTc) from 450 millisecond (msec) to less than (<) 480 msec, Maximum QTcB interval (Bazett's Correction) from 450 msec to <480 msec, Maximum QTcF interval (Fredericia's Correction) from 450 msec to <480 msec, maximum QTc interval increase from baseline of 30 msec to <60 msec and >=60 msec. (NCT01642407)
Timeframe: Screening, Week 16, Week 52 and End of treatment (maximum duration of treatment: 119.6 weeks)

InterventionParticipants (Count of Participants)
ScreeningWeek 16Week 52End of Treatment
Sildenafil4511

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Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

An AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 28 days after last dose that were absent before treatment or that worsened relative to pretreatment state. AEs included both SAEs and non-serious AEs. (NCT01642407)
Timeframe: Baseline upto 28 days after last dose of study drug (maximum duration of treatment: 119.6 weeks)

InterventionParticipants (Count of Participants)
AEsSAEs
Sildenafil60

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Terminal Half Life (t1/2) of Sildenafil and UK-103,320

Terminal half-life is the time measured for the plasma concentration to decrease by one half of its original concentration. UK-103,320 was a main metabolite of sildenafil and was produced by cytochrome P450 3A4. (NCT01642407)
Timeframe: Pre-dose (0 hour) on Week 4, 8, 16 and 1, 2, 4, 8 hours post-dose on Week 16

Interventionhour (Median)
SildenafilUK-103,320
Sildenafil1.7852.110

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Time to Reach Maximum Observed Plasma Concentration (Tmax) of Sildenafil and UK-103,320

UK-103,320 was the main metabolite of Sildenafil and was produced by cytochrome P450 3A4. (NCT01642407)
Timeframe: Pre-dose (0 hour) on Week 4, 8, 16 and 1, 2, 4, 8 hours post-dose on Week 16

Interventionhour (Median)
SildenafilUK-103,320
Sildenafil1.001.00

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Change From Baseline in Pulmonary Artery Systolic and Diastolic Pressure at Week 16

(NCT01642407)
Timeframe: Baseline, Week 16

InterventionmmHg (Mean)
Baseline: Systolic PressureBaseline: Diastolic PressureChange at Week 16: Systolic PressureChange at Week 16: Diastolic Pressure
Sildenafil82.542.0-9.8-3.5

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Apparent Oral Clearance (CL/F) of Sildenafil

Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. (NCT01642407)
Timeframe: Pre-dose (0 hour) on Week 4, 8, 16 and 1, 2, 4, 8 hours post-dose on Week 16

Interventionliter per hour (Geometric Mean)
Sildenafil41.73

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Apparent Volume of Distribution (Vz/F) of Sildenafil

Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. Apparent volume of distribution after oral dose (Vz/F) is influenced by the fraction absorbed. (NCT01642407)
Timeframe: Pre-dose (0 hour) on Week 4, 8, 16 and 1, 2, 4, 8 hours post-dose on Week 16

Interventionliter (Median)
Sildenafil77.90

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Number of Participants With Laboratory Abnormalities

Laboratory abnormality criteria: Hematology (hemoglobin, hematocrit, red blood cell count [less than {<}]0.8*lower limit of normal [LLN]; platelets <0.5*LLN, greater than [>]1.75*upper limit of normal [ULN], white blood cells <0.6*LLN, >1.5*ULN; lymphocytes, neutrophils <0.8*LLN, >1.2*ULN, eosinophils, basophils, monocytes >1.2*ULN); liver function (total and direct bilirubin >1.5*ULN, aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase >3.0*ULN, total protein, albumin <0.8*LLN, >1.2*ULN); renal (creatinine, blood urea nitrogen >1.3*ULN); electrolytes (sodium <0.95*LLN, >1.05*ULN, potassium, chloride <0.9*LLN, >1.1*ULN; other (glucose <0.6*LLN or >1.5*ULN ); urinalysis (dipstick) urine glucose, urine protein, urine blood/Hemoglobin, [greater than or equal to {>=}1]. (NCT01642407)
Timeframe: Baseline up-to End of treatment (maximum duration of treatment: 119.6 weeks)

InterventionParticipants (Count of Participants)
Sildenafil4

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Number of Participants With Ocular Examination Abnormalities

Ocular examination measures included external examination of the eye, funduscopy, assessments of visual acuity, and color vision. Ocular examination findings were considered abnormal based on investigator's decision. (NCT01642407)
Timeframe: Screening up to end of treatment (maximum duration of treatment: 119.6 weeks)

InterventionParticipants (Count of Participants)
Sildenafil0

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Number of Participants With Pericardial Effusion

Pericardial effusion is the presence of an abnormal amount of fluid in the pericardial cavity, as determined by echocardiography. (NCT01642407)
Timeframe: Baseline up to Week 16

Interventionparticipants (Number)
Sildenafil0

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Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) of Sildenafil and UK-103,320

UK-103,320 was the main metabolite of Sildenafil and was produced by cytochrome P450 3A4. (NCT01642407)
Timeframe: Pre-dose (0 hour) on Week 4, 8, 16 and 1, 2, 4, 8 hours post-dose on Week 16

Interventionnanogram*hour per millimeter (Geometric Mean)
SildenafilUK-103,320
Sildenafil338.9210.2

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Change From Baseline in Arterial Oxygen Saturation (SaO2) at Week 16

SaO2 is the percentage of arterial oxygen (amount of oxygen bound to hemoglobin in arterial blood). Change from baseline in percentage of arterial oxygen was reported in this outcome measure. (NCT01642407)
Timeframe: Baseline, Week 16

Interventionpercentage of arterial oxygen (Mean)
BaselineChange at Week 16
Sildenafil95.08-0.80

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Change From Baseline in Brain Natriuretic Peptide (BNP) at Week 16

BNP is produced by ventricular cardiomyocytes. It causes reduction in preload and blood pressure by vasodilatation. (NCT01642407)
Timeframe: Baseline, Week 16

Interventionpicogram per milliliter (Mean)
BaselineChange at Week 16
Sildenafil132.62-64.10

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Change From Baseline in Brain Natriuretic Peptide (BNP) at Week 52 and End of Treatment (EOT)

BNP is produced by ventricular cardiomyocytes. It causes reduction in preload and blood pressure by vasodilatation. (NCT01642407)
Timeframe: Baseline, Week 52 and End of treatment (maximum duration of treatment: 119.6 weeks)

Interventionpicograms per milliliter (Mean)
BaselineChange at Week 52Change at EoT
Sildenafil100.17-85.17-85.17

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Change From Baseline in Cardiac Index (CI) at Week 16

Cardiac index is a hemodynamic parameter that relates the cardiac output from left ventricle in one minute to BSA, thus relating heart performance to the size of the individual. CI was calculated as cardiac output in systemic circulation divided by BSA. (NCT01642407)
Timeframe: Baseline, Week 16

Interventionliter per minute per meter square (Mean)
BaselineChange at Week 16
Sildenafil3.0700.658

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Change From Baseline in Cardiac Output (CO) at Week 16

Cardiac output is simply the amount of blood pumped by the heart per minute. (NCT01642407)
Timeframe: Baseline, Week 16

Interventionliter per minute (Mean)
BaselineChange at Week 16
Sildenafil2.6200.420

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Change From Baseline in Heart Rate at Weeks 4, 8, 16, 28, 40, 52, 64, 76, 88, 100, 112 and 124

Only those categories in which at least 1 participant had data were reported. (NCT01642407)
Timeframe: Baseline, Weeks 4, 8, 16, 28, 40, 52, 64, 76, 88, 100, 112 and 124

Interventionbeats per minute (bpm) (Mean)
Baseline: Supine Heart rateBaseline: Sitting Heart rateChange at Week 4: Supine Heart rateChange at Week 4: Sitting Heart rateChange at Week 8: Supine Heart rateChange at Week 8: Sitting Heart rateChange at Week 16: Supine Heart rateChange at Week 16: Sitting Heart rateChange at Week 28: Supine Heart rateChange at Week 40: Supine Heart rateChange at Week 52: Supine Heart rateChange at Week 64: Supine Heart rateChange at Week 76: Supine Heart rate
Sildenafil100.296.0-1.0-22.0-0.50.03.04.06.710.0-2.017.0-8.0

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Change From Baseline in Mean Pulmonary Artery Pressure (mPAP) at Week 16

It was a hemodynamic parameter and measured using a pressure transducer positioned at the mid-axillary line with the participant in the supine position. (NCT01642407)
Timeframe: Baseline, Week 16

Interventionmillimeter of mercury (mmHg) (Mean)
BaselineChange at Week 16
Sildenafil58.5-6.5

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Change From Baseline in Mixed Venous Oxygen Saturation (SvO2) at Week 16

SvO2 is the percentage of mixed venous oxygen (amount of oxygen bound to hemoglobin in venous blood). Change from baseline in percentage of mixed venous oxygen was reported in this outcome measure. (NCT01642407)
Timeframe: Baseline, Week 16

Interventionpercentage of mixed venous oxygen (Mean)
BaselineChange at Week 16
Sildenafil65.305.38

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Change From Baseline in N-terminal Pro Brain Natriuretic Peptide (NT Pro-BNP) at Week 16

NT pro-BNP is a cardiac marker, having the prognostic value for participants with heart failure or left ventricular dysfunction. Higher level of the marker was indicative of heart damage. (NCT01642407)
Timeframe: Baseline, Week 16

Interventionpicogram per milliliter (Mean)
BaselineChange at Week 16
Sildenafil843.03-546.85

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Change From Baseline in N-terminal Pro Brain Natriuretic Peptide (NT Pro-BNP) at Week 52 and End of Treatment (EOT)

NT pro-BNP is a cardiac marker, having the prognostic value for participants with heart failure or left ventricular dysfunction. Higher level of the marker was indicative of heart damage. (NCT01642407)
Timeframe: Baseline, Week 52 and End of treatment (maximum duration of treatment: 119.6 weeks)

Interventionpicograms per milliliter (Mean)
BaselineChange at Week 52Change at EoT
Sildenafil841.73-754.90-754.90

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Change From Baseline in Pulmonary Capillary Wedge Pressure (PCWP) at Week 16

PCWP was measured by pulmonary artery catheterization and provided an indirect measure of left atrial pressure. (NCT01642407)
Timeframe: Baseline, Week 16

InterventionmmHg (Mean)
BaselineChange at Week 16
Sildenafil8.52.5

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Change From Baseline in Pulmonary Regurgitation - Pressure Gradient (PR-PG) End-Diastole at Week 16

Pulmonary regurgitation (PR) or insufficiency is a valvular heart disease characterized by an incomplete closure of the pulmonary valve leading to a diastolic reflux into the right ventricle. Change from baseline in PR-PG end-diastole (in mmHg) was reported in this outcome measure. (NCT01642407)
Timeframe: Baseline, Week 16

InterventionmmHg (Mean)
BaselineChange at Week 16
Sildenafil29.03.5

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Change From Baseline in Pulmonary Vascular Resistance (PVR) at Week 16

The resistance to blood flow through the pulmonary circulation is known as PVR. It is largely influenced by the caliber of the pulmonary arteries and capillaries and was measured in terms of Wood units. Wood unit =80 dyne*seconds per centimetre^5 (dyne*sec/cm^5). (NCT01642407)
Timeframe: Baseline, Week 16

InterventionWood units (Mean)
BaselineChange at Week 16
Sildenafil21.372-6.145

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Change From Baseline in Pulmonary Vascular Resistance Index (PVRI) at Week 16

PVRI equals pulmonary vascular resistance (PVR) times body surface area (BSA) (PVRI = PVR*BSA). PVR is the resistance to blood flow through the pulmonary circulation and it was measured in Wood units. Wood unit =80 dyne*seconds per centimetre^5 (dyne*sec/cm^5). (NCT01642407)
Timeframe: Baseline, Week 16

Interventionwood units*meter^2 (Mean)
BaselineChange at Week 16
Sildenafil18.567-4.113

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Change From Baseline in Ratio of Acceleration Time to Ejection Time (AcT/ET) at Week 16

Acceleration time and ejection time are quantitative Doppler parameters and ratio of acceleration time to ejection time is a useful tool to evaluate the severity of aortic stenosis. (NCT01642407)
Timeframe: Baseline, Week 16

Interventionratio (Mean)
BaselineChange at Week 16
Sildenafil0.30380.0175

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Change From Baseline in Right Atrial Pressure (RAP) at Week 16

RAP is the blood pressure in the right atrium of the heart. It reflects the amount of blood returning to the heart and the ability of the heart to pump the blood into the arterial system. RAP was measured using a pressure transducer positioned at the mid-axillary line with the participant in the supine position. (NCT01642407)
Timeframe: Baseline, Week 16

InterventionmmHg (Mean)
BaselineChange at Week 16
Sildenafil6.51.3

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Change From Baseline in Right Ventricular Size at Week 16

(NCT01642407)
Timeframe: Baseline, Week 16

Interventioncentimeter (cm) (Mean)
BaselineChange at Week 16
Sildenafil3.37-0.40

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Change From Baseline in Right Ventricular Tei Index at Week 16

The right ventricular Tei Index is an index of myocardial performance. It is defined as the sum of isovolumic contraction time and isovolumic relaxation time divided by the ejection time. (NCT01642407)
Timeframe: Baseline, Week 16

Interventionratio (Mean)
BaselineChange at Week 16
Sildenafil0.7540-0.0440

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Change From Baseline in Systemic Artery Systolic and Diastolic Pressure at Week 16

(NCT01642407)
Timeframe: Baseline, Week 16

InterventionmmHg (Mean)
Baseline: Systolic PressureBaseline: Diastolic PressureChange at Week 16: Systolic PressureChange at Week 16: Diastolic Pressure
Sildenafil95.360.20.3-1.5

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Change From Baseline in Systemic Vascular Resistance (SVR) at Week 16

The resistance to blood flow through the systemic circulation is known as SVR. This can be used in measuring blood pressure, blood flow and cardiac function and measured in terms of Wood units. Wood unit =80 dyne*seconds per centimetre^5 (dyne*sec/cm^5). (NCT01642407)
Timeframe: Baseline, Week 16

