60 Participants Needed

Shockwave Therapy + Platelet Rich Plasma for Erectile Dysfunction

(COCKTAIL Trial)

MM
Overseen ByManuel Molina, MD

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores whether combining Shockwave Therapy (SWT) and Platelet Rich Plasma (PRP) can improve blood flow and function in men with organic erectile dysfunction (ED), a condition caused by physical factors. Researchers aim to determine if these treatments together enhance blood vessel function more effectively than when used alone. Participants will receive either the active treatments or a placebo for comparison. Men who have experienced ED for at least six months and are in a stable, heterosexual relationship may be suitable candidates for this study. As a Phase 1 trial, this research focuses on understanding the treatment's effects in people, offering participants the opportunity to be among the first to receive this innovative therapy.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications. However, if you are using certain hormone treatments or medications for psychiatric conditions, you may not be eligible to participate.

What prior data suggests that Shock Wave Therapy and Platelet Rich Plasma are safe for treating erectile dysfunction?

Research has shown that using Shock Wave Therapy (SWT) with Platelet Rich Plasma (PRP) is generally safe for treating erectile dysfunction (ED). Several studies have found no harmful effects from this treatment.

For example, one study reported no negative side effects when PRP was used with SWT. Another study confirmed the safety of these combined treatments but noted that the benefits might be difficult to observe due to the small number of participants.

In summary, early research suggests that this combination treatment is well-tolerated, with no major safety concerns reported.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about Shockwave Therapy (SWT) combined with Platelet Rich Plasma (PRP) for treating erectile dysfunction because it offers a novel approach compared to standard treatments like oral medications or injections. Most traditional treatments focus on temporarily boosting blood flow, but this combination aims to promote natural tissue repair and regeneration. SWT uses sound waves to stimulate the growth of new blood vessels, while PRP employs growth factors from the patient's own blood to enhance healing. This method could potentially provide longer-lasting improvements with fewer side effects.

What evidence suggests that this trial's treatments could be effective for erectile dysfunction?

This trial will compare the effectiveness of Shock Wave Therapy (SWT) combined with Platelet Rich Plasma (PRP) against a sham treatment. Research has shown that using SWT with PRP may help treat erectile dysfunction (ED). Studies have found that PRP improves erectile function scores more than SWT alone. Specifically, men using both treatments reported better results in their sexual health scores. PRP is considered safe for men with mild to moderate ED. Adding PRP to SWT might enhance the treatment's effectiveness, especially for those with blood flow-related ED.56789

Who Is on the Research Team?

Emad Ibrahim MD HCLD Miller School of ...

Emad Ibrahim, MD

Principal Investigator

University of Miami

Are You a Good Fit for This Trial?

Men aged 30-80 with organic erectile dysfunction (ED) for at least 6 months, in a stable heterosexual relationship, willing to have regular intercourse without alcohol/drugs influence. Must not have psychological ED causes, significant penile abnormalities or surgeries, severe psychiatric disorders, uncontrolled diabetes, abnormal testosterone levels or use certain medications.

Inclusion Criteria

Be able to provide written informed consent
I am between 30 and 80 years old.
I am male.
See 5 more

Exclusion Criteria

My testosterone levels are either below 300 ng/dL or above 1197 ng/dL.
I use injections for erectile dysfunction treatment.
I have tried ED medications without success.
See 9 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive weekly Shockwave Therapy (SWT) and Platelet Rich Plasma (PRP) for 5 weeks

5 weeks
5 visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

6 months
3 visits (in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • Platelet Rich Plasma (PRP)
  • Shock Wave therapy (SWT)
Trial Overview The study tests if Shock Wave Therapy (SWT) combined with Platelet Rich Plasma (PRP) can improve blood flow and repair blood vessel function in the penis. Participants will be randomly assigned to receive SWT + PRP, SWT alone, PRP alone or placebo treatments.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Placebo Group
Group I: SWT plus PRP GroupExperimental Treatment2 Interventions
Group II: Sham SWT plus Placebo Saline GroupPlacebo Group2 Interventions

Platelet Rich Plasma (PRP) is already approved in United States, European Union, Canada, Japan for the following indications:

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Approved in United States as Platelet-rich plasma for:
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Approved in European Union as Platelet-rich plasma for:
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Approved in Canada as Platelet-rich plasma for:
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Approved in Japan as Platelet-rich plasma for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Miami

Lead Sponsor

Trials
976
Recruited
423,000+

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Collaborator

Trials
2,513
Recruited
4,366,000+

Published Research Related to This Trial

The combination of low intensity external shock wave therapy (Li-ESWT) and platelet-rich plasma (PRP) therapy significantly improved outcomes in patients with acute Peyronie's disease, including reductions in plaque size and penile curvature, as well as enhancements in erectile function and pain scores.
This treatment was found to be safe, with no reported side effects such as ecchymosis or hematoma at the injection sites, indicating a favorable safety profile for early intervention in Peyronie's disease.
A new alternative approach to management of acute phase Peyronie's disease: low intensity extracorporeal shockwave therapy and platelet-rich plasma.Karakose, A., Yitgin, Y.[2023]

Citations

1.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/40037837/
The efficacy of platelet-rich plasma (PRP) alone or in ...PRP demonstrated a better efficacy in treating ED, especially during a follow-up period of 6 months. Compared with using Li-SWT alone, the addition of PRP ...
Full article: The efficacy of platelet-rich plasma (PRP) alone ...Subgroup analysis revealed that adding PRP regimen can considerably improve IIEF scores of ED patients compared to using Li-SWT alone (p < 0.0001). Conclusion.
Erectile dysfunction treatment by platelet-rich plasma and ...Extracorporeal shock wave therapy and the combination of platelet-rich plasma plus are effectiveness methods for correcting erectile dysfunction.
Combined Treatment of Platelet-rich Plasma (PRP) and ...Li-ESWT has been clinically shown to have a significant effect on erectile dysfunction. The purpose of this clinical study is mainly to use platelet-rich plasma ...
Is platelet rich plasma a promising treatment for erectile ...Platelet-Rich Plasma appears to be a safe and promising long-term therapeutic option for men with mild to moderate erectile dysfunction. In this ...
6.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/40263961/
Clinical Effects and Safety Outcomes of Platelet-Rich ...Studies combining PRP with low-intensity shock wave therapy showed enhanced efficacy. Conclusions: PRP therapy appears promising for ...
Clinical Effects and Safety Outcomes of Platelet-Rich ...PRP therapy led to significant short-term (after one month) improvements in erectile function, with 80% of patients recovering responsiveness to ...
P2-10 COMBINED SHOCKWAVE THERAPY AND ...Initial findings indicate that combined use of PRP and SWT is safe, yet its clinical efficacy in treating ED may be insignificant due to small sample size.
(151) Safety and Feasibility of the COCKTAIL (Combining ...The combination of PRP and SWT appears to be safe, as no adverse events were reported. Although preliminary data do not show differences between ...
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