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Not yet recruitingNCT06391164Updated Apr 30, 2024

Study to Evaluate the Efficacy and Safety of XC243 in Patients With Exacerbation of Chronic Cystitis

A Phase 2 interventional study of XC243 25 mg and XC243 50 mg in Cystitis, sponsored by PHARMENTERPRISES LLC. Not yet recruiting at 8 sites in Russian Federation. Open to female participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2024-04-30.

Sponsored by PHARMENTERPRISES LLC · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2025, 11 months ago, but the record still lists the study as not yet recruiting.
Phase
Phase 2
Study type
Interventional
Enrollment
280
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
Female
01

Study summary

Multicenter, randomized, double-blind, placebo-controlled study to evaluate the efficacy and safety of XC243 in patients with exacerbation of chronic cystitis. It is planned to include patients with chronic cystitis in 4 parallel groups, who will receive XC243 at a dose of 25 mg per day, 50 mg per day, 75 mg per day or placebo for 7-10 days. Efficacy will be assessed by time from first study treatment to resolution of the symptom "Pain, discomfort or burning when urination " assessed on a visual-analog scale (VAS).

Read the detailed description

The study will be conducted in 8 centers. The study will include the following periods: screening (1 day), treatment period (up to 10 days), follow-up period (7 days).

Upon completion of screening, patients will be randomized to 4 groups in the ratio 1:1:1:1: XC243 at a dose of 25 mg per day, 50 mg per day, 75 mg per day or placebo group.

Also, all patients will be prescribed furasidin daily at the same time, 2 capsules (total dose 100 mg) 3 times a day after meals. On day 8 the investigator will assess the symptoms of cystitis and decide whether to discontinue or prolong a course of therapy with XC243 and furasidin for up to 10 days.

02

Conditions studied

  • Cystitis

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Keywords

  • Phase II
  • VAS
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 280 is above the median of 112 across 50 interventional studies indexed under Cystitis.

Browse Cystitis studies →

Lead sponsor

PHARMENTERPRISES LLC is the lead sponsor of 11 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
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

  1. Availability of the Form signed and dated by the patient the Patient Information Leaflet (IMP).
  2. Women aged 18 to 65 years inclusive at the time of signing the Informed IMP consent.
  3. Established diagnosis of chronic bacterial cystitis (at least three relapses chronic cystitis within 12 months prior to screening or two cases within 6 months prior to screening, including relapse at study entry).
  4. The presence of symptoms characteristic of exacerbation of chronic cystitis: pain syndrome (pain in lower abdomen, when urinating), dysuric symptoms (increased urination, pain or burning when urinating, urgency to urinate, feeling of incomplete emptying bladder).
  5. The appearance of symptoms of exacerbation of chronic cystitis is not > 48 hours prior to screening visit.
  6. Severity of the symptom "Pain, discomfort or burning with urination "from 4 to 8 VAS points.
  7. No therapy for current cystitis exacerbation (including phosphomycin and/or furasidin for the treatment of current exacerbation).
  8. The patient's consent to refrain from drinking alcoholic beverages during the period of participation in study.
  9. Patient consent to use reliable methods throughout the study and through 3 weeks after its end.

Exclusion criteria

Exclusion Criteria:

  1. to the active and/or any of of the test drug.
  2. Hypersensitivity to furasidine and/or any of the excipients concomitant medication.
  3. Chronic recurrent cystitis due to infections, sexually transmitted diseases (STIs): gonorrhea, chlamydia, ureaplasmosis, mycoplasmosis, herpes, candidiasis, gardnerellosis, history of trichomoniasis.
  4. Chronic recurrent cystitis of viral etiology (caused by adenovirus, cytomegalovirus, virus human papillomavirus herpes).
  5. Axillary body temperature ≥ 38 ° C at the screening visit.
  6. Presence of menstruation at randomization or estimated onset of menstruation during the period therapy.
  7. Pain in the lumbar region.
  8. Itching and abundant vaginal discharge and/or purulent discharge from the genitourinary tract.
  9. History and/or findings of genitourinary anatomical disorders ultrasound examination (hydronephrosis, sclerosis of the bladder neck, cystocele, descent uterus, paraurethral cyst).
  10. Presence of inflammatory diseases of the sexual system (vaginitis, colpitis, cervicitis).
  11. Kidney and urinary tract diseases (including urolithiasis), with the exception of chronic cystitis, with a history that, in the opinion of study doctor, may affect the course and results of the clinical study.
  12. Chronic renal failure.
  13. Type 1 diabetes mellitus or uncontrolled type 2 diabetes mellitus.
  14. History of pseudomembranous colitis.
  15. Signs of macrohematuria (admixture of blood in the urine, discoloration of the urine).
  16. Previous urinary tract surgery or radiation therapy.
  17. History of , per excluding patients who have not had disease within the last 5 years, patients with completely cured basal cell carcinoma or completely cured carcinoma in situ.
  18. Patients with , syphilis, and C diseases, including a history.
  19. Liver disease that the study doctor believes may affect course and outcomes clinical trial, history of hepatic failure.
  20. Severe, decompensated or unstable somatic diseases (any diseases or conditions that threaten the patient's life or worsen the patient's prognosis, and also make it impossible to conduct clinical trial with this patient).
  21. Use of analgesic drugs activity, including systemic NSAIDs, as well as antispasmodic drugs less than 24 hours before taking study drug/placebo.
  22. No history of efficacy of furasidine and/or no data furasidin sensitivity based on a history of urine microbiology.
  23. The need for the use of drugs from the list of prohibited therapy.
  24. Use of systemic antibacterial drugs actions within 7 days prior to screening.
  25. Administration of other medicinal products which, in the opinion of the study doctor, may affect progress and results clinical trial.
  26. Participation in another clinical trial within 3 months prior to screening.
  27. Pregnancy or breastfeeding.
  28. Alcohol or drug dependence, history of mental illness.
  29. Patient unwillingness or inability to comply with procedures protocol (in the opinion of the study physician).
  30. Other conditions that prevent the patient from being included in the study.
Terms in these criteria, in plain language(7)

