ClinicalTrials.gg
Not yet recruitingNCT04245566EMPATHYUpdated Jan 26, 2021

Prostatic Artery Embolization vs. Pharmacotherapy for LUTS/BPH

A Phase 3 interventional study of Prostatic Artery Embolization (PAE) and Pharmacotherapy in Benign Prostatic Hyperplasia, Pharmacotherapy and Prostatic Artery Embolization, sponsored by Dominik Abt. Not yet recruiting. Open to male participants aged 45 Years to 100 Years. Per ClinicalTrials.gov, last updated 2021-01-26.

Sponsored by Dominik Abt · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2022, 3 years 11 months ago, but the record still lists the study as not yet recruiting.
Phase
Phase 3
Study type
Interventional
Enrollment
425
Allocation
Randomized
Ages
45 Years to 100 Years
Sex
Male
01

Study summary

This study compares safety and efficacy of prostatic artery embolization and pharmacotherapy in the treatment of lower urinary tract symptoms associated wit benign prostatic hyperplasia.

02

Conditions studied

  • Benign Prostatic Hyperplasia
  • Pharmacotherapy
  • Prostatic Artery Embolization
  • Minimally Invasive Treatment

Browse trials for

03

In context

Prostatic Hyperplasia

827 studies on the registry are indexed under Prostatic Hyperplasia; 179 are open to participants now.

This study's planned enrollment of 425 is above the median of 92 across 626 interventional studies indexed under Prostatic Hyperplasia.

Browse Prostatic Hyperplasia studies →

Lead sponsor

Dominik Abt is the lead sponsor of 4 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
45 Years to 100 Years
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

  • men ≥45 years of age
  • lower urinary tract symptoms assigned to BPH (diagnosis by medical history and physical examination)
  • IPSS ≥ 8 points
  • QoL ≥ 3 points
  • Qmax ≤ 15 ml/s with a minimum voided volume ≥ 125 ml
  • for study participation

Exclusion criteria

Exclusion Criteria:

  • renal impairment ( \< 30ml/min)
  • previous prostatic surgery
  • 5-alpha reductase inhibitor (5-ARI) use within 6 mo (or dutasteride within 12 mo) prior to entry, or use of an α-blocker or phytotherapy for BPH within 2 weeks prior to entry
  • history or evidence of prostate cancer
  • absolute indication for surgical treatment of complications related to BPH (i.e. bladder stones, renal impairment due to bladder outlet obstruction)
  • history of neurogenic bladder dysfunction
  • not able to complete questionnaires due to cognitive or thought disorders
  • language skills insufficient for and / or completion of questionnaires
Terms in these criteria, in plain language(2)

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.

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
425 participants (estimated)

Study arms

  • Experimental
    Prostatic Artery Embolization (PAE)

    PAE will be performed as an inpatient or outpatient procedure by interventional radiologists who are familiar with the procedure and according to established techniques. A unilateral femoral sheath is placed in the right common femoral artery under local anaesthesia. The prostatic arterial supply is identified by selective internal iliac arteriography. Prostatic arteries are selectively catheterised and embolised by use of 250-600 μm microspheres . PAE is performed bilaterally if possible and considered successful in the absence of the normal blush of the prostate and stasis of flow in the prostate arteries on angiography after embolisation.

    Procedure: Prostatic Artery Embolization (PAE)

  • Placebo comparator
    Pharmocotherapy

    Pharmacotherapy will be performed using α1-blockers and 5α-reductase inhibitors in accordance with the EAU recommendations. Thus, patients with a prostate size smaller than 40mL will be treated with 0.4 mg tamsulosin once daily, while patients with larger prostates will be treated with 0.4 mg tamsulosin plus 0.5 mg dutasteride once daily during the complete study follow-up.

    Drug: Pharmacotherapy

Interventions

  • ProcedureProstatic Artery Embolization (PAE)

    Prostatic artery embolization will be performed under local anesthesia according to well established and standardized techniques.

  • DrugPharmacotherapy

    Pharmacotherapy will be performed using α1-blockers and 5α-reductase inhibitors in accordance with the EAU recommendations

06

What researchers measure

Primary outcomes

  1. International Prostate Symptoms Score (IPSS)

    The International Prostate Symptoms Score (IPSS) measures the degree of symptoms associated with benign prostatic hyperplasia (BPH). Range of values 0-35 points. Higher values indicate more severe symptoms.

