Evaluate the Effects of GPI 1485 on Erectile Function Following Bilateral Nerve-Sparing Prostatectomy

NCT ID: NCT00090376

Last Updated: 2008-11-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-12-31

Brief Summary

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In this phase II study, an investigative (not approved by the FDA) drug called GPI 1485 is being assessed to see if it can help preserve erectile function after prostatectomy.

Detailed Description

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This drug has been tested in animals, and was shown to protect nerves from damage and to regrow damaged nerves in these animal studies. Participants will receive either GPI 1485 or a placebo (inactive pill). Participants will begin study medication 3 full days prior to their scheduled surgery.

GPI 1485 will be supplied as an oral tablet formulation to men who are candidates for bilateral nerve-sparing prostatectomies. Participants randomly assigned to receive GPI 1485 will be required to take four tablets four times a day by mouth.

GPI 1485 matching placebo will also be supplied as an oral tablet formulation. Participants randomly assigned to placebo will be required to take 4 placebo tablets four times a day by mouth.

Viagra® will be supplied as oral tablets beginning 1 month post-surgery. Patients can begin Viagra® 1 month post-surgery and may continue use until the end of the study, as needed.

The duration of this study is 12 months which includes 5 office visits to your doctor in addition to the surgery day. During this study you will also have other clinical evaluations including a physical exam, blood work, ECG (tracing of your heart rhythm) and urinalysis.

Participants enrolled in this study will also carry a handheld diary that is loaded with special protocol-specific software, which will be referred to as the patient experience diary (PED). Over the duration of this study, participants will complete their questionnaires and answer questions about their medication compliance in the electronic PED.

Conditions

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Impotence Prostate Cancer

Keywords

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Erectile Dysfunction Impotence Prostate Cancer Prostatectomy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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GPI 1485

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Clinical diagnosis of localized prostate carcinoma and scheduled to undergo curative surgical resection via bilateral nerve sparing procedure.
2. Localized prostate cancer is defined as:

* Gleason score \<=7 (\<=3 + \<=4)
* PSA \<=10 off of finasteride (Proscar®) and dutasteride (Avodart®)
* \<=T2a stage disease
3. Motivated males, 40 to 69 years of age inclusive, and in the opinion of the investigator, are currently in a monogamous, sexually active relationship.
4. Males that have erectile function (EF) (without the use of pharmacotherapy within 30 days prior to screening assessment).
5. EF is defined as a score of \>=26 on the EF domain of the IIEF questionnaire based on patient experiences over the 4 weeks prior to biopsy.
6. Body Mass Index (BMI) within the 18-34.9 kg/m2 range.
7. Able to swallow whole tablets equivalent to capsule size 0.
8. Available for protocol-specified visits and procedures.
9. Informed written consent must be provided prior to any study-specific procedures.

Exclusion Criteria

1. Recent history, within 6 months before screening, of drug or alcohol abuse.
2. History of peripheral neuropathy.
3. History of acute or chronic depression that in the opinion of the investigator may interfere with protocol-specified efficacy measurements.
4. History of diabetes that requires use of insulin or oral hypoglycemic agents, myocardial infarction, or cerebrovascular accident.
5. History of spinal trauma or surgery to the brain or spinal cord.
6. Any medical disability or laboratory abnormality (e.g., serum creatinine \> 2.0 mg/dL) that, in the opinion of the Investigator, may interfere with the protocol-specified safety and efficacy measurements, present an unacceptable risk to the patient's well-being, or compromise the patient's ability to provide informed consent.
7. History of pelvic radiation therapy (external beam radiation or brachytherapy).
8. Concomitant use of hormonal therapy, vasodilators (nitrates), dutasteride (Avodart®) or finasteride (Proscar®) within the 30 days prior to biopsy and throughout the study.
9. Concomitant use of therapeutic agents to treat ED other than those specified in the protocol is not permitted starting at least 30 days prior to biopsy and continuing throughout the study.
10. Previous exposure to GPI 1485 (previously AMG-474-00).
11. Treatment with an investigational agent within the 30 days before screening or scheduled to receive an investigational agent other than that specified by this protocol during the course of this study.
12. Any contraindication to Viagra® use
13. Unable to stop the use of inducers or inhibitors of cytochrome P450 (CYP) 3A4 from Baseline until the end of the study.
Minimum Eligible Age

40 Years

Maximum Eligible Age

69 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Symphony Neuro Development Company

INDUSTRY

Sponsor Role collaborator

Eisai Inc.

INDUSTRY

Sponsor Role lead

Principal Investigators

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Antonella Favit-Van Pelt, MD, PhD

Role: STUDY_DIRECTOR

Eisai Inc.

Locations

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HOPE Research Institute, LLC

Phoenix, Arizona, United States

Site Status

Center for Urological Research

La Mesa, California, United States

Site Status

Stanford University Medical Center

Stanford, California, United States

Site Status

Connecticut Surgical Group

Hartford, Connecticut, United States

Site Status

Connecticut Urological Research at Grove Hill

New Britain, Connecticut, United States

Site Status

Tulane University Health Sciences Center

New Orleans, Louisiana, United States

Site Status

Johns Hopkins Hospital

Baltimore, Maryland, United States

Site Status

University of Michigan

Ann Arbor, Michigan, United States

Site Status

Henry Ford Health System, Vattikuti Institute for Urology

Detroit, Michigan, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

PPS Clinical Research, St. Louis

St Louis, Missouri, United States

Site Status

Hackensack University Medical Center

Hackensack, New Jersey, United States

Site Status

NYU Urology Associates

New York, New York, United States

Site Status

Memorial Sloan-Kettering Cancer Center

New York, New York, United States

Site Status

Columbia University

New York, New York, United States

Site Status

Carolinas Health Care System McKay Urology

Charlotte, North Carolina, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

The Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

Urological Associates of Lancaster, Ltd.

Lancaster, Pennsylvania, United States

Site Status

Carolina Urologic Research Center

Myrtle Beach, South Carolina, United States

Site Status

Vanderbilt Medical Center

Nashville, Tennessee, United States

Site Status

The University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Site Status

The University of Texas Health Science Center at San Antonio

San Antonio, Texas, United States

Site Status

Virginia Mason Medical Center

Seattle, Washington, United States

Site Status

Madigan Army Medical Center

Tacoma, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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0501-0202

Identifier Type: -

Identifier Source: org_study_id