Could a viagra drug shield the brain from stroke damage?

NCT ID NCT03855332

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study tested whether sildenafil, a drug used for erectile dysfunction, can reduce harmful pulsations in brain blood flow in 75 people who had a stroke or mini-stroke due to small vessel disease. Participants took sildenafil, a similar drug (cilostazol), or a placebo for three weeks each. The goal was to see if these drugs could lower the pressure spikes hitting the brain, potentially slowing the progression of small vessel disease, which affects millions and causes stroke and dementia.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
sildenafil
What this could lead to
If it works, this could point toward the first effective treatment for small vessel disease, a common cause of stroke and dementia.
What could go wrong
This is a small, early-phase trial (75 people) testing a short-term effect on a measurement, not on long-term outcomes. The drug may not reduce disease progression or could cause side effects.

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Conditions

The condition(s) this trial relates to.

Cerebral Small Vessel Diseases cerebrovascular disorder

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • University of Oxford

    Oxford, Oxon, OX39DU, United Kingdom

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