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Stem Cells Treatment for the Local Urinary Incontinence After a Radical Prostate Cancer Surgery (HULPURO) (FLPURO)

Primary Purpose

Urinary Incontinence

Status
Completed
Phase
Phase 2
Locations
Spain
Study Type
Interventional
Intervention
Inject of Autologous Adipose-derived stem cells
Sponsored by
Instituto de Investigación Hospital Universitario La Paz
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Urinary Incontinence focused on measuring Urinary incontinence, Autologous expanded stem cells, Radical prostate cancer surgery

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  1. Signed informed consent
  2. Men over 18 years old. Good general state of health according to the findings of the clinical history and the physical examination
  3. Prostate cancer diagnosed subjects via a biopsy and having had a radical surgery with a healing purpose in the previous 18 months
  4. Having urinary incontinence after the surgery
  5. Failure in any previous conservative treatment

Exclusion Criteria:

  1. Having had an adjuvant treatment
  2. Having a PSA ≥ 0,2 after surgery
  3. Having any sign or symptom that suggest the investigator the non-healing of the adenocarcinoma
  4. Active urine infection
  5. Alcohol or other addictive substances abuse antecedents in the previous 6 months to the inclusion
  6. Cardiopulmonary illness that, in the investigator opinion, could be unstable or could be serious enough to drop the patient from the study
  7. Any kind of medical or psychiatric illness that, in the investigator opinion, could be a reason to exclude the patient from the study
  8. Subjects with congenital or acquired immunodeficiencies, B and/or C Hepatitis, Tuberculose or Treponema diagnosed at the moment of inclusion
  9. Anesthetic allergy
  10. Major surgery or severe trauma in the previous 6 months
  11. Administration of any drug under experimentation in the present or in the previous 3 months before recruitment

Sites / Locations

  • Hospital Universitario La Paz

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Autologous Expanded Stem Cells

Arm Description

Inject of Autologous Adipose-derived expanded stem cells

Outcomes

Primary Outcome Measures

Evaluate the feasibility and security of the autologous e-ASC for the urinary incontinence after a radical prostate cancer surgery
Possibility of inject ASc by cystoscope

Secondary Outcome Measures

Quality of life assessment using the SF-12 Questionnaire
SF-12 questionnaire
Adverse events
Data collected

Full Information

First Posted
September 4, 2012
Last Updated
March 7, 2013
Sponsor
Instituto de Investigación Hospital Universitario La Paz
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1. Study Identification

Unique Protocol Identification Number
NCT01799694
Brief Title
Stem Cells Treatment for the Local Urinary Incontinence After a Radical Prostate Cancer Surgery (HULPURO)
Acronym
FLPURO
Official Title
Phase II Clinical Trial to Study the Feasibility and Safety of the Expanded Autologous Stem Cells Use Derived From Adipose Tissue (e-ASC) for the Local Urinary Incontinence After a Radical Prostate Cancer Surgery
Study Type
Interventional

2. Study Status

Record Verification Date
September 2012
Overall Recruitment Status
Completed
Study Start Date
July 2011 (undefined)
Primary Completion Date
February 2013 (Actual)
Study Completion Date
February 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Instituto de Investigación Hospital Universitario La Paz

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the feasibility and security of the autologous e-ASC for the urinary incontinence after a radical prostate cancer surgery

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Urinary Incontinence
Keywords
Urinary incontinence, Autologous expanded stem cells, Radical prostate cancer surgery

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
10 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Autologous Expanded Stem Cells
Arm Type
Experimental
Arm Description
Inject of Autologous Adipose-derived expanded stem cells
Intervention Type
Drug
Intervention Name(s)
Inject of Autologous Adipose-derived stem cells
Other Intervention Name(s)
Autologuos eASC
Intervention Description
Inject in muscle of autologous adipose derived stem cells
Primary Outcome Measure Information:
Title
Evaluate the feasibility and security of the autologous e-ASC for the urinary incontinence after a radical prostate cancer surgery
Description
Possibility of inject ASc by cystoscope
Time Frame
16 weeks
Secondary Outcome Measure Information:
Title
Quality of life assessment using the SF-12 Questionnaire
Description
SF-12 questionnaire
Time Frame
1, 4, 16, 24 weeks
Title
Adverse events
Description
Data collected
Time Frame
1, 4, 16, 24 weeks

