Actively Recruiting

Phase Not Applicable
Age: 18Years - 75Years
MALE
ID06238713

Extraperitoneal Single-port Robotic-assisted Radical Prostatectomy Versus Transperitoneal Multi-port RARP in Localized Prostate Cancer Treatment

Led by Shanghai Changzheng Hospital · Updated on 2024-08-05

480

Participants Needed

1

Research Sites

26 weeks

Total Duration

On this page

Sponsors

S

Shanghai Changzheng Hospital

Lead Sponsor

S

Shanghai Zhongshan Hospital

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are conducting a multicenter, randomized clinical trial to compare two types of robotic-assisted radical prostatectomy (RARP) for treating localized prostate cancer. The study aims to determine if single-port extraperitoneal VIP RARP is not worse than the multi-port transperitoneal RARP in terms of functional recovery and other important outcomes. This trial involves 480 male patients aged 18 to 75 with organ-localized prostate cancer and specific diagnostic criteria. Participants are randomly assigned to one of two groups: one receiving single-port extraperitoneal robotic-assisted radical prostatectomy using Vattikuti Institute Prostatectomy (VIP) techniques, and the other undergoing multi-port transperitoneal robotic-assisted radical prostatectomy with bilateral intrafascial nerve-sparing techniques. Both groups will be monitored for perioperative data and followed up for one year after surgery. During the study, researchers will assess outcomes such as potency recovery rate at 3 months and up to 1 year, continence recovery rate, PSA levels, complication scores during hospitalization, operative time, blood loss, number of additional ports used, and length of hospital stay. Follow-up evaluations occur at 1, 3, 6, and 12 months postoperatively to track recovery and safety. Participants will complete questionnaires in Chinese and cooperate with all study follow-ups and examinations.

CONDITIONS

Brief Title

Extraperitoneal SINgle-port rObotic-assisted Radical Prostatectomy (RARP) Versus Transperitoneal Multi-port RARP in the Treatment Of Prostate Cancer (SINO-TOP)

Who Can Participate

Age: 18Years - 75Years
MALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Men aged 18 to 75 years
  • Diagnosis of organ-localized prostate cancer with clinical stage T1c to T2b, N0M0 within 6 months
  • Gleason Score less than 8
  • PSA level below 20 ng/ml
  • Pathologic diagnosis of prostate follicular adenocarcinoma or prostate ductal adenocarcinoma
  • Healthy sexual function before surgery and intention for sexual activity after surgery
  • Physiological condition suitable for laparoscopic surgery
  • Willingness to cooperate and complete study follow-up and examinations
  • Ability to complete questionnaires in Chinese
  • Voluntary participation with signed informed consent
  • Patient has been informed about the trial
Not Eligible

You will not qualify if you...

  • High-risk or non-organ localized prostate cancer (clinical stage T2c or higher, Gleason Score 8 or above, PSA over 20 ng/ml)
  • Special types of prostate cancer such as neuroendocrine
  • History of abdominal surgery or radiotherapy affecting incision or port placement
  • Recent surgery near rectum, perianal abscess, fistula, or perineal area
  • Previous electro-prostatectomy or prostate enucleation
  • Less than 12 months of follow-up for non-recurrent patients
  • ECOG performance status greater than 1
  • Combination with other systemic tumors
  • Prior antitumor therapy before surgery
  • Poor general condition including severe mental disorders, cardiovascular disease, active infections, recent bone marrow transplant, or significant organ dysfunction
  • Participation in other clinical studies or gene therapy within the last 3 months
  • Other conditions that may affect study results or are unethical

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Surgery and Immediate Post-operative Care

Duration - Up to 7 days

Participants undergo either single-port extraperitoneal or multi-port transperitoneal robotic-assisted radical prostatectomy. They receive perioperative care including hospitalization lasting up to 7 days.

Hospitalization during this period

Post-operative Follow-up

Duration - 1 year

Participants are monitored for recovery of continence and potency, PSA levels, and safety outcomes after surgery.

Visits at 1, 3, 6, and 12 months postoperatively

Trial Site Locations

Total: 1 location

1

Changzheng hospital

Shanghai, Shanghai Municipality, China, 201109

Actively Recruiting

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Research Team

S

Shancheng Ren, MD/PhD

Y

Yi fan Chang

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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