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RecruitingNCT07722884Updated Jul 23, 2026

Tamsulosin Monotherapy Versus Combination Therapy With Tadalafil (2.5 mg vs 5 mg) in Managing Male LUTS Secondary to BPH

An interventional study of Tamsulosin 0.4 mg + Tadalafil 2.5 mg and Tamsulosin 0.4 mg + Tadalafil 5 mg in Safety, Efficacy and Tamsulosin, sponsored by Ain Shams University. Recruiting at 1 site in Egypt. Open to participants aged 45 Years and older. Per ClinicalTrials.gov, last updated 2026-07-23.

Sponsored by Ain Shams University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2026; still recruiting 4 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
90
Allocation
Randomized
Ages
45 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 22 studies testing tamsulosin in Lower Urinary Tract Symptoms — 5 open to participants now, 5 under way, none of them phase 3. Tamsulosin · Lower Urinary Tract Symptoms.

Planned enrollment
13th of 22
90 · median 136
Started
2026
with 2 others
No phase
4 of 22
3 open now
Registered
22nd of 22
by date
Lead sponsor
2 of 22
Ain Shams University

Among the 22 studies testing tamsulosin in Lower Urinary Tract Symptoms, this one is the 13th largest by planned enrollment, is one of 3 that started in 2026, is one of 4 with no phase, and was the 22nd registered.

By phase

22 studies; the count open now beside each. This study's row is marked.

Phase 49 · 2 open
No phasethis study4 · 3 open
Phase 24 · 0 open
Phase 33 · 0 open
Phase 11 · 0 open
Phase 2/31 · 0 open

By the year they started

First in 2001; this study’s year is marked. 3 started in 2026.

Size and results

Median enrollment 136 across the 22 interventional studies. Of the 17 that completed or were terminated, 8 (47%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 22 studies testing tamsulosin in Lower Urinary Tract Symptoms, or all of them as a file.
02

Study summary

This study aims to evaluate the short-term impact and clinical outcomes of tamsulosin monotherapy versus combination therapy with tamsulosin plus tadalafil (2.5 mg vs. 5 mg) on lower urinary tract symptoms (LUTS) severity and patient quality of life in men with benign prostatic hyperplasia (BPH). It also seeks to determine whether the lower tadalafil dose provides adequate symptom relief while minimizing adverse effects over a 12-week follow-up period.

Read the detailed description

Lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH) are a fundamental component of modern urology, affecting extensively aging men and significantly impacting their quality of life.

Tamsulosin monotherapy, is effective in the management of BPH by acting as an α₁-adrenergic receptor antagonist that relaxes smooth muscle in the prostate and bladder neck, thereby improving urinary flow and reducing LUTS.

The combination of tamsulosin 0.4 mg with tadalafil is commonly used as an effective option. It balances sufficient symptom relief with moderate side effect profile.

03

Conditions studied

  • Safety
  • Efficacy
  • Tamsulosin
  • Monotherapy
  • Tadalafil
  • Lower Urinary Tract Symptoms
  • Benign Prostatic Hyperplasia
04

Who can participate

Ages eligible
45 Years and older
Sexes eligible
All
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

  • Patients older than 45 years of age.
  • Clinical diagnosis of benign prostatic hyperplasia (BPH) and moderate to severe lower urinary tract symptoms (LUTS) [International Prostate Symptom Score (IPSS) ≥ 13].
  • Maximum flow rate (Qmax) ≤ 15 mL/s, prostate volume ≥ 30 mL by transrectal ultrasound.

