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A Phase II Clinical Trial to Evaluate the Efficacy and Safety of GV1001 in Patients With BPH

Primary Purpose

Benign Prostatic Hyperplasia (BPH)

Status
Completed
Phase
Phase 2
Locations
Korea, Republic of
Study Type
Interventional
Intervention
Placebo
GV1001
Sponsored by
GemVax & Kael
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Benign Prostatic Hyperplasia (BPH) focused on measuring GV1001, BPH, Benign prostatic hyperplasia

Eligibility Criteria

50 Years - undefined (Adult, Older Adult)MaleDoes not accept healthy volunteers

[Inclusion Criteria]

All of the following criteria should be satisfied to be enrolled in this clinical trial.

  1. A male at 50 years of age and older
  2. A patient who satisfies the following clinical signs and symptoms of benign prostatic hyperplasia

    ① A patient with a volume of prostate gland (TRUS) > 30 cc

    ② A patient with moderate to severe lower urinary tract symptoms with IPSS ≥ 13

    ③ A patient with 5-15 mL/sec of maximum flow rate (Qmax) measured when urine volume was at least 125 mL

  3. A patient with PSA level < 10 ng/mL (however, if 4 ng/mL < PSA < 10 ng/mL, a person with a biopsy result, confirming that he does not have prostate cancer)
  4. A patient with residual urine volume ≤ 200 mL
  5. A patient with intention of not using drugs which may affect benign prostatic hyperplasia (5-alpha reductase inhibitors, drugs similar to LHRH, alpha blockers, alpha-beta blockers, anticholinergics, antidiuretic hormones, diuretics, PDE-5 inhibitors, beta-3 adrenoceptor antagonists, etc.), drugs affecting immune system (steroids, immunosuppressants), or health functional foods which may affect a prostate gland (saw palmetto, etc.) during the clinical trial period
  6. A patient has to consent not to participate in other clinical trials as a subject during this clinical trial period.
  7. Before enrollment to the study, a patient has to consent to avoid pregnancy by using condoms for 90 days after the end of study participation period and treatment. (However, this is not applied if the patient had vasectomy.) Also, a partner of the patient has to consent to avoid pregnancy by using contraceptive devices or oral contraceptives during the patient's participation in clinical trial and for 90 days after the end of treatment, except if the partner reaches menopause or is surgically sterilized. (Consent should be obtained before visit 4, when necessary.)

[Exclusion Criteria]

If any one of the following is applied, a patient cannot be enrolled in this clinical trial.

  1. A patient who has hypersensitivity reactions to ingredients of this drug.
  2. A patient who received 5-alpha reductase inhibitors other than a drug used in this clinical trial before randomization (within six months)
  3. A patient who received drugs similar to LHRH other than a drug used in this clinical trial
  4. A patient who has received an unapproved study drug in the past or the study drug for this clinical trial (One exception: a patient can be enrolled when the drug is considered by an investigator not to affect prostate and urinary function, and the patient is not participating in other ongoing clinical trial.)
  5. If diagnosed with prostate cancer in the past or at present
  6. A patient who was considered by an investigator to have an influence to an evaluation on urine flow symptoms due to other previous or current diseases besides benign prostatic hyperplasia (e.g., neurogenic bladder, bladder neck contracture, urethral stricture, bladder cancer, malignant tumor in lower urinary tract, etc.)
  7. A patient who had surgeries or radiation therapies for prostate gland, bladder or pelvis, or who had invasive treatments for benign prostatic hyperplasia
  8. A patient who has severe medical condition which may be cause problem to conduct the clinical trial (e.g., chronic heart failure (CHF), difficult-to-control diabetes (HbA1c > 7%), mental disorder, drug, or alcohol abuse, etc.)
  9. A patient with moderate to severe liver hypofunction and severe kidney hypofunction (less than 30 mL/min of creatinine clearance)
  10. A patient who receives drugs affecting immune system (e.g., immunosuppressives, steroids for systemic action, etc.)
  11. Any other patients who are considered to be ineligible for this study by an investigator

[Inclusion Criteria for Randomization]

  1. A patient who satisfies the following clinical signs and symptoms of benign prostatic hyperplasia

    ① A patient with a volume of prostate gland (TRUS) > 30 cc *

    ② A patient with moderate to severe lower urinary tract symptoms with IPSS ≥ 13

    ③ A patient with 5-15 mL/sec of maximum flow rate (Qmax) measured when urine volume was at least 125 mL

  2. A patient with residual urine volume ≤ 200 mL
  3. A partner of the patient has to consent to avoid pregnancy by using contraceptive devices or oral contraceptives during the patient's participation in clinical trial and for 90 days after the end of treatment, except if the partner reaches menopause or is surgically sterilized.

