A Randomized, Controlled Study of Repeat Dose Sustained Release Lidocaine for Treatment of Chronic Scrotal Pain

NCT ID: NCT05707208

Last Updated: 2025-12-02

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

63 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-03-21

Study Completion Date

2026-02-02

Brief Summary

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This multi-center, phase 2, randomized, single-blind, three-arm, active-controlled study is comparing repeat doses, every 28 days, of standard of care (SOC) plus ST-01 against SOC plus 1% lidocaine HCL in men experiencing chronic scrotal content pain (CSCP). The main purpose of this study is to determine if repeat injections of ST-01 are safe and effective in reducing pain. After completing a screening phase participants will be randomized into one of three groups: 1) ST-01 70 mg/mL arm, 2) ST-01 140 mg/mL arm, 3) 1% Lidocaine HCL arm (Control). Participants may receive up to 4 study treatment injections given at a minimum of 28-day intervals. Participants randomized to the Control arm will be given the opportunity to cross over to an ST-01 treatment arm after 2 study treatments.

Detailed Description

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Conditions

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Chronic Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
Single blind. Participant will not know what study arm they have been randomized to.

Study Groups

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ST-01 70 mg/mL

Group Type EXPERIMENTAL

ST-01

Intervention Type DRUG

A sustained release lidocaine formulation designed for the treatment of acute and chronic pain.

ST-01 140 mg/mL

Group Type EXPERIMENTAL

ST-01

Intervention Type DRUG

A sustained release lidocaine formulation designed for the treatment of acute and chronic pain.

1% Lidocaine HCL

Group Type ACTIVE_COMPARATOR

1% Lidocaine HCL

Intervention Type DRUG

Currently approved lidocaine

Interventions

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ST-01

A sustained release lidocaine formulation designed for the treatment of acute and chronic pain.

Intervention Type DRUG

1% Lidocaine HCL

Currently approved lidocaine

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Adult (≥ 19 years) male
2. Unilateral or bilateral scrotal pain lasting \> 3 months
3. Have nociceptive scrotal pain
4. Average daily maximum scrotal pain score over 7 days ≥ 4 on the 0-10 NRS (Appendix 2). Participants with bilateral scrotal pain must be able to distinguish one side with pain score ≥ 4 and the opposite side must have a maximum scrotal pain score of ≤ 3.0 at baseline.
5. Positive response to test spermatic cord block with 1% lidocaine (Lidocaine Hydrochloride Injection, USP, 1%, 10 mg/mL), defined as a decrease in pain score of at least 2 within 1 hour of injection
6. Baseline blood levels without clinically significant abnormalities including liver function tests (alanine aminotransferase \[ALT\], aspartate aminotransferase \[AST\], gamma-glutamyl transferase \[GGT\], and alkaline phosphatase \[ALP\]) no greater than 50% above the upper limit of normal
7. If sexually active, is willing to use adequate birth control methods to prevent pregnancy over the course of the study

Exclusion Criteria

1. Negative response to test spermatic cord block, defined as absence of a decrease in pain score of at least 2 within an hour of injection
2. Other pain generator site with NRS pain score ≥ 4 that interferes with evaluation of scrotal pain
3. History of allergic reaction to lidocaine or any component of ST-01
4. Any contraindication to local anesthesia with lidocaine (e.g., known hypersensitivity to anesthetics of the amide type; hypokalemia, complete heart block, anticoagulants (aspirin permitted), antiarrhythmic medication.)
5. Active infection involving the urinary tract or scrotum
6. Inability to give consent
7. Inability to follow up according to the protocol
8. Negative response to previous spermatic cord block
9. Any other condition that the investigator believes may interfere with the safety of the participant, study conduct, or interpretation of the data.
Minimum Eligible Age

19 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Sustained Therapeutics Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Graeme Boniface, PhD.

Role: STUDY_DIRECTOR

Sustained Therapeutics Inc.

Locations

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Prostate Cancer Centre - Rockyview Hospital

Calgary, Alberta, Canada

Site Status

Kelowna General Hospital Clinical Research Department

Kelowna, British Columbia, Canada

Site Status

Vancouver Prostate Centre

Vancouver, British Columbia, Canada

Site Status

Men's Health Clinic Manitoba

Winnipeg, Manitoba, Canada

Site Status

Jonathan Giddens Medicine Professional Corporation

Brampton, Ontario, Canada

Site Status

The Fe/Male Health Centre

Oakville, Ontario, Canada

Site Status

Mount Sinai Hospital - Men's Health Institute

Toronto, Ontario, Canada

Site Status

THEO Medical

Montreal, Quebec, Canada

Site Status

Countries

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Canada

Other Identifiers

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ST-CP-202

Identifier Type: -

Identifier Source: org_study_id

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