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.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

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.

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.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

05

Study design

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

Study arms

  • Experimental
    XC243 25 mg

    XC243 25 mg single

    Drug: XC243 25 mg

  • Experimental
    XC243 50 mg

    XC243 50 mg single

    Drug: XC243 50 mg

  • Experimental
    XC243 75 mg

    XC243 75 mg single

    Drug: XC243 75 mg

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • DrugXC243 25 mg

    Patients will receive the Investigated Product (IP) once in the morning at least 30 minutes before eating for 7-10 days

  • DrugXC243 50 mg

    Patients will receive the IP once in the morning at least 30 minutes before eating for 7-10 days

  • DrugXC243 75 mg

    Patients will receive the IP once in the morning at least 30 minutes before eating for 7-10 days

  • DrugPlacebo

    Patients will receive the IP once in the morning at least 30 minutes before eating for 7-10 days

06

What researchers measure

Primary outcomes

  1. Time from the first dose of IP treatment until the symptom "Pain, discomfort or burning when urination " disappears (decreases).

    Symptom disappears (decreases) criterion "Pain, discomfort or burning during urination "is considered to be the simultaneous fulfillment of the following conditions: Improvement to 1 point or less in VAS and Maintain VAS score of 1 point or less for 24 hours. Within 96 hours (4 days) after the first dose of the IP assessment of the symptom "Pain, discomfort or burning when urinating" will be conducted by the patient after each urination. After 96 hours (from day 5) evaluation this symptom will be carried out 2 times a day (8-00 to 10-00 hours and from 20-00 to 22-00 hours over time). Superiority over placebo will be considered established if difference in mean between groups (XC243 - placebo) by symptom reduction time would be greater than 11 hours at the time of treatment evaluation.

    Time frame: Day 1 - Day 10

Secondary outcomes

  1. Severity of the symptom "Pain, discomfort or burning with urination "as per VAS

    Severity of the symptom "Pain, discomfort or burning with urination "as per VAS to Visit 2 (Day 2), Visit 3 (Day 5), Visit 4 (Day 8), End of therapy Visit (Day 11)

    Time frame: Day 1 - Day 11

  2. Dynamics of the symptom "Pain, discomfort or burning when urinating" by VAS.

    Dynamics of the symptom "Pain, discomfort or burning when urinating" by VAS to End of therapy Visit

    Time frame: Day 1 - Day 11

  3. Assessment of disease symptoms by Acute Cystitis Symptom Score (ACSS).

    ACSS assessment of disease symptoms to Visit 2 (Day 2), Visit 3 (Day 5), Visit 4 (Day 8), End of therapy Visit (Day 11)

    Time frame: Day 1 - Day 11

  4. Dynamics of typical symptoms according to the ACSS scale

    Dynamics of typical symptoms of the disease according to the ACSS scale to Visit 2 (Day 2), Visit 3 (Day 5), Visit 4 (Day 8), End of therapy Visit (Day 11)

    Time frame: Day 1 - Day 11

  5. Dynamics of quality of life according to the ACSS scale

    Dynamics of quality of life according to the ACSS scale to Visit 2 (Day 2), Visit 3 (Day 5), Visit 4 (Day 8), End of therapy Visit (Day 11)

    Time frame: Day 1 - Day 11

  6. Frequency of patients with disappearance of all typical symptoms diseases

    Frequency of patients with disappearance of all typical symptoms diseases (ACSS score 0) to Visit 2 (Day 2), Visit 3 (Day 5), Visit 4 (Day 8), End of therapy Visit (Day 11)