    Time frame: 24 months after treatment initiation

Secondary outcomes

  1. International Prostate Symptoms Score (IPSS)

    The International Prostate Symptoms Score (IPSS) measures the degree of symptoms associated with benign prostatic hyperplasia (BPH). Range of values 0-35 points. Higher values indicate more severe symptoms.

    Time frame: 6 weeks after treatment initiation

  2. International Prostate Symptoms Score (IPSS)

    The International Prostate Symptoms Score (IPSS) measures the degree of symptoms associated with benign prostatic hyperplasia (BPH). Range of values 0-35 points. Higher values indicate more severe symptoms.

    Time frame: 6 months after treatment initiation

  3. International Prostate Symptoms Score (IPSS)

    The International Prostate Symptoms Score (IPSS) measures the degree of symptoms associated with benign prostatic hyperplasia (BPH). Range of values 0-35 points. Higher values indicate more severe symptoms.

    Time frame: 1 year after treatment initiation

  4. International Prostate Symptoms Score (IPSS)

    The International Prostate Symptoms Score (IPSS) measures the degree of symptoms associated with benign prostatic hyperplasia (BPH). Range of values 0-35 points. Higher values indicate more severe symptoms.

    Time frame: 5 year after treatment initiation

  5. Self-assessed goal achievement (SAGA)

    SAGA is a PROM focusing on individual treatment goals SAGA is a patient reported outcome measure focusing on individual treatment goals

    Time frame: 6 weeks after treatment initiation

  6. Self-assessed goal achievement (SAGA)

    SAGA is a PROM focusing on individual treatment goals SAGA is a patient reported outcome measure focusing on individual treatment SAGA is a PROM focusing on individual treatment goals

    Time frame: 6 months after treatment initiation

  7. Self-assessed goal achievement (SAGA)

    SAGA is a PROM focusing on individual treatment goals SAGA is a patient reported outcome measure focusing on individual treatment goals

    Time frame: 1 year after treatment initiation

  8. Self-assessed goal achievement (SAGA)

    SAGA is a PROM focusing on individual treatment goals SAGA is a patient reported outcome measure focusing on individual treatment goals

    Time frame: 2 years after treatment initiation

  9. Self-assessed goal achievement (SAGA)

    SAGA is a PROM focusing on individual treatment goals SAGA is a patient reported outcome measure focusing on individual treatment goals

    Time frame: 5 years after treatment initiation

  10. Maximum urinary stream (Qmax)

    Urinary stream will be measured by free uroflowmetry and recorded in mL per second. Higher values indicate a better maximum urinary stream.

    Time frame: 6 weeks after treatment initiation

  11. Maximum urinary stream (Qmax)

    Urinary stream will be measured by free uroflowmetry and recorded in mL per second. Higher values indicate a better maximum urinary stream.

    Time frame: 6 months after treatment initiation

  12. Maximum urinary stream (Qmax)

    Urinary stream will be measured by free uroflowmetry and recorded in mL per second. Higher values indicate a better maximum urinary stream.

    Time frame: 1 year after treatment initiation

  13. Maximum urinary stream (Qmax)

    Urinary stream will be measured by free uroflowmetry and recorded in mL per second. Higher values indicate a better maximum urinary stream.

    Time frame: 2 years after treatment initiation

  14. Maximum urinary stream (Qmax)

    Urinary stream will be measured by free uroflowmetry and recorded in mL per second. Higher values indicate a better maximum urinary stream.

    Time frame: 5 years after treatment initiation

  15. Post void residual urine (PVR)

    Post void residual is measured after voiding by transabdominal ultrasound and calculated in mL. Higher values indicate more post void residual urine and a worse ability to empty the bladder.

    Time frame: 6 weeks after treatment initiation

  16. Post void residual urine (PVR)

    Post void residual is measured after voiding by transabdominal ultrasound and calculated in mL. Higher values indicate more post void residual urine and a worse ability to empty the bladder.

    Time frame: 6 months after treatment initiation

  17. Post void residual urine (PVR)

    Post void residual is measured after voiding by transabdominal ultrasound and calculated in mL. Higher values indicate more post void residual urine and a worse ability to empty the bladder.

    Time frame: 1 year after treatment initiation

  18. Post void residual urine (PVR)

    Post void residual is measured after voiding by transabdominal ultrasound and calculated in mL. Higher values indicate more post void residual urine and a worse ability to empty the bladder.

