Low Intensity Shock Wave Therapy in the Rehabilitation Treatment of Erectile Dysfunction After Robotic Radical Prostatectomy.

NCT ID: NCT06442020

Last Updated: 2024-06-04

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

158 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-15

Study Completion Date

2026-09-15

Brief Summary

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The study deals with the hypothesis that LiESWT in addition to the administration of PDE5i can improve sexuality rehabilitation with faster recovery of a valid erection and higher IIEF-5 scores in the short and medium-term follow-up.

Detailed Description

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Prospective randomized controlled trial (RCT) designed to provide high level evidences describing the role of Low-intensity Extracorporeal Shock Wave Therapy LiESWT plus early introduction of PDE5i vs early PDE5i alone on penile rehabilitation of erectile dysfunction ED after treatment of post-Robot-Assisted (RA) Radical Prostatectomy (RP) RARP

Conditions

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Erectile Dysfunction

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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GROUP 1: LiESWT in association with PDE5i

Therapeutic association between low intensity extracorporeal shock waves LiESWT and the early introduction of the phosphodiesterase 5 inhibitor PDE5i

Group Type EXPERIMENTAL

Tadalafil (PDE5i)

Intervention Type PROCEDURE

Tadalafil at a dose of 5mg/day

GROUP 2: PDE5i alone

Control group, administration of the phosphodiesterase 5 inhibitor PDE5i, as per clinical practice

Group Type ACTIVE_COMPARATOR

Tadalafil (PDE5i)

Intervention Type PROCEDURE

Tadalafil at a dose of 5mg/day

Interventions

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Tadalafil (PDE5i)

Tadalafil at a dose of 5mg/day

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients aged ≤75 yrs;
* Low-risk PCa (PSA \<10 ng/mL and GS \<7, ISUP grade 1, and cT1-2a) undergoing nerve sparing RARP;
* preoperative IIEF-5 score ≥ 17;
* First PSA (45d after surgery) \<0.2
* compliants patients able to follow the study protocol and fill in IIEF-5 scores and EORTC quality of life questionnaires;
* patients able to provide a written informed consent for the trial.

Exclusion Criteria

* anaesthesiologic contraindications to robotic surgery;
* patients submitted to pelvic radiotherapy or androgen deprivation;
* patients reporting major postoperative complications (CD≥3);
* cardiovascular contraindications to PDE5i medical treatment.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Regina Elena Cancer Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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"Regina Elena" National Cancer Institute

Rome, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Giuseppe Simone, Doctor

Role: CONTACT

06-5266.5005 ext. +39

Riccardo Mastroianni, Doctor

Role: CONTACT

06-5266.5005 ext. +39

Facility Contacts

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Giuseppe Simone, Doctor

Role: primary

06-5266.5005 ext. +39

Riccardo Mastroianni, Doctor

Role: backup

06-5266.5005 ext. +39

Other Identifiers

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RS1874/23

Identifier Type: -

Identifier Source: org_study_id

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