(* In case that additional TRUS examination has been performed after screening, a decision should be made based on the latest result.)

Sites / Locations

  • Hanyang University Guri Hospital
  • Seoul National University Bundang Hospital
  • Dongguk University Gyeongju Hospital
  • Inje University Busan Paik Hospital
  • Keimyung University Dongsan Medical Center
  • Chung-ang University Hospital
  • Eulji General Hospital
  • Severance Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Placebo Comparator

Experimental

Experimental

Experimental

Arm Label

Control Group

Study Group 1

Study Group 2

Study Group 3

Arm Description

- Placebo, two-week interval, intradermal administration

- GV1001 0.4 mg, two-week interval, intradermal administration

- GV1001 0.56 mg, two-week interval, intradermal administration

- GV1001 0.56 mg, four-week interval, intradermal administration : Should be visited every two weeks (GV1001 0.56 mg or placebo is administered alternately at every visit.)

Outcomes

Primary Outcome Measures

Evaluation of doses of GV1001 by comparing the level of change in IPSS scores in three study groups to a control group.
IPSS questionnaire: 7-item questionnaire that measures urinary symptoms, but with an additional, independent eighth question on quality of life. It measures the level of urinary symptoms (including incomplete emptying, frequency, intermittency, urgency, weak stream, straining, and nocturia) reported as the total IPSS score. The first 7 items has a 6-point response scale (0=none/never to 5=almost always/5 or more times) with a total score that can range from 0-35: mild (0-7), moderate (8-19), or severe (20-35). The last item assesses quality of life reported as a Quality of Life assessment index.

Secondary Outcome Measures

Change in volume of prostate gland (TRUS) compared to the baseline
The amount of change from Transrectal Ultrasonography(TRUS) compared to the baseline
Change in maximum flow rate (Qmax) compared to the baseline
The amount of change from Maximum(peak) Urinary Flow Rate compared to the baseline
Change in International Index of Erectile Function (IIEF) compared to the baseline
IIEF questionnaire: 15-item, 5 domain scale collected by subject interview, relating to the subjects' experience of erectile function (and other sexual parameters) over the previous 4 weeks.
Change in prostate-specific antigen (PSA) compared to the baseline
The amount of change from Prostate-specific Antigen (PSA) compared to the baseline
Change in residual urine volume compared to the baseline
The amount of change from Residual Urine Volume compared to the baseline
Change in hormones (testosterone, DHT) compared to the baseline
The amount of change from Hormones (Testosterone, DHT) compared to the baseline

Full Information

First Posted
August 1, 2016
Last Updated
February 16, 2022
Sponsor
GemVax & Kael
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1. Study Identification

Unique Protocol Identification Number
NCT02855892
Brief Title
A Phase II Clinical Trial to Evaluate the Efficacy and Safety of GV1001 in Patients With BPH
Official Title
A Randomized, Placebo-controlled, Single-blind, Parallel Design, Multi-center, Phase II Clinical Trial to Evaluate the Efficacy and Safety of GV1001 in Patients With Benign Prostatic Hyperplasia (BPH)
Study Type
Interventional

2. Study Status

Record Verification Date
February 2022
Overall Recruitment Status
Completed
Study Start Date
October 2015 (undefined)
Primary Completion Date
October 2016 (Actual)
Study Completion Date
October 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GemVax & Kael

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This clinical trial is designed as a randomized, placebo-controlled, single-blind, parallel design, multi-center, phase 2 clinical trial to evaluate the efficacy and safety of GV1001 in patients with benign prostatic hyperplasia. Eligible subjects are randomized into a group out of the three study groups and a placebo group after four weeks of placebo run-in period. Placebo run-in period is concurrently proceeded as a wash-out period for previous treatment of benign prostatic hyperplasia, and a placebo is administered intradermally twice with two-week interval during this period. After that, the randomized subjects receive a study drug and a placebo intradermally seven times with two-week interval by visiting at Week 0, 2, 4, 6, 8, 10, and 12. After the treatment period, the subjects additionally visit at Week 13 and 16, and the efficacy is evaluated at Week 4, 8, 12, 13, and 16, and the safety is evaluated over the 16-week period.
Detailed Description
Patients will be randomized equally between the four arms. Control group (placebo, two-week interval): 38 subjects Study group 1 (GV1001 0.4 mg, intradermal administration, two-week interval): 38 subjects Study group 2 (GV1001 0.56 mg, intradermal administration, two-week interval): 38 subjects Study group 3 (GV1001 0.56 mg, intradermal administration, four-week interval): 38 subjects

