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Prostate CancerPhase 2ERECTNCT00737893

Erythropoietin to Enhance Recovery of Erectile Function in Men Following Radical Prostatectomy

A Phase 2 study testing Erythropoietin (EPO) in people with Prostate Cancer and Erectile Dysfunction, run by Johns Hopkins University at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This research study aims to explore the effectiveness of human erythropoietin versus placebo in promoting the recovery of erectile function in patients undergoing bilateral nerve-sparing radical retropubic prostatectomy for clinically localized prostate cancer. Read more about this study

Who is it for?
Ages 40 to 65 years, men only
Conditions the study is for
Prostate Cancer, Erectile Dysfunction
What is being tested?
Erythropoietin (EPO)
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
56 participants
Where
1 siteUnited States
Study dates
1 Jul 2017to 31 Dec 2019
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 to 65 years
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient eligibility consists of men 40 to 65 years of age
  • Localized prostate cancer
  • clinical stage T2a or lower
  • Gleason grade of 3+4 or 3+3
  • prostate specific antigen (PSA) < 10
  • Scheduled to undergo curative prostatectomy applying bilateral nerve-sparing procedure, with intact pre-surgical erectile function
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  • International Index of Erectile Function-5 (IIEF-5) score of 22-25.
  • The patient has a sexual partner, of at least 6 months.
  • The patient's pre-surgical hematocrit is ≤ 48.
  • The patient is willing to attempt intercourse at least 5 times per month following recovery from surgery.

Who cannot join

  • The patient has known penile deformity or a history of Peyronie's disease.
  • The patient has planned pre or post operative androgen therapy.
  • The patient has planned pre or post operative radiation therapy.
  • The patient is on anticoagulation therapy.
  • The patient has a history of sickle cell anemia.
  • The patient has a history of high or low blood pressure that is not controlled.
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  • The patient is taking medications called "nitrates"
  • The patient has a history of heart problems such as angina, heart failure, irregular heartbeats, or myocardial infarction
  • The patient has a history of history of drug or alcohol abuse.
  • The patient currently smokes or has a 20 pack/year history of cigarette smoking.
  • The patient has a history of acute or chronic depression
  • The patient has a history liver problems, or kidney problems.
  • The patient has a history of retinitis pigmentosa or severe vision loss, including a condition called NAION, Nonarteritic Anterior Ischemic Optic Neuropathy.
  • The patient has a history of spinal trauma or surgery to the brain or spinal cord.
  • The patient has contraindications to the use of phosphodiesterase type 5 (PDE 5) inhibitors.
  • Patient is currently participating in another clinical investigation that would serve as a contraindication to administering erythropoietin.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Johns Hopkins Hospital

    Baltimore, Maryland, 21287

Other trials in United States

About this study

Official title: Erythropoietin to Enhance Recovery of Erectile Function in Men Following Radical Prostatectomy: a Prospective Randomized Controlled Trial (ERECT)

This research study aims to explore the effectiveness of human erythropoietin versus placebo in promoting the recovery of erectile function in patients undergoing bilateral nerve-sparing radical retropubic prostatectomy for clinically localized prostate cancer.

Pre-clinical studies have shown erythropoietin potently promoted recovery of erectile function in rats and humans have similar receptors on penile tissues and the periprostatic neurovascular bundles. A clinical non-randomized study conducted in men undergoing radical prostatectomy demonstrated a benefit to recovery of erectile function.

Therefore, the hypothesis is that erythropoietin offers nerve protection in men undergoing nerve-sparing radical prostatectomy and results in a reduced degree of erectile dysfunction and also an improved rate of erection recovery following surgery.

Read the detailed description

This study will evaluate the effectiveness of erythropoietin versus placebo in the recovery of erectile function in patients undergoing bilateral nerve-sparing radical prostatectomy for prostate cancer.

Recent laboratory findings in rat models and on human urogenital tissues suggest that erythropoietin may play a role in protection of the cavernous nerves during surgery. Some degree of nerve trauma occurs during bilateral nerve-sparing radical prostatectomy, but for most it is temporary. Erythropoietin will be studied as an investigational drug for enhancement of erectile function postoperatively in a prospective, randomized study. Erythropoietin has been used in many men undergoing open radical prostatectomy in the past according to FDA indications for preparation for noncardiac, nonvascular surgery with a high risk of blood loss. Evidence also suggests it is safe with no demonstration of increased risk of venous thromboembolism (blood clots) or cardiac events for men with prostate cancer undergoing radical prostatectomy.

The length of the study is 12 months and involves receiving a dose of study drug or placebo on the day before surgery, the day of surgery, and the day following surgery. The dose is given by subcutaneous injection. The study will also require the completion of questionnaires which will be completed online every three months until study completion (at 3, 6, 9, and 12 months) to assess outcomes.

