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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
Tissue Genesis
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Erectile Dysfunction focused on measuring Erectile Dysfunction

Eligibility Criteria

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

Inclusion Criteria:

  1. Men aged 40 - 70
  2. Willing and able to provide written informed consent
  3. 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
  4. Willing to complete questionnaires
  5. 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)
  6. 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)
  7. Willing to limit alcohol intake and eliminate use of recreational drugs for sexual encounters
  8. Willing to undergo a minor surgical procedure and injection
  9. Abdominal area amenable to liposuction of at least 60-120 cc of adipose tissue based on Investigator examination
  10. Mentally competent and able to understand all study requirements (based on investigator assessment)
  11. Willing to be available for all baseline, treatment and follow-up examinations required by protocol
  12. Willing to forego participation in any other study throughout the duration of this study unless receiving prior approval by Sponsor.

Exclusion Criteria:

  1. Evidence of prostate cancer which requires additional radiotherapy or other adjuvant therapy
  2. Previous pelvic or abdominal radiation therapy
  3. Previous, concomitant or scheduled use of anti-androgen therapy
  4. Untreated hypogonadism or low serum total testosterone (< 200 ng/dL)
  5. Clinically evident penile anatomical deformities (e.g., Peyronie's disease) or history of priapism
  6. 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))
  7. 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
  8. Any previous penile implant or penile vascular surgery
  9. 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)
  10. Uncontrolled hypertension or hypotension (systolic blood pressure > 170 or < 90 mm Hg, and diastolic blood pressure > 100 or < 50 mm Hg)
  11. 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
  12. Hemoglobin A1c > 8% within 8 weeks prior to study treatment
  13. Current urinary tract or bladder infection
  14. Drug, alcohol, or substance abuse reported within the last three years (subject reported)
  15. 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)
  16. Weight less than 154 lbs/ 70 kg, or BMI ≥ 30
  17. Unable to limit or avoid nonsteroidal anti-inflammatory drugs(NSAIDs) for 15 days prior to treatment (subject reported)
  18. Bleeding or clotting disorder, use of anticoagulant therapy, or history of easy or excessive bruising
  19. 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)
  20. Systemic autoimmune disorder
  21. Significant active systemic or localized infection
  22. 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

First Posted
May 9, 2012
Last Updated
June 23, 2021
Sponsor
Tissue Genesis
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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

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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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