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ISMH Congress 2010 Abstracts Conclusions: At one-year follow-up, International Prostate Symptom Scores are not meaningfully impacted by placement of a 3-piece IPP; further, larger-scale prospective studies are warranted to confirm these observa- tions. doi:10.1016/j.jomh.2010.09.153 ISMH World Congress 2010 Abstract 153 THE POTENT II RANDOMISED TRIAL: EFFICACY AND SAFETY OF AN ORODISPERSIBLE VARDENAFIL FORMULATION FOR THE TREATMENT OF ERECTILE DYSFUNCTION M. Gittelman a,, C.G. McMahon b , J.A. Rodríguez-Rivera c , M. Beneke d , E. Ulbrich e , S. Ewald d a Department of Urology, South Florida Medical Research, Aventura, FL, USA, b Australian Centre for Sexual Health, University of Sydney, Sydney, New South Wales, Australia, c Hospital General Occidente de Zapopan, Secretaría de Salud, Zapopan, Jalisco, Mexico, d Bayer HealthCare AG, Wuppertal, Germany, e Bayer Vital GmbH, Leverkusen, Germany E-mail address: mgittelman@southfloridamedicalresearch.com (M. Gittelman). Background: This study investigated the efficacy and safety of 10 mg var- denafil orodispersible tablet (ODT), taken on demand, versus placebo in a general population of men with erectile dysfunction (ED), in which 50% of men on active treatment were aged 65 years. Methods: This was a double-blind, multicentre, randomised, parallel-group, placebo-controlled study conducted at 35 centres in Australia, Canada, Mexico and the United States. Subjects aged 18 years, with ED for at least 6 months, were randomised to receive 12 weeks of on-demand treatment with either 10 mg vardenafil ODT or placebo. Each treatment group was stratified such that approximately half of the subjects were 65 years. Primary efficacy variables were the erectile function domain of the Inter- national Index of Erectile Function (IIEF-EF) and Sexual Encounter Profile questions 2 (SEP2) and 3 (SEP3). Secondary variables included SEP diary questions 1, 4, 5 and 6, the patient version of the Treatment Satisfaction Scale (TSS) and the Global Assessment Question. Results: Of the 473 men enrolled in the study (51.4% aged 65 years), 331 were included in the intent-to-treat population (vardenafil ODT, n = 169; placebo, n = 162). Vardenafil ODT therapy was statistically significantly superior to placebo for all primary (i.e. IIEF-EF, SEP2, SEP3) and sec- ondary efficacy variables (p < 0.0001; nominal statistical significance for the latter). Baseline least squares (LS) mean values were (vardenafil ODT vs placebo): IIEF-EF scores, 11.7 vs 12.8 (both indicative of moderate ED); SEP2 success rates, 36.4% vs 38.3%; SEP3 success rates, 12.5% vs 15.2%. LS mean IIEF-EF scores at week 12/last observation carried forward were 20.8 vs 13.9; overall LS mean SEP2 success rates were 69.0% vs 43.0%; overall LS mean SEP3 success rates were 60.0% vs 26.6% (all p < 0.0001). Scores for all individual domains of the TSS (i.e. ease with erection, erectile func- tion satisfaction, pleasure from sexual activity, satisfaction with orgasm, confidence to complete sexual activity) were significantly higher with vardenafil ODT than with placebo. Treatment-emergent adverse events were mostly mild to moderate in severity, and comparable in both incidence and type to those of the film-coated tablet formulation. Conclusions: Treatment with 10mg vardenafil ODT, taken on demand, sig- nificantly improved erectile function and was well tolerated in a broad population of men with ED. doi:10.1016/j.jomh.2010.09.154 ISMH World Congress 2010 Abstract 154 EFFICACY AND SAFETY OF AN ORODISPERSIBLE VARDENAFIL FORMULATION FOR THE TREATMENT OF ERECTILE DYSFUNC- TION IN ELDERLY MEN AND THOSE WITH UNDERLYING CONDITIONS H. Sperling a , M. Gittelman b,, C. Norenberg c , E. Ulbrich d , S. Ewald c a Kliniken Maria Hilf GmbH, Mönchengladbach, Germany, b Department of Urol- ogy, South Florida Medical