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冲击波治疗的临床试验进展及未来对勃起功能恢复的影响

Clinical trial update on shockwave therapy and future of erectile function restoration.

机构信息

Department of Urology, University of Miami, Miami, FL, USA.

Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

出版信息

Int J Impot Res. 2019 May;31(3):206-208. doi: 10.1038/s41443-019-0115-1. Epub 2019 Jan 22.

Abstract

Our interim analysis of a phase II clinical trial on low-intensity extracorporeal shockwave therapy (Li-ESWT) for men with erectile dysfunction (ED) has demonstrated it is safe with no reported adverse outcomes. Interim analysis has demonstrated Sexual Encounter Profile 3 (ability to maintain erection till completion) was achieved in 60% of men prior to Li-ESWT, which increased to 90% after treatment. Nevertheless, limitations of our clinical trial include the lack of a sham arm and our inability to exclude men with psychogenic ED. We have begun recruitment of our phase III clinical trial that will allow assessment of treatment efficacy against a sham control arm. There exists substantial interest in the use of restorative therapies (i.e., Li-ESWT, stem cells, and platelet rich plasma) for men with ED with the potential to combine therapies to potentially lead to an augmented response.

摘要

我们对低强度体外冲击波疗法(Li-ESWT)治疗勃起功能障碍(ED)男性的 II 期临床试验的中期分析表明,该疗法安全,无不良事件报告。中期分析表明,在 Li-ESWT 治疗前,60%的男性能够达到性接触剖面图 3(维持勃起直到完成的能力),而治疗后这一比例增加到 90%。然而,我们的临床试验存在局限性,包括缺乏假手术组和我们无法排除心理性 ED 男性。我们已经开始招募我们的 III 期临床试验,这将允许评估治疗效果对假手术对照组。对于 ED 男性,使用恢复性治疗(即 Li-ESWT、干细胞和富含血小板的血浆)存在很大的兴趣,有可能将多种治疗方法结合起来,从而有可能产生增强的反应。

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