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NCT01383018: PROPPER

PROPPER Prospective Registry of Outcomes With Penile Prosthesis

Completed Results posted Last updated 12 February 2021
What this trial tests

trial testing AMS Penile Prosthesis Devices in Erectile Dysfunction in 1,457 participants. Completed in 25 July 2018.

Timeline
13 June 2011
Primary endpoint
30 November 2017
25 July 2018

Quick facts

Lead sponsorBoston Scientific Corporation
StatusCompleted
Study typeOBSERVATIONAL
Enrollment1,457
Start date13 June 2011
Primary completion30 November 2017
Estimated completion25 July 2018
Sites11 locations across Canada, United States

Drugs / interventions tested

Conditions studied

Sponsor

Boston Scientific Corporation — full company profile →

Who can join

18 and older, male only, with Erectile Dysfunction or Impotence. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Penile Prosthesis Overall Subject Satisfaction Primary · 1 year, post-implantation

Penile prosthesis overall subject satisfaction (effectiveness objective 1) measured using a non-validated, standard question, evaluated overall and by penile prosthesis.

GroupValue95% CI
All AMS Penile Prosthesis Recipients - Total Reponses34
AMS 70034
AMS Ambicor0
Spectra0
All AMS Penile Prosthesis Recipients - Total Reponses37
AMS 70035
AMS Ambicor2
Spectra0
All AMS Penile Prosthesis Recipients - Total Reponses71
AMS 70068
AMS Ambicor2
Spectra1
All AMS Penile Prosthesis Recipients - Total Reponses297
AMS 700286
AMS Ambicor5
Spectra6
Number of Participants With Penile Prosthesis That Are Using the Device Primary · 1 year, post implantation

Number of subjects using penile prosthesis at 1 year (effectiveness objective 1) measured using a non-validated, standard question, evaluated overall and by penile prosthesis.

GroupValue95% CI
All AMS Penile Prosthesis Recipients - Total Reponses984
AMS 700956
AMS Ambicor18
Spectra10
Number of Participants With Penile Prosthesis That Are Using the Device Indicating How Often Their Use is. Primary · 1 year, post implantation

Penile prosthesis use at year (effectiveness objective 1) measured using a non-validated, standard question, evaluated overall and by penile prosthesis.

GroupValue95% CI
All AMS Penile Prosthesis Recipients - Total Reponses58
AMS 70056
AMS Ambicor1
Spectra1
All AMS Penile Prosthesis Recipients - Total Reponses837
AMS 700811
AMS Ambicor17
Spectra9
Number of Times Per Month Participants With Penile Prosthesis Are Using the Device. Primary · 1 year, post implantation

Penile prosthesis use at 1 year measured in number of times per month (effectiveness objective 1) measured using a non-validated, standard question, evaluated overall and by penile prosthesis.

GroupValue95% CI
All AMS Penile Prosthesis Recipients - Total Reponses6.3± 5.5
AMS 7006.3± 5.6
AMS Ambicor5.4± 3.3
Spectra5.2± 4.3
Number of Participants With Penile Prosthesis That Were Not Using the Device, Reasons for Non-use Primary · 1 year, post implantation

Penile prosthesis reasons for non-use at 1 year (effectiveness objective 1) measured using a non-validated, standard question, evaluated overall and by penile prosthesis.

GroupValue95% CI
All AMS Penile Prosthesis Recipients - Total Reponses8
AMS 7007
AMS Ambicor1
Spectra0
All AMS Penile Prosthesis Recipients - Total Reponses9
AMS 7008
AMS Ambicor1
Spectra0
All AMS Penile Prosthesis Recipients - Total Reponses8
AMS 7008
AMS Ambicor0
Spectra0
All AMS Penile Prosthesis Recipients - Total Reponses17
AMS 70017
AMS Ambicor0
Spectra0
Number of Participants With Penile Prosthesis Using the Device But Not as Often as Desired Primary · 1 year, post implantation

Number of penile prosthesis subjects using the device but indicated that they were not using as often as desired (effectiveness objective 1) measured using a non-validated, standard question, evaluated overall and by penile prosthesis.

