ClinicalTrials.gg
RecruitingNCT07444697ERECT-PCIUpdated Mar 3, 2026

"Erectile Function After PCI in MI and Non-MI Patients"

An observational study in Erectile Disfunction, Coronary Artery Disease (CAD) and Diabete Mellitus, sponsored by Kırıkkale University. Recruiting at 1 site in Turkey (Türkiye). Open to male participants aged 30 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-03-03.

Sponsored by Kırıkkale University · Observational

From the registry’s dates

  • Started Jan 2026; still recruiting 9 months later.
Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
100
Ages
30 Years to 75 Years
Sex
Male
01

Study summary

The goal of this observational study is to assess changes in patients' erectile function after percutaneous coronary intervention (PCI) using a standard IIEF (International Index of Erectile Function) questionnaire at 1, 3, and 6 months post-PCI. By doing this, we try to compare patients' responses to PCI after having a heart attack and stable angina to see the real effect of myocardial infarction on erectile function status in the long term by comparing it with a very similar group.

Read the detailed description

In Thıs study, we aım to evaluate the erectile status of male patients undergoing percutaneous coronary intervention after both heart attack ( group 1) and stable angina ( Group 2).

The primary aim is to assess any possible predictive effect of erectile function status on cardiac events.

The secondary aim is to assess the direct effect of myocardial infarction on ED status by comparing the two groups.

The secondary objective is to assess and analyse other determinants in the natural history survey of erectile status after the intervention.

All male patients who undergo a successful PCI and survive will be evaluated. Patients who have had: Malignancy, underlying neurological diagnosis interfering with erectile status, uncontrolled diabetes, and more than two chronic medical conditions, on polifarmacy ( more than three medications a day), and no sexual relationship, who have not agreed to include the study, will not be included in the study.

The follow-up period will be 0 (the time the patient recovered well after the intervention). Questinnaiere will examine the status over the last 3 months.

3 and 6-month follow-up. During the follow-up period, the interviews will be conducted face-to-face in the clinical environment, either by a responsible doctor or an educated nurse.

The surveys include:

IIEF (International Index of erectile function ) questionnaires BECK depression inventory questionnaires FCRP ( Fear of Cardiac Recurrence and Progression Scale )

The objective scale we use:

Age SYNTAX score and residual SYNTAX score for evaluating the cardiac vessels occlusion status Cardiac Ejection Fraction status Laboratory values, including testosterone levels, Bodily measurements, including body mass index and waist circumference. Medications Medical conditions Intervention route ( trans radial or femoral )

The survey will take place in our institutions.

The hypothesis is that erectile dysfunction is a preliminary condition of an upcoming cardiac event.

Myocardial infarction causes significant changes in erectile function in a natural survey.

The syntax score has a direct correlation with the baseline erectile function Residual syntax score has a direct relation with post-intervention erectile status.

02

Conditions studied

  • Erectile Disfunction
  • Coronary Artery Disease (CAD)
  • Diabete Mellitus
  • Anxiety
  • Depression and Quality of Life

Keywords

  • erectile disfunction
  • coronary artery disease
  • Syntax score
  • percutaneous coronary intervention
  • anxiety
  • Fear
  • angina
03

In context

Coronary Artery Disease

4,857 studies on the registry are indexed under Coronary Artery Disease; 890 are open to participants now.

This study's planned enrollment of 100 is below the median of 320 across 1,687 observational studies indexed under Coronary Artery Disease.

Browse Coronary Artery Disease studies →

Lead sponsor

Kırıkkale University is the lead sponsor of 114 studies on the registry; 24 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
30 Years to 75 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

The study population will consist of adult male patients treated with percutaneous coronary intervention (PCI) for either acute myocardial infarction or stable angina at the Cardiology Department of Kırıkkale University Hospital. Eligible participants will be recruited consecutively after successful PCI and clinical stabilization. The study represents a hospital-based, observational cohort reflecting the typical male population undergoing PCI in a tertiary referral center. All assessments and follow-up visits will be conducted within the same institution's cardiology and urology outpatient clinics.

