Can a daily pill preserve erections after rectal cancer therapy?
NCT ID NCT06123156
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 2 times
Summary
This study tests whether taking sildenafil (a drug for erectile dysfunction) daily for 10 months, starting 30 days after surgery, can prevent long-term erectile problems in men treated for rectal cancer with radiation and surgery. The trial includes 188 men aged 18 to 70 who had normal erectile function before treatment. The goal is to see if early rehabilitation helps maintain erectile function one year after surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Sildenafil (a drug for erectile dysfunction, taken daily as a 50 mg pill)
- What this could lead to
- If it works, this could offer a way to prevent long-term erectile dysfunction in men treated for rectal cancer, improving quality of life after recovery.
- What could go wrong
- This is a Phase 3 trial, but it only includes men with normal erectile function before treatment, so results may not apply to everyone. Sildenafil can cause side effects like headache or flushing, and the study is still recruiting, so outcomes are not yet known.
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 188 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2025
- Expected to finish
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Feb 2030
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 70 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 to 70 * Patients undergoing surgery for cancer of the lower or middle rectum by total removal of the mesorectum with colorectal or coloanal anastomosis after neoadjuvant radiotherapy, with normal preoperative erectile function (defined by a combined IIEF erectile function domain score of at least 22). * Nerve-conserving surgery * Sexually active patient without treatment for erectile function prior to surgery * Presence of a regular sexual partner (male or female) * Adult having read and understood the information letter and signed the consent form * Membership of a social security scheme Exclusion Criteria: * T4 tumor or tumor requiring extended surgery * Patients with abnormal erectile function defined by a combined IIEF erectile function domain score of less than 22. * History of prostate cancer * Sleep disorders, patients taking sedatives/hypnotics * Contraindication to SILDENAFIL EG 50 mg, film-coated tablet * Contraindication to placebo * Patients already treated with PDE5 inhibitors * Patients suffering from SARS COV 2\* * Person deprived of liberty by an administrative or judicial decision or person placed under court protection / sub-guardianship or guardianship. * Any history of illness or psychological or sensory abnormality likely to prevent the subject from fully understanding the conditions required for participation in the protocol, or to prevent the subject from giving informed consent. * Person participating in another drug trial.
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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 places running it
14 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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.
Contacts and locations
Locations
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Aphp Bicetre
RECRUITINGBicêtre, 94275, France
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Aphp Hegp
RECRUITINGParis, 75908, France
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Aphp St Antoine
RECRUITINGParis, 75012, France
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Chu Amiens
RECRUITINGAmiens, 80054, France
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Chu Besancon
RECRUITINGBesançon, 25030, France
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Chu Bordeaux
RECRUITINGBordeaux, 33000, France
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Chu Clermont-Ferrand
RECRUITINGClermont-Ferrand, 63000, France
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Chu Lille
RECRUITINGLille, 59000, France
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Chu Rouen
RECRUITINGRouen, 76031, France
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Chu Tours
RECRUITINGTours, 37000, France
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Hopital Beauvais
RECRUITINGBeauvais, 60000, France
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Institut Bordeaux Colorectal
RECRUITINGBordeaux, 33000, France
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Institut Du Cancer Montpellier
RECRUITINGMontpellier, 34000, France
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Institut Paoli-Calmettes
RECRUITINGMarseille, 13009, France
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- Laser light may help surgeons spot risky bowel connections