Treatment Response to Xiaflex for Men With Peyronie's Disease
NCT ID: NCT03774264
Last Updated: 2021-09-29
Study Results
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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COMPLETED
80 participants
OBSERVATIONAL
2018-09-02
2021-07-02
Brief Summary
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Detailed Description
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Conditions
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Study Design
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CASE_ONLY
PROSPECTIVE
Study Groups
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Xiaflex group
Patients will be evaluated in our urology clinic at baseline for possible inclusion in our study. All patients at baseline evaluation will be evaluated for duration of symptoms, relationship stability, IIEF and PDQ. All patients will obtain a penile Doppler ultrasound with the aid of a vasoactive substance by a specially trained technician. During this visit, plaque measurements will be taken: location of plaque, distance of plaque from the tip of the penis, degree of curvature measured by goniometer.
Ultrasound characteristics will be documented: Type (Type 1: The plaque appears as a thickening of the tunica albuginea without acoustic shadowing. Type 2: A moderately calcified plaque with a typical ultrasound shadow. Type 3: A severely calcified plaque with typical ultrasound shadowing) and Grade of calcification (grade 1 (\<0.3 cm), grade 2 (\>0.3 cm, \<1.5 cm), grade 3 (\>1.5 cm; or ≥ 2 plaques \>1.0 cm). Sample data sheet attached as appendix 2.
No interventions assigned to this group
Eligibility Criteria
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Inclusion Criteria
* Able to provide informed consent
* A stable relationship for ≥3 months
* PD symptoms with evidence of stable disease as determined by the investigator
* Penile curvature deformity of \>30° to \<90°
* Has not had previous surgery for PD
* Has not had previous therapy with Xiaflex for PD
Exclusion Criteria
* Active phase PD
* Actively on anticoagulation during time frame of injections
* Aspirin 81mg will be eligible for therapy
* Hour glass deformity
* Previous allergic reaction to Xiaflex
* Unwilling to participate
* Medically unfit for sexual intercourse as deemed by the principal investigator
* Patients scheduled to undergo an elective medical procedure during the investigation timeframe that will interfere with Xiaflex injection cycles as deemed by the PI
18 Years
MALE
No
Sponsors
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Endo Pharmaceuticals
INDUSTRY
University of Miami
OTHER
Responsible Party
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Ranjith Ramasamy, MD
Director of Male Fertility and Andrology, University of Miami
Principal Investigators
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Ranjith Ramasamy, MD
Role: PRINCIPAL_INVESTIGATOR
University of Miami
Locations
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Department of Urology, University of Miami
Miami, Florida, United States
Countries
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References
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Pawlowska E, Bianek-Bodzak A. Imaging modalities and clinical assesment in men affected with Peyronie's disease. Pol J Radiol. 2011 Jul;76(3):33-7.
Levine L, Rybak J, Corder C, Farrel MR. Peyronie's disease plaque calcification--prevalence, time to identification, and development of a new grading classification. J Sex Med. 2013 Dec;10(12):3121-8. doi: 10.1111/jsm.12334. Epub 2013 Oct 4.
Gelbard M, Goldstein I, Hellstrom WJ, McMahon CG, Smith T, Tursi J, Jones N, Kaufman GJ, Carson CC 3rd. Clinical efficacy, safety and tolerability of collagenase clostridium histolyticum for the treatment of peyronie disease in 2 large double-blind, randomized, placebo controlled phase 3 studies. J Urol. 2013 Jul;190(1):199-207. doi: 10.1016/j.juro.2013.01.087. Epub 2013 Jan 31.
Lipshultz LI, Goldstein I, Seftel AD, Kaufman GJ, Smith TM, Tursi JP, Burnett AL. Clinical efficacy of collagenase Clostridium histolyticum in the treatment of Peyronie's disease by subgroup: results from two large, double-blind, randomized, placebo-controlled, phase III studies. BJU Int. 2015 Oct;116(4):650-6. doi: 10.1111/bju.13096. Epub 2015 May 18.
Kalokairinou K, Konstantinidis C, Domazou M, Kalogeropoulos T, Kosmidis P, Gekas A. US Imaging in Peyronie's Disease. J Clin Imaging Sci. 2012;2:63. doi: 10.4103/2156-7514.103053. Epub 2012 Oct 31.
Other Identifiers
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20180188
Identifier Type: -
Identifier Source: org_study_id
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