- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02006927
A Pilot Study of the Feasibility of Chronic Cavernous Nerve Stimulation to Promote Regeneration and Erectile Function
September 30, 2020 updated by: Kenneth M Peters, MD
A Pilot Study of the Feasibility of Chronic Cavernous Nerve Stimulation to Promote Neural Regeneration and Erectile Function
The goal of this study is to evaluate electrical stimulation of nerves responsible for erectile function after surgery to remove the prostate (prostatectomy).
Electrical stimulation of the nerves responsible for erectile function is experimental.
The investigators hypothesize that the subjects can tolerate nerve stimulation.
Study Overview
Detailed Description
The objective of the study is to explore the feasibility of using an implantable neurostimulation device/leads post radical robotic prostatectomy as a method for enhancing neural recovery/penile rehabilitation and/or erectile dysfunction treatment.
This will be a single center pilot study of up to 10 patients.
The leads will be placed and stimulated intraoperatively to assess proper placement and stimulation parameters needed to achieve change in penile length and/or circumference.
One week post operatively, the leads will be connected to an external stimulator device and activated.
Subjects will be instructed to stimulate each lead by turning on the device each day for up to six weeks.
The leads will be removed at six weeks post operative and subjects will be followed for up to two years.
Study Type
Interventional
Enrollment (Actual)
3
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Michigan
-
Royal Oak, Michigan, United States, 48073
- William Beaumont Hospital
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
40 years to 80 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
Male
Description
Inclusion Criteria:
- Scheduled for a robotic radical prostatectomy procedure with bilateral nerve sparing.
- Sexually functional preoperatively as defined by a Sexual Health Inventory For Men (SHIM) score of greater than 21 at baseline off any phosphodiesterase 5 inhibitors.
- Without erectile dysfunction treatment in the 12 months prior to radical prostatectomy.
- Willing to stop phosphodiesterase 5 inhibitor that has only been started prophylactically to promote penile rehabilitation after prostatectomy.
- Age 40 to 80 years of age.
- Stable on all medications for at least 6 weeks prior to completing baseline measures and be willing to remain on those medications with no dose adjustments expected for 6 weeks post-implantation.
- An appropriate candidate for the surgical procedure required for this study.
- Willing and able to comply with all study related procedures and visits, and making accurate daily entries into a diary for approximately 6 weeks post radical prostatectomy (lead stimulation phase).
- Capable of reading and understanding patient information materials and giving written informed consent.
Exclusion Criteria:
- Have been diagnosed with vascular insufficiency to any pelvic blood vessels.
- Have prior surgical implantation of penile prosthesis, or other prior major pelvic surgery.
- History of significant pelvic trauma.
- Are current substance abusers including illicit drugs or use narcotics more than 15 days/month.
- Have a significant psychiatric disorder or under current treatment with antipsychotic or antidepressive medications.
- Have previously not tolerated an implanted medical device and subsequently required explant of the device for any reason other than device malfunction.
- Have a condition currently requiring or likely to require the use of MRI or diathermy.
- Currently have an active implantable device.
- 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.
- Have metabolic or immunodeficiency disorders related to recurrent infections, specifically including but not limited to diabetes mellitus, HIV, disorders requiring chronic or high dose corticosteroids, or connective tissue disorders.
- Have Peyronies disease.
- Subject possesses any other characteristics that, per the investigator's judgment, deems them unsuitable (eg increases risk, impairs data collection, etc) for the procedure/study.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Nerve Stimulation
Placement and stimulation of implantable neurostimulation device/leads post radical robotic prostatectomy
|
Placement and stimulation of implantable neurostimulation device/leads post radical robotic prostatectomy
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Tolerability of Nerve Stimulation
Time Frame: 6 weeks
|
Evaluate the safety and tolerability of chronic cavernous nerve stimulation post radical prostatectomy by measuring the incidence of major complications that may include lead removal, infection at the site or painful stimulation requiring lead removal.
|
6 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Efficacy of Nerve Stimulation
Time Frame: 24 months
|
Explore the potential efficacy of chronic cavernous nerve stimulation on the return of erectile function post radical prostatectomy.
Measures to assess efficacy include direct response to stimulation, changes in penile tumescence (girth) and sensory perception.
|
24 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Kenneth M Peters, MD, William Beaumont Hospitals
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
July 1, 2014
Primary Completion (Actual)
May 1, 2015
Study Completion (Actual)
April 1, 2017
Study Registration Dates
First Submitted
December 4, 2013
First Submitted That Met QC Criteria
December 4, 2013
First Posted (Estimate)
December 10, 2013
Study Record Updates
Last Update Posted (Actual)
October 22, 2020
Last Update Submitted That Met QC Criteria
September 30, 2020
Last Verified
September 1, 2020
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2013-420
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
Yes
product manufactured in and exported from the U.S.
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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