Ignite Creation Date:
2025-12-24 @ 6:38 PM
Ignite Modification Date:
2025-12-29 @ 12:01 PM
Study NCT ID:
NCT02247557
Status:
COMPLETED
Last Update Posted:
2017-03-09
First Post:
2014-09-15
Is NOT Gene Therapy:
True
Has Adverse Events:
False
Brief Title:
Intravesical Instillation of Liposome Encapsulated Botulinum Toxin A (Lipotoxin) in Treatment of Interstitial Cystitis
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'conditionBrowseModule': {'meshes': [{'id': 'D018856', 'term': 'Cystitis, Interstitial'}], 'ancestors': [{'id': 'D003556', 'term': 'Cystitis'}, {'id': 'D001745', 'term': 'Urinary Bladder Diseases'}, {'id': 'D014570', 'term': 'Urologic Diseases'}, {'id': 'D052776', 'term': 'Female Urogenital Diseases'}, {'id': 'D005261', 'term': 'Female Urogenital Diseases and Pregnancy Complications'}, {'id': 'D000091642', 'term': 'Urogenital Diseases'}, {'id': 'D052801', 'term': 'Male Urogenital Diseases'}]}, 'interventionBrowseModule': {'meshes': [{'id': 'D008081', 'term': 'Liposomes'}, {'id': 'D019274', 'term': 'Botulinum Toxins, Type A'}, {'id': 'D000077330', 'term': 'Saline Solution'}, {'id': 'D012965', 'term': 'Sodium Chloride'}], 'ancestors': [{'id': 'D008567', 'term': 'Membranes, Artificial'}, {'id': 'D001697', 'term': 'Biomedical and Dental Materials'}, {'id': 'D004337', 'term': 'Drug Carriers'}, {'id': 'D004304', 'term': 'Dosage Forms'}, {'id': 'D004364', 'term': 'Pharmaceutical Preparations'}, {'id': 'D008420', 'term': 'Manufactured Materials'}, {'id': 'D013676', 'term': 'Technology, Industry, and Agriculture'}, {'id': 'D040761', 'term': 'Biomimetic Materials'}, {'id': 'D001905', 'term': 'Botulinum Toxins'}, {'id': 'D008666', 'term': 'Metalloendopeptidases'}, {'id': 'D010450', 'term': 'Endopeptidases'}, {'id': 'D010447', 'term': 'Peptide Hydrolases'}, {'id': 'D006867', 'term': 'Hydrolases'}, {'id': 'D004798', 'term': 'Enzymes'}, {'id': 'D045762', 'term': 'Enzymes and Coenzymes'}, {'id': 'D045726', 'term': 'Metalloproteases'}, {'id': 'D001426', 'term': 'Bacterial Proteins'}, {'id': 'D011506', 'term': 'Proteins'}, {'id': 'D000602', 'term': 'Amino Acids, Peptides, and Proteins'}, {'id': 'D001427', 'term': 'Bacterial Toxins'}, {'id': 'D014118', 'term': 'Toxins, Biological'}, {'id': 'D001685', 'term': 'Biological Factors'}, {'id': 'D000077324', 'term': 'Crystalloid Solutions'}, {'id': 'D007552', 'term': 'Isotonic Solutions'}, {'id': 'D012996', 'term': 'Solutions'}, {'id': 'D002712', 'term': 'Chlorides'}, {'id': 'D006851', 'term': 'Hydrochloric Acid'}, {'id': 'D017606', 'term': 'Chlorine Compounds'}, {'id': 'D007287', 'term': 'Inorganic Chemicals'}, {'id': 'D017670', 'term': 'Sodium Compounds'}]}}, 'protocolSection': {'designModule': {'phases': ['PHASE2'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'RANDOMIZED', 'maskingInfo': {'masking': 'TRIPLE', 'whoMasked': ['PARTICIPANT', 'CARE_PROVIDER', 'INVESTIGATOR'], 'maskingDescription': 'All participants, investigators and care providers do not know which regimen is given to patients of the three arms.'}, 'primaryPurpose': 'TREATMENT', 'interventionModel': 'PARALLEL', 'interventionModelDescription': 'This is a double-blind, randomized, placebo-controlled physician initiated study enrolled patients with refractory IC/BPS. Patients were assigned to intravesical instillation of lipotoxin (onabotulinumtoxinA 200 U with 80mg sphingomyelin), onabotulinumtoxinA 200 U in normal saline, or normal saline.'