InterventionWood units (Mean)
BaselineChange at Week 16
Sildenafil26.545-3.403

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Change From Baseline in Systemic Vascular Resistance Index (SVRI) at Week 16

SVRI equals systemic vascular resistance (SVR) times BSA. SVR is the resistance to blood flow through the systemic circulation and it was measured in Wood units. Wood unit =80 dyne*seconds per centimetre^5 (dyne*sec/cm^5). (NCT01642407)
Timeframe: Baseline, Week 16

InterventionWood units*meter^2 (Mean)
BaselineChange at Week 16
Sildenafil23.855-2.378

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Change From Baseline in Systolic and Diastolic Blood Pressure (BP) at Weeks 4, 8, 16, 28, 40, 52, 64, 76, 88, 100, 112 and 124

BP measurement is recorded as supine and sitting systolic and diastolic systemic blood pressure: 1) Systolic blood pressure when heart is contracting and it is the maximum arterial pressure during contraction of left ventricle. 2) Diastolic BP when heart is relaxing and it is the minimum arterial pressure during relaxation and dilation of ventricles. Only those categories in which at least 1 participant had data were reported. (NCT01642407)
Timeframe: Baseline, Weeks 4, 8, 16, 28, 40, 52, 64, 76, 88, 100, 112 and 124

InterventionmmHg (Mean)
Baseline: Supine Systolic BPBaseline: Supine Diastolic BPBaseline: Sitting Systolic BPBaseline: Sitting Diastolic BPChange at Week 4: Supine Systolic BPChange at Week 4: Supine Diastolic BPChange at Week 4: Sitting Systolic BPChange at Week 4: Sitting Diastolic BPChange at Week 8: Supine Systolic BPChange at Week 8: Supine Diastolic BPChange at Week 8: Sitting Systolic BPChange at Week 8: Sitting Diastolic BPChange at Week 16: Supine Systolic BPChange at Week 16: Supine Diastolic BPChange at Week 16: Sitting Systolic BPChange at Week 16: Sitting Diastolic BPChange at Week 28: Supine Systolic BPChange at Week 28: Supine Diastolic BPChange at Week 40: Supine Systolic BPChange at Week 40: Supine Diastolic BPChange at Week 52: Supine Systolic BPChange at Week 52: Supine Diastolic BPChange at Week 64: Supine Systolic BPChange at Week 64: Supine Diastolic BPChange at Week 76: Supine Systolic BPChange at Week 76: Supine Diastolic BP
Sildenafil95.455.8110.060.05.61.616.023.07.82.3-6.0-3.07.7-1.38.010.07.01.7-7.52.02.010.01.08.0-13.03.0

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Change From Baseline in Tricuspid Annular Plane Systolic Excursion (TAPSE) at Week 16

Tricuspid annular plane systolic excursion is a parameter depicting global right ventricular function. Change from baseline in TAPSE (in cm) was reported in this outcome measure. (NCT01642407)
Timeframe: Baseline, Week 16

Interventioncm (Mean)
BaselineChange at Week 16
Sildenafil1.470.18

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Change From Baseline in Tricuspid Regurgitation - Pressure Gradient (TR-PG) Peak at Week 16

Tricuspid regurgitation (insufficiency) is the failure of the tricuspid valve to close properly during systole, leading to the leaking of blood from the right ventricle into the right atrium. Change from baseline in TR-PG peak (in mmHg) was reported in this outcome measure. (NCT01642407)
Timeframe: Baseline, Week 16

InterventionmmHg (Mean)
BaselineChange at Week 16
Sildenafil73.0-6.0

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Change From Baseline in Tricuspid Valve Annulus Size at Week 16

The tricuspid valve lies between the right atrium and the right ventricle and is placed in a more apical position than the mitral valve. The annulus separates the right atrium from the right ventricle. Change from baseline in tricuspid valve annulus size (in cm) was reported in this outcome measure. (NCT01642407)
Timeframe: Baseline, Week 16

Interventioncm (Mean)
BaselineChange at Week 16
Sildenafil2.190-0.103

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Hemoglobin Level Measured at Week 8

Hemoglobin was measured by University of Texas Medical Branch Clinical Laboratory. Normal ranges are 11.6 - 15.0 g/dL. (NCT01661595)
Timeframe: week 8

Interventiong/dL (Mean)
Sildenafil, Then Placebo13.55
Tadalfil, Then Placebo11.97
Placebo, Then Sildenafil12.5
Placebo, Then Tadalafil12.95

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Lean Body Mass as Measured by Dual Energy X-ray Absorptiometry at Week 0.

Lean Body Mass is calculated from a whole body scan measured on a dual energy x-ray absorptiometry. (NCT01661595)
Timeframe: week 0

Interventionkilograms (Mean)
Sildenafil, Then Placebo44.60
Tadalfil, Then Placebo41.43
Placebo, Then Sildenafil49.93
Placebo, Then Tadalafil54.45

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Skeletal Muscle Fatigue as Measured by Biodex 4 Pro After 4 Weeks of Active Drug

Isokinetic Fatigue Measure (knee extension) is measured on a Biodex System Pro 4 within a 75 degree range of motion. Subjects performed concentric contractions at a fixed speed of 120 degree/sec. 50 contractions were performed at 100% force, one contraction every second. Isokinetic fatigue will be measured at week 4 and week 8. Depending on grouping, the week 4 and week 8 measures may be placebo or active drug. Data will be reported as after 4 weeks of placebo or after 4 weeks of active drug. Data is presented as mean maximum force over all 50 kicks. (NCT01661595)
Timeframe: after 4 weeks of active drug

InterventionNewton-Meters (Mean)
Sildenafil / Placebo60.90
Tadalafil / Placebo42.48
Placebo / Sildenafil62.68
Placebo / Tadalafil63.25

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Lean Body Mass as Measured by Dual Energy X-ray Absorptiometry at Week 8.

Lean Body Mass is calculated from a whole body scan measured on a dual energy x-ray absorptiometry. (NCT01661595)
Timeframe: week 8

Interventionkilograms (Mean)
Sildenafil, Then Placebo46.22
Tadalfil, Then Placebo40.76
Placebo, Then Sildenafil52.09
Placebo, Then Tadalafil55.10

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Maximum Peak Isokinetic Leg Strength as Measured by Biodex Pro4 After 4 Weeks of Active Drug

Isokinetic strength (knee extension) is measured on a Biodex System Pro 4 within a 75 degree range of motion. Subjects performed concentric contractions at a fixed speed of 120 degree/sec. 1 set of 3 contractions were performed at 100% force. Isokinetic strength will be measured at week 4 and week 8. Depending on grouping, the week 4 and week 8 measures may be placebo or active drug. Data will be reported as after 4 weeks of placebo or after 4 weeks of active drug. (NCT01661595)
Timeframe: after 4 weeks of active drug

InterventionNewton-Meters (Mean)
Sildenafil, Then Placebo106.79
Tadalfil, Then Placebo79.33
Placebo, Then Sildenafil116.48
Placebo, Then Tadalafil114.75

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Maximum Peak Isokinetic Leg Strength as Measured by Biodex Pro4 After 4 Weeks of Placebo.

Isokinetic strength (knee extension) is measured on a Biodex System Pro 4 within a 75 degree range of motion. Subjects performed concentric contractions at a fixed speed of 120 degree/sec. 1 set of 3 contractions were performed at 100% force. Isokinetic strength will be measured at week 4 and week 8. Depending on grouping, the week 4 and week 8 measures may be placebo or active drug. Data will be reported as after 4 weeks of placebo or after 4 weeks of active drug. (NCT01661595)
Timeframe: after 4 weeks of placebo

InterventionNewton-Meters (Mean)
Sildenafil, Then Placebo105.15
Tadalfil, Then Placebo78.59
Placebo, Then Sildenafil117.71
Placebo, Then Tadalafil111.67

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Maximum Peak Isometric Leg Strength as Measured by Biodex Pro4 After 4 Weeks of Active Drug.

Peak isometric strength is measured on a Biodex System 4 Pro. This test is isolated to the quadricep muscle of one leg. Isometric test is performed at 90 degrees with 5 seconds of force production for each contraction and 15 seconds of rest. 1 set of 3 contractions at 100% force performed. Isometric strength was measured at week 4 and week 8. Depending on grouping, the week 4 and week 8 measures may be placebo or active drug. Data will be reported as after 4 weeks of placebo or after 4 weeks of active drug. (NCT01661595)
Timeframe: after 4 weeks of active drug

InterventionNewton-Meters (Mean)
Sildenafil, Then Placebo140.09
Tadalfil, Then Placebo110.39
Placebo, Then Sildenafil133.81
Placebo, Then Tadalafil139.96

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Maximum Peak Isometric Leg Strength as Measured by Biodex Pro4 After 4 Weeks of Placebo

Peak isometric strength is measured on a Biodex System 4 Pro. This test is isolated to the quadricep muscle of one leg. Isometric test is performed at 90 degrees with 5 seconds of force production for each contraction and 15 seconds of rest. 1 set of 3 contractions at 100% force performed. Isometric strength was measured at week 4 and week 8. Depending on grouping, the week 4 and week 8 measures may be placebo or active drug. Data will be reported as after 4 weeks of placebo or after 4 weeks of active drug. (NCT01661595)
Timeframe: after 4 weeks of placebo

InterventionNewton-Meters (Mean)
Sildenafil, Then Placebo145.86
Tadalfil, Then Placebo104.17
Placebo, Then Sildenafil149.14
Placebo, Then Tadalafil148.34

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Perceptual Fatigue as Measured by Multidimensional Fatigue Symptom Inventory - Short Form Total Score at Week 0

Fatigue symptoms will be measured using the 30-item Multidimensional Fatigue Symptom Inventory - Short Form, a validated measure that yields one overall score of total fatigue calculated using five sub scales (general, physical, emotional, mental, vigor). With the exception of the vigor sub scale, higher scores indicate greater fatigue. Total fatigue score is calculated by summing the sub categories (general, physical, emotional and mental) and subtracting vigor. Total scores range from -24 to 96, with a higher score indicating more fatigue. (NCT01661595)
Timeframe: Week 0

Interventionscores on a scale (Mean)
Sildenafil, Then Placebo9.66
Tadalfil, Then Placebo-7.5
Placebo, Then Sildenafil-8
Placebo, Then Tadalafil-3.75

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Perceptual Fatigue as Measured by Multidimensional Fatigue Symptom Inventory - Short Form Total Score at Week 4

Fatigue symptoms will be measured using the 30-item Multidimensional Fatigue Symptom Inventory - Short Form, a validated measure that yields one overall score of total fatigue calculated using five sub scales (general, physical, emotional, mental, vigor). With the exception of the vigor sub scale, higher scores indicate greater fatigue. Total fatigue score is calculated by summing the sub categories (general, physical, emotional and mental) and subtracting vigor. Total scores range from -24 to 96, with a higher score indicating more fatigue. (NCT01661595)
Timeframe: week 4

Interventionscores on a scale (Mean)
Sildenafil, Then Placebo6.33
Tadalfil, Then Placebo-3.33
Placebo, Then Sildenafil-6.33
Placebo, Then Tadalafil-3.5

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Lean Body Mass as Measured by Dual Energy X-ray Absorptiometry at Week 4.

Lean Body Mass is calculated from a whole body scan measured on a dual energy x-ray absorptiometry. (NCT01661595)
Timeframe: week 4

Interventionkilograms (Mean)
Sildenafil, Then Placebo46.29
Tadalfil, Then Placebo41.02
Placebo, Then Sildenafil50.61
Placebo, Then Tadalafil54.85

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Walking Distance at 100% Effort as Measured by Walking Test After 4 Weeks of Placebo

Walking performance will be assessed during 2 minutes of walking in long corridor hallways. Subjects will be asked to walk at 100% effort (as quickly as they can safely walk without running) for 2 minutes. Distance traveled for the 2 minutes will be recorded. The walking test will be completed at week 4 and week 8. Depending on grouping, the week 4 and week 8 measures may be placebo or active drug. Data will be reported as after 4 weeks of placebo or after 4 weeks of active drug. (NCT01661595)
Timeframe: after 4 weeks of placebo

Interventionmeters (Mean)
Sildenafil, Then Placebo203.82
Tadalfil, Then Placebo189.79
Placebo, Then Sildenafil198.41
Placebo, Then Tadalafil202.80

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Walking Distance at 100% Effort as Measured by Walking Test After 4 Weeks of Active Drug

Walking performance will be assessed during 2 minutes of walking in long corridor hallways. Subjects will be asked to walk at 100% effort (as quickly as they can safely walk without running) for 2 minutes. Distance traveled for the 2 minutes will be recorded. The walking test will be completed at week 4 and week 8. Depending on grouping, the week 4 and week 8 measures may be placebo or active drug. Data will be reported as after 4 weeks of placebo or after 4 weeks of active drug. (NCT01661595)
Timeframe: after 4 weeks of active drug

Interventionmeter (Mean)
Sildenafil, Then Placebo197.01
Tadalfil, Then Placebo178.56
Placebo, Then Sildenafil200.19
Placebo, Then Tadalafil203.46

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Skeletal Muscle Fatigue as Measured by Biodex 4 Pro After 4 Weeks of Placebo

Isokinetic Fatigue Measure (knee extension) is measured on a Biodex System Pro 4 within a 75 degree range of motion. Subjects performed concentric contractions at a fixed speed of 120 degree/sec. 50 contractions were performed at 100% force, one contraction every second. Isokinetic fatigue will be measured at week 4 and week 8. Depending on grouping, the week 4 and week 8 measures may be placebo or active drug. Data will be reported as after 4 weeks of placebo or after 4 weeks of active drug. Data is presented as mean maximum force over all 50 kicks. (NCT01661595)
Timeframe: after 4 weeks of placebo

InterventionNewton-Meters (Mean)
Sildenafil, Then Placebo59.69
Tadalafil, Then Placebo42.07
Placebo, Then Sildenafil67.17
Placebo, Then Tadalafil63.24

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Perceptual Fatigue as Measured by Multidimensional Fatigue Symptom Inventory - Short Form Total Score at Week 8

