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Erectile DysfunctionsNCT06600893

Sham-Controlled Prospective Study Characterizing Erectile Tissue Ultrasound Changes Resulting From Penile LiSWT

A study testing Low intensity shockwave therapy (LiSWT) in people with Erectile Dysfunctions, run by San Diego Sexual Medicine at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary goal of this single blind, prospective sham-controlled clinical trial is to assess safety and efficacy of low intensity shockwave therapy (LiSWT) to improve erectile function in men 21-80 years of age with erectile dysfunction naive to radial ballistic acoustic wave and LiSWT. Read more about this study

Who is it for?
Ages 21 to 80 years, men only
Conditions the study is for
Erectile Dysfunctions
What is being tested?
Low intensity shockwave therapy (LiSWT)
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
35 participants
Where
1 siteUnited States
Study dates
5 Aug 2019to 7 Apr 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 to 80 years
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject provides written informed consent and HIPAA authorization before any study procedures are conducted;
  • Subject is male;
  • Subject is aged 21-80 years;
  • Subject is in a relationship with a female partner for at least 3 months;
  • Subject has a body mass index (BMI) \< 37 kg/m2;
  • Subject has erectile dysfunction;
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  • Subject has testosterone ≥ 300;
  • Subject has a prostate specific antigen (PSA) \< 4.0;
  • Subject is willing to attempt sexual activity at least 4 times during the screening period and 4 weeks before each follow-up visit;
  • Subject is willing to stop all erectile function aids (e.g. prescription and non-prescription medications, injections, vacuum erection devices, constriction ring) during the screening period and 4 weeks before each follow-up visit;
  • Subject agrees to comply with the study procedures and visits.

Who cannot join

  • Subject has been treated with acoustic wave previously;
  • Subject has a pacemaker or implanted defibrillator;
  • Subject has clinically significant findings on physical examination;
  • Subject has sciatica or severe back pain;
  • Subject has uncontrolled hypertension;
  • Subject has uncontrolled hypogonadism;
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  • Subject is unwilling to maintain testosterone replacement therapy if currently using testosterone to treat hypogonadism;
  • Subject scores ≥ 26 on the IIEF;
  • Subject has homogenous corpora cavernosa on grey scale ultrasound;
  • Subject has any chronic medical condition or psychologic disorder that the Principal Investigator feels makes him ineligible for the study;
  • Subject has lesions or active infections on the penis or perineum;
  • Subject is unwilling to remove piercings from the genital region;
  • Subject has a history of substance abuse within 12 months prior, or consuming \> 14 alcoholic drinks per week;
  • Subject has received an investigational drug within 30 days prior to signing consent;
  • Subject has received platelet rich plasma (PRP) within 3 months of signing consent;
  • Subject has received stem cell within 6 months of signing consent;
  • Subject has any condition or exhibits behavior that indicates to the Principal Investigator that the Subject is unlikely to be compliant with study procedures and visits.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • San Diego Sexual Medicine

    San Diego, California, 92120

Other trials in United States

About this study

Official title: A Single-Blind, Sham-Controlled, Randomized, Prospective Study Characterizing Erectile Tissue Ultrasound Changes Resulting From Low Intensity Penile Shockwave Treatment With Urogold 100™

The primary goal of this single blind, prospective sham-controlled clinical trial is to assess safety and efficacy of low intensity shockwave therapy (LiSWT) to improve erectile function in men 21-80 years of age with erectile dysfunction naive to radial ballistic acoustic wave and LiSWT. The main questions it aims to answer are:

  • Does homogeneity/inhomogeneity of corporal cavernosal tissue improve using Grayscale ultrasound (GUS) when comparing sham to active treatment groups?
  • Do peak systolic velocity (PSV) and end diastolic velocity (EDV) improve using color duplex Doppler ultrasound when comparing sham to active treatment groups?
  • Do the International Index of Erectile Function (IIEF), its erectile function domain (IIEF-EF) and question 3 of the Sexual Encounter Profile (SEP) improve comparing sham to active treatment groups?
Read the detailed description

This is a single site sham-controlled clinical trial to be conducted at San Diego Sexual Medicine in San Diego, California. Subjects meeting inclusion and exclusion criteria will be randomized to one of two arms, each 2:1 active to sham, treated in 3-week cycles. Arm 1 consists of 5000 shocks the first week and two weeks off for each of three treatment cycles. Arm 2 is made up of 5000 shocks the first week and 3000 active shocks the second and third weeks followed by three weeks without treatment, and then 5000, 3000 and 3000 shocks again over the next three weeks. Each of these is followed by the first follow-up visit at 20 weeks after the first treatment, when GUS and DUS is repeated and validated instruments completed, at which time treatment will be unblinded. SEP diaries will be completed during sexual activity in the screening period and during the 4 weeks prior to the follow up visit. Those subjects assigned to sham will be crossed over to the opposite arm for active treatment (arm 1 sham goes to arm 2 open label and arm 2 sham to arm 1 open label) and begin active treatment with decreased intervals between shocks and therefore decreased number of shocks needed, with 3500 rather than 5000 shocks and 2000 rather than 3000 shocks at a lower frequency at that visit after completing the follow up procedures. Subjects assigned initially to the active arm will have a second follow up 32 weeks after the first treatment, and complete SEP diaries during the 4 weeks preceding this visit. GUS and DUS is performed and validated instruments completed at the last follow up.

