Multicentre International STudy for the Prevention With Ialuril® of Radio-induced Cystitis (MISTIC)
MISTIC
An Investigative, Randomized, Open, Pilot Study to Assess the Tolerability, Safety and Efficacy of HAcid/CS Intravesical Instillations Plus an Oral Combination of Curcumin,Quercetin, HA and CS in Prevention of Radiation Induced Cystitis
1 other identifier
interventional
100
4 countries
7
Brief Summary
The study is randomized and it will be conducted in the field of routine clinical practice. A total of 100 consecutive patients planned to receive radiotherapy for prostate cancer will be enrolled. The patients will enter the study as controls (50 patients that won't receive any experimental IMP) or as treated-group (50 patients that will be also treated with the experimental IMPs, Ialuril® and Ialuril® Soft Gels) according to a predefined, centre-specific randomization.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2 prostate-cancer
Started Apr 2017
7 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 4, 2017
CompletedFirst Submitted
Initial submission to the registry
January 25, 2018
CompletedFirst Posted
Study publicly available on registry
April 11, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 31, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
May 31, 2020
CompletedJuly 23, 2020
July 1, 2020
1.6 years
January 25, 2018
July 22, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Rate of patients
The rate of patients who stopped treatment with intravesical or oral Ialuril due to intollerance or adverse events
12 months
Secondary Outcomes (4)
comparative analysis of score between the two groups through ICIQ
12 months
comparative analysis of score between the two groups through EPIC
12 months
comparative analysis of score of QOL
12 months
comparative analysis of score between the two groups through IPSS
12 months
Study Arms (2)
Radiotherapy+Ialuril®+Ialuril Soft Gels®
EXPERIMENTALRadiotherapy+Ialuril®+Ialuril Soft Gels®
Radiotherapy only
ACTIVE COMPARATORRadiotherapy only
Interventions
Radiotherapy+IAluril®+Ialuril Soft Gels®
Eligibility Criteria
You may qualify if:
- Male patients planned to receive primary radiotherapy for prostate cancer.
You may not qualify if:
- Female patients
- Patients with a life expectancy of less than 24 months
- with radiological confirmed metastasis
- with documented urethral strictures
- undergoing chemotherapy
- who received brachytherapy
- who received chemo-radiotherapy for prostate cancer in the past
- previously treated with Bacillus Calmette-Guerin (BCG)
- with post-void residual (PVR) \> 200ml
- with clinical evidence of bladder calculi
- with neurogenic bladder or neurologic disease at risk for neurogenic bladder
- suffering from any lower urinary infections (UTIs, tuberculosis)
- with unstable cardiovascular disease
- with Congestive Heart Failure (CHF)
- with current nitrate use
- +4 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (7)
Ospedali Careggi
Florence, Italy
Università "Vita-Salute" San Raffaele
Milan, Italy
University of Palermo, Italy
Palermo, Italy
St. Cyril and Method University Hospital
Bratislava, Slovakia
Fakultná nemocnica s poliklinikou
Prešov, Slovakia
Universidad Autónoma de Barcelona
Barcelona, Spain
Istanbul University
Istanbul, Turkey (Türkiye)
Related Publications (19)
Lips IM, Dehnad H, van Gils CH, Boeken Kruger AE, van der Heide UA, van Vulpen M. High-dose intensity-modulated radiotherapy for prostate cancer using daily fiducial marker-based position verification: acute and late toxicity in 331 patients. Radiat Oncol. 2008 May 21;3:15. doi: 10.1186/1748-717X-3-15.
PMID: 18495016BACKGROUNDPavlidakey PG, MacLennan GT. Radiation cystitis. J Urol. 2009 Sep;182(3):1172-3. doi: 10.1016/j.juro.2009.06.034. Epub 2009 Jul 22. No abstract available.
PMID: 19625037BACKGROUNDSmit SG, Heyns CF. Management of radiation cystitis. Nat Rev Urol. 2010 Apr;7(4):206-14. doi: 10.1038/nrurol.2010.23. Epub 2010 Mar 9.
PMID: 20212517BACKGROUNDAntonakopoulos GN, Hicks RM, Berry RJ. The subcellular basis of damage to the human urinary bladder induced by irradiation. J Pathol. 1984 Jun;143(2):103-16. doi: 10.1002/path.1711430205.
PMID: 6737117BACKGROUNDDenham JW, Hauer-Jensen M. The radiotherapeutic injury--a complex 'wound'. Radiother Oncol. 2002 May;63(2):129-45. doi: 10.1016/s0167-8140(02)00060-9.
