Clinical Trial of Safety and Efficacy of Afalaza in Patients With Symptoms of Benign Prostatic Hyperplasia and Risk of Progression
Primary Purpose
Benign Prostatic Hyperplasia
Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Afalaza
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Benign Prostatic Hyperplasia
Eligibility Criteria
Inclusion Criteria:
- Male patients 45 to 60 y.o. inclusive with a documented diagnosis of Benign prostatic hyperplasia.
- Lower urinary tract symptoms (LUTS) having been experienced for 3 months and longer.
- Total IPSS score (International Prostate Symptome Score) of 8 to 15.
- Prostate volume of more than 30 cm3.
- Maximal urinary flow rate of 10-15 mL/sec.
- Micturition volume of 125-350 mL.
- Residual volume of less than 100 mL.
- Serum prostate-specific antigen (PSA) level of less than 4 ng/mL.
- Use of and compliance with contraceptive methods during the trial and for 30 days upon completion of participation in the trial.
- Presence of the patient's information sheet (informed consent form) for participation in the clinical trial.
Exclusion Criteria:
- Invasive therapies for BPH including a transurethral prostatic resection, thermotherapy, microwave therapy, transurethral needle ablation, stenting, etc.
- Malignant oncological disease of the urogenital system as well as malignancies of any other localization during last 5 years.
- Acute urinary retention (AUR) within 3 months before inclusion in the trial.
- Neurogenic dysfunctions and bladder ears.
- Urinary stone disease.
- Urethral stricture, bladder neck sclerosis.
- History of operative aids for pelvic organs.
- Urogenital infections in the phase of active inflammation.
- Systematic administration of agents exhibiting effects on bladder function and urine production.
- Exacerbation or decompensation of chronic diseases affecting the possibility of patients to participate in the clinical trial, including severe concurrent cardiovascular conditions and disorders of the nervous system, renal and hepatic insufficiency.
- History of administration of testosterone 5-alpha-reductase inhibitors (finasteride, dutasteride).
- History of polyvalent allergy.
- Allergy/intolerance to any component of drug agents used in the therapy.
- Malabsorption syndrome, including congenital or acquired lactase or other disaccharidase deficiency.
- Administration of drugs specified as "Prohibited concomitant therapy", within 3 months before enrollment.
- Exacerbation or decompensation of chronic diseases affecting the possibility of patients to participate in the clinical trial.
- Drug and alcohol consumption (over 2 alc. units daily), mental diseases. Legal incapacity or limited legal capacity.
- Legal incapacitation or limited legal capacity.
- Patients, who, in the investigator's opinion, will fail to observe the requirements during the trial or adhere to the studied drug administration procedure.
- Participation in other clinical trials within 3 months before enrolment in this trial.
- Presence of other factors, complicating the patient's participation in the trial (e.g., planned lengthy business and other trips).
- A patient is a part of the center's research staff, taking a direct part in the trial, or an immediate family member of the investigator. Immediate family members are defined as spouses, parents, children or siblings, regardless of whether full blood or adopted.
- The patient is employed with Scientific Production Firm Materia Medica Holding LLC, i.e. is the company's employee, part-time employee under contract, or appointed official in charge of the trial, or their immediate family.
