The Changes of Urine Growth Factors Level

NCT ID: NCT06282731

Last Updated: 2024-02-28

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

EARLY_PHASE1

Total Enrollment

74 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-05-31

Study Completion Date

2017-04-27

Brief Summary

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The Changes of Urine Growth Factors Level in Patients With Benigh Prostate Hyperplasia after medical treatment.

Detailed Description

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The prevalence of benign prostate hyperplasia, like medical illness such as hypertension, diabetes mellitus and stroke, increase by age. Benign prostate hyperplasia will cause bothersome lower urinary tract symptoms in the middle and aged male. Previous studies have showed that overactive bladder syndrome (urge, frequency, nocturia or urinary incontinence) has been considered as an important factor to predict successful treatment.

Urine nerve growth factor level, brain-derived neurotrophic factor and endothelium vascular growth factor have been proved as a simple and noninvasive biomarker for diagnosing overactive bladder. As a result, investigator will investigate the changes of these growth factors level in patients with benign prostate hyperplasia before and after three and six-months medical treatment. In addition, investigator can understand whether overactive bladder will have effects on successful medical treatment in patients with benign prostate hyperplasia.

Conditions

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Benign Prostatic Hyperplasia

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Study Groups

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urine growth factor

Previous studies have showed that overactive bladder syndrome (urge, frequency, nocturia or urinary incontinence) has been considered as an important factor to predict successful treatment.

Urine nerve growth factor level, brain-derived neurotrophic factor and endothelium vascular growth factor have been proved as a simple and noninvasive biomarker for diagnosing overactive bladder.

Group Type OTHER

Silodosin

Intervention Type DRUG

Indications:Benign prostate hyperplasia

Interventions

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Silodosin

Indications:Benign prostate hyperplasia

Intervention Type DRUG

Other Intervention Names

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Tamsulosin HCl Dutasteride Doxazosin (methanesulfonate) Finasteride

Eligibility Criteria

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Inclusion Criteria

* men with age 50\~80 years old
* IPSS\>12
* maximal flowrate 5\~15ml/sec
* prostate size\>20ml
* urine amount\>150ml
* patient/family can sigh the inform concent

Exclusion Criteria

* prostate cancer or suspected prostate cancer(PSA\>4ng/ml)
* history of prostate surgery
* free of active urinary tract infection in past 6 months
* patient with any other serious disease considered by investigator not in the condition to enter trials
Minimum Eligible Age

50 Years

Maximum Eligible Age

80 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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En Chu Kong Hospital

OTHER

Sponsor Role lead

Responsible Party

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ChungChengWang

Chief of Department of Urology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Cheng Cheng Wang, M.D Ph.D

Role: PRINCIPAL_INVESTIGATOR

Department of urology,En Chu Nong Hospital

Locations

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En Chu Kong Hospital

New Taipei City, , Taiwan

Site Status

Countries

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Taiwan

References

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Abrams P, Kelleher CJ, Kerr LA, Rogers RG. Overactive bladder significantly affects quality of life. Am J Manag Care. 2000 Jul;6(11 Suppl):S580-90.

Reference Type BACKGROUND
PMID: 11183901 (View on PubMed)

De Wachter S, Wyndaele JJ. Frequency-volume charts: a tool to evaluate bladder sensation. Neurourol Urodyn. 2003;22(7):638-42. doi: 10.1002/nau.10160.

Reference Type BACKGROUND
PMID: 14595606 (View on PubMed)

Nixon A, Colman S, Sabounjian L, Sandage B, Schwiderski UE, Staskin DR, Zinner N. A validated patient reported measure of urinary urgency severity in overactive bladder for use in clinical trials. J Urol. 2005 Aug;174(2):604-7. doi: 10.1097/01.ju.0000165461.38088.7b.

Reference Type BACKGROUND
PMID: 16006914 (View on PubMed)

Romanzi LJ, Groutz A, Heritz DM, Blaivas JG. Involuntary detrusor contractions: correlation of urodynamic data to clinical categories. Neurourol Urodyn. 2001;20(3):249-57. doi: 10.1002/nau.1002.

Reference Type BACKGROUND
PMID: 11385691 (View on PubMed)

Apostolidis A, Dasgupta P, Fowler CJ. Proposed mechanism for the efficacy of injected botulinum toxin in the treatment of human detrusor overactivity. Eur Urol. 2006 Apr;49(4):644-50. doi: 10.1016/j.eururo.2005.12.010. Epub 2006 Jan 4.