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Signed informed consent Men over 18 years old. Good general state of health according to the findings of the clinical history and the physical examination Prostate cancer diagnosed subjects via a biopsy and having had a radical surgery with a healing purpose in the previous 18 months Having urinary incontinence after the surgery Failure in any previous conservative treatment Exclusion Criteria: Having had an adjuvant treatment Having a PSA ≥ 0,2 after surgery Having any sign or symptom that suggest the investigator the non-healing of the adenocarcinoma Active urine infection Alcohol or other addictive substances abuse antecedents in the previous 6 months to the inclusion Cardiopulmonary illness that, in the investigator opinion, could be unstable or could be serious enough to drop the patient from the study Any kind of medical or psychiatric illness that, in the investigator opinion, could be a reason to exclude the patient from the study Subjects with congenital or acquired immunodeficiencies, B and/or C Hepatitis, Tuberculose or Treponema diagnosed at the moment of inclusion Anesthetic allergy Major surgery or severe trauma in the previous 6 months Administration of any drug under experimentation in the present or in the previous 3 months before recruitment
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sergio Alonso Gregorio, MD
Organizational Affiliation
Cell Therapy laboratory and general Surgery Department, Hospital Universitario La Paz
Official's Role
Principal Investigator
Facility Information:
Facility Name
Hospital Universitario La Paz
City
Madrid
ZIP/Postal Code
28046
Country
Spain