GroupValue95% CI
All AMS Penile Prosthesis Recipients - Total Reponses109
AMS 70096
AMS Ambicor9
Spectra4
Number of Participants With Penile Prosthesis That Are Using the Device Less Than Desired or Dissatisfied - Reason Device Used Less Than Desired or Dissatisfied Primary · 1 year, post implantation

Reason why subject is using penile prosthesis less than desired or dissatisfied (effectiveness objective 1) measured using a non-validated, standard question, evaluated overall and by penile prosthesis.

GroupValue95% CI
All AMS Penile Prosthesis Recipients - Total Reponses4
AMS 7004
AMS Ambicor0
Spectra0
All AMS Penile Prosthesis Recipients - Total Reponses9
AMS 7008
AMS Ambicor0
Spectra1
All AMS Penile Prosthesis Recipients - Total Reponses6
AMS 7005
AMS Ambicor1
Spectra0
All AMS Penile Prosthesis Recipients - Total Reponses14
AMS 70014
AMS Ambicor0
Spectra0
Subject Reported 5-question International Index of Erectile Function (IIEF-5) Total Score, Baseline Through Five Years Secondary · Baseline through 5 years

Penile prosthesis International Index of Erectile Function (IIEF-5) score (effectiveness objective 2) measured using a validated, multi-dimensional, self-administered questionnaire. Overall responses are reported. A higher score demonstrates an improvement in erectile function while a lower score indicates a loss of erectile function. The 5-question International Index of Erectile Function (IIEF-5) Questionnaire is a validated, multi-dimensional, self-administered investigation that has been found useful in the clinical assessment of erectile dysfunction and treatment outcomes in clinical tria

Baseline
GroupValue95% CI
All AMS Penile Prosthesis Recipients - Total Reponses6.4± 5.2
1 year
GroupValue95% CI
All AMS Penile Prosthesis Recipients - Total Reponses20.6± 6.4
2 year
GroupValue95% CI
All AMS Penile Prosthesis Recipients - Total Reponses20.4± 6.6
3 year
GroupValue95% CI
All AMS Penile Prosthesis Recipients - Total Reponses21.2± 6.1
4 year
GroupValue95% CI
All AMS Penile Prosthesis Recipients - Total Reponses20.6± 6.8
5 year
GroupValue95% CI
All AMS Penile Prosthesis Recipients - Total Reponses21.2± 6.2
Erection Hardness Scale Over Five Years Secondary · Baseline through 5 years

The Erection Hardness Scale (EHS), an easy-to-use, four-point scale for erectile dysfunction, provides a reliable measure of erection hardness and an indicator of other health and wellbeing outcomes, according to new data reported at the European Association of Urology. EHS rates the hardness of erection on a scale of zero to four, with four being the maximal score. A higher score indicates a harder penis while a lower score indicates greater dysfunction.

Baseline
GroupValue95% CI
All AMS Penile Prosthesis Recipients - Total Reponses1.0± 1.1
1 year
GroupValue95% CI
All AMS Penile Prosthesis Recipients - Total Reponses3.4± 1.0
2 year
GroupValue95% CI
All AMS Penile Prosthesis Recipients - Total Reponses3.5± 1.0
3 year
GroupValue95% CI
All AMS Penile Prosthesis Recipients - Total Reponses3.5± 0.9
4 year
GroupValue95% CI
All AMS Penile Prosthesis Recipients - Total Reponses3.5± 1.0
5 year
GroupValue95% CI
All AMS Penile Prosthesis Recipients - Total Reponses3.5± 0.9
American Urology Association - Symptom Index Over Five Years Secondary · Baseline through 5 years

The AUA-SI contains seven symptoms questions which include feeling of incomplete bladder emptying, frequency, intermittency, urgency, weak stream, straining and nocturia, each referring to during the last month, and each involving assignment of a score from 0 to 5 for a total score of maximum 35 points from "non-missing" items. The lower score means a better quality of life.

