To determine efficacy, safety and tolerabiltiy of topically applied BZ371A in patients that experienced RP, in combination with daily tadalafil compared to placebo.
Prostate cancer remains one of the most prevalent cancer in men. For its treatment, recent technological advances demonstrate that the most effective treatment is the Radical Prostatectomy (RP) procedure. However, although curative for Prostate Cancer, can result in damage to the cavernosal nerves. The cavernosal autonomic nerves travel posterolaterally to the prostate to enter the penis and regulate blood flow and hence erection. Thus, damage caused by RP will affect NO tissue release and blood flow regulation, causing erectile dysfunction. BZ371A has the ability to restore local blood flow regulation by a new and innovative mechanism of action and, therefore, has potential to be a supportive therapy for RP patients (restoring the erectile function). Thus, this study aims to evaluate efficacy, safety and tolerabilty of BZ371A on the recovery of erectile function of patients that were underwent Radical Prostatectomy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
72
Daily oral administration of tadalafil 5mg
Topical application of 1.5 mL of BZ371A in a concentration of 5mg/mL
Oral administration of a placebo pill
Hospital Urológica
Belo Horizonte, Brazil
RECRUITINGChange in Assisted Erectile Function
Measurement of the ability to to have an erection that allows sexual intercourse, under use of medication. This will be assessed by using the IIEF questionnaire, domain A (erectile function section) (IIEF-EF).
Time frame: From up to 30 days before Baseline, Baseline, 30 days, 60 days
Change in successful vaginal intercourse rate
Rate of successful vaginal intercourse will be assessed through question 3 of the SEP (Sexual Encouter Profile) questionnaire.
Time frame: From up to 30 days before Baseline, Baseline, 30 days, 60 days
Change in quality of sexual intercourse
Quality of sexual intercourse, through the EDITS questionnaire (Erectile Dysfunction Inventory of Treatment Satisfaction);
Time frame: 30 days, 60 days
Change in penile extension
Penile extension, measured with a ruler.
Time frame: Baseline, 30 days, 60 days
Penile Blood flow increase
Increased blood flow, assessed by peak systolic velocity (PSV), end-diastolic velocity (EDV) and resistivity index (RI) assessed by Doppler examination;
Time frame: From up to 30 days before Baseline, Baseline, 30 days, 60 days
Adverse effects report
Adverse effects evaluation of compound use and application
Time frame: Baseline 30 days, 60 days and 75 days
Physical examination of the applied region
Number of participants with abnormal physical exam findings in the applied region
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Topical application of 1.5 mL of placebo
Time frame: From up to 30 days before Baseline, Baseline, 30 days, 60 days and 75 days
Change in SBP
Change in Systolic Blood Pressure
Time frame: From up to 30 days before Baseline, Baseline, 30 days, 60 days and 75 days
Change in DBP
Change in Diastolic Blood Pressure
Time frame: From up to 30 days before Baseline, Baseline, 30 days, 60 days and 75 days
Change in Heart Rate (HR)
Change in Heart Rate
Time frame: From up to 30 days before Baseline, Baseline, 30 days, 60 days and 75 days
Basal chest electrocardiogram (ECG).
Number of participants with abnormal ECG test results
Time frame: From up to 30 days before Baseline, 30 days and 60 days
Blood evaluation
Number of participants with abnormal laboratory test results
Time frame: From up to 30 days before Baseline, and 60 days
Urine evaluation
Number of participants with abnormal laboratory test results
Time frame: From up to 30 days before Baseline, and 60 days