Reference Type BACKGROUND
PMID: 16426734 (View on PubMed)

Hashim H, Abrams P. Is the bladder a reliable witness for predicting detrusor overactivity? J Urol. 2006 Jan;175(1):191-4; discussion 194-5. doi: 10.1016/S0022-5347(05)00067-4.

Reference Type BACKGROUND
PMID: 16406907 (View on PubMed)

Vizzard MA. Changes in urinary bladder neurotrophic factor mRNA and NGF protein following urinary bladder dysfunction. Exp Neurol. 2000 Jan;161(1):273-84. doi: 10.1006/exnr.1999.7254.

Reference Type BACKGROUND
PMID: 10683293 (View on PubMed)

Yoshimura N. Bladder afferent pathway and spinal cord injury: possible mechanisms inducing hyperreflexia of the urinary bladder. Prog Neurobiol. 1999 Apr;57(6):583-606. doi: 10.1016/s0301-0082(98)00070-7.

Reference Type BACKGROUND
PMID: 10221783 (View on PubMed)

Vizzard MA. Neurochemical plasticity and the role of neurotrophic factors in bladder reflex pathways after spinal cord injury. Prog Brain Res. 2006;152:97-115. doi: 10.1016/S0079-6123(05)52007-7.

Reference Type BACKGROUND
PMID: 16198696 (View on PubMed)

Seki S, Sasaki K, Igawa Y, et al. Detrusor overactivity induced by increased levels of nerve growth factor in bladder afferent pathways in rats. Neurourol Urodyn. 2003;22:375-377.

Reference Type BACKGROUND

Lamb K, Gebhart GF, Bielefeldt K. Increased nerve growth factor expression triggers bladder overactivity. J Pain. 2004 Apr;5(3):150-6. doi: 10.1016/j.jpain.2004.01.001.

Reference Type BACKGROUND
PMID: 15106127 (View on PubMed)

Yoshimura N, Bennett NE, Hayashi Y, Ogawa T, Nishizawa O, Chancellor MB, de Groat WC, Seki S. Bladder overactivity and hyperexcitability of bladder afferent neurons after intrathecal delivery of nerve growth factor in rats. J Neurosci. 2006 Oct 18;26(42):10847-55. doi: 10.1523/JNEUROSCI.3023-06.2006.

Reference Type BACKGROUND
PMID: 17050722 (View on PubMed)

Zvara P, Vizzard MA. Exogenous overexpression of nerve growth factor in the urinary bladder produces bladder overactivity and altered micturition circuitry in the lumbosacral spinal cord. BMC Physiol. 2007 Aug 28;7:9. doi: 10.1186/1472-6793-7-9.

Reference Type BACKGROUND
PMID: 17725832 (View on PubMed)

Seki S, Sasaki K, Fraser MO, Igawa Y, Nishizawa O, Chancellor MB, de Groat WC, Yoshimura N. Immunoneutralization of nerve growth factor in lumbosacral spinal cord reduces bladder hyperreflexia in spinal cord injured rats. J Urol. 2002 Nov;168(5):2269-74. doi: 10.1016/S0022-5347(05)64369-8.

Reference Type BACKGROUND
PMID: 12394773 (View on PubMed)

Seki S, Sasaki K, Igawa Y, Nishizawa O, Chancellor MB, De Groat WC, Yoshimura N. Suppression of detrusor-sphincter dyssynergia by immunoneutralization of nerve growth factor in lumbosacral spinal cord in spinal cord injured rats. J Urol. 2004 Jan;171(1):478-82. doi: 10.1097/01.ju.0000088340.26588.74.

Reference Type BACKGROUND
PMID: 14665959 (View on PubMed)

Cheng CL, Liu JC, Chang SY, Ma CP, de Groat WC. Effect of capsaicin on the micturition reflex in normal and chronic spinal cord-injured cats. Am J Physiol. 1999 Sep;277(3):R786-94. doi: 10.1152/ajpregu.1999.277.3.R786.

Reference Type BACKGROUND
PMID: 10484496 (View on PubMed)

Weaver LC, Marsh DR, Gris D, Brown A, Dekaban GA. Autonomic dysreflexia after spinal cord injury: central mechanisms and strategies for prevention. Prog Brain Res. 2006;152:245-63. doi: 10.1016/S0079-6123(05)52016-8.

