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Chronic Abacterial ProstatitisPhase 2AZURENCT01391338

A Clinical Study to Investigate the Efficacy, Safety and Pharmacokinetics of ASP3652 in Patients With Chronic Abacterial Prostatitis / Chronic Pelvic Pain Syndrome (CP/CPPS)

A Phase 2 study testing ASP3652 in people with Chronic Abacterial Prostatitis and Chronic Pelvic Pain Syndrome, run by Astellas Pharma Inc at 49 sites in 6 countries.

Completed

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

Official record
Search all trials

Trial summary

In this study several doses of ASP3652, given orally for 12 weeks, will be compared with placebo in the treatment of patients with Chronic abacterial Prostatitis / Chronic Pelvic Pain Syndrome. Read more about this study

Who is it for?
Ages 18 years and older, men only
What is being tested?
ASP3652
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
239 participants
Where
49 sitesin 6 countries
Study dates
Jun 2011to Feb 2013
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 years and older
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Is diagnosed with CP/CPPS with symptoms for at least 3 months over the last 6 months
  • Has a NIH-CPSI total score of at least 15
  • A score of at least 4 on question 4 (pain) in the NIH-CPSI
  • Reports pain on palpation of the prostate or the perineum/genital area
  • Answers "yes" to at least 1 out of 6 items in question 1 and 2 of the NIH-CPSI
  • Is willing to comply with study requirements such as completing the micturition and symptoms diary and attend all study visits

Who cannot join

  • Isolated unilateral testicular, penile or scrotal pain as a solitary symptom of pelvic pain
  • Urinary Tract Infection (UTI) or prostate infection found at screening using the pre- and post massage test or in the last 3 months prior to screening
  • Any prior prostate and or bladder intervention within 3 months prior to screening
  • Lower urinary tract malignancy (suspected), such as positive (micro) hematuria in urine sediment or Prostate Specific Antigen (PSA) >4 ng/mL
  • Symptomatic urethral stricture or symptomatic bladder or urethral calculi, severe bladder outlet obstruction, overactive bladder with incontinence or Post Void Residual volume, greater than 150 mL
  • Clinically significant abnormalities on transabdominal ultrasound of bladder and prostate or neurological disease or defect affecting bladder function
Show all 14Show fewer
  • Currently active sexually transmittable disease
  • Substance abuse or any use of delta-9-tetrahydrocannabinol (THC) as assessed by a positive urine test for THC at screening
  • Major depression, i.e. a Center for Epidemiological Studies Depression Scale score of 27 or more
  • Any clinically relevant concomitant disease (past or present) which would, in the opinion of the investigator, put the subject at risk or mask measures of efficacy
  • Use of steroids, immunomodulators, anticonvulsants, cytochrome P4502C8 inhibitors, cannabis/THC based medication, opioid analgetics or antiviral/antimicrobial/antifungal agents during the last 4 weeks before screening
  • Initiation, discontinuation, or variation in the dose of antidepressants, alpha-blockers, 5-alpha reductase inhibitors, antimuscarinics, benzodiazepines, skeletal muscle relaxants, non-steroidal antiinflammatory drugs, non-opioid analgetics and herbal therapies during the last 4 weeks before screening. Subjects should continue these medications at that same stable dose throughout the study
  • Clinically relevant abnormal urine or blood safety laboratory values or active hepatic and/or biliary disease (AST or ALT should not be >3 times the upper limit of normal, total bilirubin should not be >2 times the upper limit of normal)
  • Participated in any clinical study or has been treated with any investigational drug or device within 30 days prior to screening, or the period stipulated by local regulations, whichever is longer

Trial locations and contacts

49 sites in 6 countries.

49 sites in 6 countries

Germany15 sites
  • Site: 3212 - Urologische Praxis

    Berlin, 10719

  • Site: 3214 - Charité Campus Benjamin Franklin

    Berlin, 12200

  • Site: 3208 - Private Praxis Urologie Borken

    Borken, 46325

  • Site: 3202 - Urologische Praxis

    Buchholz, 21244

  • Site: 3201 - Universitats klinikum Giessen und Marburg

    Giessen, 35392

  • Site: 3203 - Urologische Praxis

    Hamburg, 22587

  • Site: 3211 - Urologische Gemeinschaftspraxis

    Herzogenaurach, 91074

  • Site: 3205 - Gesundheitszentrum Holzminden

    Holzminden, 37603

  • Site: 3213 - Urologische Praxis

    Kempen, 47906

  • Site: 3206 - Private Praxis

    Leipzig, 04179

  • Site: 3210 - Private Praxis

    Marburg, 35039

  • Site: 3207 - Private Praxis

    Markkleeberg, 04416

  • Site: 3204 - Akademisches Lehrkrankenhaus

    Neunkirchen, 66538

  • Site: 3215 - Urologische Praxis

    Reutlingen, 72764

  • Site: 3209 - Private Praxis

    Sangerhausen, 06526

Other trials in Germany

Czechia12 sites
  • Site: 3105 - Fakultni nemocnice Hradec Kralove

    Hradec Králové, 50005

  • Site: 3106 - Urologicke oddeleniUsti nad Labem

    Kolín, 28000

  • Site: 3109- Hospital Kromeriz

    Kroměříž, 76755

  • Site: 3107 - Urologie

    Nový Jičín, 74101

  • Site: 3103 - Fakultni nemocnice Olomouc

    Olomouc, 77200

  • Site: 3111 - Urology center

    Pilsen, 30100

  • Site: 3112 - Urosante

    Prague, 14000

  • Site: 3102 - Androgeos

    Prague, 16000

  • Site: 3110 - Urologicka ordinace

    Sternberk, 78501

  • Site: 3104 - Uherskohradistska nemocnice a.s.

