Low Intensity ShockWave Therapy for ED in Non Responders to PDE5i - a Double Blind Placebo Controlled Study (LI-ESWT)
Recruitment status was Recruiting
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Purpose
Low intensity shock waves (LISW) have been proven in animal studies to induce local growth of new blood vessels. The investigators hypothesized that LISW therapy could improve the symptoms of patients with erectile dysfunction resulting from a problem of blood supply that do not respond to oral therapy (PDE-5 inhibitors).
| Condition | Intervention | Phase |
|---|---|---|
|
Erectile Dysfunction |
Device: Extracorporeal Shockwave Therapy Generator (Vascuspec) Device: Low intensity shock wave therapy |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Clinical Randomized Double Blind Placebo Controlled Study on the Effect of Low Intensity Shock Wave Therapy for Erectile Dysfunction in a Group of Patients Not Responding to Oral Therapy |
- IIEF-ED Domain [ Time Frame: 17 weeks ] [ Designated as safety issue: No ]A change of 5 points or more will indicate success
- rigidity score [ Time Frame: 17 weeks ] [ Designated as safety issue: No ]a scale of 3 and above indicates success
| Estimated Enrollment: | 60 |
| Study Start Date: | April 2010 |
| Estimated Study Completion Date: | January 2012 |
| Estimated Primary Completion Date: | December 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Sham Comparator: placebo
We use the same probe that induces the same sensation on the penis and the same noise yet no energy
|
Device: Extracorporeal Shockwave Therapy Generator (Vascuspec)
Gel is spread around the penis and on the Shock Wave applicator and Treatment (12 sessions in total) of 300 shocks per site, on 5 penile anatomical sites.
Other Names:
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Active Comparator: Shock wave therapy
12 treatment sessions twice a week during 9 weeks with an interim of 3 weeks no treatment
|
Device: Low intensity shock wave therapy
Gel is spread around the penis and on the Shock Wave applicator and Treatment (12 sessions in total) of 300 shocks per site, on 5 penile anatomical sites.
Other Name: Low Intensity Extra Corporal Shock Wave Therapy
|
Detailed Description:
In this study Low intensity shockwaves (1/10 the ones used in Lithotripsy) are delivered directly to the penile tissue using a specially designed shockwave device and probe. Shock wave therapy is applied twice a week for three weeks , then a 3- week interval with no therapy followed by another 3 week period of twice a week shock wave therapy. Before and after sexual function questionnaires and objective measures of erectile function will be performed.
Eligibility| Ages Eligible for Study: | 20 Years to 85 Years |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- ED of more than 6 months
- Rigidity score < 3 during PDE5i therapy
- SHIM <21 during PDE5i therapy
- Non- hormonal, neurological or psychological pathology Stable heterosexual relationship for more than 3 months
Exclusion Criteria:
- Prior prostatectomy surgery
- Any unstable medical, psychiatric, spinal cord injury and penile anatomical abnormalities
- Clinically significant chronic hematological disease
- Anti-androgens, oral or injectable androgens
- Radiotherapy in pelvic region
Contacts and Locations| Contact: Yoram Vardi, Prof | ++97248542819 | yvardi@rambam.health.gov.il |
| Contact: Ilan Gruenwald, MD | ++97248542819 | i_gruenwald@rambam.health.gov.il |
| Israel | |
| Rambam Medical Center | Recruiting |
| Haifa, Israel, 31096 | |
| Contact: Yoram Vardi, Prof ++97248542819 yvardi@rambam.health.gov.il | |
| Sub-Investigator: Ilan Gruenwald, MD | |
| Sub-Investigator: Boaz Appel, MD | |
| Principal Investigator: | Yoram Vardi, prof | Rambam Health Care Campus |
More Information
No publications provided
| Responsible Party: | Prof. Yoram Vardi, Rambam Health Care Campus |
| ClinicalTrials.gov Identifier: | NCT01262157 History of Changes |
| Other Study ID Numbers: | 507-10 RMB |
| Study First Received: | July 11, 2010 |
| Last Updated: | May 18, 2011 |
| Health Authority: | Israel: Ethics Commission |
Keywords provided by Rambam Health Care Campus:
|
Erectile dysfunction PDE5 Inhibitor Low intensity shock wave therapy. |
Additional relevant MeSH terms:
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Erectile Dysfunction Sexual Dysfunction, Physiological Genital Diseases, Male |
Sexual Dysfunctions, Psychological Sexual and Gender Disorders Mental Disorders |
ClinicalTrials.gov processed this record on June 17, 2013