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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05650866
Registration number
NCT05650866
Ethics application status
Date submitted
28/11/2022
Date registered
14/12/2022
Titles & IDs
Public title
Safety and Tolerability of a Novel Implantable Device for the Treatment of Erectile Dysfunction
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Scientific title
Safety and Tolerability of a Novel Implantable Device for the Treatment of Erectile Dysfunction Following Radical Prostatectomy
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Secondary ID [1]
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CP-1.5400
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Erectile Dysfunction Following Radical Prostatectomy
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Condition category
Condition code
Renal and Urogenital
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Other renal and urogenital disorders
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Mental Health
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Other mental health disorders
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Reproductive Health and Childbirth
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Other reproductive health and childbirth disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - Activation of pro-erectile nerves within the pelvic plexus
Experimental: Implanted group - The study device will be implanted during the ongoing prostatectomy surgery. Participants will then be asked to activate it everyday.
No intervention: Control group - Participants in the control group will undergo standard prostatectomy and will not be implanted with the study device.
Treatment: Devices: Activation of pro-erectile nerves within the pelvic plexus
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.
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Occurrence of adverse events
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Assessment method [1]
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Adverse events will be reported using MedDRA terminology.
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Timepoint [1]
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6 months
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Primary outcome [2]
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Occurrence of surgical complications
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Assessment method [2]
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Surgical complications will be ranked according to the Clavien-Dindo classification
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Timepoint [2]
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6 months
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Primary outcome [3]
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Occurrence of device deficiencies
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Assessment method [3]
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Device deficiencies will be systematically reported and recorded.
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Timepoint [3]
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6 months
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Primary outcome [4]
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Pain
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Assessment method [4]
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Patients will be asked to rate pain on a visual analog scale (from 0 to 10)
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Timepoint [4]
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6 months
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Secondary outcome [1]
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Objective Device effectiveness
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Assessment method [1]
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Erectile response obtained when activating the study device will be objectively assessed by measuring penile rigidity with the RigiScan device.
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Timepoint [1]
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6 months
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Secondary outcome [2]
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Subjective Device effectiveness
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Assessment method [2]
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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).
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Timepoint [2]
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6 months
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Secondary outcome [3]
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Erectile function recovery
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Assessment method [3]
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Nocturnal penile erections will be assessed with the RigiScan device. Nocturnal erections reflect the extent of recovery of natural erectile function.
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Timepoint [3]
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6 months
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Secondary outcome [4]
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Delineation of the surgical implantation procedure
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Assessment method [4]
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The surgeon will record information related to the implantation (duration, position of the device, grading ease of implantation steps, and any comments).
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Timepoint [4]
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6 months
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Eligibility
Key inclusion criteria
* Men of ages between 30-70 years;
* Men with indication for nerve-sparing prostatectomy surgery;
* Localised prostate cancer considered suitable for bilateral nerve sparing prostatectomy according to clinical criteria
* International Index of Erectile Function (IIEF-15) erectile function domain 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.
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Minimum age
30
Years
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Maximum age
70
Years
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Men with neurological disease, including a history of spinal cord injury or trauma;
* IIEF-15 erectile function domain 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).
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
19/05/2023
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
19/05/2025
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Royal Melbourne Hospital - Melbourne
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Recruitment hospital [2]
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Australian Prostate Centre - North Melbourne
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Recruitment hospital [3]
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Epworth HealthCare - Richmond
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Recruitment postcode(s) [1]
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3050 - Melbourne
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Recruitment postcode(s) [2]
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3051 - North Melbourne
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Recruitment postcode(s) [3]
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3121 - Richmond
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Comphya Australia
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Address
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Country
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Ethics approval
Ethics application status
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Summary
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.
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Trial website
https://clinicaltrials.gov/study/NCT05650866
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Fiona Joseph
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Address
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Country
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Phone
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+41 21 693 9517
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05650866