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Safety and Tolerability of a Novel Implantable Device for the Treatment of Erectile Dysfunction

Primary Purpose

Erectile Dysfunction Following Radical Prostatectomy

Status
Not yet recruiting
Phase
Not Applicable
Locations
Australia
Study Type
Interventional
Intervention
Activation of pro-erectile nerves within the pelvic plexus
Sponsored by
Comphya Australia
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Erectile Dysfunction Following Radical Prostatectomy

Eligibility Criteria

30 Years - 65 Years (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria: Men of ages between 30-65 years; Men with indication for nerve-sparing prostatectomy surgery; Cancer stage T1c and T2a; Gleason score 6 or 7 (but only 3+4); International Index of Erectile Function (IIEF-15) score equal to or greater than 26 prior prostatectomy; Men interested in minimizing the effect of radical prostatectomy on erectile function; Ability to read and understand patient information materials and willingness to sign a written informed consent. Exclusion Criteria: Men with neurological disease, including a history of spinal cord injury or trauma; IIEF-15 score less than 26 prior prostatectomy; Failure to demonstrate adequate nocturnal erectile function prior prostatectomy; History of erectile dysfunction, priapism and Peyronie disease; History of previous pelvic surgery, trauma or irradiation therapy; Currently have an active implantable device; Patient diagnosed with neurologic degenerative diseases that may negatively impact erectile functions; Identification of technical or clinical limitation to properly apply the use of nerve-sparing techniques during operation; Inability to understand and demonstrate device use instructions; Patients with insulin-dependent diabetes who suffer peripheral neuropathy or other diabetes associated complications; Patient unwillingness to engage in sexual activity; Patient is currently participating in another clinical investigation that would serve as a contraindication to implant a neurostimulator device to augment erectile function; Have participated in any drug or device trial in the last 4 weeks or plan to participate in any other drug or device study during the next 24 months; Possess any other characteristics that, per the investigator's judgment, may increase the risk or impair data collection for the procedure/study; Patient is a member of a vulnerable population (Vulnerable participants include those who lack consent capacity, including the mentally ill, prisoners, cognitively impaired participants, and employee volunteers).

Sites / Locations

  • Royal Melbourne Hospital
  • Australian Prostate Centre

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

Implanted group

Control group

Arm Description

The study device will be implanted during the ongoing prostatectomy surgery. Participants will then be asked to activate it everyday.

Participants in the control group will undergo standard prostatectomy and will not be implanted with the study device.

Outcomes

Primary Outcome Measures

Occurrence of adverse events
Adverse events will be reported using MedDRA terminology.
Occurrence of surgical complications
Surgical complications will be ranked according to the Clavien-Dindo classification
Occurrence of device deficiencies
Device deficiencies will be systematically reported and recorded.
Pain
Patients will be asked to rate pain on a visual analog scale (from 0 to 10)

Secondary Outcome Measures

Objective Device effectiveness
Erectile response obtained when activating the study device will be objectively assessed by measuring penile rigidity with the RigiScan device.
Subjective Device effectiveness
Erectile function will be subjectively assessed by asking participants to complete validated questionnaires (International Index of Erectile Function, IIEF-15 and Erection Hardness Score, EHS).
Erectile function recovery
Nocturnal penile erections will be assessed with the RigiScan device. Nocturnal erections reflect the extent of recovery of natural erectile function.
Delineation of the surgical implantation procedure
The surgeon will record information related to the implantation (duration, position of the device, grading ease of implantation steps, and any comments).

Full Information

First Posted
November 28, 2022
Last Updated
December 6, 2022
Sponsor
Comphya Australia
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1. Study Identification

Unique Protocol Identification Number
NCT05650866
Brief Title
Safety and Tolerability of a Novel Implantable Device for the Treatment of Erectile Dysfunction
Official Title
Safety and Tolerability of a Novel Implantable Device for the Treatment of Erectile Dysfunction Following Radical Prostatectomy
Study Type
Interventional

2. Study Status

Record Verification Date
December 2022
Overall Recruitment Status
Not yet recruiting
Study Start Date
January 31, 2023 (Anticipated)
Primary Completion Date
January 31, 2024 (Anticipated)
Study Completion Date
January 31, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Comphya Australia

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The goal of this clinical trial is to assess if a new device is safe to use as a potential treatment for erectile dysfunction following radical prostatectomy. The main questions it aims to answer are: Is the device safe? Does the device works well? Are the participants satisfied with the device? Participants will be implanted with the device during the ongoing prostatectomy surgery and will be asked to complete the following tasks during 6 months follow-up: Come to the hospital for follow-up visits, Complete questionnaires, Activate the device every day, Measure erection hardness. Researchers will compare an implanted group (participants having the device) with a control group (participants not having the device) to see if the device works well.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Erectile Dysfunction Following Radical Prostatectomy

