LiSWT for Nerve Sparing Radical Prostatectomy ED

NCT ID: NCT05877144

Last Updated: 2025-07-15

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

8 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-07-06

Study Completion Date

2025-01-30

Brief Summary

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This phase I clinical trial studies how well low intensity shockwave therapy (LiSWT) improves erectile function in patients who have had nerve-sparing radical prostatectomy (NS-RP), a type of surgery that attempts to save the nerves near the tissues being removed, for prostate cancer. Erectile dysfunction (ED) is a known side effect of the radical prostatectomy procedure. The low intensity shockwave therapy delivers painless electrotherapy pulse to increase blood flow and supply, activation of tissues and wound healing. Using LiSWT after NS-PRP may improve erectile function in men with prostate cancer.

Detailed Description

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PRIMARY OBJECTIVE:

I. To determine whether LiSWT following nerve-sparing radical prostatectomy (NS-RP) improves outcomes in men with erectile dysfunction (ED) supported by cGMP phosphodiesterase inhibitor (PDE5i) medication.

SECONDARY OBJECTIVES:

I. To determine whether LiSWT improves duplex doppler ultrasound (DDUS) flow parameters at 6 months following LiSWT treatment.

II. To determine the postoperative durability of any beneficial outcome of LiWST treatment to erectile function.

OUTLINE: Patients are randomized to 1 of 2 arms.

ARM I: Patients undergo nerve-sparing radical prostatectomy per standard of care. Patients then receive LiSWT treatment weekly for 6 weeks, then have a 6 week break, followed by 6 more weekly treatments. Patients also undergo DDUS at baseline and during follow up.

ARM II: Patients undergo nerve-sparing radical prostatectomy per standard of care. Patients then receive sham LiSWT treatment weekly for 6 weeks, then have a 6 week break, followed by 6 more weekly treatments. Patients also undergo DDUS at baseline and during follow up.

Conditions

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Erectile Dysfunction Localized Prostate Carcinoma Stage I Prostate Cancer AJCC v8 Stage II Prostate Cancer AJCC v8 Stage III Prostate Cancer AJCC v8

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

No Data Available
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

No Data Available

Study Groups

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ARM I (LiSWT)

Patients undergo nerve-sparing radical prostatectomy per standard of care. Patients then receive LiSWT treatment weekly for 6 weeks, then have a 6 week break, followed by 6 more weekly treatments. Patients also undergo DDUS at baseline and during follow up.

Group Type EXPERIMENTAL

Nerve-Sparing Prostatectomy

Intervention Type PROCEDURE

Undergo nerve-sparing prostatectomy per standard of care

Medical Device Usage and Evaluation

Intervention Type OTHER

Receive LiSWT

Duplex Ultrasound

Intervention Type PROCEDURE

Undergo DDUS

Survey Administration

Intervention Type OTHER

Ancillary studies

ARM II (sham LiSWT)

Patients undergo nerve-sparing radical prostatectomy per standard of care. Patients then receive sham LiSWT treatment weekly for 6 weeks, then have a 6 week break, followed by 6 more weekly treatments. Patients also undergo DDUS at baseline and during follow up.

Group Type SHAM_COMPARATOR

Nerve-Sparing Prostatectomy

Intervention Type PROCEDURE

Undergo nerve-sparing prostatectomy per standard of care

Sham Intervention

Intervention Type PROCEDURE

Receive sham LiSWT

Duplex Ultrasound

Intervention Type PROCEDURE

Undergo DDUS

Survey Administration

Intervention Type OTHER

Ancillary studies

Interventions

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Nerve-Sparing Prostatectomy

Undergo nerve-sparing prostatectomy per standard of care

Intervention Type PROCEDURE

Medical Device Usage and Evaluation

Receive LiSWT

Intervention Type OTHER

Duplex Ultrasound

Undergo DDUS

Intervention Type PROCEDURE

Survey Administration

Ancillary studies

Intervention Type OTHER

Nerve-Sparing Prostatectomy

Undergo nerve-sparing prostatectomy per standard of care

Intervention Type PROCEDURE

Sham Intervention

Receive sham LiSWT

Intervention Type PROCEDURE

Duplex Ultrasound

Undergo DDUS

Intervention Type PROCEDURE

Survey Administration

Ancillary studies

Intervention Type OTHER

Other Intervention Names

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nerve-sparing radical prostatectomy nerve-sparing surgery DD Duplex Doppler Duplex Doppler Ultrasound nerve-sparing radical prostatectomy nerve-sparing surgery Sham Comparator DD Duplex Doppler Duplex Doppler Ultrasound

Eligibility Criteria

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Inclusion Criteria

* Provide signed and dated informed consent form
* Willing to comply with all study procedures and be available for the duration of the study
* Men aged 18-80 diagnosed with localized prostate cancer
* Score 12 or higher on the pre-operative International Index of Erectile Function (IIEF) assessment
* Undergo the nerve-sparing radical prostatectomy procedure
* Be taking PDE5i medication for the entirety of the study (normal course of care)
* Be in a sexual relationship with a partner for at least 3 months
* Be willing to attempt sexual activity during the screening period and before each follow-up visit
* Be willing to stop all erectile aids (e.g. prescription and non-prescription erectile medications not part of this study, penile injections, vacuum erection devices, constriction rings) during the screening and study period

Exclusion Criteria

* • Subject does not speak or understand English

* Subject has been treated with acoustic wave previously
* Subject has had prior penile surgery
* Patients with pacemakers or implantable defibrillators
* Patients who are using devices which are sensitive to electromagnetic radiation
* Patients who are found to have metastatic disease and require radiation/hormone therapy before initiation of shockwave/sham treatments
* Subject has lesions or active infections on the penis or perineum
* Subject is unwilling to remove piercings from the genital region
* Subject has a history of substance abuse within 12 months prior, or consuming \> 14 alcoholic drinks per week
* Subject has received an investigational drug within 30 days prior to signing consent
* Subject has received platelet-rich plasma (PRP) within 3 months of signing consent
* Subject has received stem cell within 6 months of signing consent
* Subject has any condition or exhibits behavior that indicates to the principle investigator (PI) that the subject is unlikely to be compliant with study procedures and visits
* Cognitively/decisionally-impaired individuals
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Thomas Jefferson University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Sidney Kimmel Cancer Center at Thomas Jefferson University

Philadelphia, Pennsylvania, United States

Site Status

Countries

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United States

Other Identifiers

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JT 22705

Identifier Type: OTHER

Identifier Source: secondary_id

iRISID-2022-0980

Identifier Type: -

Identifier Source: org_study_id

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