}, 'enrollmentInfo': {'type': 'ACTUAL', 'count': 90}}, 'statusModule': {'overallStatus': 'COMPLETED', 'startDateStruct': {'date': '2014-09', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2017-03', 'completionDateStruct': {'date': '2017-02', 'type': 'ACTUAL'}, 'lastUpdateSubmitDate': '2017-03-07', 'studyFirstSubmitDate': '2014-09-15', 'studyFirstSubmitQcDate': '2014-09-23', 'lastUpdatePostDateStruct': {'date': '2017-03-09', 'type': 'ACTUAL'}, 'studyFirstPostDateStruct': {'date': '2014-09-25', 'type': 'ESTIMATED'}, 'primaryCompletionDateStruct': {'date': '2017-02', 'type': 'ACTUAL'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': "Change of the O'Leary-Sant symptom score", 'timeFrame': 'Baseline and 1 month', 'description': "Change of the O'Leary-Sant symptom score from baseline to 1 month after the treatment day"}], 'secondaryOutcomes': [{'measure': 'Net changes of the Visual Analog Scale (VAS)', 'timeFrame': 'Baseline and 1 month', 'description': 'Net changes of the Visual Analog Scale from baseline to 1 month after the treatment day\n\nSafety\n\n(1) Local adverse event incidences (hematuria, miction pain, UTI, urinary retention).'}, {'measure': 'Net changes of the functional bladder capacity (FBC)', 'timeFrame': 'Baseline and 1 month', 'description': 'Net changes of the functional bladder capacity from baseline to 1 month after the treatment day\n\nSafety\n\n(1) Local adverse event incidences (hematuria, miction pain, UTI, urinary retention).'}, {'measure': 'Net changes of the voiding frequency at daytime as recorded in 3-day voiding diary', 'timeFrame': 'Baseline and 1 month', 'description': 'Net changes of the voiding frequency at daytime from baseline to 1 month after the treatment day\n\nSafety\n\n(1) Local adverse event incidences (hematuria, miction pain, UTI, urinary retention).'}, {'measure': 'Net changes of the voiding frequency at night time as recorded in 3-day voiding diary', 'timeFrame': 'Baseline and 1 month', 'description': 'Net changes of the voiding night time from baseline to 1 month after the treatment day\n\nSafety\n\n(1) Local adverse event incidences (hematuria, miction pain, UTI, urinary retention).'}, {'measure': 'Net Change of the Global response assessment (GRA)', 'timeFrame': 'Baseline and 1 month', 'description': 'Global response assessment (GRA) of therapeutic result by the patient (categorized from -3 to +3, indicating markedly worse to markedly improved) at 3 months after the treatment day.\n\nSafety\n\n(1) Local adverse event incidences (hematuria, miction pain, UTI, urinary retention).'}, {'measure': 'Net Change of the maximum flow rate', 'timeFrame': 'Baseline and 1 month', 'description': 'Net changes of the maximum flow rate from baseline to 1 month after the treatment day.\n\nSafety\n\n(1) Local adverse event incidences (hematuria, miction pain, UTI, urinary retention).'}, {'measure': 'Net Change of the voided volume', 'timeFrame': 'Baseline and 1 month', 'description': 'Net changes of the voided volume from baseline to 1 month after the treatment day.\n\nSafety\n\n(1) Local adverse event incidences (hematuria, miction pain, UTI, urinary retention).'}, {'measure': 'Net Change of the PVR', 'timeFrame': 'Baseline and 1 month', 'description': 'Net changes of the PVR from baseline to 1 month after the treatment day.\n\nSafety\n\n(1) Local adverse event incidences (hematuria, miction pain, UTI, urinary retention).'}, {'measure': 'Net Change of the urinary nerve growth factor', 'timeFrame': 'Baseline and 1 month', 'description': 'Changes of urinary nerve growth factor from baseline to 1 month after treatment day.\n\nSafety\n\n(1) Local adverse event incidences (hematuria, miction pain, UTI, urinary retention).'}, {'measure': 'Net Change of the cytokines level', 'timeFrame': 'Baseline and 1 month', 'description': 'Changes of cytokines level from baseline to 1 month after treatment day.\n\nSafety\n\n(1) Local adverse event incidences (hematuria, miction pain, UTI, urinary retention).'