Prostatic HyperplasiaPhase 3NCT00090103
Benign Prostatic Hyperplasia Trial With Dutasteride And Tamsulosin Combination Treatment
A Phase 3 study testing dutasteride 0.5mg once daily for 4 years and tamsulosin 0.4mg once daily for 4 years in people with Prostatic Hyperplasia, run by GlaxoSmithKline at 503 sites in 37 countries.
Trial summary
This study will investigate the efficacy and safety of treatment with dutasteride and tamsulosin, administered once daily for 4 years, alone and in combination, on the improvement of symptoms and clinical outcome in men with moderate to severe symptomatic Benign Prostatic Hyperplasia (BPH). Read more about this study
- Who is it for?
- Ages 50 years and older, men only
- Conditions the study is for
- Prostatic Hyperplasia
- What is being tested?
- dutasteride 0.5mg once daily for 4 years and tamsulosin 0.4mg once daily for 4 years
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 4,844 participants
- Where
- 503 sitesin 37 countries
- Study dates
- Nov 2003to Apr 2009
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 50 years and older
- Men only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- A subject will be considered eligible for inclusion in this study only if all of the following criteria apply:
- males, aged ≥50 years
- clinical diagnosis of BPH by medical history and physical examination, including a digital rectal examination (DRE)
- International Prostate Symptom Score (IPSS) ≥12 points at Screening
- prostate volume ≥30 cc by transrectal ultrasonography; (TRUS)
- total serum Prostate Specific Antigen (PSA) ≥1.5ng/mL at Screening
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- maximum flow rate (Qmax) >5 mL/sec and ≤15 mL/sec and minimum voided volume of ≥125 mL at Screening (based on two voids)
- willing and able to give written informed consent and comply with study procedures
- fluent and literate in local language with the ability to read, comprehend and record information on the IPSS, BII and Patient Perception of Study Medication
- able to swallow and retain oral medication
- willing and able to participate in the study for the full 4 years.
Who cannot join
- A subject will not be eligible for inclusion in this study if any of the following criteria apply:
- total serum PSA >10.0ng/mL at Screening
- history or evidence of prostate cancer (e.g. positive biopsy or ultrasound, suspicious DRE). Patients with suspicious ultrasound or DRE who have had a negative biopsy within the preceding 6 months and stable PSA are eligible for the study.
- Note: If total serum PSA is >4ng/mL and unless PSA value has been stable for at least the past 2 years, the investigator should make every appropriate effort to exclude the possibility of prostate cancer, e.g. further DRE, review TRUS taken within previous month, consider 8-12 core prostate biopsy in accordance with routine clinical practice.
- previous prostatic surgery (including TURP, balloon dilatation, thermotherapy and stent replacement) or other invasive procedures to treat BPH.
- history of flexible/rigid cystoscopy or other instrumentation of the urethra within 7 days prior to the Screening Visit. Routine catheterisation is acceptable with no time restriction.
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- history of AUR within 3 months prior to Screening Visit.
- post-void residual volume >250mL (suprapubic ultrasound) at Screening.
- any causes other than BPH, which may in the judgement of the investigator, result in urinary symptoms or changes in flow rate (e.g. neurogenic bladder, bladder neck contracture, urethral stricture, bladder malignancy, acute or chronic prostatitis, or acute or chronic urinary tract infections).
- history of breast cancer or clinical breast examination finding of unclear origin or suggestive of malignancy.
- use of any 5-alpha-reductase inhibitor (e.g. Proscar®, Propecia®, Avodart®), any drugs with antiandrogenic properties (e.g. spironolactone, flutamide, bicalutamide, cimetidine, ketoconazole, metronidazole, progestational agents), or other drugs which affect prostate volume, within past 6 months of the Screening Visit and throughout the study (other than as study medication).
- concurrent use of anabolic steroids
- use of phytotherapy for BPH within 2 weeks of Screening Visit and/or predicted to need phytotherapy during the study.
- use of any alpha-adrenoreceptor blockers (i.e. indoramin, prazosin, terazosin, tamsulosin, alfuzosin and doxazosin) within 2 weeks of Screening Visit and/or predicted to need any alpha blockers other than tamsulosin during the study.
- Note: the purpose of this criteria is to be able to standardise baseline symptom severity for all enrolled patients prior to randomisation and not to specifically exclude current alpha-adrenoreceptor blocker users from participation in the study.
- use of any alpha-adrenoreceptor agonists (e.g. pseudoephedrine, phenylephrine, ephedrine) or anticholinergics (e.g. oxybutynin, propantheline) or cholinergics (e.g. bethanecol chloride) within 48 hours prior to all uroflowmetry assessments.
- hypersensitivity to any alpha-/beta- adrenoreceptor blocker or 5-alpha-reductase inhibitor, or other chemically-related drugs.
- concurrent use of drugs known or thought to have an interaction with tamsulosin, e.g. cimetidine and warfarin.
- history of hepatic impairment or abnormal liver function tests at Screening defined as alanine aminotransferase (ALT), aspartate aminotranferase (AST), and/or alkaline phosphatase >2 times the upper limit of normal, or total bilirubin >1.5 times the upper limit of normal (unless associated with predominantly indirect bilirubin elevation or Gilbert's syndrome).
- history of renal insufficiency, or serum creatinine >1.5 times the upper limit of normal or serum creatinine ≥1.5 mg/dL at Screening.
- prior history of malignancies other than basal cell carcinoma or squamous cell carcinoma of the skin within the past 5 years. Subjects with a prior malignancy who have had no evidence of disease for at least the past 5 years are eligible.
- history of any illness that in the opinion of the investigator might confound the results of the study or poses additional risk to the patient.
- any unstable, serious co-existing medical condition(s) including, but not limited to, myocardial infarction, coronary bypass surgery, unstable angina, cardiac arrhythmias, clinically evident congestive heart failure, or cerebrovascular accident within 6 months prior to Screening visit; uncontrolled diabetes or peptic ulcer disease which is uncontrolled by medical management.
- history of postural hypotension, dizziness, vertigo or any other signs and symptoms of orthostasis, which in the opinion of the investigator could be exacerbated by tamsulosin and result in putting the subject at risk of injury.
- history of unsuccessful treatment with tamsulosin or 'first dose' hypotensive episode on initiation of alpha-1-adrenoreceptor antagonist therapy.
- history of unsuccessful treatment with finasteride or dutasteride
- history or current evidence of drug or alcohol abuse within the previous 12 months.
- participation in any investigational or marketed drug trial within 30 days (or 5 half-lives whichever is the longer) preceding the Screening Visit and/or during the course of this study.
