Clinical Evaluation of the Efficacy and Safety of a Medical Device in the Form of Rectal Suppositories (Prospidol®) for the Treatment of Symptoms Associated With Chronic Prostatitis/Chronic Pelvic Pain Syndrome.
The goal of this clinical trial is to evaluate whether a medical device is effective and safe in treating chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) in adult men.
The main questions it aims to answer are:
- Does the treatment reduce pain symptoms (measured by NIH-CPSI score) by more than 30% after one month?
- Does the treatment improve urinary symptoms, quality of life, and sexual function?
- What adverse events or side effects occur during treatment? Researchers will conduct a multicenter, open-label study involving 40 participants diagnosed with CP/CPPS. All participants will receive the same treatment, and their outcomes will be monitored over time.
Participants will:
Use one suppository daily for 10 days each month for 3 months Attend clinical visits at the start of the study and after 30, 60, and 90 days Complete validated questionnaires (NIH-CPSI, IPSS, SF-36, IIEF) at each visit Report any side effects or symptoms throughout the study At the end of the study, researchers will analyze symptom improvement, quality of life changes, and treatment tolerability.
調査の概要
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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Avellino
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Avellino、Avellino、イタリア、83100
- San Giuseppe Moscati Hospital
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Bergamo
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Bergamo、Bergamo、イタリア、24127
- Papa Giovanni XXIII Hospital
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参加基準
適格基準
就学可能な年齢
- 大人
健康ボランティアの受け入れ
説明
Inclusion Criteria:
- male subjects aged between 18 and 60;
- clinical presentation typical of prostatitis and a clinical diagnosis of chronic prostatitis type IIIa or IIIb (CP/CPPS) for at least 3 months;
- no treatment for at least 2 months;
- PSA < 3 ng/mL;
- digital rectal examination negative for nodules or BPH;
- negative microbiological tests on urine and seminal fluid;
- baseline score on the validated Italian version of the NIH-CPSI pain domain questionnaire > 7 or total NIH-CPSI score > 15;
- digital rectal examination not suggestive of prostate cancer.
Exclusion Criteria:
- patients with signs of infection and a PSA level > 3 ng/ml;
- other active prostate conditions;
- patients with active neoplastic, neurodegenerative or immunological conditions, those who are immunocompromised, or those who are already taking supplements or functional foods for any reason;
- patients undergoing treatment with systemic or topical corticosteroids;
- patients who will not sign the informed consent form;
- patients unable to participate in a clinical trial for any reason (e.g. psychiatric patients, those with cancer, on dialysis, or with severe liver or kidney failure);
- patients with allergies to any of the components of the medical device (MD) under investigation.
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:なし
- 介入モデル:単一グループの割り当て
- マスキング:なし(オープンラベル)
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的:Prospidol
patients enrolled in this arm will take 1 Prospidol suppository per day, to be administered before going to bed for 10 days each month, for a total period of 3 months
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Prospidol is a medical device containing sodium hyaluronate, Boswellia serrata extract (65% boswellic acid), mallow extract, rice bran oil and Eugenia caryophyllus essential oil.
The recommended dosage is: 1 suppository per day, to be taken before bedtime, for 10 days a month, for 3 months.
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この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Change of National Institutes of Health - Chronic Prostatitis Symptom Index (NIH-CPSI) score
時間枠:From enrollment to the end of treatment at 4 weeks
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The primary outcome of the study is the assessment of the change in the National Institutes of Health - Chronic Prostatitis Symptom Index (NIH-CPSI score, ranging from 0 to 43, where an improvement in symptoms is characterised by a decrease in the score) after one month of treatment.
Specifically, a change in pain symptoms of more than 30% compared with T0 is expected, given that the literature reports that patients with comparable characteristics, when treated with placebo, may experience a pain reduction of up to 30%.
