Prostate medication, metabolism and gut microbiota, PROMED.

2022-500618-24-00 Therapeutic use (Phase IV) Ongoing, recruiting

Start 1 Dec 2022 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 100
Countries 1
Sites 1

prostate cancer, benign prostate hyperplasia

The general aim is to understand the interaction of prostate medical therapies and gut microbiota. Main objective is to investigate how prostate medical therapies (5-ARI, ADT) affect gut microbiota composition.

Key facts

Sponsor
Turku University Central Hospital
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male
Therapeutic area
Diseases [C] - Male Urogenital Diseases [C12]
Trial duration
1 Dec 2022 → ongoing
Decision date (initial)
2022-08-10
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Others

The general aim is to understand the interaction of prostate medical therapies and gut microbiota. Main objective is to investigate how prostate medical therapies (5-ARI, ADT) affect gut microbiota composition.

Secondary objectives 3

  1. To investigate the mechanism of how hormonal therapies (5-ARI, ADT) affect metabolic changes within the gut and systemic circulation.
  2. To investigate how the gut microbiota affects a patient’s response to 5-ARI treatment (PSA response and reduction in prostate size) in men with BPH.
  3. To investigate how the gut microbiota affects a patient’s response to GnRH agonists/antagonists (PSA response) in men with prostate cancer.

Conditions and MedDRA coding

prostate cancer, benign prostate hyperplasia

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. histologically confirmed prostate cancer or benign prostate hyperplasia
  2. provision of signed and dated informed consent form
  3. ability and stated willingness to comply with all study procedures and availablity for the duration of the study
  4. male aged >18 years

Exclusion criteria 2

  1. inability to comply with study procedures or unwillingness to participate in the study
  2. age < 18 years

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. change of gut microbiota signature after two months of prostate medication (5-ARI, LhRH-analog/antagonist)

Secondary endpoints 4

  1. change of gut microbiota metabolism after two months of prostate medication (5-ARI, LhRH-analog/antagonist)
  2. PSA response to 5-ARI after 2 and 6 months of therapy
  3. prostate volume change to 5-ARI treatment after 2 and 6 months of therapy
  4. PSA response LhRH-analog/antagonist after 2 and 6 months of therapy

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 5

Dutasteride

SUB06430MIG · Substance

Active substance
Dutasteride
Pharmaceutical form
CAPSULE, SOFT
Route of administration
ORAL
Max daily dose
0.5 mg milligram(s)
Max total dose
0.5 mg milligram(s)
Max treatment duration
6 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Finasteride

SUB07629MIG · Substance

Active substance
Finasteride
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
5 mg milligram(s)
Max total dose
5 mg milligram(s)
Max treatment duration
6 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

FIRMAGON 80 mg powder and solvent for solution for injection

PRD3448559 · Product

Active substance
Degarelix
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS
Max daily dose
80 mg milligram(s)
Max total dose
80 mg milligram(s)
Max treatment duration
6 Month(s)
Authorisation status
Authorised
ATC code
L02BX02 — -
Marketing authorisation
EU/1/08/504/001
MA holder
FERRING PHARMACEUTICALS A/S
MA country
Liechtenstein
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Duodart 0,5 mg/0,4 mg hårda kapslar

PRD1935327 · Product

Active substance
Tamsulosin Hydrochloride
Pharmaceutical form
CAPSULE, HARD
Route of administration
ORAL
Max daily dose
0.5 mg milligram(s)
Max total dose
0.5 mg milligram(s)
Max treatment duration
6 Month(s)
Authorisation status
Authorised
ATC code
G04CA52 — -
Marketing authorisation
27116
MA holder
GLAXOSMITHKLINE OY
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

FIRMAGON 120 mg powder and solvent for solution for injection

PRD3448474 · Product

Active substance
Degarelix
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS USE
Max daily dose
120 mg milligram(s)
Max total dose
120 mg milligram(s)
Max treatment duration
6 Month(s)
Authorisation status
Authorised
ATC code
L02BX02 — -
Marketing authorisation
EU/1/08/504/002
MA holder
FERRING PHARMACEUTICALS A/S
MA country
Liechtenstein
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Turku University Central Hospital

Sponsor organisation
Turku University Central Hospital
Address
Kiinamyllynkatu 4-8
City
Turku
Postcode
20520
Country
Finland

Scientific contact point

Organisation
Turku University Central Hospital
Contact name
Peter Boström

Public contact point

Organisation
Turku University Central Hospital
Contact name
Peter Boström

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Finland Ongoing, recruiting 100 1
Rest of world 0

Investigational sites

Finland

1 site · Ongoing, recruiting
Turku University Central Hospital
TO3, Urology, Kiinamyllynkatu 4-8, 20520, Turku

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Finland 2022-12-01 2022-12-01

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2022-06-02 Finland Acceptable
2022-08-08
2022-08-10
2 SUBSTANTIAL MODIFICATION SM-3 2022-09-01 Finland Acceptable 2022-10-04