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Trial · Interventional

CompletedPhase 2Results postedRegistry data

A Trial of Degarelix in Men With Lower Urinary Tract Symptoms (LUTS) Associated With Benign Prostatic Hyperplasia (BPH)

Short name DELUTS

NCTNCT00947882 (opens ClinicalTrials.gov in a new tab)Other idFE200486 CS36Other id2009-012325-11Other id104367Other id2009

Overview

Status
Completed
Phase
Phase 2
Enrollment
404 participants (actual)
Sponsor
Ferring Pharmaceuticals · Industry
Design
Randomized · Triple masking
Countries
6 countries

United States, Belgium, Canada, Czechia, Italy, Poland

Start
Aug 2009
Primary completion
Mar 2011
Completion
Jun 2011
First posted
28 Jul 2009 (estimated)
Last update posted
8 Jun 2015 (estimated)
Conditions
Lower Urinary Tract Symptoms (LUTS)

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
2009201020112012
  1. Ph 2

    DELUTS

    NCT00947882

    Aug 2009 to Jun 2011

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

A dose-finding, multi-centre, double-blind, randomised, parallel, placebo-controlled trial to investigate efficacy and safety of degarelix in men with lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH)

Interventions

  • PlaceboDrug
  • Degarelix 10 mgDrug
  • Degarelix 20 mgDrug
  • Degarelix 30 mgDrug

Arms4

  • Placebo comparator

    Placebo

  • Experimental

    Degarelix 10 mg

  • Experimental

    Degarelix 20 mg

  • Experimental

    Degarelix 30 mg

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Mean Change in International Prostate Symptom Score (IPSS)

    Time frame · From Baseline to Month 3 after Dosing

    Registry description

    This outcome measure was used to assess the dose-response of the 3 degarelix dose groups in terms of severity of lower urinary tract symptoms (LUTS) and progress of the disease process, versus the placebo group. One treatment month equals 28 days. The IPSS questionnaire is a tool commonly used to assess the severity of LUTS, and to monitor the progress of the symptoms during treatment. It contains 7 questions regarding incomplete emptying, frequency, intermittency, urgency, weak stream, straining, and nocturia. Each question is assigned a score of 0-5 (i.e. minimum total score is 0 and the maximum score is 35), where "0" corresponds to a response of "not at all" for the first six symptoms and "none" for nocturia, and "5" corresponds to a response of "almost always" for the first six symptoms and "5 times or more" for nocturia. The IPSS also includes a question to evaluate a patient's quality of life in relation to his urinary symptoms, which is not included in the total IPSS score.

Secondary outcomes(4)
  1. Mean Change in IPSS

    Time frame · From Baseline to Month 4, Month 5 and Month 6 after Dosing

    Registry description

    This secondary outcome measure was used to assess the maintained dose-response of the 3 degarelix dose groups in terms of severity of LUTS and progress of the disease process, versus the placebo group.

  2. Odds Ratio (as Compared to Placebo) of Treatment Response in IPSS

    Time frame · At Month 3, Month 4, Month 5 and Month 6 after Dosing

    Registry description

    A 3-point reduction in IPSS score compared to baseline is defined as a clinically meaningful treatment response. Percentage of participants who met criteria for a clinically meaningful treatment response and odds ratios of treatment responses between each degarelix dose group and the placebo group are presented.

  3. Mean Percentage Change in Total Prostate Volume (TPV)

    Time frame · From Baseline to Month 3 and Month 6 after Dosing

    Registry description

    TPV was measured directly by standardised trans-rectal ultrasound (TRUS).

  4. Mean Change in Maximum Urinary Flow (Qmax)

    Time frame · From Baseline to Month 3 and Month 6 after Dosing

    Registry description

    Urinary flow rate (mL/second) was measured using uroflowmetry performed according to the recommendation from the International Continence Society (ICS).

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeMean· From Baseline to Month 3 after Dosing

Mean Change in International Prostate Symptom Score (IPSS)

GroupValue (percentage change from baseline)Spread
Placebo-4.465.34
Degarelix 10 mg-5.656.03
Degarelix 20 mg-6.115.7
Degarelix 30 mg-5.885.97
Secondary and other outcome results(4)
Secondary outcomeMean· From Baseline to Month 4, Month 5 and Month 6 after Dosing

Mean Change in IPSS

GroupValue (percentage change from baseline)Spread
Placebo-4.125.65
Degarelix 10 mg-5.526.18
Degarelix 20 mg-6.36.38
Degarelix 30 mg-5.645.6
Secondary outcomeNumber· At Month 3, Month 4, Month 5 and Month 6 after Dosing

Odds Ratio (as Compared to Placebo) of Treatment Response in IPSS

GroupValue (percentage of participants)
Placebo59.0
Degarelix 10 mg72.3
Degarelix 20 mg69.0
Degarelix 30 mg68.6
Secondary outcomeMean· From Baseline to Month 3 and Month 6 after Dosing