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Benign Prostatic Hyperplasia (BPH)
Keywords
GV1001, BPH, Benign prostatic hyperplasia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
161 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Control Group
Arm Type
Placebo Comparator
Arm Description
- Placebo, two-week interval, intradermal administration
Arm Title
Study Group 1
Arm Type
Experimental
Arm Description
- GV1001 0.4 mg, two-week interval, intradermal administration
Arm Title
Study Group 2
Arm Type
Experimental
Arm Description
- GV1001 0.56 mg, two-week interval, intradermal administration
Arm Title
Study Group 3
Arm Type
Experimental
Arm Description
- GV1001 0.56 mg, four-week interval, intradermal administration : Should be visited every two weeks (GV1001 0.56 mg or placebo is administered alternately at every visit.)
Intervention Type
Other
Intervention Name(s)
Placebo
Other Intervention Name(s)
Normal Saline 0.9 %
Intervention Type
Drug
Intervention Name(s)
GV1001
Other Intervention Name(s)
Tertomotide
Primary Outcome Measure Information:
Title
Evaluation of doses of GV1001 by comparing the level of change in IPSS scores in three study groups to a control group.
Description
IPSS questionnaire: 7-item questionnaire that measures urinary symptoms, but with an additional, independent eighth question on quality of life. It measures the level of urinary symptoms (including incomplete emptying, frequency, intermittency, urgency, weak stream, straining, and nocturia) reported as the total IPSS score. The first 7 items has a 6-point response scale (0=none/never to 5=almost always/5 or more times) with a total score that can range from 0-35: mild (0-7), moderate (8-19), or severe (20-35). The last item assesses quality of life reported as a Quality of Life assessment index.
Time Frame
at Week 0, 4, 8, 12, 13, and 16
Secondary Outcome Measure Information:
Title
Change in volume of prostate gland (TRUS) compared to the baseline
Description
The amount of change from Transrectal Ultrasonography(TRUS) compared to the baseline
Time Frame
at screening and Week 16
Title
Change in maximum flow rate (Qmax) compared to the baseline
Description
The amount of change from Maximum(peak) Urinary Flow Rate compared to the baseline
Time Frame
at Week 0, 4, 8, 12, 13, and 16
Title
Change in International Index of Erectile Function (IIEF) compared to the baseline
Description
IIEF questionnaire: 15-item, 5 domain scale collected by subject interview, relating to the subjects' experience of erectile function (and other sexual parameters) over the previous 4 weeks.
Time Frame
at Week 0, 4, 8, 12, 13, and 16
Title
Change in prostate-specific antigen (PSA) compared to the baseline
Description
The amount of change from Prostate-specific Antigen (PSA) compared to the baseline
Time Frame
at Week 0, 13, and 16
Title
Change in residual urine volume compared to the baseline
Description
The amount of change from Residual Urine Volume compared to the baseline
Time Frame
at Week 0, 4, 8, 12, 13, and 16
Title
Change in hormones (testosterone, DHT) compared to the baseline
Description
The amount of change from Hormones (Testosterone, DHT) compared to the baseline
Time Frame
at Week 0, 4, 8, 12, 13, and 16

