Prospective RCT on Post Prostatectomy Urine Leak
A Prospective Randomized Controlled Study Comparing the Efficacy of Pelvic Floor Muscle Training and Oral Duloxetine in the Recovery of Continence After Robotic Assisted Radical Prostatectomy
1 other identifier
interventional
240
1 country
1
Brief Summary
Objectives: Primary: Comparison of proportion of patient achieving continence between the four arms at 6 months. Secondary:
- Comparison of time to achieve continence between the four arms.
- Comparison of urinary symptoms and quality of life improvement between the four arms.
- Assessment of adverse events in Duloxetine arms. Primary outcome/ time frame: Proportion of patient achieving continence at 6 months. Continence is defined as "using no pad"or "only security pad". Secondary outcome:
- time to achieve continence
- Quality of life tested in relation to incontinence according to Visual Analog Scale (VAS) and King's Health Questionnaire (KQH).
- Urinary symptoms measured with International Prostate Symptom Score (IPSS). No. of subjects entered: 300 patients informed and included, 240 patients will be randomized. Statistical methods
- Proportion of patients who achieve continence and time to achieve continence will be compared between the four arms.
- Comparison of quality of life outcomes between the four arms
- Comparison of clinical variables that can affect the primary/secondary outcome - univariate and multivariate analysis (ITT).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3 prostate-cancer
Started May 2015
Shorter than P25 for phase_3 prostate-cancer
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 13, 2015
CompletedFirst Posted
Study publicly available on registry
February 20, 2015
CompletedStudy Start
First participant enrolled
May 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2017
CompletedSeptember 13, 2016
September 1, 2016
1.8 years
February 13, 2015
September 12, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Urinary continence proportion
Proportion of patient achieving continence at 6 months
6 months
Secondary Outcomes (2)
Urinary continence time
6 months
Urinary quality of life
6 months
Study Arms (4)
Control
NO INTERVENTIONKeigel's exercise
Duloxetine
ACTIVE COMPARATORDuloxetine 60mg for 3 months
Duloxetine + PMFT
ACTIVE COMPARATORDuloxetine 60mg for 3 months PMFT weekly for 3 months
Pelvic Floor Muscle Training
ACTIVE COMPARATORPMFT weekly for 3 months
Interventions
PMFT weekly for 3 months
Eligibility Criteria
You may qualify if:
- \. All consecutive patients undergoing Robotic Assisted Radical Prostatectomy for clinically organ confined prostate cancer
You may not qualify if:
- Prior urethral, bladder or prostate surgery
- Pelvic radiotherapy.
- Overactive bladder
- Known neurological disease associated to LUTS
- Hepatic impairment with hepatic insufficiency.
- Severe renal impairment (creatinine clearance \< 30ml/min)
- Hypersensitivity to duloxetine
- Uncontrolled hypertension
- Narrow angle glaucoma
- Post-operative criteria:
- Post-void residual urine volume \> 100ml measured 15 days after the RARP
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Institut Mutualiste montsouris
Paris, 75014, France
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Rafael Sanchez-Salas, MD
Institute Mutualiste Montsouris
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 13, 2015
First Posted
February 20, 2015
Study Start
May 1, 2015
Primary Completion
February 1, 2017
Study Completion
June 1, 2017
Last Updated
September 13, 2016
Record last verified: 2016-09