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Study of Light-Activated Talaporfin Sodium in Patients With Lower Urinary Tract Symptoms (LUTS) Due to Benign Prostatic Hyperplasia (BPH)

Primary Purpose

Benign Prostatic Hyperplasia, Lower Urinary Tract Symptoms

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
talaporfin sodium
Transurethral illumination with light emitting diodes
Placement
Sponsored by
Light Sciences Oncology
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Benign Prostatic Hyperplasia focused on measuring BPH, LUTS, talaporfin sodium

Eligibility Criteria

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

Inclusion Criteria:

  1. Males, aged 50 years or older with prior diagnosis of BPH;
  2. Patients may be eligible whether or not they are on medication for LUTS due to BPH.
  3. Patients who are candidates for interventional therapy;
  4. Patients who understand and have the ability to sign written informed consent prior to any study procedures and/or discontinuation of exclusionary medications;
  5. Patients with an International Prostate Symptom Score of ≥ 15 points;
  6. Patients with moderate to severe BPH (Bother Score ≥ 3);
  7. Maximum urinary flow rate (Qmax) ≤ 15 mL/sec;
  8. Post void residual volume (PVR) ≤ 300 mL;
  9. Length of prostatic urethra ≥ 4.0 cm.

Exclusion Criteria:

  1. Patients with any previous minimally invasive or surgical intervention for BPH.
  2. Patients who are currently enrolled in or who have enrolled in another clinical trial for any disease within the past 30 days.
  3. Patients with an active urinary tract infection.
  4. Patients with a urethral stricture.
  5. Patients with interstitial cystitis.
  6. Patients with a predominant middle lobe obstruction.
  7. Patients who have evidence or history of prostate or bladder cancer or carcinoma in situ of the bladder.
  8. Patients with an abnormal digital rectal exam suggestive of carcinoma of the prostate.
  9. Patients with an abnormal digital rectal exam suggestive of an indurated nodule.
  10. Patients with a PSA of > 10 ng/ml. If the PSA is 4-10 ng/ml, local standard of care should be pursued to ensure the possibility of prostate cancer is followed up and ruled out prior to, entry into the study.
  11. Patients who had a biopsy of the prostate within the past 6 weeks.
  12. Patients with bleeding diathesis.
  13. Patients with clinically significant renal or hepatic impairment.
  14. Patients with neurological conditions felt to affect the bladder or a history of a neurogenic or chronically decompensated bladder.
  15. Patients who daily use a pad or device for incontinence.
  16. Patients who had an episode of unstable angina pectoris, myocardial infarction, transient ischemic attack, or cerebrovascular accident (stroke) within the past 6 months, or peripheral arterial disease with intermittent claudication or Leriches syndrome.
  17. Patient has an interest in future fertility.
  18. Patients with prolonged QT interval at baseline and/or who are currently taking medication that prolongs QT interval ("prolonged QT interval" defined as > 450 ms).
  19. Inadequate organ function as evidenced by the following: Platelet count <100,000/mm3; WBC <4,000/mm3; Neutrophils <1,800/mm3; Hemoglobin <10 g/dL; AST and ALT >3 x ULN; Creatinine >1.5 x ULN
  20. Known sensitivity to porphyrin-type drugs or known history of porphyria.
  21. Inability to avoid bright indoor lighting and sunlight during the first 72 hours after LS11 administration.

Sites / Locations

  • Royal Brisbane and Women's Hospital Center of Clinical Research
  • Bayside Urology
  • Princess Alexandra Hospital
  • Canterbury Urology Research Trust Hiatt Chambers St. George's Medical Centre
  • Roundhay Medical Centre
  • Tauranga Urology Research, Ltd.
  • Wellington Urology Research Group Wakefield Urology
  • Kensington Hospital Cardinal Points Specialist Centre

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

LS11 (talaporfin sodium)

Arm Description

Outcomes

Primary Outcome Measures

Safety of light-activated talaporfin sodium by recording of Adverse Events; Preliminary effectiveness of light-activated talaporfin sodium by evaluating the International Prostate Symptom Score (IPSS) along with Bother Score (BS).

Secondary Outcome Measures

Full Information

First Posted
June 9, 2009
Last Updated
November 14, 2012
Sponsor
Light Sciences Oncology
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1. Study Identification

Unique Protocol Identification Number
NCT00918034
Brief Title
Study of Light-Activated Talaporfin Sodium in Patients With Lower Urinary Tract Symptoms (LUTS) Due to Benign Prostatic Hyperplasia (BPH)
Official Title
A Phase 2 Study to Evaluate the Safety and Effectiveness of Using the Litx™ BPH System in Patients With Lower Urinary Tract Symptoms (LUTS) Due to Benign Prostatic Hyperplasia (BPH) Who Are Candidates for Interventional Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
November 2012
Overall Recruitment Status
Completed
Study Start Date
May 2009 (undefined)
Primary Completion Date
February 2011 (Actual)
Study Completion Date
February 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Light Sciences Oncology