    Time frame: Day 1 - Day 11

  7. Time to disappearance of typical disease symptoms for each symptom by ACSS

    Time to disappearance of typical disease symptoms (score 0 on the ACSS scale) for each symptom to Visit 2 (Day 2), Visit 3 (Day 5), Visit 4 (Day 8), End of therapy Visit (Day 11)

    Time frame: Day 1 - Day 11

  8. Frequency of patients with disappearance of the symptom "pain or urinary burning " by ACSS

    Frequency of patients with disappearance of the symptom "pain or urinary burning "(ACSS score 0) to Visit 2 (Day 2), Visit 3 (Day 5), Visit 4 (Day 8), End of therapy Visit (Day 11)

    Time frame: Day 1 - Day 11

  9. Frequency of patients with disappearance of the symptom "pain or discomfort in the lower abdomen (suprapubic region) " by ACSS

    Frequency of patients with disappearance of the symptom "pain or discomfort in the lower abdomen (suprapubic region) "(score 0 according to ACSS) to Visit 2 (Day 2), Visit 3 (Day 5), Visit 4 (Day 8), End of therapy Visit (Day 11)

    Time frame: Day 1 - Day 11

  10. Scale score by Pelvic Pain and Urgency/Frequency Patient Symptom Scale (PUF Scale)

    Scale score by PUF Scale to Visit 2 (Day 2), Visit 3 (Day 5), Visit 4 (Day 8), End of therapy Visit (Day 11)

    Time frame: Day 1 - Day 11

  11. Dynamics of symptoms of the disease according to the Diary patient.

    Dynamics of symptoms of the disease according to the Diary patient to Visit 2 (Day 2), Visit 3 (Day 5), Visit 4 (Day 8), End of therapy Visit (Day 11)

    Time frame: Day 1 - Day 11

  12. Dynamics of the symptom "Pain or burning when urinating" according to VAS within first 24 hours post-dose

    Dynamics of the symptom "Pain or burning when urinating" according to VAS within first 24 hours post-dose

    Time frame: Day 1 - Day 2

  13. Mean urinary frequency per day by Patient Diary

    Mean urinary frequency per day by Patient Diary to Visit 2 (Day 2), Visit 3 (Day 5), Visit 4 (Day 8), End of therapy Visit (Day 11)

    Time frame: Day 1 - Day 11

  14. Assesment by Global Clinical Impression Scale score (CGI-i)

    Patient's CGI-i score

    Time frame: Day 1 - Day 11

  15. Evaluation of the efficacy of therapy by 5 rating scale

    Evaluation of the efficacy of therapy by 5 rating scale to Visit 2 (Day 2), Visit 3 (Day 5), Visit 4 (Day 8), End of therapy Visit (Day 11). This scale is assessed by the investigator, where 1 point - absence, 2 points - regression, 3 points - decrease in severity, 4 points - lack of positive dynamics, 5 points - increase in the main clinical symptoms

    Time frame: Day 1 - Day 11

07

Study locations

8 sites
  • Unimed-S Cjsc
    Moscow, 119571, Russian Federation
  • LLC "Research Center Eco-Safety"
    Saint Petersburg, 191119, Russian Federation
  • St. Petersburg State Budgetary Healthcare Institution "City Polyclinic № 112"
    Saint Petersburg, 195427, Russian Federation
  • LLC "Research Center Eco-Safety"
    Saint Petersburg, 196143, Russian Federation
  • LLC "Clinic Zvezdnaya"
    Saint Petersburg, 196158, Russian Federation
  • North-West Center of Evidence-Based Medicine Jsc
    Saint Petersburg, 196158, Russian Federation
  • Prime Rose Medical Center LLC
    Saint Petersburg, 197374, Russian Federation
  • St. Petersburg State Budgetary Healthcare Institution "City Polyclinic No. 4"
    Saint Petersburg, 199178, Russian Federation
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Apr 2024; primary completion for Dec 2025, 20 months later.

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

Registered
Apr 25, 2024
First posted
Apr 30, 2024
StartEst.
Apr 2024
Primary completionEst.
Dec 2025
CompletionEst.
Dec 2025
Last update
Apr 30, 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 Apr 30, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06391164
Lead sponsor
PHARMENTERPRISES LLC
Responsible party
Sponsor
First posted
Apr 30, 2024
Start date
Apr 2024 (estimated)
Primary completion
Dec 2025 (estimated)
Completion
Dec 2025 (estimated)
Last update
Apr 30, 2024

Study contacts

Vladimir Nebolsin
Contact
nve1970@mail.ru
+79175584626

Oversight

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

Not currently enrolling

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