Eligibility criteria

Inclusion Criteria

  • Male patients aged 30-75 years
  • Undergoing successful percutaneous coronary intervention (PCI) for one of the following:

    • Acute myocardial infarction (Group 1)
    • Stable angina (Group 2)
  • Hemodynamically stable after the PCI procedure
  • Survival of the index hospitalization
  • Ability to provide written
  • Sexually active within the 3 months prior to enrollment
  • Willingness and ability to complete follow-up visits and questionnaires at:

    • Baseline (post-PCI recovery)
    • 3 months
    • 6 months Exclusion Criteria
  • Known (active or recently treated)
  • Neurological disorders affecting erectile function, including:

    • Spinal cord injury
    • Multiple sclerosis
    • Parkinson's disease
  • Uncontrolled diabetes mellitus ( > 9%)
  • Presence of more than two chronic systemic diseases, such as:

    • Severe renal disease
    • Severe hepatic disease
    • Severe pulmonary disease
  • Polypharmacy, defined as chronic use of more than three daily medications
  • Absence of sexual activity or lack of a sexual partner
  • Refusal or inability to provide informed consent or complete study questionnaires
  • Severe psychiatric illness interfering with study participation
  • Endocrine disorders, including:

    • Untreated hypogonadism
    • Thyroid disease
  • Major post-PCI complications preventing participation, including:

    • Reinfarction
    • Stroke
    • Heart failure
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
100 participants (estimated)
Target follow-up
6 Months
Patient registry
Yes

Groups and cohorts

  • Group 1

    Patients who undergo PCI due to a heart attack

  • Group 2

    Patients who undergo PCI due to a stabile angina

06

What researchers measure

Primary outcomes

  1. Change in erectile function score after percutaneous coronary intervention (PCI)

    Description: Erectile function will be assessed using the International Index of Erectile Function-5 (IIEF-5) questionnaire. The primary outcome is the change in mean IIEF-5 score from baseline to 6 months after PCI, comparing patients with myocardial infarction (Group 1) and those with stable angina (Group 2). A decrease in IIEF-5 score indicates worsening erectile function.

    Time frame: Baseline (post-recovery from PCI) to 6 months follow-up]

Secondary outcomes

  1. Effect of myocardial infarction on post-PCI erectile function

    Erectile function will be assessed using the International Index of Erectile Function-5 (IIEF-5) questionnaire, and changes in IIEF-5 scores will be compared between patients with myocardial infarction and those with stable angina following percutaneous coronary intervention (PCI).

    Time frame: Baseline (post-PCI recovery) and 6 months after PCI

  2. Effect of myocardial infarction on post-PCI erectile function

    Erectile function will be assessed using the International Index of Erectile Function-5 (IIEF-5) questionnaire, and changes in IIEF-5 scores from baseline to 6 months after PCI will be compared between patients with myocardial infarction and those with stable angina.

    Time frame: Baseline (post-PCI recovery) and 6 months after PCI

  3. Association between fear symptoms and post-PCI erectile function Fear symptoms will be assessed using the Beck Depression Inventory (BDI), and their association with erectile function measured by the IIEF-5 will be examined.

    Fear symptoms will be assessed using the Fear of Cardiac Recurrence and Progression Scale (FCRP) scores, and their association with erectile function, as measured by the IIEF-5, will be examined.

    Time frame: Baseline, 3 months, and 6 months after PCI

Other outcomes

  1. Correlation between SYNTAX score (angiographic coronary disease burden, points) and erectile function score measured by IIEF-5 (points)

    Correlation between coronary artery disease burden quantified by the SYNTAX score (angiographic scoring system, unit: points) and erectile function measured using the International Index of Erectile Function-5 (IIEF-5; questionnaire score range 5-25 points).

    Time frame: Baseline (post-PCI recovery) and 6 months after PCI

  2. Correlation between Beck Depression Inventory (BDI) score (points) and erectile function score measured by IIEF-5 (points)

    Correlation between depressive symptom severity assessed using the Beck Depression Inventory (BDI; questionnaire score in points) and erectile function assessed by IIEF-5 (score 5-25 points).