Sites / Locations
- Limited liability company "Family Policlinic No. 4"
- The State Budget Health Care institution of Moscow the City "Hospital for veterans of wars No. 2 of the Administration of Health Care of Moscow City"
- The State Budget Health Care institution of Moscow the City "Specialized clinical (neuro-psychiatric) hospital No. 8 n.a. Z.P. Solovyov - ''Clinic of neuroses" of the Administration of Health Care of Moscow City
- The Federal State Budget Educational institution of High Professional Training "Peoples' Friendship University of Russia", Department of Urology and Operative Nephrology
- The State Budget Educational institution of High Professional Training I.M. Sechenov First Moscow State Medical University of Ministry of Health Care and Social Development of the Russian Federation, Department of Urology
- The State Budgetary Educational Institution of Higher Professional Education " Moscow State University of Medicine and Dentistry of A. I. Evdokimov" Ministry of Health of the Russian Federation
- The Federal State Budget institution "Polyclinic № 3" of Affairs Management Department of the President of the Russian Federation
- Municipal Treatment-and-Prophylactic Health Care institution Clinical Diagnostic Centre "Zdorovie"
- The Federal State Budgetary Institution " Saint-Petersburg Research Institute Phthisiopulmonology " Ministry of Health of the Russian Federation
- The Federal State institution "All-Russian center of emergency and radiation medicine n.a. A.M. Nikiforov" of the Ministry of the Russian Federation for Affairs of civil defence, emergencies and elimination of consequences of natural disasters
- The Federal State Budgetary Health Care Institution "Clinical Hospital №122 n. a. L. G. Sokolov of the Federal Biomedical Agency"
- Limited liability company "Medical unit No. 157"
- Saint-Petersburg State Budget Health Care institution "Pokrovsky city hospital"
- Limited Liability Company "Hospital OrCli"
- The State Budgetary Educational Institution of Higher Professional Education " Siberian state Medical University" Ministry of Health of the Russian Federation
- The State Institution "Institute of Urology of the Ukraine National Academy of Medical Sciences"
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
Afalaza (2 tablets twice a day)
Placebo (2 tablets twice a day)
Arm Description
Outcomes
Primary Outcome Measures
Change in Total IPSS Scores (International Prostate Symptome Score) After 1, 3, 6 and 12 Months Compared to Baseline.
The International Prostate Symptom Score (IPSS) is based on the answers to 7 questions concerning urinary symptoms plus one question concerning quality of life (QoL). Each of the seven symptoms includes the assignment of scores from 0 to 5. The total score can therefore range from 0 to 35 points (asymptomatic to very symptomatic). The patient's quality of life (QoL) was evaluated separately in this clinical study.
Secondary Outcome Measures
Change in Dynamics of Irritative Symptoms Evaluated by IPSS (International Prostate Symptome Score) After 1, 3, 6 and 12 Months Compared to Baseline
The International Prostate Symptom Score (IPSS) is based on the answers to 7 questions concerning urinary symptoms plus one question concerning quality of life (QoL). Each of the seven symptoms includes the assignment of scores from 0 to 5. The total score can therefore range from 0 to 35 points (asymptomatic to very symptomatic). The patient's quality of life (QoL) was evaluated separately in this clinical study.
The sum of IPSS questions 2, 4, and 7 related to irritative symptoms. The total score of irritative symptoms can therefore range from 0 to 15 points (asymptomatic to very symptomatic).
Change in Maximum Urinary Flow Rate After 1, 3, 6 and 12 Months Compared to Baseline
Change in Average Urinary Flow Rate After 1, 3, 6 and 12 Months Compared to Baseline
Percent Change in Mean Values of Prostate Gland Volume at 3, 6 and 12 Months Compared to Baseline
Change in the volume of the prostate gland as a percentage of the baseline according to transrectal ultrasound
Change in Mean Values of Micturition Volume at 3, 6 and 12 Months Compared to Baseline
Change in the Mean Values of Residual Urine Volume at 3, 6 and 12 Months Compared to Baseline
according to transabdominal ultrasound
Change in Quality of Life (QoL Index of IPSS) at 3, 6 and 12 Months Compared to Baseline
Quality of life (QoL) Due to Urinary Symptoms is an eight point of the IPSS scale referred to the patient's quality of life. The answers to this question range from "delighted" to "terrible" or 0 to 5.
Change in Total Value of Risk Factors for Progression (Total Score of IPSS, Prostate Volume, PSA Level, Maximum Urinary Flow Rate, Residual Urine Volume) Compared to Baseline
To assess the risk of BPH progression, the following were used: 1) moderate to severe BPH symptoms (ie, IPSS total score> 7); 2) an increase in the volume of the prostate gland (> 30 cm^2); 3) increased PSA level in the blood (≥ 1.4 ng / ml); 4) a decrease in Qmax (<12 ml / s) and 5) a large volume of residual urine (> 200 ml).
The total value of risk factors for progression is assessed as the sum of the risk factors that the patient had at the time of inclusion in the study (presence of risk factors = 1 point, absence = 0 points). After 3, 6 and 12 months of treatment, the dynamics of risk factors for progression was assessed: an increase in the severity of the risk factor meant +1, no change = 0, a decrease in the severity of the risk factor of -1.
