UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000017901
Receipt number R000020539
Scientific Title Open-label, Multi-center, Single Arm Study to Evaluate the Efficacy and Safety of Periurethral Injection of Autologous Adipose Derived Regenerative Cells (ADRCs) for the Treatment of Male Stress Urinary Incontinence
Date of disclosure of the study information 2015/07/01
Last modified on 2019/11/13 13:56:57

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Basic information

Public title

Open-label, Multi-center, Single Arm Study to Evaluate the Efficacy and Safety of Periurethral Injection of Autologous Adipose Derived Regenerative Cells (ADRCs) for the Treatment of Male Stress Urinary Incontinence

Acronym

Clinical Trial of ADRCs for the Treatment of Male Stress Urinary Incontinence (ADRESU study)

Scientific Title

Open-label, Multi-center, Single Arm Study to Evaluate the Efficacy and Safety of Periurethral Injection of Autologous Adipose Derived Regenerative Cells (ADRCs) for the Treatment of Male Stress Urinary Incontinence

Scientific Title:Acronym

Clinical Trial of ADRCs for the Treatment of Male Stress Urinary Incontinence (ADRESU study)

Region

Japan


Condition

Condition

Stress Urinary Incontinence

Classification by specialty

Surgery in general Urology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficacy and safety of periurethral injection of autologous Adipose Derived Regenerative Cells (ADRCs) in male stress urinary incontinence.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Phase III


Assessment

Primary outcomes

Rate of patients at 52 weeks with improvement in urine leakage volume as greater than 50% reduction from baseline by 24-hour pad test

Key secondary outcomes

1) Rate of patients at each evaluation time point with improvement in urine leakage volume as greater than 50% reduction from baseline by 24-hour pad test
2) Urine leakage volume at each evaluation time point by 24-hour pad test
3) Rate of patients at each evaluation time point with improvement in the number of incontinence episodes per day as greater than 50% reduction from baseline
4) Number of incontinence episodes per day at each evaluation time point
5) Number of pads used per day at each evaluation time point
6) QOL score (ICIQ-SF and KHQ) at each evaluation time point
7) Patient overall satisfaction at each evaluation time point
8) Urodynamic parameters (MUCP, FPL and ALPP) at each evaluation time point
9) Blood flow at the injection site measured by transrectal ultrasonography at each evaluation time point
10) Injection site evaluated by pelvis MRI scan at each evaluation time point


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Device,equipment Maneuver Other

Interventions/Control_1

Injection of autologous adipose derived regenerative cells and adipose tissue

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male

Key inclusion criteria

1) Males with stress urinary incontinence with insufficient effect by behavioral therapy or pharmacotherapy persisting more than 1 year after either of the following surgical procedure:
・Patients with symptoms after radical prostatectomy for localized prostate cancer and currently without relapse/metastasis, and PSA level less than 0.1 ng/mL for over 1 year
・Patients with symptoms after transurethral prostatectomy or laser prostatectomy for prostatic hyperplasia, and PSA level less than 4.0 ng/mL for over 1 year
2) Age of 20 or above
3) Mild to moderate urinary incontinence on the 24-hour pad test
4) Patients who can keep a bladder diary in a satisfactory manner
5) Patients who are willing and able to give signed consent

Key exclusion criteria

1) Concurrent with any other types of urinary incontinence than stress urinary incontinence
2) History of urinary or reproductive surgery within 6 months prior to the consent
3) History of behavioral therapy or pharmacotherapy within 3 months prior to the consent
4) Concurrent with diabetes insipidus
5) History of radiotherapy in the lower urinary tract
6) History of ADRCs treatment for stress urinary incontinence
7) History of any type of cell therapy within 6 months prior to the consent
8) Participation in any other clinical trial within 3 months prior to the consent
9) Concurrent with lower urinary tract obstruction
10) Concurrent with urolithiasis, urinary tract infection or interstitial cystitis
11) History of recurrent urinary tract infection
12) History of malignant neoplasm within 5 years prior to the consent or a suspicion of it (Patients with a history of radical prostatectomy for localized prostate cancer without relapse/metastasis over 1 year may be enrolled)
13) Life expectancy of less than 1 year
14) Any other patients whom the trial investigator deemed ineligible to this study

Target sample size

45


Research contact person

Name of lead principal investigator

1st name Momokazu
Middle name
Last name Gotoh

Organization

Nagoya University Hospital

Division name

Department of Urology

Zip code

466-8560

Address

65 Tsurumai-cho, Showa-ku, Nagoya

TEL

052-744-2985

Email

gotoh@med.nagoya-u.ac.jp


Public contact

Name of contact person

1st name Shinobu
Middle name
Last name Shimizu

Organization

Nagoya University Hospital

Division name

ADRESU Clinical Trial Management Office

Zip code

466-8560

Address

65 Tsurumai-cho, Showa-ku, Nagoya

TEL

052-744-1956

Homepage URL


Email

adrcs@c-ctd.co.jp


Sponsor or person

Institute

Nagoya University Hospital

Institute

Department

Personal name



Funding Source

Organization

AMED

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor

Cytori Therapeutics, Inc.

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Nagoya University Hospital Institutional review board

Address

65 Tsurumai-cho, Showa-ku, Nagoya

Tel

052-744-1958

Email

center@med.nagoya-u.ac.jp


Secondary IDs

Secondary IDs

YES

Study ID_1

NCT02529865

Org. issuing International ID_1

the U.S. National Institutes of Health

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

名古屋大学医学部附属病院(愛知県)、金沢大学附属病院(石川県)、信州大学医学部附属病院(長野県)、獨協医科大学病院(栃木県)


Other administrative information

Date of disclosure of the study information

2015 Year 07 Month 01 Day


Related information

URL releasing protocol

https://bmcurol.biomedcentral.com/articles/10.1186/s12894-017-0282-7

Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

45

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2015 Year 04 Month 13 Day

Date of IRB

2015 Year 04 Month 21 Day

Anticipated trial start date

2015 Year 08 Month 20 Day

Last follow-up date

2019 Year 03 Month 07 Day

Date of closure to data entry

2019 Year 06 Month 17 Day

Date trial data considered complete

2019 Year 06 Month 21 Day

Date analysis concluded

2019 Year 10 Month 31 Day


Other

Other related information



Management information

Registered date

2015 Year 06 Month 14 Day

Last modified on

2019 Year 11 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000020539


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name