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CompletedNCT03201796Updated May 13, 2021

Prulifloxacin in Chronic Bacterial Prostatitis (CBP)

A Phase 2 interventional study of Prulifloxacin 600 mg and Levofloxacin 500mg in Chronic Bacterial Prostatitis, sponsored by Aziende Chimiche Riunite Angelini Francesco S.p.A. Completed at 11 sites in 2 countries. Open to male participants aged 18 Years to 50 Years. Per ClinicalTrials.gov, last updated 2021-05-13.

Sponsored by Aziende Chimiche Riunite Angelini Francesco S.p.A · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
168
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
Male
01

Study summary

The aim of the study is to assess the efficacy and safety of prulifloxacin in comparison to levofloxacin in the treatment of patients affected by CBP.

Read the detailed description

This is a randomized, double-blind, levofloxacin controlled, parallel group, multicentre, international, prospective study. The patients will be enrolled in the study and will be randomized to prulifloxacin or levofloxacin. Patient enrolment will be competitive.

The present study is planned to verify the microbiological and the clinical efficacy of a 28-day treatment period with prulifloxacin 600 mg in comparison with 28-day treatment period with levofloxacin 500 mg, both administered once daily, in patients with CBP. Safety and tolerability of a 28-day treatment period with prulifloxacin 600 mg will be also evaluated in comparison to levofloxacin 500 mg.

Levofloxacin 500 mg tablets has been selected as treatment comparator because it represents the drug of choice authorised for the treatment of CBP. Consequently, the dosage regimen to be administered to the patients is consistent with that reported in the relevant SPC.

02

Conditions studied

  • Chronic Bacterial Prostatitis

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Keywords

  • Bacterial prostatitis
  • CBP
  • Levofloxacin
  • Prulifloxacin
03

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  1. Male between 18 and 50 years of age (limited included) with no limitation of race.
  2. Patients presenting symptoms of prostatitis for at least 3 months.
  3. Laboratory evidence of CBP at Visit 0 (Screening), assessed by

    Meares\&Stamey fourglass test and defined as:

    1. VB3 or EPS specimen containing ≥10\^2 colony-forming units/ml of pathogen/s if the VB2 specimen is sterile; or
    2. VB3 or EPS specimen containing ≥10\^2 colony-forming units/ml of pathogen/s different from any present in the VB2.
  4. Medications for chronic prostatitis and/or medications that may affect bladder or prostate function (including but not limited to hormone therapy, anticholinergic or alpha blocker) must be discontinued at least 7 days before study drug intake.
  5. Patients legally capable to give their consent to participate the study, and available to sign and date the written informed consent.

Exclusion criteria

Exclusion Criteria:

  1. Known hypersensitivity or allergy to antibacterial fluoroquinolones or to any components of the study medications.
  2. Pathogen/s resistant to the study drugs at Visit 0 (Screening).
  3. Suspicion for prostatic cancer, neurogenic bladder, Benign Prostatic Hypertrophy (BPH), bladder neck obstruction or urethral stricture.
  4. Body Mass Index (BMI) \< 16 kg/m\^2.
  5. Immunocompromised patients.
  6. Signs or symptoms or clinical documentation for concurrent infections (including but not limited to sexually transmitted infections) and/or neoplasm.
  7. Clinically significant abnormalities on physical examination, vital signs, ECG, laboratory tests at Visit 0 (Screening Visit).
  8. Significant liver disease, defined as known active hepatitis or elevated liver enzymes > 3 times the upper boundary of the normal ranges.
  9. Value of creatinine outside the normal ranges and judged clinically relevant by Investigator.
  10. History of cardiac disease, including but not limited to myocardial infarction, heart failure, cardiomyopathy, cardiac hypertrophy, cardiac arrhythmias, bradycardia, cardiac conduction abnormalities, long QT syndrome.
  11. Value of electrolytes (sodium, potassium, calcium, magnesium, chloride) outside the normal ranges and judged clinically relevant by Investigator.
  12. Patients under treatment with medications that may cause increase of the QT interval.
  13. History of tendinopathy.
  14. Patients with latent or known deficiencies for the glucose-6-phosphate dehydrogenase, or with hereditary problems of galactose intolerance or the Lapp lactase deficiency or glucose-galactose malabsorption.
  15. Recent or past history of psychiatric illness or epilepsy.
  16. Treatment with antibiotics or antibacterials within 2 weeks before study drug start intake.
  17. Treatment with experimental drugs (prulifloxacin or levofloxacin) or other fluoroquinolones within 4 weeks before study drug start intake.
  18. Diabetic patients in treatment with oral hypoglycemic drugs and insulin.
  19. Patients under treatment with corticosteroids or Non-Steroidal Antiflammatory Drugs (NSAIDs).
  20. Concomitant treatment with xanthines or anticoagulant drugs or drugs producing hypokalemia or diuretics.
  21. Positive history for drugs and alcohol abuse.
  22. Inability to comply with the protocol requirements, instructions or study-related restrictions (i.e. uncooperative attitude, inability to return for study-visits, improbability of completing the clinical study).
  23. Vulnerable subjects (i.e. persons kept in detention).
  24. Subject involved in the conduct of the study (i.e. Investigator or his/her deputy, first grade relatives, pharmacist, assistant or other personnel).
  25. Participation to an interventional clinical trial within 3 months prior to Visit 0 (Screening Visit).
04

