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Transperineal Intraprostatic Injection of PRX302 Under Ultrasound Guidance for Management of Prostatic Hyperplasia (TRIUMPH-1)

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ClinicalTrials.gov Identifier: NCT00889707
Recruitment Status : Completed
First Posted : April 29, 2009
Results First Posted : October 28, 2013
Last Update Posted : October 28, 2013
Information provided by (Responsible Party):
Sophiris Bio Corp

Brief Summary:
The purpose of this study is to determine whether PRX302 is safe and effective in the treatment of moderate to severe Benign Prostatic Hyperplasia (BPH).

Condition or disease Intervention/treatment Phase
Benign Prostatic Hyperplasia Drug: PRX302 Drug: Placebo Phase 2

Detailed Description:
This is a randomized, double-blinded, placebo-controlled study of transperineal intraprostatic injection of PRX302 under sonographic guidance. Subjects will be randomly assigned to the two treatment groups in a ratio of 2:1 between PRX302 and Placebo, stratified by prostate size and baseline IPSS.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 92 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Participant, Care Provider, Investigator)
Primary Purpose: Treatment
Official Title: A Randomized, Double-blind, Placebo-controlled Phase II Study of Transperineal Intraprostatic Injection of PRX302 for the Treatment of Benign Prostatic Hyperplasia
Study Start Date : January 2009
Primary Completion Date : December 2009
Study Completion Date : September 2010

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Arm Intervention/treatment
Experimental: Active Drug
Drug: PRX302
PRX302 will be administered at a volume equivalent to 20% of the prostate volume and at a fixed concentration. Treatment will be administered through 1 injection into the transition zone of each lobe of the prostate. A minimum of 2 deposits will be made in the transition zone into each of the right and left lobes of the prostate, with a minimum of 1.0 mL per deposit.
Placebo Comparator: Placebo
Drug: Placebo
PRX302 will be administered at a volume equivalent to 20% of the prostate volume and at a fixed concentration. Treatment will be administered through 1 injection into the transition zone of each lobe of the prostate. A minimum of 2 deposits will be made in the transition zone into each of the right and left lobes of the prostate, with a minimum of 1.0 mL per deposit.

Primary Outcome Measures :
  1. Change in International Prostate Symptom Scale (IPSS) of Lower Urinary Tract Symptoms From Baseline to 3 Months (Total Score at 3 Months Minus Total Score at Baseline) [ Time Frame: 3 months post-treatment ]
    Total of 7 questions regarding lower urinary tract symptoms, with each question scored on a range of 0 (not at all) to 5 (almost always have the symptom). The total score is the summation of all 7 questions, and therefore has a possible range of 0 to 35.

Secondary Outcome Measures :
  1. Change in Maximum Urinary Flow Rate (Qmax) From Baseline to 3 Months (Qmax at 3 Months Minus Qmax at Baseline) [ Time Frame: 3 months after treatment ]
    A printout of uroflowmetry was provided to a central, blinded, independent reviewer for determination of the Qmax values to be used for evaluation of efficacy. The central, independent, blinded reviewer determined the Qmax from over-reads of the uroflowmetry printouts, applying the 2-second rule to reduce variability and increase the accuracy.

Information from the National Library of Medicine

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Ages Eligible for Study:   40 Years to 80 Years   (Adult, Senior)
Sexes Eligible for Study:   Male
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Males aged 40 to 80 years;
  • Lower urinary tract symptoms (LUTS), such as frequency, nocturia, urgency, weak urine stream, hesitancy, intermittency or post-void dribbling attributable to BPH for at least 6 months prior to dosing;
  • Untreated, intolerant or refractory to α-blockers; should not have received the medication for at least 2 weeks prior to screening and 4 weeks prior to dosing;
  • Subjects with PSA values 4 - 10 ng/mL should be assessed or medical records checked (e.g. biopsy report) to rule out the presence of prostate cancer;
  • Untreated, intolerant or intolerant to 5-α reductase inhibitors AND must be off medication for at least 6 months prior to dosing;
  • IPSS of 15 or higher;
  • Prostate volume at screening estimated at 30 to 100 mL as determined by TRUS;
  • Provided written Informed Consent for participation in the study.