Research, Aventura, FL, USA, c Bayer HealthCare AG, Wuppertal, Germany, d Bayer Vital GmbH, Leverkusen, Germany E-mail address: mgittelman@southfloridamedicalresearch.com (M. Gittelman). Background: This integrated analysis examined the efficacy and safety of the new orodispersible tablet (ODT) formulation of vardenafil for the treat- ment of erectile dysfunction (ED), and whether age, baseline ED severity or the presence of underlying conditions affects treatment outcomes. Methods: This is an integrated analysis of data from two phase III, double-blind, multicentre, randomised, parallel-group, placebo- controlled studies comparing 10 mg on-demand vardenafil ODT with placebo in a general population of men with ED, stratified so that approx- imately 50% of patients were aged 65 years. Results were reported by age (<65 vs 65 years), baseline ED severity (mild, moderate or severe) and presence/absence of diabetes, dyslipidemia or hypertension. Primary measures were the erectile function domain of the International Index of Erectile Function (IIEF-EF) and Sexual Encounter Profile questions 2 and 3 (SEP2/SEP3). Results: Of the 701 men randomised (51% aged 65 years), 686 were included in the intent-to-treat population (placebo, n = 334; vardenafil ODT, n = 352). Vardenafil ODT was significantly superior to placebo for all primary efficacy measures, regardless of age, baseline ED severity or underlying condition (all p < 0.0001). IIEF-EF scores and SEP2/3 success rates in older patients and men with underlying conditions were compara- ble with those of younger patients or men without underlying conditions. Least squares mean IIEF-EF scores for vardenafil ODT vs placebo (week 12/last observation carried forward | baseline) were: age < 65 years 22.7|13.0 vs 14.7|13.3, age 65 years 19.6|11.7 vs 13.5|12.4; baseline ED severity (mild, moderate, severe) 21.1|19.9 vs 14.2|19.9, 22.4|13.3 vs 14.9|13.5, 20.1|7.5 vs 13.4|7.5; with diabetes 19.3|11.5 vs 13.9|11.6, without diabetes 21.8|12.7 vs 14.1|13.2; with dyslipidemia 19.8|12.6 vs 13.3|12.7, without dyslipidemia 21.9|12.2 vs 14.4|12.9; with hypertension 20.3|12.1 vs 13.4|11.9, without hypertension 21.6|12.5 vs 14.6|13.5. Adverse events (AEs) were mostly mild to moderate in severity, occurring with higher incidence in the vardenafil ODT group. The most frequently reported drug-related AEs in the vardenafil ODT group were headache, flushing, nasal congestion, dizziness and dyspepsia, consistent with the known safety profile of phosphodiesterase type 5 inhibitors. Conclusions: Vardenafil ODT significantly improves erectile function in men with ED, regardless of age, baseline ED severity or underlying condition. doi:10.1016/j.jomh.2010.09.155 ISMH World Congress 2010 Abstract 155 GENDER DIFFERENCES IN ANXIETY IN A MINDFULNESS AND COGNITIVE THERAPY TREATMENT PROGRAM FOLLOW-UP V. Alexander , C. Tatum National University, Department of Psychology, San Diego, California, USA E-mail address: [email protected] (V. Alexander). Background: Both mindfulness and cognitive therapy have been found to be effective treatment modalities for anxiety, a common psychiatric prob- lem. This is a comparison study where three tracks of participants who all attended a cognitive outpatient program for symptoms of depression and anxiety were followed three months post discharge and assessed on their current level of anxiety. The three tracks included Mindfulness Cognitive Therapy (MCT), Cognitive Therapy (CT), and Treatment As Usual (TAU). The 3 month follow up results for anxiety were separated by gender. Methods: The Beck Anxiety Scale was used to measure participants’ level of anxiety after the participants were discharged from the outpatient program and then again at 3 months following their aftercare program. The aftercare MCT track was trained for four weeks in the principles of 330 jmh Vol. 7, No. 3, pp. 282–351, October 2010