    Time frame: 2 years after treatment initiation

  19. Post void residual urine (PVR)

    Post void residual is measured after voiding by transabdominal ultrasound and calculated in mL. Higher values indicate more post void residual urine and a worse ability to empty the bladder.

    Time frame: 5 years after treatment initiation

  20. Prostate volume

    Prostate volume measured by transrectal ultrasound. This examination is only performed at selected food-up visits (i.e. 6mo, 2y, 5y)

    Time frame: 6 moths after treatment initiation

  21. Prostate volume

    Prostate volume measured by transrectal ultrasound. This examination is only performed at selected food-up visits (i.e. 6mo, 2y, 5y)

    Time frame: 2 years after treatment initiation

  22. Prostate volume

    Prostate volume measured by transrectal ultrasound. This examination is only performed at selected food-up visits (i.e. 6mo, 2y, 5y)

    Time frame: 5 years after treatment initiation

  23. Prostate specific antigen (PSA)

    laboratory test

    Time frame: 6 months after treatment initiation

  24. Prostate specific antigen (PSA)

    laboratory test

    Time frame: 1 year after treatment initiation

  25. Prostate specific antigen (PSA)

    laboratory test

    Time frame: 2 years after treatment initiation

  26. Prostate specific antigen (PSA)

    laboratory test

    Time frame: 5 years after treatment initiation

  27. Safety / adverse events

    Number of patients developing adverse events: Classification will be performed according to Clavien-Dindo classification and CTCAE.

    Time frame: 6 weeks after treatment initiation

  28. Safety / adverse events

    Number of patients developing adverse events: Classification will be performed according to Clavien-Dindo classification and CTCAE.

    Time frame: 6 months after treatment initiation

  29. Safety / adverse events

    Number of patients developing adverse events: Classification will be performed according to Clavien-Dindo classification and CTCAE.

    Time frame: 1 year after treatment initiation

  30. Safety / adverse events

    Number of patients developing adverse events: Classification will be performed according to Clavien-Dindo classification and CTCAE.

    Time frame: 2 year after treatment initiation

  31. Safety / adverse events

    Number of patients developing adverse events: Classification will be performed according to Clavien-Dindo classification and CTCAE.

    Time frame: 5 year after treatment initiation

  32. Erectile function

    Assessed by the questionnaire IIEF-5. Score of IIEF-5 can range from 0 to 25 points. Higher values indicate a better erectile function.

    Time frame: 6 weeks after treatment initiation

  33. Erectile function

    Assessed by the questionnaire IIEF-5. Score of IIEF-5 can range from 0 to 25 points. Higher values indicate a better erectile function.

    Time frame: 6 months after treatment initiation

  34. Erectile function

    Assessed by the questionnaire IIEF-5. Score of IIEF-5 can range from 0 to 25 points. Higher values indicate a better erectile function.

    Time frame: 1 year after treatment initiation

  35. Erectile function

    Assessed by the questionnaire IIEF-5. Score of IIEF-5 can range from 0 to 25 points. Higher values indicate a better erectile function.

    Time frame: 2 year after treatment initiation

  36. Erectile function

    Assessed by the questionnaire IIEF-5. Score of IIEF-5 can range from 0 to 25 points. Higher values indicate a better erectile function.

    Time frame: 5 year after treatment initiation

  37. Ejaculatory function

    Assessed by the questionnaire Male Sexual Health Questionnaire-Ejaculation Dysfunction Short Form (MSHQ-EjD). Ejaculatory function total score (questions 1-3, possible range 0-15, higher values indicate better ejaculatory function, and MSHQ-EjD ejaculatory bother item (question 4, possible range 0-5, higher values indicate more bother).

    Time frame: 6 weeks after treatment initiation

  38. Ejaculatory function

    Assessed by the questionnaire Male Sexual Health Questionnaire-Ejaculation Dysfunction Short Form (MSHQ-EjD). Ejaculatory function total score (questions 1-3, possible range 0-15, higher values indicate better ejaculatory function, and MSHQ-EjD ejaculatory bother item (question 4, possible range 0-5, higher values indicate more bother).

    Time frame: 6 months after treatment initiation

  39. Ejaculatory function

    Assessed by the questionnaire Male Sexual Health Questionnaire-Ejaculation Dysfunction Short Form (MSHQ-EjD). Ejaculatory function total score (questions 1-3, possible range 0-15, higher values indicate better ejaculatory function, and MSHQ-EjD ejaculatory bother item (question 4, possible range 0-5, higher values indicate more bother).

