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Procedure

Surgical Approaches for Prostate Cancer (PARTIAL Trial)

N/A
Recruiting
Led By Jim C Hu, MD, MPH
Research Sponsored by Weill Medical College of Cornell University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Scheduled for radical prostatectomy for clinically localized prostate cancer
Male sex
Must not have
Prior major pelvic surgery or radiotherapy
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline, 1 month, 6 months, 12 months, and 24 months post-surgery
Awards & highlights
No Placebo-Only Group

Summary

This trial compares a new type of prostate cancer surgery to the standard one. The new surgery aims to avoid cutting important tissues and nerves, which might help reduce side effects like urinary problems and sexual dysfunction. The study will see if this new method controls cancer just as well while improving quality of life.

Who is the study for?
This trial is for men aged 40-80 who are scheduled for prostate cancer surgery, can understand English or Spanish, and agree to follow the study rules. It's not for those with advanced lymph node involvement or a history of major pelvic surgery/radiotherapy.
What is being tested?
The study compares two types of prostate cancer surgeries: standard robot-assisted radical prostatectomy (RP) and a nerve-sparing version called PFS-RP. The goal is to see if PFS-RP offers better urinary function and sexual health without compromising cancer control.
What are the potential side effects?
Potential side effects from both surgeries may include changes in urinary function, sexual health issues like erectile dysfunction, penile shortening/deformity, and possibly an increased risk of developing inguinal hernia.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am scheduled for surgery to remove my prostate due to cancer.
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I am male.
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I am between 40 and 80 years old.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I have had major surgery or radiation treatment in my pelvic area.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline, 1 month, 6 months, 12 months, and 24 months post-surgery
This trial's timeline: 3 weeks for screening, Varies for treatment, and baseline, 1 month, 6 months, 12 months, and 24 months post-surgery for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Biochemical Recurrence as assessed by Prostate Specific Antigen (PSA)
Surgical Margin Status as assessed by surgical pathology results
Secondary study objectives
Change in Patient-Reported Penile Shortening and Sexual Function, as measured by a 5-item questionnaire
Change in Urinary and Sexual Function, as measured by the Expanded Prostate Cancer Index Composite for Clinical Practice (EPIC-CP)
Change in patient-Reported Penile Curvature/Deformity (Peyronie's Disease), as measured by a 3-item questionnaire
+2 more

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: Pelvic fascia-sparing robot-assisted radical prostatectomy (PFS-RP)Experimental Treatment1 Intervention
A novel, posterior approach to radical prostatectomy that preserves the dorsal vascular complex, nerves and fascial support structures that overlie the anterior prostate. These structures are disrupted and removed during conventional radical prostatectomy.
Group II: Robot-assisted radical prostatectomy (RP)Active Control1 Intervention
The conventional robotic-assisted radical prostatectomy is the gold standard approach to prostate cancer surgery.

Research Highlights

Information in this section is not a recommendation. We encourage patients to speak with their healthcare team when evaluating any treatment decision.
Mechanism Of Action
Side Effect Profile
Prior Approvals
Other Research
The most common treatments for prostate cancer include surgical techniques like radical prostatectomy, radiation therapy, and androgen deprivation therapy (ADT). Radical prostatectomy, including the pelvic fascia-sparing approach, involves the surgical removal of the prostate gland and aims to achieve cancer control while preserving urinary and sexual function by sparing surrounding tissues. This matters for patients as it can potentially reduce complications such as urinary incontinence and erectile dysfunction. Radiation therapy uses high-energy rays to target and kill cancer cells, while ADT reduces testosterone levels to slow the growth of cancer. Each treatment has distinct mechanisms and side effects, and the choice depends on the cancer's stage and the patient's overall health and preferences.
Prostate Leiomyosarcoma: A Rare Misleading Tumor.Extraperitoneal laparo-endoscopic single-site radical prostatectomy: first experience.Critical appraisal of outcomes following open radical prostatectomy.

Find a Location

Who is running the clinical trial?

Weill Medical College of Cornell UniversityLead Sponsor
1,082 Previous Clinical Trials
1,137,599 Total Patients Enrolled
48 Trials studying Prostate Cancer
33,997 Patients Enrolled for Prostate Cancer
National Institutes of Health (NIH)NIH
2,810 Previous Clinical Trials
8,159,033 Total Patients Enrolled
26 Trials studying Prostate Cancer
5,595 Patients Enrolled for Prostate Cancer
National Cancer Institute (NCI)NIH
13,906 Previous Clinical Trials
41,016,199 Total Patients Enrolled
515 Trials studying Prostate Cancer
336,814 Patients Enrolled for Prostate Cancer

Media Library

Pelvic fascia-sparing robot-assisted radical prostatectomy (PFS-RP) (Procedure) Clinical Trial Eligibility Overview. Trial Name: NCT05155501 — N/A
Prostate Cancer Research Study Groups: Pelvic fascia-sparing robot-assisted radical prostatectomy (PFS-RP), Robot-assisted radical prostatectomy (RP)
Prostate Cancer Clinical Trial 2023: Pelvic fascia-sparing robot-assisted radical prostatectomy (PFS-RP) Highlights & Side Effects. Trial Name: NCT05155501 — N/A
Pelvic fascia-sparing robot-assisted radical prostatectomy (PFS-RP) (Procedure) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05155501 — N/A
~357 spots leftby Dec 2026