Trial locations and contacts
503 sites in 37 countries.
503 sites in 37 countries
United States113 sites
GSK Investigational Site
Albuquerque, New Mexico, 87108
GSK Investigational Site
Alexandria, Virginia, 22304
GSK Investigational Site
Anchorage, Alaska, 99508
GSK Investigational Site
Asheboro, North Carolina, 27203
GSK Investigational Site
Athes, Texas, 75751
GSK Investigational Site
Atlanta, Georgia, 30342
GSK Investigational Site
Aventura, Florida, 33180
GSK Investigational Site
Bay Pines, Florida, 33744
GSK Investigational Site
Bay Shore, New York, 11706
GSK Investigational Site
Bellbrook, Ohio, 45305
GSK Investigational Site
Belleville, Illinois, 62220
GSK Investigational Site
Bellevue, Washington, 98004
GSK Investigational Site
Beverly Hills, California, 90212
GSK Investigational Site
Birmingham, Alabama, 35209
GSK Investigational Site
Birmingham, Alabama, 35234
GSK Investigational Site
Birmingham, Alabama, 35242
GSK Investigational Site
Birmingham, Alabama, 35294
GSK Investigational Site
Bismarck, North Dakota, 58501
GSK Investigational Site
Blue Ridge, Georgia, 30513
GSK Investigational Site
Bossier City, Louisiana, 71111
GSK Investigational Site
Calhoun, Georgia, 30701
GSK Investigational Site
Cary, North Carolina, 27511
GSK Investigational Site
Charlotte, North Carolina, 28262
GSK Investigational Site
Cincinnati, Ohio, 45249
GSK Investigational Site
Columbiana, Alabama, 35051
GSK Investigational Site
Columbus, Ohio, 43212
GSK Investigational Site
Columbus, Ohio, 43214
GSK Investigational Site
Concord, California, 94520
GSK Investigational Site
Coral Gables, Florida, 33134
GSK Investigational Site
Dallas, Texas, 75230
GSK Investigational Site
Dallas, Texas, 75234
GSK Investigational Site
Dallas, Texas, 75390
GSK Investigational Site
Daytona Beach, Florida, 32114
GSK Investigational Site
Decatur, Georgia, 30033
GSK Investigational Site
Des Moines, Iowa, 50309
GSK Investigational Site
Durham, North Carolina, 27710
GSK Investigational Site
Evansville, Indiana, 47714
GSK Investigational Site
Fayetteville, North Carolina, 28304
GSK Investigational Site
Fleetwood, Pennsylvania, 19522
GSK Investigational Site
Fort Worth, Texas, 76107
GSK Investigational Site
Garden City, New York, 11530
GSK Investigational Site
Glendora, California, 91741
GSK Investigational Site
Great Neck, New York, 11021
GSK Investigational Site
Greenbrae, California, 94904
GSK Investigational Site
Greensboro, North Carolina, 27403
GSK Investigational Site
Henderson, Nevada, 89014
GSK Investigational Site
Hillsborough, New Jersey, 08844
GSK Investigational Site
Hoover, Alabama, 35216
GSK Investigational Site
Houston, Texas, 77024
GSK Investigational Site
Houston, Texas, 77030
GSK Investigational Site
Irvine, California, 92618
GSK Investigational Site
Jeffersonville, Indiana, 47130
GSK Investigational Site
Kansas City, Missouri, 64114
GSK Investigational Site
La Jolla, California, 92093
GSK Investigational Site
Laguna Woods, California, 92637
GSK Investigational Site
Lake Worth, Florida, 33461
GSK Investigational Site
Laurel, Maryland, 20724
GSK Investigational Site
Lewiston, New York, 14092
GSK Investigational Site
Los Angelas, California, 90017
GSK Investigational Site
Los Angeles, California, 90048
GSK Investigational Site
Los Angeles, California, 90057
GSK Investigational Site
Marietta, Georgia, 30066
GSK Investigational Site
Meridian, Idaho, 83642
GSK Investigational Site
Miami, Florida, 33156
GSK Investigational Site
Minneapolis, Minnesota, 55417
GSK Investigational Site
Missoula, Montana, 59802
GSK Investigational Site
Modesto, California, 95350
GSK Investigational Site
Mountlake Terrace, Washington, 98043
GSK Investigational Site
Murray, Kentucky, 42071
GSK Investigational Site
Nashville, Tennessee, 37203
GSK Investigational Site
New Brunfels, Texas, 78130
GSK Investigational Site
New Smyrna Beach, Florida, 32168
GSK Investigational Site
Newburgh, Indiana, 47630
GSK Investigational Site
Ocala, Florida, 34471
GSK Investigational Site
Omaha, Nebraska, 68102
GSK Investigational Site
Orange City, Florida, 32763
GSK Investigational Site
Pensacola, Florida, 32503
GSK Investigational Site
Peoria, Illinois, 61602
GSK Investigational Site
Peoria, Illinois, 61614
GSK Investigational Site
Perth Amboy, New Jersey, 08861
GSK Investigational Site
Phoenix, Arizona, 85032
GSK Investigational Site
Phoenix, Arizona, Arizona, 86106
GSK Investigational Site
Picayune, Mississippi, 39466
GSK Investigational Site
Pinecrest, Florida, 33156
GSK Investigational Site
Portland, Oregon, 97239
GSK Investigational Site
Providence, Rhode Island, 02904
GSK Investigational Site
Sacramento, California, 95821
GSK Investigational Site
Saint Augustine, Florida, 32086
GSK Investigational Site
Salisbury, North Carolina, 28144
GSK Investigational Site
Salt Lake City, Utah, 84132
GSK Investigational Site
San Antonio, Texas, 78229
GSK Investigational Site
San Diego, California, 91405
GSK Investigational Site
San Diego, California, 92103
GSK Investigational Site
San Diego, California, 92108
GSK Investigational Site
Seattle, Washington, 98104
GSK Investigational Site
Somerville, New Jersey, 08876
GSK Investigational Site
South Bend, Indiana, 46601
GSK Investigational Site
Spokane, Washington, 99204
GSK Investigational Site
Spring Hill, Florida, 34609
GSK Investigational Site
St. Petersburg, Florida, 33702
GSK Investigational Site
St. Petersburg, Florida, 33710
GSK Investigational Site
Stuart, Florida, 34996
GSK Investigational Site
Tacoma, Washington, 98405
GSK Investigational Site
Tallahassee, Florida, 32308
GSK Investigational Site
Temple, Texas, 76508
GSK Investigational Site
Texarkana, Texas, 75503
GSK Investigational Site
Torrance, California, 90506
GSK Investigational Site
Vista, California, 92084
GSK Investigational Site
Wellington, Florida, 33414
GSK Investigational Site
West Palm Beach, Florida, 33407
GSK Investigational Site
Wheaton, Illinois, 60187
GSK Investigational Site
Wichita, Kansas, 67207
GSK Investigational Site
Winfield, Illinois, 60190
France62 sites
GSK Investigational Site
Agny, 62217
GSK Investigational Site
Angers, 49000
GSK Investigational Site
Annecy, 74000
GSK Investigational Site
Arras, 62000
GSK Investigational Site
Athis-Mons, 91200
GSK Investigational Site
Besançon, 25000
GSK Investigational Site
Bouchemaine, 49080
GSK Investigational Site
Broglie, 27270
GSK Investigational Site
Bully-les-Mines, Hauts-de-France, 62160
GSK Investigational Site
Castelneau Le Nez, 34170
GSK Investigational Site
Chambéry, 73000
GSK Investigational Site
Chilly-Mazarin, 91380
GSK Investigational Site
Cournonterral, 34460
GSK Investigational Site
Créteil, 94010
GSK Investigational Site
Domarin, 38300
GSK Investigational Site
Épinay-sur-Orge, 91360
GSK Investigational Site
Évreux, 27000
GSK Investigational Site
Évreux, 27025
GSK Investigational Site
Gif-sur-Yvette, 91190