Being tested
Placebo, Erythropoietin (EPO)
Keywords
Erythropoietin, Radical Prostatectomy, Erectile Dysfunction, Prostate Cancer
Medical subject headings
Prostatic Neoplasms, Erectile Dysfunction

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PlaceboDrug

    Saline injection (solution prepared by research pharmacy) subcutaneously given the day before surgery, day of surgery, and the day after surgery.

  • Erythropoietin (EPO)Drug

    Erythropoietin (EPO)-induced Protein 29, Human; 20,000 units subcutaneously given the day before surgery, day of surgery, and the day after surgery.

Study groups in NCT00737893
Study groupRoleWhat they receive
Erythropoietin (EPO)Experimental20,000 units of EPO given on the day before surgery, the day of surgery, and the day after surgery.
Receives: Drug: Erythropoietin (EPO)
PlaceboPlacebo comparatorPlacebo doses given the day before surgery, the day of surgery, and the day after surgery.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Erectile Function as Assessed by the International Index of Erectile Function (IIEF) Questionnaire Erectile Function Domain

    Survey measuring erectile function using the IIEF (erectile function domain only) with overall score ranging from 0 to 30 where higher scores represent better erectile function.

    Measured: At 6 months post-surgery

Secondary outcomes (21)
  1. Erectile Function as Assessed by the IIEF Questionnaire Erectile Function Domain

    Survey measuring erectile function using the IIEF (erectile function domain only) with overall score ranging from 0 to 30 where higher scores represent better erectile function.

    Measured: At 3 months post-surgery

  2. Erectile Function as Assessed by the IIEF Questionnaire Erectile Function Domain

    Survey measuring erectile function using the IIEF (erectile function domain only) with overall score ranging from 0 to 30 where higher scores represent better erectile function.

    Measured: At 9 months post-surgery

  3. Erectile Function as Assessed by the IIEF Questionnaire Erectile Function Domain

    Survey measuring erectile function using the IIEF (erectile function domain only) with overall score ranging from 0 to 30 where higher scores represent better erectile function.

    Measured: At 12 months post-surgery

  4. Patient Score on the Overall IIEF Questionnaire

    Survey measuring erectile function using the IIEF (overall questionnaire) with overall score ranging from 0 to 75 where higher scores represent better erectile function.

    Measured: At 3 months post-surgery

  5. Patient Score on the Overall IIEF Questionnaire

    Survey measuring erectile function using the IIEF (overall questionnaire) with overall score ranging from 0 to 75 where higher scores represent better erectile function.

    Measured: At 6 months post-surgery

  6. Patient Score on the Overall IIEF Questionnaire

    Survey measuring erectile function using the IIEF (overall questionnaire) with overall score ranging from 0 to 75 where higher scores represent better erectile function.

    Measured: At 9 months post-surgery

  7. Patient Score on the Overall IIEF Questionnaire

    Survey measuring erectile function using the IIEF (overall questionnaire) with overall score ranging from 0 to 75 where higher scores represent better erectile function.

    Measured: At 12 months post-surgery

  8. Patient Score on Health-related Quality of Life Questionnaires (SF-12 MCS)

    Mental health composite score (MCS) component of the 12-Item Short Form Survey Instrument (SF-12) measured on a normalized scale with mean 50 and standard deviation 10 in the United States population. Higher scores represent a higher level of mental health.

    Measured: At 3 months post-surgery

  9. Patient Score on Health-related Quality of Life Questionnaires (SF-12 MCS)

    Mental health composite score (MCS) component of the 12-Item Short Form Survey Instrument (SF-12) measured on a normalized scale with mean 50 and standard deviation 10 in the United States population. Higher scores represent a higher level of mental health.

    Measured: At 6 months post-surgery

  10. Patient Score on Health-related Quality of Life Questionnaires (SF-12 MCS)

    Mental health composite score (MCS) component of the 12-Item Short Form Survey Instrument (SF-12) measured on a normalized scale with mean 50 and standard deviation 10 in the United States population. Higher scores represent a higher level of mental health.

    Measured: At 9 months post-surgery

  11. Patient Score on Health-related Quality of Life Questionnaires (SF-12 MCS)

    Mental health composite score (MCS) component of the 12-Item Short Form Survey Instrument (SF-12) measured on a normalized scale with mean 50 and standard deviation 10 in the United States population. Higher scores represent a higher level of mental health.

    Measured: At 12 months post-surgery

  12. Patient Score on the Expanded Prostate Cancer Index Composite (EPIC) Sexual Domain

    Sexual health domain score of the EPIC survey measuring health-related quality of life with higher scores representing better sexual function on a scale of 0 to 100.