Reference Type BACKGROUND
PMID: 16198705 (View on PubMed)

Steers WD, Kolbeck S, Creedon D, Tuttle JB. Nerve growth factor in the urinary bladder of the adult regulates neuronal form and function. J Clin Invest. 1991 Nov;88(5):1709-15. doi: 10.1172/JCI115488.

Reference Type BACKGROUND
PMID: 1939656 (View on PubMed)

Okragly AJ, Niles AL, Saban R, Schmidt D, Hoffman RL, Warner TF, Moon TD, Uehling DT, Haak-Frendscho M. Elevated tryptase, nerve growth factor, neurotrophin-3 and glial cell line-derived neurotrophic factor levels in the urine of interstitial cystitis and bladder cancer patients. J Urol. 1999 Feb;161(2):438-41; discussion 441-2.

Reference Type BACKGROUND
PMID: 9915421 (View on PubMed)

Lowe EM, Anand P, Terenghi G, Williams-Chestnut RE, Sinicropi DV, Osborne JL. Increased nerve growth factor levels in the urinary bladder of women with idiopathic sensory urgency and interstitial cystitis. Br J Urol. 1997 Apr;79(4):572-7. doi: 10.1046/j.1464-410x.1997.00097.x.

Reference Type BACKGROUND
PMID: 9126085 (View on PubMed)

Liu HT, Kuo HC. Intravesical botulinum toxin A injections plus hydrodistension can reduce nerve growth factor production and control bladder pain in interstitial cystitis. Urology. 2007 Sep;70(3):463-8. doi: 10.1016/j.urology.2007.04.038.

Reference Type BACKGROUND
PMID: 17905097 (View on PubMed)

Tuttle JB, Steers WD, Albo M, Nataluk E. Neural input regulates tissue NGF and growth of the adult rat urinary bladder. J Auton Nerv Syst. 1994 Oct;49(2):147-58. doi: 10.1016/0165-1838(94)90134-1.

Reference Type BACKGROUND
PMID: 7806767 (View on PubMed)

Dupont MC, Spitsbergen JM, Kim KB, Tuttle JB, Steers WD. Histological and neurotrophic changes triggered by varying models of bladder inflammation. J Urol. 2001 Sep;166(3):1111-8.

Reference Type BACKGROUND
PMID: 11490308 (View on PubMed)

Birder LA, Wolf-Johnston A, Griffiths D, Resnick NM. Role of urothelial nerve growth factor in human bladder function. Neurourol Urodyn. 2007;26(3):405-9. doi: 10.1002/nau.20372.

Reference Type BACKGROUND
PMID: 17266135 (View on PubMed)

Lommatzsch M, Braun A, Mannsfeldt A, Botchkarev VA, Botchkareva NV, Paus R, Fischer A, Lewin GR, Renz H. Abundant production of brain-derived neurotrophic factor by adult visceral epithelia. Implications for paracrine and target-derived Neurotrophic functions. Am J Pathol. 1999 Oct;155(4):1183-93. doi: 10.1016/S0002-9440(10)65221-2.

Reference Type BACKGROUND
PMID: 10514401 (View on PubMed)

Kim JC, Park EY, Seo SI, Park YH, Hwang TK. Nerve growth factor and prostaglandins in the urine of female patients with overactive bladder. J Urol. 2006 May;175(5):1773-6; discussion 1776. doi: 10.1016/S0022-5347(05)00992-4.

Reference Type BACKGROUND
PMID: 16600756 (View on PubMed)

Yokoyama T, Kumon H, Nagai A. Correlation of urinary nerve growth factor level with pathogenesis of overactive bladder. Neurourol Urodyn. 2008;27(5):417-20. doi: 10.1002/nau.20519.

Reference Type BACKGROUND
PMID: 17924444 (View on PubMed)

Apostolidis A, Popat R, Yiangou Y, Cockayne D, Ford AP, Davis JB, Dasgupta P, Fowler CJ, Anand P. Decreased sensory receptors P2X3 and TRPV1 in suburothelial nerve fibers following intradetrusor injections of botulinum toxin for human detrusor overactivity. J Urol. 2005 Sep;174(3):977-82; discussion 982-3. doi: 10.1097/01.ju.0000169481.42259.54.