GSK Investigational Site
Grenoble, 38100
GSK Investigational Site
La Seyne-sur-Mer, 83500
GSK Investigational Site
Lamarque, 33460
GSK Investigational Site
Laval, 53000
GSK Investigational Site
Le Brusc, 83140
GSK Investigational Site
Le Kremlin-Bicêtre, 94275
GSK Investigational Site
Les Mureaux, 78130
GSK Investigational Site
Lesparre-Médoc, 33340
GSK Investigational Site
Linas, 91310
GSK Investigational Site
Longpont-sur-Orge, 91310
GSK Investigational Site
Lyon, 69008
GSK Investigational Site
Melun, 77007
GSK Investigational Site
Meudon, 92190
GSK Investigational Site
Meylan, 38240
GSK Investigational Site
Mont-de-Marsan, 40000
GSK Investigational Site
Montauban, 82017
GSK Investigational Site
Montpelier, 34000
GSK Investigational Site
Montpellier, 34000
GSK Investigational Site
Montpellier, 34100
GSK Investigational Site
Orléans, 45067
GSK Investigational Site
Paris, 75019
GSK Investigational Site
Pontonx Sur Adour, 40465
GSK Investigational Site
Roanne, 42300
GSK Investigational Site
Saint-Chamond, 42400
GSK Investigational Site
Saint-Denis, 93200
GSK Investigational Site
Saint-Egrève, 38120
GSK Investigational Site
Saint-Galmier, 42330
GSK Investigational Site
Saint-Georges-dOrques, 34680
GSK Investigational Site
Saint-Germain-Lespinasse, 42640
GSK Investigational Site
Saint-Sébastien-de-Morsent, 27180
GSK Investigational Site
Sainte-Suzanne, 53270
GSK Investigational Site
Sanary-sur-Mer, 83110
GSK Investigational Site
Sarlat-la-Canéda, 24200
GSK Investigational Site
Seysses, 31600
GSK Investigational Site
Six-Fours-les-Plages, 83140
GSK Investigational Site
Suresnes, 92151
GSK Investigational Site
Toulon, 83200
GSK Investigational Site
Tours, 37044
GSK Investigational Site
Vaucresson, 92420
GSK Investigational Site
Verneuil-sur-Seine, 78480
GSK Investigational Site
Villejuif, 94804
GSK Investigational Site
Villeneuve-lès-Maguelone, 34750
GSK Investigational Site
Vourey, 38210
Germany56 sites
GSK Investigational Site
Aalen, Baden-Wurttemberg, 73430
GSK Investigational Site
Aichach, Bavaria, 86551
GSK Investigational Site
Alzenau, Hesse, 63755
GSK Investigational Site
Amberg, Bavaria, 92224
GSK Investigational Site
Apolda, Thuringia, 99510
GSK Investigational Site
Augsburg, Bavaria, 86150
GSK Investigational Site
Berlin, State of Berlin, 10627
GSK Investigational Site
Berlin, State of Berlin, 10719
GSK Investigational Site
Berlin, State of Berlin, 12167
GSK Investigational Site
Berlin, State of Berlin, 12347
GSK Investigational Site
Berlin, State of Berlin, 12681
GSK Investigational Site
Berlin, State of Berlin, 13053
GSK Investigational Site
Berlin, State of Berlin, 13055
GSK Investigational Site
Berlin, State of Berlin, 13125
GSK Investigational Site
Berlin, State of Berlin, 13439
GSK Investigational Site
Berlin, State of Berlin, 14197
GSK Investigational Site
Delmenhorst, Lower Saxony, 27753
GSK Investigational Site
Dülmen, North Rhine-Westphalia, 48249
GSK Investigational Site
Frankfurt am Main, Hesse, 60326
GSK Investigational Site
Freiburg im Breisgau, Baden-Wurttemberg, 79106
GSK Investigational Site
Fulda, Hesse, 36037
GSK Investigational Site
Giessen, Hesse, 35390
GSK Investigational Site
Graefeling, Bavaria, 82166
GSK Investigational Site
Grimmen, Mecklenburg-Vorpommern, 18507
GSK Investigational Site
Hagenow, Brandenburg, 19230
GSK Investigational Site
Halle, Saxony-Anhalt, 06114
GSK Investigational Site
Hamburg, Free and Hanseatic City of Hamburg, 20253
GSK Investigational Site
Hamburg, Free and Hanseatic City of Hamburg, 22415
GSK Investigational Site
Hettstedt, Saxony-Anhalt, 06333
GSK Investigational Site
Hohenstein-Ernsttal, Saxony, 09337
GSK Investigational Site
Holzminden, Lower Saxony, 37603
GSK Investigational Site
Husum, Schleswig-Holstein, 25813
GSK Investigational Site
Kassel, Hesse, 34123
GSK Investigational Site
Kiel, Schleswig-Holstein, 24103
GSK Investigational Site
Koblenz, Rhineland-Palatinate, 56068
GSK Investigational Site
Koenigstein, Hesse, 61462
GSK Investigational Site
Konstanz, Baden-Wurttemberg, 78464
GSK Investigational Site
Lauchhammer, Brandenburg, 01979
GSK Investigational Site
Leipzig, Saxony, 04105
GSK Investigational Site
Leipzig, Saxony, 04109
GSK Investigational Site
Leipzig, Saxony, 04277
GSK Investigational Site
Marburg, Hesse, 35039
GSK Investigational Site
Merseburg, Saxony-Anhalt, 06217
GSK Investigational Site
Mosbach, Baden-Wurttemberg, 74821
GSK Investigational Site
Neu-Ulm, Bavaria, 89231
GSK Investigational Site
Oldenburg, Lower Saxony, 26121
GSK Investigational Site
Oranienburg, Brandenburg, 16515
GSK Investigational Site
Osnabrück, Lower Saxony, 49074
GSK Investigational Site
Parchim, Mecklenburg-Vorpommern, 19370
GSK Investigational Site
Rottweil, Baden-Wurttemberg, 78628
GSK Investigational Site
Schongau, Bavaria, 86956
GSK Investigational Site
Schwalbach, Hesse, 65824
GSK Investigational Site
Senftenberg, Brandenburg, 01968
GSK Investigational Site
Stadtlohn, North Rhine-Westphalia, 48703
GSK Investigational Site
Stockach, Baden-Wurttemberg, 78333
GSK Investigational Site
Wertingen, Bavaria, 86637
Spain40 sites
GSK Investigational Site
A Coruña, 15006
GSK Investigational Site
Alava, 01004
GSK Investigational Site
Alcázar de San Juan (Ciudad Real), 13600
GSK Investigational Site
Badajoz, 6080
GSK Investigational Site
Barcelona, 08022
GSK Investigational Site
Barcelona, 08025
GSK Investigational Site
Barcelona, 08221
GSK Investigational Site
Burgos, 09005
GSK Investigational Site
Ciudad Real, 13005
GSK Investigational Site
Donostia / San Sebastian, 20012
GSK Investigational Site
Elche (Alicante), 03202
GSK Investigational Site
Gijón, 33394
GSK Investigational Site
Guadalajara, 19002
GSK Investigational Site
Jerez de la Frontera, 11407
GSK Investigational Site
Langreo (Oviedo), 33920
GSK Investigational Site
Las Palmas, 35020
GSK Investigational Site
Las Palmas de Gran Canaria, 35016
GSK Investigational Site
Madrid, 28006
GSK Investigational Site
Madrid, 28016
GSK Investigational Site
Málaga, 29020
GSK Investigational Site
Manacor (Palma de Mallorca)
GSK Investigational Site
Marbella, 29600
GSK Investigational Site
Mendaro, Guipuzcoa, 20850
GSK Investigational Site
Mérida, 6800
GSK Investigational Site
Murcia, 30008
GSK Investigational Site
Palma de Mallorca, 07014
GSK Investigational Site
Pamplona, 31008
GSK Investigational Site
Pontevedra, 36071
GSK Investigational Site
Sabadell (Barcelona), 08208
GSK Investigational Site
San Sebastián, 20014
GSK Investigational Site
Santa Cruz de Tenerife, 38010
GSK Investigational Site
Santander, 38008
GSK Investigational Site
Santander
GSK Investigational Site
Santiago de Compostela, 15706
GSK Investigational Site
Tortosa, 43500
GSK Investigational Site
Valencia, 46009
GSK Investigational Site
Vigo (Pontevedra), 30211
GSK Investigational Site
Vigo/Pontevedra, 36200
GSK Investigational Site
Vitoria-Gasteiz, 01009
