Testosterone for Penile Rehab After Radical Prostatectomy
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Purpose
The purpose of this study is to determine the effectiveness of testosterone replacement therapy (TRT) in men following surgery to remove the prostate in improving erectile function. Subjects will be randomized (like flipping a coin) to one of two groups. One group will receive Testim® (testosterone gel) 5 g per day plus Viagra 25 mg every night and the other will receive Placebo-Testim® 5 g per day plus Viagra 25 mg every night.
Subjects will begin drug treatment 3 months after the initial screening visit and will take study drug for 3 months only. Participation will end at the end of the 6-month visit.
| Condition | Intervention | Phase |
|---|---|---|
|
Low Testosterone Levels Erectile Dysfunction |
Drug: Testim® + Viagra® Drug: Placebo Testim® + Viagra® |
Phase 0 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single Blind (Subject) Primary Purpose: Treatment |
| Official Title: | Efficacy of Testosterone Replacement Therapy in Penile Rehabilitation Following Radical Prostatectomy (#: 04-07-30-01) |
- The primary outcome of the study is to evaluate efficacy of testosterone replacement therapy (TRT) in men following radical prostatectomy in improving erectile function using the change in SHIM score at 6 months after initial screening visit. [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- The secondary outcome measure includes the change in the IIEF, ADAM and EPIC scores 6 months after the initial screening visit. [ Time Frame: 6 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 24 |
| Study Start Date: | November 2007 |
| Estimated Study Completion Date: | November 2013 |
| Estimated Primary Completion Date: | November 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: 1
Testim® gel (50 mg of testosterone)once daily + Viagra® 25 mg tablet every night
|
Drug: Testim® + Viagra®
Testim® 5 g of gel (one tube) containing 50 mg of testosterone once daily and Viagra® 25 mg tablet daily at night
Other Names:
|
|
Placebo Comparator: 2
Placebo Testim® gel (50 mg of testosterone) once daily + Viagra® 25 mg tablet every night
|
Drug: Placebo Testim® + Viagra®
Placebo Testim® 5 g of gel (one tube) containing 50 mg of testosterone once daily and Viagra® 25mg every night Viagra® = 25 mg tablet daily at night Other Name: Viagra® is the brand name for sildenafil citrate.
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Males, 18 years of age or older, with low testosterone levels.
- Must have undergone a bilateral nerve sparing radical prostatectomy.
- Nadir PSA values should be less than 0.01 ng/ml on two consecutive occasions separated by 4 weeks at the start of treatment.
- Must give informed consent.
- Must be willing to complete follow-up visits.
Exclusion Criteria:
- Testosterone level greater than 300 ng/ dl
- Hemoglobin level greater than 18 ng/dl.
- Positive surgical margins or evidence of residual prostate cancer after surgery.
- Clinically suspected advanced disease or actual evidence of metastatic prostate cancer.
- Primary Gleason Grade greater than 3 or secondary Gleason Grade greater than 4 in the final pathologic specimen will be excluded.
- Taking nitrates or with contraindications to the use of Viagra or androgen therapy will be excluded.
- Known hypersensitivity to any component of the tablet will be excluded.
Contacts and Locations| Contact: Sharon Harrison | 713-798-2240 | sharons@bcm.edu |
| United States, Texas | |
| Baylor College of Medicine | Recruiting |
| Houston, Texas, United States, 77030 | |
| Sub-Investigator: Larry I. Lipshultz, MD | |
| Principal Investigator: | Mohit Khera, MD | Baylor College of Medicine |
More Information
Publications:
| Responsible Party: | Mohit Khera, Assistant Professor, Baylor College of Medicine |
| ClinicalTrials.gov Identifier: | NCT00848497 History of Changes |
| Other Study ID Numbers: | H-21148 |
| Study First Received: | February 19, 2009 |
| Last Updated: | October 24, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Baylor College of Medicine:
|
hormone replacement therapy radical prostatectomy erectile dysfunctions scheduled for removal of prostate gland |
Additional relevant MeSH terms:
|
Erectile Dysfunction Sexual Dysfunction, Physiological Genital Diseases, Male Sexual Dysfunctions, Psychological Sexual and Gender Disorders Mental Disorders Testosterone Testosterone enanthate Testosterone undecanoate Testosterone 17 beta-cypionate Methyltestosterone Sildenafil Androgens Hormones |
Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs Pharmacologic Actions Antineoplastic Agents, Hormonal Antineoplastic Agents Therapeutic Uses Anabolic Agents Vasodilator Agents Cardiovascular Agents Phosphodiesterase 5 Inhibitors Phosphodiesterase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on June 17, 2013