Exclusion criteria

Exclusion Criteria:

  • Patients taking α-blockers, beta-blockers, 5-alpha reductase inhibitors, phosphodiesterase-5 (PDE5) inhibitors, anticholinergics, or nitrates were excluded.
  • Patients with a history of prostate or bladder surgery, lower urinary tract procedures, prostate or bladder cancer, neurological conditions affecting bladder function, severe cardiovascular disease, hepatic impairment, diabetes mellitus with complications, kidney dysfunction (acute or chronic), neurogenic bladder, or congenital urinary anomalies.
  • Additionally, patients with recent myocardial infarction, unstable angina, severe heart failure, uncontrolled hypertension, Prostate-Specific Antigen (PSA)>4 ng/mL (unless cancer ruled out), active urinary tract infection, urinary retention, and those unavailable for follow-up were also excluded from the study.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
90 participants (estimated)

Study arms

  • Experimental
    Group A

    Patients will receive Tamsulosin 0.4 mg once daily + Tadalafil 2.5 mg once daily

    Drug: Tamsulosin 0.4 mg + Tadalafil 2.5 mg

  • Experimental
    Group B

    Patients will receive Tamsulosin 0.4 mg once daily + Tadalafil 5 mg once daily

    Drug: Tamsulosin 0.4 mg + Tadalafil 5 mg

  • Experimental
    Group C

    Patients will receive Tamsulosin 0.4 mg once daily (monotherapy)

    Drug: Tamsulosin 0.4 mg

Interventions

  • DrugTamsulosin 0.4 mg + Tadalafil 2.5 mg

    Drug page: Tamsulosin

    Patients will receive Tamsulosin 0.4 mg once daily + Tadalafil 2.5 mg once daily

  • DrugTamsulosin 0.4 mg + Tadalafil 5 mg

    Drug page: Tamsulosin

    Patients will receive Tamsulosin 0.4 mg once daily + Tadalafil 5 mg once daily

  • Patients will receive Tamsulosin 0.4 mg once daily (monotherapy)

06

What researchers measure

Primary outcomes

  1. Mean change in International Prostate Symptom Score (IPSS) score

    The International Prostate Symptom Score (IPSS) is an 8-question survey used to evaluate and track the severity of lower urinary tract symptoms, often linked to an enlarged prostate (BPH). Scores range from 0 to 35 based on symptom frequency, with a higher number indicating greater severity. The score evaluates symptoms into the following categories: 0 to 7 points: Mild symptoms 8 to 19 points: Moderate symptoms 20 to 35 points: Severe symptoms

    Time frame: 12 weeks post-procedure

Secondary outcomes

  1. Incidence of adverse events

    Incidence of adverse events related to Tamsulosin such as dizziness, orthostatic hypotension, headache, fatigue, nasal congestion, retrograde ejaculation, and gastrointestinal disturbances will be recorded.

    Time frame: 12 weeks post-procedure

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — The data will be available upon a reasonable request from the corresponding author after the end of study for one year.

Supporting information: Study protocol

Time frame: After the end of study for one year.

Access criteria: The data will be available upon a reasonable request from the corresponding author

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

Started Jul 2026 (actual). Primary completion is estimated for Jan 2027, 6 months after the start.

Of 98 non-industry interventional studies with no phase under Lower Urinary Tract Symptoms, half reached primary completion within 27 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 59. This study's planned 6 months is below that.

Counting every sponsor, half of 119 studies reached it within 27 months; a quarter within 11 and three quarters within 54.

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

Registered
Jul 20, 2026
First posted
Jul 23, 2026
StartActual
Jul 1, 2026
Primary completionEst.
Jan 1, 2027
CompletionEst.
Jan 1, 2027
Last update
Jul 23, 2026
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 Jul 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07722884
Responsible party
Salah Salem (Resident of Urology, Faculty of Medicine, Ain Shams University, Egypt., Ain Shams University) — Principal investigator
First posted
Jul 23, 2026
Start date
Jul 1, 2026
Primary completion
Jan 1, 2027 (estimated)
Completion
Jan 1, 2027 (estimated)
Last update
Jul 23, 2026

Study contacts

Salah N Salem, MBBCH
Contact
salahsalem@med.asu.edu.eg
00201066047555

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Tamsulosin

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