Evaluate the Use of Liposuction and Cell Separation Devices for Autologous Fat (Adipose) Derived Cells to Treat the Symptoms of Erectile Dysfunction
Primary Purpose
Erectile Dysfunction
Status
Unknown status
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Tissue Genesis Cell Isolation System
Sponsored by

About this trial
This is an interventional treatment trial for Erectile Dysfunction focused on measuring Erectile Dysfunction
Eligibility Criteria
Inclusion Criteria:
- Men aged 40 - 70
- Willing and able to provide written informed consent
- Chronic, organic erectile dysfunction (ED), duration at least 0.5 years, with baseline International Index of Erectile Function - Erectile Function (IIEF-EF) score of < 26
- Willing to complete questionnaires
- Involved in a monogamous, heterosexual relationship for at least 3 months with both partners motivated to have or attempt sexual intercourse at least 4 times per month beginning two weeks after study treatment (subject reported)
- Not interested or able to use oral PDE-5 inhibitor (PDE-5i) drug therapy, and willing to forgo these treatments for the first 6-month period following study treatment (in addition may include a minimum 4-week washout since last PDE-5i use prior to completion of the baseline erectile function assessments and study treatment)
- Willing to limit alcohol intake and eliminate use of recreational drugs for sexual encounters
- Willing to undergo a minor surgical procedure and injection
- Abdominal area amenable to liposuction of at least 60-120 cc of adipose tissue based on Investigator examination
- Mentally competent and able to understand all study requirements (based on investigator assessment)
- Willing to be available for all baseline, treatment and follow-up examinations required by protocol
- Willing to forego participation in any other study throughout the duration of this study unless receiving prior approval by Sponsor.
Exclusion Criteria:
- Evidence of prostate cancer which requires additional radiotherapy or other adjuvant therapy
- Previous pelvic or abdominal radiation therapy
- Previous, concomitant or scheduled use of anti-androgen therapy
- Untreated hypogonadism or low serum total testosterone (< 200 ng/dL)
- Clinically evident penile anatomical deformities (e.g., Peyronie's disease) or history of priapism
- Skin irritation, infection, wound, sore or disruption in the immediate areas of skin entry for abdominal liposuction or penile injection (including abdominal trauma and abdominal skin cancer (basal cell carcinoma, squamous cell carcinoma, and melanoma))
- Use of any non-study treatment for erectile dysfunction within 4 weeks of study treatment and a lack of willingness to continue through 6 months after study treatment
- Any previous penile implant or penile vascular surgery
- Current or previous malignancy other than localized prostate cancer or nonabdominal, non-melanoma skin cancer (successfully treated or treatable by curative excision or other local curative therapy- abdominal skin cancer is exclusionary as indicated in criteria 6)
- Uncontrolled hypertension or hypotension (systolic blood pressure > 170 or < 90 mm Hg, and diastolic blood pressure > 100 or < 50 mm Hg)
- Reported unstable cardiovascular disease (e.g., unstable angina, myocardial infarction within past 6 months, cardiac failure or life-threatening arrhythmia, congestive heart failure) or symptomatic postural hypotension within 6 months before screening
- Hemoglobin A1c > 8% within 8 weeks prior to study treatment
- Current urinary tract or bladder infection
- Drug, alcohol, or substance abuse reported within the last three years (subject reported)
- Subject's sexual partner is < 18 years of age, nursing, or known to be pregnant at screening, or wishes to become pregnant during the study period, or has any gynecologic problems, major medical conditions, or other factors that would limit participation in sexual intercourse to less than 4 times per month (subject reported)
- Weight less than 154 lbs/ 70 kg, or BMI ≥ 30
- Unable to limit or avoid nonsteroidal anti-inflammatory drugs(NSAIDs) for 15 days prior to treatment (subject reported)
- Bleeding or clotting disorder, use of anticoagulant therapy, or history of easy or excessive bruising
- Lab values for Complete Blood Count(CBC), Prothrombin Time(PT)/Partial Thromboplastin Time(PTT)/International Normalized Ration(INR), liver function and creatinine falling outside the normal lab values (see section 5.3 for further detail)
- Systemic autoimmune disorder
- Significant active systemic or localized infection
- Receiving immunosuppressant medications
Sites / Locations
- San Diego Sexual Medicine
- Baylor College of Medicine
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
No Intervention
Arm Label
Treatment
Control
Arm Description
Injection of adipose derived cells into penis
No intervention through 9 months
Outcomes
Primary Outcome Measures
Adverse Events that occur during or after the procedure to measure safety and tolerability
Erectile function
Secondary Outcome Measures
Continence
Treatment assessment
Erection hardness
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01601353
Brief Title
Evaluate the Use of Liposuction and Cell Separation Devices for Autologous Fat (Adipose) Derived Cells to Treat the Symptoms of Erectile Dysfunction
Official Title
Evaluate the Use of Liposuction and Cell Separation Devices for Autologous Fat (Adipose) Derived Cells to Treat the Symptoms of Erectile Dysfunction
Study Type
Interventional
2. Study Status
Record Verification Date
June 2021
Overall Recruitment Status
Unknown status
Study Start Date
May 2012 (Actual)
Primary Completion Date
August 2018 (Actual)
Study Completion Date
August 2021 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Tissue Genesis
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of this study is to evaluate the safety and efficacy of adipose derived cells for the treatment of erectile dysfunction symptoms.
