EFFICACY AND SAFETY OF COMBINATION THERAPY WITH β3-ADRENOCEPTOR AGONIST (MIRABEGRON) AND α-ADRENOCEPTOR ANTAGONIST (TAMSULOSIN) FOR TREATMENT OF OVERACTIVE BLADDER IN MALE PATIENTS WITH BENIGN PROSTATIC HYPERPLASIA.
试验速览
- 阶段
- 4 期
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- International Prostate Symptom Score (IPSS)
研究概览
简要总结
The purpose of this study is to investigate the safety and efficacy of combination therapy involving β3-adrenoceptor agonist, mirabegron, and α-blockers for the treatment of OAB symptoms in male patients with BPH.
详细描述
Mirabegron (MyrbetriqTM, Astellas Pharma Inc.) is a drug that is approved by the FDA for the treatment of overactive bladder (OAB) with symptoms of urinary frequency, urgency and urgency incontinence. Multiple studies have shown that this drug also has the potential to improve patient tolerability, compliance and subsequent patient quality of life without inducing unfavourable adverse events commonly associated with antimuscarinic medications. These adverse events include, but are not limited to, dry mouth, constipation, confusion, and acute urinary retention (AUR).
Studies now have shown that mirabegron may also provide an effective treatment option for OAB in men with benign prostatic hyperplasia (BPH) without inducing the above mentioned adverse events. This study will look at the combination therapy of Mirabegron and Tamsulosin, versus Tamsulosin and placebo alone to prove that this treatment (Mirabegron and Tamsulosin) is effective for those men who suffer from both overactive bladder along with benign prostatic hyperplasia.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 50 Years 至 90 Years(Adult, Older Adult)
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •Male patients over the age of 50
- •Clinical BPH on stable dose of alpha-blocker therapy for more than 1 month
- •OAB symptoms (frequency, urgency, nocturia, urgency incontinence)
排除标准
- •Post-void residual (PVR) > 200mL
- •Active, culture-proven urinary tract infection
- •Acute/chronic prostatitis
- •Previous lower urinary tract malignancy (i.e. bladder, prostate malignancy)
- •History of cystolithiasis
- •Previous pelvic surgery (i.e. prostatectomy, cystectomy, recent pelvic/endourologic instrumentation including cystoscopy, nephroscopy, ureteral stent insertion, Transrectal Ultrasound (TRUS) biopsy)
- •Previous pelvic radiation
研究组 & 干预措施
Treatment Group
(Mirabegron + Tamsulosin)
干预措施: Mirabegron (Drug)
Treatment Group
(Mirabegron + Tamsulosin)
干预措施: Tamsulosin (Drug)
Control Group
(Placebo + Tamsulosin)
干预措施: Tamsulosin (Drug)
结局指标
主要结局
International Prostate Symptom Score (IPSS)
时间窗: Treatment period: 4 weeks
Measured before and after combination therapy.
Quality of Life Score (QoLS)
时间窗: Treatment period: 4 weeks
Measured before and after combination therapy
Overactive Bladder Symptom Score (OABSS)
时间窗: Treatment period: 4 weeks
Measured before and after combination therapy
次要结局
- Adverse Events(Timeline: 4 weeks)
研究者
Anil Kapoor
MD, FRCSC
St. Joseph's Healthcare Hamilton
