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Oxiblume:CoQ10 (Ralivia) Therapy for Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS)

1 giugno 2026 aggiornato da: Ioannis Mykoniatis, G.Gennimatas General Hospital

Oxiblume:CoQ10 (Ralivia) Therapy for Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS): a Double-blind Placebo-controlled Randomized Clinical Trial Assessing Treatment Efficacy and Safety.

Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS) has a huge socioeconomic impact.Presently, a ''scientific dead-end'' regarding effective treatment of CP/CPPS is reported. Promising results of clinical studies, regardless their limitations, upon efficacy of phytotherapy for CP/CPPS patients have been published .Phytotherapy is cost effective and avoids the systemic side effects of other treatments being a therapy with the possibility of repeating the treatment protocol at any time. Certain important issues, regarding the efficacy and safety of phytotherapy, remain to be answered thus investing scientifically and economically to the concept of phytotherapy for CP/CPPS, definitively seems to be a move to the right direction.

In this concept we will conduct a double-blind placebo-controlled randomized clinical trial assessing treatment efficacy and safety of Oxiblume:CoQ10 (Ralivia) therapy for CP/CPPS

The study will be coordinated by the research office of 1st Urology Department, G. Gennimatas Hospital, Aristotle University of Thessaloniki, Greece. The research office will also support the project (logistics, quality control, management, data acquisition, publications).

Patients visits will be carried out in the CP/CPPS Research Unit of the 1st Urology Department, G. Gennimatas Hospital, Aristotle University of Thessaloniki, Greece.

Laboratory tests of all patients will be performed at the same microbiology laboratory.

Study population A total of 100 patients (50 in Group A and 50 in Group B) with CP/CPPS diagnosis will participate in this study.

Inclusion and exclusion criteria

Inclusion criteria:

  1. Participant must be between 18 and 50 years old.
  2. Participant has signed and dated the appropriate Informed Consent document.
  3. Participant has had a clinical diagnosis of CP/CPPS defined as symptoms of discomfort or pain in the perineal or pelvic region for at least a three (3) month period within the last six (6) months.

Exclusion criteria:

  1. Participant has evidence of facultative Gram negative or enterococcus with a value of ≥ 1000 CFU/ml in mid-stream urine (VB2).
  2. Participant has a history of prostate, bladder or urethral cancer.
  3. Participant has undergone pelvic radiation or systemic chemotherapy.
  4. Participant has undergone intravesical chemotherapy.
  5. Participant has unilateral orchialgia without pelvic symptoms, active urethral stricture or bladder stones, or any other urological condition associated with LUTS, any neurological disease or disorder affecting the bladder.
  6. Participant has undergone prostate surgery or treatment.
  7. Participant with penile or urinary sphincter implants.
  8. Participant has been diagnosed with cancer during the last 5 years or had any surgery in the pelvis.
  9. Participant has a neurological impairment or psychiatric disorder preventing his understanding of consent and his ability to comply with the protocol.

Study design Double-blind placebo-controlled randomized clinical trial

Zero hypothesis (H0) and alternative hypothesis (H1):

(H0): Group A demonstrates similar efficacy compared to Group B for the treatment CP/CPPS patients.

(H1): Group A demonstrates greater or decreased efficacy compared to Group B for the treatment CP/CPPS patients.

Study endpoints Primary endpoint: The difference between the Group A and Group B in the change of the pain domain of NIH-CPSI score from baseline to 12 weeks after treatment initiation.

Secondary endpoints:

  • Adverse events rate in all patients during study period.
  • The difference between the Group A and Group B in the change of the pain domain of NIH-CPSI score from baseline to 6 weeks after treatment start.
  • The difference between the Group A and Group B in the change of the following parameters from baseline to 6 and 12 weeks after treatment initiation

    1. Total NIH-CPSI score (Q1-9)
    2. Urinary symptoms (Q 5-6) and quality of life domains (Q 7-9) of the NIH-CPSI score
    3. IIEF-ED score
    4. IPSS
    5. UPPOINTS phenotype- number of positive domains
    6. Psa value
    7. TNFa, IL 6 values

Patients accordingly to which group they will be randomized will receive:

  • Active treatment (Ralivia) Group : 1 pill of Ralivia per os/day for a 3-month period
  • Placebo Group : 1 placebo pill per os/day for a 3-month period

Adverse events will be reported.

FU Visit 1: 6 weeks after treatment initiation NIH-CPSI, IPSS, IIEF-ED questionnaires will be answered. Adverse events will be reported. Clinical symptoms assessed, in order to determine UPOINT status.

PSA TNFa, IL 1β, IL 6, IL 10 blood test.

FU Visit 2: 12 weeks after treatment initiation NIH-CPSI, IPSS, IIEF-ED questionnaires will be answered. Adverse events will be reported. Clinical symptoms assessed, in order to determine UPOINT status.

DRE will be performed . PSA TNFa, IL 6 blood test

Panoramica dello studio

Stato

Reclutamento

Condizioni

Intervento / Trattamento

Tipo di studio

Interventistico

Iscrizione (Stimato)

100

Fase

  • Non applicabile

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Contatto studio

Luoghi di studio

      • Thessaloniki, Grecia, 54636
        • Reclutamento
        • G.Gennimatas General Hospital
        • Contatto:

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

  • Adulto

Accetta volontari sani

No

Descrizione

Inclusion Criteria:

  1. Participant must be between 18 and 50 years old.
  2. Participant has signed and dated the appropriate Informed Consent document.
  3. Participant has had a clinical diagnosis of CP/CPPS defined as symptoms of discomfort or pain in the perineal or pelvic region for at least a three (3) month period within the last six (6) months.

