The FDA has approved the first sildenafil oral film, VYBRIQUE, for men aged 18 years and older with erectile dysfunction

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* VYBRIQUE is “a discreet, easy-to-use, single-dose film that dissolves on the tongue without the need for water or other liquids.” The oral film can be taken anywhere from 30 minutes to 4 hours before sexual activity and can be taken with or without food.


* Overall, the study met its co-primary end points, with VYBRIQUE demonstrating superior improvements in sexual function vs placebo. Pharmacokinetic data also showed that peak plasma concentrations were reached between 30 and 300 minutes under fasting conditions. The median time to peak plasma concentrations was 80 minutes.



* The sildenafil oral film is expected to be commercially available in the US in March 2026. IBSA also reported that direct home delivery of VYBRIQUE will be available in all states, “providing patients a convenient fulfillment option.”






The sildenafil oral film is expected to be commercially available in the US in March 2026.


The FDA has approved the first sildenafil oral film, VYBRIQUE, for men aged 18 years and older with erectile dysfunction (ED), IBSA USA announced in a news release.1

According to IBSA, VYBRIQUE is “a discreet, easy-to-use, single-dose film that dissolves on the tongue without the need for water or other liquids.” The oral film can be taken anywhere from 30 minutes to 4 hours before sexual activity and can be taken with or without food.





Ralph M. ZaghaImage Credit: https://drralphzagha.com/

Ralph M. Zagha




“Beyond age-related factors, research2 shows that anxiety, depression, and stress can contribute to ED,” said Ralph M. Zagha, MD, Precision Clinical Research, in the news release.1 “Providing a treatment option that is discreet and easy to administer supports men in managing ED in a way that feels approachable and respectful of their sexual health.”

The approval of the oral film is backed by findings from a phase 3 randomized trial (NCT05490680), which demonstrated that VYBRIQUE provided superior improvements in sexual function vs placebo. In total, the 12-week study enrolled 475 adult men with ED across clinical trial sites in the US.3

Participants were randomly assigned to receive VYBRIQUE or placebo. Doses of VYBRIQUE were administered at 25 mg, 50 mg, 75 mg, and 100 mg. Patients younger than 65 years of age received a starting dose of 50 mg, and patients 65 years and older received a starting dose of 25 mg. The trial was conducted as a flexible-dose study, meaning that the starting dosage could be increased or decreased.

Overall, the study met its co-primary end points, with VYBRIQUE demonstrating superior improvements in sexual function vs placebo. Pharmacokinetic data also showed that peak plasma concentrations were reached between 30 and 300 minutes under fasting conditions. The median time to peak plasma concentrations was 80 minutes.

“While awareness and open discussion around ED have grown, it’s still a sensitive topic where many men value discretion,”
added Nicholas Hart, IBSA USA CEO, in the news release.1 “The FDA approval of VYBRIQUE provides men experiencing ED with a novel treatment option that helps meet the evolving needs of patients today.”


The sildenafil oral film is expected to be commercially available in the US in March 2026. IBSA also reported that direct home delivery of VYBRIQUE will be available in all states, “providing patients a convenient fulfillment option.”
 


Figure 6: Mean Sildenafil Plasma Concentrations in Healthy Male Volunteers

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Absorption and Distribution: VYBRIQUE is rapidly absorbed. Maximum observed plasma concentrations are reached within 30 to 300 minutes (median 80 minutes) of oral dosing in the fasted state. After a single dose of 100 mg of VYBRIQUE in adult males, the mean (coefficient of variation, %) peak plasma concentration (Cmax) and area under the concentration curve (AUC) of sildenafil were 503.5 (37.7%) ng/mL and 1902.4 (36.3%) ng·h/mL, respectively.
 
Next-generation pharmaceuticals: the rise of sildenafil citrate ODF for the treatment of men with erectile dysfunction (2025)
Emmanuele A. Jannini, Shivani Ohri Vignesh & Tarek Hassan




Article Highlights

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Figure 1. Comparison between ODF and ODT.
This figure is modified and re-represented from refs [6,8,12,13].

1770478969773.webp
 

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