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MED3000 Topical Gel for On-Demand Treatment of Post-Radical Prostatectomy Erectile Dysfunction

Primary Purpose

Erectile Dysfunction Following Radical Prostatectomy

Status
Not yet recruiting
Phase
Early Phase 1
Locations
Study Type
Interventional
Intervention
MED3000 topical gel
Sponsored by
Brigham and Women's Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

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

Eligibility Criteria

40 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Men who underwent robotic bilateral nerve-sparing radical prostatectomy between 18 and 36 months prior to study commencement Subjects are 18-36 months status-post radical prostatectomy Subjects have any degree of erectile dysfunction based on IIEF questionnaire Age 40 - 70 at study commencement Diagnosed with low/intermediate-risk prostate cancer: PSA < 20 ng/ml Gleason score =< 8 Prostate Cancer stage =< T2b Normal pre-radical prostatectomy erectile function (IIEF >=26) Baseline erectile dysfunction at time of screening (despite use of erectogenic aids of any kind) and enrolment following washout (IIEF-ED domain <=25) Sexually active, in a stable heterosexual relationship for at least 6 months prior to screening Able to understand and complete patient questionnaires Serum prostate specific antigen (PSA) undetectable (no evidence of disease recurrence) Able to consent to participate Documented written informed consent from both patient and his female partner Exclusion Criteria: Anatomical abnormalities in the genitalia or pelvic region such as severe phimosis Post-Radical Prostatectomy complications that could impact safety or effectiveness of medical therapy for erectile function (treatment for pelvic hematoma, urinary or intestinal fistula, unresolved anastomotic leak) Incomplete tumor removal (positive surgical margin) Tumor upstaging beyond T2b Incomplete / sub-total nerve sparing on either side Previous or scheduled treatment with pelvic salvage radiotherapy and/or androgen deprivation therapy Prior receipt of androgen deprivation therapy Any other condition that would prevent the patient from completing the study, as judged by the Principal Investigator

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    MED3000 topical gel treatment

    Arm Description

    All qualified enrolled patients will receive treatment with MED3000 topical gel on demand through the 12-week follow-up visits.

    Outcomes

    Primary Outcome Measures

    Effect of MED3000 topical gel on erectile function
    To investigate the effect of MED3000 topical gel for treatment of erectile dysfunction after nerve sparing prostatectomy (based on Erectile Function domain of the International Index of Erectile Function)
    Effect of MED3000 topical gel on erectile function after 12 weeks based on minimally clinically important difference
    To observe a mean change from baseline of the IIEF-EF domain in patients after nerve sparing prostatectomy treated with MED3000, assessed at treatment completion after 12 weeks, greater than or equal to the minimally clinically important difference (MCID) of 4.

    Secondary Outcome Measures

    Efficacy of MED3000 topical gel (SEAR questionnaire)
    The efficacy of MED3000 in patients at weeks 4, 8 and 12 using: The change from baseline in Self-Esteem and Relationship (SEAR) questionnaire for men
    The change from baseline in Urinary incontinence using the Expanded Prostate Cancer Index Composite (EPIC) (Efficacy)
    The efficacy of MED3000 in patients at weeks 4, 8 and 12
    Change from baseline in all domains of the IIEF.
    The efficacy of MED3000 in patients at weeks 4, 8 and 12
    Efficacy of MED3000 topical gel on post-prostatectomy incontinence
    The change from baseline in 24 hour pad weight and usage number per day at 12 weeks.
    Efficacy of MED3000 topical gel on stretched flaccid penile length
    The change from baseline of the stretched flaccid penile length following 12-weeks of treatment
    Adverse events of MED3000 topical gel
    Treatment-related adverse events in male patients and female partners occurring during treatment with MED3000.

    Full Information

    First Posted
    December 8, 2021
    Last Updated
    February 11, 2023
    Sponsor
    Brigham and Women's Hospital
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05673005
    Brief Title
    MED3000 Topical Gel for On-Demand Treatment of Post-Radical Prostatectomy Erectile Dysfunction
    Official Title
    MED3000 Topical Gel for On-Demand Treatment of Post-Radical Prostatectomy Erectile Dysfunction
    Study Type
    Interventional

    2. Study Status

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

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Brigham and Women's Hospital

    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 investigators are doing this research to evaluate the efficacy and safety of topical MED3000 therapy in men with persistent erectile dysfunction 1.5 to 3 years following radical prostatectomy surgery.
    Detailed Description
    MED3000 is a topical gel that has been developed to treat patients with erectile dysfunction. The investigators postulate that on demand treatment with MED3000 can improve on-demand erectile function among men status-post radical prostatectomy, allowing for some endogenous cavernosal nerve function recovery for 1.5 to 3 years post-surgery among men with normal baseline pre-surgical erectile function.

