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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
225
International Prostate Symptoms Score (IPSS) Questionnaire
Change from baseline in the total International Prostate Symptom Score (IPSS, Questions 1-7)
Time frame: 12 weeks
Modified International Prostate Symptoms Score (IPSS) Questionnaire
Modified IPSS used to evaluate subject's average experience of symptoms over preceding 7 days.
Time frame: 1, 2 and 3 Weeks
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
Time frame: 4, 12, 26 and 52 weeks
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.
Time frame: 4, 12, 26 and 52 weeks
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).
Time frame: 1, 2, 3, 4, 12, 26 and 52 weeks
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.
Time frame: 1, 2, 3, 4, 12, 26 and 52 weeks
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
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Light Dose: 200 J/cm
Unnamed facility
Anniston, Alabama, United States
Unnamed facility
Huntsville, Alabama, United States
Unnamed facility
Anchorage, Alaska, United States
Unnamed facility
Laguna Hills, California, United States
Unnamed facility
Los Angeles, California, United States
Unnamed facility
Murrieta, California, United States
Unnamed facility
San Diego, California, United States
Unnamed facility
Tarzana, California, United States
Unnamed facility
Denver, Colorado, United States
Unnamed facility
Aventura, Florida, United States
...and 31 more locations
Time frame: 1, 2, 3, 4, 12, 26 and 52 weeks
Safety and tolerability assessed by the number of subjects with Adverse Events
Assessed by variables such as AEs, laboratory parameters, vital signs, ECGs
Time frame: 52 weeks
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.
Time frame: 1, 2, 3, 4, 12, 26 and 52 weeks
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.
Time frame: 52 weeks
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).
Time frame: 4, 12, 26 and 52 weeks
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').
Time frame: 1, 2, 3, 4, 12, 26 and 52 weeks
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).
Time frame: 1, 2, 3, 4, 12, 26 and 52 weeks
International Prostate Symptoms Score (IPSS) Questionnaire
IPSS Total Score as Change from Baseline
Time frame: 4, 26 and 52 weeks
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).
Time frame: 1, 2, 3, 4, 12, 26 and 52 weeks
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.
Time frame: Baseline and 12 weeks
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).
Time frame: 4, 12, 26 and 52 weeks