Could two ED pills be better than one? new trial investigates
NCT ID NCT07177326
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This Phase 3 study tests whether taking a low dose of two different erectile dysfunction drugs (tadalafil 2.5 mg plus sildenafil 25 mg) daily works better than taking a standard dose of just one (tadalafil 5 mg). The trial will involve 142 men aged 18 to 70 with ED for at least 3 months. Each participant will try both treatments in a random order, without knowing which they are taking, to compare effectiveness and safety.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- tadalafil and sildenafil (two different PDE5 inhibitor drugs)
- What this could lead to
- If it works, this could offer a more effective daily option for men with erectile dysfunction who don't respond well to single-drug therapy.
- What could go wrong
- This is a small Phase 3 trial (142 men) and the combination may not prove significantly better than the standard dose. Side effects like headache or flushing could increase with two drugs.
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.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 142 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2025
An estimate. Start dates often move.
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 60 years
- Sex
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Male participants only
- Healthy volunteers
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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 18-70 years with a clinical diagnosis of erectile dysfunction (ED) for ≥3 months. * International Index of Erectile Function (IIEF-5) score ≤21. * Stable sexual relationship for ≥3 months. * Willingness to adhere to the study protocol and provide informed consent. * No prior use of PDE5 inhibitors within 4 weeks before enrollment. Exclusion Criteria: * -Severe cardiovascular disease (uncontrolled hypertension, recent MI/stroke). * Hypersensitivity to tadalafil, sildenafil, or any PDE5 inhibitor. * Severe hepatic/renal impairment (e.g., CrCl \<30 mL/min, Child-Pugh C). * Concomitant use of nitrates, strong CYP3A4 inhibitors (e.g., ritonavir, ketoconazole). * History of priapism, penile deformities, or radical prostatectomy. * Major psychiatric disorders affecting compliance.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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Other studies related to the condition(s) this trial covers.
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