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Using Virtual Reality (VR) Models for Robotic Prostatectomy

Primary Purpose

Prostate Cancer

Status
Active
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Ceevra Reveal
Sponsored by
Ceevra, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Prostate Cancer

Eligibility Criteria

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

Inclusion Criteria:

  • Patient is undergoing robotic prostatectomy being performed by participating surgeon
  • Patient is willing to be randomized between intervention and control arms

Exclusion Criteria:

  • Patients with prior pelvic radiation
  • Patients with prior androgen deprivation therapy
  • Patients with prior localized ablative therapy
  • Patients with prior TURP or other surgical BPH treatment

Sites / Locations

  • UCLA Urology
  • UC Irvine
  • Mayo Clinic Florida
  • Mount Sinai Health System
  • Swedish Urology Group
  • Swedish Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

Experimental: Intervention Arm

Control Arm

Arm Description

Subjects whose surgeon will be viewing VR models in addition to the source CT/MR image in connection with the case.

Subjects whose surgeon will only be viewing CT/MR images in connection with the case.

Outcomes

Primary Outcome Measures

Total operative time

Secondary Outcome Measures

Blood loss (measured in cubic centimeters)
Intraoperative conversion from robotic assisted laparoscopic procedure to open procedure
Intraoperative complication
Patient hospital stay
Positive tumor margin (assessed via standard post-operative biopsy)
Postoperative Gleason Score
Postoperative oncologic stage (T stage)
Readmission
Postoperative prostate-specific antigen (PSA)
Postoperative erectile function
Postoperative continence

Full Information

First Posted
May 7, 2019
Last Updated
July 19, 2022
Sponsor
Ceevra, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03943368
Brief Title
Using Virtual Reality (VR) Models for Robotic Prostatectomy
Official Title
Using Virtual Reality (VR) Models for Robotic Prostatectomy
Study Type
Interventional

2. Study Status

Record Verification Date
July 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
April 25, 2019 (Actual)
Primary Completion Date
September 30, 2022 (Anticipated)
Study Completion Date
September 30, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ceevra, Inc.

4. Oversight

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

5. Study Description

Brief Summary
A prospective, randomized, controlled study designed to assess whether digital virtual reality (VR) models, created from existing CT scans and MRIs, provide surgeons with an improved understanding of their patients' anatomy, resulting in more efficient operations (robotic prostatectomy) and improved patient care.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Prostate Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
20 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Experimental: Intervention Arm
Arm Type
Experimental
Arm Description
Subjects whose surgeon will be viewing VR models in addition to the source CT/MR image in connection with the case.
Arm Title
Control Arm
Arm Type
No Intervention
Arm Description
Subjects whose surgeon will only be viewing CT/MR images in connection with the case.
Intervention Type
Device
Intervention Name(s)
Ceevra Reveal
Intervention Description
VR models generated using Ceevra Reveal are viewed by surgeons in connection with the case in addition to source CT/MR image.
Primary Outcome Measure Information:
Title
Total operative time
Time Frame
During procedure, not to exceed 12 hours
Secondary Outcome Measure Information:
Title
Blood loss (measured in cubic centimeters)
Time Frame
Measured at end of procedure, not to exceed 12 hours
Title
Intraoperative conversion from robotic assisted laparoscopic procedure to open procedure
Time Frame
During procedure, not to exceed 12 hours
Title
Intraoperative complication
Time Frame
During procedure, not to exceed 12 hours
Title
Patient hospital stay
Time Frame
Measured at time of patient discharge, up to 10 days
Title
Positive tumor margin (assessed via standard post-operative biopsy)
Time Frame
Measured 1-2 weeks after discharge
Title
Postoperative Gleason Score
Time Frame
Measured up to 3 months after discharge
Title
Postoperative oncologic stage (T stage)
Time Frame
Measured up to 3 months after discharge
Title
Readmission
Time Frame
Measured up to 6 months after discharge
Title
Postoperative prostate-specific antigen (PSA)
Time Frame
Measured up to 12 months after discharge
Title
Postoperative erectile function
Time Frame
Measured via survey up to 18 months after discharge
Title
Postoperative continence
Time Frame
Measured via survey up to 18 months after discharge

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient is undergoing robotic prostatectomy being performed by participating surgeon Patient is willing to be randomized between intervention and control arms Exclusion Criteria: Patients with prior pelvic radiation Patients with prior androgen deprivation therapy Patients with prior localized ablative therapy Patients with prior TURP or other surgical BPH treatment
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
James Porter, MD
Organizational Affiliation
Swedish Medical Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Raymond Pak, MD
Organizational Affiliation
Mayo Clinic
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Thomas Ahlering, MD
Organizational Affiliation
UC Irvine
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Robert Reiter, MD
Organizational Affiliation
UCLA Urology
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Ketan Badani, MD
Organizational Affiliation
Mount Sinai Health System
Official's Role
Principal Investigator
Facility Information:
Facility Name
UCLA Urology
City
Los Angeles
State/Province
California
ZIP/Postal Code
90094
Country
United States
Facility Name
UC Irvine
City
Orange
State/Province
California
ZIP/Postal Code
92868
Country
United States
Facility Name
Mayo Clinic Florida
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32224
Country
United States
Facility Name
Mount Sinai Health System
City
New York
State/Province
New York
ZIP/Postal Code
10029
Country
United States
Facility Name
Swedish Urology Group
City
Seattle
State/Province
Washington
ZIP/Postal Code
98104
Country
United States
Facility Name
Swedish Medical Center
City
Seattle
State/Province
Washington
ZIP/Postal Code
98122
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
35848770
Citation
Shirk JD, Reiter R, Wallen EM, Pak R, Ahlering T, Badani KK, Porter JR. Effect of 3-Dimensional, Virtual Reality Models for Surgical Planning of Robotic Prostatectomy on Trifecta Outcomes: A Randomized Clinical Trial. J Urol. 2022 Sep;208(3):618-625. doi: 10.1097/JU.0000000000002719. Epub 2022 Jul 18.
Results Reference
derived

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Using Virtual Reality (VR) Models for Robotic Prostatectomy

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