The Clinical Efficacy of Non-steroidal Anti-inflammation Drugs in Patients With Benign Prostatic Hyperplasia

NCT ID: NCT00687388

Last Updated: 2013-06-10

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

WITHDRAWN

Clinical Phase

PHASE4

Study Classification

INTERVENTIONAL

Study Start Date

2008-05-31

Brief Summary

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Non-steroidal Anti-inflammation Drugs can effectively reduce the lower urinary tract symptoms from benign prostatic hyperplasia

Detailed Description

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Conditions

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Benign Prostatic Hyperplasia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Alpha-blocker

Alpha-blocker only

Group Type ACTIVE_COMPARATOR

selective alpha 1-blockers

Intervention Type DRUG

Continued medication that the patient had before the enrollment of this study (tamsulosin 0.2mg, alfuzosin 10mg, doxazosin 4, 8mg, or terazosin 2-10mg daily for 8 weeks)

NSAID

NSAID only

Group Type ACTIVE_COMPARATOR

celecoxib

Intervention Type DRUG

200mg daily for 8 weeks

alpha-blocker and NSAID

Combination treatment of alpha-blocker and NSAID

Group Type EXPERIMENTAL

alpha-blocker and NSAID

Intervention Type DRUG

amsulosin 0.2mg, alfuzosin 10mg, doxazosin 4, 8mg, or terazosin 2-10mg daily for 8 weeks and celecoxib 200mg daily for 8 weeks

Interventions

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selective alpha 1-blockers

Continued medication that the patient had before the enrollment of this study (tamsulosin 0.2mg, alfuzosin 10mg, doxazosin 4, 8mg, or terazosin 2-10mg daily for 8 weeks)

Intervention Type DRUG

celecoxib

200mg daily for 8 weeks

Intervention Type DRUG

alpha-blocker and NSAID

amsulosin 0.2mg, alfuzosin 10mg, doxazosin 4, 8mg, or terazosin 2-10mg daily for 8 weeks and celecoxib 200mg daily for 8 weeks

Intervention Type DRUG

Other Intervention Names

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tamsulosin alfuzosin doxazosin terazosin tamsulosin and celecoxib alfuzosin and celecoxib doxazosin and celecoxib terazosin and celecoxib

Eligibility Criteria

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Inclusion Criteria

* Who had the treatment of BPH with alpha-1 blockers for more than 3 months
* Who have the IPSS(International Prostatic Symptom Score) \>= 15
* Who have the maximum flow rate(Qmax) \< 15 with voided volume \> 150mL
* Who have the PPBC(patient's perception of bladder condition) \>= 3 (The PPBC was assessed by the use of a six point ordered categorical scale(1-6 point). The higher score means the higher bother)
* Who had the PSA level \< 4 ng/mL within 6 months (But, the patient who are revealed not to have prostate cancer by prostate biopsy can be included even if he had PSA level of 4-10 ng/mL)
* Who underwent the transrectal ultrasound of prostate within 6 months
* Who can understand this study and can give the informed consent

Exclusion Criteria

* Who had regular intake of 5-alpha reductase inhibitor or NSAID within 6 months before screening
* Who have peptic ulcer and/or asthma
* Who have urologic malignancies such as prostate cancer and bladder cancer
* Who have urethral strictures, large bladder diverticuli, and bladder neck contractures
* Who had surgical treatment for BPH
* Who have histories of bladder and/or urethra
* Who have serum PSA level more than 10 ng/ml
* Who have histories of orthostatic hypotension
* Who have serum creatinine level more than 2.0 mg/dl
* Who have serum ALT and/or AST level more than 1.5 times of normal upper limit
* Who have heart failure
* Who have histories of bacterial prostatitis within 1 year
* Who have histories of active urinary tract infection within 1 month
* Who have histories of the biopsy of bladder and prostate within 1 month
* Who are unable to void
* Who use pads because of incontinences
* Who have hypersensitivities for alpha blockers that include quinazoline, NSAID, aspirin, sulfonamide
* Who have histories of unstable angina, myocardial infarction, and cerebrovascular accident within 6 months
* Who have neurogenic bladder due to multiple sclerosis, Parkinson's disease, Spinal injuries and etc.
* Who have thinking disturbances
* Who have histories of abuses of alcohol and/or other drugs
* Who seem to be not fit to this study by the decision of investigators
Minimum Eligible Age

50 Years

Maximum Eligible Age

80 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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The Korean Urological Association

OTHER

Sponsor Role collaborator

Samsung Medical Center

OTHER

Sponsor Role lead

Responsible Party

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KYU-SUNG LEE

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kyu-Sung Lee, Ph.D., M.D.

