- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03039218
Dornier Aries 2 Extracorporeal Shock Wave Device for the Treatment of Mild Erectile Dysfunction (ED)
A Randomized, Double-Blind, Placebo-Controlled, Open-Label Extension Clinical Trial of the Dornier Aries 2 Extracorporeal Shock Wave Device for the Treatment of Mild Erectile Dysfunction (ED)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This trial is a prospective, randomized, placebo-controlled, double-blind pivotal study, with an open-label extension. The study will include 4 sites and multiple investigators. A total of 100 men with at least a 6-month history of ED and who have responded to PDE5 inhibitors will be enrolled. The trial comprises two arms to achieve equal characteristics, where patients are randomly assigned to active treatment or sham treatment.
All patients on active treatment will receive LI-ESWT treatment using the Dornier Aries 2. Patients assigned to the placebo group will receive the Dornier Aries 2 treatment using a sham applicator. The time between two treatments is 6-7 days to allow for angiogenesis and perfusion improvements to occur. The subjects' duration of participation will be a total of 34 weeks Subjects will also be asked to maintain their current level of sexual activity while participating in the study.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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California
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San Diego, California, United States, 92120
- San Diego Sexual Medicine
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Nebraska
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Omaha, Nebraska, United States, 68114
- Adult Pediatric Urology & Urogynecology
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New York
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Brooklyn, New York, United States, 11215
- Brooklyn Urology Research Group
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New York, New York, United States, 10016
- Manhattan Medical Research
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Consent to participate.
- Age 22-70 years.
- Presence of Vasculogenic Erectile Dysfunction for at least 6 months.
- Having some response to a PDE5i. Last PDE5i use must be within 30 days of Screening Visit.
- IIEF-EF score ≥17 up to ≤30 while taking PDE5i.
- IIEF-EF score ≥17 up to ≤25 after wash out of PDE5i.
- In a stable heterosexual relationship of more than three months duration.
- Sexually active and agree to suspend all ED therapy for duration of study.
- Agree to maintain their normal sexual habits.
Exclusion Criteria:
- Radical prostatectomy.
- Previous radiation therapy to pelvis.
- Previous stem cell or platelet rich plasma therapy.
- Previous pelvic surgeries that in the judgment of the investigator could impact on erectile function such as radical prostatectomy, radical cystectomy, Peyronie's disease surgery, penile lengthening or penile cancer surgery.
- Untreated Hypogonadism as demonstrated by abnormal testosterone levels lower than 300 ng/dL.
- Hormone usage, other than testosterone, clomiphene or thyroid medication.
- Use of cocaine, cannabinoids, opiates, barbiturates, amphetamines, or benzodiazepine as demonstrated in the drug screen.
- Psychogenic ED.
- Peyronie's Disease or penile curvature that negatively influences sexual activity.
- Current anticoagulation therapy or significant hematological conditions as demonstrated in abnormal values in the complete blood count.
- Liver disease as demonstrated by abnormal chemistry panel or coagulation values in the prothrombin time (PT) along with its derived measures of prothrombin ratio (PR) blood tests.
- Abnormal serum testosterone level defined as a value lower than 300 ng/dL or greater than 1197 ng/dL.
- Patients with cardiac or non-cardiac electrical devices implanted.
- Anatomical or neurological abnormalities in the treatment area.
- Diabetes Mellitus with severe polyneuropathy.
- Patients with generalized polyneuropathy irrespective of cause.
- Refusal to suspend ED therapy for duration of study.
- Men deemed not healthy enough to participate in sexual activity.
- IIEF-EF score of 0-16 or higher than 25 at baseline assessment following "washout" period.
- Average EHS ≤ 2 at baseline assessment following "washout".
- Any condition or behavior that indicates to the Principal Investigator that the subject is unlikely to be compliant with study procedures and visits.
- Any health history or laboratory result that indicates to the Principal Investigator that the subject has a significant medical condition and should not participate in the study.
- Known allergy to ultrasound gel.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Active
Subjects assigned to this group will receive Active treatments using the Dornier Aries 2.
|
Extracorporeal Shock Wave Device for treatment of mild erectile dysfunction
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Placebo Comparator: Placebo / Sham
Subjects assigned to this group will receive placebo / sham (no active treatment).
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Inactive (placebo/sham) Extracorporeal Shock Wave Device for treatment of mild erectile dysfunction
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
International Inventory of Erectile Function ("IIEF")
Time Frame: primary outcome at 3 month follow-up visit
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validated, multi-dimensional, self-administered investigation that has been found useful in the clinical assessment of erectile dysfunction and treatment outcomes in clinical trials
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primary outcome at 3 month follow-up visit
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Erectile Hardness Score
Time Frame: Proportion of patients with an EHS=4 at the 3 month follow-up visit
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tool to evaluate erectile dysfunction (ED) - a man's inability to get or maintain an erection firm enough for sex.
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Proportion of patients with an EHS=4 at the 3 month follow-up visit
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Global Assessment Questionnaire ("GAQ").
Time Frame: The proportion of subjects that answer the GAQ positively through the 3 month follow-up visit
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2 question questionnaire that assesses improvement in symptoms following treatment
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The proportion of subjects that answer the GAQ positively through the 3 month follow-up visit
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Irwin Goldstein, San Diego Sexual Medicine
Publications and helpful links
General Publications
- Clavijo RI, Kohn TP, Kohn JR, Ramasamy R. Effects of Low-Intensity Extracorporeal Shockwave Therapy on Erectile Dysfunction: A Systematic Review and Meta-Analysis. J Sex Med. 2017 Jan;14(1):27-35. doi: 10.1016/j.jsxm.2016.11.001. Epub 2016 Dec 13.
- Angulo JC, Arance I, de Las Heras MM, Meilan E, Esquinas C, Andres EM. Efficacy of low-intensity shock wave therapy for erectile dysfunction: A systematic review and meta-analysis. Actas Urol Esp. 2017 Oct;41(8):479-490. doi: 10.1016/j.acuro.2016.07.005. Epub 2016 Aug 10. English, Spanish.
- Zou ZJ, Liu ZH, Tang LY, Lu YP. Is there a role for extracorporeal shock wave therapy for erectile dysfunction unresponsive to phosphodiesterase type 5 inhibitors? World J Urol. 2017 Jan;35(1):167-171. doi: 10.1007/s00345-016-1899-y. Epub 2016 Jul 22. No abstract available.
- Lu Z, Lin G, Reed-Maldonado A, Wang C, Lee YC, Lue TF. Low-intensity Extracorporeal Shock Wave Treatment Improves Erectile Function: A Systematic Review and Meta-analysis. Eur Urol. 2017 Feb;71(2):223-233. doi: 10.1016/j.eururo.2016.05.050. Epub 2016 Jun 16.
- Kitrey ND, Gruenwald I, Appel B, Shechter A, Massarwa O, Vardi Y. Penile Low Intensity Shock Wave Treatment is Able to Shift PDE5i Nonresponders to Responders: A Double-Blind, Sham Controlled Study. J Urol. 2016 May;195(5):1550-1555. doi: 10.1016/j.juro.2015.12.049. Epub 2015 Dec 13.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- G140216 S004
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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