}]}, 'oversightModule': {'isUsExport': False, 'oversightHasDmc': True, 'isFdaRegulatedDrug': True, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'keywords': ['IC/PBS', 'VAS', 'Botulinum Toxin A', 'Lipotoxin'], 'conditions': ['Interstitial Cystitis']}, 'referencesModule': {'references': [{'pmid': '32734597', 'type': 'DERIVED', 'citation': 'Imamura M, Scott NW, Wallace SA, Ogah JA, Ford AA, Dubos YA, Brazzelli M. Interventions for treating people with symptoms of bladder pain syndrome: a network meta-analysis. Cochrane Database Syst Rev. 2020 Jul 30;7(7):CD013325. doi: 10.1002/14651858.CD013325.pub2.'}]}, 'descriptionModule': {'briefSummary': 'To evaluate the efficacy and safety of intravesical instillation of Lipotoxin for the treatment of IC/BPS', 'detailedDescription': "Liposome has been proven able to carry botulinum toxin protein across the cell membrane and effect on urothelial receptors in human overactive bladder. However, the therapeutic duration is limited to 1 month. Intravesical BOTOX injection in patients with interstitial cystitis (IC) can effectively decrease pain, improve bladder capacity and decrease frequency. However, the need of cystoscopic injection limits its wide application.\n\nA total of 100 eligible women with non-ulcer IC will be enrolled to receive intravesical instillation of Lipotoxin containing 80mg liposomes and 200U BOTOX (treatment group), 200U BOTOX in normal saline (N/S) (active control group) or normal saline (placebo control group) single treatment. At least 90 evaluable patients will be included for the final analysis.\n\nAll patients should have IC symptoms for at least 6 months, and proven to have grade 2 diffused glomerulations after cystoscopic hydrodistention (HD) within recent 1 year without Hunner's lesion. Patients should not have UTI in recent 12 months, no urinary tract stone. Patients should have been proven free of detrusor overactivity or bladder outlet obstruction. Patients should not receive intravesical hyaluronic acid treatment in recent 6 months, or intravesical Botox injection in recent 12 months. Intravesical instillation of Lipotoxin at OPD and the patient should hold the solution for 2 hours to allow bladder distention. Retreatment with Lipotoxin at 3 months if patient reports ineffective.\n\nPrimary end-point is the change of the O'Leary-Sant symptom score (including ICSI and ICPI) from baseline to 1 month after treatment. Secondary endpoints include VAS, daily frequency, nocturia and FBC as record in 3-day voiding diary, Qmax, voided volume, PVR and global response assessment (GRA). Four visits are required at baseline screening (before first treatment), treatment (V1), 2 weeks (V2), 4 weeks (V3, primary end-point) and 12 weeks (V4)."}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['ADULT', 'OLDER_ADULT'], 'maximumAge': '80 Years', 'minimumAge': '20 Years', 'healthyVolunteers': False, 'eligibilityCriteria': "Inclusion Criteria:\n\n1. Adults with age of 20 years old or above\n2. Patients with symptoms of frequency, urgency, nocturia, and/or bladder pain.\n3. Proven to have glomerulations (at least grade 2) by cystoscopic hydrodistention under anesthesia in recent 1 year\n4. Free of active urinary tract infection\n5. Free of bladder outlet obstruction on enrollment\n6. Free of overt neurogenic bladder dysfunction and limitation of ambulation\n7. Patient or his/her legally acceptable representative has signed the written informed consent form\n\nExclusion Criteria:\n\n1. Hunner's lesion proven by cystoscopy\n2. Patients with severe cardiopulmonary disease and such as congestive heart failure, arrhythmia, poorly controlled hypertension, not able to receive regular follow-up\n3. Patients with bladder outlet obstruction on enrollment\n4. Patients with postvoid residual \\>250ml\n5. Patients with uncontrolled confirmed diagnosis of acute urinary tract infection\n6. Patients have laboratory abnormalities at screening including: ALT\\> 3 x upper limit of normal range, AST\\> 3 x upper limit of normal range; Patients have abnormal serum creatinine level \\> 2 x upper limit of normal range\n7. Patients with any contraindication to be urethral catheterization during treatment\n8. Female patients who is pregnant, lactating, or with child-bearing potential without contraception.