Fatigue symptoms will be measured using the 30-item Multidimensional Fatigue Symptom Inventory - Short Form, a validated measure that yields one overall score of total fatigue calculated using five sub scales (general, physical, emotional, mental, vigor). With the exception of the vigor sub scale, higher scores indicate greater fatigue. Total fatigue score is calculated by summing the sub categories (general, physical, emotional and mental) and subtracting vigor. Total scores range from -24 to 96, with a higher score indicating more fatigue. (NCT01661595)
Timeframe: week 8

Interventionscores on a scale (Mean)
Sildenafil, Then Placebo9.67
Tadalfil, Then Placebo3.25
Placebo, Then Sildenafil-9.67
Placebo, Then Tadalafil-9.25

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Exercised Induced Fatigability as Measured by Fatigue Rating Scale After 4 Weeks of Active Drug

The fatigue rating scale is a scale from 0 to 10 with 0 being no fatigue at all and 10 being the worst fatigue the subject can imagine. The subject is asked to rate their level of fatigue in their leg. This test was performed before and immedicately after the Biodex leg fatigue test. Data is presented as change in scale from pre fatigue test to post fatigue test, with a higher score indicating a greater level of fatigue. (NCT01661595)
Timeframe: after 4 weeks of active drug

Interventionunits on a scale (Mean)
Sildenafil / Placebo4.5
Tadalafil / Placebo3.5
Placebo / Sildenafil5.25
Placebo / Tadalafil6.0

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Exercised Induced Fatigability as Measured by Fatigue Rating Scale After 4 Weeks of Placebo

The fatigue rating scale is a scale from 0 to 10 with 0 being no fatigue at all and 10 being the worst fatigue the subject can imagine. The subject is asked to rate their level of fatigue in their leg. This test was performed before and immedicately after the Biodex leg fatigue test after 4 weeks of placebo. Data is presented as change in scale from pre fatigue test to post fatigue test, with a higher score indicating a greater level of fatigue. (NCT01661595)
Timeframe: after 4 weeks of placebo

Interventionunits on a scale (Mean)
Sildenafil / Placebo4.33
Tadalafil / Placebo2.5
Placebo / Sildenafil7.0
Placebo / Tadalafil4.75

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Fat Mass as Measured by Dual Energy X-ray Absorptiometry at Week 0.

Fat Mass is calculated from a whole body scan measured on a dual energy x-ray absorptiometry. (NCT01661595)
Timeframe: week 0

Interventionkilograms (Mean)
Sildenafil, Then Placebo32.35
Tadalfil, Then Placebo37.21
Placebo, Then Sildenafil32.72
Placebo, Then Tadalafil32.10

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Fat Mass as Measured by Dual Energy X-ray Absorptiometry at Week 4.

Fat Mass is calculated from a whole body scan measured on a dual energy x-ray absorptiometry. (NCT01661595)
Timeframe: week 4

Interventionkilograms (Mean)
Sildenafil, Then Placebo33.16
Tadalfil, Then Placebo37.12
Placebo, Then Sildenafil32.30
Placebo, Then Tadalafil32.47

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Fat Mass as Measured by Dual Energy X-ray Absorptiometry at Week 8.

Fat Mass is calculated from a whole body scan measured on a dual energy x-ray absorptiometry. (NCT01661595)
Timeframe: week 8

Interventionkilograms (Mean)
Sildenafil, Then Placebo33.60
Tadalfil, Then Placebo37.02
Placebo, Then Sildenafil32.40
Placebo, Then Tadalafil32.79

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Hematocrit Level Measured at Week 0

Hematocrit was measured by University of Texas Medical Branch Clinical Laboratory. Normal ranges are 35.7 - 45.2%. (NCT01661595)
Timeframe: week 0

Interventionpercent of red blood cells (Mean)
Sildenafil, Then Placebo39.53
Tadalfil, Then Placebo38.55
Placebo, Then Sildenafil37.25
Placebo, Then Tadalafil31.88

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Hematocrit Level Measured at Week 8

Hematocrit was measured by University of Texas Medical Branch Clinical Laboratory. Normal ranges are 35.7 - 45.2%. (NCT01661595)
Timeframe: week 8

Interventionpercent of red blood cells (Mean)
Sildenafil, Then Placebo40.38
Tadalfil, Then Placebo36.6
Placebo, Then Sildenafil38.1
Placebo, Then Tadalafil38.4

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Hematocrit Level Was Measured at 4 Weeks

Hematocrit was measured by University of Texas Medical Branch Clinical Laboratory. Normal ranges are 35.7 - 45.2%. (NCT01661595)
Timeframe: 4 weeks

Interventionpercent of red blood cells (Mean)
Sildenafil, Then Placebo39.08
Tadalfil, Then Placebo37.38
Placebo, Then Sildenafil38.13
Placebo, Then Tadalafil39.1

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Hemoglobin Level at Week 0

Hemoglobin was measured by University of Texas Medical Branch Clinical Laboratory. Normal ranges are 11.6 - 15.0 g/dL. (NCT01661595)
Timeframe: week 0

Interventiong/dL (Mean)
Sildenafil, Then Placebo13.42
Tadalfil, Then Placebo12.78
Placebo, Then Sildenafil12.4
Placebo, Then Tadalafil13.05

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Hemoglobin Level Measured at Week 4

Hemoglobin was measured by University of Texas Medical Branch Clinical Laboratory. Normal ranges are 11.6 - 15.0 g/dL. (NCT01661595)
Timeframe: week 4

Interventiong/dL (Mean)
Sildenafil, Then Placebo13.05
Tadalfil, Then Placebo12.03
Placebo, Then Sildenafil12.6
Placebo, Then Tadalafil13.2

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Treatment Failure Rate

Treatment failure rate was defined as percentage of participants who needed additional treatment targeting PPHN, needed ECMO, or died during the study. (NCT01720524)
Timeframe: 14 days from the initiation of IV study drug or hospital discharge, whichever occurs first (maximum of 14 days)

Interventionpercentage of participants (Number)
IV Sildenafil27.6
Placebo20.0

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Central Volume of Distribution (Vc) of Sildenafil and Its Metabolite

Vc is the hypothetical volume into which a drug or a metabolite initially distributes upon administration. It was determined by using a population-based analysis, non-linear mixed-effects modeling (NONMEM), version 7.4.0. Vc was calculated for Sildenafil and its major metabolite, UK-103,320. (NCT01720524)
Timeframe: Loading dose: prior to the start of infusion, 5, 30 minutes after end of loading infusion on Day 1; Maintenance dose: between 48 to 72, 96 to 120 hours during infusion and immediately prior to end of infusion on Day 1

InterventionLiters (Mean)
SildenafilUK-103,320
IV Sildenafil8.7615.96

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Change From Baseline in Differential Saturation at Hours 6, 12 and 24 Post-Infusion

Differential oxygenation saturation is a simple way to detect the right-to left shunting at ductus arteriosus using 2 pulse oximeters. It is the difference between pre-ductal and post-ductal sites pulse oxygen saturation (SpO2). Where, pre-duct refers to right upper extremity and post-duct refers to lower limb. Oxygenation saturation is measured as percentage of hemoglobin binding sites occupied by oxygen in the blood. (NCT01720524)
Timeframe: Baseline, Hours 6, 12 and 24 after start of infusion

,
Interventionpercentage of hemoglobin (Least Squares Mean)
Change at Hour 6Change at Hour 12Change at Hour 24
IV Sildenafil1.5-1.21.2
Placebo0.86.79.3

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Change From Baseline in Ratio of Partial Pressure of Oxygen in Arterial Blood to Fraction of Inspired Oxygen (P/F) at Hours 6, 12 and 24

The ratio of partial pressure of arterial oxygen to fraction of inspired oxygen is a ratio between the oxygen level in the arterial blood and the oxygen concentration that is breathed. It helps to determine the degree of any problems with how the lungs transfer oxygen to the blood. (NCT01720524)
Timeframe: Baseline, Hours 6, 12 and 24 after start of infusion

,
Interventionratio (Least Squares Mean)
Change at Hour 6Change at Hour 12Change at Hour 24
IV Sildenafil45.343.494.6
Placebo8.116.914.7

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Maximum Plasma Concentration (Cmax) of Sildenafil and Its Metabolite

Cmax was obtained for Sildenafil and its major metabolite UK-103,320. (NCT01720524)
Timeframe: Loading dose, Day 1: prior to the start of infusion, 5, 30 minutes after end of loading infusion; Maintenance dose: 48 to 72, 96 to 120 hours during infusion and immediately prior to end of maintenance infusion (up to maximum on Day 14)

Interventionnanogram per milliliter (Mean)
Loading dose: SildenafilLoading dose: UK-103320Maintenance dose: SildenafilMaintenance dose: UK-103320
IV Sildenafil52.641.0478.1221.65

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Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

An AE was any untoward medical occurrence in a subject who received study drug without regard to possibility of causal relationship. A SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; medically important events. Treatment-emergent are events between first infusion of study drug and up to 31 days after end of study drug infusion (up to 45 days) that were absent before treatment or that worsened relative to pretreatment state. AEs included both SAEs and non-SAEs. (NCT01720524)
Timeframe: Baseline up to 31 days after end of study drug infusion (up to 45 days)

,
InterventionParticipants (Count of Participants)
AEsSAEs
IV Sildenafil227
Placebo192

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Number of Treatment-Emergent Adverse Events (AEs) According to Severity

AE: untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE: AE resulting in any of the following outcomes: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; medically important events. Treatment-emergent are events between first infusion of study drug and up to 31 days after end of study drug infusion (up to 45 days) that were absent before treatment or that worsened relative to pretreatment state. AEs included both SAEs and non-SAEs. Severity criteria: mild=did not interfere with subject's usual function; moderate=interfered to some extent with participant's usual function and severe=interfered significantly with participant's usual function. Missing baseline severities were imputed as mild. (NCT01720524)
Timeframe: Baseline up to 31 days after end of study drug infusion (up to 45 days)

,
Interventionevents (Number)
MildModerateSevere
IV Sildenafil492912
Placebo422417

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Part B: Audiological Status of Participants as Assessed by Air Conduction Via Phones/Headphones Through Pure Tone Audiometry Test

Audiological evaluations of participants were recorded and reported by air conduction via phones/headphones through pure tone audiometry test which included participants with hearing loss ranged from less than or equal to (<=) 20 decibel hearing loss (DB HL), 21-40 DB HL, 41-70 DB HL, 71-90 DB HL, greater than (>) 90 DB HL or no response, and missing at frequencies ranged from 500 Hertz (Hz) to 8000 Hz at month 12 and 24. In this outcome measure, data have been reported for right and left ear separately. Rows according to air conduction categories at specified time points are reported in this outcome measure, only when there was a non-zero data for at least 1 reporting arm. (NCT01720524)
Timeframe: Month 12 and 24 after end of study treatment in Part A (Day 1 to 14)

,
InterventionParticipants (Count of Participants)
Right Ear, 500 Hz, <=20 DB HL: Month 12Right Ear, 500 Hz, 21 - 40 DB HL: Month 12Right Ear, 1000 Hz, <=20 DB HL: Month 12Right Ear, 1000 Hz, 21 - 40 DB HL: Month 12Right Ear, 2000 Hz, <=20 DB HL: Month 12Right Ear, 2000 Hz, 21 - 40 DB HL: Month 12Right Ear, 4000 Hz, <=20 DB HL: Month 12Right Ear, 4000 Hz, 21 - 40 DB HL: Month 12Right Ear, 8000 Hz, <=20 DB HL: Month 12Right Ear, 8000 Hz, Missing: Month 12Left Ear, 500 Hz, <=20 DB HL: Month 12Left Ear, 500 Hz, 21 - 40 DB HL: Month 12Left Ear, 1000 Hz, <=20 DB HL: Month 12Left Ear, 1000 Hz, 21 - 40 DB HL: Month 12Left Ear, 2000 Hz, <=20 DB HL: Month 12Left Ear, 2000 Hz, 21 - 40 DB HL: Month 12Left Ear, 4000 Hz, <=20 DB HL: Month 12Left Ear, 4000 Hz, 21 - 40 DB HL: Month 12Left Ear, 8000 Hz, <=20 DB HL: Month 12Left Ear, 8000 Hz, Missing: Month 12Right Ear, 500 Hz, <=20 DB HL: Month 24Right Ear, 500 Hz, 21-40 DB HL: Month 24Right Ear, 1000 Hz, <=20 DB HL: Month 24Right Ear, 1000 Hz, 21-40 DB HL: Month 24Right Ear, 2000 Hz, <=20 DB HL: Month 24Right Ear, 2000 Hz, 21-40 DB HL: Month 24Right Ear, 4000 Hz, <=20 DB HL: Month 24Right Ear, 8000 Hz, <=20 DB HL: Month 24Right Ear, 8000 Hz, 21-40 DB HL: Month 24Right Ear, 8000 Hz, Missing: Month 24Left Ear, 500 Hz, <=20 DB HL: Month 24Left Ear, 500 Hz, 21-40 DB HL: Month 24Left Ear, 1000 Hz, <=20 DB HL: Month 24Left Ear, 1000 Hz, 21-40 DB HL: Month 24Left Ear, 2000 Hz, <=20 DB HL: Month 24Left Ear, 2000 Hz, 21-40 DB HL: Month 24Left Ear, 4000 Hz, <=20 DB HL: Month 24Left Ear, 8000 Hz, <=20 DB HL: Month 24Left Ear, 8000 Hz, 21-40 DB HL: Month 24Left Ear, 8000 Hz, Missing: Month 24
IV Sildenafil3241324132323232413252516174116141617311
Placebo4150405040315040504130203033003030204300

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Part B: Audiological Status of Participants as Assessed by Air Conduction Via Soundfield Through Pure Tone Audiometry Test

