This clinical trial is designed as a randomized, placebo-controlled, single-blind, parallel design, multi-center, phase 2 clinical trial to evaluate the efficacy and safety of GV1001 in patients with benign prostatic hyperplasia. Eligible subjects are randomized into a group out of the three study groups and a placebo group after four weeks of placebo run-in period. Placebo run-in period is concurrently proceeded as a wash-out period for previous treatment of benign prostatic hyperplasia, and a placebo is administered intradermally twice with two-week interval during this period. After that, the randomized subjects receive a study drug and a placebo intradermally seven times with two-week interval by visiting at Week 0, 2, 4, 6, 8, 10, and 12. After the treatment period, the subjects additionally visit at Week 13 and 16, and the efficacy is evaluated at Week 4, 8, 12, 13, and 16, and the safety is evaluated over the 16-week period.
Patients will be randomized equally between the four arms. 1. Control group (placebo, two-week interval): 38 subjects 2. Study group 1 (GV1001 0.4 mg, intradermal administration, two-week interval): 38 subjects 3. Study group 2 (GV1001 0.56 mg, intradermal administration, two-week interval): 38 subjects 4. Study group 3 (GV1001 0.56 mg, intradermal administration, four-week interval): 38 subjects
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
161
Hanyang University Guri Hospital
Guri-si, Gyeonggi-do, South Korea
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, South Korea
Dongguk University Gyeongju Hospital
Gyeongju, Gyeongsangbuk-do, South Korea
Inje University Busan Paik Hospital
Busan, South Korea
Keimyung University Dongsan Medical Center
Daegu, South Korea
Chung-ang University Hospital
Seoul, South Korea
Eulji General Hospital
Seoul, South Korea
Severance Hospital
Seoul, South Korea
Evaluation of doses of GV1001 by comparing the level of change in IPSS scores in three study groups to a control group.
IPSS questionnaire: 7-item questionnaire that measures urinary symptoms, but with an additional, independent eighth question on quality of life. It measures the level of urinary symptoms (including incomplete emptying, frequency, intermittency, urgency, weak stream, straining, and nocturia) reported as the total IPSS score. The first 7 items has a 6-point response scale (0=none/never to 5=almost always/5 or more times) with a total score that can range from 0-35: mild (0-7), moderate (8-19), or severe (20-35). The last item assesses quality of life reported as a Quality of Life assessment index.
Time frame: at Week 0, 4, 8, 12, 13, and 16
Change in volume of prostate gland (TRUS) compared to the baseline
The amount of change from Transrectal Ultrasonography(TRUS) compared to the baseline
Time frame: at screening and Week 16
Change in maximum flow rate (Qmax) compared to the baseline
The amount of change from Maximum(peak) Urinary Flow Rate compared to the baseline
Time frame: at Week 0, 4, 8, 12, 13, and 16
Change in International Index of Erectile Function (IIEF) compared to the baseline
IIEF questionnaire: 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: at Week 0, 4, 8, 12, 13, and 16
Change in prostate-specific antigen (PSA) compared to the baseline
The amount of change from Prostate-specific Antigen (PSA) compared to the baseline
Time frame: at Week 0, 13, and 16
Change in residual urine volume compared to the baseline
The amount of change from Residual Urine Volume compared to the baseline
Time frame: at Week 0, 4, 8, 12, 13, and 16
Change in hormones (testosterone, DHT) compared to the baseline
The amount of change from Hormones (Testosterone, DHT) compared to the baseline
Time frame: at Week 0, 4, 8, 12, 13, and 16
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