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CompletedNCT01435954Updated May 16, 2017

Clinical Progression and Costs in Benign Prostatic Hyperplasia Patients Treated With Early Versus Delayed Combination Therapy

An observational study in Benign Prostatic Hyperplasia, sponsored by GlaxoSmithKline. Completed. Open to male participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2017-05-16.

Sponsored by GlaxoSmithKline · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
13,551
Ages
50 Years and older
Sex
Male
01

Study summary

In patients with benign prostatic hyperplasia (BPH), combination therapy with an alpha-blocker (AB) and a 5 alpha-reductase inhibitor (5ARI) has been shown to reduce the progression of acute urinary retention (AUR) and the incidence of prostate surgery, and also provides symptom relief.

The objective of this study is to compare the likelihood of clinical progression (defined as AUR and/or prostate-related surgery) and costs in BPH patients who were treated with delayed combination therapy to BPH patients who were treated with early combination therapy using data from a United States (US) healthcare claims database. The hypothesis of this study is that patients who are prescribed combination therapy early in their BPH treatment will experience better clinical outcomes and lower healthcare costs compared with patients treated with delayed combination therapy. The null hypothesis is that no difference will be observed in outcomes or direct medical costs for patients treated with early combination therapy and patients treated with delayed combination therapy.

The US healthcare claims database includes data from patients with Medicare Advantage as well as private health plan coverage including the Impact health plan. About 14 million people were covered by this set of health plans in 2007 and were geographically diverse across the US. Data from 2000 through 2009 were utilized.

The study is a retrospective cohort analysis.

02

Conditions studied

  • Benign Prostatic Hyperplasia

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Keywords

  • benign prostatic hyperplasia
  • surgery
  • 5-alpha-reductase inhibitor
  • enlarged prostate
  • acute urinary retention
03

In context

Prostatic Hyperplasia

803 studies on the registry are indexed under Prostatic Hyperplasia; 174 are open to participants now.

This study's enrollment of 13,551 is above the median of 215 across 169 observational studies indexed under Prostatic Hyperplasia.

Browse Prostatic Hyperplasia studies →

Lead sponsor

GlaxoSmithKline is the lead sponsor of 3,647 studies on the registry; 118 are open to participants now.

Of its 264 completed or terminated interventional studies of FDA-regulated products, 239 (91%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
50 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Insured male patients, aged 50 and older, with a diagnosis of benign prostatic hyperplasia (BPH) as identified by International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9) codes for BPH (ICD-9 = 222.2x or 600.xx)

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.

Inclusion criteria

  • Male
  • Age 50 or older at the index date (the date of the first filled prescription for an AB or 5ARI during the enrollment period)
  • At least one claim with an ICD-9 diagnosis code for BPH (222.2 or 600.xx) in any position and at least one pharmacy claim for an AB (alfuzosin, doxazosin, tamsulosin, or terazosin) or at least one fill for a 5ARI (dutasteride or finasteride) (with or without a diagnosis for BPH)
  • Continuous enrollment with medical and pharmacy benefits for 6 months prior to the index date (i.e., baseline period) and 12 months after the index date (follow-up period)

Exclusion criteria

Exclusion Criteria:

  • At least one pharmacy claim for an AB (alfuzosin, doxazosin, tamsulosin, or terazosin) any time during the pre-index period prior to the index date
  • At least one fill for a 5ARI (dutasteride or finasteride) any time during the pre-index period prior to the index date
  • A diagnosis code for prostate cancer (ICD-9 = 185, 198.82, 233.4, 236.5, 239.5, V10.46) or bladder cancer (ICD-9 =188, 198.1, 223.3, 233.7, 239.4, V10.51) in any position during the pre-index or follow-up period
  • A pharmacy claim for finasteride 1 mg tablets (i.e., treatment of male-pattern baldness) during the pre-index or follow-up period
  • Prostate surgery anytime during the pre-index period or 5 months after the index date
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
13,551 participants (actual)

Groups and cohorts

  • Patients with Benign Prostatic Hyperplasia (BPH)

    Insured male patients age 50 or older with BPH but no evidence of acute urinary retention (AUR) or prostate surgery at the index date

    Drug: Early combination therapy · Drug: Delayed combination therapy

Interventions

  • DrugEarly combination therapy

    If index drug was an alpha-blocker (AB) (alfuzosin, doxazosin, tamsulosin, or terazosin), a pharmacy claims for a 5-alpha reductase inhibitor (5ARI) (dutasteride, finasteride) on or within 30 days after the index date or if index drug was 5ARI, fill for an AB on or within 30 days after the index date

    Also known as: Flomax® is a registered trademark of Astellas Pharma, Rapaflo® is a registered trademark of Watson Pharmaceuticals, Inc, Proscar® is a registered trademark of Merck, Uroxatral® is a registered trademark of Sanofi-Aventis, Cardura® is a registered trademark of Pfizer Inc, Avodart® is a registered trademark of GlaxoSmithKline, Hytrin® is a registered trademark of Abbott Laboratories

  • DrugDelayed combination therapy

    If index drug was an AB (alfuzosin, doxazosin, tamsulosin, or terazosin), a pharmacy claim for a 5ARI (dutasteride, finasteride) more than 30 days but less than or equal to 180 days of the index date

    Also known as: Cardura® is a registered trademark of Pfizer Inc, Proscar® is a registered trademark of Merck, Hytrin® is a registered trademark of Abbott Laboratories, Uroxatral® is a registered trademark of Sanofi-Aventis, Avodart® is a registered trademark of GlaxoSmithKline, Rapaflo® is a registered trademark of Watson Pharmaceuticals, Inc, Flomax® is a registered trademark of Astellas Pharma

06

What researchers measure

Primary outcomes

  1. Number of participants with a code that indicates clinical progression

    The number of participants who experience clinical progresion (BPH-surgery or AUR) based on treatment or diagnosis codes and compared between participant records of BPH patients treated with early combination therapy compared with delayed combination therapy

    Time frame: Data collected over a 9-year time period from 2000 to 2009.

Secondary outcomes

  1. Mean BPH-related medical costs

    The mean cost of medical treatment related to BPH in US dollars for records of patients who were treated with early combination therapy and those treated with delayed combination therapy

    Time frame: Data collected over a 9-year time period from 2000 to 2009

07

Study locations

No study locations are listed for this record.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 16, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01435954
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
Sep 19, 2011
Start date
Aug 2010
Primary completion
Mar 2011
Completion
Mar 2011
Last update
May 16, 2017

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2017. You cannot join it, but the record below documents what was studied.

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