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Benign Prostatic HyperplasiaPhase 2NCT02326454

A Placebo Controlled Study of MR901 (Talaporfin Sodium Sodium + a Drug-activating Device) for the Relief of Lower Urinary Tract Symptoms Due to Benign Prostatic Hyperplasia

A Phase 2 study testing talaporfin sodium, Saline and Drug Activator 100 J/cm in people with Benign Prostatic Hyperplasia, run by Light Sciences Oncology at 41 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study investigates the safety and efficacy of a photosensitive drug (talaporfin sodium) activated by an intraurethrally placed drug-activating device. MR901 is a code used to identify the combination of talaporfin sodium and the drug-activating device. Read more about this study

Who is it for?
Ages 40 years and older, men only
Conditions the study is for
Benign Prostatic Hyperplasia
What is being tested?
talaporfin sodium, Saline and Drug Activator 100 J/cm
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
225 participants
Where
41 sitesUnited States
Study dates
Nov 2014to 29 Mar 2017
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 years and older
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Males aged ≥40 years, weighing ≤200 Kg and able to provide written, informed consent.
  • Documented symptoms of BPH-LUTS for 6 months or more.
  • For patients regularly taking their prescribed BPH medication, dose should have been stable for at least 6 months for 5-alpha reductase inhibitors and 3 months for other BPH medications.
  • For patients who have withdrawn from regularly taking their prescribed BPH medication, there should have been a 6 month washout period for 5-alpha reductase inhibitors and 3 months for other BPH medications.
  • Have a total International Prostate Symptom Score (IPSS; Qs 1-7) of ≥ 15 at both V1 and V2 with a difference between those visits of ≤ 4 points.
  • Prostate volume of 30 - 80 mL (inclusive).
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  • Maximum urinary flow rate (Qmax): 5 - 15 mL/sec (assessed on two voids each of ≥ 150mL).
  • Prostate-specific antigen (PSA) ≤10 ng/mL.
  • Post-void residual (PVR) volume ≤200 mL measured by a urinary catheter or bladder ultrasound according to local standard practice.
  • Prostatic urethral length (PUL) of between 30 - 55mm (inclusive) as measured by TRUS.
  • Willing and able to comply with photosensitivity precautions