    Measured: At 3 months post-surgery

  13. Patient Score on the Expanded Prostate Cancer Index Composite (EPIC) Sexual Domain

    Sexual health domain score of the EPIC survey measuring health-related quality of life with higher scores representing better sexual function on a scale of 0 to 100.

    Measured: At 6 months post-surgery

  14. Patient Score on the Expanded Prostate Cancer Index Composite (EPIC) Sexual Domain

    Sexual health domain score of the EPIC survey measuring health-related quality of life with higher scores representing better sexual function on a scale of 0 to 100.

    Measured: At 9 months post-surgery

  15. Patient Score on the Expanded Prostate Cancer Index Composite (EPIC) Sexual Domain

    Sexual health domain score of the EPIC survey measuring health-related quality of life with higher scores representing better sexual function on a scale of 0 to 100.

    Measured: At 12 months post-surgery

  16. Patient Score on the Quality of Erection Questionnaire (QEQ)

    Survey measuring quality of erections using the QEQ with an overall score range of 0 to 100 where higher scores represent better erection quality.

    Measured: At 3 months post-surgery

  17. Patient Score on the Quality of Erection Questionnaire (QEQ)

    Survey measuring quality of erections using the QEQ with an overall score range of 0 to 100 where higher scores represent better erection quality.

    Measured: At 6 months post-surgery

  18. Patient Score on the Quality of Erection Questionnaire (QEQ)

    Survey measuring quality of erections using the QEQ with an overall score range of 0 to 100 where higher scores represent better erection quality.

    Measured: At 9 months post-surgery

  19. Patient Score on the Quality of Erection Questionnaire (QEQ)

    Survey measuring quality of erections using the QEQ with an overall score range of 0 to 100 where higher scores represent better erection quality.

    Measured: At 12 months post-surgery

  20. Hemoglobin Level at 2 Weeks After Surgery

    Hemoglobin level at 2 weeks after surgery in grams per deciliter (g/dl).

    Measured: 2 weeks after surgery

  21. Number of Participants Requiring Transfusion During Hospitalization

    Assess the number of participants requiring transfusion during hospitalization.

    Measured: During hospital stay, up to 1 week

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Aug 2008 (estimated)
  2. Study start1 Jul 2017
  3. Primary completion31 Dec 2019
  4. Study completion31 Dec 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
56 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00737893
Sponsor's protocol ID
IRB00048594
Other IDs
ERECT, EPO
Acronym
ERECT
Status last verified
Jul 2020
First submitted
19 Aug 2008
Last updated
8 Apr 2021
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Patel HD, Allaf ME. Erythropoietin to Enhance Recovery of Erectile Function in Men Following Radical Prostatectomy: The ERECT Trial. Eur Urol Focus. 2019 Jul;5(4):698-699. doi: 10.1016/j.euf.2018.01.002. Epub 2018 Jan 17.

    PubMed 29373284
  • Allaf ME, Hoke A, Burnett AL. Erythropoietin promotes the recovery of erectile function following cavernous nerve injury. J Urol. 2005 Nov;174(5):2060-4. doi: 10.1097/01.ju.0000176808.94610.dd.

    PubMed 16217394
  • Liu T, Allaf ME, Lagoda G, Burnett AL. Erythropoietin receptor expression in the human urogenital tract: immunolocalization in the prostate, neurovascular bundle and penis. BJU Int. 2007 Nov;100(5):1103-6. doi: 10.1111/j.1464-410X.2007.07194.x. Epub 2007 Sep 14.

    PubMed 17868418
  • Burnett AL, Allaf ME, Bivalacqua TJ. Erythropoietin promotes erection recovery after nerve-sparing radical retropubic prostatectomy: a retrospective analysis. J Sex Med. 2008 Oct;5(10):2392-8. doi: 10.1111/j.1743-6109.2008.00980.x. Epub 2008 Sep 5.

    PubMed 18778310
  • Patel HD, Schwen ZR, Campbell JD, Gorin MA, Partin AW, Burnett AL, Allaf ME. Effect of Erythropoietin on Erectile Function after Radical Prostatectomy: The ERECT Randomized Clinical Trial. J Urol. 2021 Jun;205(6):1681-1688. doi: 10.1097/JU.0000000000001586. Epub 2021 Feb 3.

    PubMed 33530745

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Erythropoietin (EPO) in people with Prostate Cancer and Erectile Dysfunction, run by Johns Hopkins University at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 8 Apr 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 13 Aug 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Erectile Function as Assessed by the International Index of Erectile Function (IIEF) Questionnaire Erectile Function Domain (time frame: At 6 months post-surgery). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00737893, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Apr 2021; AzTrials last refreshed its copy on 8 Nov 2026.

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