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Chronic Bacterial ProstatitisPhase 2NCT03201796

Prulifloxacin in Chronic Bacterial Prostatitis (CBP)

A Phase 2 study testing Prulifloxacin 600 mg and Levofloxacin 500mg in people with Chronic Bacterial Prostatitis, run by Aziende Chimiche Riunite Angelini Francesco S.p.A at 11 sites in 2 countries.

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

The aim of the study is to assess the efficacy and safety of prulifloxacin in comparison to levofloxacin in the treatment of patients affected by CBP. Read more about this study

Who is it for?
Ages 18 to 50 years, men only
Conditions the study is for
Chronic Bacterial Prostatitis
What is being tested?
Prulifloxacin 600 mg and Levofloxacin 500mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
168 participants
Where
11 sitesin 2 countries
Study dates
2 Feb 2016to 19 May 2020
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 18 to 50 years
  • Men only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Male between 18 and 50 years of age (limited included) with no limitation of race.
  • Patients presenting symptoms of prostatitis for at least 3 months.
  • Laboratory evidence of CBP at Visit 0 (Screening), assessed by
  • Meares\&Stamey fourglass test and defined as:
  • VB3 or EPS specimen containing ≥10^2 colony-forming units/ml of pathogen/s if the VB2 specimen is sterile; or
  • VB3 or EPS specimen containing ≥10^2 colony-forming units/ml of pathogen/s different from any present in the VB2.
  • Medications for chronic prostatitis and/or medications that may affect bladder or prostate function (including but not limited to hormone therapy, anticholinergic or alpha blocker) must be discontinued at least 7 days before study drug intake.
  • Patients legally capable to give their consent to participate the study, and available to sign and date the written informed consent.

Who cannot join

  • Known hypersensitivity or allergy to antibacterial fluoroquinolones or to any components of the study medications.
  • Pathogen/s resistant to the study drugs at Visit 0 (Screening).
  • Suspicion for prostatic cancer, neurogenic bladder, Benign Prostatic Hypertrophy (BPH), bladder neck obstruction or urethral stricture.
  • Body Mass Index (BMI) < 16 kg/m^2.
  • Immunocompromised patients.
  • Signs or symptoms or clinical documentation for concurrent infections (including but not limited to sexually transmitted infections) and/or neoplasm.
Show all 25Show fewer
  • Clinically significant abnormalities on physical examination, vital signs, ECG, laboratory tests at Visit 0 (Screening Visit).
  • Significant liver disease, defined as known active hepatitis or elevated liver enzymes > 3 times the upper boundary of the normal ranges.
  • Value of creatinine outside the normal ranges and judged clinically relevant by Investigator.
  • History of cardiac disease, including but not limited to myocardial infarction, heart failure, cardiomyopathy, cardiac hypertrophy, cardiac arrhythmias, bradycardia, cardiac conduction abnormalities, long QT syndrome.
  • Value of electrolytes (sodium, potassium, calcium, magnesium, chloride) outside the normal ranges and judged clinically relevant by Investigator.
  • Patients under treatment with medications that may cause increase of the QT interval.
  • History of tendinopathy.
  • Patients with latent or known deficiencies for the glucose-6-phosphate dehydrogenase, or with hereditary problems of galactose intolerance or the Lapp lactase deficiency or glucose-galactose malabsorption.
  • Recent or past history of psychiatric illness or epilepsy.
  • Treatment with antibiotics or antibacterials within 2 weeks before study drug start intake.
  • Treatment with experimental drugs (prulifloxacin or levofloxacin) or other fluoroquinolones within 4 weeks before study drug start intake.
  • Diabetic patients in treatment with oral hypoglycemic drugs and insulin.
  • Patients under treatment with corticosteroids or Non-Steroidal Antiflammatory Drugs (NSAIDs).
  • Concomitant treatment with xanthines or anticoagulant drugs or drugs producing hypokalemia or diuretics.
  • Positive history for drugs and alcohol abuse.
  • Inability to comply with the protocol requirements, instructions or study-related restrictions (i.e. uncooperative attitude, inability to return for study-visits, improbability of completing the clinical study).
  • Vulnerable subjects (i.e. persons kept in detention).
  • Subject involved in the conduct of the study (i.e. Investigator or his/her deputy, first grade relatives, pharmacist, assistant or other personnel).
  • Participation to an interventional clinical trial within 3 months prior to Visit 0 (Screening Visit).

Trial locations and contacts

11 sites in 2 countries.

11 sites in 2 countries

Italy9 sites
  • U.O. di Urologia- Azienda Ospedaliera San Giuseppe Moscati

    Avellino, 83100

  • U.O. Dipartimento della Donna, del bambino e delle malattie urologiche - Azienda ospedaliero- Universitaria e Policlinico di Bologna

    Bologna, 40138

  • Urologia- Azienda Ospedaliero - Universitaria "Policlinico - Vittorio Emanuele"

    Catania, 95123

  • Clinica Urologica- Azienda Ospedaliero Universitaria Mater Domini

    Catanzaro

  • Azienda Ospedaliero-Universitaria "Careggi"

    Florence, 50134

  • Azienda Ospedaliera Universitaria "Federico II"- Dip. Di Ostreticia, ginecologia, Urologia

    Naples, 80131

  • Clinica Urologica del Dipartimento di Scienze Chirurgiche- Policlinico Universitario Agostino Gemelli di Roma

    Roma, 00168

  • S.C. Urologia- AO "Città della Salute e della Scienza" di Torino - OSP.S. GIOV.BATTISTA MOLINETTE

    Torino, 10126

  • Urologia- Ospedale di Trento- Presidio ospedaliero S. Chiara - Azienda Provinciale per i servizi sanitari (APSS)

    Trento, 38123

Other trials in Italy

Greece2 sites
  • Urology Clinic General Hospital of Athens "GENNIMATAS"

    Athens, 15669

  • Urology Department General Hospital of Piraeus "TZANEIO"

    Piraeus, 18536

Other trials in Greece

About this study

Official title: Evaluation of the Efficacy and Safety of Prulifloxacin vs Levofloxacin in the Treatment of Chronic Bacterial Prostatitis.