GSK Investigational Site
Vizcaya, 48902
Canada33 sites
GSK Investigational Site
Barrie, Ontario, L4M 7G1
GSK Investigational Site
Brantford, Ontario, N3R 4N3
GSK Investigational Site
Courtice, Ontario, L1E 3C3
GSK Investigational Site
Greater Sudbury, Ontario, P3E 4T3
GSK Investigational Site
Guelph, Ontario, N1H 5J1
GSK Investigational Site
Halifax, Nova Scotia, B3H 3A7
GSK Investigational Site
Hamilton, Ontario, L8N 4A6
GSK Investigational Site
Kentville, Nova Scotia, B4N 4K9
GSK Investigational Site
Kingston, Ontario, K7L 2V7
GSK Investigational Site
London, Ontario, M6A 4G5
GSK Investigational Site
London, Ontario, N6A 4V2
GSK Investigational Site
Montreal, Quebec, H2X 1N8
GSK Investigational Site
Montreal, Quebec, H3A 1A1
GSK Investigational Site
Montreal, Quebec, H3S 1Z1
GSK Investigational Site
North Bay, Ontario, P1B 7K8
GSK Investigational Site
Oakville, Ontario, L6H 3P1
GSK Investigational Site
Oshawa, Ontario, L1H 7K4
GSK Investigational Site
Ottawa, Ontario, K1Y 4E9
GSK Investigational Site
Saint John, New Brunswick, E2L 4L2
GSK Investigational Site
Saint-Charles-Borromée, Quebec, J6E 6J2
GSK Investigational Site
Saint-Jérôme, Quebec, J7Z 5T3
GSK Investigational Site
Scarborough Village, Ontario, M1P 2T7
GSK Investigational Site
Scarborough Village, Ontario, M1S 4V5
GSK Investigational Site
Sherbrooke, Quebec, J1H 5N4
GSK Investigational Site
St. John's, Newfoundland and Labrador, A1B 4S8
GSK Investigational Site
Surrey, British Columbia, V3V 1N1
GSK Investigational Site
Toronto, Ontario, M2K 2W1
GSK Investigational Site
Toronto, Ontario, M4C 5T2
GSK Investigational Site
Toronto, Ontario, M5T 2S8
GSK Investigational Site
Toronto, Ontario, M6A 3B5
GSK Investigational Site
Toronto, Ontario, M6S 4W4
GSK Investigational Site
Trois-Rivières, Quebec, G9A 3V7
GSK Investigational Site
Winnipeg, Manitoba, R3C 0N2
Italy21 sites
GSK Investigational Site
Acireale (CT), Sicily, 95124
GSK Investigational Site
Avellino, Campania, 83100
GSK Investigational Site
Bagno A Ripoli (FI), Tuscany, 50126
GSK Investigational Site
Cagliari, Sardinia, 09134
GSK Investigational Site
Castellamare Di Stabia (NA), Campania, 80053
GSK Investigational Site
Catanzaro, Calabria, 88100
GSK Investigational Site
Florence, Tuscany, 50139
GSK Investigational Site
Genoa, Liguria, 16128
GSK Investigational Site
Ivrea (TO), Piedmont, 10015
GSK Investigational Site
Lecco, Lombardy, 23100
GSK Investigational Site
Milan, Lombardy, 20132
GSK Investigational Site
Modena, Emilia-Romagna, 41100
GSK Investigational Site
Naples, Campania, 80131
GSK Investigational Site
Novara, Piedmont, 28100
GSK Investigational Site
Portogruaro (VE), Veneto, 30026
GSK Investigational Site
Rome, Lazio, 00189
GSK Investigational Site
San Felice A Cancello Caserta, Campania, 81027
GSK Investigational Site
Siena, Tuscany, 53100
GSK Investigational Site
Torre Del Greco (NA), Campania, 80059
GSK Investigational Site
Turin, Piedmont, 10126
GSK Investigational Site
Udine, Friuli Venezia Giulia, 33100
Netherlands20 sites
GSK Investigational Site
Alkmaar, 1815 JD
GSK Investigational Site
Amstelveen, 1186 AM
GSK Investigational Site
Amsterdam, 1034 CS
GSK Investigational Site
Amsterdam, 1105 AZ
GSK Investigational Site
Arnhem, 6842 CV
GSK Investigational Site
Doetinchem, 7009 BL
GSK Investigational Site
Enschede, 7511JX
GSK Investigational Site
Etten-Leur, 4872 LA
GSK Investigational Site
Groningen, 9713 GZ
GSK Investigational Site
Groningen, 9721 SW
GSK Investigational Site
Heerlen, 6419 PC
GSK Investigational Site
Hilversum, 1213 XZ
GSK Investigational Site
Hoofddorp, 2134 TM
GSK Investigational Site
Maastricht, 6229 HX
GSK Investigational Site
The Hague, 2566 MJ
GSK Investigational Site
Tilburg, 5022 GC
GSK Investigational Site
Tilburg, 5042 AD
GSK Investigational Site
Veldhoven, 5504 DB
GSK Investigational Site
Winterswijk, 7101 BN
GSK Investigational Site
Zwijndrecht, 3331 LZ
United Kingdom11 sites
GSK Investigational Site
Buckshaw Village, Chorley, Lancashire, PR7 7NA
GSK Investigational Site
Chichester, Sussex West, PO19 4SE
GSK Investigational Site
Clydebank, Glasgow, G81 2DR
GSK Investigational Site
Dundee, DD1 9SY
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Edgbaston, Birmingham, B15 2SQ
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Edinburgh, Midlothian, EH4 2XU
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Manchester, M15 6SX
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Northwood, Middlesex, HA6 2RN
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Oxford, Oxfordshire, OX2 6PD
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Swansea, Glamorgan, SA4 4NU
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Waterloo, Liverpool, L22 0LG
Norway10 sites
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Ålesund, N-6026
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Bergen, 5094
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Bodø, N-8009
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Haugesund, 5507
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Moelv, N-2390
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Nøtterøy, 3128
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Oslo, 0257 OSLO
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Oslo, 0514
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Porsgrunn, N-3922
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Tønsberg, 3116
Russia9 sites
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Moscow, 105229
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Moscow, 109472
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Moscow, 117 837
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Moscow, 125206
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Moscow, 125367
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Moscow
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Rostov-on-Don
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Saint Petersburg
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Smolensk
Belgium8 sites
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Antwerp, 2020
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Brussels, 1070
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Brussels, 1090
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Edegem, 2650
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Genk, 3600
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La Louvière, 7100
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Liège, 4000
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Roeselare, 8800
Greece7 sites
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Athens, 115 21
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Athens, 115 22
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Athens, 15126
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Athens, 154 52
