The Safety and Efficacy of Ozarelix to Treat Men With Lower Urinary Tract Symptoms Due to Enlargement of the Prostate
12 octobre 2021 mis à jour par: Spectrum Pharmaceuticals, Inc
A Randomized, Double-Blind, Placebo-Controlled Trial of the Safety and Efficacy of Ozarelix, in Patients With Lower Urinary Tract Symptoms(LUTS) Due to Benign Prostatic Hypertrophy (BPH)
This study is to compare the efficacy and safety of ozarelix 15 mg given intramuscular (IM) 2 weeks apart on the improvement of symptoms and the duration of improvement for up to 6 months in men with Benign Prostatic Hypertrophy (BPH) who are over 50 years of age.
Aperçu de l'étude
Statut
Complété
Les conditions
Intervention / Traitement
Description détaillée
This study is to compare the improvement in symptom scores, peak flow rate and quality of life in men suffering from lower urinary tract symptoms (LUTS) secondary to Benign Prostatic Hypertrophy (BPH) following treatment with ozarelix. Ozarelix is compared to placebo and injections given 14 days apart. Patients are followed for 6 months and both safety and efficacy assessed at monthly visits. Additionally, the impact of treatment on erectile function, if any, as well as Prostate-Specific Antigen (PSA) and Testosterone levels will be monitored.
The screening period of 7 days. The duration of the study is 40 weeks, including a 28-day placebo run-in phase (eligible participants entered a placebo run-in phase in which placebo is administered twice over a 2 week period [Day -28 and Day -14] and participants are assessed to establish baseline values approximately 14 days following the second placebo injection), study drug is administered on Days 0 and 14 followed by 34 weeks of observation after the last dose of study drug.
Type d'étude
Interventionnel
Inscription (Réel)
74
Phase
- Phase 2
Contacts et emplacements
Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.
Lieux d'étude
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Arizona
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Tucson, Arizona, États-Unis, 85712
- Donald Gleason, MD
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California
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Laguna Hills, California, États-Unis, 92653
- Jay Young, MD
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Los Angeles, California, États-Unis, 90048
- Alexander Gershman, MD
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Newport Beach, California, États-Unis, 92660
- Stephen Auerbach, MD
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Tarzana, California, États-Unis, 91356
- Eugene Dula, MD
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Colorado
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Aurora, Colorado, États-Unis, 80012
- Joel Kaufman, MD
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Florida
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Ocala, Florida, États-Unis, 34474
- Ira Klimberg, MD
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Idaho
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Meridian, Idaho, États-Unis, 83642
- Joseph Williams, MD
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Indiana
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Fort Wayne, Indiana, États-Unis, 46825
- Christopher Steidle, MD
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Missouri
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Saint Louis, Missouri, États-Unis, 63136
- Steven Bigg, MD
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New York
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New York, New York, États-Unis, 10016
- Jed Kaminetsky, MD
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Texas
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San Antonio, Texas, États-Unis, 78229
- William Fitch, MD
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Virginia
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Virginia Beach, Virginia, États-Unis, 23454
- Gregg Eure, MD
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Critères de participation
Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.
Critère d'éligibilité
Âges éligibles pour étudier
50 ans et plus (Adulte, Adulte plus âgé)
Accepte les volontaires sains
Non
Sexes éligibles pour l'étude
Homme
La description
Inclusion Criteria:
- All of the following questions must be answered "Yes" at Visit 1 in order for the participant to participate in the study.
- Is the participant at least 50 years old?
- Does the participant have clinical signs and symptoms consistent with BPH?
- Does the participant have an IPSS 13 at screening (prior to placebo run in)?
- Does the participant have a peak urinary flow rate (Qmax) of 4-15 milliliter/second (mL/sec) established on a voided volume of at least 125 mL?
- Is the participant willing to agree not to use any other approved or experimental pharmacologic BPH treatments including alpha blockers, 5-alpha reductase inhibitors, anti-cholinergic preparations or herbal preparations at any time during the study?
Exclusion Criteria: All of the following questions must be answered "No" at Visit 1 in order for the participant to participate in the study.
