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CompletedNCT01325506PROSTQA-RP2Updated Nov 6, 2024

Effectiveness of Open and Robotic Prostatectomy

An observational study in Prostate Cancer, sponsored by Beth Israel Deaconess Medical Center. Completed at 9 sites in United States. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-11-06.

Sponsored by Beth Israel Deaconess Medical Center · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
677
Ages
18 Years and older
Sex
Male
01

Study summary

Prostate cancer is the most common cancer in American men. Surgical removal of the entire prostate (prostatectomy) is one option among the various ways to treat prostate cancer. The use of robot assistance for prostatectomy has become common place, but its effectiveness has not been compared to standard open prostatectomy in trials carried out at more than one medical institution in which participants are identified and followed forward in time. Robot assisted and standard open prostatectomy health related quality of life (HRQOL) outcomes have not been compared in a prospective, multi-centered study. Prostatectomy can have side effects that can change with time. This research study seeks to determine how common and how long-lasting such side effects are; to find out what features of individual men's cancers and what features of the treatments affect those side effects. This study also seeks to identify factors that affect the quality of prostate cancer care by looking at how satisfied men are with their prostate cancer care. Through these findings, this study aims to allow treatment side effects to be anticipated more accurately for individual patients, and to provide a means for determining the quality of prostate care.

Read the detailed description

The investigators will follow your prostate cancer treatment outcomes and health related quality of life following prostatectomy by asking you direct questions, collect information from medical records and phone interviews.

Information about your prostate cancer treatment, and related health concerns, and information regarding the cost of care, may also be collected from your medical record, other medical center sources, and your primary care provider (PCP). Clinical information will be collected: prior to beginning treatment (prostatectomy); 6 month, 12 months, 18 months, and 24 months after your prostatectomy; once a year thereafter for possibly up to 12 years.

You will be asked to take part in six telephone interviews regarding quality of life, possible therapy side effects, and satisfaction with prostate cancer therapy. Each phone interview should last 15-25 minutes. All questions are voluntary. The phone interviews will be conducted: prior to beginning treatment (prostatectomy); 2 months, 6 months, 12 months, 18 months, and 24 months after prostatectomy; 10 additional phone interviews may be conducted (once a year thereafter, for possibly up to 12 years).

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Conditions studied

  • Prostate Cancer

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Keywords

  • Prostatectomy
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In context

Prostatic Neoplasms

6,370 studies on the registry are indexed under Prostatic Neoplasms; 1,399 are open to participants now.

This study's enrollment of 677 is above the median of 200 across 1,181 observational studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

Beth Israel Deaconess Medical Center is the lead sponsor of 560 studies on the registry; 80 are open to participants now.

Of its 75 completed or terminated interventional studies of FDA-regulated products, 61 (81%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Subjects with localized prostate cancer who have elected to undergo a robot assisted laparoscopic prostatectomy or an open prostatectomy from participating clinical sites

Inclusion criteria

  • Early stage prostate cancer (AJCC [2002] clinical stage \< or = T2NXMX; T stage is based on rectal exam findings alone).
  • Gleason score based on local pathology within 12 months of registration. (Patients with an original diagnosis of prostate cancer proceeding 12 months are also eligible but pathology confirmation of cancer within 12 months of registration is required.)
  • Serum PSA test result from within 12 months of registration
  • Able to participate in baseline and follow-up phone interviews conducted in English
  • Scheduled to undergo Open Radical Prostatectomy or Robotic Assisted Laparoscopic Prostatectomy

Exclusion criteria

Exclusion Criteria:

  • Previous definitive primary prostate cancer therapy (prostatectomy, external radiation, brachytherapy, cryotherapy, or other interventions)
  • Previous radiation therapy to the pelvis
  • Previous major reconstructive or extirpative pelvic surgery (including but not limited to abdominal-perineal resection, or penile implant)
  • Previous androgen suppression therapy (LHrH agonist or antagonist), anti-androgen therapy (Casodex, Flutamide, or Nilandron), or estrogen therapy (DES or PC-SPEZ). (Prior or current finasteride or dutasteride therapy is allowed)
  • Known urethral stricture
  • Urostomy or colostomy
  • Chronic urinary catheterization
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
677 participants (actual)

Groups and cohorts

  • Prostatectomy subjects

    Other: Questionnaire

Interventions

  • OtherQuestionnaire

    Questionnaire, telephone interviews, and clinical follow-up

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What researchers measure

Primary outcomes

  1. To compare clinical outcomes between robot assisted laparoscopic prostatectomy (RALP) and open retropubic prostatectomy (ORP).

    Outcomes include: acute clinical morbidity (thromboembolic events, bleeding requiring transfusion, surgical infection, other events requiring intervention within 30 days of prostatectomy) and satisfaction with overall treatment outcome; cancer control (surgical margins, PSA recurrence-free survival, requirement of salvage or adjuvant treatment).

    Time frame: Eligible participants will initially be followed for 2 years with the possibility for up to 12 years.

  2. To compare patient-reported outcomes between robot assisted laparoscopic prostatectomy (RALP) and open retropubic prostatectomy (ORP).

    Outcomes include: patient-reported outcomes (urinary incontinence, erectile dysfunction) and satisfaction with overall treatment outcome.

    Time frame: Eligible participants will initially be followed for 2 years with the possibility for up to 12 years.

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Study locations

9 sites
  • University of California, San Francisco
    San Francisco, California 94143, United States
  • Emory Healthcare
    Atlanta, Georgia 30322, United States
  • Johns Hopkins
    Baltimore, Maryland 21287, United States
  • Brigham and Women's Hospital
    Boston, Massachusetts 02115, United States
  • Beth Israel Deaconess Medical Center
    Boston, Massachusetts 02215, United States
  • University of Michigan
    Ann Arbor, Michigan 48109, United States
  • Washington University Medical Center St. Louis
    Saint Louis, Missouri 63110, United States
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
  • Vanderbilt University
    Nashville, Tennessee 37232, United States
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References and documents

Publications

  • Chang P, Wagner AA, Regan MM, Smith JA, Saigal CS, Litwin MS, Hu JC, Cooperberg MR, Carroll PR, Klein EA, Kibel AS, Andriole GL, Han M, Partin AW, Wood DP, Crociani CM, Greenfield TK, Patil D, Hembroff LA, Davis K, Stork L, Spratt DE, Wei JT, Sanda MG; PROST-QA/RP2 Consortium. Prospective Multicenter Comparison of Open and Robotic Radical Prostatectomy: The PROST-QA/RP2 Consortium. J Urol. 2022 Jan;207(1):127-136. doi: 10.1097/JU.0000000000002176. Epub 2021 Aug 26. PubMed 34433304 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 6, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01325506
Lead sponsor
Beth Israel Deaconess Medical Center
Collaborators
Brigham and Women's Hospital, The Cleveland Clinic, Johns Hopkins University, University of California, San Francisco, University of Michigan, Vanderbilt University, Washington University School of Medicine, Emory University, Dana-Farber Cancer Institute
Responsible party
Peter Chang (Principal Investigator, Beth Israel Deaconess Medical Center) — Principal investigator
First posted
Mar 29, 2011
Start date
Sep 2010
Primary completion
Oct 2024
Completion
Oct 2024
Last update
Nov 6, 2024

Study contacts

Martin Sanda, MD
principal investigator · Emory Healthcare
Peter Chang, MD, MPH
principal investigator · Beth Israel Deaconess Medical Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2024. You cannot join it, but the record below documents what was studied.

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