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Pátrai, 265 00
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Polygyros, 63 100
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Thassaloniki, 564 34
Slovakia7 sites
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Banská Bystrica, 975 17
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Bratislava, 813 69
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Bratislava, 833 05
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Košice, 041 66
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Martin, 036 59
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Skalica, 909 01
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Žilina, 010 01
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Kaohsiung City, 813
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Taichung, 404
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Tainan, 704
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Taipei, 100
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Taipei, 112
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Taipei, 114
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Taoyuan, 333
Argentina6 sites
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Buenos Aires, Buenos Aires, 1120
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Buenos Aires, Buenos Aires, 1416
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Buenos Aires, 1111
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Buenos Aires, 1405
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Buenos Aires, C1181ACI
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Ciudad de Buenos Aires, 1118
Brazil6 sites
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Belo Horizonte, Minas Gerais, 30130-008
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Porto Alegre, Rio Grande do Sul, 90035-903
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Porto Alegre, Rio Grande do Sul, 90470-340
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Porto Alegre, Rio Grande do Sul, 90610-000
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Rio de Janeiro, Rio de Janeiro, 20 551-030
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São Paulo, São Paulo, 04262-000
Czechia6 sites
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Hradec Králové, 536 00
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Ostrava - Poruba, 708 52
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Prague, 130 00
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Prague, 150 18
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Prague, 180 71
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Roudnice nad Labem, 413 01
Israel6 sites
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Haifa, 31048
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Haifa
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Holon, 58100
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Kfar Saba, 44281
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Ramat Gan, 52621
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Zrifin, 70300
Mexico6 sites
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Guadalajara, Jalisco, 44340
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México, 06700
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Mexico City, 06720
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Mexico City, 14050
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Zapopan, Jalisco, 45170
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Zapopan, Jalisco, Jalisco, 45100
Portugal6 sites
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Abrantes, 2200 Abrantes
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Lisbon, 1069-166
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Lisbon, 1269-098 Lisboa
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Porto, 4099-004
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Porto, 4150-113 PORTO
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S. Martinho Do Bispo, 3040-316 Coimbra
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Arad, 310175
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Bucharest, 022328
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Bucharest
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Cluj-Napoca
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Iași
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Timișoara
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Pleven, 5800
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Sofia, 1000
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Sofia, 1431/1000
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Sofia, 1606
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Varna, 9002
Finland5 sites
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Helsinki, 00150
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Jakobstad, 68600
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Kouvola, 45200
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Kuopio, 70100
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Tampere, 33520
Lithuania5 sites
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Kaunas, LT-47144
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Kaunas, LT-49287
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Klaipėda, LT-92231
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Klaipėda, LT-92288
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Vilnius, LT-10207
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Gdansk, 80-402
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Krakow, 31-221
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Krakow, 31-826
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Lublin, 20-950
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Wroclaw, 50-043
South Korea5 sites
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Pusan, 602-739
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Seoul, 135-710
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Seoul, 135-720
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Seoul, 138-736
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Seoul, 150-015
Denmark4 sites
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Aalborg, 9100
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Aarhus N, 8200
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Fredericia, 7000
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Randers, 8900
Estonia4 sites
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Tallinn, 1162
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Tallinn, 13419
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Tartu, 51014
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Tartu
Hungary4 sites
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Budapest, 1036.
