search
Back to results

Phase II Study Efficacy and Safety of Two Dosing Regimens of MN-001 in Patients With Interstitial Cystitis

Primary Purpose

Interstitial Cystitis

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
MN-001 BID
MN-001
Placebo
Sponsored by
MediciNova
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Interstitial Cystitis focused on measuring Interstitial Cystitis, urgency, frequency, MN-001, Global Response Assessment, bladder pain/urgency, O'Leary Sant IC Symptom and Problem Index

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Male or female ≥ 18 years of age with a diagnosis of moderate to severe IC; Bladder pain ≥ 6 months prior to baseline; Urinary frequency of ≥ 8 ≤ 30 micturitions within 24 hours while awake; Nocturia ≥ 2x/night; Males and females of child-bearing potential (not surgically sterile or post-menopausal) must be abstinent or agree to use an study-accepted contraceptive regimens throughout the study: Female patients of child bearing age must have a negative urine pregnancy test at screening; Must provide a signed informed consent. Exclusion Criteria: Male or females < 18 years of age; Initiation of new IC medication ≤ 30 days prior to baseline; Treatment with Elmiron ≤ 120 days prior to baseline; Treatment with bladder hydro-distention ≤ 6 months prior to baseline; Treatment with intravesical therapy ≤ 60 days prior to baseline; History of previous procedure(s) (e.g., augmentation cytoplasty, cystectomy or cystolysis) that has affected bladder function; Active genital herpes or vaginitis ≤ 90 days prior to baseline; Urinary tract or prostatic infection ≤ 90 days prior to baseline; History of urethral diverticulum; History of bladder or ureteral calculi; History of cyclophosphamide or chemical cystitis, urinary tuberculosis or radiation cystitis; History of bladder tumors; History of uterine, cervical, vaginal, prostatic or urethral cancer ≤ 5 years prior to baseline; Patient is currently pregnant, lactating or likely to become pregnant during the study; Participated in another clinical study with an investigational drug or device ≤ 30 days prior to baseline.

Sites / Locations

  • MediciNova Investigational Site
  • Citrus Valley Urological Medical Group
  • Atlantic Urological Medical Group
  • Mendez Transplant and Urological Medical Group
  • Boulder Medical Center, P.C.
  • Western Urologic Research Center
  • Segal Institute for Clinical Research
  • Visions Clinical Research
  • West Florida Urology
  • Adult and Pediatric Urology
  • Georgis Patsias, MD., PA
  • Shepherd Center, Inc.
  • Center For Advanced Pelvic Surgery
  • Evanston Continence Center
  • Regional Urology, LLC
  • William Beaumont Hospital
  • Sheldon J. Freedman, MD, LTD
  • Associated Urologic Specialists, P.A.
  • Upstate Urology
  • Lyndhurst Gynecology Associates
  • Tristate Urologic Services PSC., Inc.
  • Midwest Regional Center For Chronic Pelvic Pain and Bladder Control
  • Williamette Women's Healthcare P.C.
  • The Urology Group
  • Medical Arts Clinic
  • Gant Foundation
  • Brian Heaton, MD
  • Integrity Medical Research, LLC

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

MN-001

MN-001 once daily

Arm Description

placebo tablets

Outcomes

Primary Outcome Measures

Number Subjects at Least "Moderately Improved" for Each Treatment Group in Patient Reported Global Response Assessment (GRA)
The primary endpoint was the GRA overall change "in their condition" at Week 8. Each patient completed the questionnaire that rated the improvement in their IC symptoms based on responses to the GRA questions. Each question asked the patient to describe the OVERALL CHANGE in pain, urgency, frequency or overall change in their problem compared to the status before taking the study medication. Each parameter was rated on a 7 point scale: markedly worse, moderately worse, mildly worse, same, mildly improved, moderately improved and markedly improved.

Secondary Outcome Measures

Number of Responders for GRA Assessment in Their Condition at Week 4.
Responders were defined as patients who were 'moderately improved' or 'markedly improved' and non-responders were defined as patients who were 'markedly worse', 'moderately worse', 'mildly worse', no change, or 'mildly improved' on the GRA assessments.

