A Phase 2 interventional study of S-equol and Placebo in Benign Prostatic Hyperplasia, sponsored by Ausio Pharmaceuticals, LLC. Completed at 15 sites in 2 countries. Open to male participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2017-05-19.
Sponsored by Ausio Pharmaceuticals, LLC · Phase 2, Interventional, and Treatment
The purpose of this study is to assess the safety and effectiveness of S-equol in men with benign prostatic hyperplasia.
The study is a phase 2a, randomized, double blind, multicenter, placebo controlled, parallel group, proof of concept study comparing the efficacy, safety, and acceptability of S-equol to placebo in patients with benign prostatic hyperplasia. The study objective is to examine a dose response of 3 dose levels of S equol versus placebo on prostate specific antigen concentrations in patients with benign prostatic hyperplasia. The safety of S-equol will be evaluated during the study.
783 studies on the registry are indexed under Prostatic Hyperplasia; 174 are open to participants now.
This study's enrollment of 116 is above the median of 97 across 593 interventional studies indexed under Prostatic Hyperplasia.
Browse Prostatic Hyperplasia studies →Ausio Pharmaceuticals, LLC is the lead sponsor of 4 studies on the registry; none are open to participants now.
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Exclusion Criteria:
Drug: S-equol
Drug: S-equol
Drug: S-equol
Drug: Placebo
10mg S-equol 50mg S-equol, \& 150mg S-equol
Also known as: AUS-131
Placebo
Change From Baseline at Week 4 in Prostate Specific Antigen (PSA) Concentration.
Prostate specific antigen is considered to be the most sensitive measure of S-equol effects on the prostate, due to the expected effects of S-equol on the androgen receptor axis. In this proof-of-concept study, a population of 124 male subjects was estimated to achieve approximately 104 completed subjects (based on an estimated drop-out rate of 15%) to examine the dose-response compared to placebo. A sample size of 26 subjects in each treatment arm was considered to be adequate to observe a trend in this proof-of-concept study.
Time frame: 4 weeks
Change in Prostate Volume From Baseline at Week 4
Prostate size as measured by prostate volume as assessed by transrectal ultrasound.
Time frame: 4 weeks
Change in Qmax From Baseline at Week 4
Time frame: 4 weeks
Categorical Change in Qmax From Baseline at Week 4
Time frame: 4 weeks
Percent Change in Qmax From Baseline at Week 4
Time frame: 4 weeks
Change in Void Volume From Baseline at Week 4
Time frame: 4 weeks
Change in Post-Void Residual Volume From Baseline at Week 4
Time frame: 4 weeks
Change in in Dihydrotestosterone Concentration From Baseline at Week 4
Time frame: 4 weeks
Change in Luteinizing Hormone Concentration From Baseline at Week 4
Time frame: 4 weeks
Change in Total Testosterone Concentration From Baseline at Week 4
Time frame: 4 weeks
Participants Assessment of Nocturia at Week 4
Participants were asked to rate their change in nocturia (number of times you wake from sleep to urinate) since the Baseline Visit.
Time frame: 4 weeks
Investigators Assessment of Nocturia at Week 4
Investigators were asked to rate participant's change in nocturia since the Baseline Visit.
Time frame: 4 weeks
Change in I-PSS Total Score From Baseline at Week 4
The International Prostate Symptom Score (I-PSS) is based on the answers to seven questions concerning urinary symptoms and one question concerning quality of life. Each question concerning urinary symptoms allows the patient to choose one out of 6 answers indicating increasing severity of the particular symptom. The answers are assigned points from 0 to 5. The total score can therefore range from 0 to 35 (asymptomatic to very symptomatic). The first seven questions of the I-PSS are identical to the questions appearing on the American Urological Association (AUA) Symptom Index which currently categorizes symptoms as follows: Mild (symptom score less than of equal to 7); Moderate (symptom score range 8-19); and Severe (symptom score range 20-35). A reduction in I-PSS Total Score is consistent with improvement in symptoms of BPH.