Detailed Description
This trial is being conducted to determine the safety and efficacy of injecting autologous adipose derived cells into the penis of men with erectile dysfunction. Subjects will be randomized into a treatment and control arm.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Erectile Dysfunction
Keywords
Erectile Dysfunction
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
30 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Treatment
Arm Type
Experimental
Arm Description
Injection of adipose derived cells into penis
Arm Title
Control
Arm Type
No Intervention
Arm Description
No intervention through 9 months
Intervention Type
Device
Intervention Name(s)
Tissue Genesis Cell Isolation System
Intervention Description
Liposuction followed by injection of autologous adipose derived cells
Primary Outcome Measure Information:
Title
Adverse Events that occur during or after the procedure to measure safety and tolerability
Time Frame
3 years
Title
Erectile function
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Continence
Time Frame
3 years
Title
Treatment assessment
Time Frame
3 years
Title
Erection hardness
Time Frame
3 years
10. Eligibility
Sex
Male
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Men aged 40 - 70
Willing and able to provide written informed consent
Chronic, organic erectile dysfunction (ED), duration at least 0.5 years, with baseline International Index of Erectile Function - Erectile Function (IIEF-EF) score of < 26
Willing to complete questionnaires
Involved in a monogamous, heterosexual relationship for at least 3 months with both partners motivated to have or attempt sexual intercourse at least 4 times per month beginning two weeks after study treatment (subject reported)
Not interested or able to use oral PDE-5 inhibitor (PDE-5i) drug therapy, and willing to forgo these treatments for the first 6-month period following study treatment (in addition may include a minimum 4-week washout since last PDE-5i use prior to completion of the baseline erectile function assessments and study treatment)
Willing to limit alcohol intake and eliminate use of recreational drugs for sexual encounters
Willing to undergo a minor surgical procedure and injection
Abdominal area amenable to liposuction of at least 60-120 cc of adipose tissue based on Investigator examination
Mentally competent and able to understand all study requirements (based on investigator assessment)
Willing to be available for all baseline, treatment and follow-up examinations required by protocol
Willing to forego participation in any other study throughout the duration of this study unless receiving prior approval by Sponsor.
Exclusion Criteria:
Evidence of prostate cancer which requires additional radiotherapy or other adjuvant therapy
Previous pelvic or abdominal radiation therapy
Previous, concomitant or scheduled use of anti-androgen therapy
Untreated hypogonadism or low serum total testosterone (< 200 ng/dL)
Clinically evident penile anatomical deformities (e.g., Peyronie's disease) or history of priapism
Skin irritation, infection, wound, sore or disruption in the immediate areas of skin entry for abdominal liposuction or penile injection (including abdominal trauma and abdominal skin cancer (basal cell carcinoma, squamous cell carcinoma, and melanoma))
Use of any non-study treatment for erectile dysfunction within 4 weeks of study treatment and a lack of willingness to continue through 6 months after study treatment
Any previous penile implant or penile vascular surgery
Current or previous malignancy other than localized prostate cancer or nonabdominal, non-melanoma skin cancer (successfully treated or treatable by curative excision or other local curative therapy- abdominal skin cancer is exclusionary as indicated in criteria 6)
Uncontrolled hypertension or hypotension (systolic blood pressure > 170 or < 90 mm Hg, and diastolic blood pressure > 100 or < 50 mm Hg)
Reported unstable cardiovascular disease (e.g., unstable angina, myocardial infarction within past 6 months, cardiac failure or life-threatening arrhythmia, congestive heart failure) or symptomatic postural hypotension within 6 months before screening
Hemoglobin A1c > 8% within 8 weeks prior to study treatment
Current urinary tract or bladder infection
Drug, alcohol, or substance abuse reported within the last three years (subject reported)
Subject's sexual partner is < 18 years of age, nursing, or known to be pregnant at screening, or wishes to become pregnant during the study period, or has any gynecologic problems, major medical conditions, or other factors that would limit participation in sexual intercourse to less than 4 times per month (subject reported)
Weight less than 154 lbs/ 70 kg, or BMI ≥ 30
Unable to limit or avoid nonsteroidal anti-inflammatory drugs(NSAIDs) for 15 days prior to treatment (subject reported)
Bleeding or clotting disorder, use of anticoagulant therapy, or history of easy or excessive bruising
Lab values for Complete Blood Count(CBC), Prothrombin Time(PT)/Partial Thromboplastin Time(PTT)/International Normalized Ration(INR), liver function and creatinine falling outside the normal lab values (see section 5.3 for further detail)
Systemic autoimmune disorder
Significant active systemic or localized infection
Receiving immunosuppressant medications
Facility Information:
Facility Name
San Diego Sexual Medicine
City
San Diego
State/Province
California
ZIP/Postal Code
92120
Country
United States
Facility Name
Baylor College of Medicine
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
12. IPD Sharing Statement
Citations:
PubMed Identifier
25974235
Citation
Khera M, Albersen M, Mulhall JP. Mesenchymal stem cell therapy for the treatment of erectile dysfunction. J Sex Med. 2015 May;12(5):1105-6. doi: 10.1111/jsm.12871. No abstract available.
Results Reference
derived
Learn more about this trial
Evaluate the Use of Liposuction and Cell Separation Devices for Autologous Fat (Adipose) Derived Cells to Treat the Symptoms of Erectile Dysfunction
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