Being tested
Low intensity shockwave therapy (LiSWT), Sham
Keywords
low intensity shockwave therapy, erectile dysfunction, grayscale ultrasound, duplex Doppler ultrasound, erectile tissue homogeneity/inhomogeneity
Medical subject headings
Erectile Dysfunction

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Low intensity shockwave therapy (LiSWT)Device

    Also called SoftWave TRT/UroGold 100MTS, Parabolic applicator OP 155

    The Urogold100™ uses electrohydraulic technology to generate low intensity shockwave energies in ranges of 0.1 - 0.18 mJ/mm2 (using 0.9 - 0.12 mJ/mm2 in this study) associated with biologic activities of stimulation of mechanosensors, activation of neo-angiogenesis processes, recruitment and activation of stem cell progenitor cells, improvement of microcirculation, nerve regeneration, remodeling of erectile tissue with increase in the muscle/collagen ratio and reducing inflammatory and cellular stress responses. The device uses the parabolic applicator OP 155 that generates a plasma-driven detonation resulting in a shockwave with a broad and widely-stretched 5 megapascal therapeutic volume. Due to the absence of a concentrated focus, a 14 mm wide shockwave is delivered to the erectile tissue with up to 30 mm penetration. LiSWT is delivered to Active Arms 1 and 2 per protocol. After unblinding at the first follow up visit, participants in Sham Arms 1 and 2 receive active LiSWT treatment

  • ShamDevice

    With the Urogold 100 turned on and with the participant wearing headphones and blinded by a pulled curtain the applicator is applied in a similar manner to when it is active treatment and the sound of shockwave playing in a blue tooth speaker the participant believes he is receiving active treatment but zero energy is delivered.

Study groups in NCT06600893
Study groupRoleWhat they receive
Sham Arm 1-Simulated Low Intensity Shockwave TherapySham comparatorUsing the shockwave device, 5000 simulated low intensity shockwave therapy delivered week 0, week 3, week 6
Receives: Device: Sham
Active Arm 1- Low Intensity Shockwave TherapyExperimentalUsing the shockwave device, 5000 low intensity shockwave therapy delivered week 0, week 3, week 6
Receives: Device: Low intensity shockwave therapy (LiSWT)
Sham Arm 2 - Simulated Low Intensity Shockwave TherapySham comparatorUsing the shockwave device, 5000 simulated low intensity shockwave therapy delivered week 0, 3000 week 1, 3000 week 3, 5000 week 6, 3000 week 7, 3000 week 8
Receives: Device: Sham
Active Arm 2 - Low Intensity Shockwave TherapyExperimentalUsing the shockwave device, 5000 low intensity shockwave therapy delivered week 0, 3000 week 1, 3000 week 3, 5000 week 6, 3000 week 7, 3000 week 8
Receives: Device: Low intensity shockwave therapy (LiSWT)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Grayscale ultrasound (GUS)

    Changes from low intensity shockwave treatment using Grayscale ultrasound to assess erectile tissue homogeneity of the corpora cavernosa comparing sham and active treatment groups

    Measured: Baseline to follow up visit 1 at week 20, and follow up visit 2 at week 32 for those assigned initially to the active arm and week 40 to those initially assigned to sham

  2. Duplex Doppler ultrasound (DUS)

    Changes from low intensity shockwave treatment in peak systolic velocity (PSV) and end diastolic velocity (EDV) using color duplex Doppler ultrasound comparing sham and active treatment groups

    Measured: Baseline to follow up visit 1 at week 20, and follow up visit 2 at week 32 for those assigned initially to the active arm and week 40 to those initially assigned to sham

Secondary outcomes (3)
  1. International Index of Erectile Function (IIEF)

    Changes in IIEF, a validated patient reported outcome instrument used to assess sexual function will be compared from baseline to both follow up visit. This has a 4 week recall.

    Measured: Baseline to follow up visit 1 at week 20, and follow up visit 2 at week 32 for those assigned initially to the active arm and week 40 to those initially assigned to sham

  2. IIEF Erectile Function Domain (IIEF-EF)

    Changes in the erectile function domain, IIEF-EF, used specifically to assess erectile function, will be compared from baseline to both follow up visit. This is a 4 week recall.

