Prospective RCT on Post Prostatectomy Urine Leak

NCT ID: NCT02367404

Last Updated: 2016-09-13

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-05-31

Study Completion Date

2017-06-30

Brief Summary

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Objectives:

Primary: Comparison of proportion of patient achieving continence between the four arms at 6 months.

Secondary:

* Comparison of time to achieve continence between the four arms.
* Comparison of urinary symptoms and quality of life improvement between the four arms.
* Assessment of adverse events in Duloxetine arms.

Primary outcome/ time frame: Proportion of patient achieving continence at 6 months. Continence is defined as "using no pad"or "only security pad".

Secondary outcome:

* time to achieve continence
* Quality of life tested in relation to incontinence according to Visual Analog Scale (VAS) and King's Health Questionnaire (KQH).
* Urinary symptoms measured with International Prostate Symptom Score (IPSS).

No. of subjects entered: 300 patients informed and included, 240 patients will be randomized.

Statistical methods

* Proportion of patients who achieve continence and time to achieve continence will be compared between the four arms.
* Comparison of quality of life outcomes between the four arms
* Comparison of clinical variables that can affect the primary/secondary outcome - univariate and multivariate analysis (ITT).

Detailed Description

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Conditions

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Prostate Cancer Urinary Incontinence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Control

Keigel's exercise

Group Type NO_INTERVENTION

No interventions assigned to this group

Duloxetine

Duloxetine 60mg for 3 months

Group Type ACTIVE_COMPARATOR

Duloxetine

Intervention Type DRUG

Duloxetine 60mg OD for 3 months

Duloxetine + PMFT

Duloxetine 60mg for 3 months PMFT weekly for 3 months

Group Type ACTIVE_COMPARATOR

Duloxetine

Intervention Type DRUG

Duloxetine 60mg OD for 3 months

Pelvic Floor Muscle Training

Intervention Type BEHAVIORAL

PMFT weekly for 3 months

Pelvic Floor Muscle Training

PMFT weekly for 3 months

Group Type ACTIVE_COMPARATOR

Pelvic Floor Muscle Training

Intervention Type BEHAVIORAL

PMFT weekly for 3 months

Interventions

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Duloxetine

Duloxetine 60mg OD for 3 months

Intervention Type DRUG

Pelvic Floor Muscle Training

PMFT weekly for 3 months

Intervention Type BEHAVIORAL

Other Intervention Names

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Cymbalta Pelvic Physiotherqpy

Eligibility Criteria

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Inclusion Criteria

1\. All consecutive patients undergoing Robotic Assisted Radical Prostatectomy for clinically organ confined prostate cancer

Exclusion Criteria

1. Prior urethral, bladder or prostate surgery
2. Pelvic radiotherapy.
3. Overactive bladder
4. Known neurological disease associated to LUTS
5. Hepatic impairment with hepatic insufficiency.
6. Severe renal impairment (creatinine clearance \< 30ml/min)
7. Hypersensitivity to duloxetine
8. Uncontrolled hypertension
9. Narrow angle glaucoma

Post-operative criteria:
10. Post-void residual urine volume \> 100ml measured 15 days after the RARP
Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Institut Mutualiste Montsouris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rafael Sanchez-Salas, MD

Role: PRINCIPAL_INVESTIGATOR

Institute Mutualiste Montsouris

Locations

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Institut Mutualiste montsouris

Paris, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Rafael Sanchez-Salas, MD

Role: CONTACT

0156616617

Other Identifiers

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URO-01-2014

Identifier Type: -

Identifier Source: org_study_id

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