A Phase 3 interventional study of Alfuzosin and Placebo in Prostatitis, sponsored by National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Completed at 10 sites in 2 countries. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-06-12.
Sponsored by National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) · Phase 3, Interventional, and Treatment
The purpose of this randomized clinical trial is to evaluate the efficacy and safety of the alpha adrenergic blocker Alfuzosin (Uroxatral) in men with relatively new onset of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). Alfuzosin is a once daily (10 mg capsule), FDA approved medication for an indication in benign prostatic hyperplasia (BPH). The effectiveness of alfuzosin in improving lower urinary tract symptoms in patients with BPH has been documented in a number of placebo-controlled studies. A number of small studies have also suggested that alfuzosin ameliorates CP/CPPS symptoms through a similar alpha-blockade mechanism. This study will enable further testing of this hypothesis
The two primary objectives of this study are:
The proportion of "responders" in each treatment arm will be compared to evaluate the overall safety and efficacy of alfuzosin as compared to placebo. Approximately 270 eligible patients, 135 per treatment arm, will be randomized and followed for a period of twelve (12) weeks after randomization.
There will be four research-clinic visits during which data for the primary and secondary outcome measures will be collected: visit 1 involves screening, visit 2 involves collection of baseline data and randomization, visit 3 is the 6-week evaluation, and visit 4 is the 12-week evaluation of the primary end point.
88 studies on the registry are indexed under Prostatitis; 11 are open to participants now.
This study's enrollment of 272 is above the median of 60 across 73 interventional studies indexed under Prostatitis.
Browse Prostatitis studies →National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) is the lead sponsor of 538 studies on the registry; 55 are open to participants now.
Of its 80 completed or terminated interventional studies of FDA-regulated products, 51 (64%) have results posted.
Counted across the registry records on this site, refreshed daily.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.
The study may name a correction formula and a limit in milliseconds, often around 450–480.
CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.
Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.
Informed consent
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
QT and QTc
On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.
The study may name a correction formula and a limit in milliseconds, often around 450–480.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
CYP3A (CYP3A4) inhibitors and inducers
CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.
Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
10 mg of alfuzosin once daily for 12 weeks
Drug: Alfuzosin
10 mg of an identical-looking placebo once daily for 12 weeks
Drug: Placebo
Number of Participants With Decline in Total Score ≥4 for the NIH-CPSI Total Score From Baseline to 12 Weeks
For the National Institutes of Health Chronic Prostatitis Symptom Index (NIHCPSI) total score, higher scores indicate more severe symptoms and scores range from 0 to 43. The primary outcome was a decline of at least 4 from baseline to 12 weeks
Time frame: Baseline and 12 weeks
Global Response Assessment (GRA)
The response rate for the global response assessment was based on marked or moderate improvement at 12 weeks using a 7 point scale (marked worsening, moderate worsening, no change, slight improvement, moderate improvement, marked improvement).
Time frame: 12 weeks
Change in Subscales of the NIH-CPSI
For the National Institutes of Health Chronic Prostatitis Symptom Index (NIHCPSI), higher scores indicate more severe symptoms (for the quality-of-life score, higher scores indicate a more negative effect). Score ranges are as follows: total score, 0 to 43; pain score, 0 to 21; urinary score, 0 to 10, quality-of-life score, 0 to 12; and average pain and urgency scores, 0 to 10.
Time frame: Baseline and12 weeks
Change in Subscales of the McGill Pain Questionnaire
For the McGill Pain Questionnaire, higher scores indicate greater pain. Score ranges are as follows: total score, 0 to 45; sensory score, 0 to 33; affective score, 0 to 12.
Time frame: Baseline and 12 weeks
Change in Medical Outcomes Study Short Form 12
For the Medical Outcomes Study Short Form Health Survey 12 (SF-12), higher scores indicate better quality of life. Score range for both the physical and mental component summaries is 0 to 100.
Time frame: Baseline and 12 weeks
Change in Hospital Anxiety and Depression Scale
For the Hospital Anxiety and Depression Scale, higher scores indicate greater anxiety and depression; range, 0 to 42.
Time frame: Baseline and 12 weeks
Change in International Index of Erectile Dysfunction (IIEF)
For the International Index of Erectile Function, higher scores indicate better sexual function; range, 0 to 75.
