The purpose of the this international, multicenter, randomised, single-blind, parallel group, Phase III study is to demonstrate that a single transrectal ultrasound (TRUS)-guided intraprostatic injection of NX-1207 provides a long lasting therapeutic improvement of Lower Urinary Tract Symptoms (LUTS) associated with Benign Prostatic Hyperplasia (BPH) in patients not adequately controlled by medical therapy with α-blockers, as assessed by a change from baseline in the International Prostate Symptom Score (IPSS) total score.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
104
Single TRUS-guided intraprostatic injection of 2.5 mg of NX-1207
1 film coated, prolonged release tablet of tamsulosin 0.4 mg, to be taken orally (p.o.) QD
Klinikum der Ludwig-Maximilians-universität München
Munich, Germany
Vita e Salute University, Department of Urology, Istituto Scientifico Ospedale San Raffaele
Milan, Italy
Niepubliczny Zaklad Opieki Zdrowotnej Specjalista
Kutno, Poland
Hospital General Universitario Gregorio Marañón
Madrid, Spain
Change from baseline in the total IPSS score.
The primary efficacy parameter is the change from baseline in the total score (Questions 1 to 7) of the IPSS at 12 months. The IPSS questionnaire will be filled by the subjects in blind conditions and will be reviewed by the investigators for its completeness. Validated local translations of the IPSS questionnaire will be used in each country.
Time frame: 12 months
Effects on Lower Urinary Tract Symptoms
* Change from baseline in IPSS total score at 1, 3, 6 and 9 months; * Change from baseline in IPSS subscores for storage symptoms; * Change from baseline in IPSS subscores for voiding symptoms; * Response rate by IPSS
Time frame: 1,3,6,9 and 12 months
Effects on Quality of Life (QoL) due to urinary symptoms
* Change from baseline in IPSS subscore Quality of Life due to urinary symptoms; * Change from baseline in BPH Impact Index
Time frame: 1,3,6,9 and 12 months
Effects on general health related Quality of Life
The change from baseline in the EQ-5D-5L questionnaire at 12 months or in case of early termination will be considered. The EQ-5D-5L questionnaire is a standardised validated instrument for use as a measure of health outcome.
Time frame: 12 months
Patient's global assessment of treatment
A patient-rated global assessment of treatment benefit, satisfaction and willingness to continue will be performed at 12 months (or in case of early termination) by using the BSW questionnaire. The BSW is a validated questionnaire that consists of three, single-item measures designed to capture the patient's perception of the effect of treatment in terms of the relative benefit, their satisfaction, and their intention or willingness to continue on therapy.
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Sheffield Teaching Hospitals NHS Foundation Trust, Royal Hallamshire Hospital
Sheffield, United Kingdom
Time frame: 12 months
Effects on maximum urinary flow rate (Qmax)
To evaluate the effect on urinary flow, the change from baseline in maximum urinary flow (Qmax) at 3, 6, 9, 12 months will be considered. The same validated device and procedure will be used in all centres and a blinded centralized reading is foreseen.
Time frame: 3,6,9 and 12 months
Effects on prostate volume
The change from baseline in TRUS assessed prostate volume at 3 and 12 months (or in case of early termination) will be considered.
Time frame: 3 and 12 months