Full Information

First Posted
February 22, 2006
Last Updated
December 16, 2011
Sponsor
MediciNova
search

1. Study Identification

Unique Protocol Identification Number
NCT00295854
Brief Title
Phase II Study Efficacy and Safety of Two Dosing Regimens of MN-001 in Patients With Interstitial Cystitis
Official Title
A Phase II, Randomized, Double-blind, Placebo-controlled, Multi-center Study to Evaluate the Efficacy and Safety of Two Dosing Regimens of MN-001 in Patients With Interstitial Cystitis
Study Type
Interventional

2. Study Status

Record Verification Date
December 2011
Overall Recruitment Status
Completed
Study Start Date
May 2005 (undefined)
Primary Completion Date
October 2006 (Actual)
Study Completion Date
October 2006 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
MediciNova

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
To evaluate the safety and efficacy of 8 weeks of treatment with MN-001 at 500 mg bid, 500 mg once daily vs. placebo in patients with Interstitial Cystitis.
Detailed Description
This is a randomized, double-blind, placebo-controlled, multi-center study to evaluate the efficacy and safety of two dosing regimens of MN-001 in patients with Interstitial Cystitis (IC). Patients will be screened for study eligibility within seven to nine days of randomization. Eligible patients will be randomized in a 1:1:1 ratio to receive either 500 mg MN-001 bid, 500 mg MN-001 once daily or placebo. Patients will be dispensed study drug beginning at Baseline (Visit 2) and will return to the study center for Visit 3 (28 days ± 2 days after Baseline), and Visit 4 (56 days ± 2 days after Baseline), at end of study for safety and efficacy assessments. The patient will be contacted by telephone at Week 6 (42 days ± 2 days after Baseline) for an interim follow up. Study drug will be dispensed at Visits 2 and 3. Safety assessments will include adverse events, physical examinations, clinical laboratory testing, and changes in vital signs. Efficacy assessments include percentage of patients at least "moderately improved" for each treatment group using the patient reported Global Response Assessment (GRA) (see Appendix 1). Secondary assessments include a decrease in bladder pain/urgency based on change in the patient rating from baseline to endpoint using the GRA (see Appendix 1), modified Pelvic Pain and Urgency/Frequency (PUF) Patient Symptom Scale (see Appendix 2) and the O'Leary Sant IC Symptom and Problem Index.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Interstitial Cystitis
Keywords
Interstitial Cystitis, urgency, frequency, MN-001, Global Response Assessment, bladder pain/urgency, O'Leary Sant IC Symptom and Problem Index

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
296 (Actual)