Number of Episodes of Acute Urinary Retention, Surgical Intervention During the Observation Period
Full Information
NCT ID
NCT01716104
First Posted
October 25, 2012
Last Updated
November 1, 2018
Sponsor
Materia Medica Holding
1. Study Identification
Unique Protocol Identification Number
NCT01716104
Brief Title
Clinical Trial of Safety and Efficacy of Afalaza in Patients With Symptoms of Benign Prostatic Hyperplasia and Risk of Progression
Official Title
Multicentric Double-blind Placebo-controlled Randomized Parallel-group Clinical Trial of Safety and Efficacy of Afalaza in Patients With Symptoms of Benign Prostatic Hyperplasia and Risk of Progression
Study Type
Interventional
2. Study Status
Record Verification Date
November 2018
Overall Recruitment Status
Completed
Study Start Date
November 2012 (undefined)
Primary Completion Date
November 2016 (Actual)
Study Completion Date
November 2016 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Materia Medica Holding
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is:
To assess safety of Afalaza drug within 12 months in patients with symptoms of benign prostatic hyperplasia (BPH) and risk of progression.
To assess efficacy of Afalaza drug within 12 months in patients with symptoms of benign prostatic hyperplasia and risk of progression.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Benign Prostatic Hyperplasia
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
260 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Afalaza (2 tablets twice a day)
Arm Type
Experimental
Arm Title
Placebo (2 tablets twice a day)
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
Afalaza
Intervention Description
Safety and Efficacy
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Safety and Efficacy
Primary Outcome Measure Information:
Title
Change in Total IPSS Scores (International Prostate Symptome Score) After 1, 3, 6 and 12 Months Compared to Baseline.
Description
The International Prostate Symptom Score (IPSS) is based on the answers to 7 questions concerning urinary symptoms plus one question concerning quality of life (QoL). Each of the seven symptoms includes the assignment of scores from 0 to 5. The total score can therefore range from 0 to 35 points (asymptomatic to very symptomatic). The patient's quality of life (QoL) was evaluated separately in this clinical study.
Time Frame
Baseline, 1, 3, 6 and 12 months
Secondary Outcome Measure Information:
Title
Change in Dynamics of Irritative Symptoms Evaluated by IPSS (International Prostate Symptome Score) After 1, 3, 6 and 12 Months Compared to Baseline
Description
The International Prostate Symptom Score (IPSS) is based on the answers to 7 questions concerning urinary symptoms plus one question concerning quality of life (QoL). Each of the seven symptoms includes the assignment of scores from 0 to 5. The total score can therefore range from 0 to 35 points (asymptomatic to very symptomatic). The patient's quality of life (QoL) was evaluated separately in this clinical study.
The sum of IPSS questions 2, 4, and 7 related to irritative symptoms. The total score of irritative symptoms can therefore range from 0 to 15 points (asymptomatic to very symptomatic).
Time Frame
Baseline and 1, 3, 6, 12 months
Title
Change in Maximum Urinary Flow Rate After 1, 3, 6 and 12 Months Compared to Baseline
Time Frame
Baseline and 1, 3, 6 and 12 months
Title
Change in Average Urinary Flow Rate After 1, 3, 6 and 12 Months Compared to Baseline
Time Frame
Baseline and 1, 3, 6 and 12 months
Title
Percent Change in Mean Values of Prostate Gland Volume at 3, 6 and 12 Months Compared to Baseline
Description
Change in the volume of the prostate gland as a percentage of the baseline according to transrectal ultrasound
Time Frame
Baseline and 3, 6 and 12 months
Title
Change in Mean Values of Micturition Volume at 3, 6 and 12 Months Compared to Baseline
Time Frame
Baseline and 3, 6 and 12 months
Title
Change in the Mean Values of Residual Urine Volume at 3, 6 and 12 Months Compared to Baseline
Description
according to transabdominal ultrasound
Time Frame
Baseline and 3, 6 and 12 months
Title
Change in Quality of Life (QoL Index of IPSS) at 3, 6 and 12 Months Compared to Baseline
Description
Quality of life (QoL) Due to Urinary Symptoms is an eight point of the IPSS scale referred to the patient's quality of life. The answers to this question range from "delighted" to "terrible" or 0 to 5.
