ClinicalTrials.gg
Not yet recruitingNCT07733934Updated Jul 29, 2026

Study of Teverelix DP on Prostate Volume, Urinary Function and Clinical Outcomes Following Acute Urinary Retention

A Phase 2 interventional study of Teverelix DP and Teverelix DP Placebo in Acute Urinary Retention and Benign Prostate Hypertrophy(BPH), sponsored by Antev Ltd.. Not yet recruiting. Open to male participants aged 45 Years and older. Per ClinicalTrials.gov, last updated 2026-07-29.

Sponsored by Antev Ltd. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
126
Allocation
Randomized
Ages
45 Years and older
Sex
Male
01

Study summary

This randomized, double-blind, placebo-controlled Phase 2 study is evaluating Teverelix DP in men following a first episode of acute urinary retention (AUR) associated with benign prostatic hyperplasia (BPH), a population at risk of recurrent urinary retention and subsequent surgical or minimally invasive intervention.

The study is designed to evaluate the effects of Teverelix DP on total prostate volume and urinary function and to prospectively evaluate clinically meaningful outcomes including recurrent AUR, BPH-related surgical or minimally invasive intervention, protocol-defined treatment failure and clinical benefit.

Participants will be randomized to one of four treatment groups evaluating two active Teverelix DP regimens: 90 mg administered intramuscularly (IM) and 120 mg administered subcutaneously (SC) and their respective matched placebo controls.

The primary endpoint is percent change from baseline in total prostate volume (TPV) at Week 12. Participants will continue to be evaluated during the 28-week treatment period for urinary function and prospectively defined clinical outcomes, including recurrent AUR, BPH-related intervention, treatment failure and clinical benefit, and will be followed through Week 52 for protocol-defined longer-term assessments and safety follow-up.

The study is designed to characterize biological activity, urinary function, clinical outcomes, safety and the relative treatment effects of the two Teverelix DP regimens to inform dose and route selection and subsequent clinical development.

Read the detailed description

An interim analysis of the primary endpoint will be conducted after at least 50% of patients have completed their 12-week visit. The interim analysis may also be used to inform future development strategy for Teverelix DP. Should the interim data demonstrate supportive safety and pharmacodynamic trends, the Sponsor may consider expansion of the clinical development program into a confirmatory Phase 3 trial.

02

Conditions studied

  • Acute Urinary Retention
  • Benign Prostate Hypertrophy(BPH)

Keywords

  • Prostatic Diseases
  • Teverelix
  • Acute urinary retention
  • Benign Prostate Hypertrophy
  • AUR
  • BPH
03

In context

Prostatic Hyperplasia

827 studies on the registry are indexed under Prostatic Hyperplasia; 179 are open to participants now.

This study's planned enrollment of 126 is above the median of 92 across 626 interventional studies indexed under Prostatic Hyperplasia.

Browse Prostatic Hyperplasia studies →

Lead sponsor

Antev Ltd. is the lead sponsor of 5 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
45 Years and older
Sexes eligible
Male
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. Male aged 45 years or older
  2. Having given his written consent
  3. Successful TWOC as defined by successful voiding with a minimum residual volume
  4. Having had a first episode of spontaneous acute urinary retention within 6 days of study screening visit.
  5. Prostate volume >40 g (assessed by TRUS)
  6. Patients may initiate or continue alpha-blocker therapy at or before randomization. The same agent and dose should be continued throughout the treatment period where possible
  7. Agrees to practice during the entire study treatment period and for 3 months after the last dose of IMP is administered:

    1. Either by using double barrier contraception and in compliance with local guidelines,
    2. or, is truly sexually abstinent, when this is in line with the preferred and usual lifestyle of the patient

    i. Note: Periodic abstinence [e.g. calendar, ovulation, symptothermal, postovulation methods for the female partner with ] and withdrawal are not acceptable methods of contraception.