Time frame: 4 weeks
Change in DAN Prostate Symptom Scale From Baseline at Week 4
The questionnaire is made up of two kinds of questions: intensity of a symptom and bothersomeness of a symptom. Prostate symptoms are addressed in questions 1 - 12 and sexual function in questions 13 - 15. Patients indicate how intense/frequent (scoring 0, 1, 2, or 3; where 0 represents the best case and 3 the worst case) and how bothersome the symptom (scoring 0, 1, 2, or 3; where 0 is 'not at all' and 3 is 'very much'). DAN-PSS total and DAN-PSS total sexual function score were calculated by multiplying the frequency score by the trouble score of each symptom, and then adding the resulting figures. The possible values of DAN-PSS total ranged from 0 to 108 and of DAN-PSS total sexual function score ranged from 0 to 27. A reduction in DAN-PSS total and/or sexual function score is consistent with improved BPH symptoms/sexual functioning.
Time frame: 4 weeks
Participants were recruited from 4 centers in Australia, 10 centers in India, and 8 centers in the United States from February 2010 to August 2015. The first participant was enrolled in August 2010, and the last participant was enrolled in August 2015.
| Milestone | S-equol 10 mg BID | S-equol 50 mg BID | S-equol 150 mg BID | Placebo BID |
|---|---|---|---|---|
| Started | 29 | 29 | 29 | 29 |
| Completed | 25 | 26 | 25 | 28 |
| Not completed | 4 | 3 | 4 | 1 |
| Withdrew: Adverse event | 0 | 0 | 3 | 1 |
| Withdrew: Lost to follow-up | 2 | 2 | 0 | 0 |
| Withdrew: Protocol violation | 1 | 0 | 0 | 0 |
| Withdrew: Withdrawal by subject | 1 | 1 | 1 | 0 |
Prostate specific antigen is considered to be the most sensitive measure of S-equol effects on the prostate, due to the expected effects of S-equol on the androgen receptor axis. In this proof-of-concept study, a population of 124 male subjects was estimated to achieve approximately 104 completed subjects (based on an estimated drop-out rate of 15%) to examine the dose-response compared to placebo. A sample size of 26 subjects in each treatment arm was considered to be adequate to observe a trend in this proof-of-concept study.
| ng/mL | S-equol 10 mg BID | S-equol 50 mg BID | S-equol 150 mg BID | Placebo BID |
|---|---|---|---|---|
| Change From Baseline at Week 4 in Prostate Specific Antigen (PSA) Concentration. | -0.1 ± 0.3 | -0.1 ± 0.3 | -0.3 ± 0.3 | -0.4 ± 0.3 |
Prostate size as measured by prostate volume as assessed by transrectal ultrasound.
| mL | S-equol 10 mg BID | S-equol 50 mg BID | S-equol 150 mg BID | Placebo BID |
|---|---|---|---|---|
| Week 4 Values | 40.03 ± 12.10 | 45.53 ± 15.36 | 39.16 ± 10.67 | 39.73 ± 13.98 |
| Change from Baseline | -3.03 ± 5.28 | -0.25 ± 8.29 | -1.72 ± 7.31 | -1.74 ± 5.10 |
| mL/sec | S-equol 10 mg BID | S-equol 50 mg BID | S-equol 150 mg BID | Placebo BID |
|---|---|---|---|---|
| Week 4 Values | 11.00 ± 5.87 | 10.10 ± 5.41 | 14.40 ± 5.70 | 13.40 ± 6.57 |
| Change from Baseline | 0.96 ± 4.74 | -0.09 ± 6.13 | 2.49 ± 6.25 | 2.25 ± 6.63 |
| Participants | S-equol 10 mg BID | S-equol 50 mg BID | S-equol 150 mg BID | Placebo BID |
|---|---|---|---|---|
| Week 4 Values, <=2 mL/sec | 17 | 19 | 13 | 17 |