Who cannot join

  • Any minimally invasive or surgical treatment within the last 12 months, and is not currently undergoing intraprostatic injections for BPH or any other prostatic condition. In any case, all enrolled subjects must have, at Baseline cystoscopy, an appearance/presentation of the prostate that is consistent with BPH and compatible with possible response to the study test treatment.
  • Subjects weighing >200 Kg.
  • Subjects with a history or current evidence of any of the following:
  • A bladder disease or condition co-exists, such as idiopathic over-active bladder (OAB) and is evaluated by the Investigator as the predominant etiology for the subject's voiding symptomatology. A score of 4 points or greater on the 3 item OAB Awareness Tool (OABV3) or a high rate of urinary frequency (>13xday and/or 4x/night) would require investigator specific evaluation in ascribing these symptoms to a bladder condition as opposed to lower urinary tract obstruction. i) If the former is the assessment, then the subject requires exclusion from the study. ii) If the latter is the assessment, then the subject may be deemed eligible for inclusion.
  • The subject eligibility explanation must be captured in the patient source documents.
  • Active urinary tract infection i.e. must have a screening urinalysis without signs of infection or negative urine culture. Must not have had a previous symptomatic urinary tract infection within 4 weeks of the study.
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  • Urethral stricture or any other anatomical feature that would complicate catheterisation.
  • Interstitial cystitis.
  • Predominant prostate middle lobe, as determined by the Investigator.
  • Prostate or bladder cancer or bladder carcinoma-in-situ - in particular, evidence from digital rectal exam (DRE) of prostate abnormalities suggestive of cancer in the last 12 months.
  • Any other absolute indication for urosurgical intervention (such as acute or frequent retention, currently untreated bladder or urethral stones, urethral strictures/bladder neck contracture (BNC)).
  • Damage to the bladder neck which could interfere with study procedures.
  • PSA level in excess of >10 ng/ml. If the PSA measurement is 2.5-10 ng/ml and/or has shown a clinically significant concerning increase in the last 6 months, local standard of care must be pursued to ensure the possibility of prostate cancer has been followed up and ruled out prior to study entry.
  • Subjects who had had a prostate biopsy within 6 weeks prior to Screening.
  • Any neurological condition affecting the bladder or a history of a neurogenic or chronically decompensated bladder i.e. neurogenic bladder, Parkinson's disease, history of chronic prostatitis within the last 5 years.
  • Prior treatment for urinary incontinence.
  • Requirements for daily incontinence pads or devices.
  • Subjects in whom nocturia is due to etiologies other than their BPH-LUTS, such as neurogenic bladder, diabetic neuropathy, neurocongestive heart failure, hepatic failure, nephritic syndrome, sleep disorder.
  • Previous or concurrent clinically relevant cardiovascular or cerebrovascular disorder within 24 weeks prior to the study i.e. 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 Leriche's syndrome.
  • Presence of serious hepatic diseases, renal diseases, immunological diseases, or pulmonary diseases that are clinically relevant.
  • Unwilling to use contraception for 3 months following administration of study medication or with an interest in future fertility.
  • A prolonged QTcF interval at baseline and/or who are currently taking medication that prolongs QT interval ("prolonged QTcF interval" defined as > 450 ms).
  • Known sensitivity to porphyrin-type drugs or known history of porphyria.
  • Any contraindications to use of the study treatment.
  • Active alcohol or drug abuse.
  • Subject has clinical laboratory test results outside the reference ranges of the testing laboratory that are deemed to be clinically significant. Subjects with isolated test results that are outside the specified ranges and that are assessed as clinically insignificant will be allowed at the discretion of the Investigator, after discussion with the Sponsor's Medical Monitor/Study Physician, if appropriate. If a subject has 1 isolated test result outside the specific range that is deemed potentially clinically significant, rescreening may be allowed at the discretion of the Investigator, after discussion with the Medical Monitor/Study Physician
  • Subjects with known disorders of coagulation, apart from those receiving anticoagulant / antithrombotic / antiplatelet therapy in whom the dose of such medication must have been stable for at least 1 month prior to randomisation. In those receiving Vitamin K antagonists (warfarin, acenocoumarol, phenindione, etc) the INR value at baseline should be <3.0.
  • Inability or unwillingness to comply with the required photosensitivity precautions during the three weeks following study treatment.
  • Subjects taking medications with a recognised propensity for causing photosensitivity (such as amiodarone, tetracyclines, sulphonamides) that cannot be discontinued for the initial study period, namely from 14 days prior to administration of study medication until 28 days afterwards.
  • Subjects with medical or investigation results deemed unfit for study treatment, as determined by medical history, clinical laboratory tests, ECG results, and physical examination that, in the Investigator's opinion, preclude entry into the study.
  • Subjects who have received an investigational medicinal product within 30 days or 5 half-lives of the investigational product prior to study entry (defined as the start of the Screening Period).
  • Subjects who are incapable of giving informed consent or complying with the protocol.

Trial locations and contacts

41 sites in 1 country.