Exclusion Criteria:

  1. Participant has evidence of facultative Gram negative or enterococcus with a value of ≥ 1000 CFU/ml in mid-stream urine (VB2).
  2. Participant has a history of prostate, bladder or urethral cancer.
  3. Participant has undergone pelvic radiation or systemic chemotherapy.
  4. Participant has undergone intravesical chemotherapy.
  5. Participant has unilateral orchialgia without pelvic symptoms, active urethral stricture or bladder stones, or any other urological condition associated with LUTS, any neurological disease or disorder affecting the bladder.
  6. Participant has undergone prostate surgery or treatment.
  7. Participant with penile or urinary sphincter implants.
  8. Participant has been diagnosed with cancer during the last 5 years or had any surgery in the pelvis.
  9. Participant has a neurological impairment or psychiatric disorder preventing his understanding of consent and his ability to comply with the protocol.

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Trattamento
  • Assegnazione: Randomizzato
  • Modello interventistico: Assegnazione parallela
  • Mascheramento: Quadruplicare

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Comparatore attivo: Group A
Patients of the Active Group will receive 1 pill of Ralivia per os/day for a 3-month period
1 pill of Ralivia per os/day for a 3-month period
Comparatore placebo: Group B
Patients of the Placebo Group will receive 1 placebo pill per os/day for a 3-month period
1 placebo pill per os/day for a 3-month period

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Lasso di tempo
The difference between the Group A and Group B in the change of the pain domain of National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) score from baseline to 12 weeks
Lasso di tempo: From enrollment to the end of treatment at 12 weeks
From enrollment to the end of treatment at 12 weeks

Misure di risultato secondarie

Misura del risultato
Lasso di tempo
The difference between the Group A and Group B in the change of the pain domain of NIH-CPSI score from baseline to 6 weeks
Lasso di tempo: From baseline to 6 weeks
From baseline to 6 weeks
The difference between the Group A and Group B in the change of Total NIH-CPSI score (Q1-9) from baseline to 6 and 12 weeks
Lasso di tempo: From baseline to 6 and 12 weeks
From baseline to 6 and 12 weeks
The difference between the Group A and Group B in the change of Urinary symptoms (Q 5-6) and quality of life domains (Q 7-9) of the NIH-CPSI score from baseline to 6 and 12 weeks
Lasso di tempo: From baseline to 6 and 12 weeks
From baseline to 6 and 12 weeks
The difference between the Group A and Group B in the change of International Index of Erectile Function -Erectile Domain (IIEF-ED ) score from baseline to 6 and 12 weeks
Lasso di tempo: From baseline to 6 and 12 weeks
From baseline to 6 and 12 weeks
The difference between the Group A and Group B in the change of International Prostate Symptom Score (IPSS) from baseline to 6 and 12 weeks
Lasso di tempo: From baseline to 6 and 12 weeks
From baseline to 6 and 12 weeks
The difference between the Group A and Group B in the change of UPPOINTS phenotype- number of positive domains from baseline to 6 and 12 weeks
Lasso di tempo: From baseline to 6 and 12 weeks
From baseline to 6 and 12 weeks
The difference between the Group A and Group B in the change of Prostatic Specific Antigen (PSA) from baseline to 6 and 12 weeks
Lasso di tempo: From baseline to 6 and 12 weeks
From baseline to 6 and 12 weeks
The difference between the Group A and Group B in the change of Interleukin -6 from baseline to 6 and 12 weeks
Lasso di tempo: From baseline to 6 and 12 weeks
From baseline to 6 and 12 weeks
The difference between the Group A and Group B in the change of TNFa from baseline to 6 and 12 weeks
Lasso di tempo: From baseline to 6 and 12 weeks
From baseline to 6 and 12 weeks
Any adverse event
Lasso di tempo: From baseline to 12 weeks
From baseline to 12 weeks

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Stimato)

8 giugno 2026

Completamento primario (Stimato)

1 dicembre 2026

Completamento dello studio (Stimato)

1 dicembre 2026

Date di iscrizione allo studio

Primo inviato

1 giugno 2026

Primo inviato che soddisfa i criteri di controllo qualità

1 giugno 2026

Primo Inserito (Effettivo)

5 giugno 2026

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

5 giugno 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

1 giugno 2026

Ultimo verificato

1 giugno 2026

Maggiori informazioni

Termini relativi a questo studio

Termini MeSH pertinenti aggiuntivi

Altri numeri di identificazione dello studio

  • Ralivia_CPPS- 22/5/26

Piano per i dati dei singoli partecipanti (IPD)

Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?

SÌ

Descrizione del piano IPD

All collected IPD will be shared (in excel format) if requested

Periodo di condivisione IPD

Beginning 3 months and ending 3 years after the publication of results")

Tipo di informazioni di supporto alla condivisione IPD

  • STUDIO_PROTOCOLLO
  • ICF

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

No

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .