ClinicalTrials.gg
CompletedNCT01613586AMARANTHUpdated Nov 5, 2024

A Randomized Study Comparing Placebo and ASP3652 in the Treatment of Women With Bladder Pain Syndrome / Interstitial Cystitis (BPS/IC)

A Phase 2 interventional study of ASP3652 and Placebo in Cystitis, Interstitial, Urinary Bladder Disease and Pain, sponsored by Astellas Pharma Europe B.V.. Completed at 60 sites in 12 countries. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-11-05.

Sponsored by Astellas Pharma Europe B.V. (part of Astellas Pharma Inc) · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
287
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

In this study several dose levels of ASP3652, given orally for 12 weeks, will be compared with placebo in the treatment of female patients with Bladder Pain Syndrome / Interstitial Cystitis.

Read the detailed description

This study consists of a screening phase, an initial 3 weeks Run-in period,

a 12 weeks Treatment period and a 2 weeks Follow-up (FU) period.

This study will investigate the efficacy and safety of a 12 week treatment with ASP3652 in female patients with Bladder Pain Syndrome / Interstitial Cystitis (BPS/IC). Different dose levels of ASP3652 will be compared with placebo. ASP3652 is administered as oral tablets. The objectives of the study are to investigate efficacy of ASP3652 in patients with BPS/IC, to assess the optimal dose of ASP3652, to investigate safety and tolerability and to investigate pharmacokinetics and pharmacodynamics of ASP3652 in patients with BPS/IC in an out-patient setting.

02

Conditions studied

  • Cystitis, Interstitial
  • Urinary Bladder Disease
  • Pain
  • Urologic Diseases

Keywords

  • ASP3652
  • Painful Bladder Syndrome
  • Interstitial Cystitis
  • Bladder Pain Syndrome
03

In context

Cystitis, Interstitial

236 studies on the registry are indexed under Cystitis, Interstitial; 35 are open to participants now.

This study's enrollment of 287 is above the median of 51 across 158 interventional studies indexed under Cystitis, Interstitial.

Browse Cystitis, Interstitial studies →

Lead sponsor

Astellas Pharma Europe B.V. is the lead sponsor of 94 studies on the registry; none are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 4 (80%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Has previously been diagnosed with BPS/IC; i.e., pelvic pain, pressure or discomfort perceived to be related to the urinary bladder accompanied by at least one other urinary symptom such as persistent urge to void or frequency, for at least 3 months prior to screening in absence of urinary infection or other obvious pathology or identifiable causes
  • Has at enrolment a score of 4 or greater on the 11-point (0-10) NRS for average pain over the previous week, which is item 4 of the F-GUPI
  • Has a mean pain score of 4.0 or greater on the 11-point (0-10) NRS for daily assessed pain (item 4 of F-GUPI-24H) over the last 7 days prior to randomization
  • Is willing to comply with study requirements such as completing the questionnaires and diaries and attend all study visits and practicing

Exclusion criteria

Exclusion Criteria:

  • Undergone a cystoscopy with hydrodistension or undergone Botox injections in the bladder within 6 months prior to screening
  • Use of pentosan polysulphate sodium within 4 weeks prior to screening
  • Any intravesicular pharmacological treatment or other interventions for BPS/IC or bladder, urethral, ureteral, pelvic or peri-pelvic invasive procedure within 3 months prior to screening
  • Cystitis or documented symptomatic bacterial cystitis in the last 3 months prior to screening
  • Lower urinary tract , such as positive (micro) hematuria in urine sediment
  • Neurologic disease or defect affecting bladder function or symptomatic urethral diverticulum or any post-partum or surgery related genital tract conditions, symptomatic bladder or ureteral calculi or Post Void Residual volume greater than 150 mL
  • abnormalities observed during cystoscopy or on transabdominal ultrasound
  • Currently active or treated sexual transmittable diseases
  • Substance abuse or any use of delta-9-tertrahydrocannabinol (THC) as assessed by a positive urine test for THC at screening
  • Any clinically relevant concomitant disease (past or present) which would, in the opinion of the investigator, put the subject at risk or mask measures of efficacy
  • Symptoms of depression, defined as a Center for Epidemiological Studies Depression Scale score of 27 or more
  • Use of , immunomodulators, cytochrome P4502C8 inhibitors, cannabis / THC based medication, opioid analgesics or antiviral / antibacterial / antifungal agents during the last 4 weeks before the screening
  • Initiation, discontinuation, or variation in the dose of antidepressants, anticonvulsants, antimuscarinics, benzodiazepines, skeletal muscle relaxants, non-steroid anti-inflammatory drugs, non opioid analgesics, homeopathic medication and herbal therapies during the last 4 weeks before the screening. Subjects should continue these medications at that same stable dose throughout the study
  • Clinically relevant abnormal urine or blood safety laboratory values or active hepatic and/or biliary disease ( or ALT should not be >2 times the , total should not be >1.5 times the upper limit of normal)
  • Participated in any clinical study or has been treated with any drug or device within 84 days or the period stipulated by local regulations, whichever is longer, prior to the screening
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
287 participants (actual)

