Human Amnion Membrane Allograft and Early Return of Erectile Function After Radical Prostatectomy
Conditions
Prostate Cancer, Erectile Dysfunction Following Radical ProstatectomySummary
The purpose of this research study is to evaluate if placing a dehydrated human amnion chorion membrane (dHACM) over the nerves after removal of the prostate during surgery (radical prostatectomy) will allow an earlier recovery of erectile function and urinary control after surgery.
Locations
1 location Found with status Recruiting
Status
- RECRUITING
Contact Person
- Sanoj Punnen, MD, MAS
- 305-243-3246
- [email protected]
Principal Investigator
- Sanoj Punnen, MD, MAS
Eligibility Criteria
Inclusion Criteria:
1. Men aged 40 to 80 years with localized prostate cancer who are undergoing bilateral nerve-sparing RARP at the University of Miami (UM).
Exclusion Criteria:
1. Men requiring any use of pads for urinary leakage.
2. Men requiring the use of any non-oral erectile aids for erectile dysfunction (ED)
3. Men with baseline EPIC26 scores < 60.
4. Previous treatment for prostate cancer.
5. Previous history of pelvic radiation.
6. Patients with impaired decision-making capacity.
Study Plan
Membrane Arm: dHACM Group
EXPERIMENTAL
Participants will undergo standard of care robot-assisted radical prostatectomy (RARP) surgery and the dehydrated Human Amnion Chorion Membrane (dHACM) membrane placed after removal of the prostate. Participants will be in the group for approximately 12 months.
BIOLOGICAL:
BioDFence G3 Placental Tissue MembraneDescription:
The BioDFence G3 Placental Tissue Membrane is a three-layer tissue allograft consisting of amnion-chorion-amnion. Amniotic membranes will be placed over the neurovascular bundle after extirpative RARP. The membrane will be cut into two longitudinal pieces and placed over each neurovascular bundle separately.PROCEDURE:
Robot-Assisted Radical ProstatectomyDescription:
Robot-assisted surgical removal of the prostate, administered standard of care.
Control Arm: No dHACM Group
OTHER
Participants will undergo standard of care RARP surgery but will have no dehydrated Human Amnion Chorion Membrane (dHACM) placed after removal of the prostate. Participants will be in the group for approximately 12 months.
PROCEDURE:
Robot-Assisted Radical ProstatectomyDescription:
Robot-assisted surgical removal of the prostate, administered standard of care.
Outcome Measures
Primary Outcome Measures
Change in Erectile Function Recovery as Measured by EPIC26 Sexual Domain Score
Secondary Outcome Measures
Change in Erectile Function Recovery as Measured by SHIM Score
Change in Proportion of Men with Mild ED or Better as Defined by EPIC26 Sexual Domain Score
Change in Proportion of Participants with mild ED or Better as Defined by SHIM Score
Change in Proportion of Participants with Erections Adequate for Penetration u2265 50% of the time
Change in Proportion of Participants who Require the Use of More Invasive Erectile Aids
Change in Rate of Urinary Control
Change in Biochemical Failure
Number of Treatment-Related Adverse Events
Timeline
Last Updated
August 27, 2024Start Date
May 3, 2023Today
May 12, 2025Completion Date ( Estimated )
August 31, 2028
Sponsors of this trial
Lead Sponsor
University of MiamiCollaborating Sponsors
Integra LifeSciences Corporation