PMID: 12063002BACKGROUNDHurst RE. Structure, function, and pathology of proteoglycans and glycosaminoglycans in the urinary tract. World J Urol. 1994;12(1):3-10. doi: 10.1007/BF00182044.
PMID: 8012413BACKGROUNDLazzeri M, Montorsi F. The therapeutic challenge of "chronic cystitis": search well, work together, and gain results. Eur Urol. 2011 Jul;60(1):78-80. doi: 10.1016/j.eururo.2011.03.039. Epub 2011 Apr 1. No abstract available.
PMID: 21474233BACKGROUNDDamiano R, Quarto G, Bava I, Ucciero G, De Domenico R, Palumbo MI, Autorino R. Prevention of recurrent urinary tract infections by intravesical administration of hyaluronic acid and chondroitin sulphate: a placebo-controlled randomised trial. Eur Urol. 2011 Apr;59(4):645-51. doi: 10.1016/j.eururo.2010.12.039. Epub 2011 Jan 18.
PMID: 21272992BACKGROUNDDe Vita D, Giordano S. Effectiveness of intravesical hyaluronic acid/chondroitin sulfate in recurrent bacterial cystitis: a randomized study. Int Urogynecol J. 2012 Dec;23(12):1707-13. doi: 10.1007/s00192-012-1794-z. Epub 2012 May 22.
PMID: 22614285BACKGROUNDCervigni M, Sommariva M, Porru D, Ostardo E, Tenaglia R, Giammò A, et al. A randomized, open-label, multicentre study of efficacy and safety of intravesical hyaluronic acid and chondroitin sulfate (HA 1.6% and CS 2%) vs dimethyl sulfoxide (DMSO 50%) in women with Bladder Pain Syndrome/Interstitial Cystitis (BPS/IC). Eur Urol Suppl 2014;13(1):e464.
BACKGROUNDCervigni M, Van Kerrebroeck PE, Dinis Oliveira P, Tarricone R, Guzman SA. Glycosaminoglycan-Replenishment Therapy: rationale for use and current evidence. EMJ Urol. 2014;1:41-47.
BACKGROUNDNordling J. Bladder Pain Syndrome/ Interstitial Cystitis. Update in Europe. International Journal of Urology 2014;21(Supplement S1):A1-A11.
BACKGROUNDCrew JP, Jephcott CR, Reynard JM. Radiation-induced haemorrhagic cystitis. Eur Urol. 2001 Aug;40(2):111-23. doi: 10.1159/000049760.
PMID: 11528186BACKGROUNDCox JD, Stetz J, Pajak TF. Toxicity criteria of the Radiation Therapy Oncology Group (RTOG) and the European Organization for Research and Treatment of Cancer (EORTC). Int J Radiat Oncol Biol Phys. 1995 Mar 30;31(5):1341-6. doi: 10.1016/0360-3016(95)00060-C. No abstract available.
PMID: 7713792BACKGROUNDCharlson M, Szatrowski TP, Peterson J, Gold J. Validation of a combined comorbidity index. J Clin Epidemiol. 1994 Nov;47(11):1245-51. doi: 10.1016/0895-4356(94)90129-5.
PMID: 7722560BACKGROUNDDroller MJ, Saral R, Santos G. Prevention of cyclophosphamide-induced hemorrhagic cystitis. Urology. 1982 Sep;20(3):256-8. doi: 10.1016/0090-4295(82)90633-1.
PMID: 7123717BACKGROUNDWei JT, Dunn RL, Litwin MS, Sandler HM, Sanda MG. Development and validation of the expanded prostate cancer index composite (EPIC) for comprehensive assessment of health-related quality of life in men with prostate cancer. Urology. 2000 Dec 20;56(6):899-905. doi: 10.1016/s0090-4295(00)00858-x.
PMID: 11113727BACKGROUNDHamilton K, Bennett NC, Purdie G, Herst PM. Standardized cranberry capsules for radiation cystitis in prostate cancer patients in New Zealand: a randomized double blinded, placebo controlled pilot study. Support Care Cancer. 2015 Jan;23(1):95-102. doi: 10.1007/s00520-014-2335-8. Epub 2014 Jul 4.
PMID: 24993395BACKGROUNDMottet N, Bastian PJ, Bellmunt J, van den Bergh RCN, Bolla M, van Casteren NJ, et al. Guidelines on Prostate Cancer. Uroweb 2014.
BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Massimo LAzzeri, MD
Gruppo di Studio per le Malattie Urogenitali
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 25, 2018
First Posted
April 11, 2018
Study Start
April 4, 2017
Primary Completion
October 31, 2018
Study Completion
May 31, 2020
Last Updated
July 23, 2020
Record last verified: 2020-07
Data Sharing
- IPD Sharing
- Will not share