  8. Must be treatment naïve to GnRH analogues

Exclusion criteria

Exclusion Criteria:

  1. Participated in another study within 3 months before recruitment
  2. AUR due to i.e. postoperative retention following major abdominal/pelvis/spinal surgery
  3. Neurological related AUR
  4. to the use of alpha blockers
  5. Previous prostate or urethral surgery
  6. Previous histological or clinical diagnosis of prostate cancer
  7. Any unstable co-existing medical condition
  8. Has abnormal screening and/or baseline laboratory values that suggest a underlying disease, or the following laboratory values:

    1. Liver function test ( [ASAT/SGOT], alanine aminotransferase [ALAT/SGPT]), exceeding >2X the (ULN) range
    2. Total exceeding >1.5X the upper limit of the normal (ULN) range
    3. An estimated (eGFR) \< 30 mL/min, based on calculation by the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation normalised to an average surface area of 1.73m2, at the screening visit.
  9. Has congenital long syndrome or abnormalities at screening of:

    1. Q-wave infarction, unless identified ≥6 months before screening
    2. Fridericia corrected QT interval (QTcF interval) >480 msec. If QTcF is prolonged in a patient with a pacemaker, the patient may be enrolled in the study upon discussion with the project clinician
    3. If the QTcF interval is 450-480 msec, inclusive, in a patient with current use of medications with known effects on QT interval, the patient may be enrolled in the study following discussion with the Medical Lead

    Note: Cardiac arrhythmia grading:

    • Bradyarrhythmias (HR \<60/min)
    • Tachyarrhythmias (HR >100/min
    • Supraventricular arrhythmias - arrhythmias that originate in the sinoatrial node, atrial myocardium or atrioventricular node (regular QRS complex)
    • Ventricular arrhythmias - arrhythmias that originate below the atrioventricular node (wide QRS complex)
  10. History or current evidence of alcohol or drug abuse within the last 12 months
  11. Prostate Specific Antigen (PSA) greater than 20ng/ml
  12. Use of suprapubic catheterization after failed urethral catheterization
  13. Neurogenic bladder dysfunction, confirmed or suspected, irrespective of etiology
  14. Isolated bladder neck disease
  15. Acute or chronic prostatitis
  16. Confirmed or suspected urethral stricture
  17. Known bladder stones
  18. Use of the following medications prior to and during study participation:

    1. Any other IMP (within 3 months of enrolment)
    2. Herbal medications known to have anti-androgenic effects (e.g. red reishi, licorice, white peony, green tea, spearmint, black cohosh, chaste tree, saw palmetto, etc) (within 3 months of enrolment)
    3. Anti-androgen therapy (within 3 months of enrolment)
    4. T replacement therapy (within 3 months of enrolment)
    5. 5α-reductase inhibitor treatment etc. (within 25 weeks prior to screening: dutasteride; within 12 weeks prior to screening: finasteride (and others))
    6. Bethanechol chloride
    7. Any other medication or herbal product that may affect hormone levels and might, therefore, confound interpretation of the study results (e.g. St. John's wort) (within 3 months of enrolment)
Terms in these criteria, in plain language(12)

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.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

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.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

05

Study design

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

Study arms

  • Active comparator
    Teverelix DP 90 mg IM

    Drug: Teverelix DP

  • Active comparator
    Teverelix DP 120 mg SC

    Drug: Teverelix DP

  • Placebo comparator
    Teverelix DP placebo 90 mg IM

    Drug: Teverelix DP Placebo

  • Placebo comparator
    Teverelix DP placebo 120 mg SC

    Drug: Teverelix DP Placebo

Interventions

  • DrugTeverelix DP

    Single dose at Day 1 of 90 mg injection IM

  • DrugTeverelix DP Placebo

    Single dose at Day 1 of 90 mg injection IM

  • DrugTeverelix DP

    Single dose at Day 1 of 120 mg injection SC

  • DrugTeverelix DP Placebo

    Single dose at Day 1 of 120 mg injection SC

06

What researchers measure

Primary outcomes

  1. Percent Change from Baseline in Total Prostate Volume (TPV) at Week 12

    Percent change from baseline in total prostate volume as assessed by transrectal ultrasound.

    Time frame: Change from baseline to Week 12

Secondary outcomes

  1. To assess the AUR clinical benefit rate of Teverelix DP after a single dose

    The proportion of patients meeting all of the following criteria during the 28-week treatment period and the 52-week observation period: * No relapse of AUR; * No need or indication for surgical intervention; and * No occurrence of treatment failure (PVR \>300 mL with Qmax \<10 mL/sec).

    Time frame: From dosing to week 52

  2. Evaluate the durability of prostate volume reduction following a single dose of Teverelix DP

    Percent change in total prostate volume

    Time frame: Change from baseline to week 52

  3. Change from baseline in post-void residual volume (PVR) (mL), assessed by ultrasound.

    Time frame: Change from baseline to week 28

  4. Change from baseline in maximum urinary flow rate (Qmax) (mL/sec), using Uroflowmetry.

    Time frame: Change from baseline to week 28

  5. Explore the correlation between change prostate volume and change in post-void residual volume (PVR) (mL)

    Time frame: Change from baseline to week 28

  6. Explore the correlation between change prostate volume and change in maximum urinary flow rate (Qmax) (mL/sec)

    Time frame: Change from baseline to week 28

  7. Incidence of AUR recurrence according to Teverelix dose (90 mg vs 120 mg) and route of administration (IM vs SC)

    Identifying the optimal dosing regimen and route of administration from the following; 90 mg or 120 mg of Teverelix DP and intramuscular (IM) or subcutaneous (SC).

    Time frame: From Day 1 through study completion (an average of 1 year)

  8. To assess time to Post-void residual (PVR) >60% of total bladder volume, measured by ultrasound.

    PVR volume measurements will be taken at various timepoints in the study to assess the time taken for PVR \>60% of total bladder volume

    Time frame: From Day 1 through study completion (an average of 1 year)

  9. Incidence of Treatment-Emergent Adverse Events (Safety and Tolerability) of Teverelix DP in men with AUR secondary to benign prostatic hyperplasia (BPH).

    Safety and tolerability will be evaluated by the incidence, nature, severity, and relationship to study treatment of adverse events (AEs) and serious adverse events (SAEs), together with assessments of clinical laboratory parameters, vital signs, physical examinations, electrocardiograms (ECGs), concomitant medications, and any clinically significant findings observed throughout the study.

    Time frame: From Day 1 through study completion (an average of 1 year)

  10. To assess progression of BPH-related symptoms.

    The International Prostate Symptom Score (IPSS) will be used to assess progression of BPH-related symptoms. The total IPSS score is calculated by summing the scores from all seven questions, giving a range of 0 to 35. Change in IPSS score will be reviewed. Lower scores indicate fewer or less severe urinary symptoms, and higher scores indicate more severe urinary symptoms.

    Time frame: Change from Day 1 through study completion (an average of 1 year)

  11. To assess the incidence of BPH-related minimally invasive procedures or surgeries. Procedure/surgery review will completed at visits throughout the study.

    Time frame: From Day 1 through study completion (an average of 1 year)

07

Study locations

No study locations are listed for this record.

08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Sep 2026; primary completion for May 2028, 20 months later.

Of 17 phase 2 interventional studies under Prostatic Hyperplasia, half reached primary completion within 32 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 76. This study's planned 20 months is below that.

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

Registered
Jul 15, 2026
First posted
Jul 29, 2026
StartEst.
Sep 2026
Primary completionEst.
May 2028
CompletionEst.
May 2028
Last update
Jul 29, 2026
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 Jul 29, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07733934
Lead sponsor
Antev Ltd.
Responsible party
Sponsor
First posted
Jul 29, 2026
Start date
Sep 2026 (estimated)
Primary completion
May 2028 (estimated)
Completion
May 2028 (estimated)
Last update
Jul 29, 2026

Study contacts

Ruhena Chowdhury, PhD
Contact
rchowdhury@antev.co.uk
+4407491167075

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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