Exclusion Criteria:

  • Maximum urine flow rate (Qmax) of greater than 12 mL/sec;
  • Inability to void at least 150 mL of urine;
  • Post voiding residual urine volume (PVR) of greater than 200 mL;
  • Subjects unable to stand to void;
  • Subjects with acute or chronic bacterial prostatitis;
  • Using drugs (e.g. estrogen, androgen) that can produce androgen depression or anabolic steroids;
  • Penile prosthesis or artificial urinary sphincter;
  • Presence of prostatic cyst larger than 1 cm in diameter;
  • Unwilling to use condoms for 3 weeks post-treatment to prevent pregnancy and to avoid semen contact with partner(s);
  • Urethral stricture disease;
  • Bladder neck abnormalities/strictures;
  • Significant median lobe hyperplasia that contributes to outflow obstruction;
  • Confirmed or suspected neurogenic bladder dysfunction;
  • Systemic neurological disorders that may affect voiding function;
  • Previous pelvic surgery, trauma or radiation;
  • Active genitourinary infection within 7 days before screening;
  • Significant renal dysfunction (as evidenced by a serum creatinine > 1.6 mg/dL on the screening laboratory evaluation);
  • Abnormal liver function as evidenced by any of the following abnormal laboratory values being greater than 1.5 upper limit of normal (ULN) at screening:

    • alkaline phosphatase (ALP);
    • total bilirubin;
    • alanine transferase (ALT); and/or
    • aspartate aminotransferase (AST);
  • Abnormal Prothrombin Time (PT > 13 sec) / International Normalized Ratio (INR > 1.2);
  • Severe cardiovascular or hepatic disease (American Society of Anesthesiologists [ASA] > 3); Presence of suspected or confirmed malignancy other than non-melanomatous, cutaneous malignancies which have undergone curative interventions;
  • Receiving anticoagulants (Subjects receiving anticoagulants may be enrolled after discontinuation of anticoagulant therapy and return of INR level to within normal limits (INR < 1.2) before dosing day. Subjects receiving platelet inhibitors (including garlic) must be off the inhibitors for at least 6 days or more. Subjects unable to discontinue anticoagulant therapy may not be enrolled in this study);
  • Subjects who have received any treatment for BPH other than α-blockers, 5-α reductase inhibitors or phytotherapy;
  • Subjects taking α-blockers and phytotherapy within 2 weeks of screening and 4 weeks of dosing;
  • Subjects receiving 5-α reductase inhibitors within 6 months of dosing;
  • Subjects taking part in other experimental programs prior to the start of the study or during the study period;
  • Any medical, psychological or other condition or medical history of the subject that, in the opinion of the Investigator or the Sponsor's Medical Monitor, unduly increases the risk of subject's participation or that would unnecessarily confound the data to be collected in this study;
  • Unable or unwilling to comply with the requirements of the protocol.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00889707

Canada, British Columbia
Andreou Research
Surrey, British Columbia, Canada, V3V 1N1
CanMed Clinical Research Inc.
Victoria, British Columbia, Canada, V8T 5G1
Dr. Steinhoff Clinical Research
Victoria, British Columbia, Canada, V8V 3N1
Canada, Ontario
Bramalea Medical Centre
Brampton, Ontario, Canada, L6T 4S5
Brantford Urology Research
Brantford, Ontario, Canada, N3R 4N3
Urology Associates / Urology Medical Research
Kitchener, Ontario, Canada, N2N 2B9
The Fe/Male Health Centers
Oakville, Ontario, Canada, l6H 3P1
Anthony Skehan Medicine Professional Corp.
Thunder Bay, Ontario, Canada, P7E 6E7
Canada, Quebec
McGill University Health Centre
Montreal, Quebec, Canada, H3A 2T5
Sponsors and Collaborators
Sophiris Bio Corp
Principal Investigator: Peter Pommerville, MD CanMed Clinical Reaearch Inc.
Principal Investigator: Mostafa Elhilali, MD McGill University Health Center

Responsible Party: Sophiris Bio Corp
ClinicalTrials.gov Identifier: NCT00889707     History of Changes
Other Study ID Numbers: PRX302-2-03
First Posted: April 29, 2009    Key Record Dates
Results First Posted: October 28, 2013
Last Update Posted: October 28, 2013
Last Verified: August 2013

Keywords provided by Sophiris Bio Corp:
Benign Prostatic Hyperplasia
Enlarged Prostate

Additional relevant MeSH terms:
Prostatic Hyperplasia
Pathologic Processes
Prostatic Diseases
Genital Diseases, Male