Audiological evaluations of participants were recorded and reported by air conduction via soundfield through pure tone audiometry test which included participants with hearing loss ranged from <=20 DB HL, 21-40 DB HL, 41-70 DB HL, 71-90 DB HL, >90 DB HL or no response, and missing at frequencies ranged from 500 Hz to 4000 Hz at month 12 and 24. Rows according to air conduction categories at specified time points are reported in this outcome measure, only when there was a non-zero data for at least 1 reporting arm. (NCT01720524)
Timeframe: Month 12 and 24 after end of study treatment in Part A (Day 1 to 14)

,
InterventionParticipants (Count of Participants)
500 Hz, <=20 DB HL: Month 12500 Hz, 21-40 DB HL: Month 12500 Hz, 71-90 DB HL: Month 121000 Hz, <=20 DB HL: Month 121000 Hz, 21-40 DB HL: Month 121000 Hz, 71-90 DB HL: Month 122000 Hz, <=20 DB HL: Month 122000 Hz, 21-40 DB HL: Month 122000 Hz, Missing: Month 124000 Hz, <=20 DB HL: Month 124000 Hz, 21-40 DB HL: Month 124000 Hz, 71-90 DB HL: Month 12500 Hz, <=20 DB HL: Month 24500 Hz, 21-40 DB HL: Month 241000 Hz, <=20 DB HL: Month 241000 Hz, 21-40 DB HL: Month 242000 Hz, <=20 DB HL: Month 242000 Hz, 21-40 DB HL: Month 244000 Hz, <=20 DB HL: Month 244000 Hz, 21-40 DB HL: Month 24
IV Sildenafil65191173164162646254
Placebo26035024044025633443

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Part B: Audiological Status of Participants as Assessed by Behavior Hearing Assessment Through Pure Tone Audiometry Test

Audiological evaluations of participants were recorded and reported using behavior hearing assessment through pure tone audiometry test which includes participants with normal, abnormal, incomplete/inconclusive behavior at month 12 and 24. (NCT01720524)
Timeframe: Month 12 and 24 after end of study treatment in Part A (Day 1 to 14)

,
InterventionParticipants (Count of Participants)
Normal Behavioral Assessment: Month 12Abnormal Behavioral Assessment: Month 12Incomplete/Inconclusive Behavioral Assessment: Month 12Normal Behavioral Assessment: Month 24Abnormal Behavioral Assessment: Month 24Incomplete/Inconclusive Behavioral Assessment: Month 24
IV Sildenafil11141303
Placebo840822

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Part B: Audiological Status of Participants as Assessed by Bone Conduction Through Pure Tone Audiometry Test

Audiological evaluations of participants were recorded and reported by bone conduction assessment through pure tone audiometry test which included participants with sensorineural hearing loss, conductive hearing loss, mixed hearing loss, neural, and unspecified at month 12 and 24. Rows according to bone conduction categories at specified time points are reported in this outcome measure, only when there was a non-zero data for at least 1 reporting arm. (NCT01720524)
Timeframe: Month 12 and 24 after end of study treatment in Part A (Day 1 to 14)

InterventionParticipants (Count of Participants)
Conductive Hearing Loss: Month 12Unspecified: Month 12
IV Sildenafil01

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Part B: Audiological Status of Participants as Assessed by Bone Conduction Through Pure Tone Audiometry Test

Audiological evaluations of participants were recorded and reported by bone conduction assessment through pure tone audiometry test which included participants with sensorineural hearing loss, conductive hearing loss, mixed hearing loss, neural, and unspecified at month 12 and 24. Rows according to bone conduction categories at specified time points are reported in this outcome measure, only when there was a non-zero data for at least 1 reporting arm. (NCT01720524)
Timeframe: Month 12 and 24 after end of study treatment in Part A (Day 1 to 14)

InterventionParticipants (Count of Participants)
Conductive Hearing Loss: Month 12Unspecified: Month 12Conductive Hearing Loss: Month 24
Placebo111

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Part B: Audiological Status of Participants as Assessed by Distort Product Through Otoacoustic Emissions Assessment

Audiological evaluations of participants were recorded and reported by distort product through otoacoustic emissions assessment which included participants with presence of distort product at frequencies ranged from 2000 Hz to 8000 Hz at month 12 and 24. Distortion-product otoacoustic emissions (DPOAEs) are generated in the cochlea in response to two tones of a given frequency and sound pressure level presented in the ear canal. Distort product otoacoustic emissions are an objective indicator of normally functioning cochlea outer hair cells. In this outcome measure, data have been reported for right and left ear separately. (NCT01720524)
Timeframe: Month 12 and 24 after end of study treatment in Part A (Day 1 to 14)

,
InterventionParticipants (Count of Participants)
2000 Hz, Right Ear: Month 122000 Hz, Left Ear: Month 123000 Hz, Right Ear: Month 123000 Hz, Left Ear: Month 124000 Hz, Right Ear: Month 124000 Hz, Left Ear: Month 126000 Hz, Right Ear: Month 126000 Hz, Left Ear: Month 128000 Hz, Right Ear: Month 128000 Hz, Left Ear: Month 122000 Hz, Right Ear: Month 242000 Hz, Left Ear: Month 243000 Hz, Right Ear: Month 243000 Hz, Left Ear: Month 244000 Hz, Right Ear: Month 244000 Hz, Left Ear: Month 246000 Hz, Right Ear: Month 246000 Hz, Left Ear: Month 248000 Hz, Right Ear: Month 248000 Hz, Left Ear: Month 24
IV Sildenafil45555545454476664534
Placebo43434344227655556622

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Part B: Audiological Status of Participants as Assessed by Ipsilateral Stapedial Reflex Through Immittance Audiometry Test

Audiological evaluations of participants were recorded and reported by ipsilateral stapedial reflex through immittance audiometry test which included participants with presence of ipsilateral stapedial reflex at frequencies ranged from 500 Hz to 2000 Hz at month 12 and 24. Ipsilateral stapedial reflex measures are used to assess the neural pathway surrounding the stapedial reflex, which occurs in response to a loud sound (70 to 90 decibel above threshold). In this outcome measure, data have been reported for right and left ear separately. (NCT01720524)
Timeframe: Month 12 and 24 after end of study treatment in Part A (Day 1 to 14)

,
InterventionParticipants (Count of Participants)
500 Hz, Right Ear: Month 12500 Hz, Left Ear: Month 121000 Hz, Right Ear: Month 121000 Hz, Left Ear: Month 122000 Hz, Right Ear: Month 122000 Hz, Left Ear: Month 12500 Hz, Right Ear: Month 24500 Hz, Left Ear: Month 241000 Hz, Right Ear: Month 241000 Hz, Left Ear: Month 242000 Hz, Right Ear: Month 242000 Hz, Left Ear: Month 24
IV Sildenafil565656444544
Placebo111111222222

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Part B: Audiological Status of Participants as Assessed by Transient Evoked Emission Through Otoacoustic Emissions Assessment

Audiological evaluations of participants were recorded and reported by transient evoked emission through otoacoustic emissions assessment which included participants with presence of transient evoked emissions from frequencies 1000 Hz to 4000 Hz at month 12 and 24. In this outcome measure, data have been reported for right and left ear separately. (NCT01720524)
Timeframe: Month 12 and 24 after end of study treatment in Part A (Day 1 to 14)

,
InterventionParticipants (Count of Participants)
1000 Hz, Right Ear: Month 121000 Hz, Left Ear: Month 121500 Hz, Right Ear: Month 121500 Hz, Left Ear: Month 122000 Hz, Right Ear: Month 122000 Hz, Left Ear: Month 123000 Hz, Right Ear: Month 123000 Hz, Left Ear: Month 124000 Hz, Right Ear: Month 124000 Hz, Left Ear: Month 121000 Hz, Right Ear: Month 241000 Hz, Left Ear: Month 241500 Hz, Right Ear: Month 241500 Hz, Left Ear: Month 242000 Hz, Right Ear: Month 242000 Hz, Left Ear: Month 243000 Hz, Right Ear: Month 243000 Hz, Left Ear: Month 244000 Hz, Right Ear: Month 244000 Hz, Left Ear: Month 24
IV Sildenafil32325544653222766475
Placebo21222222232233333333

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Part B: Audiological Status of Participants as Assessed by Tympanometry Assessment (Peak Pressure) Through Immittance Audiometry Test

Audiological evaluations of participants were recorded and reported by tympanometry assessment through immittance audiometry test which included participants with peak pressure signs (+) and (-) at month 12 and 24. In this outcome measure, data have been reported for right and left ear separately. (NCT01720524)
Timeframe: Month 12 and 24 after end of study treatment in Part A (Day 1 to 14)

,
Interventiondecapascals (Mean)
Peak Pressure for Sign (+), Right Ear: Month 12Peak Pressure for Sign (+), Left Ear: Month 12Peak Pressure for Sign (+), Right Ear: Month 24Peak Pressure for Sign (+), Left Ear: Month 24Peak Pressure for Sign (-), Right Ear: Month 12Peak Pressure for Sign (-), Left Ear: Month 12Peak Pressure for Sign (-), Right Ear: Month 24Peak Pressure for Sign (-), Left Ear: Month 24
IV Sildenafil51.895.0744.0042.71149.379.8998.00102.2
Placebo27.3373.7533.5035.0067.7546.8083.67135.0

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Part B: Audiological Status of Participants as Assessed by Tympanometry Assessment (Static Acoustic Admittance) Through Immittance Audiometry Test

Audiological evaluations of participants were recorded and reported by tympanometry assessment through immittance audiometry test which included participants with static acoustic admittance at month 12 and 24. In this outcome measure, data have been reported for right and left ear separately. (NCT01720524)
Timeframe: Month 12 and 24 after end of study treatment in Part A (Day 1 to 14)

,
Interventionmillimho (Mean)
Right Ear: Month 12Left Ear: Month 12Right Ear: Month 24Left Ear: Month 24
IV Sildenafil0.2410.3640.2730.295
Placebo0.4030.3300.4000.585

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Part B: Composite Scores of Social-Emotional and Adaptive Behavior Questionnaire as Assessed by Bayley Scales of Infant and Toddler Development Third Edition (Bayley-III)

The Bayley-III assesses infant and toddler development across five domains: cognitive, language, motor, social-emotional (SE), and adaptive behavior (AB). Assessments of the cognitive, language, and motor domains conducted using items administered to the child; assessments of the SE and AB domains conducted using the primary caregiver's responses to a questionnaire. The questionnaire comprises the SE scale (35 items) and the AB scale (241 items). Raw scores of SE and AB were converted to composite scores. Composite scores for SE and AB scale ranged from 40 to 160, where higher scores indicated better social-emotional skills and adaptive behavior in child. In this outcome measure composite scores for parent/caregiver were reported at month 24. (NCT01720524)
Timeframe: Month 24 after end of study treatment in Part A (Day 1 to 14)

,
Interventionunits on a scale (Mean)
Social-Emotional DevelopmentAdaptive Behavior Development
IV Sildenafil104.591.6
Placebo112.598.3

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Part B: Neurological Progress of Participants as Assessed by the Neurology Optimality Score

The Hammersmith Infant Neurological Examination (HINE) was a standard scoring examination to assess development of cranial nerve; posture; movement; tone; and reflexes and reaction. HINE exam global score is a sum of subset (cranial nerve, posture, movement, tone, reflexes and reactions) scores, ranged from 0 to 78, where higher score represents better outcome. Here, the HINE global scores were reported at month 12 and 24. (NCT01720524)
Timeframe: Month 12 and 24 after end of study treatment in Part A (Day 1 to 14)

,
Interventionunits on a scale (Mean)
Neurological Exam Global Score: Month 12Neurological Exam Global Score: Month 24
IV Sildenafil69.965.6
Placebo75.676.5

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Part B: Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), and Deaths

An AE was any untoward medical occurrence in a participant who received study medication without regard to possibility of causal relationship to it. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/ incapacity; congenital anomaly. AEs included both serious and all non-serious AEs. (NCT01720524)
Timeframe: up to 24 months after end of study treatment in Part A (maximum up to 26 months)

,
InterventionParticipants (Count of Participants)
AEsSAEsDeaths
IV Sildenafil1790
Placebo1762

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Part B: Number of Participants With Eye Movement Disorders as Assessed by Eye Examination

Standard age-appropriate ophthalmological examinations were used to assess eye movement disorders (presence of amblyopia, strabismus, and nystagmus) at month 12 and 24. In this outcome measure, data have been reported for right and left eye separately. Rows according to eye movement disorder categories at specified time points are reported in this outcome measure, only when there was a non-zero data for at least 1 reporting arm. (NCT01720524)
Timeframe: Month 12 and 24 after end of study treatment in Part A (Day 1 to 14)

,
InterventionParticipants (Count of Participants)
Strabismus Present, Right Eye: Month 12Strabismus Present, Left Eye: Month 12Strabismus Present, Right Eye: Month 24Strabismus Present, Left Eye: Month 24Nystagmus Present, Left Eye: Month 24
IV Sildenafil00110
Placebo11001

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Change From Baseline in Oxygenation Index (OI) at Hours 6, 12 and 24 Post-Infusion

Oxygenation index was calculated as the product of fraction of inspired oxygen (FiO2) and mean airway pressure divided by partial pressure of oxygen dissolved in arterial blood (PaO2) [(FiO2*mean airway pressure)/PaO2] measured in centimeter of water per millimeter of mercury (cmH2O/mmHg). FiO2 is the measure of oxygen concentration that is breathed. Mean airway pressure is defined as an average of the airway pressure throughout the respiratory cycle. PaO2 is the measure of oxygen level dissolved in the arterial blood. (NCT01720524)
Timeframe: Baseline, Hours 6, 12 and 24 after start of infusion

,
InterventioncmH2O/mmHg (Least Squares Mean)
Change at Hour 6Change at Hour 12Change at Hour 24
IV Sildenafil-4.2-4.1-11.6
Placebo-8.0-8.2-9.5

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Part B: Visual Acuity of Non-Verbal Participants as Assessed by Ophthalmological Assessment

Standard age-appropriate ophthalmological examinations were used to assess visual acuity (performed differently for children unable of verbal interaction) through fixates and follows (included central, steady and maintained), light perception (wince to light), no light perception, and missing at month 12 and 24. In this outcome measure, data have been reported for right and left eye separately. Rows according to visual acuity categories at specified time points are reported in this outcome measure, only when there was a non-zero data for at least 1 reporting arm. (NCT01720524)
Timeframe: Month 12 and 24 after end of study treatment in Part A (Day 1 to 14)

