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Medical Therapy of Prostatic Symptoms (MTOPS)

This study has been completed.
Information provided by National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

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Descriptive Information Fields
Brief Title  Medical Therapy of Prostatic Symptoms (MTOPS)
Official Title 
Brief Summary

The Medical Therapy of Prostatic Symptoms (MTOPS) is a clinical research study sponsored by the National Institutes of Health (NIH). The study will test whether the oral drugs finasteride (Proscar) and doxazosin (Cardura), alone or together, can delay or prevent further worsening of symptoms in men with Benign Prostatic Hyperplasia (BPH).

MTOPS is the largest and longest study to simultaneously test whether these drugs can delay or prevent the clinical progression (symptom worsening) of BPH. Seventeen U.S. medical centers recruited 2,931 men diagnosed with symptomatic BPH between December 1995 and March 1998. Study doctors will continue to follow these men through November 2001 on a quarterly basis. In addition to the clinical progression of BPH, MTOPS will include evaluations of prostate volume by ultrasound, prostate biopsies among a subgroup of volunteers, and quality of life.

Detailed Description
Study Phase Phase III
Study Type  Interventional
Study Design  Treatment, Randomized, Double-Blind, Placebo Control, Single Group Assignment, Safety/Efficacy Study
Primary Outcome Measure 
Secondary Outcome Measure 
Condition  Prostatic Hyperplasia
Prostatic Hypertrophy, Benign
Intervention  Drug: Doxazosin
Drug: Finasteride
MEDLINE PMIDs 6206240,   1719806,   1383816,   2462301,   1711689,   1283852,   1695786,   1695778,   2643719
Links MTOPS public access site. Userid and password not required. This link exits the ClinicalTrials.gov site
Recruitment Information Fields
Recruitment Status  Completed
Enrollment  2931
Start Date  December 1995
Completion Date March 1998
Eligibility Criteria 

Inclusion Criteria:

  • Peak urinary flow rate at least 4 ml/sec but not greater than 15 ml/sec; and voided volume is at least 125 ml.
  • American Urological Association Symptom Score is greater than or equal to 8 and less than or equal to 30.
  • Voluntarily signed the informed consent agreement prior to the performance of any study procedures.

Exclusion Criteria:

  • Serum prostate specific antigen level greater than 10 ng/ml.
  • Supine blood pressure less than 90/70 mmHG. Orthostatic hypotension.
  • Any prior medical or surgical intervention for BPH.
  • Received any prior experimental intervention (either medical or surgical) for prostate disease or enrolled in any other study protocol.
Gender Male
Ages 50 Years and older
Accepts Healthy Volunteers Yes
Contacts ††
Location Countries  United States
Administrative Information Fields
NCT ID  NCT00021814
Organization ID MTOPS
Secondary IDs †† U01-DK-46472
Study Sponsor  National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborators ††
Investigators 
Principal Investigator:     E. David Crawford     Clinic 01 - Univ of Colorado Health Sciences Center    
Principal Investigator:     Steven A. Kaplan     Clinic 02 - New York Presbyterian Hospital    
Principal Investigator:     Claus Roehrborn     Clinic 03 - UT Southwestern Medical Center    
Principal Investigator:     Noah S. Schenkman     Clinic 04 - Walter Reed Army Medical Center    
Principal Investigator:     Herbert Lepor     Clinic 06 - New York University School of Medicine    
Principal Investigator:     Kevin M. Slawin     Clinic 07 - Baylor College of Medicine    
Principal Investigator:     John P. Foley     Clinic 08 - Brooke Army Medical Center    
Principal Investigator:     Joe W. Ramsdell     Clinic 09 - University of California San Diego    
Principal Investigator:     Mani Menon     Clinic 10 - Henry Ford Hospital    
Principal Investigator:     Michael M. Lieber     Clinic 11 - Mayo Foundation    
Principal Investigator:     Kevin T. McVary     Clinic 12 - Northwestern University    
Principal Investigator:     Joseph A. Smith     Clinic 13 - Vanderbilt University    
Principal Investigator:     Gerald L. Andriole     Clinic 14 - Washington University    
Principal Investigator:     Harris E. Foster     Clinic 15 - Yale University    
Principal Investigator:     Harry S. Clarke     Clinic 16 - Emory University    
Principal Investigator:     Karl J. Kreder     Clinic 17 - University of Iowa    
Principal Investigator:     Stephen C. Jacobs     Clinic 18 - University of Maryland    
Principal Investigator:     Gary J. Miller     Diagnostic Center - Univ of Colorado Health Sciences Center    
Principal Investigator:     Oliver M. Bautista     Biostatistical Coordinating Center - George Washington Univ.    
Information Provided By National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Verification Date July 2003
First Received Date  August 4, 2001
Last Updated Date June 23, 2005

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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