\n9. Myasthenia gravis, Eaton Lambert syndrome.\n10. Patients with any other serious disease considered by the investigator not in the condition to enter the trial\n11. Patient had received intravesical treatment for IC within recent 1 month\n12. Patients participated investigational drug trial within 1 month before entering this study"}, 'identificationModule': {'nctId': 'NCT02247557', 'briefTitle': 'Intravesical Instillation of Liposome Encapsulated Botulinum Toxin A (Lipotoxin) in Treatment of Interstitial Cystitis', 'organization': {'class': 'OTHER', 'fullName': 'Buddhist Tzu Chi General Hospital'}, 'officialTitle': 'Intravesical Instillation of Liposome Encapsulated Botulinum Toxin A (Lipotoxin) in Treatment of Interstitial Cystitis - a Randomized, Double-blind, Placebo-controlled, Prospective Study', 'orgStudyIdInfo': {'id': 'TCGHUROL011'}}, 'armsInterventionsModule': {'armGroups': [{'type': 'EXPERIMENTAL', 'label': 'Group A: Liposome encapsulated BoNT-A', 'description': 'Liposome encapsulated BoNT-A ( mixed BOTOX 200U/10ml in Liposome 80mg/40ml) in single intravesical instillation', 'interventionNames': ['Drug: Liposome encapsulated BoNT-A']}, {'type': 'EXPERIMENTAL', 'label': 'Group B: BoNT-A 200 U in Normal saline', 'description': 'BOTOX 200U in normal saline (BoNT-A/NS) 50ml in single intravesical instillation', 'interventionNames': ['Drug: BOTOX 200U in normal saline']}, {'type': 'PLACEBO_COMPARATOR', 'label': 'Group C: Normal saline', 'description': 'Normal saline (N/S) 50ml in single intravesical instillation', 'interventionNames': ['Drug: Normal saline']}], 'interventions': [{'name': 'Liposome encapsulated BoNT-A', 'type': 'DRUG', 'otherNames': ['Liposome', 'onabotulinumtoxinA 200U'], 'description': 'Liposome encapsulated BoNT-A ( mixed BOTOX 200U/10ml in Liposome 80mg/40ml) in single intravesical instillation', 'armGroupLabels': ['Group A: Liposome encapsulated BoNT-A']}, {'name': 'BOTOX 200U in normal saline', 'type': 'DRUG', 'otherNames': ['onabotulinumtoxinA 200U'], 'description': 'BOTOX 200U in normal saline (BoNT-A/NS) 50ml in single intravesical instillation', 'armGroupLabels': ['Group B: BoNT-A 200 U in Normal saline']}, {'name': 'Normal saline', 'type': 'DRUG', 'otherNames': ['Saline'], 'description': 'Normal saline (N/S) 50ml in single intravesical instillation', 'armGroupLabels': ['Group C: Normal saline']}]}, 'contactsLocationsModule': {'locations': [{'zip': '970', 'city': 'Hualien City', 'country': 'Taiwan', 'facility': 'Buddhist Tzu Chi General Hospital', 'geoPoint': {'lat': 23.97694, 'lon': 121.60444}}], 'overallOfficials': [{'name': 'Hann-Chorng Kuo, M.D.', 'role': 'PRINCIPAL_INVESTIGATOR', 'affiliation': 'Department of Urology, Buddihisst Tzu Chi General Hospital and Tzu Chi University'}]}, 'ipdSharingStatementModule': {'ipdSharing': 'NO', 'description': 'IPD cannot be released unless researchers obtain the approval from the Ethics Committee of the Buddhist Tzu Chi General Hospital, Hualien, Taiwan'}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'Buddhist Tzu Chi General Hospital', 'class': 'OTHER'}, 'responsibleParty': {'type': 'PRINCIPAL_INVESTIGATOR', 'investigatorTitle': 'Director of Urology', 'investigatorFullName': 'Hann-Chorng Kuo', 'investigatorAffiliation': 'Buddhist Tzu Chi General Hospital'}}}}