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临床试验/NCT04947631
NCT04947631已完成3 期

A Multi-center, Randomized, Double-blinded, Double-dummy, Parallel Group, 48-week, Phase III Clinical Trial to Evaluate the Efficacy and Safety of DKF-313 in Patients With Benign Prostatic Hyperplasia

Dongkook Pharmaceutical Co., Ltd.1 个研究点 分布在 1 个国家目标入组 667 人开始时间: 2021年7月27日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
状态
已完成
入组人数
667
试验地点
1
主要终点
Change in Total International Prostate Symptom Score (IPSS) from baseline to Week 48

研究概览

简要总结

This is a multi-center, randomized, double-blinded, double-dummy, parallel group, 48-week study to evaluated the efficacy and safety of DKF-313 (dutasteride and tadalafil) in patients with benign prostatic hyperplasia.

详细描述

This study is conducted to access whether DKF-313 once daily for 48 weeks is superior to dutasteride 0.5 mg once daily and tadalafil 5 mg once daily each in improving BPH-LUTS as measured by changes in IPSS total scores.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Participant, Investigator)

入排标准

年龄范围
45 Years 至 80 Years(Adult, Older Adult)
性别
Male
接受健康志愿者

入选标准

  • Male aged 45 to 80 years
  • BPH diagnosis
  • Voluntarily signed the informed consent form
  • Willing to participate in the study
  • Total IPSS 13 or greater at baseline
  • Prostate volume 30 cc or greater by TRUS at baseline
  • Qmax 4 to 15 mL/s and minimum voided volume 125 mL or greater at baseline

排除标准

  • Serum PSA 4 ng/mL or greater with a positive biopsy result
  • Malignant urogenital tumors including prostate cancer, bladder cancer, etc.
  • Previous prostatic surgery including TURP, balloon dilatation, thermotherapy and stent replacement or other invasive procedures to treat prostate
  • Prostate biopsy within 4 weeks of screening
  • Use of alpha-blockers, alpha-agonists, phosphodiesterase type 5 (PDE5) inhibitors, antidiuretics, anticholinergics, cholinergics, antispasmodics, nitrates or herbal preparations affecting prostate within 4 weeks of screening, or 5-alpha reductase inhibitors (5-ARIs) within 24 weeks of screening
  • Acute urinary retention within 12 weeks of screening
  • Any causes other than BPH resulting in urinary symptoms or changes in flow rate (e.g. neurogenic bladder, bladder neck contracture, urethral stricture, bladder malignancy, acute or chronic prostatitis, acute or chronic urinary tract infections)
  • Bladder postvoid residual 200 mL or greater
  • Anatomical deformation of the penis (such as angulation, cavernosal fibrosis, or Peyronie's disease) or conditions that might predispose to priapism (such as sickle cell anemia, multiple myeloma, or leukemia)
  • Cardiovascular diseases such as myocardial infarction within 12 weeks of screening, unstable angina or angina during sexual intercourse, heart failure (NYHA Class 2 or higher) within 24 weeks of screening, uncontrolled arrhythmias, hypotension (<90/50 mmHg) or uncontrolled hypertension (>170/100 mmHg), or stroke within 24 weeks of screening
  • Left ventricular outflow obstruction (e.g. aortic stenosis and idiopathic hypertrophic subaortic stenosis)
  • Inherited disorders including galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption
  • Inherited retinal degeneration including retinitis pigmentosa
  • Vision loss in one eye due to non-arteritic anterior ischemic optic neuropathy (NAION)
  • Hypersensitivity to ingredients of investigational products
  • Alcohol or drug abuse or treating psychiatric disorders
  • Severe hepatic impairment (ALT or AST > 3xULN)
  • Renal impairment with severe heart failure (serum creatinine > 2xULN)
  • Uncontrolled diabetes (HbA1c 9% or greater)
  • Other investigational products or procedures within 12 weeks of screening
  • Plans to have a child or unwilling to comply with using medically accepted contraception methods (such as surgical sterilization and condom) during the treatment period
  • Not eligible due to other reasons at the investigator's discretion

研究组 & 干预措施

DKF-313

Experimental

Dutasteride 0.5mg + Tadalafil 5mg

干预措施: DKF-313 (Drug)

Tadalafil

Active Comparator

Tadalafil 5mg

干预措施: DKF-313 placebo (Drug)

DKF-313

Experimental

Dutasteride 0.5mg + Tadalafil 5mg

干预措施: Dutasteride placebo (Drug)

DKF-313

Experimental

Dutasteride 0.5mg + Tadalafil 5mg

干预措施: Tadalafil placebo (Drug)

Dutasteride

Active Comparator

Dutasteride 0.5mg

干预措施: Dutasteride (Drug)

Dutasteride

Active Comparator

Dutasteride 0.5mg

干预措施: DKF-313 placebo (Drug)

Dutasteride

Active Comparator

Dutasteride 0.5mg

干预措施: Tadalafil placebo (Drug)

Tadalafil

Active Comparator

Tadalafil 5mg

干预措施: Tadalafil (Drug)

Tadalafil

Active Comparator

Tadalafil 5mg

干预措施: Dutasteride placebo (Drug)

结局指标

主要结局

Change in Total International Prostate Symptom Score (IPSS) from baseline to Week 48

时间窗: Weeks 0 and 48

次要结局

  • Change in Total International Prostate Symptom Score (IPSS) from baseline to Weeks 4, 12, 24 and 36(Weeks 0, 4, 12, 24 and 36)
  • Change in Total International Prostate Symptom Score (IPSS) voiding (obstructive) subscores from baseline to Weeks 4, 12, 24, 36 and 48(Weeks 0, 4, 12, 24, 36 and 48)
  • Change in Total International Prostate Symptom Score (IPSS) storage (irritative) subscores from baseline to Weeks 4, 12, 24, 36 and 48(Weeks 0, 4, 12, 24, 36 and 48)
  • Change in Total International Prostate Symptom Score (IPSS) Quality of Life (QoL) index from baseline to Weeks 4, 12, 24, 36 and 48(Weeks 0, 4, 12, 24, 36 and 48)
  • Change in Qmax from baseline to Weeks 24 and 48(Weeks 0, 24 and 48)
  • Change in post void residual (PVR) volume from baseline to Weeks 24 and 48(Weeks 0, 24 and 48)
  • Change in prostate specific antigen (PSA) from baseline to Weeks 24 and 48(Weeks 0, 24 and 48)
  • Change in prostate volume (PV) from baseline to Week 48(Weeks 0 and 48)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (1)

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