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The Safety and Efficacy of Ozarelix to Treat Men With Lower Urinary Tract Symptoms Due to Enlargement of the Prostate
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)
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
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.
Studietype
Inschrijving (Werkelijk)
Fase
- Fase 2
Contacten en locaties
Studie Locaties
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Arizona
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Tucson, Arizona, Verenigde Staten, 85712
- Donald Gleason, MD
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California
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Laguna Hills, California, Verenigde Staten, 92653
- Jay Young, MD
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Los Angeles, California, Verenigde Staten, 90048
- Alexander Gershman, MD
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Newport Beach, California, Verenigde Staten, 92660
- Stephen Auerbach, MD
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Tarzana, California, Verenigde Staten, 91356
- Eugene Dula, MD
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Colorado
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Aurora, Colorado, Verenigde Staten, 80012
- Joel Kaufman, MD
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Florida
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Ocala, Florida, Verenigde Staten, 34474
- Ira Klimberg, MD
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Idaho
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Meridian, Idaho, Verenigde Staten, 83642
- Joseph Williams, MD
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Indiana
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Fort Wayne, Indiana, Verenigde Staten, 46825
- Christopher Steidle, MD
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Missouri
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Saint Louis, Missouri, Verenigde Staten, 63136
- Steven Bigg, MD
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New York
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New York, New York, Verenigde Staten, 10016
- Jed Kaminetsky, MD
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Texas
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San Antonio, Texas, Verenigde Staten, 78229
- William Fitch, MD
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Virginia
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Virginia Beach, Virginia, Verenigde Staten, 23454
- Gregg Eure, MD
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
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?
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Dubbele
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
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Experimenteel: 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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Placebo-vergelijker: 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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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Change From Baseline in International Prostate Symptom Score (IPSS)
Tijdsspanne: 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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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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International Prostate Symptom Score - Quality of Life (IPSS-QOL)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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
Tijdsspanne: 36 weeks
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36 weeks
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Medewerkers en onderzoekers
Sponsor
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Werkelijk)
Studie voltooiing (Werkelijk)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- SPI-153-06-1
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