NCT02710422

Brief Summary

The use of dehydrated human amnionic membrane allograft improves erectile function recovery (as measured by (Sexual History Inventory for Men (SHIM) score) at 12 months after robotic assisted radical prostatectomy (RARP) compared to a control group with no allograft.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
24

participants targeted

Target at below P25 for phase_2 prostate-cancer

Timeline
Completed

Started May 2016

Geographic Reach
1 country

1 active site

Status
terminated

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

March 11, 2016

Completed
5 days until next milestone

First Posted

Study publicly available on registry

March 16, 2016

Completed
2 months until next milestone

Study Start

First participant enrolled

May 17, 2016

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 22, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 22, 2019

Completed
8 months until next milestone

Results Posted

Study results publicly available

September 11, 2019

Completed
Last Updated

September 11, 2019

Status Verified

August 1, 2019

Enrollment Period

2.7 years

First QC Date

March 11, 2016

Results QC Date

July 27, 2019

Last Update Submit

August 16, 2019

Conditions

Keywords

Prostate CancerAmniotic Membrane PlacementRobotic Assisted Radical ProstatectomyRARPHuman Amniotic Membrane Allograft

Outcome Measures

Primary Outcomes (1)

  • The Difference in Average Change in SHIM Score, Between Baseline and 12-Months Post-RARP, of Study Participants in Each Group

    The difference in average change in Sexual History Inventory for Men (SHIM) score, between baseline and 12 months post RARP between the membrane and control arms will be assessed as the primary endpoint. The SHIM score is measured in points on a scale: The minimum score is 5 to 7 indicating severe erectile dysfunction (ED), the maximum score is 22 to 25, indicating no ED.

    Baseline, 12 Months Post-RARP

Secondary Outcomes (5)

  • Proportion of Men in Each Group With Mild Erectile Dysfunction (ED) or Better Post-RARP

    Baseline, 3, 6, 9 12 Months Post-RARP

  • Proportion of Men in Each Group Who Are Able to Achieve An Erection Sufficient for Intercourse More the 50% of the Time Post-RARP.

    Baseline, 3, 6, 9 and 12 months Post-RARP

  • Proportion of Men Who Require the Use of More Invasive Erectile Aids Post-RARP

    3, 6, 9 and 12 Months Post-RARP

  • Rates of Urinary Control Experienced by Study Participants

    Baseline, 3, 6, 9, and 12 months Post-RARP

  • 5-year Rate of Prostate Cancer Recurrence Between Both Study Arms

    5 years post-RARP

Study Arms (2)

Arm 1 - Amniotic Membrane Placement

EXPERIMENTAL

Participants who receive the human amniotic membrane placement after robotic assisted radical prostatectomy (RARP). Participants will also undergo PSA measurement and complete the EPIC 26 and Sexual History Inventory for Men (SHIM) psychosocial questionnaires at protocol-defined intervals.

Biological: Amniotic Membrane PlacementBehavioral: EPIC 26Other: PSA MeasurementBehavioral: Sexual History Inventory for Men

Arm 2 - No Amniotic Membrane Placement

OTHER

Participants who do not receive human amniotic membrane placement after robotic assisted radical prostatectomy (RARP). Participants will also undergo PSA measurement and complete the EPIC 26 and Sexual History Inventory for Men (SHIM) psychosocial questionnaires at protocol-defined intervals.

Behavioral: EPIC 26Other: PSA MeasurementBehavioral: Sexual History Inventory for Men

Interventions

Amniotic membranes will be placed over the neurovascular bundle after extirpative RARP, and before the urethrovesical anastomosis. The membrane will cut into two longitudinal pieces and it will be placed over each neurovascular bundle separately.

Also known as: Human Amniotic Membrane Allograft
Arm 1 - Amniotic Membrane Placement
EPIC 26BEHAVIORAL

Participants will receive EPIC 26 psychosocial questionnaire at baseline, and post-RARP at protocol-defined intervals.

Also known as: Expanded Prostate Cancer Index Composite Short Form
Arm 1 - Amniotic Membrane PlacementArm 2 - No Amniotic Membrane Placement

Measurement of serum PSA levels every three months (+ 1 month) for first year post surgery, and then annually for 5 years.

Also known as: PSA Test, Prostate Specific Antigen Measurement
Arm 1 - Amniotic Membrane PlacementArm 2 - No Amniotic Membrane Placement

SHIM psychosocial questionnaire administered at baseline, and post-RARP at protocol-defined intervals.

Also known as: SHIM
Arm 1 - Amniotic Membrane PlacementArm 2 - No Amniotic Membrane Placement

Eligibility Criteria

Age40 Years - 80 Years
Sexmale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Men age 40-80 with localized prostate cancer who are undergoing bilateral nerve sparing RARP at the University of Miami

You may not qualify if:

  • Men with poor urinary control at baseline requiring the use of pads for leakage
  • Previous treatment for prostate cancer
  • Previous history of pelvic radiation
  • Men who are using non-oral erectile aids such as vacuum pump, intra-cavernous injections, MUSE, penile prosthesis.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Miami

Miami, Florida, 33136, United States

Location

MeSH Terms

Conditions

Prostatic Neoplasms

Interventions

Prostate-Specific AntigenMenogaril

Condition Hierarchy (Ancestors)

Genital Neoplasms, MaleUrogenital NeoplasmsNeoplasms by SiteNeoplasmsGenital Diseases, MaleGenital DiseasesUrogenital DiseasesProstatic DiseasesMale Urogenital Diseases

Intervention Hierarchy (Ancestors)

KallikreinsSerine EndopeptidasesEndopeptidasesPeptide HydrolasesHydrolasesEnzymesEnzymes and CoenzymesSerine ProteasesProstatic Secretory ProteinsSeminal Plasma ProteinsSeminal ProteinsProteinsAmino Acids, Peptides, and ProteinsAntigens, NeoplasmAntigensBiological FactorsBiomarkers, TumorBiomarkersNogalamycinDaunorubicinAnthracyclinesNaphthacenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsPolycyclic CompoundsAminoglycosidesGlycosidesCarbohydrates

Limitations and Caveats

Due to early study termination, not all study participants completed scheduled visits.

Results Point of Contact

Title
Sanoj Punnen MD, MAS
Organization
University of Miami

Study Officials

  • Sanoj Punnen, MD

    University of Miami

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Masking Details
Participants will not know their treatment arm assignment until after robotic assisted radical prostatectomy (RARP) surgery.
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor of Clinical

Study Record Dates

First Submitted

March 11, 2016

First Posted

March 16, 2016

Study Start

May 17, 2016

Primary Completion

January 22, 2019

Study Completion

January 22, 2019

Last Updated

September 11, 2019

Results First Posted

September 11, 2019

Record last verified: 2019-08

Data Sharing

IPD Sharing
Will not share

Locations