| Week 4 Values, >2 mL/sec | 8 | 7 | 10 | 11 |
| Participants | S-equol 10 mg BID | S-equol 50 mg BID | S-equol 150 mg BID | Placebo BID |
|---|---|---|---|---|
| Week 4 Values, <=30% | 18 | 22 | 13 | 19 |
| Week 4 Values, >30% | 7 | 4 | 9 | 9 |
| mL | S-equol 10 mg BID | S-equol 50 mg BID | S-equol 150 mg BID | Placebo BID |
|---|---|---|---|---|
| Week 4 Values | 235.04 ± 124.23 | 191.50 ± 88.79 | 312.09 ± 187.12 | 266.32 ± 119.92 |
| Change from Baseline | 4.04 ± 128.97 | -58.00 ± 116.23 | 72.18 ± 154.08 | 7.46 ± 134.59 |
| mL | S-equol 10 mg BID | S-equol 50 mg BID | S-equol 150 mg BID | Placebo BID |
|---|---|---|---|---|
| Week 4 Values | 77.90 ± 96.73 | 83.54 ± 96.98 | 52.46 ± 68.14 | 85.90 ± 81.25 |
| Change from Baseline | 2.51 ± 93.12 | 17.08 ± 93.73 | -18.22 ± 69.97 | -6.28 ± 73.29 |
| pg/mL | S-equol 10 mg BID | S-equol 50 mg BID | S-equol 150 mg BID | Placebo BID |
|---|---|---|---|---|
| Week 4 Values | 584.7 ± 567.0 | 532.4 ± 483.1 | 616.6 ± 661.9 | 502.4 ± 434.5 |
| Change from Baseline | 64.2 ± 313.1 | -6.2 ± 139.9 | 68.1 ± 488.9 | -14.5 ± 72.9 |
| IU/L | S-equol 10 mg BID | S-equol 50 mg BID | S-equol 150 mg BID | Placebo BID |
|---|---|---|---|---|
| Week 4 Values | 4.4 ± 2.6 | 6.0 ± 3.4 | 6.1 ± 4.1 | 5.9 ± 2.9 |
| Change from Baseline | -0.6 ± 2.2 | 1.1 ± 2.5 | -0.3 ± 2.4 | 0.0 ± 2.0 |
| nmol/L | S-equol 10 mg BID | S-equol 50 mg BID | S-equol 150 mg BID | Placebo BID |
|---|---|---|---|---|
| Week 4 Values | 449.9 ± 283.7 | 310.3 ± 204.2 | 314.0 ± 177.2 | 351.3 ± 176.8 |
| Change from Baseline | -8.1 ± 116.4 | -2.6 ± 173.8 | 3.7 ± 93.9 | -34.4 ± 128.4 |
Participants were asked to rate their change in nocturia (number of times you wake from sleep to urinate) since the Baseline Visit.
| number of times to urinate at night | S-equol 10 mg BID | S-equol 50 mg BID | S-equol 150 mg BID | Placebo BID |
|---|---|---|---|---|
| Participants Assessment of Nocturia at Week 4 | 3.0 (1 to 6) | 3.0 (1 to 5) | 3.0 (2 to 7) | 3.0 (1 to 4) |
Investigators were asked to rate participant's change in nocturia since the Baseline Visit.
| number of times urinated at night | S-equol 10 mg BID | S-equol 50 mg BID | S-equol 150 mg BID | Placebo BID |
|---|---|---|---|---|
| Investigators Assessment of Nocturia at Week 4 | 3.0 (1 to 6) | 3.0 (1 to 5) | 3.0 (1 to 4) | 3.0 (1 to 4) |
The International Prostate Symptom Score (I-PSS) is based on the answers to seven questions concerning urinary symptoms and one question concerning quality of life. Each question concerning urinary symptoms allows the patient to choose one out of 6 answers indicating increasing severity of the particular symptom. The answers are assigned points from 0 to 5. The total score can therefore range from 0 to 35 (asymptomatic to very symptomatic). The first seven questions of the I-PSS are identical to the questions appearing on the American Urological Association (AUA) Symptom Index which currently categorizes symptoms as follows: Mild (symptom score less than of equal to 7); Moderate (symptom score range 8-19); and Severe (symptom score range 20-35). A reduction in I-PSS Total Score is consistent with improvement in symptoms of BPH.