    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
    Early Phase 1
    Interventional Study Model
    Single Group Assignment
    Model Description
    Medical device (MED3000)
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    20 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    MED3000 topical gel treatment
    Arm Type
    Experimental
    Arm Description
    All qualified enrolled patients will receive treatment with MED3000 topical gel on demand through the 12-week follow-up visits.
    Intervention Type
    Device
    Intervention Name(s)
    MED3000 topical gel
    Intervention Description
    Topical gel that has been shown to improve erectile dysfunction when used as needed.
    Primary Outcome Measure Information:
    Title
    Effect of MED3000 topical gel on erectile function
    Description
    To investigate the effect of MED3000 topical gel for treatment of erectile dysfunction after nerve sparing prostatectomy (based on Erectile Function domain of the International Index of Erectile Function)
    Time Frame
    12 weeks
    Title
    Effect of MED3000 topical gel on erectile function after 12 weeks based on minimally clinically important difference
    Description
    To observe a mean change from baseline of the IIEF-EF domain in patients after nerve sparing prostatectomy treated with MED3000, assessed at treatment completion after 12 weeks, greater than or equal to the minimally clinically important difference (MCID) of 4.
    Time Frame
    12 weeks
    Secondary Outcome Measure Information:
    Title
    Efficacy of MED3000 topical gel (SEAR questionnaire)
    Description
    The efficacy of MED3000 in patients at weeks 4, 8 and 12 using: The change from baseline in Self-Esteem and Relationship (SEAR) questionnaire for men
    Time Frame
    12 weeks
    Title
    The change from baseline in Urinary incontinence using the Expanded Prostate Cancer Index Composite (EPIC) (Efficacy)
    Description
    The efficacy of MED3000 in patients at weeks 4, 8 and 12
    Time Frame
    12 weeks
    Title
    Change from baseline in all domains of the IIEF.
    Description
    The efficacy of MED3000 in patients at weeks 4, 8 and 12
    Time Frame
    12 weeks
    Title
    Efficacy of MED3000 topical gel on post-prostatectomy incontinence
    Description
    The change from baseline in 24 hour pad weight and usage number per day at 12 weeks.
    Time Frame
    12 weeks
    Title
    Efficacy of MED3000 topical gel on stretched flaccid penile length
    Description
    The change from baseline of the stretched flaccid penile length following 12-weeks of treatment
    Time Frame
    12 weeks
    Title
    Adverse events of MED3000 topical gel
    Description
    Treatment-related adverse events in male patients and female partners occurring during treatment with MED3000.
    Time Frame
    12 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    40 Years
    Maximum Age & Unit of Time
    70 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Men who underwent robotic bilateral nerve-sparing radical prostatectomy between 18 and 36 months prior to study commencement Subjects are 18-36 months status-post radical prostatectomy Subjects have any degree of erectile dysfunction based on IIEF questionnaire Age 40 - 70 at study commencement Diagnosed with low/intermediate-risk prostate cancer: PSA < 20 ng/ml Gleason score =< 8 Prostate Cancer stage =< T2b Normal pre-radical prostatectomy erectile function (IIEF >=26) Baseline erectile dysfunction at time of screening (despite use of erectogenic aids of any kind) and enrolment following washout (IIEF-ED domain <=25) Sexually active, in a stable heterosexual relationship for at least 6 months prior to screening Able to understand and complete patient questionnaires Serum prostate specific antigen (PSA) undetectable (no evidence of disease recurrence) Able to consent to participate Documented written informed consent from both patient and his female partner Exclusion Criteria: Anatomical abnormalities in the genitalia or pelvic region such as severe phimosis Post-Radical Prostatectomy complications that could impact safety or effectiveness of medical therapy for erectile function (treatment for pelvic hematoma, urinary or intestinal fistula, unresolved anastomotic leak) Incomplete tumor removal (positive surgical margin) Tumor upstaging beyond T2b Incomplete / sub-total nerve sparing on either side Previous or scheduled treatment with pelvic salvage radiotherapy and/or androgen deprivation therapy Prior receipt of androgen deprivation therapy Any other condition that would prevent the patient from completing the study, as judged by the Principal Investigator
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Martin Kathrins
    Phone
    617-732-6227
    Email
    mkathrins@bwh.harvard.edu
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Martin Kathrins, MD
    Organizational Affiliation
    Brigham and Women's Hospital
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    MED3000 Topical Gel for On-Demand Treatment of Post-Radical Prostatectomy Erectile Dysfunction

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