    Time frame: Baseline, 3 months, and 6 months after PCI

  3. Correlation between composite demographic-procedural risk score (points) and change in IIEF-5 score (points)

    Correlation between a predefined composite risk score derived from baseline demographic and procedural variables (composite score expressed in points) and change in erectile function measured as the difference in IIEF-5 score (points) from baseline to 6 months.

    Time frame: Baseline to 6 months follow-up

07

Study locations

1 of 1 sites recruiting
  • The Hospital of Kirikkale Univerity Faculty of Medicine
    Kirikkale, 71450, Turkey (Türkiye)
    Recruiting
08

References and documents

Publications

  • Dostalova G, Hlubocka Z, Bayerova K, Belohlavek J, Linhart A, Karetova D. Erectile Dysfunction in Young Myocardial Infarction Survivors: Evaluation, Follow Up. Am J Mens Health. 2017 Nov;11(6):1739-1744. doi: 10.1177/1557988317714359. Epub 2017 Jul 11. PubMed 28697641 ↗
  • Hodzic E, Durek A, Begic E, Sabanovic Bajramovic N. Effect of myocardial infarction on the occurrence of erectile dysfunction. Med Glas (Zenica). 2019 Feb 1;16(1):35-39. doi: 10.17392/981-19. PubMed 30589239 ↗
  • Adam A, McDowall J, Aigbodion SJ, Enyuma C, Buchanan S, Vachiat A, Sheahan J, Laher AE. Is the History of Erectile Dysfunction a Reliable Risk Factor for New Onset Acute Myocardial Infarction? A Systematic Review and Meta-Analysis. Curr Urol. 2020 Oct;14(3):122-129. doi: 10.1159/000499249. Epub 2020 Oct 13. PubMed 33224004 ↗
  • Clarke ST, Le Grande M, Murphy BM, Hester R, Jackson AC. Protocol for the development and validation of a clinical measurement tool for fear of disease progression and recurrence in cardiac patients. Chronic Dis Transl Med. 2024 Jan 24;10(3):195-204. doi: 10.1002/cdt3.115. eCollection 2024 Sep. PubMed 39027197 ↗
  • Vacanti L, Caramelli B. Distress: associated variables of erectile dysfunction post-acute myocardial infarction. A pilot study. Int J Impot Res. 2005 Mar-Apr;17(2):204-6. doi: 10.1038/sj.ijir.3901274. PubMed 15538397 ↗
  • Montorsi P, Ravagnani PM, Galli S, Salonia A, Briganti A, Werba JP, Montorsi F. Association between erectile dysfunction and coronary artery disease: Matching the right target with the right test in the right patient. Eur Urol. 2006 Oct;50(4):721-31. doi: 10.1016/j.eururo.2006.07.015. Epub 2006 Jul 28. PubMed 16901623 ↗
  • Weintraub WS, Spertus JA, Kolm P, Maron DJ, Zhang Z, Jurkovitz C, Zhang W, Hartigan PM, Lewis C, Veledar E, Bowen J, Dunbar SB, Deaton C, Kaufman S, O'Rourke RA, Goeree R, Barnett PG, Teo KK, Boden WE; COURAGE Trial Research Group; Mancini GB. Effect of PCI on quality of life in patients with stable coronary disease. N Engl J Med. 2008 Aug 14;359(7):677-87. doi: 10.1056/NEJMoa072771. PubMed 18703470 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No — Individual participant data will not be shared due to privacy considerations.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07444697
Responsible party
Timucin Sipal (Assistan profesor, Kırıkkale University) — Principal investigator
First posted
Mar 3, 2026
Start date
Jan 15, 2026
Primary completion
Nov 2026 (estimated)
Completion
Nov 2026 (estimated)
Last update
Mar 3, 2026

Study contacts

Timucin Sipal, MD, PhD
Contact
drtimucin@hotmail.com
+905338170659
Caglar Alp, MD, PhD
Contact
drcaglaralp@gmail.com
+905054013070
Timucin Sipal, Assistan Prof
principal investigator · Kirikkale Univerity faculty of medicine department of Urology
Caglar Alp, Assistant Prof
study director · Kirikkale Univerity Faculty of Medicine department of Cardiology

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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