REDI-CaP (Recovery of Erectile Dysfunction Induced in Prostate Cancer Patients). Innovative Management of Patients with Unfavorable Intermediate-Risk Prostate Cancer: a Special Focus on Quality of Life and Erectile Function Recovery

2025-521170-33-00 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 5 Nov 2025 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 50
Countries 1
Sites 1

Prostate Cancer

To evaluate the recovery of erectile function at six months after hormonal therapy cessation compared to baseline.

Key facts

Sponsor
IRCCS Istituto Nazionale Tumori Fondazione Pascale
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
5 Nov 2025 → ongoing
Decision date (initial)
2025-07-17
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Therapy

To evaluate the recovery of erectile function at six months after hormonal therapy cessation compared to baseline.

Secondary objectives 10

  1. Assess the time to recovery of erectile function following hormonal therapy cessation;
  2. Evaluate the correlation between dosimetric parameters and erectile function
  3. Determine biochemical progression-free survival (bPFS)
  4. Assess local control
  5. Evaluate distant metastasis-free survival (dPFS
  6. Assess the toxicity profile of radiotherapy
  7. Evaluate patient quality of life (QoL)
  8. Investigate financial toxicity
  9. Assess overall survival (OS)
  10. Signed informed consent for REDI-CaP protocol Version 1.0 dated 05.10.2024

Conditions and MedDRA coding

Prostate Cancer

VersionLevelCodeTermSystem organ class
20.0 PT 10060862 Prostate cancer 100000004864

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 11

  1. Age > 18 years
  2. Diagnosis of prostate cancer via transperineal core biopsy
  3. Classified as unfavorable intermediate-risk (T2b-2c, PSA ≤ 20 ng/mL, and Gleason score 7(4+3); ISUP grade 3)
  4. Signed consent for REDI-CaP data processing Version 1.0 dated 05.10.2024
  5. Prostate volume < 80 cc
  6. No evidence of prostate capsule invasion (documented by multiparametric MRI of the prostate)
  7. Performance status: 0-1
  8. Negative total-body CT with contrast and bone scan for metastases
  9. Negative PSMA PET for secondary lesions
  10. IIEF-5 score: > 8
  11. Patient compliance with completing periodic questionnaires and attending regular follow-ups as required by the study.

Exclusion criteria 8

  1. Have prostate cancer classified as low-risk, favorable intermediate-risk, or high-risk
  2. Exhibit erectile dysfunction at baseline (IIEF-5 score: < 8)
  3. Show positive PSMA PET results for metastases or pelvic lymph nodes
  4. Have capsular involvement documented by multiparametric prostate MRI
  5. Have contraindications to radiotherapy and/or hormone therapy
  6. Are unable to undergo MRI
  7. Cannot adhere to periodic tests and follow-ups
  8. Refuse or have contraindications to the implantation of intraprostatic fiducials

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Assessment of the International Index of Erectile Function-5 (IIEF-5) score at six months after hormonal therapy cessation, indicating recovery in at least 70% of the study population.

Secondary endpoints 9

  1. Time from hormonal therapy cessation to sexual function recovery relative to pre-treatment levels (SFRT)
  2. Correlation of erectile function recovery with dose to the penile bulb, crura, internal pudendal artery, periprostatic neurovascular bundles, and testes
  3. bPFS per Phoenix criteria (nadir + 2 ng/mL)
  4. Local control, defined as time from treatment to local recurrence or last follow-up
  5. dPFS, defined as time from treatment to distant metastases or last follow-up
  6. Acute and late urinary and rectal toxicity, measured using RTOG and IPSS scales
  7. QoL scores from questionnaires (EORTC QLQ-C30, PR25, IIEF-5)
  8. Financial toxicity assessment (PROFFIT questionnaire)
  9. OS, defined as time from treatment to death or last follow-up

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Orgovyx 120 mg film-coated tablets

PRD10359492 · Product

Active substance
Relugolix
Substance synonyms
TAK-385
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
360 mg milligram(s)
Max total dose
360 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
L02BX04 — -
Marketing authorisation
EU/1/22/1642/002
MA holder
ACCORD HEALTHCARE S.L.U.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

IRCCS Istituto Nazionale Tumori Fondazione Pascale

Sponsor organisation
IRCCS Istituto Nazionale Tumori Fondazione Pascale
Address
Via Mariano Semmola 52
City
Naples
Postcode
80131
Country
Italy

Scientific contact point

Organisation
IRCCS Istituto Nazionale Tumori Fondazione Pascale
Contact name
Rossella Di Franco

Public contact point

Organisation
IRCCS Istituto Nazionale Tumori Fondazione Pascale
Contact name
Rossella Di Franco

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Italy Ongoing, recruiting 50 1
Rest of world 0

Investigational sites

Italy

1 site · Ongoing, recruiting
IRCCS Istituto Nazionale Tumori Fondazione Pascale
Radiotherapy, Via Mariano Semmola 52, 80131, Naples

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Italy 2025-11-05 2026-02-23

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 24 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) Protocol REDICaP eng red 3
Protocol (for publication) Protocol REDICaP_en_track 3
Protocol (for publication) Protocollo REDICaP red 3
Protocol (for publication) Protocollo REDICaP ITA_track 3
Protocol (for publication) Protocollo REDICaP V 2 1 del 07 07 2025 clean RED 2.1
Protocol (for publication) Protocollo REDICaP V2 1 del 07 07 2025 TC RED 2.1
Recruitment arrangements (for publication) informedconsent_patientrecruitmentprocedure_en REDICaP 1
Subject information and informed consent form (for publication) Consenso al trattamento dei dati personali red 2
Subject information and informed consent form (for publication) Consenso al trattamento dei dati personali V2 del 9 March 2026_track red 2
Subject information and informed consent form (for publication) Consenso informato red 2
Subject information and informed consent form (for publication) Consenso informato V2 del 9 March 2026_track red 2
Subject information and informed consent form (for publication) Lett MMG REDI CaP 2
Subject information and informed consent form (for publication) Lett MMG REDI CaP V2 del 9 March 2026_track 2
Subject information and informed consent form (for publication) PROFFIT QUESTIONARIO 1
Subject information and informed consent form (for publication) Questionario EORTC PR25 Italian 1
Subject information and informed consent form (for publication) Questionario EORTC QLQ-C30 Italian 1
Subject information and informed consent form (for publication) Questionario IIEF 5 1
Subject information and informed consent form (for publication) Questionario IPSS 1
Subject information and informed consent form (for publication) REDICAP_Diario del Paziente v1 del 24 July 2025 1
Summary of Product Characteristics (SmPC) (for publication) Orgovyx II-24 1
Synopsis of the protocol (for publication) Sinossi ITA_track 3
Synopsis of the protocol (for publication) Sinossi red 3
Synopsis of the protocol (for publication) Synopsis eng red 3
Synopsis of the protocol (for publication) Synopsis_track_en 3

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-04-15 Italy Acceptable
2025-07-14
2025-07-17
2 SUBSTANTIAL MODIFICATION SM-1 2026-03-31 Italy Acceptable
2026-04-20
2026-05-13