Evaluating the Impact of Early Versus Delayed 5 Alpha Reductase Inhibitor Treatment on the Risk of Emergent Surgery in Men With Benign Prostatic Hyperplasia

NCT ID: NCT01332487

Last Updated: 2017-06-19

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

4068 participants

Study Classification

OBSERVATIONAL

Study Start Date

2010-08-31

Study Completion Date

2010-08-31

Brief Summary

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This retrospective study aims to assess the impact of early vs delayed 5-alpha-reductase inhibitor (5ARI) therapy in patients with BPH on alpha-blocker (AB) therapy and the risk of acute urinary retention (AUR), prostate-related surgery, and emergency surgery (defined as prostate surgery occurring within 30 days of AUR). The MarketScan database will be utilized for this study (2000-2008).

Detailed Description

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Conditions

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Prostatic Hyperplasia

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Early initiation of 5ARI therapy

Patients starting 5ARI therapy within 30 days of initiating AB therapy

5ARI + AB

Intervention Type DRUG

5ARI: Dutasteride or Finasteride and any AB: Doxazosin, Prazosin, Tamsulosin, Terazosin or Alfuzosin

Delayed initiation of 5ARI therapy

Patients starting 5ARI therapy more than 30 days but less than 6 months from the initiation of AB therapy

5ARI + AB

Intervention Type DRUG

5ARI: Dutasteride or Finasteride and any AB: Doxazosin, Prazosin, Tamsulosin, Terazosin or Alfuzosin

Interventions

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5ARI + AB

5ARI: Dutasteride or Finasteride and any AB: Doxazosin, Prazosin, Tamsulosin, Terazosin or Alfuzosin

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male
* aged 50 years or older
* diagnostic claim for BPH
* prescription claim for an AB and a 5ARI in the observation period (5ARI must occur within a 6-month window after the AB).
* continuously eligible for 6 months prior to and 12 months after index prescription date

Exclusion Criteria

* prostate or bladder cancer during the study period
* any prostate-related surgical procedure within 5 months of the index prescription date
* prescription claim for finasteride 1 mg for male pattern baldness during the study period
* 5ARI therapy prior to initiation of AB therapy
Minimum Eligible Age

50 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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GlaxoSmithKline

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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GSK Clinical Trials

Role: STUDY_DIRECTOR

GlaxoSmithKline

Other Identifiers

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114461

Identifier Type: -

Identifier Source: org_study_id

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