Time Frame
Baseline and 3, 6 and 12 months
Title
Change in Total Value of Risk Factors for Progression (Total Score of IPSS, Prostate Volume, PSA Level, Maximum Urinary Flow Rate, Residual Urine Volume) Compared to Baseline
Description
To assess the risk of BPH progression, the following were used: 1) moderate to severe BPH symptoms (ie, IPSS total score> 7); 2) an increase in the volume of the prostate gland (> 30 cm^2); 3) increased PSA level in the blood (≥ 1.4 ng / ml); 4) a decrease in Qmax (<12 ml / s) and 5) a large volume of residual urine (> 200 ml).
The total value of risk factors for progression is assessed as the sum of the risk factors that the patient had at the time of inclusion in the study (presence of risk factors = 1 point, absence = 0 points). After 3, 6 and 12 months of treatment, the dynamics of risk factors for progression was assessed: an increase in the severity of the risk factor meant +1, no change = 0, a decrease in the severity of the risk factor of -1.
Time Frame
Baseline and 3, 6 and 12 months
Title
Number of Episodes of Acute Urinary Retention, Surgical Intervention During the Observation Period
Time Frame
12 months
10. Eligibility
Sex
Male
Minimum Age & Unit of Time
45 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male patients 45 to 60 y.o. inclusive with a documented diagnosis of Benign prostatic hyperplasia.
Lower urinary tract symptoms (LUTS) having been experienced for 3 months and longer.
Total IPSS score (International Prostate Symptome Score) of 8 to 15.
Prostate volume of more than 30 cm3.
Maximal urinary flow rate of 10-15 mL/sec.
Micturition volume of 125-350 mL.
Residual volume of less than 100 mL.
Serum prostate-specific antigen (PSA) level of less than 4 ng/mL.
Use of and compliance with contraceptive methods during the trial and for 30 days upon completion of participation in the trial.
Presence of the patient's information sheet (informed consent form) for participation in the clinical trial.
Exclusion Criteria:
Invasive therapies for BPH including a transurethral prostatic resection, thermotherapy, microwave therapy, transurethral needle ablation, stenting, etc.
Malignant oncological disease of the urogenital system as well as malignancies of any other localization during last 5 years.
Acute urinary retention (AUR) within 3 months before inclusion in the trial.
Neurogenic dysfunctions and bladder ears.
Urinary stone disease.
Urethral stricture, bladder neck sclerosis.
History of operative aids for pelvic organs.
Urogenital infections in the phase of active inflammation.
Systematic administration of agents exhibiting effects on bladder function and urine production.
Exacerbation or decompensation of chronic diseases affecting the possibility of patients to participate in the clinical trial, including severe concurrent cardiovascular conditions and disorders of the nervous system, renal and hepatic insufficiency.
History of administration of testosterone 5-alpha-reductase inhibitors (finasteride, dutasteride).
History of polyvalent allergy.
Allergy/intolerance to any component of drug agents used in the therapy.
Malabsorption syndrome, including congenital or acquired lactase or other disaccharidase deficiency.
Administration of drugs specified as "Prohibited concomitant therapy", within 3 months before enrollment.
Exacerbation or decompensation of chronic diseases affecting the possibility of patients to participate in the clinical trial.
Drug and alcohol consumption (over 2 alc. units daily), mental diseases. Legal incapacity or limited legal capacity.
Legal incapacitation or limited legal capacity.
Patients, who, in the investigator's opinion, will fail to observe the requirements during the trial or adhere to the studied drug administration procedure.
Participation in other clinical trials within 3 months before enrolment in this trial.
Presence of other factors, complicating the patient's participation in the trial (e.g., planned lengthy business and other trips).
A patient is a part of the center's research staff, taking a direct part in the trial, or an immediate family member of the investigator. Immediate family members are defined as spouses, parents, children or siblings, regardless of whether full blood or adopted.
The patient is employed with Scientific Production Firm Materia Medica Holding LLC, i.e. is the company's employee, part-time employee under contract, or appointed official in charge of the trial, or their immediate family.