,
InterventionParticipants (Count of Participants)
Fixates and Follows, Right Eye: Month 12Light Perception, Right Eye: Month 12Missing, Right Eye: Month 12Fixates and Follows, Left Eye: Month 12Light Perception, Left Eye: Month 12Missing, Left Eye: Month 12Fixates and Follows, Right Eye: Month 24Missing, Right Eye: Month 24Fixates and Follows, Left Eye: Month 24Missing, Left Eye: Month 24
IV Sildenafil150115015757
Placebo131013109393

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Part B: Visual Acuity of Verbal Participants as Assessed by LogMAR Through Visual Acuity Chart

Standard age-appropriate ophthalmological examinations were used to assess visual acuity (performed differently for children able of verbal interaction) at month 12 and 24. Visual acuity (VA) of verbal children was assessed for each eye using the Snellen method, where logarithm of minimum angle of resolution (logMAR) units were derived from the Snellen ratios. Participants had to read letters from the chart at a distance of 20 feet/6 meter or 4 meter. VA (Snellen ratio) = distance between the chart and participant, divided by distance at which participant was able to see/read chart without impairment; expressed as decimal, logMAR = log10 (1/decimal VA). In this outcome measure, data have been reported for right and left eye separately. (NCT01720524)
Timeframe: Month 12 and 24 after end of study treatment in Part A (Day 1 to 14)

,
InterventionLogMAR (Mean)
Right Eye: Month 12Left Eye: Month 12Right Eye: Month 24Left Eye: Month 24
IV Sildenafil0.450.470.200.20
Placebo0.570.570.280.35

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Part B: Visual Acuity of Verbal Participants as Assessed by Ophthalmological Assessment

Standard age-appropriate ophthalmological examinations were used to assess visual acuity (performed differently for children able of verbal interaction) through visual acuity chart (VAC) quantitative, counting finger (CF), hand motion (HM), light perception (LP), no light perception (NLP) and missing at month 12 and 24. In this outcome measure, data have been reported for right and left eye separately. Rows according to visual acuity categories at specified time points are reported in this outcome measure, only when there was a non-zero data for at least 1 reporting arm. (NCT01720524)
Timeframe: Month 12 and 24 after end of study treatment in Part A (Day 1 to 14)

,
InterventionParticipants (Count of Participants)
VAC Quantitative, Right Eye: Month 12HM, Right Eye: Month 12LP, Right Eye: Month 12Missing, Right Eye: Month 12VAC Quantitative, Left Eye: Month 12HM, Left Eye: Month 12LP, Left Eye: Month 12Missing, Left Eye: Month 12VAC Quantitative, Right Eye: Month 24HM, Right Eye: Month 24Missing, Right Eye: Month 24VAC Quantitative, Left Eye: Month 24Missing, Left Eye: Month 24
IV Sildenafil201132011361566
Placebo120111201150757

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Part B: Visual Status of Participants With Abnormality as Assessed by Eye Examination of the Anterior and Posterior Segments

Standard age-appropriate ophthalmological examinations were used to assess examination of anterior and posterior chamber for abnormality in lids, conjunctiva, cornea, anterior chamber, lens, iris, pupil, extraocular muscle movement and eye movements at month 12 and 24. In this outcome measure, data have been reported for right and left eye separately. Rows according to visual status categories at specified time points are reported in this outcome measure, only when there was a non-zero data for at least 1 reporting arm. (NCT01720524)
Timeframe: Month 12 and 24 after end of study treatment in Part A (Day 1 to 14)

,
InterventionParticipants (Count of Participants)
Anterior Segment (Lids), Right Eye: Month 12Anterior Segment (Lids), Left Eye: Month 12Anterior Segment (Extraocular muscle movements), Right Eye: Month 24Anterior Segment (Extraocular muscle movements), Left Eye: Month 24
IV Sildenafil0011
Placebo1100

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Percentage of Participants With Individual Components of Treatment Failure

Percentage of participants with individual components of treatment failure (need to start additional treatment targeting PPHN, need to start ECMO, or death) were evaluated. Some participants could have had multiple qualifying events for treatment failure. (NCT01720524)
Timeframe: 14 days from the initiation of IV study drug or hospital discharge, whichever occurs first (maximum of 14 days)

,
Interventionpercentage of participants (Number)
Additional Treatment Targeting PPHNECMODeath
IV Sildenafil13.810.36.9
Placebo10.010.00.0

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Total Plasma Clearance (CL) of Sildenafil and Its Metabolite

CL is volume of the body fluid/ plasma from which the drug or the metabolite is completely removed per unit time. CL was obtained for Sildenafil and its major metabolite UK-103,320. (NCT01720524)
Timeframe: Loading dose: prior to the start of infusion, 5, 30 minutes after end of loading infusion on Day 1; Maintenance dose: between 48 to 72, 96 to 120 hours during infusion and immediately prior to end of infusion on Day 1

InterventionLiters/hour (Mean)
SildenafilUK-103,320
IV Sildenafil1.785.05

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Part B: Composite Scores of Cognitive, Language, and Motor Developmental Progress of Participants as Assessed by Bayley Scales of Infant and Toddler Development Third Edition (Bayley-III)

Bayley-III assesses infant and toddler development across five domains: cognitive, language, motor, social-emotional (SE), and adaptive behavior (AB). Assessments of the cognitive, language, and motor domains conducted using items administered to the child; assessments of the SE and AB domains conducted using the primary caregiver's responses to a questionnaire. Score ranges: cognitive scale 0-91, language scale 0-97 and motor scale 0-132, where higher scores indicated better cognitive function, communication and motor skills respectively. Raw scores of cognitive, language and motor domains were converted to composite scores. Composite scores of cognitive, language and motor developmental scales ranged from a scale of 40 to 160, where higher score indicated stronger skills and abilities. In this outcome measure composite scores for infants and toddlers were reported at month 12 and 24. (NCT01720524)
Timeframe: Month 12 and 24 after end of study treatment in Part A (Day 1 to 14)

,
Interventionunits on a scale (Mean)
Cognitive Development: Month 12Cognitive Development: Month 24Language Development: Month 12Language Development: Month 24Motor Development: Month 12Motor Development: Month 24
IV Sildenafil97.597.499.596.793.199.0
Placebo94.597.394.795.888.2105.3

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Number of Participants With Laboratory Abnormalities

Criteria for laboratory values: Hematology: hemoglobin, hematocrit, red blood cell count <0.8*lower limit of normal (LLN), platelets<0.5*LLN, >1.75*upper limit of normal (ULN), white blood cells count <0.6*LLN, >1.5*ULN; Liver function: total and direct bilirubin >1.5*ULN, aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase >3.0*ULN, total protein <0.8*LLN, >1.2*ULN; Renal function: blood urea nitrogen, creatinine >1.3*ULN; Electrolytes: sodium <0.95*LLN, >1.05*ULN, potassium, chloride, calcium, bicarbonate (venous) <0.9*LLN, >1.1*ULN. (NCT01720524)
Timeframe: Up to 14 days from initiation of study drug infusion

InterventionParticipants (Count of Participants)
IV Sildenafil27
Placebo22

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Time From Initiation of Intravenous (IV) Study Drug to Final Weaning of Mechanical Ventilation

Time in days, from initiation of IV study drug to final weaning of mechanical ventilation among participants achieving final weaning of mechanical ventilation for PPHN was evaluated. Kaplan-Meier method was used for estimation. For participants with mechanical ventilation beyond 336 hours (14 days) from initiation of IV study drug, data was censored at 14 days. (NCT01720524)
Timeframe: 14 days from the initiation of IV study drug or hospital discharge, whichever occurs first (maximum of 14 days)

Interventiondays (Median)
IV Sildenafil8.3
Placebo7.3

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Time From Initiation of Intravenous (IV) Study Drug to First Treatment Failure

Time in days, from initiation of IV study drug to first treatment failure (defined as need for additional treatment targeting PPHN, need for ECMO, or death) for participants with treatment failure was evaluated. Kaplan-Meier method was used for estimation. For participants without treatment failure by the endpoint assessment date, data was censored at the endpoint assessment date. (NCT01720524)
Timeframe: 14 days from the initiation of IV study drug or hospital discharge, whichever occurs first (maximum of 14 days)

Interventiondays (Median)
IV SildenafilNA
PlaceboNA

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Time on Inhaled Nitric Oxide (iNO) Treatment After Initiation of Intravenous (IV) Study Drug For Participants Without Treatment Failure

Time in days, on iNO treatment, for participants without iNO treatment failure, was calculated 14 days from the initiation of IV study drug or hospital discharge, whichever occurred first. iNO treatment failure was defined as need for additional treatment targeting PPHN, need for extra corporeal membrane oxygenation (ECMO), or death during the study. (NCT01720524)
Timeframe: 14 days from the initiation of IV study drug or hospital discharge, whichever occurs first (maximum of 14 days)

Interventiondays (Least Squares Mean)
IV Sildenafil4.1
Placebo4.1

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Wedge Pressure Measured Invasively by Right Heart Catheterization

Difference in change of wedge pressure between baseline and 12 weeks between Sildenafil group and Placebo group (NCT01726049)
Timeframe: baseline and 12 weeks

InterventionmmHg (Mean)
Sildenafil-0.5
Placebo-3.5

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VO2max

difference in change of VO2 max between baseline and 12 weeks between Sildenafil and placebo group (NCT01726049)
Timeframe: baseline and 12 weeks

Interventionml/kg/min (Mean)
Sildenafil0.2
Placebo0.7

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Mean Pulmonary Artery Pressure Measured by Right Heart Catheterization

change of mean pulmonary artery pressure between baseline and 12 weeks measured by heart catheterisation (NCT01726049)
Timeframe: baseline and 12 weeks

InterventionmmHG (Mean)
Sildenafil-2.4
Placebo-4.7

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Cardiac Output Measured Invasively by Right Heart Catheterization

difference in change of cardiac output between baseline and 12 weeks between Sildenafil and Placebo group (NCT01726049)
Timeframe: baseline and 12 weeks

Interventionmililiter/min (Mean)
Sildenafil-0.4
Placebo-0.2

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Change in Diffusion Capacity Measured at Baseline and One Hour.

Determine the acute effect of oral sildenafil on diffusion capacity in patients with diffuse parenchymal lung disease and concomitant pulmonary hypertension (NCT01948518)
Timeframe: Baseline and one hour

Interventionml/min/mmHg (Mean)
Sildenafil-0.26

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Change in 6 Minute Walk Distance

The change in 6 minutes walk distance from baseline one hour after receiving 20 mg of sildenafil orally will be measured. (NCT01948518)
Timeframe: Baseline and one hour

Interventionfeet (Mean)
BaselineOne Hour
Sildenafil11951214

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Baseline Diameter

"Brachial Artery Diameter during FMD (pre-occlusion or baseline)" (NCT02057458)
Timeframe: pre-treatment Baseline and following 4 weeks sub-chronic treatment

Interventionmm (Mean)
Baseline3.00
Sub-chronic Study: Sildenafil3.06

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VO2 Peak (Absolute)

absolute (L/min) peak oxygen consumption during maximal exercise test (NCT02057458)
Timeframe: pre-treatment Baseline, 1 hour post-treatment, and following 4 weeks sub-chronic treatment

InterventionL/min (Mean)
Baseline1.5
Acute Study: Sildenafil1.7
Acute Study: Placebo1.6
Sub-chronic Study: Sildenafil1.6

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VO2 Peak (Percent Predicted)

Maximal Oxygen consumption expressed as percent predicted taken from maximal exercise test. (NCT02057458)
Timeframe: pre-treatment Baseline and 1 hour post-treatment, and 4 weeks sub-chronic treatment

Interventionpercent predicted (Mean)
Baseline72
Acute Study: Sildenafil77
Acute Study: Placebo72
Sub-chronic Study: Sildenafil75

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FEV1 (% Predicted)

Forced Expiratory Volume in the first second expressed as a percent predicted. (NCT02057458)
Timeframe: pre-treatment Baseline, 1 hour post-treatment, and following 4 weeks sub-chronic treatment

Interventionpercent predicted (Mean)
Baseline81
Acute Study: Sildenafil75
Acute Study: Placebo75
Sub-chronic Study: Sildenafil82

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VO2 Peak (Relative)

relative (mL/kg/min) peak oxygen consumption during maximal exercise test (NCT02057458)
Timeframe: pre-treatment Baseline, 1 hour post-treatment, and following 4 weeks sub-chronic treatment

InterventionmL/kg/min (Mean)
Baseline28.5
Acute Study: Sildenafil29.3
Acute Study: Placebo26.8
Sub-chronic Study: Sildenafil29.5

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VE Peak

peak ventilation (L/min) during maximal exercise test (NCT02057458)
Timeframe: pre-treatment Baseline, 1 hour post-treatment, and following 4 weeks sub-chronic treatment

InterventionL/min (Mean)
Baseline65
Acute Study: Sildenafil81
Acute Study: Placebo77
Sub-chronic Study: Sildenafil72

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Acute Study: Percentage Flow-Mediated Dilation (FMD)

FMD determined one hour after ingestion of 50 mg Sildenafil or placebo (NCT02057458)
Timeframe: pre-treatment Baseline and 1 hour post-treatment

,
Interventionpercent flow mediated dilation (Mean)
PrePost
Acute Study: Placebo7.76.6
Acute Study: Sildenafil7.87.3

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RER Peak

peak respiratory exchange ratio during maximal exercise test (NCT02057458)
Timeframe: pre-treatment Baseline, 1 hour post-treatment, and following 4 weeks sub-chronic treatment

Interventionratio (Mean)
Baseline1.31
Acute Study: Sildenafil1.17
Acute Study: Placebo1.22
Sub-chronic Study: Sildenafil1.18

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Peak Diameter

Peak Brachial Artery Diameter during FMD (post-occlusion) (NCT02057458)
Timeframe: pre-treatment Baseline and following 4 weeks sub-chronic treatment

Interventionmm (Mean)
Baseline3.22
Sub-chronic Study: Sildenafil3.30

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Absolute Change in Diameter

Absolute change in brachial artery diameter taken from the FMD assessment (NCT02057458)
Timeframe: pre-treatment Baseline and following 4 weeks sub-chronic treatment

Interventionmm (Mean)
Baseline0.21
Sub-chronic Study: Sildenafil0.27

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Overall Survival

In this outcome measure number of deaths during the study were reported. (NCT02060487)
Timeframe: Day 1 of study treatment up to date of death (within a maximum duration of 2102 days)

InterventionParticipants (Count of Participants)
Sildenafil 5 mg34
Sildenafil 20 mg25
Sildenafil 80 mg19

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Change From Baseline in 6-Minute Walk Distance (6MWD) at Month 12

6MWD was the distance that a participant could walk in 6 minutes. Participants were asked to perform the test at a pace that was comfortable to them, with as many breaks as they needed. Analysis was performed using mixed model for repeated measures (MMRM), adjusted for baseline 6MWD and for randomization stratification factors: PAH treatment at study entry and etiology of PAH. (NCT02060487)
Timeframe: Baseline, Month 12

InterventionMeters (Least Squares Mean)
Sildenafil 5 mg14.3
Sildenafil 20 mg35.7
Sildenafil 80 mg34.8

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Change From Baseline in 6-Minute Walk Distance (6MWD) at Month 6

6MWD was the distance that a participant could walk in 6 minutes. Participants were asked to perform the test at a pace that was comfortable to them, with as many breaks as they needed. Analysis was performed using mixed model for repeated measures (MMRM), adjusted for baseline 6MWD and for randomization stratification factors: PAH treatment at study entry and etiology of PAH. (NCT02060487)
Timeframe: Baseline, Month 6

InterventionMeters (Least Squares Mean)
Sildenafil 5 mg12.2
Sildenafil 20 mg27.3
Sildenafil 80 mg31.2

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Number of Participants With Clinical Worsening Events

Clinical worsening was defined as all-cause mortality, non-elective hospital stay for worsening pulmonary arterial hypertension (PAH) (including but not limited to right heart failure [RHF], initiation of intravenous (IV) prostanoids, lung transplantation, or septostomy) or disease progression. Disease progression was defined as a reduction from baseline in the 6-Minute Walk Distance (6MWD) test by 15% and worsening functional class from baseline, both confirmed by second test within 2 weeks of study treatment. (NCT02060487)
Timeframe: Day 1 of study treatment up to date of clinical worsening event (within a maximum duration of 2080 days)

InterventionParticipants (Count of Participants)
Sildenafil 5 mg52
Sildenafil 20 mg36
Sildenafil 80 mg28

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Insulin-stimulated AKT Phosphorylation

"measured using Western blot for pAkt and for total Akt from muscle biopsies obtained at the end of the baseline hyperinsulinemic clamp and the three-month hyperglycemic clamp.~The ratio of pAkt to Akt expression was calculated at each time point and the change in ratio from 0 to 3 months is presented." (NCT02129725)
Timeframe: 3 months

Interventionchange in ratio (Mean)
Sildenafil0.065
Placebo-0.457

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Change in Exercise Tolerance

In a controlled laboratory environment, participants will be asked to walk on a treadmill as fast as they can for 6 minutes. The test will be conducted at baseline and after 90 days of treatment. Data will be presented as the change in distance (in feet) walked in 6 minutes between baseline and treatment. (NCT02304705)
Timeframe: Baseline and 90 days

Interventionfeet (Mean)
Placebo228
Sildenafil135

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Change in Subject's Assessment of Change in Lymphatic Malformation Overall Score

"Subject's evaluation of the overall change in lymphatic malformation. Participants will be followed from baseline to 20 weeks.~Patients rated change as no improvement, minimal improvement (1-25% change), fair improvement (25-50% change), good improvement (50-75% change), and excellent improvement (75-100% change)." (NCT02335242)
Timeframe: Baseline, week 20

,
InterventionParticipants (Count of Participants)
No improvementMinimal improvementFair improvementGood improvementExcellent improvement
Double-Blind Placebo12020
Double-Blind Sildenafil24110

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Change in Lesion Volume of the Test Medication as Evaluated by MRI Examination.

Participants will be followed for the duration of the study, an expected average of 20 weeks. (NCT02335242)
Timeframe: Baseline, week 20

Interventionpercentage of volume (Mean)
Double-Blind Placebo5.89
Open-Label Sildenafil-8.54
Double-blind Sildenafil-0.642

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Change in Baseline and 2 Week FMD/VP Measurements Between Sildenafil Group and Placebo Group

"For flow mediated dilation studies (FMD), the brachial artery diameter was measured by ultrasound at baseline. An automated floor pressure cuff was inflated on the upper arm to a suprasystolic pressure that was sustained for 5 minutes, and the brachial diameter measurement was repeated 55-65 seconds after releasing the cuff. FMD was calculated as the percentage change in arterial diameter from baseline.~For venous occlusion plethysmography studies (VP), forearm volume was measured using a strain-gauge plethysmography device during application of an upper arm BP cuff at increasing but subsystolic pressures. Venous capacitance slope was estimated from the volume-pressure relationship and expressed as a percentage increase in volume per millimeters of mercury.~The change at baseline and 2 weeks in these measurements between the sildenafil and placebo group will be assessed." (NCT02414204)
Timeframe: 2 weeks

InterventionChange in FMD% (Mean)
Sildenafil10.8
Placebo8.6

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Number of Participants With a Change in Blood Flow Rate

Blood flow of the fistula at 6 weeks is measured with doppler ultrasound and values of the fistula artery and vein are obtained (ml/min). The difference in blood flow rates of the fistula artery and vein between the sildenafil treated group and placebo group will be assessed. (NCT02414204)
Timeframe: 6 weeks

InterventionParticipants (Count of Participants)
Sildenafil2
Placebo1

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6 Minute Walk Distance

Change in distance walked between week 1 and week 13 were compared. The difference between the two time points is reported. (NCT02626182)
Timeframe: Weeks 1, 13

Interventionmeters (Mean)
Sildenafil25.2
Placebo0.75

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Cardiopulmonary Exercise Test Work Rate

Work rate (the amount of energy being expended to cycle) was assessed at weeks 1 and 13. The change in maximum work measured during CPET between weeks 1 and 13 is reported. (NCT02626182)
Timeframe: Weeks 1 and 13

Interventionwatts (Mean)
Sildenafil-0.20
Placebo-0.27

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Cystic Fibrosis Quality of Life-Revised Respiratory Domain Score

The CFQ-R Respiratory domain score (scale 0-100 with higher scores indicating better quality of life) was assessed at weeks 1 and 13. The change in the score between week 1 and week 13 is reported. (NCT02626182)
Timeframe: Assessed at weeks 1 and 13

Interventionunits on a scale (Mean)
Sildenafil8.62
Placebo-9.23

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Clinical Pregnancy Rate

Identifying pregnancy through positive urinary HCG test plus sonographic detection of cardiac pulsations (NCT02710981)
Timeframe: At the end of a 28-day menstrual cycle.

InterventionParticipants (Count of Participants)
Clomiphene Citrate Only Group (6th Ovulation Induction Cycle)0
Clomiphene Citrate Plus Sildenafil Vaginal Gel (7th Ovulation3

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Endometrial Thickness

Transvaginal sonographic measurement of maximal distance spanning endometrial- myometrial interphase on each endometrial stripe in a sagittal plane in the fundus of the uterus (NCT02710981)
Timeframe: Day of HCG administration

Interventionmillimeter (Mean)
Clomiphene Citrate Only Group (6th Ovulation Induction Cycle)6.6
Clomiphene Citrate Plus Sildenafil Vaginal Gel (7th Ovulation)9.3

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Uterine Blood Flow

Doppler ultrasound is used to measure the pulsatility index in both uterine arteries. Pulsatility index is a measure of the arterial resistance to blood flow. The higher the value of the pulsatility index, the more resistant the uterine arteries are, and hence the worst the outcome. (NCT02710981)
Timeframe: Day of HCG administration

Interventionindex (Mean)
Clomiphene Citrate Only Group (6th Ovulation Induction Cycle)2.4
Clomiphene Citrate Plus Sildenafil Vaginal Gel (7th Ovulation)1.6

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Percentage of Patients With On-treatment Serious Adverse Events (SAE) From Baseline to Week 24

Percentage of patients with on-treatment serious adverse events (SAE) from baseline to Week 24 is presented. (NCT02802345)
Timeframe: Baseline and week 24

InterventionPercentage of participants (%) (Number)
Nintedanib+Placebo32.4
Nintedanib+Sildenafil27.0

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Change From Baseline in St George's Respiratory Questionnaire (SGRQ) Total Score at Week 12

The SGRQ is a 50-item questionnaire developed to measure health status (quality of life). Scores are calculated for three domains: Symptoms, Activity and Impacts (Psycho-social) as well as a total score. A minimum change in score of 4 units was established as clinically relevant after patient and clinician testing. Scores range from 0 to 100, with higher scores indicating more limitations. The mean and standard error presented are actually adjusted mean for change from baseline and its standard error. (NCT02802345)
Timeframe: Baseline and week 12

InterventionUnit on scale (Mean)
Nintedanib+Placebo-0.77
Nintedanib+Sildenafil-1.28

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Change From Baseline in Dyspnoea Using UCSD SOBQ at Week 24

The UCSD SOBQ is a 24-item questionnaire developed to to measure breathlessness on a scale between zero and five where 0 is not at all breathless and 5 is maximally breathless or too breathless to do the activity. The mean and standard error presented for descriptive statistics are actually adjusted mean for change from baseline and its standard error. (NCT02802345)
Timeframe: Baseline and week 24

InterventionUnit on scale (Mean)
Nintedanib+Placebo6.85
Nintedanib+Sildenafil4.44

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Change From Baseline in Dyspnoea Using the University of California San Diego Shortness of Breath Questionnaire (UCSD SOBQ) at Week 12

The UCSD SOBQ is a 24-item questionnaire developed to measure breathlessness on a scale between zero and five where 0 is not at all breathless and 5 is maximally breathless or too breathless to do the activity. The mean and standard error presented for descriptive statistics are actually adjusted mean for change from baseline and its standard error. (NCT02802345)
Timeframe: Baseline and week 12

InterventionUnit on scale (Mean)
Nintedanib+Placebo4.40
Nintedanib+Sildenafil1.46

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Change From Baseline in SGRQ Total Score at Week 24

The SGRQ is a 50-item questionnaire developed to measure health status (quality of life). Scores are calculated for three domains: Symptoms, Activity and Impacts (Psycho-social) as well as a total score. A minimum change in score of 4 units was established as clinically relevant after patient and clinician testing. The mean and standard error presented for descriptive statistics are actually adjusted mean for change from baseline and its standard error. (NCT02802345)
Timeframe: Baseline and week 24

InterventionUnit on scale (Mean)
Nintedanib+Placebo2.42
Nintedanib+Sildenafil0.23

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Number of Participants With Satisfactory Clinical Response at Week 24

"The treatment is assessed as efficient (participants with satisfactory clinical response) in case at least 2 out of the following 3 criteria were fulfilled~6 Minute Walking Distance increase by ≥ 10% or ≥ 30 m from baseline to Week 24~World Health Organization Functional Class (WHO FC) I or II at Week 24~N-terminal pro-brain natriuretic peptide (NT-proBNP) reduction ≥ 30% from baseline to Week 24 (NT-proBNP ratio Week 24/baseline ≤ 0.7) and in absence of the defined criteria of clinical worsening" (NCT02891850)
Timeframe: At Week 24

,
InterventionParticipants (Count of Participants)
With satisfactory clinical responseWithout satisfactory clinical response
PDE-5i2390
Riociguat4566

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Change in 6 Minute Walking Distance (6MWD) With Last Observation Carried Forward From Baseline to 24 Weeks

Six-minute walk distance (6MWD) was conducted to test the physical limitations of the participant by assessing the participant's exercise capacity. The distance walked by the participant in 6 minutes was measured. (NCT02891850)
Timeframe: From baseline and up to 24 weeks

Interventionmeters (m) (Mean)
Riociguat36.448
PDE-5i13.884

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Change in N-terminal Pro-Brain Natriuretic Peptide (NT-proBNP) With Last Observation Carried Forward at Week 24

N-terminal pro-brain natriuretic peptide (NT-proBNP) levels in the blood are used for screening, diagnosis of acute congestive heart failure (CHF) and may be useful to establish prognosis in heart failure. (NCT02891850)
Timeframe: From baseline and up to 24 weeks

Interventionpicograms per milliliter (pg/mL) (Mean)
Riociguat-88.234
PDE-5i81.414

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Change in World Health Organization Functional Class (WHO FC) With Last Observation Carried Forward From Baseline to Week 24

The participant's functional class was determined by using the WHO classification. Possible classes range from I (patients with pulmonary hypertension (PH) but without resulting limitation of physical activity) to IV (patients with PH with inability to carry out any physical activity without symptoms). (NCT02891850)
Timeframe: From baseline and up to 24 weeks

Interventionclass (Mean)
Riociguat-0.5
PDE-5i-0.2

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Number of Participants With Adjudicated Clinical Worsening at Week 24

Clinical worsening was defined as death of any cause, hospitalization due to worsening pulmonary arterial hypertension (PAH) (adjudicated) or disease progression (adjudicated). (NCT02891850)
Timeframe: Up to 24 weeks

InterventionParticipants (Count of Participants)
Riociguat1
PDE-5i10

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Change From Baseline in MMP-9 at 3 Months

Matrix metalloproteinase-9 (MMP-9) measured using enzyme linked immunosorbent assay (ELISA) (NCT02908490)
Timeframe: Baseline and After 3 months of Study Drug use (i.e., either at 3 months pre-washout or at 6 months, depending on group assignment)

,
Interventionng/mL (Mean)
MMP-9 at BaselineChange in MMP-9 from Baseline at 3 Months
Placebo Period454.85-105.65
Sildenafil Period441.00-5.61

