Helping Men Adhere to Sexual Rehabilitation Following Prostate Cancer Surgery

NCT ID: NCT02706561

Last Updated: 2026-01-07

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

RECRUITING

Clinical Phase

NA

Total Enrollment

224 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-12-08

Study Completion Date

2026-12-31

Brief Summary

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The purpose of this study is to test two different ways to help men with sexual rehabilitation.

Detailed Description

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Conditions

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Prostate Cancer Erectile Dysfunction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Standard care plus the ACT intervention (ACT-ED)

SC + ACT-ED-Group A uses Acceptance and Commitment Therapy (ACT). In this group, men focus on: long-term goals of rehabilitation; acceptance of the frustration related to ED; identifying and overcoming barriers; and committing to an erectile rehabilitation program. All participants will be asked to complete a set of questionnaires (baseline). The participants can complete it using your personal computer, one of MSKCC computers, in-person or over the phone. The questionnaires will take about 45-60 minutes to complete. You will also complete the same set of questionnaires at 6, 12, 18, and 24 months following study entry. In both groups, the participant will receive three in-person sessions or phone (30-45 minutes), six brief telephone sessions (5-10 minutes), and six monthly phone calls (5-10 minutes)

Group Type EXPERIMENTAL

questionnaires

Intervention Type BEHAVIORAL

three in-person sessions

Intervention Type BEHAVIORAL

monthly phone calls

Intervention Type BEHAVIORAL

Acceptance and Commitment Therapy for Erectile Dysfunction (ACT-ED)

Intervention Type BEHAVIORAL

SC plus nurse Enhanced Monitoring and Education (EME)

SC + EME-Group B uses enhanced monitoring and education. This group focuses on answering questions about the rehabilitation program, manage technical issues related to injections, and the dose titration of injection medication. Participants in this group will also receive education on the side effects and impact of prostate cancer surgery, and strategies for restarting sexual activity. All participants will be asked to complete a set of questionnaires (baseline). You can complete it using your personal computer, one of MSKCC computers, in-person or over the phone. The questionnaires will take about 45-60 minutes to complete. The participant will also complete the same set of questionnaires at 6, 12, 18, and 24 months following study entry. In both groups, the participant will receive three in-person sessions or phone (30-45 minutes), six brief telephone sessions (5-10 minutes), and six monthly phone calls (5-10 minutes).

Group Type EXPERIMENTAL

questionnaires

Intervention Type BEHAVIORAL

three in-person sessions

Intervention Type BEHAVIORAL

monthly phone calls

Intervention Type BEHAVIORAL

Enhanced Monitoring and Education (EME)

Intervention Type BEHAVIORAL

Interventions

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questionnaires

Intervention Type BEHAVIORAL

three in-person sessions

Intervention Type BEHAVIORAL

monthly phone calls

Intervention Type BEHAVIORAL

Acceptance and Commitment Therapy for Erectile Dysfunction (ACT-ED)

Intervention Type BEHAVIORAL

Enhanced Monitoring and Education (EME)

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* As per medical record, early stage prostate cancer (Pathologic Stage 1/2 with Gleason score \</=8; or Pathologic Stage 3 with Gleason score =/\< 7)
* As per medical record, radical prostatectomy (RP) conducted either at MSKCC or at another institution
* As per medical record, ≤ 9 months post-RP
* As per medical record, moderate erectile functioning pre-surgery (i.e., 15 or greater on the IIEF Erectile Function Domain (EFD) score, or graded their erections as a 1 or 2 on the standard 5 point Urology Erectile Function scale, or have a score of 6 or greater on the 1-10 pre-surgery erectile function scale on the SMRP assessment or have a total score of 15 or greater on items 2-7 on the Prostrate Quality of Life Survey: Sexual Domain)
* As per self report or as per medical record starting penile injections as part of the erectile rehabilitation program at MSKCC
* In the judgment of the consenting professional able to communicate, comprehend, and complete questionnaires in English

Exclusion Criteria

* Both cavernous nerves fully resected as per surgery report (nerve sparing score of 8 in MSKCC surgeon note), or documented in the progress note that the nerves were fully resected.
* Currently on or has a history of being an Androgen Deprivation Therapy (ADT)
* Has any indication of Prostate-Specific Antigen (PSA)
* As per self report, specific injection phobia
* In the judgment of the consenting professional is unable to provide informed consent and complete study sessions and assessment.
* As per self report or as documented in the medical record, current untreated (e.g. no medication no therapy) major psychiatric disorder (schizophrenia, major depression). Patients diagnosed with a major psychiatric disorder will be reviewed by the study PI to determine eligibility prior to consent.
Minimum Eligible Age

21 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Center for Marital and Sexual Health of South Florida

OTHER

Sponsor Role collaborator

Memorial Sloan Kettering Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Chris Nelson, PhD

Role: PRINCIPAL_INVESTIGATOR

Memorial Sloan Kettering Cancer Center

Locations

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Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Christian Nelson, PhD

Role: CONTACT

646-888-0030

Andrew Roth, MD

Role: CONTACT

646-888-0024

Facility Contacts

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Christian Nelson, PhD

Role: primary

646-888-0030

Andrew Roth, MD

Role: backup

646-888-0024

Related Links

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https://www.mskcc.org/

Memorial Sloan Kettering Cancer Center

Other Identifiers

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15-317

Identifier Type: -

Identifier Source: org_study_id

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