Study to Evaluate Efficacy and Safety of NDS-446 in Men With Lower Urinary Tract Symptoms (LUTS)
Primary Purpose
Lower Urinary Tract Symptoms
Status
Unknown status
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
NDS-446
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Lower Urinary Tract Symptoms
Eligibility Criteria
Inclusion Criteria:
- Men ≥45 years of age.
- LUTS, based on IPSS total score ≥8 and <25
- Peak urinary flow rate (Qmax) ≥4 and ≤15 mL/sec at screening
- Post Void Residual (PVR) urine volume ≤ 200 mL at screening
- PSA level at screening < 10 ng/mL. Subjects with a PSA > 4ng/mL and < 10 ng/mL are eligible only if prostate cancer has been ruled out
- Subjects who understand and speak English
- Able and willing to give informed consent and comply with all study protocol procedures (diaries and other study tools).
Exclusion Criteria:
- Not suitable for medical intervention (e.g., requiring TURP, etc.)
- History of interstitial cystitis, bladder stones, urethral stricture, current prostatitis, acute urinary retention requiring catheterization in the last 3 months, or any other condition suspected to be the cause of LUTS other than BPH
- Screening serum Creatinine (Cr) or liver function tests [ALT (SGPT), AST (SGOT)] > 3 times the upper limit of normal (ULN) confirmed on a second measurement.
- Cancer of the prostate or bladder by history or current diagnosis.
- Prostate nodule(s) on screening digital rectal exam (DRE).
- Prior surgical procedure of the urinary tract such as TURP, laser prostatectomy, photovaporization of the prostate
- No minimally invasive surgery to the prostate such as TUMT or TUNA within the last 6 months.
- Active urinary tract infection.
- Unstable or uncontrolled medical or psychiatric condition.
- Abnormal screening labs > 2 times the upper limit of normal (ULN) [for all parameters other than those listed for exclusion criteria#3]
- Myocardial infarction or CVA within the past 90 days.
- Requiring ongoing administration of antibiotics, antifungals, antiviral, chemotherapy, steroidal or immunosuppressive treatments.
- Requiring chronic administration of aspirin at a dose >81 mg/day.
- Known hypersensitivity to study drug ingredient(s) or allergy to berries.
- Use of the following medications: alpha blockers (28 days of screening), herbal or nutritional BPH supplements (28 days of screening), OAB medications (28 days of screening), 5 alpha reductase inhibitors (175 days of screening), PDE5 inhibitors (permitted as needed for erectile dysfunction only, but not to exceed 1 dose per week and not to be dosed within 5 days of a visit)
- Use of an investigational agent (drug, biologic, device, etc.) within 30 days of screening
- Any reason or condition that in the judgment of the Clinical Investigator(s) may put the subject at unacceptable risk or that may preclude the subject from understanding or complying with the study's requirements.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
NDS-446
Placebo
Arm Description
NDS-446
Placebo
Outcomes
Primary Outcome Measures
Change in total IPSS score between baseline and 6 months
Secondary Outcome Measures
Change in IPSS subscores (Storage, Voiding, Quality of Life) between baseline and 6 months
Change in Patient Global Impression of Improvement/Severity Score (PGIS) between baseline and 6 months
Uroflowmetry (Qmax: maximum urinary flow rate, mL/sec)
Uroflowmetry (PVR: Post Void Residual Volume, mL)
Uroflowmetry (Vol: Volume of urine voided, mL)
Sexual performance (SHIM: Sexual Health Inventory for Men)
Blood and urine laboratory analysis and incidence of treatment emergent adverse events [Safety and Tolerability]
Blood samples will be collected to measure:
Prostate Specific Antigen (PSA) Hematology: CBC (complete blood count), differential; reticulocyte count, platelets Serum Chemistries: BUN (blood urea nitrogen), Creatinine, Fasting Blood Glucose, Uric acid, AST (aspartate aminotransferase), ALT (alanine aminotransferase), ALP (alkaline phosphatase), LDH (lactate dehydrogenase), Total and Direct Bilirubin; Total Protein, Albumin, Calcium, Magnesium, Cholesterol, Triglycerides Coagulation: PT (prothrombin time) /PTT (partial thromboplastin time)/ INR (International Normalized Ratio)
Urine samples will be collected to measure:
Urinalysis: Urine Protein, Glucose, Microscopic for RBCs (Red blood cell counts), WBCs (white blood cell counts)
Assessment of adverse events: collection of adverse events on a diary and spontaneously reported adverse events (either via phone calls to the site or during the visits)
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02808013
Brief Title
Study to Evaluate Efficacy and Safety of NDS-446 in Men With Lower Urinary Tract Symptoms (LUTS)
Official Title
Prospective Randomized, Double-Blind, Placebo Controlled Study of NDS-446 (500 mg/Cap) in Men 45 Years of Age or Older With Moderate to Severe Lower Urinary Tract Symptoms (LUTS)
Study Type
Interventional
2. Study Status
Record Verification Date
June 2016
Overall Recruitment Status
Unknown status
Study Start Date
June 2016 (undefined)
Primary Completion Date
September 2017 (Anticipated)
Study Completion Date
undefined (undefined)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Naturex-Dbs
4. Oversight
5. Study Description
Brief Summary