    Measured: Baseline to follow up visit 1 at week 20, and follow up visit 2 at week 32 for those assigned initially to the active arm and week 40 to those initially assigned to sham

  3. Sexual Encounter Profile (SEP)

    The SEP diary is a standard assessment completed by a participant after each attempt at sexual activity.

    Measured: Completed over the 4 week screening period, and during the 4 weeks prior to each follow up

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Sep 2024
  2. Study start5 Aug 2019
  3. Primary completion22 Jun 2022
  4. Study completion7 Apr 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Model description
Sham group crosses over to active treatment while active group does a second follow up assessment without additional treatment intervention
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
35 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06600893
Sponsor's protocol ID
SDSM-2019-02.1
Status last verified
Sep 2024
First submitted
14 Sep 2024
Last updated
19 Sep 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No: The research is from a small medical practice without the manpower, financial or technical support from a larger institution or industry to enter data into a data repository.

Publications

  • Kitrey ND, Vardi Y, Appel B, Shechter A, Massarwi O, Abu-Ghanem Y, Gruenwald I. Low Intensity Shock Wave Treatment for Erectile Dysfunction-How Long Does the Effect Last? J Urol. 2018 Jul;200(1):167-170. doi: 10.1016/j.juro.2018.02.070. Epub 2018 Mar 1.

    PubMed 29477719
  • Kalyvianakis D, Hatzichristou D. Low-Intensity Shockwave Therapy Improves Hemodynamic Parameters in Patients With Vasculogenic Erectile Dysfunction: A Triplex Ultrasonography-Based Sham-Controlled Trial. J Sex Med. 2017 Jul;14(7):891-897. doi: 10.1016/j.jsxm.2017.05.012.

    PubMed 28673433
  • Kalyvianakis D, Memmos E, Mykoniatis I, Kapoteli P, Memmos D, Hatzichristou D. Low-Intensity Shockwave Therapy for Erectile Dysfunction: A Randomized Clinical Trial Comparing 2 Treatment Protocols and the Impact of Repeating Treatment. J Sex Med. 2018 Mar;15(3):334-345. doi: 10.1016/j.jsxm.2018.01.003. Epub 2018 Feb 1.

    PubMed 29396020
  • Sokolakis I, Hatzichristodoulou G. Clinical studies on low intensity extracorporeal shockwave therapy for erectile dysfunction: a systematic review and meta-analysis of randomised controlled trials. Int J Impot Res. 2019 May;31(3):177-194. doi: 10.1038/s41443-019-0117-z. Epub 2019 Jan 21.

    PubMed 30664671
  • Sokolakis I, Dimitriadis F, Teo P, Hatzichristodoulou G, Hatzichristou D, Giuliano F. The Basic Science Behind Low-Intensity Extracorporeal Shockwave Therapy for Erectile Dysfunction: A Systematic Scoping Review of Pre-Clinical Studies. J Sex Med. 2019 Feb;16(2):168-194. doi: 10.1016/j.jsxm.2018.12.016.

    PubMed 30770067
  • Rizk PJ, Krieger JR, Kohn TP, Pastuszak AW. Low-Intensity Shockwave Therapy for Erectile Dysfunction. Sex Med Rev. 2018 Oct;6(4):624-630. doi: 10.1016/j.sxmr.2018.01.002. Epub 2018 Mar 22.

    PubMed 29576441
  • Ruffo A, Capece M, Prezioso D, Romeo G, Illiano E, Romis L, Di Lauro G, Iacono F. Safety and efficacy of low intensity shockwave (LISW) treatment in patients with erectile dysfunction. Int Braz J Urol. 2015 Sep-Oct;41(5):967-74. doi: 10.1590/S1677-5538.IBJU.2014.0386.

    PubMed 26689523
  • Goldstein SW, Kim NN, Goldstein I. Randomized trial of low intensity shockwave therapy for erectile dysfunction utilizing grayscale ultrasound for analysis of erectile tissue homogeneity/inhomogeneity. Transl Androl Urol. 2024 Oct 31;13(10):2246-2267. doi: 10.21037/tau-24-338. Epub 2024 Oct 28.

    PubMed 39507857

Questions about this trial

What is this clinical trial studying?

A study testing Low intensity shockwave therapy (LiSWT) in people with Erectile Dysfunctions, run by San Diego Sexual Medicine at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 11 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 19 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Grayscale ultrasound (GUS) (time frame: Baseline to follow up visit 1 at week 20, and follow up visit 2 at week 32 for those assigned initially to the active arm and week 40 to those initially assigned to sham). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06600893, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Sep 2024.

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