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Change From Baseline in Number of Participants With Detectable IL-6 at 3 Months

Interleukin (IL)-6 measured using enzyme linked immunosorbent assay (ELISA) (pg/mL). Since very few subjects had detectable IL-6 levels, the outcome measure reports the number of participants with detectable IL-6 rather than mean levels. (NCT02908490)
Timeframe: Baseline and After 3 months of Study Drug use (i.e., either at 3 months pre-washout or at 6 months, depending on group assignment)

,
InterventionParticipants (Count of Participants)
Number (%) of Participants with Detectable IL-6 at BaselineChange (decrease) in Number (%) of Participants with Detectable IL-6 from Baseline at 3 Months
Placebo Period81
Sildenafil Period31

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Change From Baseline in Peripheral Arterial Tone (PAT) LnRHI at 3 Months

PAT measured by the EndoPAT 2000 device is a non-invasive method to assess endothelial function. It is a standardized, rapid, and easy to apply method, and has been found to correlate with multiple traditional CV risk factors and to be responsive to interventions. PAT is a validated alternative measure to brachial arterial FMD in assessing endothelial function, and is less operator-dependent than FMD. FMD directly measures the dilation capability of the large-conduit artery, whereas PAT measures flow response hyperemia, which is related to endothelial function of small arteries of microcirculation. PAT measures endothelium-mediated changes in vascular tone using bio-sensors placed on fingertips. The semi-automatically calculated result (Reactive Hyperemia Index) is an index of endothelial function. LnRHI is a Reactive Hyperemia Index after natural log transformation with a matched cutoff: Normal: LnRHI > 0.51 and Abnormal: LnRHI <= 0.51 cut-off. (NCT02908490)
Timeframe: Baseline and After 3 months of Study Drug use (i.e., either at 3 months pre-washout or at 6 months, depending on group assignment)

,
InterventionLnRHI (Mean)
LnRHI at BaselineChange in LnRHI from Baseline at 3 Months
Placebo Period0.78-0.01
Sildenafil Period0.770.21

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Change From Baseline in RF at 3 Months

Rheumatoid factor (RF) measured using standard clinical laboratory protocols (NCT02908490)
Timeframe: Baseline and After 3 months of Study Drug use (i.e., either at 3 months pre-washout or at 6 months, depending on group assignment)

,
InterventionIU/ml (Mean)
RF at BaselineChange in RF from Baseline at 3 Months
Placebo Period138.96-16.20
Sildenafil Period128.1720.00

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Change From Baseline in VCAM-1 at 3 Months

Vascular cell adhesion molecule (VCAM)-1 measured using enzyme linked immunosorbent assay (ELISA) (NCT02908490)
Timeframe: Baseline and After 3 months of Study Drug use (i.e., either at 3 months pre-washout or at 6 months, depending on group assignment)

,
Interventionng/mL (Mean)
VCAM-1 at BaselineChange in VCAM-1 from Baseline at 3 Months
Placebo Period771.86-33.23
Sildenafil Period751.3046.12

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Change From Baseline in Brachial Artery Flow Mediated Dilation (FMD) Without Nitroglycerin at 3 Months

The methods of assessment of endothelial function via FMD will be performed following guidelines. Using Duplex ultrasound with a high-resolution linear array transducer, the difference between the maximum brachial artery diameter (BAD) postocclusion and the baseline diameter will be calculated, expressed as a percentage (%BAD). Generally, %BAD values below 5-7% represent endothelial dysfunction, which is associated with CV risk factors, future CVD and mortality. (NCT02908490)
Timeframe: Baseline and After 3 months of Study Drug use (i.e., either at 3 months pre-washout or at 6 months, depending on group assignment)

,
Interventionpercent of BAD (Mean)
FMD at BaselineChange in FMD from Baseline at 3 Months
Placebo Period6.480.814
Sildenafil Period7.06-1.14

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Serious Adverse Events (SAE)

SAEs include death, hospitalization or prolonged existing hospitalization, life threatening, persistent or significant disability, birth defect/congenital anomaly, or medically significant event. (NCT02908490)
Timeframe: 6 Months and 2 Weeks from Baseline Visit

InterventionParticipants (Count of Participants)
Sildenafil Period0
Placebo Period0

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Change From Baseline in CCP at 3 Months

"Anti-cyclic citrullinated peptide antibody (CCP) measured using standard clinical laboratory protocols. Note, the universal unit of measure for CCP is Units." (NCT02908490)
Timeframe: Baseline and After 3 months of Study Drug use (i.e., either at 3 months pre-washout or at 6 months, depending on group assignment)

,
InterventionUnits (Mean)
CCP at BaselineChange in CCP from Baseline at 3 Months
Placebo Period62.80-10.70
Sildenafil Period60.00-10.70

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Change From Baseline in CD40L at 3 Months

CD40 ligand (CD40L) measured using enzyme linked immunosorbent assay (ELISA) (NCT02908490)
Timeframe: Baseline and After 3 months of Study Drug use (i.e., either at 3 months pre-washout or at 6 months, depending on group assignment)

,
Interventionpg/mL (Mean)
CD40L at BaselineChange in CD40L from Baseline at 3 Months
Placebo Period10316.24-3857.02
Sildenafil Period7650.222559.09

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Change From Baseline in E-selectin at 3 Months

Leukocyte adhesion molecule E-selectin measured using enzyme linked immunosorbent assay (ELISA) (NCT02908490)
Timeframe: Baseline and After 3 months of Study Drug use (i.e., either at 3 months pre-washout or at 6 months, depending on group assignment)

,
Interventionng/mL (Mean)
E-Selectin at BaselineChange in E-Selectin from Baseline at 3 Months
Placebo Period42.56-2.56
Sildenafil Period37.104.91

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Change From Baseline in ESR at 3 Months

Erythrocyte sedimentation rate (ESR) measured using standard clinical laboratory protocols (NCT02908490)
Timeframe: Baseline and After 3 months of Study Drug use (i.e., either at 3 months pre-washout or at 6 months, depending on group assignment)

,
Interventionmm/hr (Mean)
ESR at BaselineChange in ESR from Baseline at 3 Months
Placebo Period17.353.95
Sildenafil Period19.223.30

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Change From Baseline in hsCRP at 3 Months

High-sensitivity CRP (hsCRP) measured using standard clinical laboratory protocols (NCT02908490)
Timeframe: Baseline and After 3 months of Study Drug use (i.e., either at 3 months pre-washout or at 6 months, depending on group assignment)

,
Interventionmg/dL (Mean)
hsCRP at BaselineChange in hsCRP from Baseline at 3 Months
Placebo Period0.580.43
Sildenafil Period0.430.08

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Change From Baseline in ICAM-1 at 3 Months

Intercellular adhesion molecule (ICAM)-1 measured using enzyme linked immunosorbent assay (ELISA) (NCT02908490)
Timeframe: Baseline and After 3 months of Study Drug use (i.e., either at 3 months pre-washout or at 6 months, depending on group assignment)

,
Interventionng/mL (Mean)
ICAM-1 at BaselineChange in ICAM-1 from Baseline at 3 Months
Placebo Period299.59-44.33
Sildenafil Period256.2326.31

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Change From Baseline in MPO at 3 Months

Myeloperoxidase (MPO) measured using enzyme linked immunosorbent assay (ELISA) (NCT02908490)
Timeframe: Baseline and After 3 months of Study Drug use (i.e., either at 3 months pre-washout or at 6 months, depending on group assignment)

,
Interventionng/mL (Mean)
MPO at BaselineChange in MPO from Baseline at 3 Months
Placebo Period233.24-54.04
Sildenafil Period236.6817.18

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Borg Scale Result at the End of the Test at Week 52

The Borg Scale rates participant's level of perceived exertion during any activity from 0-10, with 0 being no effort at all and 10 being maximal exertion. (NCT02951429)
Timeframe: Week 52

InterventionPoints on Scale (Mean)
Pirfenidone+Sildenafil0.9
Pirfenidone+Placebo0.7

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Change From Baseline in Distance Walked, 6-minute Walking Distance (6MWD) Test at Week 52

(NCT02951429)
Timeframe: Baseline up to Week 52

Interventionmeters (Mean)
Pirfenidone+Sildenafil-52.9
Pirfenidone+Placebo-40.8

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Change From Baseline in N-terminal Pro-Brain Natriuretic Peptide (NT-proBNP) Level (pg/mL) at Week 52

(NCT02951429)
Timeframe: Baseline, Week 52

Interventionpg/mL) (Mean)
Pirfenidone+Sildenafil110.1
Pirfenidone+Placebo605.9

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Change From Baseline in Oxygen Requirements, 6-minute Walking Distance (6MWD) Test at Week 52

(NCT02951429)
Timeframe: Baseline up to Week 52

InterventionL (Mean)
Pirfenidone+Sildenafil0.6
Pirfenidone+Placebo0.6

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Change From Baseline to Week 52 in Carbon Monoxide Diffusing Capacity/ Pulmonary Diffusing Capacity (DLCO)

(NCT02951429)
Timeframe: Baseline, Week 52

InterventionPercentage Predicted (Mean)
Pirfenidone+Sildenafil-2.918
Pirfenidone+Placebo-2.440

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Change From Baseline to Week 52 in Forced Vital Capacity (FVC)

(NCT02951429)
Timeframe: Baseline, Week 52

InterventionPercentage Predicted (Mean)
Pirfenidone+Sildenafil-2.761
Pirfenidone+Placebo-1.616

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Change From Baseline to Week 52 in Transthoracic Echocardiography (ECHO) Parameter: Inferior Vena Cava Diameter

(NCT02951429)
Timeframe: Baseline, Week 52

Interventioncm (Mean)
Pirfenidone+Sildenafil-0.05
Pirfenidone+Placebo-0.09

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Change From Baseline to Week 52 in Transthoracic Echocardiography (ECHO) Parameter: Left Ventricular Ejection Fraction (LVEF)

(NCT02951429)
Timeframe: Baseline, Week 52

InterventionPercentage (Mean)
Pirfenidone+Sildenafil1.22
Pirfenidone+Placebo-0.85

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Change From Baseline to Week 52 in Transthoracic Echocardiography (ECHO) Parameter: Peak Tricuspid Regurgitation Velocity

(NCT02951429)
Timeframe: Baseline, Week 52

Interventionm/s (Mean)
Pirfenidone+Sildenafil-0.014
Pirfenidone+Placebo0.103

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Percentage of Participants With Lung Transplantation

(NCT02951429)
Timeframe: Baseline up to Week 52

InterventionPercentage (Number)
Pirfenidone+Sildenafil10.2
Pirfenidone+Placebo6.7

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Percentage of Participants With Decline From Baseline in 6-minute Walking Distance (6MWD) of >= 15%

(NCT02951429)
Timeframe: Baseline up to Week 52

InterventionPercentage (Number)
Pirfenidone+Sildenafil53.4
Pirfenidone+Placebo50.6

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Percentage of Participants With Adverse Events

(NCT02951429)
Timeframe: Baseline up to Week 52 + 28 days

InterventionPercentage (Number)
Pirfenidone+Sildenafil98.9
Pirfenidone+Placebo93.3

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Change From Baseline to Week 52 in Transthoracic Echocardiography (ECHO) Parameter: Tricuspid Annular Plane Systolic Excursion (TAPSE)

(NCT02951429)
Timeframe: Baseline, Week 52

Interventioncm (Mean)
Pirfenidone+Sildenafil-0.204
Pirfenidone+Placebo-0.146

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Change From Baseline to Week 52 in Transthoracic Echocardiography (ECHO) Parameter: Right Ventricle Basal Diameter

(NCT02951429)
Timeframe: Baseline, Week 52

Interventioncm (Mean)
Pirfenidone+Sildenafil0.462
Pirfenidone+Placebo0.095

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Change From Baseline to Week 52 in Transthoracic Echocardiography (ECHO) Parameter: Pulmonary Artery Pressure (PAPs)

(NCT02951429)
Timeframe: Baseline, Week 52

InterventionmmHg (Mean)
Pirfenidone+Sildenafil2.0
Pirfenidone+Placebo3.6

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Time to Death From Any Cause

(NCT02951429)
Timeframe: Baseline up to Week 52

InterventionWeeks (Median)
Pirfenidone+SildenafilNA
Pirfenidone+PlaceboNA

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St. George's Respiratory Questionnaire (SGRQ) Changes From Baseline at Week 52

"The SGRQ is a 50-item questionnaire developed to measure health status (quality of life) in participants with diseases of airways obstruction. Three component scores are calculated, where the higher the component result the worse the condition:~Symptoms concerned with the effect of respiratory symptoms, their frequency and severity (range: 0-16.61) Activity concerned with activities that cause or are limited by breathlessness (range: 0-30.31) Impacts covers a range of aspects concerned with social functioning and psychological disturbances resulting from airway disease (range: 0- 53.08) Total score summaries the impact of disease on overall health status. Scores are expressed as a percentage of overall impairment where 100 represents worst possible health status and 0 indicates best possible health status." (NCT02951429)
Timeframe: Baseline, Week 52

,
InterventionUnits on a scale (Mean)
Total scoreSymptoms component scoreActivities component scoreImpacts component score
Pirfenidone+Placebo11.4378.26110.87112.118
Pirfenidone+Sildenafil6.1492.4983.9978.417

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Percentage of Participants by World Health Organization (WHO) Functional Class at Week 52

"The World Health Organisation (WHO) functional class system defines the severity of an participant's symptoms.~Class II - Participants with Pulmonary Hypertension resulting in slight limitation of physical activity. They are comfortable at rest. Ordinary physical activity causes undue breathlessness, fatigue (tiredness), or activities that can cause chest pain, dizziness or even black outs.~Class III - Participants with Pulmonary Hypertension resulting in marked limitation of physical activity. They are comfortable at rest. Less than ordinary activity causes undue breathlessness, fatigue (tiredness), or activities that can cause chest pain, dizziness or even black outs.~Class IV - participants with pulmonary hypertension with inability to carry out any physical activity without symptoms. These participants manifest signs of right heart failure, breathlessness and /or fatigue, which may even be present at rest. Discomfort is increased by any physical activity." (NCT02951429)
Timeframe: Week 52