Role: PRINCIPAL_INVESTIGATOR

Samsung Medical Center

Locations

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Severance Hospital

Seoul, , South Korea

Site Status

Samsung Medical Center

Seoul, , South Korea

Site Status

Asan Medical Center

Seoul, , South Korea

Site Status

Countries

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South Korea

References

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Kramer G, Steiner GE, Handisurya A, Stix U, Haitel A, Knerer B, Gessl A, Lee C, Marberger M. Increased expression of lymphocyte-derived cytokines in benign hyperplastic prostate tissue, identification of the producing cell types, and effect of differentially expressed cytokines on stromal cell proliferation. Prostate. 2002 Jun 1;52(1):43-58. doi: 10.1002/pros.10084.

Reference Type BACKGROUND
PMID: 11992619 (View on PubMed)

Untergasser G, Madersbacher S, Berger P. Benign prostatic hyperplasia: age-related tissue-remodeling. Exp Gerontol. 2005 Mar;40(3):121-8. doi: 10.1016/j.exger.2004.12.008. Epub 2005 Jan 22.

Reference Type BACKGROUND
PMID: 15763388 (View on PubMed)

Lee KL, Peehl DM. Molecular and cellular pathogenesis of benign prostatic hyperplasia. J Urol. 2004 Nov;172(5 Pt 1):1784-91. doi: 10.1097/01.ju.0000133655.71782.14.

Reference Type BACKGROUND
PMID: 15540721 (View on PubMed)

Handisurya A, Steiner GE, Stix U, Ecker RC, Pfaffeneder-Mantai S, Langer D, Kramer G, Memaran-Dadgar N, Marberger M. Differential expression of interleukin-15, a pro-inflammatory cytokine and T-cell growth factor, and its receptor in human prostate. Prostate. 2001 Dec 1;49(4):251-62. doi: 10.1002/pros.10020.

Reference Type BACKGROUND
PMID: 11746271 (View on PubMed)

Kakehi Y, Segawa T, Wu XX, Kulkarni P, Dhir R, Getzenberg RH. Down-regulation of macrophage inhibitory cytokine-1/prostate derived factor in benign prostatic hyperplasia. Prostate. 2004 Jun 1;59(4):351-6. doi: 10.1002/pros.10365.

Reference Type BACKGROUND
PMID: 15065082 (View on PubMed)

Steiner GE, Newman ME, Paikl D, Stix U, Memaran-Dagda N, Lee C, Marberger MJ. Expression and function of pro-inflammatory interleukin IL-17 and IL-17 receptor in normal, benign hyperplastic, and malignant prostate. Prostate. 2003 Aug 1;56(3):171-82. doi: 10.1002/pros.10238.

Reference Type BACKGROUND
PMID: 12772186 (View on PubMed)

Wang W, Bergh A, Damber JE. Chronic inflammation in benign prostate hyperplasia is associated with focal upregulation of cyclooxygenase-2, Bcl-2, and cell proliferation in the glandular epithelium. Prostate. 2004 Sep 15;61(1):60-72. doi: 10.1002/pros.20061.

Reference Type BACKGROUND
PMID: 15287094 (View on PubMed)

Kramer G, Marberger M. Could inflammation be a key component in the progression of benign prostatic hyperplasia? Curr Opin Urol. 2006 Jan;16(1):25-9.

Reference Type BACKGROUND
PMID: 16385197 (View on PubMed)

Rohrmann S, De Marzo AM, Smit E, Giovannucci E, Platz EA. Serum C-reactive protein concentration and lower urinary tract symptoms in older men in the Third National Health and Nutrition Examination Survey (NHANES III). Prostate. 2005 Jan 1;62(1):27-33. doi: 10.1002/pros.20110.

Reference Type BACKGROUND
PMID: 15389816 (View on PubMed)

Araki T, Yokoyama T, Kumon H. Effectiveness of a nonsteroidal anti-inflammatory drug for nocturia on patients with benign prostatic hyperplasia: a prospective non-randomized study of loxoprofen sodium 60 mg once daily before sleeping. Acta Med Okayama. 2004 Feb;58(1):45-9. doi: 10.18926/AMO/32115.

Reference Type BACKGROUND
PMID: 15157011 (View on PubMed)

Other Identifiers

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2006-07-084

Identifier Type: -

Identifier Source: org_study_id

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