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
168 participants (actual)

Study arms

  • Experimental
    Group 1

    Prulifloxacin 600 mg

    Drug: Prulifloxacin 600 mg

  • Active comparator
    Group 2

    Levofloxacin 500 mg

    Drug: Levofloxacin 500mg

Interventions

  • DrugPrulifloxacin 600 mg

    Oral administration of one tablet once daily for 28 days of prulifloxacin 600 mg. The investigational drug will be taken with a glass of water, preferably in the evening and at about the same time each day, 2 hours before or at least 4 hours after the eventual administration of cimetidine, antacids containing aluminum and magnesium or preparations containing iron and calcium.

    Also known as: Unidrox®

  • DrugLevofloxacin 500mg

    Oral administration of one tablet once daily for 28 days of levofloxacin 500 mg. The investigational drug will be taken with a glass of water, preferably in the evening and at about the same time each day, 2 hours before or at least 4 hours after the eventual administration of cimetidine, antacids containing aluminum and magnesium or preparations containing iron and calcium.

    Also known as: Levoxacin®

05

What researchers measure

Primary outcomes

  1. Eradication of bacterial growth

    Eradication defined as absence of bacterial growth as \<10\^2 CFU/ml in voided bladder 3 (VB3) or expressed prostatic secretion (EPS) after 7 days from the End Of Treatment (EOT).

    Time frame: 7 days after the EOT

Secondary outcomes

  1. Eradication of bacterial growth

    Eradication defined as absence of bacterial growth as \<10\^2 CFU/ml in voided bladder 3 (VB3) or expressed prostatic secretion (EPS) after 3 months from the EOT.

    Time frame: 3 months after the EOT

  2. Eradication of bacterial growth

    Eradication defined as absence of bacterial growth as \<10\^2 CFU/ml in voided bladder 3 (VB3) or expressed prostatic secretion (EPS) after 6 months from the EOT.

    Time frame: 6 months after the EOT

  3. Reduction in National Institute of Health - Chronic Prostatitis Symptom (NIH-CPSI)

    Reduction of total score in NIH-CPSI after 7 days from the EOT in comparison to the screening.

    Time frame: Screening - 7 days after the EOT

  4. Reduction in National Institute of Health - Chronic Prostatitis Symptom (NIH-CPSI)

    Reduction of total score in NIH-CPSI after 3 months from the EOT in comparison to the screening.

    Time frame: Screening - 3 months after the EOT

  5. Reduction in National Institute of Health - Chronic Prostatitis Symptom (NIH-CPSI)

    Reduction of total score in NIH-CPSI after 6 months from the EOT in comparison to the screening.

    Time frame: Screening - 6 months after the EOT

  6. Frequency of treatment-related adverse events

    Monitoring of the frequency of adverse events, physical examination, vital signs, ECG, laboratory analyses.

    Time frame: 6 months

06

Study locations

11 sites
  • Urology Clinic General Hospital of Athens "GENNIMATAS"
    Athens, 15669, Greece
  • Urology Department General Hospital of Piraeus "TZANEIO"
    Piraeus, 18536, Greece
  • U.O. di Urologia- Azienda Ospedaliera San Giuseppe Moscati
    Avellino, 83100, Italy
  • U.O. Dipartimento della Donna, del bambino e delle malattie urologiche - Azienda ospedaliero- Universitaria e Policlinico di Bologna
    Bologna, 40138, Italy
  • Urologia- Azienda Ospedaliero - Universitaria "Policlinico - Vittorio Emanuele"
    Catania, 95123, Italy
  • Clinica Urologica- Azienda Ospedaliero Universitaria Mater Domini
    Catanzaro, Italy
  • Azienda Ospedaliero-Universitaria "Careggi"
    Firenze, 50134, Italy
  • Azienda Ospedaliera Universitaria "Federico II"- Dip. Di Ostreticia, ginecologia, Urologia
    Napoli, 80131, Italy
  • Clinica Urologica del Dipartimento di Scienze Chirurgiche- Policlinico Universitario Agostino Gemelli di Roma
    Roma, 00168, Italy
  • S.C. Urologia- AO "Città della Salute e della Scienza" di Torino - OSP.S. GIOV.BATTISTA MOLINETTE
    Torino, 10126, Italy
  • Urologia- Ospedale di Trento- Presidio ospedaliero S. Chiara - Azienda Provinciale per i servizi sanitari (APSS)
    Trento, 38123, Italy
07

References and documents

Related links

Individual participant data

Plan to share: No

08

Registry details

Key details

Study ID
NCT03201796
Lead sponsor
Aziende Chimiche Riunite Angelini Francesco S.p.A
Collaborators
Hippocrates Research
Responsible party
Sponsor
First posted
Jun 28, 2017
Start date
Feb 2, 2016
Primary completion
May 19, 2020
Completion
May 19, 2020
Last update
May 13, 2021

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
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