Prospective, Randomized, Double-Blind, Placebo Controlled clinical trial to study the efficacy and the safety of NDS-446 (500 mg/cap) in Men 45 years of age or older with moderate to severe lower urinary tract symptoms (LUTS)
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lower Urinary Tract Symptoms
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
116 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
NDS-446
Arm Type
Experimental
Arm Description
NDS-446
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo
Intervention Type
Drug
Intervention Name(s)
NDS-446
Intervention Type
Drug
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
Change in total IPSS score between baseline and 6 months
Time Frame
6-month
Secondary Outcome Measure Information:
Title
Change in IPSS subscores (Storage, Voiding, Quality of Life) between baseline and 6 months
Time Frame
6-month
Title
Change in Patient Global Impression of Improvement/Severity Score (PGIS) between baseline and 6 months
Time Frame
6-month
Title
Uroflowmetry (Qmax: maximum urinary flow rate, mL/sec)
Time Frame
6-month
Title
Uroflowmetry (PVR: Post Void Residual Volume, mL)
Time Frame
6-month
Title
Uroflowmetry (Vol: Volume of urine voided, mL)
Time Frame
6-month
Title
Sexual performance (SHIM: Sexual Health Inventory for Men)
Time Frame
6-month
Title
Blood and urine laboratory analysis and incidence of treatment emergent adverse events [Safety and Tolerability]
Description
Blood samples will be collected to measure:
Prostate Specific Antigen (PSA) Hematology: CBC (complete blood count), differential; reticulocyte count, platelets Serum Chemistries: BUN (blood urea nitrogen), Creatinine, Fasting Blood Glucose, Uric acid, AST (aspartate aminotransferase), ALT (alanine aminotransferase), ALP (alkaline phosphatase), LDH (lactate dehydrogenase), Total and Direct Bilirubin; Total Protein, Albumin, Calcium, Magnesium, Cholesterol, Triglycerides Coagulation: PT (prothrombin time) /PTT (partial thromboplastin time)/ INR (International Normalized Ratio)
Urine samples will be collected to measure:
Urinalysis: Urine Protein, Glucose, Microscopic for RBCs (Red blood cell counts), WBCs (white blood cell counts)
Assessment of adverse events: collection of adverse events on a diary and spontaneously reported adverse events (either via phone calls to the site or during the visits)
Time Frame
6-month
10. Eligibility
Sex
Male
Minimum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Men ≥45 years of age.
LUTS, based on IPSS total score ≥8 and <25
Peak urinary flow rate (Qmax) ≥4 and ≤15 mL/sec at screening
Post Void Residual (PVR) urine volume ≤ 200 mL at screening
PSA level at screening < 10 ng/mL. Subjects with a PSA > 4ng/mL and < 10 ng/mL are eligible only if prostate cancer has been ruled out
Subjects who understand and speak English
Able and willing to give informed consent and comply with all study protocol procedures (diaries and other study tools).
Exclusion Criteria:
Not suitable for medical intervention (e.g., requiring TURP, etc.)
History of interstitial cystitis, bladder stones, urethral stricture, current prostatitis, acute urinary retention requiring catheterization in the last 3 months, or any other condition suspected to be the cause of LUTS other than BPH
Screening serum Creatinine (Cr) or liver function tests [ALT (SGPT), AST (SGOT)] > 3 times the upper limit of normal (ULN) confirmed on a second measurement.
Cancer of the prostate or bladder by history or current diagnosis.
Prostate nodule(s) on screening digital rectal exam (DRE).
Prior surgical procedure of the urinary tract such as TURP, laser prostatectomy, photovaporization of the prostate
No minimally invasive surgery to the prostate such as TUMT or TUNA within the last 6 months.
Active urinary tract infection.
Unstable or uncontrolled medical or psychiatric condition.
Abnormal screening labs > 2 times the upper limit of normal (ULN) [for all parameters other than those listed for exclusion criteria#3]
Myocardial infarction or CVA within the past 90 days.
Requiring ongoing administration of antibiotics, antifungals, antiviral, chemotherapy, steroidal or immunosuppressive treatments.
Requiring chronic administration of aspirin at a dose >81 mg/day.
Known hypersensitivity to study drug ingredient(s) or allergy to berries.
Use of the following medications: alpha blockers (28 days of screening), herbal or nutritional BPH supplements (28 days of screening), OAB medications (28 days of screening), 5 alpha reductase inhibitors (175 days of screening), PDE5 inhibitors (permitted as needed for erectile dysfunction only, but not to exceed 1 dose per week and not to be dosed within 5 days of a visit)
Use of an investigational agent (drug, biologic, device, etc.) within 30 days of screening
Any reason or condition that in the judgment of the Clinical Investigator(s) may put the subject at unacceptable risk or that may preclude the subject from understanding or complying with the study's requirements.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Emilie A Fromentin, Ph.D.
Phone
2014405000
Ext
253
Email
e.fromentin@naturex.com
12. IPD Sharing Statement
Learn more about this trial
Study to Evaluate Efficacy and Safety of NDS-446 in Men With Lower Urinary Tract Symptoms (LUTS)
We'll reach out to this number within 24 hrs