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
20 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Implanted group
Arm Type
Experimental
Arm Description
The study device will be implanted during the ongoing prostatectomy surgery. Participants will then be asked to activate it everyday.
Arm Title
Control group
Arm Type
No Intervention
Arm Description
Participants in the control group will undergo standard prostatectomy and will not be implanted with the study device.
Intervention Type
Device
Intervention Name(s)
Activation of pro-erectile nerves within the pelvic plexus
Intervention Description
The study device is an active implantable device. The device activates the cavernous nerves by delivering electrical pulses, to trigger an on-demand erection. The daily delivery of electrical pulses to the cavernous nerves will also allow participants to recover natural erectile function.
Primary Outcome Measure Information:
Title
Occurrence of adverse events
Description
Adverse events will be reported using MedDRA terminology.
Time Frame
6 months
Title
Occurrence of surgical complications
Description
Surgical complications will be ranked according to the Clavien-Dindo classification
Time Frame
6 months
Title
Occurrence of device deficiencies
Description
Device deficiencies will be systematically reported and recorded.
Time Frame
6 months
Title
Pain
Description
Patients will be asked to rate pain on a visual analog scale (from 0 to 10)
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Objective Device effectiveness
Description
Erectile response obtained when activating the study device will be objectively assessed by measuring penile rigidity with the RigiScan device.
Time Frame
6 months
Title
Subjective Device effectiveness
Description
Erectile function will be subjectively assessed by asking participants to complete validated questionnaires (International Index of Erectile Function, IIEF-15 and Erection Hardness Score, EHS).
Time Frame
6 months
Title
Erectile function recovery
Description
Nocturnal penile erections will be assessed with the RigiScan device. Nocturnal erections reflect the extent of recovery of natural erectile function.
Time Frame
6 months
Title
Delineation of the surgical implantation procedure
Description
The surgeon will record information related to the implantation (duration, position of the device, grading ease of implantation steps, and any comments).
Time Frame
6 months

10. Eligibility

Sex
Male
Gender Based
Yes
Gender Eligibility Description
Gender eligibility: male. Not based on self-representation of gender identity.
Minimum Age & Unit of Time
30 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Men of ages between 30-65 years; Men with indication for nerve-sparing prostatectomy surgery; Cancer stage T1c and T2a; Gleason score 6 or 7 (but only 3+4); International Index of Erectile Function (IIEF-15) score equal to or greater than 26 prior prostatectomy; Men interested in minimizing the effect of radical prostatectomy on erectile function; Ability to read and understand patient information materials and willingness to sign a written informed consent. Exclusion Criteria: Men with neurological disease, including a history of spinal cord injury or trauma; IIEF-15 score less than 26 prior prostatectomy; Failure to demonstrate adequate nocturnal erectile function prior prostatectomy; History of erectile dysfunction, priapism and Peyronie disease; History of previous pelvic surgery, trauma or irradiation therapy; Currently have an active implantable device; Patient diagnosed with neurologic degenerative diseases that may negatively impact erectile functions; Identification of technical or clinical limitation to properly apply the use of nerve-sparing techniques during operation; Inability to understand and demonstrate device use instructions; Patients with insulin-dependent diabetes who suffer peripheral neuropathy or other diabetes associated complications; Patient unwillingness to engage in sexual activity; Patient is currently participating in another clinical investigation that would serve as a contraindication to implant a neurostimulator device to augment erectile function; Have participated in any drug or device trial in the last 4 weeks or plan to participate in any other drug or device study during the next 24 months; Possess any other characteristics that, per the investigator's judgment, may increase the risk or impair data collection for the procedure/study; Patient is a member of a vulnerable population (Vulnerable participants include those who lack consent capacity, including the mentally ill, prisoners, cognitively impaired participants, and employee volunteers).
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Fiona Joseph
Phone
+41 21 693 9517
Email
fiona.joseph@comphya.com
Facility Information:
Facility Name
Royal Melbourne Hospital
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3050
Country
Australia
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Helen Crowe
Phone
+61 (03) 8373 7600
Email
helenrcrowe@gmail.com
Facility Name
Australian Prostate Centre
City
North Melbourne
State/Province
Victoria
ZIP/Postal Code
3051
Country
Australia
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Helen Crowe
Phone
+61 (03) 8373 7600
Email
helenrcrowe@gmail.com

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Safety and Tolerability of a Novel Implantable Device for the Treatment of Erectile Dysfunction

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