REZŪM vs. Dual Drug Therapy for symptomatisk benign prostatahyperplasi hos seksuelt aktive mænd (VAPEUR)
Vanddamptermoterapi vs. kombinationsfarmakoterapi til symptomatisk benign prostatahyperplasi, der er modstandsdygtig over for alfablokker monoterapi hos seksuelt aktive mænd: Et randomiseret kontrolleret multicenterforsøg
The study objective is to compare water vapor thermotherapy with the REZŪM™ System to dual drug therapy for the treatment of symptomatic benign prostatic hyperplasia refractory to alpha-blocker monotherapy in sexually active men.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
STUDY OBJECTIVE - To compare water vapor thermotherapy with the REZŪM™ System to dual drug therapy for the treatment of symptomatic benign prostatic hyperplasia refractory to alpha-blocker monotherapy in sexually active men.
STUDY DESIGN - Multicenter open-label randomized controlled parallel-group post-market trial.
STUDY TREATMENTS AND RANDOMIZATION - Subjects will be randomly assigned to REZŪM or dual drug therapy treatments; 1:1 randomization via the electronic data capture (EDC) system. Both treatments are commercially available. Subjects randomized to receive the REZŪM treatment will receive standardized treatment and subjects randomized to dual drug therapy will receive the local formulary preferred choice of urinary selective alpha blocker and 5-alpha reductase inhibitor.
VISIT SCHEDULE - Study visits are at: enrollment/baseline, treatment, 3 months, 6 months, and yearly follow-up through 2 years.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
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Melbourne, Australien
- Epworth Healthcare
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Wahroonga, Australien
- Australian Clinical Trials
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Aix-en-Provence, Frankrig
- Centre Hospitalier du Pays d'Aix
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Angers, Frankrig
- CHU d'Angers
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Bordeaux, Frankrig
- CHU de Bordeaux
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Grenoble, Frankrig
- CHU Grenoble
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Lille, Frankrig
- Centre Hospitalier Universitaire de Lille
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Lille, Frankrig
- Hôpital Privé La Louvière
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Lyon, Frankrig
- Hospices Civils de Lyon
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Nice, Frankrig
- CHU de Nice
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Paris, Frankrig
- Institut Mutualiste Montsouris
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Paris, Frankrig
- Hôpital Bichat
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Paris, Frankrig
- Hôpital Cochin
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Périgueux, Frankrig
- Hôpital privé Francheville
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Quint-Fonsegrives, Frankrig
- Clinique La Croix du Sud
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Rennes, Frankrig
- CHU de Rennes
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Rouen, Frankrig
- CHU de Rouen
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Rouen, Frankrig
- Clinique Saint Hilaire
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Saint-Grégoire, Frankrig
- Centre Hospitalier Privé Saint Grégoire
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Toulouse, Frankrig
- CHU de Toulouse
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Toulouse, Frankrig
- Clinique Pasteur
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Sexually active male subjects ≥ 45 years of age who have persistent non-neurogenic lower urinary tract symptoms refractory to first-line treatment with single agent Alpha Adrenoceptor Antagonist therapy
- Subject is willing and able to answer all domains of MSHQ
- Completed IPSS questionnaire with score ≥ 13 within 6 months prior to enrollment
- Peak urinary flow rate (Qmax): ≤ 15 ml/sec with minimum voided volume of ≥ 150 ml within 6 months prior to enrollment
- Post-void residual (PVR) ≤250 ml within 6 months prior to enrollment
- Prostate volume ≥ 30 ml as measured by transrectal ultrasound or Magnetic Resonance Imaging within 3 months prior to enrollment
- Subject is willing and capable of providing informed consent
- Subject is willing and capable of participating in all visits associated with this study at an approved clinical study site and at the intervals defined by this Clinical Investigational Plan (CIP)
- France subjects only: subjects must be affiliated to national security insurance
Exclusion Criteria:
- Inability to participate in full duration of study
- Prior surgical treatment for BPH
- Increased risk of bleeding
- Presence of Genitourinary Cancer or other pelvic cancer
- Functional issues with bladder
- Presence of active infection in genitourinary tract
- Structural and Anatomic issues with urinary tract and renal function
- Concomitant Drug Therapy
- Temporal restraints and risks for general anaesthesia or comorbidity that would elevate risk of participation
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Aktiv komparator: REZŪM
Subjects randomized to receive the REZŪM treatment will receive standardized treatment, following the Instruction for Use (IFU). The REZŪM System is intended to relieve symptoms, obstructions, and reduce prostate tissue associated with benign prostatic hyperplasia (BPH). It is indicated for men with a prostate volume ≥ 30 ml. The REZŪM System is also indicated for treatment of prostate with hyperplasia of the central zone and/or a median lobe. 1:1 randomization will occur via the electronic data capture (EDC) system. |
Subjects randomized to receive the REZŪM treatment will receive standardized treatment, following the Instruction for Use. |
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Aktiv komparator: Dual Drug Therapy
Subjects assigned to dual drug therapy will be treated with the local formulary preferred choice of commercially available urinary selective alpha blocker and 5-alpha reductase inhibitor. This arm will therefore represent local standard of care. |
Subjects assigned to dual drug therapy will be treated with the local formulary preferred choice of commercially available urinary selective alpha blocker and 5-alpha reductase inhibitor. This arm will therefore represent local standard of care.
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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International Prostate Symptom Score (IPSS) change
Tidsramme: From Baseline to 12 months
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Primary Statistical Hypothesis: Change in IPSS score will be compared between groups. IPSS score ranges from 0 to 35 with higher scores indicating worse symptoms. |
From Baseline to 12 months
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Male Sexual Health Questionnaire (MSHQ) total score change
Tidsramme: From Baseline to 12 months
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Change in MHSQ score will be compared between groups. MHSQ score ranges from 0 to 125 with higher scores indicating better outcomes. |
From Baseline to 12 months
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Disease Progression
Tidsramme: End of available follow-up, up to 24 months
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Disease progression, defined as occurrence of any of the following:
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End of available follow-up, up to 24 months
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Romain Mathieu, Professor, CHU Rennes, Hôpital Pontchaillou
- Ledende efterforsker: Evanguelos Xylinas, Ass. Prof., Hôpital Bichat
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Urogenitale sygdomme
- Genitale sygdomme
- Kønssygdomme, mandlige
- Prostatasygdomme
- Mandlige urogenitale sygdomme
- Urologiske manifestationer
- Patologiske tilstande, tegn og symptomer
- Tegn og symptomer
- Prostatahyperplasi
- Nedre urinvejssymptomer
- Lægemidlers fysiologiske virkninger
- Molekylære mekanismer for farmakologisk virkning
- Hormoner, hormonsubstitutter og hormonantagonister
- Enzymhæmmere
- Neurotransmittermidler
- Steroidsyntesehæmmere
- Hormonantagonister
- Adrenerge midler
- Adrenerge antagonister
- Farmakologiske handlinger
- Kemiske handlinger og anvendelser
- Adrenerge alfa-antagonister
- 5-alfa-reduktasehæmmere
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- U0693
Plan for individuelle deltagerdata (IPD)
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Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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