| units on a scale | S-equol 10 mg BID | S-equol 50 mg BID | S-equol 150 mg BID | Placebo BID |
|---|---|---|---|---|
| Week 4 Values | 15.56 ± 5.35 | 17.46 ± 5.79 | 17.54 ± 6.96 | 15.07 ± 7.62 |
| Change from Baseline | -5.81 ± 7.56 | -6.18 ± 5.55 | -4.15 ± 6.42 | -5.96 ± 5.83 |
The questionnaire is made up of two kinds of questions: intensity of a symptom and bothersomeness of a symptom. Prostate symptoms are addressed in questions 1 - 12 and sexual function in questions 13 - 15. Patients indicate how intense/frequent (scoring 0, 1, 2, or 3; where 0 represents the best case and 3 the worst case) and how bothersome the symptom (scoring 0, 1, 2, or 3; where 0 is 'not at all' and 3 is 'very much'). DAN-PSS total and DAN-PSS total sexual function score were calculated by multiplying the frequency score by the trouble score of each symptom, and then adding the resulting figures. The possible values of DAN-PSS total ranged from 0 to 108 and of DAN-PSS total sexual function score ranged from 0 to 27. A reduction in DAN-PSS total and/or sexual function score is consistent with improved BPH symptoms/sexual functioning.
| units on a scale | S-equol 10 mg BID | S-equol 50 mg BID | S-equol 150 mg BID | Placebo BID |
|---|---|---|---|---|
| Total Score, Week 4 Values | 17.7 ± 10.9 | 22.1 ± 14.9 | 22.7 ± 14.6 | 20.3 ± 20.8 |
| Total Score, Change from Baseline | -8.2 ± 12.9 | -11.5 ± 15.4 | -4.7 ± 12.0 | -10.0 ± 15.2 |
| Sexual Function Score, Week 4 Values | 2.2 ± 3.1 | 4.2 ± 5.4 | 5.6 ± 3.8 | 4.7 ± 5.9 |
| Sexual Function Score, Change from Baseline | -0.3 ± 1.6 | 0.2 ± 2.9 | -1.2 ± 4.7 | 0.3 ± 2.5 |
Collected over AEs were collected from the time of signing of the ICF through the Follow-up Visit (Visit 6) or Early Termination Visit (whichever occurred first), up to Day 56±2 days.. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| S-equol 10 mg BID | 0/28 (0%) | 1/28 (3.6%) | 6/28 (21.4%) |
| S-equol 50 mg BID | 0/29 (0%) | 0/29 (0%) | 5/29 (17.2%) |
| S-equol 150 mg BID | 0/29 (0%) | 1/29 (3.4%) | 8/29 (27.6%) |
| Placebo BID | 0/29 (0%) | 0/29 (0%) | 5/29 (17.2%) |
| Event | S-equol 10 mg BID | S-equol 50 mg BID | S-equol 150 mg BID | Placebo BID |
|---|---|---|---|---|
| Blood pressure increasedInvestigations | 1/28 | 0/29 | 0/29 | 0/29 |
| Electrocardiogram abnormalInvestigations | 1/28 | 0/29 | 0/29 | 0/29 |
| Heart rate increasedInvestigations | 1/28 | 0/29 | 0/29 | 0/29 |
| DyspnoeaRespiratory, thoracic and mediastinal disorders | 0/28 | 0/29 | 1/29 | 0/29 |
| Event | S-equol 10 mg BID | S-equol 50 mg BID | S-equol 150 mg BID | Placebo BID |
|---|---|---|---|---|
| ConstipationGastrointestinal disorders | 2/28 | 0/29 | 0/29 | 1/29 |
| HeadacheNervous system disorders | 2/28 | 1/29 | 0/29 | 0/29 |
| NauseaGastrointestinal disorders | 1/28 | 0/29 | 0/29 | 1/29 |
| Micturition disorderRenal and urinary disorders | 1/28 | 0/29 | 0/29 | 0/29 |
| PollakiuriaRenal and urinary disorders | 1/28 | 0/29 | 0/29 | 0/29 |
| Urine flow decreasedRenal and urinary disorders | 1/28 | 0/29 | 0/29 | 0/29 |
| Vision BlurredEye disorders | 0/28 | 0/29 | 1/29 | 0/29 |
| DiarrhoeaGastrointestinal disorders | 0/28 | 1/29 | 0/29 | 0/29 |
| Faeces hardGastrointestinal disorders | 0/28 | 1/29 | 0/29 | 0/29 |
| Gastro-oesophageal reflux diseaseGastrointestinal disorders | 0/28 | 0/29 | 1/29 | 0/29 |
Participants who took at least one (1) dose of investigational product were included in the baseline analysis population.
