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Status unknownNCT04148677Updated Nov 1, 2019

Protoves M1® Syrup in Controlling Adverse Event During HIVEC® Instillations

An observational study in Bladder Cancer, LUTS and Pain, sponsored by Cardarelli Hospital. Status unknown. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-11-01.

Sponsored by Cardarelli Hospital · Observational

The sponsor has not verified this record recently (last verified Oct 2019), so the status shown — last known as Not yet recruiting — may be out of date.
Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
100
Ages
18 Years and older
Sex
All
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Study summary

100 patients with bladder cancer whose underwent Hyperthermic Intravesical Chemotherapy (HIVEC®) will be randomized in two groups (Group A: PROTOVES M1 SYRUP, Group B: NO TREATMENT). The aim of this study will be to analyse the role of two alkaloid, Protopine and Nuciferine (Protoves-M1 ®) in the prevention and the treatment of the low and mild grade adverse events related to the use of HIVEC® instillations.

Read the detailed description

100 patients with bladder cancer whose underwent Hyperthermic Intravesical Chemotherapy (HIVEC®) will be randomized in two groups (Group A: PROTOVES M1 SYRUP, Group B: NO TREATMENT). The aim of this study will be to analyse the role of two alkaloid, Protopine and Nuciferine (Protoves-M1 ®) in the prevention and the treatment of the low and mild grade adverse events related to the use of HIVEC® instillations.

At the baseline data on demographic and anthropometric features (age, weight, height, BMI), lifestyle characteristics (smoke, alcohol), any comorbidities (hypertension, diabetes mellitus, etc.) will be collected. All patients will be undergone to a clinical evaluation (comprised general, genital and urologic examination). Before starting the treatment, the following measurements will be collected: prostate volume by transrectal ultrasound, PSA, uroflowmetry (Qmax, Volume Voided, Post-Void Residual), IPSS (International Prostatic Symptoms Score) questionnaire, OverActive Bladder questionnaire-short form (OABq-SF) 6 and 13, patient perception of intensity of urgency scale (PPIUS), and visual analogue scale (VAS). PSA and IPSS will be investigated only in male pts. In addition, the patient impression of improvement will be assessed. Improvement will be evaluated with the Patient Global Impression of Improvement questionnaire (PGI-I), a validated tool to estimate the improvement or the deterioration associated to the treatment.

The primary endpoint was the evaluation of the efficacy of the therapy with Protoves-M1 in controlling of the irritative symptoms, including nocturia, urinary frequency, bladder pain, urgency and urge incontinence related to the chemo-hyperthermia treatment. The secondary endpoint evaluated was the influences of the treatment on the uroflowmetric parameters.

After 1 and 6 weeks of therapy all patients will be undergone to a clinical and instrumental evaluation : Uroflow-Qmax (ml/s), Uroflow-Volume voided (ml),Uroflow-RPM (ml), IPSS total, OAB-q SF 6, OAB-q SF 13, PPIUS, PGI-I, VAS scale will be collected.

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Conditions studied

  • Bladder Cancer
  • LUTS
  • Pain
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In context

Urinary Bladder Neoplasms

1,616 studies on the registry are indexed under Urinary Bladder Neoplasms; 421 are open to participants now.

This study's planned enrollment of 100 is below the median of 180 across 374 observational studies indexed under Urinary Bladder Neoplasms.

Browse Urinary Bladder Neoplasms studies →

Lead sponsor

Cardarelli Hospital is the lead sponsor of 8 studies on the registry; 5 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

All patients who referred to a general hospital to receive endoscopic treatment for bladder cancer (TURB) and then the endovescical chemioprofilaxis.

Inclusion criteria

  • Intermediate-and high-risk NMIBC (non-muscle invasive bladder cancer) patients.
  • Therapeutic program of HIVEC® (Recirculant hyperthermic IntraVEsical chemotherapy).
  • Must be able to drink a syrup.

Exclusion criteria

Exclusion Criteria:

  • Uncontrolled underlying diseases (ASA III or IV)
  • Post void residual urine ≥ 100 ml
  • Bleeding tendency
  • Drug abuse
  • Chronic pelvic pain
  • Urinary tract infection
  • Neurological disease
  • Bladder lithiasis
  • Renal or liver failure
  • Tachycardia and heart failure.
  • Male patients with lower urinary tract symptoms (LUTS) and benign prostatic hyperplasia (BPH)with abnormal values of uroflowmetry
  • Male patients with lower urinary tract symptoms (LUTS) that assume medical treatment for BPH.
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Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
100 participants (estimated)
Patient registry
No

Groups and cohorts

  • Protoves M1® syrup

    A combination of two alkaloid, Protopine and Nuciferine

    Dietary Supplement: Protoves M1®

  • No treatment

    Patients will not receive a treatment

Interventions

  • Dietary supplementProtoves M1®

    A combination of two alkaloid, Protopine and Nuciferine (Protoves-M1 ®)

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What researchers measure

Primary outcomes

  1. IPSS total

    The International Prostate Symptom Score (I-PSS) is based on the answers to some questions concerning urinary symptoms and one question concerning quality of life.