Study arms

  • Experimental
    Low dose ASP3652 twice daily

    50 mg twice daily for 12 weeks

    Drug: ASP3652

  • Experimental
    Medium dose ASP3652 twice daily

    150 mg twice daily for 12 weeks

    Drug: ASP3652

  • Experimental
    High dose ASP3652 twice daily

    300 mg twice daily for 12 weeks

    Drug: ASP3652

  • Placebo comparator
    Placebo

    Matching placebo twice daily for 12 weeks

    Drug: Placebo

Interventions

06

What researchers measure

Primary outcomes

  1. Change from baseline in Mean Daily Pain (MDP) at 12 weeks

    Pain is assessed on an 11 point (0-10) Numerical Rating Scale (NRS), which is item 4 of the Female GenitoUrinary Pain Index (24 hours recall) (F-GUPI-24h)

    Time frame: Baseline and 12 weeks

Secondary outcomes

  1. Change from baseline in Mean Daily Pain (MDP) at 4, 8 weeks treatment and at 2 weeks follow-up post treatment

    Pain is assessed on an 11 point (0-10) Numerical Rating Scale (NRS), which is item 4 of the F-GUPI-24h

    Time frame: Baseline, 4 and 8 weeks treatment and 2 weeks follow-up post treatment

  2. Change from baseline in Female GenitoUrinary Pain Index (one week recall) (F-GUPI) Total score at 4, 8, 12 weeks treatment and at 2 weeks follow-up post treatment

    Time frame: Baseline, 4, 8, 12 weeks treatment and 2 weeks follow-up post treatment

  3. Change from baseline in F-GUPI Pain subscale score, Urinary subscale score, and Quality of Life Impact score at 4, 8, 12 weeks treatment and at 2 weeks follow-up post treatment

    Time frame: Baseline, 4, 8, 12 weeks treatment and at 2 weeks follow-up post treatment

  4. Daily pain, assessed with item 4 of the F-GUPI-24h during Run-in, Treatment period and Follow-up post treatment

    Time frame: Every day during the Run-in, Treatment and Follow-up post treatment periods

  5. Change from baseline in questionnaires at 12 weeks treatment

    Bladder Pain/IC Symptom Score; O'Leary-Sant IC Symptom \& Problem Index; Short form McGill pain questionnaire; Female Sexual Function Index; European Quality of Life questionnaire in 5 Dimensions

    Time frame: Baseline and 12 weeks treatment

  6. Global Response Assessment (GRA) at 0, 4, 8 and 12 weeks treatment and at 2 weeks follow-up post treatment

    GRA is assessed as change from baseline which is here start of Run-in period

    Time frame: Baseline, 4, 8, 12 weeks treatment and 2 weeks follow-up post treatment

  7. Change from baseline in Voiding parameters (urinary frequency, urinary urgency, nocturia and total urgency score ) at 4, 8, 12 weeks treatment and at 2 weeks Follow-up post treatment

    Time frame: Baseline, 4, 8, 12 weeks treatment and 2 weeks follow-up post treatment

  8. Proportion of responders: at least 7-point decrease in F-GUPI Total score at 0, 4, 8 and 12 weeks treatment compared to baseline

    Time frame: Baseline, 4, 8 and 12 weeks treatment

  9. Assessment of pharmacokinetics at week 4, 8 and 12

    Plasma levels of ASP3652

    Time frame: 4, 8 and 12 weeks treatment

  10. Assessment of pharmacodynamics at week 4, 8 and 12

    Plasma levels of anandamides

    Time frame: 4, 8 and 12 weeks treatment

  11. Safety as assessed by recording Adverse Events, Laboratory tests, electrocardiograms (ECGs) and vital signs

    Time frame: Baseline and 12 weeks treatment

  12. Safety as assessed by SteatoTest, adiponectin and PVR

    Time frame: Baseline and 12 weeks

  13. Change from baseline in questionnaires (Center for Epidemiologic Studies Depression Scale and Profile of Mood States questionnaire) at 12 weeks treatment