    Time frame: 1 year after treatment initiation

  40. Ejaculatory function

    Assessed by the questionnaire Male Sexual Health Questionnaire-Ejaculation Dysfunction Short Form (MSHQ-EjD). Ejaculatory function total score (questions 1-3, possible range 0-15, higher values indicate better ejaculatory function, and MSHQ-EjD ejaculatory bother item (question 4, possible range 0-5, higher values indicate more bother).

    Time frame: 2 years after treatment initiation

  41. Ejaculatory function

    Assessed by the questionnaire Male Sexual Health Questionnaire-Ejaculation Dysfunction Short Form (MSHQ-EjD). Ejaculatory function total score (questions 1-3, possible range 0-15, higher values indicate better ejaculatory function, and MSHQ-EjD ejaculatory bother item (question 4, possible range 0-5, higher values indicate more bother).

    Time frame: 5 years after treatment initiation

  42. Need for additional drug treatment, surgical treatment or change of medical treatment assessed

    assessed by patient interviews at follow up visit

    Time frame: 6 weeks after treatment initiation

  43. Need for additional drug treatment, surgical treatment or change of medical treatment assessed

    assessed by patient interviews at follow up visit

    Time frame: 6 moths after treatment initiation

  44. Need for additional drug treatment, surgical treatment or change of medical treatment assessed

    assessed by patient interviews at follow up visit

    Time frame: 1 year after treatment initiation

  45. Need for additional drug treatment, surgical treatment or change of medical treatment assessed

    assessed by patient interviews at follow up visit

    Time frame: 2 years after treatment initiation

  46. Need for additional drug treatment, surgical treatment or change of medical treatment assessed

    assessed by patient interviews at follow up visit

    Time frame: 5 years after treatment initiation

  47. Analysis of cost-effectiveness using quality-adjusted life years (QALY)

    One QALY equates to one year in perfect health. QALY scores range from 1 (perfect health) to 0 (dead). To estimate QALY costs will be calculated by calculation of treatment costs, and quality of life will be assessed using the questionnaire EQ-5D. EQ-5D measures five dimensions (5D); mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Respondents self-rate their level of severity for each dimension using a five-level scale. The questionnaire can define 3,125 different health states.

    Time frame: 2 years after treatment initiation

  48. Analysis of cost-effectiveness using quality-adjusted life years (QALY)

    One QALY equates to one year in perfect health. QALY scores range from 1 (perfect health) to 0 (dead). To estimate QALY costs will be calculated by calculation of treatment costs, and quality of life will be assessed using the questionnaire EQ-5D. EQ-5D measures five dimensions (5D); mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Respondents self-rate their level of severity for each dimension using a five-level scale. The questionnaire can define 3,125 different health states.

    Time frame: 5 years after treatment initiation

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Yes — At the end of the study, data are stored in a publicly accessible repository (e.g. Harvard Dataverse or Zenodo, depending on whether the data should be stored on a server in America or Europe). All elements are stored with a unique Digital Object Identifier (DOI), which can be referenced in the respective publication.

Supporting information: Study protocol, Statistical analysis plan, Analytic code

Time frame: At the end of the study. Availability for at least 10 years.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Sep 2021; primary completion for Dec 2022, 15 months later.

Of 17 phase 3 interventional studies under Prostatic Hyperplasia, half reached primary completion within 28 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 50. This study's planned 15 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 23, 2020
First posted
Jan 29, 2020
StartEst.
Sep 2021
Primary completionEst.
Dec 2022
CompletionEst.
Dec 2025
Last update
Jan 26, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 26, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04245566
Lead sponsor
Dominik Abt
Responsible party
Dominik Abt (Principal Investigator, Consultant urologist, Cantonal Hospital of St. Gallen) — Sponsor-investigator
First posted
Jan 29, 2020
Start date
Sep 2021 (estimated)
Primary completion
Dec 2022 (estimated)
Completion
Dec 2025 (estimated)
Last update
Jan 26, 2021

Study contacts

Dominik ABT, MD
Contact
dominik.abt@kssg.ch
41714941418
Dominik Abt, MD
principal investigator · Cantonal Hospital St. Gallen

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Jan 2021. You cannot join it, but the record below documents what was studied.

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