A Randomized Clinical Trial to Assess Safety and Efficacy of Allogeneic Adipose-derived Mesenchymal Stem Cells in Promoting the Recovery of Erectile Function Post Radical Retropubic Prostatectomy of Localized Prostate Cancer
This is a phase 1/2 single center, pilot study to assess safety and efficacy of allogeneic adipose-derived mesenchymal stem cells (HB-adMSCs) and to evaluate the timing and combination effects of active treatment versus placebo in promoting the recovery of erectile function in patients undergoing radical retropubic prostatectomy (RALP) of localized prostate cancer.
• Patients scheduled for RALP with Dr. B. Miles at Houston Methodist.
• Men aged between 40 and 70 (inclusive) years old
• Localized prostate cancer: Clinical stage T1-T2, N0, M0
• Gleason score \< 7
• Pre-op IIEF-5 \>20 (Appendix A)
• Testosterone serum: \> 300ng/dl with normal Free Testosterone
• Life expectancy of at least 10 years
• Performance status of ≤ 2 (Zubrod scale). (Appendix B)
• Patients must sign an informed consent indicating that they are aware of the investigational nature of the study, in keeping with the policies of the institution
⁃ Patient is willing to attempt intercourse at least 5 times per month following urinary control after surgery
⁃ Supportive partner willing to complete sexual survey questionnaire (Appendix D)
⁃ PDE5 inhibitors like sildenafil, tadalafil, vardenafil and avanafil are permitted pre and post-surgery if participant was taking this for ED at least 6 months before surgery.
⁃ Patient need cardiac clearance by the cardiologist