    Time frame: 1 and 6 weeks

  2. OAB-q SF 6

    The OAB-q SF 6 is a questionnaire developed to evaluate the overactive bladder symptom and health-related quality of life.

    Time frame: 1 and 6 weeks

  3. OAB-q SF 13

    The OAB-q SF 6 is a questionnaire developed to evaluate the overactive bladder symptom and health-related quality of life.

    Time frame: 1 and 6 weeks

  4. PPIUS

    The PPIUS is a questionnaire developed to evaluate the patient perception of intensity of urgency

    Time frame: 1 and 6 weeks

  5. PGI-1

    PGI-I is a validated tool to estimate the improvement or the deterioration associated to the treatment.

    Time frame: 1 and 6 weeks

  6. VAS scale

    Visual analogue scales (VAS) are 10-cm lines anchored at the ends by words that define the bounds of various pain dimensions.

    Time frame: 1 and 6 weeks

Secondary outcomes

  1. Qmax

    Qmax (ml/s) is the maximum flow rate at uroflowmetry

    Time frame: 1 and 6 weeks

  2. Volume voided

    Volume voided (ml) at uroflowmetry

    Time frame: 1 and 6 weeks

  3. RPM

    Post-Void residual (ml) measures the amount of urine left in the bladder after urination.

    Time frame: 1 and 6 weeks

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Sousa A, Pineiro I, Rodriguez S, Aparici V, Monserrat V, Neira P, Carro E, Murias C, Uribarri C. Recirculant hyperthermic IntraVEsical chemotherapy (HIVEC) in intermediate-high-risk non-muscle-invasive bladder cancer. Int J Hyperthermia. 2016 Jun;32(4):374-80. doi: 10.3109/02656736.2016.1142618. Epub 2016 Feb 25. PubMed 26915466 ↗
  • Ustunes L, Laekeman GM, Gozler B, Vlietinck AJ, Ozer A, Herman AG. In vitro study of the anticholinergic and antihistaminic activities of protopine and some derivatives. J Nat Prod. 1988 Sep-Oct;51(5):1021-2. doi: 10.1021/np50059a043. No abstract available. PubMed 2904975 ↗
  • Fedurco M, Gregorova J, Sebrlova K, Kantorova J, Pes O, Baur R, Sigel E, Taborska E. Modulatory Effects of Eschscholzia californica Alkaloids on Recombinant GABAA Receptors. Biochem Res Int. 2015;2015:617620. doi: 10.1155/2015/617620. Epub 2015 Oct 5. PubMed 26509084 ↗
  • Zhang C, Deng J, Liu D, Tuo X, Yu Y, Yang H, Wang N. Nuciferine Inhibits Proinflammatory Cytokines via the PPARs in LPS-Induced RAW264.7 Cells. Molecules. 2018 Oct 22;23(10):2723. doi: 10.3390/molecules23102723. PubMed 30360404 ↗
  • Wang MX, Zhao XJ, Chen TY, Liu YL, Jiao RQ, Zhang JH, Ma CH, Liu JH, Pan Y, Kong LD. Nuciferine Alleviates Renal Injury by Inhibiting Inflammatory Responses in Fructose-Fed Rats. J Agric Food Chem. 2016 Oct 26;64(42):7899-7910. doi: 10.1021/acs.jafc.6b03031. Epub 2016 Oct 18. PubMed 27718563 ↗
  • Dmochowski R. Antimuscarinic therapy in men with lower urinary tract symptoms: what is the evidence? Curr Urol Rep. 2006 Nov;7(6):462-7. doi: 10.1007/s11934-006-0055-4. PubMed 17052442 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 1, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04148677
Lead sponsor
Cardarelli Hospital
Responsible party
Francesco Chiancone (Assistant Medical Director, Principal Investigator, Cardarelli Hospital) — Principal investigator
First posted
Nov 1, 2019
Start date
Dec 1, 2019 (estimated)
Primary completion
Jan 1, 2020 (estimated)
Completion
Apr 1, 2020 (estimated)
Last update
Nov 1, 2019

Study contacts

Francesco Chiancone
Contact
francescok86@gmail.com
00393408639711
Francesco Chiancone
principal investigator · AORN A.Cardarelli Urology Department

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is status unknown, as verified in Oct 2019. You cannot join it, but the record below documents what was studied.

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