DHACM in Robotic Assisted Laparoscopic Prostatectomy (RALP)
A Prospective Randomized Clinical Trial Using Dehydrated Human Amnion/Chorion Membrane (dHACM) in Nerve Sparing Robotic Assisted Laparoscopic Radical Prostatectomy (RALP) - Effect on Potency Outcomes
1 other identifier
interventional
230
1 country
1
Brief Summary
The investigators will examine the beneficial impacts of applying of dHACM on the preserved neurovascular bundles (cavernosal nerves) and the prostate bed during robotic assisted laparoscopic prostatectomy. Such application can result in promotion of soft tissue healing and reduction of inflammation at the operative site and thus an acceleration of return of potency regulating cavernosal nerves.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Oct 2015
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 13, 2015
CompletedFirst Posted
Study publicly available on registry
August 18, 2015
CompletedStudy Start
First participant enrolled
October 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 21, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
June 21, 2018
CompletedSeptember 28, 2018
September 1, 2018
2.7 years
August 13, 2015
September 27, 2018
Conditions
Outcome Measures
Primary Outcomes (2)
Potency as assessed by Sexual Health Inventory for Men (SHIM) Score
As measured by SHIM
12 months
Return to sexual function
Patient directed questionnaire
12 months
Secondary Outcomes (2)
Continence
12 months
Continence
12 months
Study Arms (2)
dHACM
EXPERIMENTALThis group will receive RALP using full nerve sparing technique plus dHACM application.
Control
OTHERThis group will receive RALP using full nerve sparing technique only.
Interventions
2x12 sheet of dHACM applied to the neurovascular bundle
Eligibility Criteria
You may qualify if:
- Male subjects between the ages 40-70.
- Primary diagnosis of prostate cancer requiring surgical intervention
- Have a willingness to comply with follow-up examination
- Have ability to provide full written consent
- Primary diagnosis of untreated with clinically localized prostate cancer with Gleason score of 6, 7,8 or 9
- Planned elective radical prostatectomy with bilateral full nerve sparing technique
- Patients who currently have a pre-operative SHIM \> 19
- Negative urinalysis within 7 days prior to date of surgery
You may not qualify if:
- Has signs or symptoms of any other disease which could result in allograft failure, or has experienced graft failure in the past
- Has any condition(s), which seriously compromises the subject's ability to participate in this study, or has a known history of poor adherence with medical treatment
- Has comorbid conditions that can be confused with or can exacerbate the condition, including diabetes or Advanced atherosclerotic vascular disease
- Is unable to sign or understand informed consent
- Is unable to comply with penile rehabilitation, including oral 5-phosphodiesterase inhibitor
- Has a history of drug or alcohol abuse within last 12 months
- Has autoimmune disease or a known history of having Acquired Immunodeficiency Syndrome (AIDS) or HIV
- Is allergic to Aminoglycoside antibiotics (such as Gentamicin and/or Streptomycin)
- Patients with a history of more than two weeks treatment with immuno-suppressants (including systemic corticosteroids), cytotoxic chemotherapy within one month prior to initial screening, or who receive such medications during the screening period, or who are anticipated to require such medications during the course of the study
- Patients currently enrolled in another study. Concurrent enrollment in another study is prohibited
- Has had prior hormonal therapy such as Lupron or oral anti-androgens
- Living outside of United States
- Partial nerve sparing technique used during Radical Prostatectomy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Florida Hospital: Global Robotics Institute
Celebration, Florida, 34747, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Vipul Patel, MD
MiMedx Group, Inc.
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 13, 2015
First Posted
August 18, 2015
Study Start
October 1, 2015
Primary Completion
June 21, 2018
Study Completion
June 21, 2018
Last Updated
September 28, 2018
Record last verified: 2018-09