Actively Recruiting

Phase 3
Age: 18Years +
MALE
NCT04833426

Impact of Peri-operative tEstosterone Levels on oNcological and Functional Outcomes in RadiCal prostatEctomy

Led by Canisius-Wilhelmina Hospital · Updated on 2025-05-02

140

Participants Needed

10

Research Sites

363 weeks

Total Duration

On this page

Sponsors

C

Canisius-Wilhelmina Hospital

Lead Sponsor

B

Besins Healthcare

Collaborating Sponsor

AI-Summary

What this Trial Is About

Sexual dysfunction is a common side effect of radical prostatectomy (RP) and has a significant negative impact on quality of life. With age the testosterone level in men declines; around 30% of men over 70 years of age meet the criteria of testosterone deficiency (TD). The negative impact of both TD and RP on sexual performance are likely to add up. The aim of this study is to assess the efficacy and safety of testosterone replacement therapy (TRT) on functional and oncological outcomes in testosterone deficient men following RP for prostate cancer (PCa).

CONDITIONS

Official Title

Impact of Peri-operative tEstosterone Levels on oNcological and Functional Outcomes in RadiCal prostatEctomy

Who Can Participate

Age: 18Years +
MALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Men aged 18 years or older
  • Histologically confirmed prostate cancer
  • Radical prostatectomy performed as primary treatment
  • At least one-sided nerve-sparing procedure performed
  • Non-metastatic disease (cN0M0) based on nomograms or imaging
  • Undetectable PSA level (<0.1 g/l or unmeasurable) within six weeks following RP
  • Preoperative minimal sexual function with EPIC-26 sexual function domain score of 40 or more
  • Testosterone deficiency defined as total testosterone <8 nmol/L, or 8-12 nmol/L with free testosterone <225 pmol/L on two occasions with normal or elevated LH
Not Eligible

You will not qualify if you...

  • Prior prostate cancer treatment including anti-hormonal therapy, radiotherapy, or brachytherapy (active surveillance allowed)
  • Previous use of testosterone therapy
  • Pathological stage pT3b or pT4 in RP specimen
  • Positive surgical margins with ISUP grade 4 or 5 in RP specimen
  • Metastatic lymph nodes if pelvic lymph node dissection performed
  • History of male breast cancer or liver tumor
  • Uncontrolled hypertension
  • General contraindications for TRT
  • Allergy to components of TRT agent or placebo
  • Use of vitamin K antagonists
  • Body mass index (BMI) >30 kg/m

AI-Screening

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Trial Site Locations

Total: 10 locations

1

Amsterdam UMC location VUmc

Amsterdam, Netherlands

Actively Recruiting

2

Netherlands Cancer Institute

Amsterdam, Netherlands

Actively Recruiting

3

Rijnstate

Arnhem, Netherlands

Actively Recruiting

4

Catharina Hospital

Eindhoven, Netherlands

Actively Recruiting

5

Treant

Emmen, Netherlands

Actively Recruiting

6

Zuyderland

Heerlen, Netherlands

Actively Recruiting

7

St. Antonius Hospital

Nieuwegein, Netherlands

Actively Recruiting

8

Canisius Wilhelmina Ziekenhuis

Nijmegen, Netherlands, 6532 SZ

Actively Recruiting

9

Radboud university medical center

Nijmegen, Netherlands

Actively Recruiting

10

Máxima Medical Centre

Veldhoven, Netherlands

Actively Recruiting

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Research Team

J

Joost van Drumpt, MSc

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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