| Age, Continuous(years) | S-equol 10 mg BID | S-equol 50 mg BID | S-equol 150 mg BID | Placebo BID | Total |
|---|---|---|---|---|---|
| Mean | 63.1 ± 9.1 | 64.6 ± 6.5 | 63.1 ± 8.8 | 62.7 ± 7.7 | 63.4 ± 8.0 |
| Sex: Female, Male(Participants) | S-equol 10 mg BID | S-equol 50 mg BID | S-equol 150 mg BID | Placebo BID | Total |
|---|---|---|---|---|---|
| Female | 0 | 0 | 0 | 0 | 0 |
| Male | 28 | 29 | 29 | 29 | 115 |
| Ethnicity (NIH/OMB)(Participants) | S-equol 10 mg BID | S-equol 50 mg BID | S-equol 150 mg BID | Placebo BID | Total |
|---|---|---|---|---|---|
| Hispanic or Latino | 2 | 1 | 2 | 3 | 8 |
| Not Hispanic or Latino | 26 | 28 | 27 | 26 | 107 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | S-equol 10 mg BID | S-equol 50 mg BID | S-equol 150 mg BID | Placebo BID | Total |
|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 0 |
| Asian | 10 | 11 | 11 | 13 | 45 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 3 | 3 | 3 | 0 | 9 |
| White | 14 | 15 | 15 | 16 | 60 |
| More than one race | 0 | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 1 | 0 | 0 | 0 | 1 |
| Prostate specific antigen (PSA) concentration(ng/mL) | S-equol 10 mg BID | S-equol 50 mg BID | S-equol 150 mg BID | Placebo BID | Total |
|---|---|---|---|---|---|
| Mean | 3.509 ± 2.241 | 3.308 ± 1.796 | 3.210 ± 1.075 | 3.514 ± 1.860 | 3.386 ± 1.775 |
| Prostate Volume(mL) | S-equol 10 mg BID | S-equol 50 mg BID | S-equol 150 mg BID | Placebo BID | Total |
|---|---|---|---|---|---|
| Mean | 43.46 ± 13.47 | 44.79 ± 14.27 | 40.83 ± 11.40 | 41.41 ± 11.39 | 42.61 ± 12.62 |
| Post Void Residual Urine Volume(mL) | S-equol 10 mg BID | S-equol 50 mg BID | S-equol 150 mg BID | Placebo BID | Total |
|---|---|---|---|---|---|
| Mean | 74.59 ± 60.45 | 62.00 ± 55.93 | 61.38 ± 60.37 | 89.07 ± 56.01 | 71.91 ± 58.55 |
| Qmax Result(mL/second) | S-equol 10 mg BID | S-equol 50 mg BID | S-equol 150 mg BID | Placebo BID | Total |
|---|---|---|---|---|---|
| Mean | 10.22 ± 3.13 | 10.27 ± 3.29 | 11.17 ± 3.30 | 10.98 ± 3.59 | 10.66 ± 3.32 |
6 further baseline measures are reported on the registry.
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Ausio Pharmaceuticals, LLC