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a phase 2 study to evaluate the safety and effectiveness of light-activated talaporfin sodium in patients with LUTS due to benign prostatic hyperplasia (BPH).
Detailed Description
This is a phase 2 study to evaluate the safety and effectiveness of using light-activated talaporfin sodium in patients with LUTS due to BPH who are candidates for interventional therapy. The eligible patient will undergo placement of a proprietary drug activator into the prostatic urethra. Following the placement of the drug activator, patients will receive talaporfin sodium at 1 mg/kg intravenously by slow push over 3-5 minutes. Fifteen minutes after injection a light dose of 100 Joules per centimeter (J/cm) will be delivered at 20 mW/cm to each patient for a treatment duration of 1 hour 23 minutes. SAE reporting will occur from the day of treatment (Day 0) through end of study (month 12), inclusive. Any SAE that is still ongoing at the end of the study will be followed until assessed as chronic, stable or resolved.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Benign Prostatic Hyperplasia, Lower Urinary Tract Symptoms
Keywords
BPH, LUTS, talaporfin sodium

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
21 (Actual)

8. Arms, Groups, and Interventions

Arm Title
LS11 (talaporfin sodium)
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
talaporfin sodium
Other Intervention Name(s)
LS11
Intervention Description
LS11 (talaporfin sodium) dose of 1mg/kg will be administered intravenously by slow push (3-5 minutes)
Intervention Type
Device
Intervention Name(s)
Transurethral illumination with light emitting diodes
Intervention Description
A light dose of 100 Joules per centimeter (J/cm) will be delivered at 20 mW/cm to each patient for a treatment duration of 1 hour 23 minutes
Intervention Type
Procedure
Intervention Name(s)
Placement
Intervention Description
Placement of device in prostate urethra
Primary Outcome Measure Information:
Title
Safety of light-activated talaporfin sodium by recording of Adverse Events; Preliminary effectiveness of light-activated talaporfin sodium by evaluating the International Prostate Symptom Score (IPSS) along with Bother Score (BS).
Time Frame
12 months

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males, aged 50 years or older with prior diagnosis of BPH; Patients may be eligible whether or not they are on medication for LUTS due to BPH. Patients who are candidates for interventional therapy; Patients who understand and have the ability to sign written informed consent prior to any study procedures and/or discontinuation of exclusionary medications; Patients with an International Prostate Symptom Score of ≥ 15 points; Patients with moderate to severe BPH (Bother Score ≥ 3); Maximum urinary flow rate (Qmax) ≤ 15 mL/sec; Post void residual volume (PVR) ≤ 300 mL; Length of prostatic urethra ≥ 4.0 cm. Exclusion Criteria: Patients with any previous minimally invasive or surgical intervention for BPH. Patients who are currently enrolled in or who have enrolled in another clinical trial for any disease within the past 30 days. Patients with an active urinary tract infection. Patients with a urethral stricture. Patients with interstitial cystitis. Patients with a predominant middle lobe obstruction. Patients who have evidence or history of prostate or bladder cancer or carcinoma in situ of the bladder. Patients with an abnormal digital rectal exam suggestive of carcinoma of the prostate. Patients with an abnormal digital rectal exam suggestive of an indurated nodule. Patients with a PSA of > 10 ng/ml. If the PSA is 4-10 ng/ml, local standard of care should be pursued to ensure the possibility of prostate cancer is followed up and ruled out prior to, entry into the study. Patients who had a biopsy of the prostate within the past 6 weeks. Patients with bleeding diathesis. Patients with clinically significant renal or hepatic impairment. Patients with neurological conditions felt to affect the bladder or a history of a neurogenic or chronically decompensated bladder. Patients who daily use a pad or device for incontinence. Patients who had an episode of unstable angina pectoris, myocardial infarction, transient ischemic attack, or cerebrovascular accident (stroke) within the past 6 months, or peripheral arterial disease with intermittent claudication or Leriches syndrome. Patient has an interest in future fertility. Patients with prolonged QT interval at baseline and/or who are currently taking medication that prolongs QT interval ("prolonged QT interval" defined as > 450 ms). Inadequate organ function as evidenced by the following: Platelet count <100,000/mm3; WBC <4,000/mm3; Neutrophils <1,800/mm3; Hemoglobin <10 g/dL; AST and ALT >3 x ULN; Creatinine >1.5 x ULN Known sensitivity to porphyrin-type drugs or known history of porphyria. Inability to avoid bright indoor lighting and sunlight during the first 72 hours after LS11 administration.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sy-Shi Wang, PhD
Organizational Affiliation
Light Sciences Oncology
Official's Role
Study Director
Facility Information:
Facility Name
Royal Brisbane and Women's Hospital Center of Clinical Research
City
Herston
Country
Australia
Facility Name
Bayside Urology
City
Mentone
Country
Australia
Facility Name
Princess Alexandra Hospital
City
Wolloongabba
ZIP/Postal Code
QLD 4102
Country
Australia
Facility Name
Canterbury Urology Research Trust Hiatt Chambers St. George's Medical Centre
City
Christchurch
Country
New Zealand
Facility Name
Roundhay Medical Centre
City
Nelson
Country
New Zealand
Facility Name
Tauranga Urology Research, Ltd.
City
Tauranga
Country
New Zealand
Facility Name
Wellington Urology Research Group Wakefield Urology
City
Wellington
Country
New Zealand
Facility Name
Kensington Hospital Cardinal Points Specialist Centre
City
Whangarei
Country
New Zealand

12. IPD Sharing Statement

Learn more about this trial

Study of Light-Activated Talaporfin Sodium in Patients With Lower Urinary Tract Symptoms (LUTS) Due to Benign Prostatic Hyperplasia (BPH)

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