E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Benigne Prostatic Hyperplasia |
|
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 8.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10004446 |
|
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To assess the efficacy, tolerability and safety of vardenafil (10 mg BID) versus placebo in the two month treatment of men with symptomatic BPH. |
|
E.2.2 | Secondary objectives of the trial |
Secondary variables of efficacy are - the Post-void residual urine volume (PVR), - the Quality-of-life questionnaire 9 (QoL-9) and - the erectile function domain of the International Index of Erectile Function (IIEF-EF).
|
|
E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
E.3 | Principal inclusion criteria |
At SCREENING - Males 45 to (including) 64 years of age - Lower urinary tract symptoms (LUTS) for >= 6 months - Documented, signed and dated written Informed Consent
At RANDOMIZATION - IPSS total score >= 12
|
|
E.4 | Principal exclusion criteria |
At SCREENING
A) Previous or Current Medical Conditions
- Any unstable medical, psychiatric, or substance abuse disorder that, in the opinion of the investigator, is likely to affect the subject's ability to complete the study or precludes the subject’s participation in the study - Spinal cord injury - Hereditary degenerative retinal disorders such as retinitis pigmentosa - History of positive test for Hepatitis B surface antigen (HbsAg) or Hepatitis C - Severe chronic or acute liver disease, including history of moderate (Child-Pugh B) or severe (Child-Pugh C) hepatic impairment - Clinically significant chronic hematological disease which may lead to priapism such as sickle cell anemia, multiple myeloma or leukemia - Clinically significant bleeding disorder - Significant active peptic ulceration - Prostatitis (chronic or current) - Known vesical tumors (benign or malign) - History of prostate cancer - Clinically significant stricture of bladder or urethra - History of or current urinary retention - History of clinically significant pelvic trauma or surgery - Known stones or concrements in the urinary tract - Neurological diseases or symptoms that may interfere with voiding - Any underlying cardiovascular condition including unstable angina pectoris that would preclude sexual activity - History of myocardial infarction, stroke, or life-threatening arrhythmia within the prior 6 months - Uncontrolled atrial fibrillation/flutter at screening (ventricular response rate > 100 bpm) - Current macro-hematuria - Resting hypotension (a resting systolic blood pressure of <90 mm Hg) or hypertension (a resting systolic blood pressure >170 mm Hg or a resting diastolic blood pressure >110 mm Hg) - Symptomatic postural hypotension within 6 months of Visit 1 - History of malignancy within the past 5 years (other than squamous or basal cell skin cancer) - Life expectancy <3 years - Previous episode of non arteritic ischemic optic neuropathy (NAION)
B) Concomitant Medication
- Nitrates or nitric oxide donors - Oral, injectable or trans-dermal androgens - Anti-androgens - Any of the following potent inhibitors of cytochrome P- 450 3A4: . HIV protease inhibitors such as ritonavir or indinavir; . anti-mycotic agents itraconazole and ketoconazole (topical forms are allowed); . erythromycin - Any investigational drug (including placebo) within 30 days of Visit 1 - Any treatment for ED other than study medication during the study, including oral medications, vacuum devices, constrictive devices, injections or urethral suppositories - Alpha1 adrenoceptor antagonists (alpha blockers) during entire course of the study - Previous or current use of inhibitors of 5-alpha-reductase (e.g. finasteride, dutasteride).
C) Abnormal Laboratory Values
- PSA >= 3 ng/ml - Creatinine Clearance < 30 mL/min - Elevation of AST and/or ALT >= 3 x the Upper Limit of Normal - Micro-hematuria (assessment by means of dipsticks)
D) Other Exclusions
- Known hypersensitivity to vardenafil, Bay 38-9456 (also known as SB-782528) or any component of the investigational medication - Illiterate or are unable to understand the questionnaires - Unwilling or unable to complete the questionnaires
At RANDAMIZATION - All SCREENING Exclusion Criteria - Residual urine volume > 100 mL (sonographic assessment) - Micro- or macro-hematuria - If alpha-blockers were withdrawn at Visit 1 (Screening): significant (in the opinion of the investigator) deterioration of any BPH-related symptomatology during the run-in phase.
|
|
E.5 End points |
E.5.1 | Primary end point(s) |
Primary endpoints of efficacy are - the International Prostate Symptoms Score (IPSS) and - the maximum urinary flow (Q max) which will be tested in a hierarchical order. |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | Information not present in EudraCT |
E.7.1.2 | Bioequivalence study | Information not present in EudraCT |
E.7.1.3 | Other | Information not present in EudraCT |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
| |
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 0 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 0 |
E.8.9.2 | In all countries concerned by the trial months | 6 |