41 sites in 1 country

United States41 sites
  • Study site

    Albuquerque, New Mexico, 87109

  • Study site

    Anchorage, Alaska, 99503

  • Study site

    Anniston, Alabama, 36207

  • Study site

    Aventura, Florida, 33180

  • Study site

    Bala-Cynwyd, Pennsylvania, 19004

  • Study site

    Bloomington, Indiana, 47403

  • Study site

    Bradenton, Florida, 34205

  • Study site

    Bryn Mawr, Pennsylvania, 19010

  • Study site

    Chestnut Hill, Massachusetts, 02467

  • Study site

    Cincinnati, Ohio, 45212

  • Study site

    Concord, North Carolina, 28025

  • Study site

    Coral Gables, Florida, 33146

  • Study site

    Dallas, Texas, 75231

  • Study site

    Denver, Colorado, 80220

  • Study site

    Edison, New Jersey, 08837

  • Study site

    Garden City, New York, 11530

  • Study site

    Greenbelt, Maryland, 20770

  • Study site

    Greenwood, Indiana, 46143

  • Study site

    Houston, Texas, 77094

  • Study site

    Huntsville, Alabama, 35801

  • Study site

    Knoxville, Tennessee, 37923

  • Study site

    Laguna Hills, California, 92653

  • Study site

    Las Vegas, Nevada, 89144

  • Study site

    Los Angeles, California, 90017

  • Study site

    Middleburg Heights, Ohio, 44130

  • Study site

    Mountlake Terrace, Washington, 98043

  • Study site

    Murrieta, California, 92562

  • Study site

    Myrtle Beach, South Carolina, 29572

  • Study site

    New Orleans, Louisiana, 70006

  • Study site

    New Orleans, Louisiana, 70115

  • Study site

    New York, New York, 10016

  • Study site

    Newburgh, New York, 12601

  • Study site

    Pompano Beach, Florida, 33060

  • Study site

    Poughkeepsie, New York, 12601

  • Study site

    Salt Lake City, Utah, 84124

  • Study site

    San Diego, California, 92120

  • Study site

    Springfield, Oregon, 97477

  • Study site

    St. Petersburg, Florida, 33710

  • Study site

    Tampa, Florida, 33607

  • Study site

    Tarzana, California, 91356

  • Study site

    Towson, Maryland, 21204

Other trials in United States

About this study

Official title: A Phase 2 Randomised, Double-blind, Placebo Controlled, Study of MR901 in Patients With Moderate to Severe Lower Urinary Tract Symptoms (LUTS) Due to Benign Prostatic Hyperplasia (BPH)

This study investigates the safety and efficacy of a photosensitive drug (talaporfin sodium) activated by an intraurethrally placed drug-activating device. MR901 is a code used to identify the combination of talaporfin sodium and the drug-activating device. Two different light doses will be tested against placebo groups in this 4-arm study.

Read the detailed description

At least 192 patients with moderate-to-severe LUTS caused by BPH will be randomized in a 2:2:1:1 ratio to receive a single treatment of talaporfin sodium activated by light at one of two light doses or placebo (saline) with light at either dose. Follow-up is planned for 52 weeks from the day of treatment, with assessment at 12 weeks for change in International Prostate Symptom Score and continued follow-up during the remaining 40 weeks to assess duration of effect, need for any intervention, and longer-term safety.

Being tested
talaporfin sodium, Saline, Drug Activator 100 J/cm, Drug Activator 200 J/cm
Medical subject headings
Prostatic Hyperplasia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • talaporfin sodiumDrug

    Also called LS11, NPe6, mono-(L)-aspartyl chlorin e6, ME2906

    1 mg/kg

  • SalineDrug

    Also called Placebo

  • Drug Activator 100 J/cmDevice

    Also called Litx™ BPH Device

    Light Dose: 100 J/cm

  • Drug Activator 200 J/cmDevice

    Also called Litx™ BPH Device

    Light Dose: 200 J/cm

Study groups in NCT02326454
Study groupRoleWhat they receive
Talaporfin sodium/Light dose 100 J/cmActive comparatorSingle 1 mg/kg dose of talaporfin sodium is administered intravenously with Drug Activator 100 J/cm delivering light for 60 minutes of the 2-hour treatment period
Receives: Drug: talaporfin sodium; Device: Drug Activator 100 J/cm
Talaporfin sodium/Light dose 200 J/cmActive comparatorSingle 1 mg/kg dose of talaporfin sodium is administered intravenously with Drug Activator 200 J/cm delivering light for 2 hours
Receives: Drug: talaporfin sodium; Device: Drug Activator 200 J/cm
Saline/Light dose 100 J/cmPlacebo comparator0.9% Sodium Chloride is administered intravenously with Drug Activator 100 J/cm delivering light for 60 minutes of the 2-hour treatment period
Receives: Drug: Saline; Device: Drug Activator 100 J/cm
Saline/Light dose 200 J/cmPlacebo comparator0.9% Sodium Chloride is administered intravenously with Drug Activator 200 J/cm delivering light for 2 hours.
Receives: Drug: Saline; Device: Drug Activator 200 J/cm

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. International Prostate Symptoms Score (IPSS) Questionnaire

    Change from baseline in the total International Prostate Symptom Score (IPSS, Questions 1-7)

    Measured: 12 weeks

Secondary outcomes (16)
  1. Modified International Prostate Symptoms Score (IPSS) Questionnaire

    Modified IPSS used to evaluate subject's average experience of symptoms over preceding 7 days.