The aim of the study is to assess the efficacy and safety of prulifloxacin in comparison to levofloxacin in the treatment of patients affected by CBP.

Read the detailed description

This is a randomized, double-blind, levofloxacin controlled, parallel group, multicentre, international, prospective study. The patients will be enrolled in the study and will be randomized to prulifloxacin or levofloxacin. Patient enrolment will be competitive.

The present study is planned to verify the microbiological and the clinical efficacy of a 28-day treatment period with prulifloxacin 600 mg in comparison with 28-day treatment period with levofloxacin 500 mg, both administered once daily, in patients with CBP. Safety and tolerability of a 28-day treatment period with prulifloxacin 600 mg will be also evaluated in comparison to levofloxacin 500 mg.

Levofloxacin 500 mg tablets has been selected as treatment comparator because it represents the drug of choice authorised for the treatment of CBP. Consequently, the dosage regimen to be administered to the patients is consistent with that reported in the relevant SPC.

Being tested
Prulifloxacin 600 mg, Levofloxacin 500mg
Keywords
Bacterial prostatitis, CBP, Levofloxacin, Prulifloxacin
Medical subject headings
Prostatitis

What participants receive

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

  • Prulifloxacin 600 mgDrug

    Also called Unidrox®

    Oral administration of one tablet once daily for 28 days of prulifloxacin 600 mg. The investigational drug will be taken with a glass of water, preferably in the evening and at about the same time each day, 2 hours before or at least 4 hours after the eventual administration of cimetidine, antacids containing aluminum and magnesium or preparations containing iron and calcium.

  • Levofloxacin 500mgDrug

    Also called Levoxacin®

    Oral administration of one tablet once daily for 28 days of levofloxacin 500 mg. The investigational drug will be taken with a glass of water, preferably in the evening and at about the same time each day, 2 hours before or at least 4 hours after the eventual administration of cimetidine, antacids containing aluminum and magnesium or preparations containing iron and calcium.

Study groups in NCT03201796
Study groupRoleWhat they receive
Group 1ExperimentalPrulifloxacin 600 mg
Receives: Drug: Prulifloxacin 600 mg
Group 2Active comparatorLevofloxacin 500 mg
Receives: Drug: Levofloxacin 500mg

What is being measured

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

  1. Eradication of bacterial growth

    Eradication defined as absence of bacterial growth as <10^2 CFU/ml in voided bladder 3 (VB3) or expressed prostatic secretion (EPS) after 7 days from the End Of Treatment (EOT).

    Measured: 7 days after the EOT

Secondary outcomes (6)
  1. Eradication of bacterial growth

    Eradication defined as absence of bacterial growth as <10^2 CFU/ml in voided bladder 3 (VB3) or expressed prostatic secretion (EPS) after 3 months from the EOT.

    Measured: 3 months after the EOT

  2. Eradication of bacterial growth

    Eradication defined as absence of bacterial growth as <10^2 CFU/ml in voided bladder 3 (VB3) or expressed prostatic secretion (EPS) after 6 months from the EOT.

    Measured: 6 months after the EOT

  3. Reduction in National Institute of Health - Chronic Prostatitis Symptom (NIH-CPSI)

    Reduction of total score in NIH-CPSI after 7 days from the EOT in comparison to the screening.

    Measured: Screening - 7 days after the EOT

  4. Reduction in National Institute of Health - Chronic Prostatitis Symptom (NIH-CPSI)

    Reduction of total score in NIH-CPSI after 3 months from the EOT in comparison to the screening.

    Measured: Screening - 3 months after the EOT

  5. Reduction in National Institute of Health - Chronic Prostatitis Symptom (NIH-CPSI)

    Reduction of total score in NIH-CPSI after 6 months from the EOT in comparison to the screening.

    Measured: Screening - 6 months after the EOT

  6. Frequency of treatment-related adverse events

    Monitoring of the frequency of adverse events, physical examination, vital signs, ECG, laboratory analyses.

    Measured: 6 months

Timeline

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

  1. First posted28 Jun 2017
  2. Study start2 Feb 2016
  3. Primary completion19 May 2020
  4. Study completion19 May 2020

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
Model description
Double-blind, levofloxacin controlled, multicentre, international, prospective study.
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
168 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03201796
Sponsor's protocol ID
027IC13250
Other IDs
2014-003757-33, 2014
Status last verified
May 2021
First submitted
23 Jun 2017
Last updated
13 May 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Prulifloxacin 600 mg and Levofloxacin 500mg in people with Chronic Bacterial Prostatitis, run by Aziende Chimiche Riunite Angelini Francesco S.p.A at 11 sites in 2 countries.

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 8 inclusion and 25 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 13 May 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in Italy, Greece. 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. 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?

Eradication of bacterial growth (time frame: 7 days after the EOT). 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 13 May 2021.

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