    Uherské Hradiště, 68668

  • Site: 3101- Krajska zdravotni, a.s. - Masarykova nemocnice v Usti nad Labem, o.z.

    Ústí nad Labem, 40113

  • Site: 3113 - Urologicka ambulance

    Žatec, 43801

Other trials in Czechia

Poland11 sites
  • Site: 3503 - Urovita Sp.z.o.o. NZOZ Szpital Slaskie Centrum Urologii

    Chorzów, 41-500

  • Site: 3504 - Centrum Medyczne Szpital Sw Rodziny Sp z o.o.

    Lodz, 90-302

  • Site: 3509 - NZOZ Nasz Lekarz, Praktyka Grupowa Lekarzy Rodzinnych z Przychodnia Specjalistyczna

    Lotum, 87-100

  • Site: 3510 - Heureka Hanna Szalecka

    Piaseczno, 05-500

  • Site: 3501 - Indywidualna Specjalistyczna Praktyka Lekarska

    Poznan, 61-397

  • Site: 3511 - Urologica Praktyka Lekarska Adam Marcheluk

    Siedlce, 08-110

  • Site: 3508 - NZOZ Centrum Medyczna Wola

    Warsaw, 01-432

  • Site: 3507 - Szpital Kliniczny Dzieciatka Jezus Centrum Leczenia Obrazen

    Warsaw, 02-005

  • Site: 3502 - Wojewodzki Szpital Specjalistyczny we Wroclawiu

    Wroclaw, 51-124

  • Site: 3505 - EMC Instytut Medyczny SA

    Wroclaw, 54-144

  • Site: 3506 - Specjalistyczna Praktyka Lekarska Gabinet Urologiczny

    Wroclaw, 54-239

Other trials in Poland

Latvia4 sites
  • Site: 3302 - Jelgava Outpatient Clinic

    Jelgava, LV-3001

  • Site: 3301 - Litavniece Urologist Private Practice

    Liepāja, LV-3401

  • Site: 3303 - P. Stradins Clinical University Hospital

    Riga, LV-1002

  • Site: 3304 - Nord Kurzeme Regional Hospital

    Ventspils, LV-3601

Other trials in Latvia

Lithuania4 sites
  • Site: 3404 - Motina ir vaikas clinic

    Kaunas, LT-50154

  • Site: 3402 - Vilnius Univeristy Hospital "Santariskiu Klinikos" Urology Centre

    Vilnius, LT-08661

  • Site: 3401 - Clinics "Privatus gydytojas"

    Vilnius, LT-09108

  • Site: 3403 - Public Institution Vilnius City University Hospital

    Vilnius, LT-10207

Other trials in Lithuania

Spain3 sites
  • Site: 3701 - Hospital Moises Broggi de Sant Joa

    Barcelona, 8970

  • Site: 3703 - Fundació Puigvert

    Barcelona, CP: 08025

  • Site: 3702 - Hospital del Henares

    Coslada, CP:28822

Other trials in Spain

About this study

Official title: A Phase II, Randomized, Double-blind, Placebo-controlled, Parallel Group, Adaptive, Combined Proof of Concept and Dose-Finding Study to Investigate Efficacy, Safety, Pharmacodynamics and Pharmacokinetics of ASP3652 in the Treatment of CP/CPPS

In this study several doses of ASP3652, given orally for 12 weeks, will be compared with placebo in the treatment of patients with Chronic abacterial Prostatitis / Chronic Pelvic Pain Syndrome.

Read the detailed description

This study will investigate the efficacy of ASP3652 in the treatment of patients with Chronic abacterial Prostatitis / Chronic Pelvic Pain Syndrome (CP/CPPS). In comparison with placebo, ASP3652 will be given in different dosages orally for 12 weeks. The aims are to investigate efficacy of ASP3652 in CP/CPPS, to assess the optimal dose of ASP3652, to investigate safety and tolerability and to investigate pharmacokinetics and pharmacodynamics of ASP3652 in patients with CP/CPPS in and out-patients setting.