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
[Inclusion Criteria] All of the following criteria should be satisfied to be enrolled in this clinical trial. A male at 50 years of age and older A patient who satisfies the following clinical signs and symptoms of benign prostatic hyperplasia ① A patient with a volume of prostate gland (TRUS) > 30 cc ② A patient with moderate to severe lower urinary tract symptoms with IPSS ≥ 13 ③ A patient with 5-15 mL/sec of maximum flow rate (Qmax) measured when urine volume was at least 125 mL A patient with PSA level < 10 ng/mL (however, if 4 ng/mL < PSA < 10 ng/mL, a person with a biopsy result, confirming that he does not have prostate cancer) A patient with residual urine volume ≤ 200 mL A patient with intention of not using drugs which may affect benign prostatic hyperplasia (5-alpha reductase inhibitors, drugs similar to LHRH, alpha blockers, alpha-beta blockers, anticholinergics, antidiuretic hormones, diuretics, PDE-5 inhibitors, beta-3 adrenoceptor antagonists, etc.), drugs affecting immune system (steroids, immunosuppressants), or health functional foods which may affect a prostate gland (saw palmetto, etc.) during the clinical trial period A patient has to consent not to participate in other clinical trials as a subject during this clinical trial period. Before enrollment to the study, a patient has to consent to avoid pregnancy by using condoms for 90 days after the end of study participation period and treatment. (However, this is not applied if the patient had vasectomy.) Also, a partner of the patient has to consent to avoid pregnancy by using contraceptive devices or oral contraceptives during the patient's participation in clinical trial and for 90 days after the end of treatment, except if the partner reaches menopause or is surgically sterilized. (Consent should be obtained before visit 4, when necessary.) [Exclusion Criteria] If any one of the following is applied, a patient cannot be enrolled in this clinical trial. A patient who has hypersensitivity reactions to ingredients of this drug. A patient who received 5-alpha reductase inhibitors other than a drug used in this clinical trial before randomization (within six months) A patient who received drugs similar to LHRH other than a drug used in this clinical trial A patient who has received an unapproved study drug in the past or the study drug for this clinical trial (One exception: a patient can be enrolled when the drug is considered by an investigator not to affect prostate and urinary function, and the patient is not participating in other ongoing clinical trial.) If diagnosed with prostate cancer in the past or at present A patient who was considered by an investigator to have an influence to an evaluation on urine flow symptoms due to other previous or current diseases besides benign prostatic hyperplasia (e.g., neurogenic bladder, bladder neck contracture, urethral stricture, bladder cancer, malignant tumor in lower urinary tract, etc.) A patient who had surgeries or radiation therapies for prostate gland, bladder or pelvis, or who had invasive treatments for benign prostatic hyperplasia A patient who has severe medical condition which may be cause problem to conduct the clinical trial (e.g., chronic heart failure (CHF), difficult-to-control diabetes (HbA1c > 7%), mental disorder, drug, or alcohol abuse, etc.) A patient with moderate to severe liver hypofunction and severe kidney hypofunction (less than 30 mL/min of creatinine clearance) A patient who receives drugs affecting immune system (e.g., immunosuppressives, steroids for systemic action, etc.) Any other patients who are considered to be ineligible for this study by an investigator [Inclusion Criteria for Randomization] A patient who satisfies the following clinical signs and symptoms of benign prostatic hyperplasia ① A patient with a volume of prostate gland (TRUS) > 30 cc * ② A patient with moderate to severe lower urinary tract symptoms with IPSS ≥ 13 ③ A patient with 5-15 mL/sec of maximum flow rate (Qmax) measured when urine volume was at least 125 mL A patient with residual urine volume ≤ 200 mL A partner of the patient has to consent to avoid pregnancy by using contraceptive devices or oral contraceptives during the patient's participation in clinical trial and for 90 days after the end of treatment, except if the partner reaches menopause or is surgically sterilized. (* In case that additional TRUS examination has been performed after screening, a decision should be made based on the latest result.)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kyung Seop Lee
Organizational Affiliation
Department of Urology, Dongguk University Gyeongju Hospital
Official's Role
Study Chair
Facility Information:
Facility Name
Hanyang University Guri Hospital
City
Guri-si
State/Province
Gyeonggi-do
Country
Korea, Republic of
Facility Name
Seoul National University Bundang Hospital
City
Seongnam-si
State/Province
Gyeonggi-do
Country
Korea, Republic of
Facility Name
Dongguk University Gyeongju Hospital
City
Gyeongju
State/Province
Gyeongsangbuk-do
Country
Korea, Republic of
Facility Name
Inje University Busan Paik Hospital
City
Busan
Country
Korea, Republic of
Facility Name
Keimyung University Dongsan Medical Center
City
Daegu
Country
Korea, Republic of
Facility Name
Chung-ang University Hospital
City
Seoul
Country
Korea, Republic of
Facility Name
Eulji General Hospital
City
Seoul
Country
Korea, Republic of
Facility Name
Severance Hospital
City
Seoul
Country
Korea, Republic of

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Phase II Clinical Trial to Evaluate the Efficacy and Safety of GV1001 in Patients With BPH

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