- Does the participant have a history of prostate cancer or a serum PSA >10 nanograms per milliliter (ng/mL)?
- Has the participant had prior prostate or bladder surgery, pelvic surgery (excluding hernia repair), pelvic radiation or lower urinary tract malignancy?
- Does the participant have a prevoid total bladder volume assessed by ultrasound > 550 mL?
- Does the participant have a residual urine volume > 350 mL by ultrasound?
Plan d'étude
Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Double
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
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Expérimental: Ozarelix
All participants completing the placebo run in period were randomized to enter the treatment phase of the study and received ozarelix on Day 0 and Day 14.
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Ozarelix 15 mg will be administered IM on Day 0 and Day 14.
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Comparateur placebo: Placebo
All participants completing the placebo run in period were randomized to enter the treatment phase of the study and received placebo Day 0 and Day 14.
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Placebo will be administered IM on Day 0 and Day 14.
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Change From Baseline in International Prostate Symptom Score (IPSS)
Délai: 12 weeks
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IPSS is a validated self-administered index for grading benign prostatic hyperplasia (BPH)-related signs and symptoms.
It consists of a set of seven questions.
A total score of 1-7 indicates mild disease, 8-19 moderate disease and 20-35 severe disease.
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12 weeks
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Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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International Prostate Symptom Score - Quality of Life (IPSS-QOL)
Délai: 36 weeks
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IPSS QOL is a disease-specific quality of life question, referred to as IPSS Question 8. Participants with an IPSS QOL of <3 at screening will be excluded from this study.
The rating is as follows: 0=delighted, 1=pleased, 2=mostly satisfied, 3=mixed, 4=mostly dissatisfied, 5=unhappy, 6=terrible.
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36 weeks
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BPH Impact Index (BPHII)
Délai: 36 weeks
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BPH Impact Index (BII) is used to assess the impact of BPH on various aspects of health.
This 4 question self administered index uses a scoring range from 0 (best) to 13 (worst).
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36 weeks
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Lower Urinary Tract Symptoms (LUTS) Global Assessment Question (LUTS-GAQ)
Délai: 36 weeks
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The self administered LUTS GAQ is a "yes" or "no" response to a question asking whether overall improvement in LUTS will be observed during the treatment period.
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36 weeks
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International Index of Erectile Function-15 (IIEF-15)
Délai: 36 weeks
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International Index of Erectile Function Erectile Function Domain (IIEF-EF) will be used to assess the effect of ozarelix on erectile function in sexually active men.
IIEF-EF is defined as the sum of the scores for Questions 1-5 and 15 of the IIEF questionnaire.
This recall instrument is self-administered by the participant.
Individual questions are graded from 1 to 5 with a maximum total score of 30.
Lower IIEF-EF scores represent diminished erectile function.
Men with a score of ≥ 26 are interpreted as having normal erectile function.
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36 weeks
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Maximum Urinary Flow Rate (Qmax)
Délai: 36 weeks
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Qmax was measured by free flow uroflowmetry.
Qmax is defined as the peak urine flow rate (measured in milliliter (mL)/second using a standard calibrated flowmeter).
For a Qmax to be considered valid, the voided volume had to be at least 125 mL.
The uroflowmeter is to be calibrated weekly.
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36 weeks
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Number of Participants With Adverse Events
Délai: 36 weeks
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36 weeks
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Collaborateurs et enquêteurs
C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.
Parrainer
Dates d'enregistrement des études
Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.
Dates principales de l'étude
Début de l'étude (Réel)
23 janvier 2007
Achèvement primaire (Réel)
27 février 2008
Achèvement de l'étude (Réel)
27 février 2008
Dates d'inscription aux études
Première soumission
24 janvier 2007
Première soumission répondant aux critères de contrôle qualité
24 janvier 2007
Première publication (Estimation)
26 janvier 2007
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
15 octobre 2021
Dernière mise à jour soumise répondant aux critères de contrôle qualité
12 octobre 2021
Dernière vérification
1 octobre 2021
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- SPI-153-06-1
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