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Research ArticleArticle

Randomized Placebo-Controlled Crossover Trial of Tadalafil in Raynaud’s Phenomenon Secondary to Systemic Sclerosis

ELENA SCHIOPU, VIVIEN M. HSU, ANN J. IMPENS, JENNIFER A. ROTHMAN, DEBORAH A. McCLOSKEY, JULIANNE E. WILSON, KRISTINE PHILLIPS and JAMES R. SEIBOLD
The Journal of Rheumatology October 2009, 36 (10) 2264-2268; DOI: https://doi.org/10.3899/jrheum.090270
ELENA SCHIOPU
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VIVIEN M. HSU
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ANN J. IMPENS
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JENNIFER A. ROTHMAN
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DEBORAH A. McCLOSKEY
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JULIANNE E. WILSON
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KRISTINE PHILLIPS
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JAMES R. SEIBOLD
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  • For correspondence: jseibold{at}umich.edu
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    Figure 1.

    Study design.

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    Table 1.

    Baseline characteristics of the study patients.

    Demographic and Clinical Variables
    Patients, n39
    Age, yrs52.9 ± 10.6
    Ethnicity, n (%)
      Caucasian36 (92.3)
      African1 (2.6)
      Other2 (5.2)
    Disease classification, n (%)
      Limited SSc29 (74.4)
      Diffuse SSc10 (25.6)
    RP duration, yrs11.8 ± 10
    Average RP attacks/wk, baseline20.7 ± 12.3
    Average RCS in cm, baseline3.76 ± 1.83
    • SSc: systemic sclerosis; RP: Raynaud’s phenomenon; RCS: Raynaud Condition Score.

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    Table 2.

    Concomitant medications.

    MedicationBefore Study, Patients, n (%)During Study, Patients, n (%)
    CCB22 (56.4)7 (17.9)
    Antiplatelet agents12 (30.7)12 (30.7)
    ACEI/ARB10 (25.64)8 (20.5)
    ERT9 (23)9 (23)
    SSRI6 (15.4)0
    Glucocorticoids6 (15.4)4 (10.2)
    Statins4 (10.2)4 (10.2)
    • CCB: calcium channel blockers; ACEI: angiotensin converting enzyme inhibitor; ARB: angiotensin receptor blocker; ERT: estrogen replacement therapy; SSRI: selective serotonin reuptake inhibitor.

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    Table 3.

    Results of the mean RCS, mean RP frequency, and mean RP duration in a crossover trial of tadalafil in RP secondary to SSc.

    BaselineTadalafil (change from baseline)Placebo (change from baseline)p
    RCS, cm3.76 ± 1.832.43 ± 2.01 (− 1.33)2.53 ± 2.22 (−1.23)NS
    RP frequency, per day2.93 ± 1.672.08 ± 1.72 (−0.85)2.1 ± 1.78 (−0.83)NS
    RP duration, min53.42 ± 56.3840.61 ± 63.81 (−12.81)47.0 ± 77.60 (−6.42)NS
    • RCS: Raynaud Condition Score; RP: Raynaud Phenomenon; NS: not significant.

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    Table 4.

    Summary of adverse events in 39 subjects with SSc.

    PlaceboTadalafil
    Headache76
    Back pain27
    Fluid retention12
    Vasomotor changes22
    Fatigue11
    Sleep disturbances02
    Palpitations02
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The Journal of Rheumatology
Vol. 36, Issue 10
1 Oct 2009
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Randomized Placebo-Controlled Crossover Trial of Tadalafil in Raynaud’s Phenomenon Secondary to Systemic Sclerosis
ELENA SCHIOPU, VIVIEN M. HSU, ANN J. IMPENS, JENNIFER A. ROTHMAN, DEBORAH A. McCLOSKEY, JULIANNE E. WILSON, KRISTINE PHILLIPS, JAMES R. SEIBOLD
The Journal of Rheumatology Oct 2009, 36 (10) 2264-2268; DOI: 10.3899/jrheum.090270

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Randomized Placebo-Controlled Crossover Trial of Tadalafil in Raynaud’s Phenomenon Secondary to Systemic Sclerosis
ELENA SCHIOPU, VIVIEN M. HSU, ANN J. IMPENS, JENNIFER A. ROTHMAN, DEBORAH A. McCLOSKEY, JULIANNE E. WILSON, KRISTINE PHILLIPS, JAMES R. SEIBOLD
The Journal of Rheumatology Oct 2009, 36 (10) 2264-2268; DOI: 10.3899/jrheum.090270
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