8. Arms, Groups, and Interventions

Arm Title
MN-001
Arm Type
Experimental
Arm Title
MN-001 once daily
Arm Type
Placebo Comparator
Arm Description
placebo tablets
Intervention Type
Drug
Intervention Name(s)
MN-001 BID
Intervention Description
Eligible patients received 500 mg MN-001 bid
Intervention Type
Drug
Intervention Name(s)
MN-001
Intervention Description
Eligible patients received 500 mg MN-001 once daily (qd)
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Eligible patients received placebo
Primary Outcome Measure Information:
Title
Number Subjects at Least "Moderately Improved" for Each Treatment Group in Patient Reported Global Response Assessment (GRA)
Description
The primary endpoint was the GRA overall change "in their condition" at Week 8. Each patient completed the questionnaire that rated the improvement in their IC symptoms based on responses to the GRA questions. Each question asked the patient to describe the OVERALL CHANGE in pain, urgency, frequency or overall change in their problem compared to the status before taking the study medication. Each parameter was rated on a 7 point scale: markedly worse, moderately worse, mildly worse, same, mildly improved, moderately improved and markedly improved.
Time Frame
8 weeks
Secondary Outcome Measure Information:
Title
Number of Responders for GRA Assessment in Their Condition at Week 4.
Description
Responders were defined as patients who were 'moderately improved' or 'markedly improved' and non-responders were defined as patients who were 'markedly worse', 'moderately worse', 'mildly worse', no change, or 'mildly improved' on the GRA assessments.
Time Frame
4 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female ≥ 18 years of age with a diagnosis of moderate to severe IC; Bladder pain ≥ 6 months prior to baseline; Urinary frequency of ≥ 8 ≤ 30 micturitions within 24 hours while awake; Nocturia ≥ 2x/night; Males and females of child-bearing potential (not surgically sterile or post-menopausal) must be abstinent or agree to use an study-accepted contraceptive regimens throughout the study: Female patients of child bearing age must have a negative urine pregnancy test at screening; Must provide a signed informed consent. Exclusion Criteria: Male or females < 18 years of age; Initiation of new IC medication ≤ 30 days prior to baseline; Treatment with Elmiron ≤ 120 days prior to baseline; Treatment with bladder hydro-distention ≤ 6 months prior to baseline; Treatment with intravesical therapy ≤ 60 days prior to baseline; History of previous procedure(s) (e.g., augmentation cytoplasty, cystectomy or cystolysis) that has affected bladder function; Active genital herpes or vaginitis ≤ 90 days prior to baseline; Urinary tract or prostatic infection ≤ 90 days prior to baseline; History of urethral diverticulum; History of bladder or ureteral calculi; History of cyclophosphamide or chemical cystitis, urinary tuberculosis or radiation cystitis; History of bladder tumors; History of uterine, cervical, vaginal, prostatic or urethral cancer ≤ 5 years prior to baseline; Patient is currently pregnant, lactating or likely to become pregnant during the study; Participated in another clinical study with an investigational drug or device ≤ 30 days prior to baseline.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Richard E Gammans, MD
Organizational Affiliation
MediciNova, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
MediciNova Investigational Site
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35294
Country
United States
Facility Name
Citrus Valley Urological Medical Group
City
Glendora
State/Province
California
ZIP/Postal Code
91741
Country
United States
Facility Name
Atlantic Urological Medical Group
City
Long Beach
State/Province
California
ZIP/Postal Code
90806
Country
United States
Facility Name
Mendez Transplant and Urological Medical Group
City
San Diego
State/Province
California
ZIP/Postal Code
92103
Country
United States
Facility Name
Boulder Medical Center, P.C.
City
Boulder
State/Province
Colorado
ZIP/Postal Code
80304
Country
United States
Facility Name
Western Urologic Research Center
City
Wheat Ridge
State/Province
Colorado
ZIP/Postal Code
80033
Country
United States
Facility Name
Segal Institute for Clinical Research
City
Aventura
State/Province
Florida
ZIP/Postal Code
33180
Country
United States
Facility Name
Visions Clinical Research
City
Boynton Beach
State/Province
Florida
ZIP/Postal Code
33437
Country
United States
Facility Name
West Florida Urology
City
Palm Harbor
State/Province
Florida
ZIP/Postal Code
34684
Country
United States
Facility Name
Adult and Pediatric Urology
City
Plantation
State/Province
Florida
ZIP/Postal Code
33317
Country
United States
Facility Name
Georgis Patsias, MD., PA
City
Wellington
State/Province
Florida
ZIP/Postal Code
33414
Country
United States
Facility Name
Shepherd Center, Inc.
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30309
Country
United States
Facility Name
Center For Advanced Pelvic Surgery
City
Centralia
State/Province
Illinois
ZIP/Postal Code
62801
Country
United States
Facility Name
Evanston Continence Center
City
Evanston
State/Province
Illinois
ZIP/Postal Code
60201
Country
United States
Facility Name
Regional Urology, LLC
City
Shreveport
State/Province
Louisiana
ZIP/Postal Code
71106
Country
United States
Facility Name
William Beaumont Hospital
City
Royal Oak
State/Province
Michigan
ZIP/Postal Code
48073
Country
United States
Facility Name
Sheldon J. Freedman, MD, LTD
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89109
Country
United States
Facility Name
Associated Urologic Specialists, P.A.
City
Marlton
State/Province
New Jersey
ZIP/Postal Code
08053
Country
United States
Facility Name
Upstate Urology
City
Albany
State/Province
New York
ZIP/Postal Code
12206
Country
United States
Facility Name
Lyndhurst Gynecology Associates
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27103
Country
United States
Facility Name
Tristate Urologic Services PSC., Inc.
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45212
Country
United States
Facility Name
Midwest Regional Center For Chronic Pelvic Pain and Bladder Control
City
Lima
State/Province
Ohio
ZIP/Postal Code
45805
Country
United States
Facility Name
Williamette Women's Healthcare P.C.
City
Tualatin
State/Province
Oregon
ZIP/Postal Code
97062
Country
United States
Facility Name
The Urology Group
City
Greer
State/Province
South Carolina
ZIP/Postal Code
29650
Country
United States
Facility Name
Medical Arts Clinic
City
Corsicana
State/Province
Texas
ZIP/Postal Code
75110
Country
United States
Facility Name
Gant Foundation
City
Fort Worth
State/Province
Texas
ZIP/Postal Code
76104
Country
United States
Facility Name
Brian Heaton, MD
City
Ogden
State/Province
Utah
ZIP/Postal Code
84403
Country
United States
Facility Name
Integrity Medical Research, LLC
City
Mountlake Terrace
State/Province
Washington
ZIP/Postal Code
98043
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Phase II Study Efficacy and Safety of Two Dosing Regimens of MN-001 in Patients With Interstitial Cystitis

We'll reach out to this number within 24 hrs