Mean Percentage Change in Total Prostate Volume (TPV)

GroupValue (percentage change from baseline)Spread
Placebo3.1523.3
Degarelix 10 mg-1.4632.7
Degarelix 20 mg-0.25224.5
Degarelix 30 mg0.18824.4
Secondary outcomeMean· From Baseline to Month 3 and Month 6 after Dosing

Mean Change in Maximum Urinary Flow (Qmax)

GroupValue (percentage change from baseline)Spread
Placebo0.6523.8
Degarelix 10 mg0.5645.08
Degarelix 20 mg0.6265.68
Degarelix 30 mg0.7233.91

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
PlaceboPlacebo: Mannitol 50 mg/mL solution. The dose was administered as a s.c. injection in the abdominal region.–2 / 9831 / 98
Degarelix 10 mgDegarelix 10 mg: 10 mg degarelix, 40 mg/mL solution. The dose was administered as a s.c. injection in the abdominal region.–8 / 10135 / 101
Degarelix 20 mgDegarelix 20 mg: 20 mg degarelix, 40 mg/mL solution. The dose was administered as a s.c. injection in the abdominal region.–2 / 10039 / 100
Degarelix 30 mgDegarelix 30 mg: 30 mg degarelix, 40 mg/mL solution. The dose was administered as a s.c. injection in the abdominal region.–7 / 10556 / 105

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies0

Studies that cite this trial.

No study cites this trial.

Eligibility

Who could join, as posted.

Sex
Male
Age
from 50 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Signed informed consent obtained before any trial-related activity is performed * Men, aged 50 or older * Clinical signs and symptoms of BPH for ≥6 months * Moderate to severe LUTS at screening, as defined by International Prostate Symptom Score (IPSS) ≥13 * An IPSS QoL score of ≥3 at screening * Prostate specific antigen (PSA) at screening ≤10 ng/mL (responsibility of the Investigator to rule out prostate cancer when PSA is \>4 ng/mL, except in the USA where patients with a PSA \>4 and ≤10 ng/mL should undergo a prostatic biopsy or have a negative prostatic biopsy within 12 months prior to participation in the trial) * Maximum urinary flow (Qmax) ranging between 5 to 15 mL/second with a minimum voided volume \>125 mL at screening Exclusion Criteria: * Post void residual volume (PVR) \>250 mL * Stone in the bladder or urethra causing symptoms * Acute or chronic prostatitis * Interstitial cystitis / painful bladder syndrome * Acute or recurrent urinary tract infections * History of acute urinary retention (AUR) * Lower urinary tract instrumentation (including prostate biopsy) within 30 days of dosing at Visit 2 * Clinical evidence of any of the following urinary tract conditions: 1. Mullerian duct cysts 2. Atonic, decompensated, or hypocontractile bladder 3. Detrusor-sphincter dyssynergia (contraction of the detrusor without sphincter relaxation) * History of any of the following pelvic conditions: 1. Pelvic surgery or any other pelvic procedure, including radical prostatectomy, pelvic surgery for removal of malignancy, or open lower colonic or rectal surgery 2. Pelvic radiotherapy 3. Any prior surgical procedure of the urinary tract, including minimally invasive LUTS/BPH therapies 4. Lower tract malignancy or trauma * Clinically significant microscopic haematuria at screening * History of significant renal insufficiency, defined as receiving renal dialysis or having an estimated creatinine clearance \<30 mL/minute at screening * Systolic blood pressure \>180 or \<90 mmHg or diastolic blood pressure \>110 or \<50 mmHg at screening or malignant hypertension * Any causes other than BPH, which may affect evaluation of symptoms of urine flow (e.g. neurogenic bladder, bladder neck contracture, urethral stricture, and bladder malignancy) as judged by the Investigator * Use of any prohibited therapies * Elevated liver function tests at screening: 1. Aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP) \>2 times the upper limit of normal 2. Total bilirubin \>1.5 times the upper limit of normal * QTc interval on the screening ECG \>450 ms, or a family history of long QT syndrome * Any clinically significant disorder (other than BPH) including, but not limited to, renal, haematological, gastrointestinal, endocrine, cardiac, neurological, or psychiatric disease, or any other condition, which may affect the patient's health or the outcome of the trial as judged by the Investigator * Diagnosed cancer within the last 5 years except for adequately managed basal cell carcinoma and squamous cell carcinoma of the skin * History of severe untreated asthma, anaphylactic reactions, or severe urticaria and/or angioedema * Mental incapacity or language barrier precluding adequate understanding or co-operation * History or current evidence of drug, alcohol, or substance abuse within 6 months prior to screening * Hypersensitivity towards any component of the investigational medicinal product (IMP) * Previous participation in any degarelix trial

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