Laparoscopic vs Robotic-Assisted Radical Prostatectomy

NCT ID: NCT03682146

Last Updated: 2023-11-30

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

NA

Total Enrollment

782 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-11-30

Study Completion Date

2021-12-31

Brief Summary

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This randomized trial was designed to address the lack of high-quality literature comparing robotic-assisted (RARP) and laparoscopic (LRP) radical prostatectomy (RP).

Purpose: The LAP-01 trial compares outcomes between RARP and LRP.

Detailed Description

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LAP-01 is the first multicenter, prospective randomized, patient-blinded controlled trial comparing robotic-assisted and conventional laparoscopic radical prostatectomy.

The investigation include an extensive evaluation of clinical, oncological, functional and quality of life related data by means of validated patient-reported outcome measures.

The primary outcome is the assessment of time to continence restoration at 3 months. This is evaluated by an assessment of a pad diary completed daily by each patient from the time of catheter removal until restoration of continence. Secondary endpoints include continence and erectile function, as well as quality of life (EORTC-QLQ-C30, EORTC-QLQ-PR25), patient satisfaction and Hospital Anxiety and Depression Scale (HADS) at 1, 3, 6 and 12 months after surgery in addition to oncological outcomes up to 3 years follow-up.

With 782 enrolled patients it is the largest trial carried out till date on this topic.

Conditions

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Prostate Cancer

Keywords

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DaVinci Robotic-Assisted Prostatectomy Laparoscopy Continence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
Patients were blinded with respect to the surgical method until the end of the 3-month evaluation and extraction of the primary study outcome.

Study Groups

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RARP

robot-assisted laparoscopic prostatectomy

Group Type OTHER

Prostatectomy

Intervention Type PROCEDURE

Comparison of robotic-assisted and conventional laparoscopic radical prostatectomy

LRP

conventional laparoscopic radical prostatectomy

Group Type OTHER

Prostatectomy

Intervention Type PROCEDURE

Comparison of robotic-assisted and conventional laparoscopic radical prostatectomy

Interventions

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Prostatectomy

Comparison of robotic-assisted and conventional laparoscopic radical prostatectomy

Intervention Type PROCEDURE

Other Intervention Names

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robotic-assisted laparoscopic radical prostatectomy conventional laparoscopic radical prostatectomy

Eligibility Criteria

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Inclusion Criteria

* Histological verified prostate carcinoma (first diagnosis)
* Indication for primary curative radical prostatectomy
* Age ≤ 75 years
* Patient agrees to randomisation
* Patient is able to fill in the questionnaires on his own
* Patient is willing to provide written informed consent

Exclusion Criteria

* Insufficient knowledge of German
* Severe cognitive impairment
* Obesity (BMI \> 35)
* Current existing severe comorbidities (e.g. liver cirrhosis, second malignancy or relapse of every kind)
* Tumor stage: T4
* Previous malignancy (≤ 3 years before trial participation)
* Neoadjuvant therapy (hormons) within the last 3 months before participation in the trial
* Patient is immuno-compromised
* History of intermittent urinary self-catheterization within the last year
* Psychological disorders (dementia, chronic depression, psychosis)
* Any of the following treatments ≤ 3 months before trial participation: surgery of the sigmoid colon, extended haemorrhoid resection, transurethral needle ablation of the prostate (TUNA), osteosynthesis of the pelvis, salvage prostatectomy
* Patients with chronic urinary infection
* Dialysis patients
* Lacking willingness for data storage and handling in the frame of the trial protocol/aims
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Klinikum Dortmund

UNKNOWN

Sponsor Role collaborator

University Hospital Heidelberg

OTHER

Sponsor Role collaborator

Heinrich-Heine University, Duesseldorf

OTHER

Sponsor Role collaborator

University of Leipzig

OTHER

Sponsor Role lead

Responsible Party

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Jens-Uwe Stolzenburg

Prof.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jens-Uwe Stolzenburg, Prof.

Role: PRINCIPAL_INVESTIGATOR

Leipzig University, Department of Urology

Locations

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Klinikum Dortmund

Dortmund, , Germany

Site Status

Universitätsklinikum Düsseldorf

Düsseldorf, , Germany

Site Status

University Hospital Heidelberg

Heidelberg, , Germany

Site Status

University of Leipzig

Leipzig, , Germany

Site Status

Countries

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Germany

References

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Holze S, Kuntze AS, Mende M, Neuhaus P, Truss MC, Do HM, Dietel A, Franz T, Stolzenburg JU. Assessment of different continence definitions in the context of the randomized multicenter prospective LAP-01 trial-Does the best definition change over time? Eur J Med Res. 2024 Jan 18;29(1):58. doi: 10.1186/s40001-024-01662-5.

Reference Type DERIVED
PMID: 38238789 (View on PubMed)

Holze S, Braunlich M, Mende M, Arthanareeswaran VK, Neuhaus P, Truss MC, Do HM, Dietel A, Franz T, Teber D, Heilsberg AK, Hohenfellner M, Rabenalt R, Albers P, Stolzenburg JU. Age-stratified outcomes after radical prostatectomy in a randomized setting (LAP-01): do younger patients have more to lose? World J Urol. 2022 May;40(5):1151-1158. doi: 10.1007/s00345-022-03945-0. Epub 2022 Feb 6.

Reference Type DERIVED
PMID: 35124734 (View on PubMed)

Stolzenburg JU, Holze S, Neuhaus P, Kyriazis I, Do HM, Dietel A, Truss MC, Grzella CI, Teber D, Hohenfellner M, Rabenalt R, Albers P, Mende M. Robotic-assisted Versus Laparoscopic Surgery: Outcomes from the First Multicentre, Randomised, Patient-blinded Controlled Trial in Radical Prostatectomy (LAP-01). Eur Urol. 2021 Jun;79(6):750-759. doi: 10.1016/j.eururo.2021.01.030. Epub 2021 Feb 9.

Reference Type DERIVED
PMID: 33573861 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Other Identifiers

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LAP-01

Identifier Type: -

Identifier Source: org_study_id

110462

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id