Impact of Intraoperative ICG on Functional Outc in RARP
Impact of Intraoperative ICG Use During Robotic-Assisted Radical Prostatectomy on Functional Outcomes
University of California, Irvine
400 participants
Jul 12, 2024
INTERVENTIONAL
Conditions
Summary
This is a pilot, 3 phases open-label feasibility study with the 3rd phase consisting of randomized 2-arm intervention trial, to assess the systematic use of indocyanine green (ICG) in subjects with prostate adenocarcinoma during robot-assisted radical prostatectomy and its impact on sexual function outcomes at 12 months postoperatively.
Eligibility
Inclusion Criteria7
- \. Subjects must be ≥18 years old and male.
- \. Histologically/pathologically confirmed localized prostate adenocarcinoma.
- \. Most recent preoperative Sexual Health Inventory for Men (SHIM) score ≥10.
- \. Subjects who are candidates for good nerve sparing preoperatively determined by the investigator by assessing imaging findings.
- \. Ability to read, write and understand and willingness to sign a written informed consent.
- \. Subjects must pass medical clearance from primary care provider and cardiologist, if applicable.
- \. Subject must be determined to be medical fit for RARP by the investigator.
Exclusion Criteria9
- \. No locally advanced or metastatic prostate adenocarcinoma.
- \. Preoperative diagnosis of erectile dysfunction with any use of invasive interventions such as intrapenile injections and intrapenile prosthesis implants. Oral interventions are acceptable and are not exclusionary.
- \. Received neoadjuvant treatment for high-risk prostate cancer or received prior focal treatment of the prostate or prior definitive radiotherapy.
- \. History of allergic reactions or hypersensitivity attributed to iodide compounds, ICG, or any component of ICG.
- \. Subjects who are preoperatively not foreseen as ideal candidates for nerve sparing interventions by the investigator.
- \. Subjects who are unable to comply with study and follow-up procedures as judged by the investigator.
- \. Subjects who are illiterate.
- \. Other serious, uncontrolled concomitant diseases that may affect protocol compliance or interpretation of outcomes, including active opportunistic infections or advanced (severe) infections, or uncontrolled diabetes.
- \. Any other disease, metabolic disorder, or abnormal finding upon physical examination or laboratory examination that makes the subject unsuitable for receiving the intervention, affects the interpretation of study outcomes, or poses risks to subject safety, as determined by the investigator.
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Interventions
Administer an IV ICG injection intraoperatively, using the optimal dosage and timing defined in the second phase of the study. Utilize the newly developed 3D vascular map for visualization of the arteries before and after prostate resection.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06446648