Baseline
GroupValue95% CI
All AMS Penile Prosthesis Recipients - Total Reponses9.0± 6.9
1 year
GroupValue95% CI
All AMS Penile Prosthesis Recipients - Total Reponses7.9± 6.6
2 year
GroupValue95% CI
All AMS Penile Prosthesis Recipients - Total Reponses8.8± 7.0
3 year
GroupValue95% CI
All AMS Penile Prosthesis Recipients - Total Reponses8.2± 6.5
4 year
GroupValue95% CI
All AMS Penile Prosthesis Recipients - Total Reponses8.1± 6.3
5 year
GroupValue95% CI
All AMS Penile Prosthesis Recipients - Total Reponses8.1± 5.7
UCLA Prostate Cancer Index Over Five Years Secondary · Baseline through 5 years

The University of California Los Angeles-Prostate Cancer Index -UCLA-PCI is a validated, twenty question questionnaire to asses impact of treatment for early stage prostate cancer on quality of life. The UCLA-PCI is analyzed in six sections, Sexual Function and Sexual Bother, Urinary Function and Urinary Bother, and Bowel Function and Bowel Bother. This is to measure not just the impact on function but also the quality of life impact. The UCLA PCI domain is scored on a scale of 0-100 points with higher values representing better outcomes.

Baseline
GroupValue95% CI
UCLA-PCI Sexual Function21.5± 16.9
UCLA-PCI Urinary Function79.9± 24.3
UCLA-PCI Bowel Function85.0± 15.5
UCLA-PCI Sexual Bother10.8± 22.8
UCLA-PCI Urinary Bother76.7± 31.6
UCLA-PCI Bowel Bother85.5± 24.1
1 year
GroupValue95% CI
UCLA-PCI Sexual Function70.9± 20.9
UCLA-PCI Urinary Function82.6± 20.9
UCLA-PCI Bowel Function88.4± 14.3
UCLA-PCI Sexual Bother77.3± 32.7
UCLA-PCI Urinary Bother81.1± 26.6
UCLA-PCI Bowel Bother87.3± 22.3
2 year
GroupValue95% CI
UCLA-PCI Sexual Function70.0± 21.6
UCLA-PCI Urinary Function83.4± 20.8
UCLA-PCI Bowel Function87.8± 15.9
UCLA-PCI Sexual Bother77.9± 33.2
UCLA-PCI Urinary Bother80.5± 27.3
UCLA-PCI Bowel Bother86.5± 23.5
3 year
GroupValue95% CI
UCLA-PCI Sexual Function71.7± 20.8
UCLA-PCI Urinary Function83.8± 21.2
UCLA-PCI Bowel Function87.5± 17.1
UCLA-PCI Sexual Bother78.8± 32.2
UCLA-PCI Urinary Bother79.0± 28.3
UCLA-PCI Bowel Bother86.8± 23.7
4 year
GroupValue95% CI
UCLA-PCI Sexual Function70.3± 22.2
UCLA-PCI Urinary Function86.0± 19.6
UCLA-PCI Bowel Function87.8± 17.3
UCLA-PCI Sexual Bother80.7± 31.9
UCLA-PCI Urinary Bother79.9± 27.3
UCLA-PCI Bowel Bother86.6± 24.3
5 year
GroupValue95% CI
UCLA-PCI Sexual Function71.2± 21.3
UCLA-PCI Urinary Function85.9± 21.5
UCLA-PCI Bowel Function86.7± 19.3
UCLA-PCI Sexual Bother83.1± 29.4
UCLA-PCI Urinary Bother80.5± 28.3
UCLA-PCI Bowel Bother84.8± 26.0

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were collected for all subjects who had the study device implanted through optional 5 year follow-up.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

AMS Penile Prosthesis Receipients
Serious: 36/1380 (3%)
Deaths: 44/1380

Serious adverse events (23 terms)