,
InterventionPercentage (Number)
Class IIClass IIIClass IVMissing
Pirfenidone+Placebo13.524.71.11.1
Pirfenidone+Sildenafil19.333.03.40

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Change From Baseline in Other 6-minute Walking Distance (6MWD) Parameters at Week 52

(NCT02951429)
Timeframe: Baseline up to Week 52

,
InterventionPercentage (Mean)
SpO2 before the test (at rest)SpO2 lowest during the testSpO2 after the test
Pirfenidone+Placebo-0.80.3-2.3
Pirfenidone+Sildenafil-0.5-3.40.5

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University of California, San Diego-Shortness of Breath Questionnaire (UCSD-SOBQ) Changes From Baseline at Week 52

The UCSD-SOBQ is a respiratory questionnaire and it assesses dyspnea associated with activities of daily living (ADL). Participants indicate severity of SOB on a 6-point scale in 21 ADL. Three additional questions ask about fear of harm from overexertion, limitations and fear caused by SOB. A total score ranges from 0 to 120, with higher scores indicating greater impairment. (NCT02951429)
Timeframe: Baseline, Week 52

InterventionPoints on scale (Mean)
Pirfenidone+Sildenafil12.5
Pirfenidone+Placebo18.8

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Time to Multiple Occurrence of Disease Progression Events

Disease Progression defined as relative decline in 6MWD from baseline (defined as >25% from baseline or 15-25% from baseline associated with worsening oxygen saturation, worsening Borg score, or increased oxygen requirements), respiratory-related non-elective hospitalizations, or all-cause mortality. In case participant had more than one event as described in the endpoint definition the second, third etc event was counted as well for the calculation of the endpoint. (NCT02951429)
Timeframe: Baseline up to Week 52

InterventionWeeks (Median)
Pirfenidone+Sildenafil20.57
Pirfenidone+Placebo13.29

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Time to First Occurrence of Relevant ≥15% Decline From Baseline in 6-minute Walking Distance (6MWD)

(NCT02951429)
Timeframe: Baseline up to Week 52

InterventionWeeks (Median)
Pirfenidone+Sildenafil39.00
Pirfenidone+Placebo38.71

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Time to First Occurrence of Disease Progression

Disease Progression defined as relative decline in 6MWD from baseline (defined as >25% from baseline or 15-25% from baseline associated with worsening oxygen saturation, worsening Borg score, or increased oxygen requirements), respiratory-related non-elective hospitalizations, or all-cause mortality. (NCT02951429)
Timeframe: Baseline up to Week 52

InterventionWeeks (Median)
Pirfenidone+Sildenafil26.00
Pirfenidone+Placebo25.43

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Time to All-Cause Non-Elective Hospitalization

N.A. = non-calculable (NCT02951429)
Timeframe: Baseline up to Week 52

InterventionWeeks (Median)
Pirfenidone+Sildenafil47.57
Pirfenidone+Placebo49.86

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Change in Microvascular Blood Volume (MBV) During Insulin Infusion

"Insulin induces microvascular recruitment. Changes in MBV during Insulin infusion signifies insulin sensitivity.~MBV is measured in the forearm brachioradialis muscle with contrast enhanced ultrasonography during minutes 120-150 of a hyperinsulinaemic euglycaemic (HIE) clamp (insulin infusion rate up to 80 mU/m2.min-1 ). In the last 30 minutes, L-arginine was infused (10 mg/kg/min for 30 minutes) and ultrasound measurements were repeated upon infusion completion (approximately minute 180)." (NCT03012386)
Timeframe: Baseline to end of procedure (approximately 180 minutes)

Interventionml/kg (Mean)
G Allele Carriers13.16
Non Carriers of G Allele11.3

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Change in Microvascular Blood Volume (MBV) During Insulin Infusion After 4 Weeks of Sildenafil Treatment in Both Groups

"Chronic treatment with sildenafil increases vascularity and muscle glucose uptake. Changes in MBV during Insulin infusion signifies insulin sensitivity .~Insulin sensitivity was tested after 4 weeks of treatment with Sildenafil in both groups. Subjects receive IV infusion of 20% Intralipid (45ml/h) and heparin (200 units/hr). MBV is measured in the forearm brachioradialis muscle with contrast enhanced ultrasonography during minutes 120-150 of a HIE clamp (insulin infusion rate up to 80 mU/m2.min-1 ) In the last 30 minutes, L-arginine was infused (10 mg/kg/min for 30 minutes) and ultrasound measurements were repeated upon infusion completion (approximately minute 180)." (NCT03012386)
Timeframe: Baseline to 4 weeks

Interventionml/kg (Mean)
Sildenafil Citrate in G Allele Carriers12.93
Sildenafil Citrate in Non Carriers of G Allele8.4

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Liver Stiffness as Measured by Magnetic Resonance Elastography (MRE)

Measured using magnetic resonance imaging derived liver stiffness (MRE-LS) reported in kilopascal (kPa). (NCT03154476)
Timeframe: Baseline, 12 months (52 weeks), 24 months (104 weeks)

,
InterventionkPa (Mean)
Baseline52 weeks104 weeks
Placebo5.725.685.74
Sildenafil5.695.024.67

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"Number of Participants With Comet Tails Seen on Ultrasound of the Lungs"

"A comet tail artefact is a short path reverberation artefact that weakens with each reverberation, resulting in a vertical echogenic artefact that rapidly fades as it continues in to the ultrasound image." (NCT03686813)
Timeframe: Immediately after exercise in cold water, approximately one hour and 40 minutes

InterventionParticipants (Count of Participants)
Placebo Oral Tablet17
Sildenafil Citrate14

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Number of Participants With Dyspnea Leading to Voluntary Premature Cessation of Exercise

Voluntary premature cessation of exercise due to shortness of breath. (NCT03686813)
Timeframe: During or immediately after exercise in cold water, approximately one hour and 40 minutes

InterventionParticipants (Count of Participants)
Placebo Oral Tablet10
Sildenafil Citrate8

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Number of Participants With Pulmonary Edema

One or more of: hypoxemia, productive cough, pulmonary edema on chest radiograph, wheezing on chest auscultation. (NCT03686813)
Timeframe: During or immediately after exercise in cold water, approximately one hour and 40 minutes

InterventionParticipants (Count of Participants)
Placebo Oral Tablet7
Sildenafil Citrate9

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Number of Participants With Post-exercise 10% Decrease in Forced Vital Capacity (FVC) or Forced Expiratory Volume in One Second (FEV1) as Measured by Spirometry

Post-exercise 10% decrease in forced vital capacity (FVC) or forced expiratory volume in one second (FEV1). (NCT03686813)
Timeframe: Immediately after exercise in cold water, approximately one hour and 40 minutes

InterventionParticipants (Count of Participants)
Placebo Oral Tablet3
Sildenafil Citrate3

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Right Ventricular Energetic Efficiency Pre and Post Sildenafil

To characterize energy efficiency, the total Kinetic Energy across the cardiac cycle is normalized to right ventricular end-diastolic volume and left ventricular end-diastolic volume, respectively. Analysis will be completed in blinded fashion. Two imaging scans will be done - one pre and one post Sildenafil intervention. Total time from Pre-intervention scan till post intervention scan may take up to 2 hours. (NCT03696758)
Timeframe: up to 2 hours

InterventionµJ/ml (Mean)
Pre-SildenafilPost-Sildenafil
Young Adults Born Premature15.817.9

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Right Ventricular Energetic Efficiency Pre and Post Metoprolol

To characterize energy efficiency, the total Kinetic Energy across the cardiac cycle is normalized to right ventricular end-diastolic volume and left ventricular end-diastolic volume, respectively. Analysis will be completed in blinded fashion. Two imaging scans will be done - one pre and one post Metoprolol intervention. Total time from Pre-intervention scan till post intervention scan may take up to 2 hours. (NCT03696758)
Timeframe: up to 2 hours

InterventionµJ/ml (Mean)
Pre MetoprololPost Metoprolol
Young Adults Born Premature15.512.7

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Right Ventricular Ejection Fraction Pre and Post Sildenafil

"Participants will be given sildenafil in between imaging scans. The term ejection fraction refers to the percentage of blood that's pumped out of a filled ventricle with each heartbeat." (NCT03696758)
Timeframe: up to 2 hours

Interventionpercentage (Mean)
Pre-SildenafilPost-Sildenafil
Young Adults Born Premature5355

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Right Ventricular Stroke Volume Pre and Post Metoprolol

Participants will receive intravenous metoprolol in between scans. (NCT03696758)
Timeframe: up to 2 hours

Interventionml/m^2 (Mean)
Pre-MetoprololPost-Metoprolol
Young Adults Born Premature41.537.7

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Left Ventricular Stroke Volume Pre and Post Metoprolol

Participants will receive intravenous metoprolol in between scans. (NCT03696758)
Timeframe: up to 2 hours

Interventionml/m^2 (Mean)
Pre-MetoprololPost-Metoprolol
Young Adults Born Premature43.741.4

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Left Ventricular Energetic Efficiency Pre and Post Sildenafil

Kinetic energy (from 4D flow) normalized to ventricular volume (from MRI). Participants will be given sildenafil in between imaging scans. (NCT03696758)
Timeframe: up to 2 hours

InterventionµJ/ml (Mean)
Pre-SildenafilPost-Sildenafil
Young Adults Born Premature11.112.3

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Left Ventricular Energetic Efficiency Pre and Post Metoprolol

Kinetic energy (from 4D flow) normalized to ventricular volume (from MRI). Participants will receive intravenous metoprolol in between scans. (NCT03696758)
Timeframe: up to 2 hours

InterventionµJ/ml (Mean)
Pre-MetoprololPost-Metoprolol
Young Adults Born Premature11.69.5

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Right Ventricular Ejection Fraction Pre and Post Metoprolol

Participants will receive intravenous metoprolol in between scans. (NCT03696758)
Timeframe: up to 2 hours

Interventionpercentage (Mean)
Pre-MetoprololPost-Metoprolol
Young Adults Born Premature5551

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Left Ventricular Stroke Volume Pre and Post Sildenafil

Participants will be given sildenafil in between imaging scans. (NCT03696758)
Timeframe: up to 2 hours

Interventionml/m^2 (Mean)
Pre-SildenafilPost-Sildenafil
Young Adults Born Premature43.145.7

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Left Ventricular Ejection Fraction Pre and Post Sildenafil

Participants will be given sildenafil in between imaging scans. (NCT03696758)
Timeframe: up to 2 hours

Interventionpercentage (Mean)
Pre-SildenafilPost-Sildenafil
Young Adults Born Premature6063

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Left Ventricular Ejection Fraction Pre and Post Metoprolol

Participants will receive intravenous metoprolol in between scans. (NCT03696758)
Timeframe: up to 2 hours

Interventionpercentage (Mean)
Pre-MetoprololPost-Metoprolol
Young Adults Born Premature6058

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Left Ventricular Diastolic Volume Pre and Post Sildenafil

Participants will be given sildenafil in between imaging scans. (NCT03696758)
Timeframe: up to 2 hours

Interventionml/m^2 (Mean)
Pre-SildenafilPost-Sildenafil
Young Adults Born Premature71.272.2

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Left Ventricular Diastolic Volume Pre and Post Metoprolol

Participants will receive intravenous metoprolol in between scans. (NCT03696758)
Timeframe: up to 2 hours

Interventionml/m^2 (Mean)
Pre-MetoprololPost-Metoprolol
Young Adults Born Premature72.572.1

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Left Ventricular Systolic Volume Pre and Post Metoprolol

Participants will receive intravenous metoprolol in between scans. (NCT03696758)
Timeframe: up to 2 hours

Interventionml/m^2 (Mean)
Pre-MetoprololPost-Metoprolol
Young Adults Born Premature28.830.6

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Right Ventricular Diastolic Volume Pre and Post Metoprolol

Participants will receive intravenous metoprolol in between scans. (NCT03696758)
Timeframe: up to 2 hours

Interventionml/m^2 (Mean)
Pre-MetoprololPost-Metoprolol
Young Adults Born Premature75.274.4

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Left Ventricular Systolic Volume Pre and Post Sildenafil

Participants will be given sildenafil in between imaging scans. (NCT03696758)
Timeframe: up to 2 hours

Interventionml/m^2 (Mean)
Pre-SildenafilPost-Sildenafil
Young Adults Born Premature28.126.6

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Right Ventricular Diastolic Volume Pre and Post Sildenafil

Participants will be given sildenafil in between imaging scans. (NCT03696758)
Timeframe: up to 2 hours

Interventionml/m^2 (Mean)
Pre-SildenafilPost-Sildenafil
Young Adults Born Premature76.274.6

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Right Ventricular Systolic Volume Pre and Post Sildenafil

Participants will be given sildenafil in between imaging scans. (NCT03696758)
Timeframe: up to 2 hours

Interventionml/m^2 (Mean)
Pre-SildenafilPost-Sildenafil
Young Adults Born Premature35.833.3

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Right Ventricular Systolic Volume Pre and Post Metoprolol

Participants will receive intravenous metoprolol in between scans. (NCT03696758)
Timeframe: up to 2 hours

Interventionml/m^2 (Mean)
Pre-MetoprololPost-Metoprolol
Young Adults Born Premature33.736.6

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Right Ventricular Stroke Volume Pre and Post Sildenafil

Participants will be given sildenafil in between imaging scans. (NCT03696758)
Timeframe: up to 2 hours

Interventionml/m^2 (Mean)
Pre-SildenafilPost-Sildenafil
Young Adults Born Premature40.441.3

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Perfused Blood Volume Assessed for a Change in Lung Inflammation Pre and Post Dose Sildenafil Administration

Perfused blood volume will be measured by CT scan at two time points and compared at two points, pre and post the administration of sildenafil. (NCT03733470)
Timeframe: Change of perfused blood volume from baseline at one hour after sildenafil administration.

Interventioncoefficient of variation (Mean)
Nonsusceptible Smokers (NS)0.37
Susceptible Smoker (SS)0.42

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