Diagnostic Challenges in IC (and Male CPPS)

NCT ID: NCT00672087

Last Updated: 2020-08-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

1000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2003-09-30

Study Completion Date

2011-06-30

Brief Summary

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The etiology and pathogenesis of interstitial cystitis (IC) and its related condition in men, chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) has remained elusive. This has hampered development of mechanistic treatment strategies for these common, chronic and distressing medical conditions. We believe that IC and perhaps CP/CPPS are a spectrum of complex but inter-related genetic and acquired diseases resulting from the interaction of several genes regulating immune/inflammatory and neurogenic parameters and environmental factors/circumstances or exposure, culminating in the combination of pain, frequency, urgency and sexual specific symptoms. New research has delineated the dynamic and powerful association of the immune and neurogenic system in pain activation. An immune-modulated neurogenic model of IC illuminating the action of immune derived substances and pain related substances might be important in discovering the determinants of pain, voiding dysfunction and gender specific sexual problems. This inter-related dynamic model of IC disease pathogenesis could be explored for potential avenues leading to novel diagnostic and treatment strategies. We plan to identify and evaluate the sensitivity and specificity of several novel nerve and inflammation related markers in the diagnosis and follow up of IC (and CP/CPPS). By correlating the levels of urine immune and pain related substances to disease mechanisms, severity and progression, we may be able to create a human disease specific model for diagnosis and treatment.

Detailed Description

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Conditions

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Chronic Prostatitis With Chronic Pelvic Pain Syndrome Chronic Bacterial Prostatitis Asymptomatic Inflammatory Prostatitis Painful Bladder Syndrome Cystitis, Interstitial

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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A

Chronic prostatitis/chronic pelvic pain syndrome patients

Genomic and proteomic biomarker discovery

Intervention Type GENETIC

Discovery of novel biomarkers for CP/CPPS and PBS/IC using genomic and proteomic methods

B

Painful bladder syndrome/interstitial cystitis patients

Genomic and proteomic biomarker discovery

Intervention Type GENETIC

Discovery of novel biomarkers for CP/CPPS and PBS/IC using genomic and proteomic methods

C

Asymptomatic controls

Genomic and proteomic biomarker discovery

Intervention Type GENETIC

Discovery of novel biomarkers for CP/CPPS and PBS/IC using genomic and proteomic methods

Interventions

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Genomic and proteomic biomarker discovery

Discovery of novel biomarkers for CP/CPPS and PBS/IC using genomic and proteomic methods

Intervention Type GENETIC

Eligibility Criteria

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Inclusion Criteria

* Participant has signed and dated the appropriate Informed Consent document.
* Participant must have had symptoms of discomfort or pain in the pelvic region for at least a three (3) month period within the last six (6) months.

Exclusion Criteria

* Major structural/anatomical urinary tract abnormalities
* Underlying inborn conditions
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

NIH

Sponsor Role collaborator

Beth Israel Deaconess Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA

Principal Investigators

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Jordan D Dimitrakoff, MD, PhD

Role: STUDY_CHAIR

Harvard Medical School, Boston, MA

Locations

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Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status

Countries

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United States

References

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Dimitrakov J, Kroenke K, Steers WD, Berde C, Zurakowski D, Freeman MR, Jackson JL. Pharmacologic management of painful bladder syndrome/interstitial cystitis: a systematic review. Arch Intern Med. 2007 Oct 8;167(18):1922-9. doi: 10.1001/archinte.167.18.1922.

Reference Type BACKGROUND
PMID: 17923590 (View on PubMed)

Dimitrakov JD, Kaplan SA, Kroenke K, Jackson JL, Freeman MR. Management of chronic prostatitis/chronic pelvic pain syndrome: an evidence-based approach. Urology. 2006 May;67(5):881-8. doi: 10.1016/j.urology.2005.12.015. No abstract available.

Reference Type BACKGROUND
PMID: 16698346 (View on PubMed)

Allsop SA, Erstad DJ, Brook K, Bhai SF, Cohen JM, Dimitrakoff JD. The DABBEC phenotyping system: towards a mechanistic understanding of CP/CPPS. Nat Rev Urol. 2011 Feb;8(2):107-13. doi: 10.1038/nrurol.2010.227. Epub 2011 Jan 18.

Reference Type BACKGROUND
PMID: 21243018 (View on PubMed)

Strauss AC, Dimitrakov JD. New treatments for chronic prostatitis/chronic pelvic pain syndrome. Nat Rev Urol. 2010 Mar;7(3):127-35. doi: 10.1038/nrurol.2010.4. Epub 2010 Feb 9.

Reference Type BACKGROUND
PMID: 20142810 (View on PubMed)

Dimitrakov J, Joffe HV, Soldin SJ, Bolus R, Buffington CA, Nickel JC. Adrenocortical hormone abnormalities in men with chronic prostatitis/chronic pelvic pain syndrome. Urology. 2008 Feb;71(2):261-6. doi: 10.1016/j.urology.2007.09.025.

Reference Type RESULT
PMID: 18308097 (View on PubMed)

Other Identifiers

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R01DK065990

Identifier Type: NIH

Identifier Source: secondary_id

View Link

2010P000229

Identifier Type: -

Identifier Source: org_study_id

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