CClinicalTrials.gg
CompletedNCT03129126Updated Dec 11, 2023

The Safety, Tolerability and Efficacy of LP-10 in Subjects With Refractory Moderate to Severe Hemorrhagic Cystitis

A Phase 2 interventional study of LP-10 in Hemorrhagic Cystitis, sponsored by Lipella Pharmaceuticals, Inc.. Completed at 9 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-12-11.

Sponsored by Lipella Pharmaceuticals, Inc. · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Aug 2023, 3 years 1 month ago, and no results have been posted to the registry.
Phase
Phase 2
Study type
Interventional
Enrollment
13
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to assess the safety and tolerability of three doses of LP-10 (intravesical tacrolimus). Twelve subjects meeting the inclusion and exclusion criteria will be enrolled and treated in a prospective and multi-center trial with LP-10. The proposed trial will recruit 12 subjects in a dose-escalation trial where 4 subjects will be allocated into each one of three groups.

Read the detailed description

This is a multi-center, dose-ranging study including male and female subjects with refractory moderate to severe hemorrhagic cystitis as determined by a physician. A total of up to 12 subjects are anticipated and will be enrolled in study sites in the United States. Enrollment is expected to be completed within one year of initiating the study. The proposed trial will recruit 12 subjects in a dose-escalation trial where 4 subjects will be allocated into each one of three groups.

02

Conditions studied

  • Hemorrhagic Cystitis

Browse trials for

03

In context

Cystitis

235 studies on the registry are indexed under Cystitis; 22 are open to participants now.

This study's enrollment of 13 is below the median of 60 across 170 interventional studies indexed under Cystitis.

Browse Cystitis studies →

Lead sponsor

Lipella Pharmaceuticals, Inc. is the lead sponsor of 3 studies on the registry; none are open to participants now.

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

04

Who can participate

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

Inclusion criteria

Males and females, at least 18 years

  • History of sterile moderate to severe HC (Grade 2-4) for at least 3 months documented in the medical record with at least 1 episode of macroscopic hematuria with or without clot
  • Previous use of medications and/or treatment(s) for HC without success
  • Patients of child-bearing capability agree to use a reliable form of birth control (condoms and/or oral contraceptives) during the course of instillation therapy and for 1 week thereafter
  • Willing and capable of understanding and complying with all requirements of the protocol, including proper completion of the 3 day Hemorrhagic Cystitis Diary (HC Diary) and self-administered questionnaires

Exclusion criteria

Exclusion Criteria:

  • History of interstitial cystitis/painful bladder syndrome
  • HC due to infection (bacterial, viral or fungal)
  • Vesicoureteral reflux disease based on cystogram within past 12 months
  • Subject is currently or has previously participated in another therapeutic or device study within 3 months of screening and has not returned to baseline
  • Pregnant or lactating
  • History of bleeding diathesis or active bleeding peptic ulcer disease
  • Life expectancy less than 12 months
  • PSA > 10.0 ng/dl (measured within the last 3 months)
  • Known allergy to liposomes and/or egg yolk and/or tacrolimus
  • Urinary retention requiring daily catheterization
  • Previous augmentation cystoplasty
  • Subjects currently taking prescribed treatment for HC will be able to continue the treatment throughout the course of the study. If the patient cannot be maintained on a stable dose of the medication(s) throughout the treatment and follow-up period they will be excluded
  • Subject with history of intravesical treatment(s) within 1 week prior to Study Visit 1
  • Sacral and/or pudendal nerve neuromodulation device (Interstim) within the last 6 months. Subjects would not be excluded if they had Interstim greater than 6 months ago and is on a stable setting.
  • Evidence of renal impairment (creatinine > two times the upper limit of normal at Visit 1), hepatic impairment (AST or ALT > three times the upper limit of normal at Visit 1), clinically significant cardiovascular, respiratory, or psychiatric diseases per investigator's judgment
  • Post-void residual (PVR) urine volume of > 150 mL at screening
  • The presence of any clinically significant systemic disease or condition that in the opinion of the investigator would make the patient unsuitable for the study
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
13 participants (actual)

Study arms

  • Experimental
    LP-10 2mg

    LP-10 (intravesical tacrolimus), 2mg reconstituted in sterile water for injection, intravesical instillations, up to two instillations, instillations will occur greater than 3 days but less than 7 days apart as needed.