Being tested
ASP3652, Placebo
Keywords
Prostatitis, Chronic, Pelvic Pain, NIH-CPSI, Pain domain score in NIH-CPSI
Medical subject headings
Prostatitis, Bronchiolitis Obliterans Syndrome, Pelvic Pain

What participants receive

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

  • ASP3652Drug

    Oral

  • PlaceboDrug

    Oral

Study groups in NCT01391338
Study groupRoleWhat they receive
Lowest dose ASP3652 twice dailyExperimentalNot described
Receives: Drug: ASP3652
Low dose ASP3652 twice dailyExperimentalNot described
Receives: Drug: ASP3652
Medium dose ASP3652 twice dailyExperimentalNot described
Receives: Drug: ASP3652
High dose ASP3652 once dailyExperimentalNot described
Receives: Drug: ASP3652
High dose ASP3652 twice dailyExperimentalNot described
Receives: Drug: ASP3652
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo

What is being measured

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

  1. Change from baseline in the National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI), total score at 12 weeks

    Measured: Baseline and 12 weeks

Secondary outcomes (15)
  1. Change from baseline in the NIH-CPSI pain domain score at week 12

    Measured: Baseline and 12 weeks

  2. Change from baseline in NIH-CPSI total score at 4 and 8 weeks and at 2 weeks follow-up after treatment

    Measured: Baseline, 4 weeks, 8 weeks and 2 weeks follow-up post treatment

  3. Change from baseline in NIH-CPSI pain domain at week 4 and 8 and at 2 weeks follow-up after treatment

    Measured: Baseline, 4 weeks, 8 weeks 2 weeks follow-up post treatment

  4. Change from baseline in NIH-CPSI urinary symptoms domain at week 4, 8 and 12 and at 2 weeks follow-up after treatment

    Measured: Baseline, 4 weeks, 8 weeks and 12 weeks treatment and weeks 2 weeks follow-up post treatment

  5. Change from baseline in NIH-CPSI Quality of Life impact domain at week 4, 8 and 12 and at 2 weeks follow-up after treatment

    Measured: Baseline, 4 weeks, 8 weeks and 12 weeks treatment and weeks 2 weeks follow-up post treatment

  6. Global Response Assessment at week 4, 8 and 12 and at 2 weeks follow-up post treatment

    Measured: Baseline, 4 weeks, 8 weeks and 12 weeks treatment and at 2 weeks follow-up post treatment

  7. The proportion of Clinical Responders

    Composite of two definitions are used: subjects who showed at least 4 points decrease in NIH-CPSI total score at 12 weeks compared to baseline and subjects who showed at least 6 points decrease in NIH-CPSI total score at 12 weeks

    Measured: 12 weeks

  8. Genitourinary pain index (GUPI) total score, sub domain and responders, at week 12

    Responder defined as 7 points or more decrease from baseline

    Measured: 12 weeks

  9. Mean daily CPSI-24hour total score at baseline and at 4, 8 and 12 weeks and 2 weeks follow-up post treatment

    Measured: Baseline, 4 weeks, 8 weeks and 12 weeks and 2 weeks follow-up post treatment

  10. Mean daily pain for the 7 days period prior to attending study visits at baseline and at 4, 8 and 12 weeks and 2 weeks follow-up post treatment

    Measured: Baseline, 4 weeks, 8 weeks and 12 weeks and 2 weeks follow-up post treatment

  11. Short form McGill pain questionnaire: sensory, affective and total score, VAS, present pain intensity at baseline and at 12 weeks

    Measured: Baseline and 12 weeks

  12. Voiding: mean number of micturitions per 24 hours and per night, mean number of urgency episodes per 24 hours and mean level of urgency per micturition

    Based on daily urinary symptom diary for 3 consecutive days in the weeks prior to the visits at baseline, 4 and 12 weeks treatment

    Measured: Baseline, 4 weeks and 12 weeks treatment

  13. International Prostate Symptom Score at screening and at 12 weeks

    Measured: Screening and 12 weeks

  14. European Quality of Life questionnaire in 5 dimensions (EQ-5D) at baseline and at 12 weeks

    Measured: Baseline and 12 weeks

  15. Male sexual health questionnaire at baseline and at 12 weeks

    Measured: Baseline and 12 weeks

Timeline

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

  1. First posted12 Jul 2011 (estimated)
  2. Study startJun 2011
  3. Primary completionFeb 2013
  4. Study completionFeb 2013

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
239 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01391338
Sponsor's protocol ID
3652-CL-0019
Other IDs
2010-023775-25
Acronym
AZURE
Status last verified
Mar 2013
First submitted
8 Jul 2011
Last updated
21 Mar 2013
Results posted
No
Data monitoring committee
Yes

Publications

  • Martina R, Houbiers J, Melis J, van Till O. A combined proof of concept and dose finding study with multiple endpoints: A Bayesian adaptive design in chronic prostatitis/chronic pelvic pain syndrome. Biom J. 2019 May;61(3):476-487. doi: 10.1002/bimj.201700210. Epub 2018 Sep 3.

    PubMed 30178528

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ASP3652 in people with Chronic Abacterial Prostatitis and Chronic Pelvic Pain Syndrome, run by Astellas Pharma Inc at 49 sites in 6 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 6 inclusion and 14 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 21 Mar 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 49 sites in Germany, Czechia, Poland, Latvia, Lithuania and 1 more country. 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?

Change from baseline in the National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI), total score at 12 weeks (time frame: Baseline and 12 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01391338, which also lists 1 linked publication.

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 21 Mar 2013.

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