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Sopron, 9400
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Székesfehérvár, 8000
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Veszprém, 8200
South Africa4 sites
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Cape Town, 8001
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Claremont, 7700
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Somerset West, 7130
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Sunninghill, 2157
Thailand4 sites
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Bangkok, 10330
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Bangkok, 10400
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Bangkok, 10700
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Chiang Mai, 50200
Tunisia3 sites
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Sousse, 4054
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Tunis, 1007
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Tunis, 1008
Turkey (Türkiye)3 sites
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Istanbul, 34303
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Izmir, 35100
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Sıhhiye/Ankara, 06100
Philippines2 sites
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Manila, 1003
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Quezon City, 1101
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Ponce, Puerto Rico, 00716
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Santurce, Puerto Rico, 00907
Location not given1 site
GSK Investigational Site
About this study
Official title: A Randomized, Double-blind, Parallel Group Study to Investigate the Efficacy and Safety of Treatment With Dutasteride (0.5mg) and Tamsulosin (0.4mg), Administered Once Daily for 4 Years, Alone and Combination, on the Improvement of Symptoms and Clinical Outcome in Men With Moderate to Severe Symptomatic Benign Prostatic Hyperplasia
This study will investigate the efficacy and safety of treatment with dutasteride and tamsulosin, administered once daily for 4 years, alone and in combination, on the improvement of symptoms and clinical outcome in men with moderate to severe symptomatic Benign Prostatic Hyperplasia (BPH). Study visits are every 3 months for up to 4 years (18 clinic visits). Transrectal ultrasound (TRUS) is done annually.
Read the detailed description
A randomised, double-blind, parallel group study to investigate the efficacy and safety of treatment with Dutasteride (0.5 mg) and Tamsulosin (0.4 mg), administered once daily for 4 years, alone and in combination, on the improvement of symptoms and clinical outcome in men with moderate to severe symptomatic benign prostatic hyperplasia.
- Conditions
- Prostatic Hyperplasia
- Being tested
- dutasteride 0.5mg once daily for 4 years, tamsulosin 0.4mg once daily for 4 years
- Keywords
- Combination Therapy, dutasteride, BPH
- Medical subject headings
- Prostatic Hyperplasia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
dutasteride 0.5mg once daily for 4 yearsDrug
combination or single agent
tamsulosin 0.4mg once daily for 4 yearsDrug
Also called dutasteride, tamsulosin
combination agent or single agent
| Study group | Role | What they receive |
|---|---|---|
| dutasteride | Active comparator | dutasteride 0.5mg once daily Receives: Drug: dutasteride 0.5mg once daily for 4 years |
| Combo | Experimental | Combination of dutasteride (0.5mg) and tamsulosin (0.4mg), once daily Receives: Drug: dutasteride 0.5mg once daily for 4 years; Drug: tamsulosin 0.4mg once daily for 4 years |
| tamsulosin | Active comparator | tamsulosin 0.4mg once daily Receives: Drug: tamsulosin 0.4mg once daily for 4 years |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Events of Acute Urinary Retention (AUR) or Benign Prostatic Hyperplasia (BPH)-Related Prostatic Surgery at the Indicated Time Periods.
A participant was considered to have AUR when he was unable to urinate and required bladder catheterization. BPH is also known as an enlarged prostate. When symptoms of BPH become bothersome, surgery may be required. When events of AUR and BPH-related surgery were participant-reported or identified, they were recorded in the participants' clinic record.
Measured: Years 1, 2, 3, and 4
Number of Participants With AUR or BPH-related Surgery
A participant was considered to have AUR when he was unable to urinate and required bladder catheterization. BPH is also known as an enlarged prostate. When symptoms of BPH become bothersome, surgery may be required. When events of AUR and BPH-related surgery were participant reported or identified, they were recorded in the participants' clinic record.
Measured: Baseline (Day 1) through Year 4
Secondary outcomes (29)
Number of Events of First BPH Clinical Progression at Years 1, 2, 3 and 4
The time when the first symptom/event of BPH clinical progression has occurred (i.e. AUR, incontinence) was measured. Summaries are based on the first occuring event after treatment start. The time period is from treatment start to each participant's last treatment visit. The Year 4 events include all those that occur during the fourth year and beyond.
Measured: Years 1, 2, 3, and 4
The Number of Participants With Each of the Five Components of BPH Clinical Progression
The five components measured were symptom deterioration, BPH-related AUR, BPH-related incontinence, recurrent BPH-related Urinary Tract Infection (UTI), and BPH-related renal insufficiency.
Measured: Baseline (Day 1) to Year 4
Number of Events of Symptom Deterioration at the Indicated Time Periods
The number of participants (par.) with symptom deterioration of International Prostate Symptom Score (IPSS) ≥4 points on two consecutive visits post-baseline are presented. Data are based on the first occurrence of an event after treatment start. The year-4 events include all that occured during the 4th year and beyond. The IPSS is a 7-item questionnaire measuring the level of urinary symptoms reported as the total score. Each question has a 6-point response scale (0=none/not at all to 5=almost always), with a total score ranging from 0-35: mild (0-7), moderate (8-19), or severe (20-35).
Measured: Years 1, 2, 3, and 4 (from treatment start until each participant's last treatment-phase visit)
Number of Participants With an Event of Post-baseline BPH-related Macroscopic Hematuria
A participant was considered to have macroscopic hematuria when there was presence of blood in the urine. The event of macroscopic hematuria was either participant-reported or identified by the investigator during a clinic visit. Overall Crude Rate is the number of participants from the total number analyzed that experience experienced an incident of post-baseline BPH or Non-BPH related macroscopic hematuria. Participants may appear in both categories.
Measured: Baseline (Day 1) through Year 4
Number of Participants With an Event of Post-baseline BPH-related Hematospermia
A participant was considered to have hematospermia when there was presence of blood in the semen. Hematospermia can occur from prostatitis (prostate infection), from cancer, or after a prostate biopsy. The event of hematospermia was either participant-reported or identified by the investigator during a clinic visit. Overall Crude Rate is the number of participants from the total number analyzed that experience experienced an incident of post-baseline BPH or Non-BPH related hematospermia. Participants may appear in both categories.