Reference Type BACKGROUND
PMID: 16094018 (View on PubMed)

Liu HT, Kuo HC. Urinary nerve growth factor level could be a potential biomarker for diagnosis of overactive bladder. J Urol. 2008 Jun;179(6):2270-4. doi: 10.1016/j.juro.2008.01.146. Epub 2008 Apr 18.

Reference Type BACKGROUND
PMID: 18423678 (View on PubMed)

Steers WD, Tuttle JB. Mechanisms of Disease: the role of nerve growth factor in the pathophysiology of bladder disorders. Nat Clin Pract Urol. 2006 Feb;3(2):101-10. doi: 10.1038/ncpuro0408.

Reference Type BACKGROUND
PMID: 16470209 (View on PubMed)

Abrams PH. Detrusor instability and bladder outlet obstruction. Neurourol Urodyn. 1985;4:317-324.

Reference Type BACKGROUND

Hyman MJ, Groutz A, Blaivas JG. Detrusor instability in men: correlation of lower urinary tract symptoms with urodynamic findings. J Urol. 2001 Aug;166(2):550-2; discussion 553. doi: 10.1016/s0022-5347(05)65982-4.

Reference Type BACKGROUND
PMID: 11458066 (View on PubMed)

Nitti VW, Kim Y, Combs AJ. Voiding dysfunction following transurethral resection of the prostate: symptoms and urodynamic findings. J Urol. 1997 Feb;157(2):600-3.

Reference Type BACKGROUND
PMID: 8996367 (View on PubMed)

Digesu GA, Khullar V, Cardozo L, Salvatore S. Overactive bladder symptoms: do we need urodynamics? Neurourol Urodyn. 2003;22(2):105-8. doi: 10.1002/nau.10099.

Reference Type BACKGROUND
PMID: 12579626 (View on PubMed)

Liu HT, Kuo HC. Urinary nerve growth factor levels are increased in patients with bladder outlet obstruction with overactive bladder symptoms and reduced after successful medical treatment. Urology. 2008 Jul;72(1):104-8; discussion 108. doi: 10.1016/j.urology.2008.01.069. Epub 2008 Apr 8.

Reference Type BACKGROUND
PMID: 18400272 (View on PubMed)

Reitz A, Stohrer M, Kramer G, Del Popolo G, Chartier-Kastler E, Pannek J, Burgdorfer H, Gocking K, Madersbacher H, Schumacher S, Richter R, von Tobel J, Schurch B. European experience of 200 cases treated with botulinum-A toxin injections into the detrusor muscle for urinary incontinence due to neurogenic detrusor overactivity. Eur Urol. 2004 Apr;45(4):510-5. doi: 10.1016/j.eururo.2003.12.004.

Reference Type BACKGROUND
PMID: 15041117 (View on PubMed)

Kuo HC. Clinical effects of suburothelial injection of botulinum A toxin on patients with nonneurogenic detrusor overactivity refractory to anticholinergics. Urology. 2005 Jul;66(1):94-8. doi: 10.1016/j.urology.2005.02.002.

Reference Type BACKGROUND
PMID: 15992869 (View on PubMed)

Popat R, Apostolidis A, Kalsi V, Gonzales G, Fowler CJ, Dasgupta P. A comparison between the response of patients with idiopathic detrusor overactivity and neurogenic detrusor overactivity to the first intradetrusor injection of botulinum-A toxin. J Urol. 2005 Sep;174(3):984-9. doi: 10.1097/01.ju.0000169480.43557.31.

Reference Type BACKGROUND
PMID: 16094019 (View on PubMed)

Werner M, Schmid DM, Schussler B. Efficacy of botulinum-A toxin in the treatment of detrusor overactivity incontinence: a prospective nonrandomized study. Am J Obstet Gynecol. 2005 May;192(5):1735-40. doi: 10.1016/j.ajog.2004.11.052.

Reference Type BACKGROUND
PMID: 15902187 (View on PubMed)

Schmid DM, Sauermann P, Werner M, Schuessler B, Blick N, Muentener M, Strebel RT, Perucchini D, Scheiner D, Schaer G, John H, Reitz A, Hauri D, Schurch B. Experience with 100 cases treated with botulinum-A toxin injections in the detrusor muscle for idiopathic overactive bladder syndrome refractory to anticholinergics. J Urol. 2006 Jul;176(1):177-85. doi: 10.1016/S0022-5347(06)00590-8.