Time frame: Baseline and 12 weeks
Change in Male Sexual Health Questionnaire
For the Male Sexual Health Questionnaire, higher scores indicate better function with respect to erection and ejaculation and greater satisfaction with sexual life; range, 0 to 40.
Time frame: Baseline and 12 weeks
| Milestone | Alfuzosin | Placebo |
|---|---|---|
| Started | 138 | 134 |
| Completed | 116 | 117 |
| Not completed | 22 | 17 |
| Withdrew: Adverse event | 3 | 4 |
| Withdrew: Lost to follow-up | 8 | 7 |
| Withdrew: Dissatisfied/no longer interested | 6 | 6 |
| Withdrew: Personal constraints/other | 5 | 0 |
For the National Institutes of Health Chronic Prostatitis Symptom Index (NIHCPSI) total score, higher scores indicate more severe symptoms and scores range from 0 to 43. The primary outcome was a decline of at least 4 from baseline to 12 weeks
| Participants | Alfuzosin | Placebo |
|---|---|---|
| Number of Participants With Decline in Total Score ≥4 for the NIH-CPSI Total Score From Baseline to 12 Weeks | 68 | 66 |
The response rate for the global response assessment was based on marked or moderate improvement at 12 weeks using a 7 point scale (marked worsening, moderate worsening, no change, slight improvement, moderate improvement, marked improvement).
| Participants | Alfuzosin | Placebo |
|---|---|---|
| Marked improvement | 23 | 16 |
| Moderate improvement | 25 | 29 |
| Slight improvement | 26 | 32 |
| No change | 36 | 36 |
| Slight worsening | 6 | 5 |
| Moderate worsening | 2 | 4 |
| Marked worsening | 1 | 1 |
For the National Institutes of Health Chronic Prostatitis Symptom Index (NIHCPSI), higher scores indicate more severe symptoms (for the quality-of-life score, higher scores indicate a more negative effect). Score ranges are as follows: total score, 0 to 43; pain score, 0 to 21; urinary score, 0 to 10, quality-of-life score, 0 to 12; and average pain and urgency scores, 0 to 10.
| units on a scale | Alfuzosin | Placebo |
|---|---|---|
| Total score | -7.1 ± 9.0 | -6.5 ± 8.5 |
| Pain score | -3.3 ± 4.5 | -3.0 ± 4.4 |
| Urinary score | -1.2 ± 2.6 | -1.0 ± 2.6 |
| Quality-of-life score | -1.2 ± 1.5 | -1.2 ± 1.5 |
For the McGill Pain Questionnaire, higher scores indicate greater pain. Score ranges are as follows: total score, 0 to 45; sensory score, 0 to 33; affective score, 0 to 12.
| units on a scale | Alfuzosin | Placebo |
|---|---|---|
| Total score | -3.4 ± 6.4 | -3.1 ± 6.5 |
| Sensory score | -2.5 ± 5.0 | -2.3 ± 4.9 |
| Affective score | -1.0 ± 2.1 | -0.9 ± 2.3 |
For the Medical Outcomes Study Short Form Health Survey 12 (SF-12), higher scores indicate better quality of life. Score range for both the physical and mental component summaries is 0 to 100.
| units on a scale | Alfuzosin | Placebo |
|---|---|---|
| Physical component | 3.0 ± 7.4 | 3.5 ± 8.1 |
| Mental component | 4.0 ± 10.5 | 1.9 ± 10.6 |
For the Hospital Anxiety and Depression Scale, higher scores indicate greater anxiety and depression; range, 0 to 42.
| units on a scale | Alfuzosin | Placebo |
|---|---|---|
| Change in Hospital Anxiety and Depression Scale | -2.6 ± 5.7 | -1.5 ± 5.5 |
For the International Index of Erectile Function, higher scores indicate better sexual function; range, 0 to 75.
| units on a scale | Alfuzosin | Placebo |
|---|---|---|
| Change in International Index of Erectile Dysfunction (IIEF) | 0.5 ± 12.7 | -0.2 ± 14.7 |
For the Male Sexual Health Questionnaire, higher scores indicate better function with respect to erection and ejaculation and greater satisfaction with sexual life; range, 0 to 40.
| units on a scale | Alfuzosin | Placebo |
|---|---|---|
| Change in Male Sexual Health Questionnaire | 1.7 ± 4.5 | 0.6 ± 6.8 |
Collected over 12 weeks. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Alfuzosin | 0/138 (0%) | 1/138 (0.7%) | 40/138 (29%) |
| Placebo | 0/134 (0%) | 2/134 (1.5%) | 46/134 (34.3%) |
| Event | Alfuzosin | Placebo |
|---|---|---|
| Myocardial infarctionCardiac disorders | 0/138 | 1/134 |
| Traumatic head lacerationInvestigations | 0/138 | 1/134 |
| Spontaneous pneumothoraxRespiratory, thoracic and mediastinal disorders | 1/138 | 0/134 |
| Event | Alfuzosin | Placebo |
|---|---|---|
| Pain in any body systemGeneral disorders | 15/138 | 20/134 |
| Gastrointestinal eventsGastrointestinal disorders | 10/138 | 13/134 |
| Neurologic eventsNervous system disorders | 11/138 | 6/134 |
| Constitutional eventsGeneral disorders | 4/138 | 7/134 |
| Age, Continuous(years) | Alfuzosin | Placebo | Total |
|---|---|---|---|
| Mean | 40.1 ± 11.4 | 40.1 ± 12.3 | 40.1 ± 11.8 |
| Sex: Female, Male(Participants) | Alfuzosin | Placebo | Total |
|---|---|---|---|
| Female | 0 | 0 | 0 |
| Male | 138 | 134 | 272 |
| Race (NIH/OMB)(Participants) | Alfuzosin | Placebo | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 13 | 14 | 27 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 20 | 16 | 36 |
| White | 88 | 97 | 185 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 17 | 7 | 24 |
| NIH-CPSI(units on a scale) | Alfuzosin | Placebo | Total |
|---|---|---|---|
| Total score | 23.8 ± 6.3 | 25.1 ± 5.9 | 24.5 ± 6.1 |
| Pain score | 11.1 ± 3.3 | 11.5 ± 3.4 | 11.3 ± 3.4 |
| Urinary score | 4.5 ± 2.8 | 4.9 ± 2.9 | 4.7 ± 2.9 |
| Quality of life score | 4.5 ± 1.1 | 4.7 ± 0.9 | 4.6 ± 1.0 |
| Likert Pain and Urgency Scale(units on the scale) | Alfuzosin | Placebo | Total |
|---|---|---|---|
| Average pain score | 4.9 ± 2.0 | 5.0 ± 1.9 | 5.0 ± 2.0 |
| Urgency score | 4.4 ± 2.6 | 4.7 ± 2.6 | 4.6 ± 2.6 |
| McGill Pain Questionnaire(units on a scale) | Alfuzosin | Placebo | Total |
|---|---|---|---|
| Total score | 11.2 ± 8.6 | 11.6 ± 8.7 | 11.4 ± 8.7 |
| Sensory score | 8.6 ± 5.9 | 8.9 ± 6.2 | 8.8 ± 6.1 |
| Affective score | 2.6 ± 3.3 | 2.6 ± 3.2 | 2.6 ± 3.3 |
| SF-12(units on a scale) | Alfuzosin | Placebo | Total |
|---|---|---|---|
| Physical component summary | 45.5 ± 9.6 | 45.6 ± 8.4 | 45.6 ± 9.0 |
| Mental component summary | 44.0 ± 10.9 | 44.9 ± 10.2 | 44.5 ± 10.6 |
| Hospital Anxiety and Depression Scale(units on a scale) | Alfuzosin | Placebo | Total |
|---|---|---|---|
| Mean | 12.8 ± 7.6 | 12.8 ± 7.1 | 12.8 ± 7.4 |
2 further baseline measures are reported on the registry.
Plan to share: Yes — Data are available at the NIDDK Central Repository: https://repository.niddk.nih.gov/studies/cpcrn2-rct1/?query=CPCRN
Data sharing details ↗ · repository.niddk.nih.gov
The record gives a start of Feb 2005, a primary completion of Jan 2008 and a completion of Jan 2008. It does not say whether these dates are actual or estimated.
Results were first posted in Jun 2020, 12 years 5 months after primary completion.
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This study is completed, as verified in May 2020. You cannot join it, but the record below documents what was studied.
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Studies of the drug tested here: Alfuzosin
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