Evaluation of Tamsulosin in the Treatment of Ureteral Stones

NCT ID: NCT00151567

Last Updated: 2012-12-04

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

Clinical Phase

PHASE3

Total Enrollment

129 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-02-28

Study Completion Date

2006-12-31

Brief Summary

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Ureteral stones have an important place in daily urological practice, usually causing acute episodes of ureteral colic by obstructing the urinary tract. The aim of the study is to evaluate whether repeated administration of tamsulosin, a drug routinely used in the treatment of lower urinary tract symptoms, could lower the delay of elimination of the stone in patients with pelvis ureterolithiasis.

Detailed Description

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Ureteral colic, mainly due to ureterolithiasis, represents 1 to 2% of hospital emergency admissions. When a surgical intervention is not required, usual treatment combines hydration and anti-inflammatory drugs.

Alpha1-blockers, firstly developed as anti-hypertensive drugs, are now also used in the management of benign prostatic hyperplasia, due to their relaxing properties on the urinary tract. The aim of the study is to investigate whether tamsulosin could lower the delay of elimination of the stone in patients with pelvis ureterolithiasis. Patients are randomized to receive either tamsulosin or a placebo in addition to usual treatment until stone elimination. Efficacy is assessed by evaluating the time to spontaneous passage of the stone between day 1 and day 42, the need for surgery and pain recurrences.

Conditions

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Ureterolithiasis Ureteral Calculi

Keywords

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Ureterolithiasis Alpha1-blocker Lower ureteral stone

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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1

Tamsulosin

Group Type EXPERIMENTAL

Tamsulosin

Intervention Type DRUG

Oral tamsulosin once a day until stone elimination or the end of the follow-up (42 days)

2

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Oral placebo of tamsulosin once a day until stone elimination or the end of the follow-up (42 days)

Interventions

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Tamsulosin

Oral tamsulosin once a day until stone elimination or the end of the follow-up (42 days)

Intervention Type DRUG

Placebo

Oral placebo of tamsulosin once a day until stone elimination or the end of the follow-up (42 days)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adult over 18 years
* Emergency admission for a ureteral colic
* Radio-opaque ureterolithiasis
* Stone of 2 to 7 mm diameter
* Informed written consent

Exclusion Criteria

* Pregnancy or breast-feeding
* Treatment with alpha or beta-blocker
* Contraindication to tamsulosin (orthostatic hypertension, hepatic failure)
* Complication needing surgery
* Calculi spontaneous passage before randomization
* Patient not available for a 6 week follow-up
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ministry of Health, France

OTHER_GOV

Sponsor Role collaborator

Yamanouchi

UNKNOWN

Sponsor Role collaborator

Rennes University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Rennes University Hospital

Principal Investigators

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Francois Guillé, MD

Role: PRINCIPAL_INVESTIGATOR

Rennes University Hospital

Eric Bellissant, MD, PhD

Role: STUDY_CHAIR

Rennes University Hospital

Locations

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Service d'Urologie- Hôpital du Val de Grâce

Paris, , France

Site Status

Service d'Urologie - Hôpital de La Milétrie

Poitiers, , France

Site Status

Hôpital de Redon

Redon, , France

Site Status

Service d'Urologie- Hôpital Robert Debré

Reims, , France

Site Status

Service d'Urologie- Hôpital Pontchaillou

Rennes, , France

Site Status

Service d'Urologie - Hôpital Bretonneau

Tours, , France

Site Status

Countries

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France

References

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Resim S, Ekerbicer H, Ciftci A. Effect of tamsulosin on the number and intensity of ureteral colic in patients with lower ureteral calculus. Int J Urol. 2005 Jul;12(7):615-20. doi: 10.1111/j.1442-2042.2005.01116.x.

Reference Type BACKGROUND
PMID: 16045553 (View on PubMed)

Wilde MI, McTavish D. Tamsulosin. A review of its pharmacological properties and therapeutic potential in the management of symptomatic benign prostatic hyperplasia. Drugs. 1996 Dec;52(6):883-98. doi: 10.2165/00003495-199652060-00012.

Reference Type BACKGROUND
PMID: 8957159 (View on PubMed)

Vincendeau S, Bellissant E, Houlgatte A, Dore B, Bruyere F, Renault A, Mouchel C, Bensalah K, Guille F; Tamsulosin Study Group. Tamsulosin hydrochloride vs placebo for management of distal ureteral stones: a multicentric, randomized, double-blind trial. Arch Intern Med. 2010 Dec 13;170(22):2021-7. doi: 10.1001/archinternmed.2010.447.

Reference Type DERIVED
PMID: 21149761 (View on PubMed)

Other Identifiers

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PHRC/00-01

Identifier Type: OTHER

Identifier Source: secondary_id

CIC0203/004

Identifier Type: -

Identifier Source: secondary_id

AFSSAPS 010751

Identifier Type: -

Identifier Source: org_study_id