    Measured: 1, 2 and 3 Weeks

  2. Patient Global Impression of Improvement (PGI-1)

    The number of subjects in each of the 7 response categories will be collected by subject interview at all relevant time points

    Measured: 4, 12, 26 and 52 weeks

  3. Clinical Global Impression of Improvement (CGI-1)

    The number of subjects in each of the 7 response categories will be assessed by the Investigator at all relevant time points.

    Measured: 4, 12, 26 and 52 weeks

  4. Maximum Urinary Flow Rate (Qmax)

    The maximum rate at which urine can be voided, as measured using free uroflowmetry using two measurement 'runs' on two separate voids of at least 150mL each (where possible).

    Measured: 1, 2, 3, 4, 12, 26 and 52 weeks

  5. Post-void residual volume (PVR volume)

    Measured post-voiding through insertion of a urinary catheter to complete bladder emptying, or measured by bladder ultrasound according to local standard practice.

    Measured: 1, 2, 3, 4, 12, 26 and 52 weeks

  6. 3-Day Frequency/Volume Data

    Data on urinary frequency and void volume will be collected by subjects for 3 days prior to each clinic visit

    Measured: 1, 2, 3, 4, 12, 26 and 52 weeks

  7. Safety and tolerability assessed by the number of subjects with Adverse Events

    Assessed by variables such as AEs, laboratory parameters, vital signs, ECGs

    Measured: 52 weeks

  8. Prostate-specific Antigen (PSA)

    As measured in serum, to detect any changes that may be caused by the effects of the therapeutic intervention under study on prostatic tissue.

    Measured: 1, 2, 3, 4, 12, 26 and 52 weeks

  9. Duration of effect/time to next treatment and treatment selected

    Subjects whose condition progresses such that an additional intervention is required during the 12-month study period may provide secondary evidence of efficacy, dependent upon their treatment allocation.

    Measured: 52 weeks

  10. International Index of Erectile Function-15 (IIEF-15)

    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).

    Measured: 4, 12, 26 and 52 weeks

  11. Quality of Life evaluation - Bother Score

    Question 8 of the IPSS (also known as the Bother Score), which asks the subject to state how he would feel if he had to spend the rest of his life with his urinary condition just the way it is now, according to a 7-point scale (from 0 = 'delighted' to 6 = 'terrible').

    Measured: 1, 2, 3, 4, 12, 26 and 52 weeks

  12. Over-active Bladder-V3 (OAB-V3)

    OAB symptoms will be assessed, by subject interview, using the 3-item OAB Awareness Tool (OAB-V3), under which the subject reports how much they have been bothered by 3 symptoms of OAB (without a specified time period) according to a 6-point scale ranging from 0 (not at all) to 5 (a very great deal) (maximum score, 15).

    Measured: 1, 2, 3, 4, 12, 26 and 52 weeks

  13. International Prostate Symptoms Score (IPSS) Questionnaire

    IPSS Total Score as Change from Baseline

    Measured: 4, 26 and 52 weeks

  14. IPSS Subscores.

    The changes from baseline for each of the 7 IPSS questions, as well as the totals for each of the 2 categories of symptoms - voiding symptoms (incomplete emptying, intermittency, weak stream, straining) and storage symptoms (frequency, urgency and nocturia).

    Measured: 1, 2, 3, 4, 12, 26 and 52 weeks

  15. Prostate volume

    As measured on TRUS, to detect any changes that may be caused by the effects of the therapeutic intervention under study on prostatic volume.

    Measured: Baseline and 12 weeks

  16. Quality of Life evaluation - BPH Impact Index (BPHII)

    The BPHII asks the subject to assess the impact of four aspects of their urinary condition over the previous 4 weeks, according to a 4-point (questions 1 - 3) or 5-point scale (question 4) (maximum score, 13).

    Measured: 4, 12, 26 and 52 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Dec 2014 (estimated)
  2. Study startNov 2014
  3. Primary completion29 Mar 2017
  4. Study completion29 Mar 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
225 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02326454
Sponsor's protocol ID
MR901-2501
Status last verified
Aug 2018
First submitted
16 Dec 2014
Last updated
8 Aug 2018
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing talaporfin sodium, Saline and Drug Activator 100 J/cm in people with Benign Prostatic Hyperplasia, run by Light Sciences Oncology at 41 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 11 inclusion and 32 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 8 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 41 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

International Prostate Symptoms Score (IPSS) Questionnaire (time frame: 12 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Aug 2018.

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