    Drug: LP-10

  • Experimental
    LP-10 4mg

    LP-10 (intravesical tacrolimus), 4mg reconstituted in sterile water for injection, intravesical instillations, up to two instillations, instillations will occur greater than 3 days but less than 7 days apart as needed.

    Drug: LP-10

  • Experimental
    LP-10 8mg

    LP-10 (intravesical tacrolimus), 8mg reconstituted in sterile water for injection, intravesical instillations, up to two instillations, instillations will occur greater than 3 days but less than 7 days apart as needed.

    Drug: LP-10

Interventions

  • DrugLP-10

    Intravesical tacrolimus

06

What researchers measure

Primary outcomes

  1. Patient Reported Mean episodes of visible blood

    Pre-post changes in mean episodes of visible blood in urine (or blood clots) on 3-day bladder diaries at baseline and primary endpoint

    Time frame: At every patient visit, up to 2 weeks following initial treatment

Secondary outcomes

  1. Urine Dipstick Mean episodes of Visible Blood

    Mean episodes of visible blood in urine (or blood clots) and urine dipstick for quantitative grading of microscopic hematuria on bladder diaries

    Time frame: At every patient visit, up to 2 weeks following initial treatment

  2. Mean urine hemoglobin concentration

    Mean urine hemoglobin concentration

    Time frame: At every patient visit, up to 2 weeks following initial treatment

  3. Urine analysis with microscopy

    Urine analysis with microscopy including red blood cells per high power field test

    Time frame: At every patient visit, up to 2 weeks following initial treatment

  4. Whole blood Add to dictionary levels

    Whole blood tacrolimus levels

    Time frame: At every patient visit, up to 2 weeks following initial treatment

  5. Blood chemistry and liver function test

    Blood chemistry and liver function test

    Time frame: At every patient visit, up to 2 weeks following initial treatment

  6. Patient Reported Global Response Assessment Survey Score

    Changes in Global Response Assessment (GRA)

    Time frame: At every patient visit, up to 2 weeks following initial treatment

  7. Patient Reported Urinary frequency

    Changes in urinary frequency and incontinence measured on diaries

    Time frame: At every patient visit, up to 2 weeks following initial treatment

  8. Bladder Cystoscopy

    Cystoscopic changes in bladder

    Time frame: At initial treatment and on final patient visit, up to 2 weeks following initial treatment

  9. Patient Reported Health Related Quality of Life Survey Score

    Changes in Health Related Quality of Life (HRQOL) scores

    Time frame: At every patient visit, up to 2 weeks following initial treatment

  10. Post void residual urine volume

    Post void residual urine volume

    Time frame: At every patient visit, up to 2 weeks following initial treatment

  11. Patient Reported Pain and Urgency

    Change in pain and urgency 10 cm visual analog scales (VAS)

    Time frame: At every patient visit, up to 2 weeks following initial treatment

  12. Incidence of Treatment-Emergent Adverse Events

    Safety data will be collected by ongoing monitoring of adverse events, during the entire duration of the study, including need for blood transfusion, bladder irrigation, emergency room visit, hospitalization, urinary catheterization, and/or surgery in addition to patient reporting of changes in urinary frequency, hematuria/ clots, incontinence, spasm or discomfort.

    Time frame: At every patient visit, up to 2 weeks following initial treatment

07

Study locations

9 sites
  • University of Arizona
    Tucson, Arizona 85724, United States
  • University of California San Francisco
    San Francisco, California 94122, United States
  • Emory University
    Atlanta, Georgia 30322, United States
  • Michigan Institute of Urology
    Troy, Michigan 48084, United States
  • Premier Medical Group
    Poughkeepsie, New York 12603, United States
  • Temple University
    Philadelphia, Pennsylvania 19140, United States
  • Allegheny Health Network Research Institute
    Pittsburgh, Pennsylvania 15212, United States
  • Vanderbilt University Medical Center
    Nashville, Tennessee 37232, United States
  • Baylor College of Medicine
    Houston, Texas 77030, United States
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 11, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03129126
Lead sponsor
Lipella Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
Apr 26, 2017
Start date
Oct 1, 2020
Primary completion
Aug 21, 2023
Completion
Sep 29, 2023
Last update
Dec 11, 2023

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion