The purpose of this study is to determine if transurethral photodynamic therapy with lemuteporfin has a therapeutic effect on lower urinary tract symptoms due to an enlarged prostate. Photodynamic therapy (known as "PDT") is a treatment that uses light to make a drug work. This means the drug is "light-activated". Light-activated drugs do not work until a certain color of light shines on the drug. When the drug and the light combine, they react together to destroy tissue. This study is investigating PDT with lemuteporfin as a possible treatment for an enlarged prostate. PDT with lemuteporfin may destroy overgrown prostate tissue and help urinary symptoms go back to normal.
This is a multi-center, randomized, sham-controlled, double-blind, dose-finding study in parallel groups of subjects with lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH). All subjects will receive a fixed dose of lemuteporfin injected transurethrally into the prostate followed by transurethral application of either one of three active light doses or a sham light dose. Subjects will be followed for safety and efficacy for a minimum of three months to a maximum of 12 months. The primary study endpoint will be the change from baseline in AUA SI score at three months.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
180
San Bernardino Urological Associates
San Bernardino, California, United States
Regional Urology, LLC
Shreveport, Louisiana, United States
Drs Werner, Murdock & Francis PA Urology Associates
Greenbelt, Maryland, United States
Lawrenceville Urology
Lawrenceville, New Jersey, United States
AccuMed Research Associates
Garden City, New York, United States
Duke University Medical Center
Durham, North Carolina, United States
Urology San Antonio Research, PA
San Antonio, Texas, United States
Devine Tidewater Urology
Virginia Beach, Virginia, United States
Can-Med Clinical Research Inc
Victoria, British Columbia, Canada
The change from baseline in American Urological Association Symptom Index (AUA SI) score at the Month 3 visit
Responder rate
Change from baseline in Qmax
Change from baseline in post-void residual (PVR)
Shifts from baseline in subject responses to the BPH Quality of Life Impact Assessment
Safety outcomes: adverse events, clinical laboratory tests, vital signs, dysuria, and Male Sexual Health Questionnaire (MSHQ)
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