Radiation Cystitis Treated With Pentosan Polysulfate Sodium Trial

Trial statusRecruiting
Trial phasePhase 2, Phase 3
Trial typeInterventional
Biological sexAll
Age20+
SponsorNational Taiwan University Hospital

About this trial

The purpose of this study is to evaluate the efficacy and safety of pentosan polysulfate sodium versus placebo and in patients with radiation cystitis who have received radiation therapy in pelvic region.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent form and in the study protocol.

Patients must be ≥20 years of age

Patients must have received definitive radiation therapy for cancer in pelvic area.

Time from the end of radiation therapy to radiation cystitis must be longer than 6 months.

Disqualifiers

Abnormal liver function with indication of AST, ALT, or total bilirubin ≥ 1.5 times higher than normal

Abnormal renal function with serum creatinine ≥ 1.5 times higher than normal

Abnormal coagulation profile with PT/INR higher than normal

Thrombocytopenia with platelet counts < 100,000/μL

Trial design

Design model

Parallel

Treatments tested in this trial

  • Pentosan Polysulfate Sodium 100 MG Oral Capsule

    Drug

    Pentosan Polysulfate Sodium 100 mg three times daily (tid) for 0-8 weeks Pentosan Polysulfate Sodium 100 mg twice daily (bid) for 9-16 weeks

  • Placebo

    Drug

    Placebo 100 mg three times daily (tid) for 0-8 weeks Placebo 100 mg twice daily (bid) for 9-16 weeks

Treatment groups

72 Participants
are divided into 2 treatment groups
Group A: Pentosan Polysulfate SodiumExperimental treatment 1 intervention
Group B: Placebo ControlPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Rate of complete remission in lower urinary tract symptoms and hematuria

Number of participants without lower urinary tract symptoms and hematuria assessed by ESOU 2019 and CTCAE v5.0

Time frame
From date of randomization throughout the treatment period up to 5 years
2

Time to complete remission

Time from randomization to complete remission of lower urinary tract syndromes and hematuria

Time frame
From date of randomization to study completion up to 5 years
3

Time to hematuria recurrence

Time from randomization to recurrence of hematuria

Time frame
From date of randomization to study completion up to 5 years
4

Assessment of quality of life

Functional Assessment of 36-Item Short Form Survey (SF-36)

Time frame
From date of randomization to study completion up to 5 years

Secondary outcomes

1

Duration of hospitalization

Overall days of hospitalization due to radiation cystitis

Time frame
From date of randomization to study completion up to 5 years
2

Number of invasive procedures

Percentage of patients underwent transurethral cauterization of bladder bleeders or transurethral clots evacuation.

Time frame
From date of randomization to study completion up to 5 years
3

Number of adverse events

Percentage of patients with any adverse event (AE), adverse event (AE) leading to study drug discontinuation, serious adverse event (SAE), and adverse event (AE) related to study drug.

Time frame
From date of randomization to study completion up to 5 years

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

National Taiwan University Hospital

Lead sponsor

TCM Biotech International Corporation

Collaborator