12. IPD Sharing Statement

Citations:
PubMed Identifier
11025769
Citation
Strasser H, Tiefenthaler M, Steinlechner M, Eder I, Bartsch G, Konwalinka G. Age dependent apoptosis and loss of rhabdosphincter cells. J Urol. 2000 Nov;164(5):1781-5.
Results Reference
background
Citation
Andriole GL, Grubb III LB, Buys SS et als. for the PLCO Project Team
Results Reference
background
PubMed Identifier
19297566
Citation
Schroder FH, Hugosson J, Roobol MJ, Tammela TL, Ciatto S, Nelen V, Kwiatkowski M, Lujan M, Lilja H, Zappa M, Denis LJ, Recker F, Berenguer A, Maattanen L, Bangma CH, Aus G, Villers A, Rebillard X, van der Kwast T, Blijenberg BG, Moss SM, de Koning HJ, Auvinen A; ERSPC Investigators. Screening and prostate-cancer mortality in a randomized European study. N Engl J Med. 2009 Mar 26;360(13):1320-8. doi: 10.1056/NEJMoa0810084. Epub 2009 Mar 18.
Results Reference
background
PubMed Identifier
17532554
Citation
Mitterberger M, Pinggera GM, Marksteiner R, Margreiter E, Plattner R, Klima G, Strasser H. Functional and histological changes after myoblast injections in the porcine rhabdosphincter. Eur Urol. 2007 Dec;52(6):1736-43. doi: 10.1016/j.eururo.2007.05.007. Epub 2007 May 22. Erratum In: Eur Urol. 2008 Nov;54(5):1208. Bartsch, Georg [removed].
Results Reference
background
PubMed Identifier
16904482
Citation
Kwon D, Kim Y, Pruchnic R, Jankowski R, Usiene I, de Miguel F, Huard J, Chancellor MB. Periurethral cellular injection: comparison of muscle-derived progenitor cells and fibroblasts with regard to efficacy and tissue contractility in an animal model of stress urinary incontinence. Urology. 2006 Aug;68(2):449-54. doi: 10.1016/j.urology.2006.03.040.
Results Reference
background
PubMed Identifier
14624934
Citation
Cannon TW, Lee JY, Somogyi G, Pruchnic R, Smith CP, Huard J, Chancellor MB. Improved sphincter contractility after allogenic muscle-derived progenitor cell injection into the denervated rat urethra. Urology. 2003 Nov;62(5):958-63. doi: 10.1016/s0090-4295(03)00679-4.
Results Reference
background
PubMed Identifier
18019363
Citation
Praud C, Sebe P, Bierinx AS, Sebille A. Improvement of urethral sphincter deficiency in female rats following autologous skeletal muscle myoblasts grafting. Cell Transplant. 2007;16(7):741-9. doi: 10.3727/000000007783465118.
Results Reference
background
PubMed Identifier
17254699
Citation
Becker C, Jakse G. Stem cells for regeneration of urological structures. Eur Urol. 2007 May;51(5):1217-28. doi: 10.1016/j.eururo.2007.01.029. Epub 2007 Jan 18.
Results Reference
background
PubMed Identifier
11304456
Citation
Zuk PA, Zhu M, Mizuno H, Huang J, Futrell JW, Katz AJ, Benhaim P, Lorenz HP, Hedrick MH. Multilineage cells from human adipose tissue: implications for cell-based therapies. Tissue Eng. 2001 Apr;7(2):211-28. doi: 10.1089/107632701300062859.
Results Reference
background
PubMed Identifier
18639289
Citation
Kajbafzadeh AM, Elmi A, Payabvash S, Salmasi AH, Saeedi P, Mohamadkhani A, Sadeghi Z, Nikfarjam L. Transurethral autologous myoblast injection for treatment of urinary incontinence in children with classic bladder exstrophy. J Urol. 2008 Sep;180(3):1098-105. doi: 10.1016/j.juro.2008.05.057. Epub 2008 Jul 18.
Results Reference
background
PubMed Identifier
18204978
Citation
Carr LK, Steele D, Steele S, Wagner D, Pruchnic R, Jankowski R, Erickson J, Huard J, Chancellor MB. 1-year follow-up of autologous muscle-derived stem cell injection pilot study to treat stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2008 Jun;19(6):881-3. doi: 10.1007/s00192-007-0553-z.
Results Reference
background
PubMed Identifier
18001790
Citation
Mitterberger M, Marksteiner R, Margreiter E, Pinggera GM, Frauscher F, Ulmer H, Fussenegger M, Bartsch G, Strasser H. Myoblast and fibroblast therapy for post-prostatectomy urinary incontinence: 1-year followup of 63 patients. J Urol. 2008 Jan;179(1):226-31. doi: 10.1016/j.juro.2007.08.154. Epub 2007 Nov 14.
Results Reference
background
PubMed Identifier
17683852
Citation
Mitterberger M, Pinggera GM, Marksteiner R, Margreiter E, Fussenegger M, Frauscher F, Ulmer H, Hering S, Bartsch G, Strasser H. Adult stem cell therapy of female stress urinary incontinence. Eur Urol. 2008 Jan;53(1):169-75. doi: 10.1016/j.eururo.2007.07.026. Epub 2007 Jul 23.
Results Reference
background
Citation
García Olmo D, García-Verdugo JM, Alemany J, Gonzalez M, Gutierrez-Fuentes JA. CELL THERAPHY . Ed. Mac Graw Hill. Madrid 2007
Results Reference
background
PubMed Identifier
12756590
Citation
Garcia-Olmo D, Garcia-Arranz M, Garcia LG, Cuellar ES, Blanco IF, Prianes LA, Montes JA, Pinto FL, Marcos DH, Garcia-Sancho L. Autologous stem cell transplantation for treatment of rectovaginal fistula in perianal Crohn's disease: a new cell-based therapy. Int J Colorectal Dis. 2003 Sep;18(5):451-4. doi: 10.1007/s00384-003-0490-3. Epub 2003 May 20.
Results Reference
background
PubMed Identifier
19273960
Citation
Garcia-Olmo D, Herreros D, Pascual I, Pascual JA, Del-Valle E, Zorrilla J, De-La-Quintana P, Garcia-Arranz M, Pascual M. Expanded adipose-derived stem cells for the treatment of complex perianal fistula: a phase II clinical trial. Dis Colon Rectum. 2009 Jan;52(1):79-86. doi: 10.1007/DCR.0b013e3181973487.
Results Reference
background

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Stem Cells Treatment for the Local Urinary Incontinence After a Radical Prostate Cancer Surgery (HULPURO)

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