Advanced Benefits of Alpha-blocker Monotherapy on Lower Urinary Tracts Symptoms(LUTS) Patients

NCT ID: NCT01736033

Last Updated: 2014-05-14

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

545 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-02-29

Study Completion Date

2017-06-30

Brief Summary

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The purpose of this study is to evaluate the clinical efficacy of alpha-blocker monotherapy and alpha-blocker + 5-alpha reductase inhibitor combination therapy in benign prostate hyperplasia patients, and suggest guidelines of the combination therapy.

Detailed Description

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Even though it should be decided on patients cautiously under careful consideration about prostate volume, Prostate Specific Antigen(PSA) level, symptom score and maximum uroflow, recently the combination therapy of alpha-blocker and 5-alpha reductase inhibitor has been tried imprudently in Korea.

As a result of several clinical trials which had conducted overseas for releasing the combination drug of alpha-blocker and 5-alpha reductase inhibitor, the superiority of the combination therapy has been proved, however, plenty of patients still don't derive additional profit from it.

Therefore, in this study, the investigators anticipate to meet with meaningful results on the clinical efficacy of alpha-blocker monotherapy and alpha-blocker + 5-alpha reductase inhibitor combination therapy in Korean benign prostate hyperplasia patients, and provide guidelines of the combination therapy.

Conditions

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Benign Prostate Hyperplasia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Tamsulosin + Placebo

Tamsulosin 0.2mg + Placebo 5 mg daily until clinical progression

Group Type PLACEBO_COMPARATOR

Tamsulosin

Intervention Type DRUG

1 tablet(0.2mg) orally q.d.

Placebo

Intervention Type DRUG

1 tablet(0.2mg) orally q.d.

Tamsulosin + Finasteride

Tamsulosin 0.2mg + Finasteride 5 mg daily until clinical progression

Group Type ACTIVE_COMPARATOR

Tamsulosin

Intervention Type DRUG

1 tablet(0.2mg) orally q.d.

Finasteride

Intervention Type DRUG

1 tablet(5mg) orally q.d.

Interventions

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Tamsulosin

1 tablet(0.2mg) orally q.d.

Intervention Type DRUG

Finasteride

1 tablet(5mg) orally q.d.

Intervention Type DRUG

Placebo

1 tablet(0.2mg) orally q.d.

Intervention Type DRUG

Other Intervention Names

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Harnal D (brand name in Asia) Flomax Proscar

Eligibility Criteria

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Inclusion Criteria

* Male patients aged over 50
* Clinically diagnosed benign prostate hyperplasia(BPH)
* 8 ≤ IPSS ≤ 30
* 4 ml/sec ≤ Q max ≤ 15 ml/sec
* minimum voided volume ≥ 125 ml
* Post voided residual volume ≤ 250
* Volunteer who singed on informed consent documents

Exclusion Criteria

* Past history of surgical procedure experience related to BPH
* Past history of taking 5-alpha reductase inhibitor(5-ARI) within 6 months before screening, or for more than 12 months regardless of the point of time
* Past history of taking alpha blocker within 2 weeks before screening
* Past history of acute urinary retention within 3 months before screening
* Serum PSA ≥ 10 ng/ml (but, in the case of 4 ng/ml ≤ PSA \< 10 ng/ml, the patients can be included only if prostate cancer is excluded by prostate biopsy)
* Anatomical abnormalities of lower urinary tracts(urethrostenosis, diverticulosis, bladder neck contracture)
* Clinical status that affects voiding other than BPH(neurogenic bladder, Chronic Prostatitis/Chronic Pelvic Pain Syndrome, urinary infection, etc.)
* Unstable and significant medical condition including below

* Unstable angina pectoris, myocardial infarction, cerebrovascular disease within 6 months before screening
* Past history of malignant tumor including skin basal cell carcinoma within 5 years before screening
* Medically uncontrollable diabetes mellitus, peptic ulcer disease
* Severe hepatic diseases
* Past history of renal failure or renal disease (serum creatinine \> 1.4mg/dl)
* Condition expected serious adverse event due to the investigational drug
* Other conditions considered not eligible for the trial upon investigator's judgement
Minimum Eligible Age

50 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Astellas Pharma Korea, Inc.

