PRP for Treatment of Peyronie's Disease
A Randomized, Double-Blind, Placebo Controlled, Crossover Trial on Safety and Efficacy of Autologous Platelet-Rich Plasma for Treatment of Peyronie's Disease
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Manuel Molina, MD
- Phone Number: 305-243-4873
- Email: m.molina.leyba@miami.edu
Study Locations
-
-
Florida
-
Miami, Florida, United States, 33136
- University of Miami
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Be Male
- Be 18 to 75 years of age (inclusive).
- Be able to provide written informed consent
- Have a diagnosis of PD with evidence of active or stable disease as determined by the investigator
- Penile curvature deformity of >30° to <120°
- Agree to comply with all study related tests/procedures.
Exclusion Criteria:
- Previous penile surgery of any kind (except circumcision and condyloma removal), such as penile lengthening, penile cancer surgery, penile plication, grafting.
- Previous intralesional injection therapy (such as Xiaflex) for PD.
- Previous history of priapism or penile fracture
- PD characterized by a ventral plaque
- Severe erectile dysfunction as characterized with an International Index of Erectile Function (IIEF) score ≤ 16
- Actively on anticoagulation during time frame of injections (aspirin 81 mg will be eligible for therapy)
- Hour-glass deformity
- Unwilling to participate
- Medically unfit for sexual intercourse as deemed by the principal investigator
- Patients scheduled to undergo an elective medical procedure during the investigation timeframe that will interfere with autologous PRP injection therapy.
- Have a serious comorbid illness/condition/behavior that, in the opinion of the investigator, may compromise the safety or compliance of the subject or preclude successful completion of the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Experimental: Autologous PRP followed by Placebo Group
Participants in this group will receive the autologous intervention first, followed by the placebo intervention 3 months later.
|
Autologous platelet-rich plasma (PRP) prepared from the participant's own blood.
Participants will receive 2 treatment sessions administered 15 ± 7 days apart, with 0.5 mL of PRP injected into the Peyronie's disease penile plaque at each session.
Other Names:
Normal saline administered as a placebo comparator.
Participants will receive 2 treatment sessions administered 15 ± 7 days apart, with 0.5 mL of normal saline injected into the Peyronie's disease penile plaque at each session.
|
|
Experimental: Experimental: Placebo followed by Autologous PRP Group
Participants in this group will receive the placebo intervention first, followed by the Autologous PRP intervention 3 months later.
|
Autologous platelet-rich plasma (PRP) prepared from the participant's own blood.
Participants will receive 2 treatment sessions administered 15 ± 7 days apart, with 0.5 mL of PRP injected into the Peyronie's disease penile plaque at each session.
Other Names:
Normal saline administered as a placebo comparator.
Participants will receive 2 treatment sessions administered 15 ± 7 days apart, with 0.5 mL of normal saline injected into the Peyronie's disease penile plaque at each session.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of subjects in each group who attain degree change in penile curvature.
Time Frame: 7 months
|
Treatment efficacy of PRP will be assessed via the percentage of participants achieving degree change in penile curvature from baseline.
Degree of curvature will be measured using a goniometer with the aid of injection of vasoactive substance into the penis.
|
7 months
|
|
Percentage of subjects achieving any decrease in PDQ sub-domain scores (Psychological and Physical Symptoms, Symptom Bother).
Time Frame: 7 months
|
Treatment efficacy will be assessed via the percentage of participants achieving any decrease in Peyronie's disease Questionnaire (PDQ) sub-domain scoring from baseline.
The sub-domains that will be assessed in primary outcome is Psychological and Physical Symptoms and Symptom Bother.
PDQ is a validated 15-item questionnaire that assess Psychological and Physical Symptoms, Symptom Bother, and Penile Pain subdomains.
The Psychological and Physical Symptoms subdomain is measured from 0 to 24 (most severe symptoms).
Symptom Bother subdomain is measured from 0 to 30 (most severe pain).
|
7 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of adverse events in all patients
Time Frame: Baseline, 6 months (post-intervention)
|
Safety will be evaluated via the incidence of adverse events as assessed by treating physician
|
Baseline, 6 months (post-intervention)
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Manuel Molina, MD, University of Miami
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Genital Diseases
- Male Urogenital Diseases
- Connective Tissue Diseases
- Penile Diseases
- Skin and Connective Tissue Diseases
- Sexual Dysfunction, Physiological
- Genital Diseases, Male
- Penile Induration
- Pharmaceutical Preparations
- Crystalloid Solutions
- Isotonic Solutions
- Solutions
- Saline Solution
Other Study ID Numbers
Other Study ID Numbers
- 20200779
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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