Facility Information:
Facility Name
Limited liability company "Family Policlinic No. 4"
City
Moscow region Koroljov
ZIP/Postal Code
141060
Country
Russian Federation
Facility Name
The State Budget Health Care institution of Moscow the City "Hospital for veterans of wars No. 2 of the Administration of Health Care of Moscow City"
City
Moscow
ZIP/Postal Code
109472
Country
Russian Federation
Facility Name
The State Budget Health Care institution of Moscow the City "Specialized clinical (neuro-psychiatric) hospital No. 8 n.a. Z.P. Solovyov - ''Clinic of neuroses" of the Administration of Health Care of Moscow City
City
Moscow
ZIP/Postal Code
115419
Country
Russian Federation
Facility Name
The Federal State Budget Educational institution of High Professional Training "Peoples' Friendship University of Russia", Department of Urology and Operative Nephrology
City
Moscow
ZIP/Postal Code
117198
Country
Russian Federation
Facility Name
The State Budget Educational institution of High Professional Training I.M. Sechenov First Moscow State Medical University of Ministry of Health Care and Social Development of the Russian Federation, Department of Urology
City
Moscow
ZIP/Postal Code
119991
Country
Russian Federation
Facility Name
The State Budgetary Educational Institution of Higher Professional Education " Moscow State University of Medicine and Dentistry of A. I. Evdokimov" Ministry of Health of the Russian Federation
City
Moscow
ZIP/Postal Code
127473
Country
Russian Federation
Facility Name
The Federal State Budget institution "Polyclinic № 3" of Affairs Management Department of the President of the Russian Federation
City
Moscow
ZIP/Postal Code
129090
Country
Russian Federation
Facility Name
Municipal Treatment-and-Prophylactic Health Care institution Clinical Diagnostic Centre "Zdorovie"
City
Rostov-on-Don
ZIP/Postal Code
344011
Country
Russian Federation
Facility Name
The Federal State Budgetary Institution " Saint-Petersburg Research Institute Phthisiopulmonology " Ministry of Health of the Russian Federation
City
St. Petersburg
ZIP/Postal Code
191036
Country
Russian Federation
Facility Name
The Federal State institution "All-Russian center of emergency and radiation medicine n.a. A.M. Nikiforov" of the Ministry of the Russian Federation for Affairs of civil defence, emergencies and elimination of consequences of natural disasters
City
St. Petersburg
ZIP/Postal Code
194044
Country
Russian Federation
Facility Name
The Federal State Budgetary Health Care Institution "Clinical Hospital №122 n. a. L. G. Sokolov of the Federal Biomedical Agency"
City
St. Petersburg
ZIP/Postal Code
194291
Country
Russian Federation
Facility Name
Limited liability company "Medical unit No. 157"
City
St. Petersburg
ZIP/Postal Code
196066
Country
Russian Federation
Facility Name
Saint-Petersburg State Budget Health Care institution "Pokrovsky city hospital"
City
St. Petersburg
ZIP/Postal Code
199106
Country
Russian Federation
Facility Name
Limited Liability Company "Hospital OrCli"
City
St. Petersburg
ZIP/Postal Code
199178
Country
Russian Federation
Facility Name
The State Budgetary Educational Institution of Higher Professional Education " Siberian state Medical University" Ministry of Health of the Russian Federation
City
Tomsk
ZIP/Postal Code
634050
Country
Russian Federation
Facility Name
The State Institution "Institute of Urology of the Ukraine National Academy of Medical Sciences"
City
Kyiv
ZIP/Postal Code
04053
Country
Ukraine
12. IPD Sharing Statement
Citations:
PubMed Identifier
30680237
Citation
Pushkar D, Vinarov A, Spivak L, Kolontarev K, Putilovskiy M, Andrianova E, Epstein O. Efficacy and safety of Afalaza in men with symptomatic benign prostatic hyperplasia at risk of progression: a multicenter, double-blind, placebo-controlled, randomized clinical trial. Cent European J Urol. 2018;71(4):427-435. doi: 10.5173/ceju.2018.1803. Epub 2018 Dec 27.
Results Reference
derived
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Clinical Trial of Safety and Efficacy of Afalaza in Patients With Symptoms of Benign Prostatic Hyperplasia and Risk of Progression
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