ReactionSystemAMS Penile Prosthesis Rece…
Device InfectionInfections and infestations
ErosionInjury, poisoning and procedural complications
Reservoir HerniationInjury, poisoning and procedural complications
AbscessInfections and infestations
HematomaInjury, poisoning and procedural complications
Urinary RetentionRenal and urinary disorders
Pain/DiscomfortInjury, poisoning and procedural complications
Cardiac Event - Non-specificVascular disorders
CellulitisInfections and infestations
Cylinder CrossoverInjury, poisoning and procedural complications
Device Cylinder Aneruysm/BulgeProduct Issues
Edema - ScrotalSkin and subcutaneous tissue disorders
ExtrusionInjury, poisoning and procedural complications
Pain/Discomfort - PenileGeneral disorders
Perforation - OtherInjury, poisoning and procedural complications
Peyronie's DiseaseReproductive system and breast disorders
Proximal Corporal PerforationInjury, poisoning and procedural complications
Pulmonary EmbolusVascular disorders
Urethral ObstructionProduct Issues
Would DehiscenceSkin and subcutaneous tissue disorders
Other - Substernal Chest PainCardiac disorders
Pain/DiscomfortGeneral disorders
Other - Decreased Oxygen SaturationRespiratory, thoracic and mediastinal disorders
Other adverse events (58 terms — click to expand)

ReactionSystemAMS Penile Prosthesis Rece…
Device InfectionInfections and infestations
ErosionInjury, poisoning and procedural complications
Reservoir HerniationInjury, poisoning and procedural complications
Superficial Wound InfectionInfections and infestations
Urinary RetentionInjury, poisoning and procedural complications
Device Cylinder Aneurysm/BulgeProduct Issues
Urethral TraumaInjury, poisoning and procedural complications
Urinary RetentionRenal and urinary disorders
Pain/DiscomfortGeneral disorders
ExtrusionInjury, poisoning and procedural complications
MalpositionProduct Issues
HematomaInjury, poisoning and procedural complications
Pain/Discomfort - TesticularProduct Issues
HematomaInjury, poisoning and procedural complications
Migration (pump)General disorders
Pain/Discomfort - GroinGeneral disorders
PriapismReproductive system and breast disorders
Adhesion of the Pump/ScrotumSkin and subcutaneous tissue disorders
Allergic reaction/Hypersensitivity ReactionImmune system disorders
Auto InflationProduct Issues
Bladder Neck ObstructionRenal and urinary disorders
CellulitisInfections and infestations
Device Placement FailureInjury, poisoning and procedural complications
Edema - PenileSkin and subcutaneous tissue disorders
FeverInvestigations
FibrosisProduct Issues
Fibrous Capsule FormationInjury, poisoning and procedural complications
HematospermiaReproductive system and breast disorders
HematuriaRenal and urinary disorders
Incorrect Size - Cylinders too LargeProduct Issues
Increased Blood LossVascular disorders
Inguinal Hernia FormationMusculoskeletal and connective tissue disorders
Pain/Discomfort - OtherGeneral disorders
Pain/Discomfort - PenileGeneral disorders
Pain/Discomfort With ErectionsGeneral disorders
Patient DissatisfactionGeneral disorders
Perforation - OtherInjury, poisoning and procedural complications
Peyronie's DiseaseReproductive system and breast disorders
Proximal Corporal PerforationInjury, poisoning and procedural complications
Urinary Tract Infection - UTIInfections and infestations

Most-reported serious reactions: Device Infection, Erosion, Reservoir Herniation, Abscess, Hematoma, Urinary Retention, Pain/Discomfort, Cardiac Event - Non-specific.

Data from ClinicalTrials.gov NCT01383018 adverse events section.

Sponsor's own description

The purpose of this observational registry is to collect and better understand "real-world" outcomes for men undergoing penile implant surgery to treat erectile dysfunction.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. 2018 Canadian Urological Association guideline for Peyronie's disease and congenital penile curvature.
    Bella AJ, Lee JC, Grober ED, Carrier S, et al · · 2018 · cited 44× · PMID 29792593 · DOI 10.5489/cuaj.5255
  2. Inflatable penile prosthesis implant length with baseline characteristic correlations: preliminary analysis of the PROPPER study.
    Bennett N, Henry G, Karpman E, Brant W, et al · · 2017 · cited 5× · PMID 29354506 · DOI 10.21037/tau.2017.12.01
  3. 2014 CUA Abstracts
    Mason R, Tanguay S, Liu Z, Kapoor A, et al · · 2014
  4. 2013 NS-AUA Abstracts
    Brawer M, Cuzick J, Cooperberg M, Swanson G, et al · · 2013

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01383018.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing