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Status unknownNCT01736033ABSOLUTEUpdated May 14, 2014

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

A Phase 4 interventional study of Tamsulosin and Finasteride in Benign Prostate Hyperplasia, sponsored by Seoul National University Hospital. Status unknown at 11 sites in South Korea. Open to male participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2014-05-14.

Sponsored by Seoul National University Hospital · Phase 4, Interventional, and Treatment

The sponsor has not verified this record recently (last verified May 2014), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
545
Allocation
Randomized
Ages
50 Years and older
Sex
Male
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Study summary

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.

Read the detailed description

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.

02

Conditions studied

  • Benign Prostate Hyperplasia

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Keywords

  • Lower Urinary Tracts Symptoms
  • 5 alpha reductase inhibitor
  • Proscar
  • Finasteride
  • alpha blocker
  • Tamsulosin
  • Harnal D
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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 545 is above the median of 96 across 610 interventional studies indexed under Prostatic Hyperplasia.

Browse Prostatic Hyperplasia studies →

Lead sponsor

Seoul National University Hospital is the lead sponsor of 1,897 studies on the registry; 273 are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 2 (17%) have results posted.

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

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Who can participate

Ages eligible
50 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No

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 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

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
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
545 participants (actual)

Study arms

  • Placebo comparator
    Tamsulosin + Placebo

    Tamsulosin 0.2mg + Placebo 5 mg daily until clinical progression

    Drug: Tamsulosin · Drug: Placebo

  • Active comparator
    Tamsulosin + Finasteride

    Tamsulosin 0.2mg + Finasteride 5 mg daily until clinical progression

    Drug: Tamsulosin · Drug: Finasteride

Interventions

  • 1 tablet(0.2mg) orally q.d.

    Also known as: Harnal D (brand name in Asia), Flomax

  • 1 tablet(5mg) orally q.d.

    Also known as: Proscar

  • DrugPlacebo

    1 tablet(0.2mg) orally q.d.

06

What researchers measure

Primary outcomes

  1. Clinical Progression

    One of below * Deterioration of the symptoms * Acute urinary retention * Renal failure * Recurrent urinary tract infection * Urinary incontinence * Surgical procedure related to benign prostate hyperplasia

    Time frame: 1 & 2 months after baseline, and then every 3 months up to 4 years

Secondary outcomes

  1. International Prostate Symptom Score(IPSS)

    Time frame: 1 & 2 months after baseline, and then every 3 months up to 4 years

  2. International Consultation on Incontinence Modular Questionnaire(ICIQ) male LUTS-short form

    Time frame: every 6 months up to 4 years

  3. Uroflowmetry

    including Qmax, voided volume and post-void residual volume(PVR)

    Time frame: every 6 months up to 4 years

  4. Prostate volume

    Time frame: every 1 year up to 4 years

  5. Global Response Assessment(GRA)

    Time frame: every 1 year up to 4 years

  6. PSA level

    PSA level will be examined in the central laboratory and be reported to each center as an adjusted number. It is because PSA level tends to decrease to 50% of baseline after taking finasteride for 1\~4 years, so there is possibilities that the blindedness is broken with the actual result.

    Time frame: every 1 year up to 4 years

  7. Blood Chemistry

    including Sodium, Potassium, Glucose, Urea nitrogen, Creatinine, ASpartate Transaminase(AST), ALanine Transaminase(ALT), Total bilirubin

    Time frame: every 1 year up to 4 years

  8. Adverse Events

    Time frame: every visit up to 4 years

  9. Physical examination

    Digital Rectal Exam, Breast exam

    Time frame: every 1 year up to 4 years

  10. Male Sexual Health Questionnaire

    Time frame: every 6 months up to 4 years

07

Study locations

11 sites
  • Soon Chun Hyang University Hospital Cheonan
    Cheonan, Chungcheongnam-do, South Korea
  • Hallym University Sacred Heart Hospital
    Anyang, Gyeoggi, South Korea
  • Bucheon St. Mary's Hospital
    Bucheon-si, Gyeonggi-do, South Korea
  • Soon Chun Hyang University Hospital Bucheon
    Bucheon-si, Gyeonggi-do, South Korea
  • Seoul National University Bundang Hospital
    Seongnam-si, Gyeonggi-do, South Korea
  • Ajou University Hospital
    Suwon, Gyeonggi-do, South Korea
  • Chonnam National University Hwasun Hospital
    Hwasun, Jeollanam-do, South Korea
  • Chungbuk National University Hospital
    Cheongju-si, North Chungcheong, South Korea
  • Pusan National University Hospital
    Busan, South Korea
  • Seoul National University Hospital
    Seoul, 110-744, South Korea
  • Eulji General Hospital
    Seoul, South Korea
08

References and documents

Publications

  • Shapiro E, Lepor H. Pathophysiology of clinical benign prostatic hyperplasia. Urol Clin North Am. 1995 May;22(2):285-90. PubMed 7539174 ↗
  • 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. PubMed 1714529 ↗
  • 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. PubMed 7532234 ↗
  • 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.
  • 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.
  • 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. PubMed 2462301 ↗
  • 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. PubMed 9117115 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 14, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01736033
Collaborators
Astellas Pharma Korea, Inc., Medical Research Collaborating Center, Seoul, Korea
Responsible party
Soo Woong Kim, MD (Principal Investigator, Seoul National University Hospital) — Principal investigator
First posted
Nov 29, 2012
Start date
Feb 2012
Primary completion
Feb 2017 (estimated)
Completion
Jun 2017 (estimated)
Last update
May 14, 2014

Study contacts

Soo Woong Kim, M.D.
principal investigator · Seoul National University Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in May 2014. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Finasteride

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