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21 March 2013 
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Intravesical hyaluronic acid (HA) and chondroitin sulphate (CS) for treatment of signs and symptoms of patients with late radiation tissue cystitis (LRTC): an investigative pilot study
ISRCTN ISRCTN37534393
DOI 10.1186/ISRCTN37534393
ClinicalTrials.gov identifier
EudraCT number
Public title Intravesical hyaluronic acid (HA) and chondroitin sulphate (CS) for treatment of signs and symptoms of patients with late radiation tissue cystitis (LRTC): an investigative pilot study
Scientific title
Acronym N/A
Serial number at source 001/Magenta
Study hypothesis To test the hypothesis that a combined solution containing high concentration of HA and CS may improve LRTC symptoms and signs.
Lay summary Lay summary under review 2
Ethics approval Institutional Review Board (001/Magenta)
Study design Prospective longitudinal non-randomized investigative pilot study
Countries of recruitment Italy
Disease/condition/study domain Late radiation tissue cystitis with or without haematuria
Participants - inclusion criteria Eligible patients with symptomatic LRTC after receiving primary or adjuvant radiotherapy for pelvic neoplasms
Participants - exclusion criteria 1. Patients (male and female, age range: 40-80 years) undergoing chemotherapy
2. Those with a life expectancy of less than 24 months
3. Those with radiological confirmed metastasis
4. Patients receiving radiotherapy for bladder cancer
5. Patients with documented urethral strictures
Anticipated start date 01/05/2010
Anticipated end date 31/12/2013
Status of trial Ongoing
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants 30
Interventions Enrolled patients were treated with intravesical instillations of Ialuril®, a 50 ml/vial solution containing HA 800 mg and CS 1 mg. Patients with severe haematuria (daily) received instillations 5 days/week in the 1st month, 3 days/week in the 2nd month, 2 days/week in the 3rd month, once weekly in months 4-6, every two weeks in months 7-8, every three weeks in months 9-10, and monthly/bimonthly for one year.

Patients without or with occasional haematuria received instillations 3 days/week in the 1st month, 2 days/week in the 2nd
month, 1 day/week in months 3-4, every two weeks in months 5-6, every three weeks in months 7-8, and monthly/bimonthly for one year. The solution was retained in the bladder for 45-60 minutes in the 1st month, with rotation in four positions (supine, prone, left and right flank), and for ≥ 80 minutes thereafter.
Primary outcome measure(s) To investigate the tolerability, safety and efficacy of the treatment in reducing the symptoms and signs of LRTC at 3 and 12 months
Secondary outcome measure(s) To assess changes in quality of Life (QoL) resulting from the treatment, measured at 3 and 12 months
Sources of funding Regional Health System (Italy)
Trial website
Publications
Contact name Dr  Massimo  Lazzeri
  Address Department of Urology
San Raffaele Turro
Vita-Salute San Raffaele University
Via Stamira d’Ancona 20
  City/town Milan
  Zip/Postcode 20127
  Country Italy
Sponsor Institut Biochimique SA (IBSA) (Italy)
  Address Via Emilia
  City/town Lodi
  Zip/Postcode 26900
  Country Italy
  Sponsor website: http://www.ibsa-international.com/
Date applied 05/03/2013
Last edited 20/03/2013
Date ISRCTN assigned 20/03/2013
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