L-Citrulline and Tadalafil for Mild to Moderate Erectile Dysfunction
NCT07642505 · Status: RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 133
Last updated 2026-06-12
Summary
Erectile dysfunction is a common male sexual health problem that may affect quality of life and sexual relationships. Tadalafil 5 mg once daily is an established oral treatment for erectile dysfunction. L-citrulline is an oral nitric oxide pathway supplement that may improve erectile function by increasing L-arginine availability.
This randomized trial will compare three oral treatment regimens in men with mild to moderate erectile dysfunction: L-citrulline 1500 mg/day, tadalafil 5 mg/day, and the combination of L-citrulline 1500 mg/day plus tadalafil 5 mg/day. Participants will receive treatment for 12 weeks and will be followed at baseline, week 4, week 8, and week 12.
The primary outcome will be the change in the International Index of Erectile Function-Erectile Function domain score from baseline to 12 weeks. Secondary outcomes will include changes in IIEF-5/SHIM score, Erection Hardness Score, SEP diary outcomes, treatment adherence, adverse events, and treatment discontinuation.
Conditions
Interventions
- DRUG
-
L-Citrulline
Oral L-citrulline 1500 mg/day administered for 12 weeks as an active oral nitric oxide pathway supplement for men with mild to moderate erectile dysfunction.
- DRUG
-
Oral tadalafil 5 mg once daily administered for 12 weeks as active phosphodiesterase type 5 inhibitor therapy for men with mild to moderate erectile dysfunction.
- DRUG
-
L-Citrulline Placebo
Oral placebo preparation matching L-citrulline, administered for 12 weeks as part of the double-dummy design
- DRUG
-
Tadalafil Placebo
Oral placebo preparation matching tadalafil, administered for 12 weeks as part of the double-dummy study design.
Sponsors & Collaborators
-
Beni-Suef University
lead OTHER
Principal Investigators
-
Hany F Badawy · Faculty of medicine Beni-Suef University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 30 Years
- Max Age
- 70 Years
- Sex
- MALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-06-08
- Primary Completion
- 2026-11-30
- Completion
- 2026-12-31
Countries
- Egypt
Study Locations
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