    Time frame: Baseline and 12 weeks treatment

  14. Physician Withdrawal Checklist at 12 weeks treatment and at 2 weeks follow-up post treatment

    Time frame: 12 weeks treatment and 2 weeks follow-up post treatment

07

Study locations

60 sites
  • Site: 5101
    Antwerp, 2650, Belgium
  • Site: 5103
    Brussels, 1070, Belgium
  • Site: 5202
    Kralove, 500 05, Czechia
  • Site: 5203
    Kromeriz, 767 55, Czechia
  • Site: 5206
    Olomouc, 775 20, Czechia
  • Site: 5209
    Plzen, 301 00, Czechia
  • Site: 5210
    Sternberk, 785 01, Czechia
  • Site: 5201
    Uherske Hradiste, 686 68, Czechia
  • Site: 5303
    Aarhus, 8200, Denmark
  • Site: 5301
    Herlev, 2730, Denmark
  • Site: 5302
    Naestved, 4700, Denmark
  • Site: 5406
    Duisburg, 47179, Germany
  • Site: 5403
    Emmendingen, 79312, Germany
  • Site: 5409
    Frankfurt am Main, 60590, Germany
  • Site: 5402
    Holzminden, 37603, Germany
  • Site 5410
    Kirchheim, 73270, Germany
  • Site: 5405
    Mainz, 55131, Germany
  • Site: 5404
    Nurtingen, 72622, Germany
  • Site: 5414
    Offenburg, 77654, Germany
  • Site: 5602
    Liepaja, 3401, Latvia
  • Site: 5601
    Riga, 1002, Latvia
  • Site: 5603
    Riga, 1038, Latvia
  • Site: 6304
    Kaunas, 50154, Lithuania
  • Site: 6302
    Vilnius, 08661, Lithuania
  • Site: 6301
    Vilnius, 09108, Lithuania
  • Site: 6303
    Vilnius, 10207, Lithuania
  • Site: 5706
    Amsterdam, 1081HV, Netherlands
  • Site: 5703
    Maastricht, 6229 HX, Netherlands
  • Site: 5701
    Nijmegen, 6525 GA, Netherlands
  • Site: 5702
    Winterswijk, 7101 BN, Netherlands
  • Site: 5704
    Zwijndrecht, 3331 LZ, Netherlands
  • Site: 5807
    Bialystok, 15-224, Poland
  • Site 5806
    Bydgoszcz, 85-094, Poland
  • Site: 5811
    Chorzow, 41-500, Poland
  • Site: 5801
    Lodz, 90-447, Poland
  • Site: 5805
    Piaseczno, 05-500, Poland
  • Site: 5812
    Poznan, 61-397, Poland
  • Site: 5802
    Warsaw, 00-865, Poland
  • Site: 5804
    Warsaw, 01-432, Poland
  • Site: 5803
    Warsaw, 02-784, Poland
  • Site 5902
    Coimbra, 3000-075, Portugal
  • Site 5903
    Porto, 4099-001, Portugal
  • Site 5901
    Porto, 4200-319, Portugal
  • Site 6006
    Brasov, 500152, Romania
  • Site 6003
    Bucharest, 0100-000, Romania
  • Site 6004
    Bucharest, 021392, Romania
  • Site 6007
    Bucharest, 022328, Romania
  • Site 6002
    Bucharest, 042122, Romania
  • Site 6005
    Iasi, 700503, Romania
  • Site 6001
    Targu Mures, 540103, Romania
  • Site 6108
    Moscow, 101000, Russian Federation
  • Site 6103
    Moscow, 105425, Russian Federation
  • Site: 6111
    Moscow, 115682, Russian Federation
  • Site 6106
    Moscow, 117997, Russian Federation
  • Site 6101
    Moscow, 127473, Russian Federation
  • Site 6102
    St.-Petersburg, 197022, Russian Federation
  • Site 6202
    Laguna, Tenerife 38330, Spain
  • Site 6203
    Barcelona, 08024, Spain
  • Site 6201
    Barcelona, 08850, Spain
  • Site 6204
    Malaga, 29009, Spain
08

References and documents

Individual participant data

Plan to share: Yes — Access to anonymized individual participant level data collected during the study, in addition to study-related supporting documentation, is planned for studies conducted with approved product indications and formulations, as well as products terminated during development. Studies conducted with product indications or formulations that remain active in development are assessed after study completion to determine if Individual Participant Data can be shared. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.

Supporting information: Study protocol, Statistical analysis plan, Clinical study report

Time frame: Access to participant level data is offered to researchers after publication of the primary manuscript (if applicable) and is available as long as Astellas has legal authority to provide the data.

Access criteria: Researchers must submit a proposal to conduct a scientifically relevant analysis of the study data. The research proposal is reviewed by an Independent Research Panel. If the proposal is approved, access to the study data is provided in a secure data sharing environment after receipt of a signed Data Sharing Agreement.

Data sharing details ↗ · www.clinicaltrials.astellas.com

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from May 2012 to primary completion in Mar 2014, 21 months.

Of 19 phase 2 interventional studies under Cystitis, Interstitial, half reached primary completion within 27 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 34. This study's 21 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 5, 2012
First posted
Jun 7, 2012
StartActual
May 31, 2012
Primary completionActual
Mar 18, 2014
CompletionActual
Mar 18, 2014
Last update
Nov 5, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 5, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01613586
Responsible party
Sponsor
First posted
Jun 7, 2012
Start date
May 31, 2012
Primary completion
Mar 18, 2014
Completion
Mar 18, 2014
Last update
Nov 5, 2024

Study contacts

Clinical Study Manager
study director · Astellas Pharma Europe B.V.

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2024. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: ASP3652

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