Blood marker may reveal who benefits from ED drug
NCT ID NCT07479901
First seen Jun 27, 2026 · Last updated Sep 02, 2026 · Updated 2 times
Summary
This study looks at whether a blood test measuring the 'atherogenic index' can predict how well the drug tadalafil works for men with erectile dysfunction caused by blood vessel problems. Researchers will give 132 men tadalafil daily for one month and compare their symptom scores before and after treatment. The goal is to see if this simple blood marker can help personalize treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- tadalafil
- What this could lead to
- If successful, this could help doctors predict which men with erectile dysfunction will respond best to tadalafil based on a simple blood test.
- What could go wrong
- This is a small, observational study, not a large trial. The link between the blood marker and treatment response may not be strong enough to change clinical practice.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
-
176 people
The number who actually took part.
- Started
-
Apr 2025
- Finished
-
Feb 2026
- Lead sponsor
-
A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Men aged 40 years or older presenting consecutively to the outpatient urology clinic with erectile dysfunction symptoms for at least 3 months, an IIEF-EF score below 26, and predominantly vasculogenic erectile dysfunction based on clinical assessment were enrolled. Tadalafil 5 mg orally once daily was prescribed as part of routine clinical care, independently of study participation, and participants were prospectively followed for 12 weeks. Patients with contraindications to tadalafil, major nonvasculogenic causes of erectile dysfunction, or predefined unstable systemic or metabolic conditions were excluded.
- Ages
-
40 years and older
- Sex
-
Male participants only
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Men aged 40 years or older Erectile dysfunction symptoms for at least 3 months International Index of Erectile Function-Erectile Function domain (IIEF-EF) score below 26 Predominantly vasculogenic erectile dysfunction based on medical history, focused physical examination, and baseline clinical assessment Suitable for tadalafil treatment Phosphodiesterase type 5 inhibitor-naive or no phosphodiesterase type 5 inhibitor use for at least 1 month before enrollment Provided written informed consent Exclusion Criteria: Contraindication to tadalafil, including nitrate use Major cardiovascular disease within the previous 6 months or other clinically unstable cardiovascular conditions Diagnosed hypogonadism or hormone replacement therapy Severe hepatic or renal insufficiency Predominantly psychogenic erectile dysfunction Erectile dysfunction primarily attributable to neurological, hormonal, or medication-related causes Previous radical pelvic surgery or major pelvic trauma Penile anatomical abnormalities, including Peyronie's disease Alcohol or substance dependence Poorly controlled diabetes mellitus, defined as glycated hemoglobin (HbA1c) of 8.0% or higher Use of medications affecting lipid metabolism, such as corticosteroids Initiation or dose modification of lipid-lowering therapy within the previous 3 months Uncontrolled thyroid dysfunction Active infection or inflammatory disease Active malignancy treatment
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Taksim Training and Research Hospital
Istanbul, Istanbul, 34433, Turkey (Türkiye)
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Other studies related to the condition(s) this trial covers.
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