CClinicalTrials.gg
RecruitingNCT06822036ARISTAUpdated May 29, 2026

EFFICACY OF INTRAOPERATIVE ARISTA POLYSACCHARIDE APPLICATION ON THE POSTOPERATIVE BLOOD LOSS IN PATIENTS UNDERGOING RARP FOR THE TREATMENT OF PROSTATE CANCER

An interventional study of Arm A - Application of 5g of ARISTA™ AH in Prostate Cancer (Adenocarcinoma), Blood Loss, Postoperative and Erectile Function, sponsored by St. Antonius Hospital Gronau. Recruiting at 3 sites in Germany. Open to male participants aged 45 Years to 68 Years. Per ClinicalTrials.gov, last updated 2026-05-29.

Sponsored by St. Antonius Hospital Gronau · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Started Jan 2025; still recruiting 1 year 8 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
362
Allocation
Randomized
Ages
45 Years to 68 Years
Sex
Male
01

Study summary

We perform a multicenter randomized controlled prospective study with superiority trial design, in which the polysaccharide ARISTA™ AH hemostat agent is applied to the neurovascular bundle areas after prostate removal, during Robot-assisted radical prostatectomy.

We examine if such agent leads to a relevant clinical improvement indicated by higher postoperative hemoglobin levels compared to the control group. As an exploratory co-primary endpoint of interest, we examine erectile function after Robot-assisted radical prostatectomy based on IIEF-5 score between groups 3, 6 and 12 months after Robot-assisted radical prostatectomy

02

Conditions studied

  • Prostate Cancer (Adenocarcinoma)
  • Blood Loss, Postoperative
  • Erectile Function

Keywords

  • prostate cancer
  • blood loss
  • potency rates
  • ARISTA™ AH
03

In context

Prostatic Neoplasms

6,370 studies on the registry are indexed under Prostatic Neoplasms; 1,400 are open to participants now.

This study's planned enrollment of 362 is above the median of 58 across 4,822 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

St. Antonius Hospital Gronau is the lead sponsor of 4 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
45 Years to 68 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  • Age range ≥ 45 to ≥68 yrs
  • Biopsy proven prostate cancer treated with robotic-assisted radical prostatectomy
  • Intrafascial nerve sparing surgery (unilaterally or bilaterally)
  • Preoperative urinary continence
  • Group A Preoperative unassisted International Index of Erectile function (IIEF)-5 score range 8-16 (i.e. moderate (8-11) and mild to moderate (12-16))

Exclusion criteria

Exclusion Criteria:

  • Severe intellectual limitations preventing to fully understand the study concept and its content
  • High risk prostate cancer (PSA ≥ 20 ng/ml or biopsy Gleason-Score ≥ 8 or suspected T4)
  • Suspected bone or visceral metastases at preoperative imaging Neoadjuvant androgen deprivation therapy
  • Any prior local therapy of the prostate (including subvesical deobstruction or radiation therapy)
  • Any prior chemotherapy or colon/rectal surgery
  • Any prior pelvic trauma that required surgical intervention
  • Depression or other psychological or neurological disease (dementia, schizophrenia, bipolar disorder etc.)
  • Peyronie's disease
  • Polyneuropathia
  • IPSS Score >19 and QoL >3
  • Bilateral secondary (complete or partial) resection of the neurovascular bundle
  • No contraindications for phosphodiesterase type 5 inhibitor intake (i.e. suited for most penile rehabilitation regimes)
  • Any endocrine function disorder (not including diabetes)

SURGICAL AND PERIOPERATIVE EXLUSION CRITERIA:

  • Accessory pudendal arteries (APA) preservation, if an APA is identified
  • For a) nerve sparing and b) controlling bleeding in the area of the prostate bed and neurovascular bundles after prostate removal, no monopolar thermal application are allowed but suturing and clip application is allowed. For secondary resection of the neurovascular bundle and controlling bleeding, mono- or bipolar thermal application, clip application and suturing is allowed.
  • No surgical revision within 7d after RARP (Clavien Dindo classified complication ≥3b)
  • No definitive anastomotic partial or complete rupture (identified via cystogram within 30d after RARP)
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
362 participants (estimated)

Study arms

  • No intervention
    Arm B - no periooperative application of 5g of ARISTA™ AH

    No perioperative application of ARISTA™ AH to the prostate bed and neurovascular bundles at the end of the surgery; no other hemostyptic agent in aforementioned area; (ARISTA™ AH application outside of aforementioned areas are allowed; e.g. to the fossa obturatoria)

  • Active comparator
    Arm A - periooperative application of 5g of ARISTA™ AH

    Perioperative application of 5g of ARISTA™ AH to the prostate bed and neurovascular bundles during and at the end of the surgery to control bleeding and oozing in accordance with labelled directions; no other hemostyptic agent in aforementioned area

    Procedure: Arm A - Application of 5g of ARISTA™ AH

Interventions

  • ProcedureArm A - Application of 5g of ARISTA™ AH

    Perioperative application of 5g of ARISTA™ AH to the prostate bed and neurovascular bundles during and at the end of the surgery to control bleeding and oozing in accordance with labelled directions; no other hemostyptic agent in aforementioned area

06

What researchers measure

Primary outcomes

  1. postoperative blood loss

    In theory, the experimental treatment should not have any improvement in ΔHgB between day 5-6 day and preoperative hemoglobin levels

    Time frame: improvement in ΔHgB between day 5-6 day and preoperative hemoglobin levels

  2. comparison between groups A and B concerning the unassisted IIEF-5 score between groups

    A difference of the median IIEF-5 score of minimally four points between groups is considered as clinically relevant. Based on these considerations, 84 patients per treatment arm are required (including an assumed dropout rate of 33% or less). As it is possible that the effect of nerve stabilization of ARISTA™ AH may differ according to the preoperative potency status, two groups of patients will be analyzed:

    Time frame: 3, 6 and 12 months after RARP

07

Study locations

3 of 3 sites recruiting
  • Martini Klinik am UKE GmbH
    Hamburg, Free and Hanseatic City of Hamburg 20246, Germany
    Recruiting
  • St. Antonius-Hospital Gronau GmbH, Klinik für Urologie, Urologische Onkologie und Roboter-assistierte Chirurgie
    Gronau, North Rhine-Westphalia 48599, Germany
    Recruiting
  • Klinik und Poliklinik für Urologie des Universitätsklinikums Leipzig
    Leipzig, Saxony 04103, Germany
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 29, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06822036
Lead sponsor
St. Antonius Hospital Gronau
Collaborators
Becton, Dickinson and Company, University of Leipzig, Universitätsklinikum Hamburg-Eppendorf
Responsible party
Sponsor
First posted
Feb 12, 2025
Start date
Jan 16, 2025
Primary completion
Jan 30, 2027 (estimated)
Completion
Jan 30, 2027 (estimated)
Last update
May 29, 2026

Study contacts

Sami-Ramzi Leyh-Bannurah, PD. Dr.
Contact
sami-ramzi.leyh-bannurah@uke.de
+49741051305
Sami-Ramzi Leyh-Bannurah, PD
principal investigator · Klinik für Urologie, Urologische Onkologie und Roboter-assistierte Chirurgie

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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