Efficacy and Safety of an Orodispersible Vardenafil Formulation for the Treatment of Erectile Dysfunction in Elderly Men and Those with Underlying Conditions

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Page 1: Efficacy and Safety of an Orodispersible Vardenafil Formulation for the Treatment of Erectile Dysfunction in Elderly Men and Those with Underlying Conditions

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SMH Congress 2010 Abstracts

onclusions: At one-year follow-up, International Prostate Symptom Scoresre not meaningfully impacted by placement of a 3-piece IPP; further,arger-scale prospective studies are warranted to confirm these observa-ions.

oi:10.1016/j.jomh.2010.09.153

ISMH World Congress 2010 Abstract 153HE POTENT II RANDOMISED TRIAL: EFFICACY AND SAFETYF AN ORODISPERSIBLE VARDENAFIL FORMULATION FOR THEREATMENT OF ERECTILE DYSFUNCTION

. Gittelmana,∗, C.G. McMahonb, J.A. Rodríguez-Riverac, M. Beneked, E.lbriche, S. Ewaldd

Department of Urology, South Florida Medical Research, Aventura, FL, USA,Australian Centre for Sexual Health, University of Sydney, Sydney, New Southales, Australia, c Hospital General Occidente de Zapopan, Secretaría de Salud,apopan, Jalisco, Mexico, d Bayer HealthCare AG, Wuppertal, Germany, e Bayerital GmbH, Leverkusen, Germany

-mail address: [email protected]. Gittelman).ackground: This study investigated the efficacy and safety of 10mg var-enafil orodispersible tablet (ODT), taken on demand, versus placebo in aeneral population of men with erectile dysfunction (ED), in which ∼50%f men on active treatment were aged ≥65 years.ethods: Thiswas a double-blind,multicentre, randomised, parallel-group,lacebo-controlled study conducted at 35 centres in Australia, Canada,exico and the United States. Subjects aged≥18 years, with ED for at leastmonths, were randomised to receive 12 weeks of on-demand treatmentith either 10mg vardenafil ODT or placebo. Each treatment group wastratified such that approximately half of the subjects were ≥65 years.rimary efficacy variables were the erectile function domain of the Inter-ational Index of Erectile Function (IIEF-EF) and Sexual Encounter Profileuestions 2 (SEP2) and 3 (SEP3). Secondary variables included SEP diaryuestions 1, 4, 5 and 6, the patient version of the Treatment Satisfactioncale (TSS) and the Global Assessment Question.esults: Of the 473 men enrolled in the study (51.4% aged ≥65 years), 331ere included in the intent-to-treat population (vardenafil ODT, n = 169;lacebo, n = 162). Vardenafil ODT therapy was statistically significantlyuperior to placebo for all primary (i.e. IIEF-EF, SEP2, SEP3) and sec-ndary efficacy variables (p<0.0001; nominal statistical significance forhe latter). Baseline least squares (LS) mean values were (vardenafil ODTs placebo): IIEF-EF scores, 11.7 vs 12.8 (both indicative of moderate ED);EP2 success rates, 36.4% vs 38.3%; SEP3 success rates, 12.5% vs 15.2%. LSean IIEF-EF scores at week 12/last observation carried forward were 20.8s 13.9; overall LS mean SEP2 success rates were 69.0% vs 43.0%; overallS mean SEP3 success rates were 60.0% vs 26.6% (all p<0.0001). Scores forll individual domains of the TSS (i.e. ease with erection, erectile func-ion satisfaction, pleasure from sexual activity, satisfaction with orgasm,onfidence to complete sexual activity) were significantly higher withardenafil ODT than with placebo.reatment-emergent adverse events were mostly mild to moderate ineverity, and comparable in both incidence and type to those of the

lm-coated tablet formulation.onclusions: Treatment with 10mg vardenafil ODT, taken on demand, sig-ificantly improved erectile function and was well tolerated in a broadopulation of men with ED.

oi:10.1016/j.jomh.2010.09.154

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30 jmh Vol. 7, No. 3, pp. 282–351, October 2010

ISMH World Congress 2010 Abstract 154FFICACY AND SAFETY OF AN ORODISPERSIBLE VARDENAFILORMULATION FOR THE TREATMENT OF ERECTILE DYSFUNC-ION IN ELDERLY MEN AND THOSE WITH UNDERLYINGONDITIONS

. Sperlinga, M. Gittelmanb,∗, C. Norenbergc, E. Ulbrichd, S. Ewaldc

Kliniken Maria Hilf GmbH, Mönchengladbach, Germany, b Department of Urol-gy, South Florida Medical Research, Aventura, FL, USA, c Bayer HealthCare AG,uppertal, Germany, d Bayer Vital GmbH, Leverkusen, Germany

-mail address: [email protected]. Gittelman).ackground: This integrated analysis examined the efficacy and safety ofhe neworodispersible tablet (ODT) formulation of vardenafil for the treat-ent of erectile dysfunction (ED), and whether age, baseline ED severityr the presence of underlying conditions affects treatment outcomes.ethods: This is an integrated analysis of data from two phaseII, double-blind, multicentre, randomised, parallel-group, placebo-ontrolled studies comparing 10mg on-demand vardenafil ODT withlacebo in a general population of men with ED, stratified so that approx-mately 50% of patients were aged ≥65 years. Results were reported byge (<65 vs ≥65 years), baseline ED severity (mild, moderate or severe)nd presence/absence of diabetes, dyslipidemia or hypertension. Primaryeasures were the erectile function domain of the International Index ofrectile Function (IIEF-EF) and Sexual Encounter Profile questions 2 and(SEP2/SEP3).esults: Of the 701 men randomised (51% aged ≥65 years), 686 werencluded in the intent-to-treat population (placebo, n = 334; vardenafilDT, n = 352). Vardenafil ODT was significantly superior to placebo forll primary efficacy measures, regardless of age, baseline ED severity ornderlying condition (all p<0.0001). IIEF-EF scores and SEP2/3 successates in older patients andmenwith underlying conditionswere compara-le with those of younger patients or menwithout underlying conditions.east squares mean IIEF-EF scores for vardenafil ODT vs placebo (week2/last observation carried forward | baseline) were: age<65 years2.7|13.0 vs 14.7|13.3, age ≥65 years 19.6|11.7 vs 13.5|12.4; baselineD severity (mild, moderate, severe) 21.1|19.9 vs 14.2|19.9, 22.4|13.3 vs4.9|13.5, 20.1|7.5 vs 13.4|7.5; with diabetes 19.3|11.5 vs 13.9|11.6, withoutiabetes 21.8|12.7 vs 14.1|13.2; with dyslipidemia 19.8|12.6 vs 13.3|12.7,ithout dyslipidemia 21.9|12.2 vs 14.4|12.9; with hypertension 20.3|12.1s 13.4|11.9, without hypertension 21.6|12.5 vs 14.6|13.5. Adverse eventsAEs) were mostly mild to moderate in severity, occurring with higherncidence in the vardenafil ODT group. The most frequently reportedrug-related AEs in the vardenafil ODT group were headache, flushing,asal congestion, dizziness and dyspepsia, consistent with the knownafety profile of phosphodiesterase type 5 inhibitors.onclusions:VardenafilODT significantly improves erectile function inmenith ED, regardless of age, baseline ED severity or underlying condition.

oi:10.1016/j.jomh.2010.09.155

ISMH World Congress 2010 Abstract 155ENDER DIFFERENCES IN ANXIETY IN A MINDFULNESS ANDOGNITIVE THERAPY TREATMENT PROGRAM FOLLOW-UP

. Alexander ∗, C. Tatum

National University, Department of Psychology, San Diego, California, USA

-mail address: [email protected] (V. Alexander).ackground: Both mindfulness and cognitive therapy have been found toe effective treatment modalities for anxiety, a common psychiatric prob-em. This is a comparison study where three tracks of participants who allttended a cognitive outpatient program for symptoms of depression andnxiety were followed three months post discharge and assessed on theirurrent level of anxiety. The three tracks included Mindfulness Cognitive

herapy (MCT), Cognitive Therapy (CT), and Treatment As Usual (TAU).he 3 month follow up results for anxiety were separated by gender.ethods: The Beck Anxiety Scale was used to measure participants’ levelf anxiety after the participants were discharged from the outpatientrogram and then again at 3 months following their aftercare program.he aftercare MCT track was trained for four weeks in the principles of