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RecruitingNCT05245591Updated May 4, 2022

Radiation Cystitis Treated With Pentosan Polysulfate Sodium Trial

A Phase 2/3 interventional study of Pentosan Polysulfate Sodium 100 MG Oral Capsule and Placebo in Radiation Cystitis, sponsored by National Taiwan University Hospital. Recruiting at 1 site in Taiwan. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2022-05-04.

Sponsored by National Taiwan University Hospital · Phase 2/3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Nov 2024, 2 years ago, but the record still lists the study as recruiting.
  • Started Apr 2022; still recruiting 4 years 6 months later.
Phase
Phase 2/3
Study type
Interventional
Enrollment
72
Allocation
Randomized
Ages
20 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy and safety of pentosan polysulfate sodium versus placebo and in patients with radiation cystitis who have received radiation therapy in pelvic region.

Read the detailed description

RCT-PPS is a phase II/III study evaluating the efficacy, safety, and tolerability of pentosan polysulfate sodium (PPS) versus placebo to patients with radiation cystitis who have received radiation therapy in pelvic region.

Approximately 72 patients were planned to be randomized in RCT-PPS trial in a 1:1 ratio to treatment with either PPS or placebo. Patients will receive oral treatment with 16 weeks (PPS 100mg three times a day for 8 weeks and then with PPS 100mg twice daily for another 8 weeks).

02

Conditions studied

  • Radiation Cystitis

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03

In context

Cystitis

69 studies on the registry are indexed under Cystitis; 17 are open to participants now.

This study's planned enrollment of 72 is below the median of 112 across 50 interventional studies indexed under Cystitis.

Browse Cystitis studies →

Lead sponsor

National Taiwan University Hospital is the lead sponsor of 2,615 studies on the registry; 576 are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 2 (18%) have results posted.

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

04

Who can participate

Ages eligible
20 Years and older
Sexes eligible
All
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

  1. Capable of giving signed , which includes compliance with the requirements and restrictions listed in the informed consent form and in the study protocol.
  2. Patients must be ≥20 years of age
  3. Patients must have received definitive radiation therapy for cancer in pelvic area.
  4. Time from the end of radiation therapy to radiation cystitis must be longer than 6 months.
  5. Radiation cystitis with lower urinary tract symptoms or hematuria.

Exclusion criteria

Exclusion Criteria:

  1. Abnormal liver function with indication of , ALT, or total ≥ 1.5 times higher than normal
  2. Abnormal renal function with serum creatinine ≥ 1.5 times higher than normal
  3. Abnormal coagulation profile with higher than normal
  4. Thrombocytopenia with counts \< 100,000/μL
  5. Pregnant or breastfeeding, expecting to pregnancy, or positive for pregnancy test
  6. Patients who have systemic inflammatory symptoms during screening period (ie, fever up to 38℃ or WBC counts >12,000/μL)
  7. Patients with known urinary tract infection within 6 months of randomization.
  8. Any previous intravesical instillation within 6 months of randomization (ie, hyaluronic acid instillation)
  9. Any previous hyperbaric oxygen therapy within 6 months of randomization
  10. Any previous treatment with pentosan polysulfate sodium within 6 months of randomization
  11. Has history of thrombocytopenia, hemophilia or bladder cancer
  12. Has known history of (HIV) or organ transplantation
  13. Has known history of drug allergy to pentosan polysulfate sodium
  14. Has hematuria caused by clinically active urolithiasis or urothelial carcinoma
Terms in these criteria, in plain language(6)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

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.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
72 participants (estimated)

Study arms

  • Experimental
    Pentosan Polysulfate Sodium

    U101 is available as a capsule containing 100 milligrams (mg) of pentosan polysulfate sodium. Subjects will be administered U101 at a dose of 300 milligrams (mg) three times daily (tid) for the initial 8 weeks and then 200 milligrams (mg) twice daily (bid) for another 8 weeks during the study.

    Drug: Pentosan Polysulfate Sodium 100 MG Oral Capsule

  • Placebo comparator
    Placebo Control

    Placebo to match U101 is available as a capsule in 100 milligrams (mg). Subjects will be administered placebo at a dose of 300 milligrams (mg) three times daily (tid) for the initial 8 weeks and then 200 milligrams (mg) twice daily (bid) for another 8 weeks during the study.

    Drug: Placebo

Interventions

  • Pentosan Polysulfate Sodium 100 mg three times daily (tid) for 0-8 weeks Pentosan Polysulfate Sodium 100 mg twice daily (bid) for 9-16 weeks

    Also known as: Urosan, ELMIRON, PPS

  • DrugPlacebo

    Placebo 100 mg three times daily (tid) for 0-8 weeks Placebo 100 mg twice daily (bid) for 9-16 weeks

06

What researchers measure

Primary outcomes

  1. Rate of complete remission in lower urinary tract symptoms and hematuria

    Number of participants without lower urinary tract symptoms and hematuria assessed by ESOU 2019 and CTCAE v5.0

    Time frame: From date of randomization throughout the treatment period up to 5 years

  2. Time to complete remission

    Time from randomization to complete remission of lower urinary tract syndromes and hematuria

    Time frame: From date of randomization to study completion up to 5 years

  3. Time to hematuria recurrence

    Time from randomization to recurrence of hematuria

    Time frame: From date of randomization to study completion up to 5 years

  4. Assessment of quality of life

    Functional Assessment of 36-Item Short Form Survey (SF-36)

    Time frame: From date of randomization to study completion up to 5 years

  5. Assessment of symptoms

    Functional Assessment of Expanded Prostate Cancer Index Composite-26 (EPIC-26)

    Time frame: From date of randomization to study completion up to 5 years

Secondary outcomes

  1. Duration of hospitalization

    Overall days of hospitalization due to radiation cystitis

    Time frame: From date of randomization to study completion up to 5 years

  2. Number of invasive procedures

    Percentage of patients underwent transurethral cauterization of bladder bleeders or transurethral clots evacuation.

    Time frame: From date of randomization to study completion up to 5 years

  3. Number of adverse events

    Percentage of patients with any adverse event (AE), adverse event (AE) leading to study drug discontinuation, serious adverse event (SAE), and adverse event (AE) related to study drug.

    Time frame: From date of randomization to study completion up to 5 years

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

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 May 4, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05245591
Collaborators
TCM Biotech International Corporation
Responsible party
Sponsor
First posted
Feb 18, 2022
Start date
Apr 29, 2022
Primary completion
Nov 1, 2024 (estimated)
Completion
Nov 1, 2029 (estimated)
Last update
May 4, 2022

Study contacts

Chi-Shin Tseng, MD
Contact
clifford1987tcs@gmail.com
+886223123456
Chao-Yuan Huang, MD, PhD
principal investigator · National Taiwan University Hospital

Oversight

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

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Studies of the drug tested here: Pentosan Sulfuric Polyester

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