INDUSTRY

Sponsor Role collaborator

Medical Research Collaborating Center, Seoul, Korea

OTHER

Sponsor Role collaborator

Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Soo Woong Kim, MD

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Soo Woong Kim, M.D.

Role: PRINCIPAL_INVESTIGATOR

Seoul National University Hospital

Locations

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Soon Chun Hyang University Hospital Cheonan

Cheonan, Chungcheongnam-do, South Korea

Site Status

Hallym University Sacred Heart Hospital

Anyang, Gyeoggi, South Korea

Site Status

Bucheon St. Mary's Hospital

Bucheon-si, Gyeonggi-do, South Korea

Site Status

Soon Chun Hyang University Hospital Bucheon

Bucheon-si, Gyeonggi-do, South Korea

Site Status

Seoul National University Bundang Hospital

Seongnam-si, Gyeonggi-do, South Korea

Site Status

Ajou University Hospital

Suwon, Gyeonggi-do, South Korea

Site Status

Chonnam National University Hwasun Hospital

Hwasun, Jeollanam-do, South Korea

Site Status

Chungbuk National University Hospital

Cheongju-si, North Chungcheong, South Korea

Site Status

Pusan National University Hospital

Busan, , South Korea

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Eulji General Hospital

Seoul, , South Korea

Site Status

Countries

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South Korea

References

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Shapiro E, Lepor H. Pathophysiology of clinical benign prostatic hyperplasia. Urol Clin North Am. 1995 May;22(2):285-90.

Reference Type BACKGROUND
PMID: 7539174 (View on PubMed)

Garraway WM, Collins GN, Lee RJ. High prevalence of benign prostatic hypertrophy in the community. Lancet. 1991 Aug 24;338(8765):469-71. doi: 10.1016/0140-6736(91)90543-x.

Reference Type BACKGROUND
PMID: 1714529 (View on PubMed)

Bosch JL, Kranse R, van Mastrigt R, Schroder FH. Reasons for the weak correlation between prostate volume and urethral resistance parameters in patients with prostatism. J Urol. 1995 Mar;153(3 Pt 1):689-93. doi: 10.1097/00005392-199503000-00039.

Reference Type BACKGROUND
PMID: 7532234 (View on PubMed)

Chung TG, Chung J, Lee MS, Ahn H. Prevalence of benign prostatic hyperplasia in Jeong-Eup Area: community-based study. Korean J Urol 1999;40:52-8.

Reference Type BACKGROUND

The prevalence of benign prostatic hyperplasia in elderly men in Korea: a community-based study. Park HK, Park H, Cho S, Bae J, Jeong S, Hong SK, et al. Korean J Urol 2009;50:843-7.

Reference Type BACKGROUND

Lepor H, Gup DI, Baumann M, Shapiro E. Laboratory assessment of terazosin and alpha-1 blockade in prostatic hyperplasia. Urology. 1988 Dec;32(6 Suppl):21-6.

Reference Type BACKGROUND
PMID: 2462301 (View on PubMed)

Noble AJ, Chess-Williams R, Couldwell C, Furukawa K, Uchyiuma T, Korstanje C, Chapple CR. The effects of tamsulosin, a high affinity antagonist at functional alpha 1A- and alpha 1D-adrenoceptor subtypes. Br J Pharmacol. 1997 Jan;120(2):231-8. doi: 10.1038/sj.bjp.0700907.

Reference Type BACKGROUND
PMID: 9117115 (View on PubMed)

Other Identifiers

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TMS1011

Identifier Type: -

Identifier Source: org_study_id

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