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From enrollment to the end of treatment at 4 weeks
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Comparison of the National Institutes of Health - Chronic Prostatitis Symptom Index (NIH-CPSI) scores
時間枠:0, 1, 2, 3 months after enrollment
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Comparison of the National Institutes of Health - Chronic Prostatitis Symptom Index (NIH-CPSI, ranging from 0 to 43, where an improvement in symptoms is characterised by a decrease in the score) scores between baseline and follow-ups
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0, 1, 2, 3 months after enrollment
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Comparison of the International Prostate Symptom Score (IPSS)
時間枠:0, 1, 2, 3 months after enrollment
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Comparison of the International Prostate Symptom Score (IPSS, ranging from 0 and 35, where an improvement in symptoms corresponds to a decrease in the score) between baseline and follow-ups
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0, 1, 2, 3 months after enrollment
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Comparison of the Short Form 36 (SF-36) score
時間枠:0, 1, 2, 3 months after enrollment
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Comparison of the Short Form 36 (SF-36, ranging from 0 to 100, where an improvement in symptoms corresponds to a decrease in the score) score between baseline and follow-ups
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0, 1, 2, 3 months after enrollment
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Comparison of the International Index of Erectile Funtion (IIEF)
時間枠:0, 1, 2, 3 months after enrollment
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Comparison of the International Index of Erectile Funtion score(IIEF, ranging from 5 to 25, where an improvement in symptoms corresponds to a higher score) between baseline and follow-ups
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0, 1, 2, 3 months after enrollment
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協力者と研究者
スポンサー
出版物と役立つリンク
一般刊行物
- Barry MJ, Fowler FJ Jr, O'leary MP, Bruskewitz RC, Holtgrewe HL, Mebust WK, Cockett AT; Measurement Committee of the American Urological Association. The American Urological Association Symptom Index for Benign Prostatic Hyperplasia. J Urol. 2017 Feb;197(2S):S189-S197. doi: 10.1016/j.juro.2016.10.071. Epub 2016 Dec 22.
- Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, Mishra A. The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology. 1997 Jun;49(6):822-30. doi: 10.1016/s0090-4295(97)00238-0.
- Badia X, Garcia-Losa M, Dal-Re R. Ten-language translation and harmonization of the International Prostate Symptom Score: developing a methodology for multinational clinical trials. Eur Urol. 1997;31(2):129-40. doi: 10.1159/000474438.
- Di Vico T, Durante J, Polito C, Tognarelli A, Canale D, Caglieresi C, Morelli G, Bartoletti R. Pumpkin seeds, Centella asiatica, Boswellia, Helichrysum, acetate vitamin E, Melaleuca alternifolia and hyaluronic acid phytocomplex monotherapy effects in patients with chronic pelvic pain syndrome. Minerva Urol Nefrol. 2020 Apr;72(2):236-242. doi: 10.23736/S0393-2249.19.03450-7. Epub 2019 Sep 26.
- Giubilei G, Mondaini N, Crisci A, Raugei A, Lombardi G, Travaglini F, Del Popolo G, Bartoletti R. The Italian version of the National Institutes of Health Chronic Prostatitis Symptom Index. Eur Urol. 2005 Jun;47(6):805-11. doi: 10.1016/j.eururo.2004.12.025. Epub 2005 Jan 14.
- Nickel JC, Shoskes D. Phenotypic approach to the management of chronic prostatitis/chronic pelvic pain syndrome. Curr Urol Rep. 2009 Jul;10(4):307-12. doi: 10.1007/s11934-009-0050-7.
- Shoskes DA, Nickel JC, Dolinga R, Prots D. Clinical phenotyping of patients with chronic prostatitis/chronic pelvic pain syndrome and correlation with symptom severity. Urology. 2009 Mar;73(3):538-42; discussion 542-3. doi: 10.1016/j.urology.2008.09.074. Epub 2009 Jan 1.
- Weidner W, Wagenlehner FM, Marconi M, Pilatz A, Pantke KH, Diemer T. Acute bacterial prostatitis and chronic prostatitis/chronic pelvic pain syndrome: andrological implications. Andrologia. 2008 Apr;40(2):105-12. doi: 10.1111/j.1439-0272.2007.00828.x.
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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