Drug updated on 11/1/2024
Dosage Form | Tablet (oral; 50 mg, 100 mg, 200 mg) |
Drug Class | Phosphodiesterase-5 (PDE-5) inhibitors |
Ongoing and Completed Studies | ClinicalTrials.gov |
Indication
- Indicated for the treatment of erectile dysfunction
Latest News
Summary
- This summary is based on the review of five systematic review(s)/meta-analysis(es). [1-5]
- Avanafil demonstrated significant improvement in erectile function outcomes compared to placebo, with higher scores on IIEF-EF (International Index of Erectile Function - Erectile Function) (MD (mean difference) =4.39, 95% CI (confidence interval) [3.41, 5.37], p<0.001) and increased success rates on SEP (Sexual Encounter Profile)-2 (RR (relative risk)=3.43, 95% CI [2.79, 4.22], p<0.001) and SEP-3 (RR=2.30, 95% CI [2.01, 2.62], p<0.001).
- Avanafil 200 mg on demand ranked highest for ED (Erectile dysfunction) recovery post-nerve-sparing radical prostatectomy, with SUCRA probabilities of 83.5 and 90.2 in sensitivity analyses, indicating greater effectiveness in this population.
- In a network meta-analysis of PDE5 (phosphodiesterase type 5) inhibitors, sildenafil 25 mg was identified as the most effective for enhancing IIEF, with sildenafil 50 mg also performing strongly; avanafil was less effective relative to these other PDE5 inhibitors in general ED treatment.
- Avanafil showed a higher incidence of Treatment-Emergent Adverse Events (TEAE) compared to placebo, with a relative risk of 1.49 (95% CI [1.12, 1.96], p=0.005).
- Mirodenafil had the highest rate of adverse events, particularly flushing and headaches, while sildenafil 100 mg was associated with increased visual disorders.
- There is no population types or subgroups information available in the reviewed studies.
Product Monograph / Prescribing Information
Document Title | Year | Source |
---|---|---|
Stendra (avanafil) Prescribing Information. | 2022 | Metuchen Pharmaceuticals, LLC, Freehold, NJ |
Systematic Reviews / Meta-Analyses
Document Title | Year | Source |
---|---|---|
The Efficacy and Safety of Avanafil During a Treatment of Male Erectile Dysfunction: A Systematic Review and Meta-Analysis of Randomized Controlled Trials | 2023 | Therapeutics and Clinical Risk Management |
Phosphodiesterase type-5 inhibitors for erectile dysfunction following nerve-sparing radical prostatectomy: A network meta-analysis | 2021 | Medicine |
Effect of Phosphodiesterase-5 Inhibitors on the Treatment of Male Infertility: A Systematic Review and Meta-Analysis | 2021 | The World Journal of Men's Health |
Efficacy and safety of oral phosphodiesterase 5 inhibitors for erectile dysfunction: a network meta-analysis and multicriteria decision analysis | 2021 | World Journal of Urology |
Current Concepts on the Reno-Protective Effects of Phosphodiesterase 5 Inhibitors in Acute Kidney Injury: Systematic Search and Review | 2020 | Journal of Clinical Medicine |
Clinical Practice Guidelines
Document Title | Year | Source |
---|---|---|
Current diagnosis and management of erectile dysfunction | 2019 | Australian Centre for Sexual Health |