Reference Type BACKGROUND
PMID: 16753396 (View on PubMed)

Giannantoni A, Di Stasi SM, Nardicchi V, Zucchi A, Macchioni L, Bini V, Goracci G, Porena M. Botulinum-A toxin injections into the detrusor muscle decrease nerve growth factor bladder tissue levels in patients with neurogenic detrusor overactivity. J Urol. 2006 Jun;175(6):2341-4. doi: 10.1016/S0022-5347(06)00258-8.

Reference Type BACKGROUND
PMID: 16697870 (View on PubMed)

Patel AK, Patterson JM, Chapple CR. Botulinum toxin injections for neurogenic and idiopathic detrusor overactivity: A critical analysis of results. Eur Urol. 2006 Oct;50(4):684-709; discussion 709-10. doi: 10.1016/j.eururo.2006.07.022. Epub 2006 Aug 4.

Reference Type BACKGROUND
PMID: 16934391 (View on PubMed)

Kuo HC. Urodynamic evidence of effectiveness of botulinum A toxin injection in treatment of detrusor overactivity refractory to anticholinergic agents. Urology. 2004 May;63(5):868-72. doi: 10.1016/j.urology.2003.12.007.

Reference Type BACKGROUND
PMID: 15134967 (View on PubMed)

Steers WD. Pathophysiology of overactive bladder and urge urinary incontinence. Rev Urol. 2002;4 Suppl 4(Suppl 4):S7-S18.

Reference Type BACKGROUND
PMID: 16986023 (View on PubMed)

Liu HT, Chancellor MB, Kuo HC. Urinary nerve growth factor levels are elevated in patients with detrusor overactivity and decreased in responders to detrusor botulinum toxin-A injection. Eur Urol. 2009 Oct;56(4):700-6. doi: 10.1016/j.eururo.2008.04.037. Epub 2008 Apr 30.

Reference Type BACKGROUND
PMID: 18472208 (View on PubMed)

Coyne KS, Zhou Z, Thompson C, Versi E. The impact on health-related quality of life of stress, urge and mixed urinary incontinence. BJU Int. 2003 Nov;92(7):731-5. doi: 10.1046/j.1464-410x.2003.04463.x.

Reference Type BACKGROUND
PMID: 14616456 (View on PubMed)

Segal JL, Vassallo B, Kleeman S, Silva WA, Karram MM. Prevalence of persistent and de novo overactive bladder symptoms after the tension-free vaginal tape. Obstet Gynecol. 2004 Dec;104(6):1263-9. doi: 10.1097/01.AOG.0000147596.44421.72.

Reference Type BACKGROUND
PMID: 15572487 (View on PubMed)

Doo CK, Hong B, Chung BJ, Kim JY, Jung HC, Lee KS, Choo MS. Five-year outcomes of the tension-free vaginal tape procedure for treatment of female stress urinary incontinence. Eur Urol. 2006 Aug;50(2):333-8. doi: 10.1016/j.eururo.2006.04.007. Epub 2006 May 2.

Reference Type BACKGROUND
PMID: 16713066 (View on PubMed)

Duckett JR, Basu M. The predictive value of preoperative pressure-flow studies in the resolution of detrusor overactivity and overactive bladder after tension-free vaginal tape insertion. BJU Int. 2007 Jun;99(6):1439-42. doi: 10.1111/j.1464-410X.2007.06842.x. Epub 2007 Apr 5.

Reference Type BACKGROUND
PMID: 17419703 (View on PubMed)

Liu HT, Chancellor MB, Kuo HC. Urinary nerve growth factor level could be a biomarker in the differential diagnosis of mixed urinary incontinence in women. BJU Int. 2008 Nov;102(10):1440-4. doi: 10.1111/j.1464-410X.2008.07757.x. Epub 2008 May 16.

Reference Type BACKGROUND
PMID: 18489524 (View on PubMed)

Liu HT, Chancellor MB, Kuo HC. Decrease of urinary nerve growth factor levels after antimuscarinic therapy in patients with overactive bladder. BJU Int. 2009 Jun;103(12):1668-72. doi: 10.1111/j.1464-410X.2009.08380.x. Epub 2009 Feb 11.

Reference Type BACKGROUND
PMID: 19220267 (View on PubMed)

Other Identifiers

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ECKIRB1020407

Identifier Type: -

Identifier Source: org_study_id

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