Study to Characterise the Effect of Tamsulosin on Lower Urinary Tract Symptoms (LUTS) and Detrusor Motor Activity in Patients Affected by Benign Prostatic Hyperplasia (BPH) and Storage Urinary Symptoms
BLADDER (BPH, LUTS And Detrusor: Dual Effect Research) Study: A Multicentre, Double-blind, Randomised, Parallel Group, Placebo-controlled Study, Aimed at Characterising the Effect of Tamsulosin on Lower Urinary Tract Symptoms (LUTS) and Detrusor Motor Activity in Patients Affected by Benign Prostatic Hyperplasia (BPH) and Storage Urinary Symptoms
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male outpatients aged 50-80 years
- LUTS suggestive of BPH
- Medical history: storage symptoms (frequency, urgency) for at least 6 months
Urinary Chart:
- At least 8 micturitions per 24 hours on average, over the week of the screening period (check urinary chart at Visit 2)
- Urgency (strong desire to void): at least once per 24 hours on average, over the week of the screening period (check urinary chart at Visit 2)
- I-PSS ≥ 13 at randomisation (Visit 3)
- Qmax: > 4 ml/sec at randomisation (Visit 3), with a voiding volume of at least 150 ml
- Prostate Specific Antigen (PSA) < 2.5 ng/ml or between 2.5 and 10 ng/ml, if cancer is ruled out with the usual procedures of each centre (Visit 1; results before Visit 3)
- Written Informed Consent for participation to the study
Exclusion Criteria:
- Patients with a known history or a diagnosis at the time of the screening visit (Visit 1) of the following conditions:
Urological disturbances
- Medical history of pelvic surgery
- Palpable bladder at the physical examination, or residue urinary volume > 400 ml
- Known neurological bladder disorder
- Bladder neck stenosis
- Urethral stricture
- Bladder or prostatic cancer
- Bladder stone
- Severe diverticulum of the bladder
- Symptomatic urinary tract infection during last month, or recurrent urinary tract infections (more than 2 during last year)
- Haematuria of unknown origin
- Diseases which may affect micturition (i.e., diabetes mellitus)
Cardiovascular diseases (if they occurred in the last 6 months)
- Myocardial infarction
- Instable angina
- Clinically significant ventricular arrhythmias
- Heart failure (NYHA classes III/IV)
- Orthostatic hypotension
- Cerebral stroke
Neurological diseases (if their severity might compromise the correct performance of the trial)
- Senile dementia
- Multiple sclerosis
- Parkinson's disease
- Psychiatric disturbances
- Hepatic or renal insufficiency (biochemistry values 15% outside normal lab ranges, being regarded as clinically relevant by the investigator)
- Clinically significant abnormality in the haematological, blood chemistry and urinary values evidenced on the samples taken at the screening visit (Visit 1)
- Patients who are taking or have been taking α-blockers for BPH or for hypertension, or phytotherapy for BPH within the previous 6 weeks
Patients who were taking or have been taking:
- α-blockers for BPH or for hypertension within the previous 4 weeks
- phytotherapy for BPH or mepartricin within the previous 4 weeks
- finasteride within the previous 6 months
- anticholinergics within the previous 4 weeks
- antidiuretics within the previous 4 weeks
- concomitant drugs which may influence the pharmacodynamic or pharmacokinetic properties of tamsulosin. In particular: α-blockers and mixed α-β-blockers, α- agonists, anti-cholinergics
- Patients who are or have been taking part in a clinical study within the previous 3 months
- Patients who have had hypersensitivity or allergic reactions to previously prescribed α- blocker(s)
- Patients judged by the investigator to be inappropriate for inclusion in the study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo
|
|
|
Experimental: Tamsulosin
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Changes in mean number of micturitions per day
Time Frame: Up to 12 weeks after first drug administration
|
As reported in the Urinary Chart
|
Up to 12 weeks after first drug administration
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Changes in mean number of urgency episodes per day
Time Frame: Up to 12 weeks after first drug administration
|
Up to 12 weeks after first drug administration
|
|
Changes in voided volume per micturition
Time Frame: Up to 12 weeks after first drug administration
|
Up to 12 weeks after first drug administration
|
|
Changes in International Prostate Symptom Score (I-PSS) on storage and voiding sub-scores
Time Frame: Up to 12 weeks after first drug administration
|
Up to 12 weeks after first drug administration
|
|
Changes in Quality of Life in BPH patients with urinary symptoms (QUIBUS) Italian Score QUIBUS Symptom Score (QUISS) -11 on storage and voiding sub-scores
Time Frame: Up to 12 weeks after first drug administration
|
Up to 12 weeks after first drug administration
|
|
Changes in International Index of Erectile Function (IIEF)
Time Frame: Up to 12 weeks after first drug administration
|
Up to 12 weeks after first drug administration
|
|
Changes in Uroflowmetry
Time Frame: Up to 12 weeks after first drug administration
|
Up to 12 weeks after first drug administration
|
|
Changes in Qmax
Time Frame: Up to 12 weeks after first drug administration
|
Up to 12 weeks after first drug administration
|
|
Changes in volume at the first contraction
Time Frame: Up to 12 weeks after first drug administration
|
Up to 12 weeks after first drug administration
|
|
Number of unstable contractions
Time Frame: Up to 12 weeks after first drug administration
|
Up to 12 weeks after first drug administration
|
|
Maximum amplitude of unstable contractions
Time Frame: Up to 12 weeks after first drug administration
|
Up to 12 weeks after first drug administration
|
|
Number of patients with adverse events
Time Frame: Up to 12 weeks after first drug administration
|
Up to 12 weeks after first drug administration
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Urological Manifestations
- Prostatic Diseases
- Prostatic Hyperplasia
- Hyperplasia
- Lower Urinary Tract Symptoms
- Physiological Effects of Drugs
- Adrenergic Antagonists
- Adrenergic Agents
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Urological Agents
- Adrenergic alpha-1 Receptor Antagonists
- Adrenergic alpha-Antagonists
- Tamsulosin
Other Study ID Numbers
Other Study ID Numbers
- 527.30
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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