Measured: Baseline (Day 1) through Year 4
Adjusted Mean Change From Baseline in International Prostate Symptom Score (IPSS) at Months 12, 24, 36, and 48
The IPSS is a 7-item questionnaire that measures urinary symptoms. It measures the level of urinary symptoms (including incomplete emptying, frequency, intermittency, urgency, weak stream, straining, and nocturia) reported as the total IPSS score. Each of the 7 questions has a 6-point response scale (0=none/not at all to 5=almost always) with a total score that can range from 0-35: mild (0-7), moderate (8-19), or severe (20-35). Estimates are based on adjusted (least squares) means from the general linear model: change from baseline IPSS = Treatment + Cluster + Baseline IPSS.
Measured: Baseline and Months 12, 24, 36, and 48
Adjusted Mean Change From Baseline in Urinary Flow Rate (Qmax) at Months 12, 24, 36, and 48
Peak maximum urinary flow (Qmax) of urinary flow using a Medtronic (formerly Dantec) Uroflow Meter (Urodyn 1000 or Duet models) with a Thompson filter was measured. Estimates are based on adjusted (least squares) means from the general linear model: Change from baseline Qmax = treatment + cluster + baseline Qmax.
Measured: Baseline and Months 12, 24, 36, and 48
Adjusted Mean Percent Change From Baseline in Prostate Volume at Months 12, 24, 36, and 48
Prostate volume measurements were conducted annually using Transurethral ultrasound (TRUS). The anteroposterior, cephalocaudal, and transverse diameters of the prostate obtained by TRUS calculate the total prostate volume centimeters (cc). Percent change from baseline = [(post-baseline - baseline)/baseline value] x 100. Estimates were based on the adjusted (least squares) means from the general linear model: log(post-baseline/baseline value) + treatment + cluster + log(baseline value) and are reported as percent change from baseline.
Measured: Baseline and Months 12, 24, 36, and 48
Adjusted Mean Change From Baseline in Transition Zone (Portion of the Prostate That Surrounds the Proximal Urethra) Volume at Months 12, 24, 36, and 48
Prostate volume (PV) measurements were conducted annually using Transurethral ultrasound (TRUS). The anteroposterior, cephalocaudal, and transverse diameters of the prostate obtained by TRUS calculate the total PV in centimeters (cc). Results are for the transition zone measurements of the prostate in a small subset of participants. Percent change from baseline (BL) = [(post-BL - BL)/BL value] x 100. Estimates are based on the adjusted (least squares) means for the general linear model: log(post-BL/BL value) = treatment + cluster + log(BL value) and are reported as percent change from BL.
Measured: Baseline and Months 12, 24, 36, and 48
Number of Unscheduled Visits to GP/Urologist Regarding AUR Symptoms Since the Last Study Visit
At each scheduled 13-week clinic visit post-randomization, the investigator was to record details of any health care utilization associated with an episode of AUR. Responses to the following question were recorded: "Has the participant needed to make any unscheduled visits to his general practitioner (GP)/Urologist regarding AUR symptoms since the last study visit?" If the answer to the question was "yes," the number of visits was recorded.
Measured: Every 3 months from Month 3 to Month 48
Number of "Yes" Responses to the Question: "Would the Participant Have Paid a Visit to His GP/Urologist Regarding AUR Symptoms if the Study Visit Had Not Been Planned"?.
At each scheduled 13-week clinic visit post-randomization, the investigator was to record details of any health care utilization associated with an episode of AUR. Responses to the following question were recorded: "Would the participant have paid a visit to his GP/Urologist regarding AUR symptoms if this study visit had not been planned?". If the answer to the question was "yes," the number of Yes responses was recorded.
Measured: Every 3 months from Month 3 to Month 48
Number of Visits to GP/Urologist Regarding BPH-related Surgery Since the Last Study Visit
At each scheduled 13-week clinic visit post-randomization, the investigator was to record details of any health care utilization associated with BPH-related surgery. Responses to the following question were recorded: "Has the participant needed to visit his general practitioner (GP)/Urologist regarding BPH-related surgery since the last study visit?". If the answer to the question was "yes," the number of visits was recorded.
Measured: Every 3 months from Month 3 to Month 48
Number of "Yes" Responses to the Question: "Would the Participant Have Paid a Visit to His GP/Urologist Regarding BPH-related Surgery Since the Last Study Visit?"
At each scheduled 13-week clinic visit post-randomization, the investigator was to record details of any health care utilization associated with BPH-related surgery. Responses to the following question were recorded: "Would the participant have paid a visit to his general practitioner (GP)/Urologist regarding BPH-related surgery since the last study visit?". If the answer to the question was "yes," the number of Yes responses was recorded.
Measured: Every 3 months from Month 3 to Month 48
Number of Unplanned Visits to GP/Urologist That Would Have Taken Place if a Scheduled Study Visit Had Not Been Planned (Including Visits Resulting From UTI, UI, Macroscopic Haematuria, Etc.)
At each scheduled 13-week clinic visit post-randomization, the investigator was to record details of any health care utilization associated with unplanned visits to GP/Urologist. Responses to the following question were recorded: "Has the participant had any unplanned GP/Urologist (outpatient) visits that would have taken place if a scheduled study visit had not been planned (this can include visits resulting from UTI, UI macroscopic haematuria, etc?". If the answer to the question was "yes," the number of visits was recorded.
Measured: Every 3 months from Month 3 to Month 48
Number of Unscheduled Visits to GP/Urologist (Outpatient) Planned, Not Relating to the Study (Including Visits Resulting From UTI, UI, Macroscopic Haematuria, Etc.)
At each scheduled 13-week clinic visit post-randomization, the investigator was to record details of any health care utilization associated with unplanned visits to GP/Urologist. Responses to the following question were recorded: "Does the participant have any unscheduled GP/Urologist (outpatients) visits planned, not relating to the study (this can include visits resulting from UTI, UI, macroscopic haematuria, etc.?". If the answer to the question was "yes," the number of visits was recorded.
Measured: Every 3 months from Month 3 to Month 48
Adjusted Mean Change From Baseline in BPH Impact Index (BII) at Months 12, 24, 36, and 48
The BII is a 4-item questionnaire, score range of 0 (best) to 12 (worst) for questions 1-3, and 0 (best) to 13 (worst) for question 4, that assesses the overall impact of BPH on a participant's general sense of well being and measures aspects of physical discomfort, worry, and bother, all of which can be affected by BPH and its symptoms. BII score = sum of questions 1-4. Change from baseline = Post-Baseline Value. Estimates are based on the adjusted (least squares) means from the general linear model: change from baseline BII = treatment + cluster + baseline BII.
