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Dutasteride (GI198745) In Benign Prostatic Hyperplasia Subjects
This study has been completed.

First Received on August 24, 2006.   Last Updated on July 26, 2011   History of Changes
Sponsor: GlaxoSmithKline
Information provided by: GlaxoSmithKline
ClinicalTrials.gov Identifier: NCT00368979
  Purpose

This study will assess the efficacy and safety of GI198745 0.5mg given once daily for 52 weeks to Benign Prostatic Hyperplasia (BPH) patients.


Condition Intervention Phase
Benign Prostatic Hyperplasia
Prostatic Hyperplasia
Drug: Dutasteride
Drug: Placebo
Phase III

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Investigator)
Primary Purpose: Treatment
Official Title: Clinical Evaluation of GI198745 in Benign Prostatic Hyperplasia- A Randomized, Double-Blind, Placebo-Controlled, Parallel Group Comparative Study of GI198745 in Patients With Benign Prostatic Hyperplasia

Resource links provided by NLM:


Further study details as provided by GlaxoSmithKline:

Primary Outcome Measures:
  • Change From Baseline in International Prostate Symptom Score (IPSS) at Week 52 [ Time Frame: Baseline and Week 52 ] [ Designated as safety issue: No ]
    The International Prostate Symptom Score (I-PSS) consists of 7 verified questions concerning urinary symptoms and one quality of life question scored from 0 to 5(0=Not at All, to 5=Almost Always). The total score can range from 0 to 35. Score of 1-7=Mild, 8-19=Moderate, 20-35=Severe.


Secondary Outcome Measures:
  • Percent Change From Baseline in Prostate Volume at Week 52 [ Time Frame: Baseline and Week 52 ] [ Designated as safety issue: No ]
    Prostate volume measurements by transrectal ultrasound (TRUS). Average prostate volume (55cc). The Ultrasound scans the prostate in the transverse plane while moving in the cephalocaudal direction of the prostate. The height and width of the prostate section with the greatest surface area is recorded.

  • Number of Participants With IPSS Improvement From Baseline at Week 52 [ Time Frame: Baseline and Week 52 ] [ Designated as safety issue: No ]
    Improvement is defined as greater than or equal to a 2 point increase in participants total score on the I-PSS questionaire.

  • Change From Baseline in Maximum Urine Flow Rate (Qmax) at Week 52 [ Time Frame: Baseline and Week 52 ] [ Designated as safety issue: No ]
    Maximum Urine Flow Rate (Qmax) is the peak flow in milliliters per second.

  • Number of Participants With Qmax Improvement From Baseline at Week 52 [ Time Frame: Baseline and Week 52 ] [ Designated as safety issue: No ]
    Improvement was defined as an increase in Qmax by greater than or equal to 1 mL/sec


Enrollment: 378
Study Start Date: February 2006
Study Completion Date: December 2007
Primary Completion Date: December 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Dutasteride Drug: Dutasteride
once daily
Placebo Comparator: Placebo Drug: Placebo
once daily

  Eligibility

Ages Eligible for Study:   50 Years and older
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

Only subjects who meet all the following criteria during the screening phase will be enrolled in the study.

  1. Diagnosis: BPH
  2. Age: ≥50 years
  3. Gender: Male
  4. Estimated prostate volume ≥30cc (by TRUS)
  5. I-PSS Symptom Score (total of 7 items) ≥8 points
  6. Maximum flow rate (Qmax) ≤15mL/sec (voided volume measured simultaneously ≤150mL)*[1]
  7. Patients who meet either of the following regarding tamsulosin HCl use:

    Patients with tamsulosin HCl use:

    Patients who have received tamsulosin HCl continuously for at least 4 weeks and who are likely to continue to take tamsulosin HCl without any change to the dosage and administration of the drug until the end of study treatment.

    Patients without tamsulosin HCl use:

    Patients who haven't received tamsulosin HCl in the past 4 weeks and who are unlikely to use tamsulosin HCl until the end of study treatment.

  8. Outpatients
  9. Patients who in person have given written consent

Exclusion Criteria:

Patients who apply to any of the following criteria during the screening phase will not be enrolled in the study.

  1. Post void residual volume >250mL (by suprapubic ultrasound).
  2. History of AUR within the previous 12 weeks.
  3. Evidence or history of prostate cancer.
  4. PSA >10ng/mL [in patients with PSA >4ng/mL, the presence of prostate cancer should be ruled out by the investigator/subinvestigator. DRE and free/total PSA ratio should be considered, and prostate biopsy be conducted if necessary].
  5. Previous surgery (including balloon dilatation, thermotherapy and stent placement) or minimally invasive techniques for BPH.
  6. Any causes other than BPH, which may in the judgment of the investigator/subinvestigator, affect evaluation of symptoms or urine flow (e.g., neurogenic bladder, bladder neck contracture, urethral stricture, bladder malignancy, acute/chronic prostatitis, acute/chronic urinary tract infection).
  7. History of any unstable, serious co-existing medical condition(s) including, but not limited to, myocardial infarction, coronary bypass surgery, unstable angina, cardiac arrhythmias*[2], congestive heart failure or cerebrovascular accident within the previous 6 months; or diabetes mellitus or peptic ulcer uncontrollable with medical treatment.
  8. Liver function tests (AST, ALT, AL-P) >2 times the upper limit of normal.
  9. Serum creatinine >1.8mg/dL.
  10. Use of any antiandrogen (e.g., chlormadinone acetate, allylestrenol) for BPH within the previous 12 months.
  11. Use of a1-adrenoceptor blockers excluding tamsulosin HCl (e.g., prazosin HCl, urapidil slow-release capsule formulation, terazosin HCl, naftopidil), plant extract preparations for treatment of BPH (e.g., Eviprostat, cernitin pollen extract), herbal medicines (e.g., hachimi-jio-gan, gosha-jinki-gan), other drugs (e.g., Paraprost), and dietary or herbal supplements (e.g., saw palmetto) for relief of BPH symptoms within the previous 4 weeks.

Use of a-adrenoceptor agonists (e.g., pseudoephedrine, phenyle

  • [1] Subjects with voided volume <150 mL at Qmax measurement cannot be enrolled in the study and may undergo re-measurement of Qmax before the visit for Week 0 for study entry.
  • [2] Of "Degree II" according to "Grading of Side Effects (PMSB Notification No. 80 dated June 29, 1992) or equivalent (Appendix 4).
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00368979

Sponsors and Collaborators
GlaxoSmithKline
Investigators
Study Director: GSK Clinical Trials GlaxoSmithKline
  More Information

Publications:
Responsible Party: Cheri Hudson; Clinical Disclosure Advisor, GSK Clinical Disclosure
ClinicalTrials.gov Identifier: NCT00368979     History of Changes
Other Study ID Numbers: ARI105326
Study First Received: August 24, 2006
Results First Received: December 5, 2008
Last Updated: July 26, 2011
Health Authority: Japan: Ministry of Health, Labor and Welfare

Keywords provided by GlaxoSmithKline:
Benign Prostatic Hyperplasia BPH dutasteride

Additional relevant MeSH terms:
Prostatic Hyperplasia
Hyperplasia
Prostatic Diseases
Genital Diseases, Male
Pathologic Processes
Dutasteride
5-alpha Reductase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions

ClinicalTrials.gov processed this record on February 09, 2012