Measured: Baseline and Months 12, 24, 36, and 48
Adjusted Mean Change From Baseline in BPH-Related Health Status (BHS) at Months 12, 24, 36, and 48
The effect of study treatment on BHS was assessed by using three self-administered questionnaires: the International Prostate Symptom Score (IPSS), the BPH Impact Index (BII), and Patient Perception of Study Medication (PPSM). The BHS score was collected on the IPPS questionnaire and ranged from 0 (best) to 6 (worst). Percent change from baseline = [(post-baseline - baseline)/baseline value] x 100. Estimates were based on the adjusted (least squares) means from the general linear model: change from baseline BPH-related health status = treatment + cluster + baseline BPH-Related health status.
Measured: Baseline and Months 12, 24, 36, 48
Patient Perception of Study Medication (PPSM): Number of Participants With the Indicated Responses to Question 1 (LOCF)
This 12-item questionnaire (PPSM) was developed by GlaxoSmithKline for use in this study and was designed to quantify the participant's perceptions and satisfaction with the effect of study treatment on control of their urinary symptoms at baseline and Months 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39, 42, 45, and 48. Participants were asked to respond to the question of "Since you began taking the study medication, how has control of your urinary problems changed?".
Measured: Baseline and Months 12, 24, 36, and 48
Patient Perception of Study Medication (PPSM): Number of Participants With the Indicated Responses to Question 2 (LOCF)
This 12-item questionnaire (PPSM) was developed by GlaxoSmithKline for use in this study and was designed to quantify the participant's perceptions and satisfaction with the effect of study treatment on control of their urinary symptoms at baseline and Months 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39, 42, 45, and 48. Participants were asked to respond to the question of "How satisfied are you with the effect of the study medication on control of your urinary problems?" Satisfact., satisfaction.
Measured: Baseline and Months 12, 24, 36, and 48
Patient Perception of Study Medication (PPSM): Number of Participants With the Indicated Responses to Question 3 (LOCF)
This 12-item questionnaire (PPSM) was developed by GlaxoSmithKline for use in this study and was designed to quantify the participant's perceptions and satisfaction with the effect of study treatment on control of their urinary symptoms at baseline and Months 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39, 42, 45, and 48. Participants were asked to respond to the question of "Since you began taking the study medication, how has the strength of your urinary stream changed?".
Measured: Baseline and Months 12, 24, 36, and 48
Patient Perception of Study Medication (PPSM): Number of Participants With the Indicated Responses to Question 4 (LOCF)
This 12-item questionnaire (PPSM) was developed by GlaxoSmithKline for use in this study and was designed to quantify the participant's perceptions and satisfaction with the effect of study treatment on control of their urinary symptoms at baseline and Months 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39, 42, 45, and 48. Participants were asked to respond to the question of "How satisfied are you with the effect of the study medication on the strength of your urinary stream?". Satisfact., satisfaction.
Measured: Baseline and Months 12, 24, 36, and 48
Patient Perception of Study Medication (PPSM): Number of Participants With the Indicated Responses to Question 5 (LOCF)
This 12-item questionnaire (PPSM) was developed by GlaxoSmithKline for use in this study and was designed to quantify the participant's perceptions and satisfaction with the effect of study treatment on control of their urinary symptoms at baseline and Months 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39, 42, 45, and 48. Participants were asked to respond to the question of "Since you began taking the study medication, how has your pain prior to urinating changed?".
Measured: Baseline and Months 12, 24, 36, and 48
Patient Perception of Study Medication (PPSM): Number of Participants With the Indicated Responses to Question 6 (LOCF)
This 12-item questionnaire (PPSM) was developed by GlaxoSmithKline for use in this study and was designed to quantify the participant's perceptions and satisfaction with the effect of study treatment on control of their urinary symptoms at baseline and Months 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39, 42, 45, and 48. Participants were asked to respond to the question of "How satisfied are you with the effect the study medication has on your pain prior to urinating?". Satisfact., satisfaction.
Measured: Baseline and Months 12, 24, 36, and 48
Patient Perception of Study Medication (PPSM): Number of Participants With the Indicated Responses to Question 7 (LOCF)
This 12-item questionnaire (PPSM) was developed by GlaxoSmithKline for use in this study and was designed to quantify the participant's perceptions and satisfaction with the effect of study treatment on control of their urinary symptoms at baseline and Months 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39, 42, 45, and 48. Participants were asked to respond to the question of "Since you began taking the study medication, how has your pain during urination changed?".
Measured: Baseline and Months 12, 24, 36, and 48
Patient Perception of Study Medication (PPSM): Number of Participants With the Indicated Responses to Question 8 (LOCF)
This 12-item questionnaire (PPSM) was developed by GlaxoSmithKline for use in this study and was designed to quantify the participant's perceptions and satisfaction with the effect of study treatment on control of their urinary symptoms at baseline and Months 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39, 42, 45, and 48. Participants were asked to respond to the question of "How satisfied are you with the effect the study medication has on your pain during urination?". Satisfact., satisfaction.
Measured: Baseline and Months 12, 24, 36, and 48
Patient Perception of Study Medication (PPSM): Number of Participants With the Indicated Responses to Question 9 (LOCF)
This 12-item questionnaire (PPSM) was developed by GlaxoSmithKline for use in this study and was designed to quantify the participant's perceptions and satisfaction with the effect of study treatment on control of their urinary symptoms at baseline and Months 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39, 42, 45, and 48. Participants were asked to respond to the question of "Since you began taking the study medication, how has the way your urinary problems interfere with your ability to go about your usual activities changed?".
Measured: Baseline and Months 12, 24, 36, and 48
Patient Perception of Study Medication (PPSM): Number of Participants With the Indicated Responses to Question 10 (LOCF)
This 12-item questionnaire (PPSM) was developed by GlaxoSmithKline for use in this study and was designed to quantify the participant's perceptions and satisfaction with the effect of study treatment on control of their urinary symptoms at baseline and Months 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39, 42, 45, and 48. Participants were asked to respond to the question of "How satisfied are you with the effect the study medication has on your ability to go about your usual activities without interference from your urinary problems?". Satisfact., satisfaction.
Measured: Baseline and Months 12, 24, 36, and 48
Patient Perception of Study Medication (PPSM): Number of Participants With the Indicated Responses to Question 11 (LOCF)
This 12-item questionnaire (PPSM) was developed by GlaxoSmithKline for use in this study and was designed to quantify the participant's perceptions and satisfaction with the effect of study treatment on control of their urinary symptoms at baseline and Months 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39, 42, 45, and 48. Participants were asked to respond to the question of "Overall, how satisfied are you with the study medication and it's effect on your urinary problems?". Satisfact., satisfaction.
Measured: Baseline and Months 12, 24, 36, and 48
Patient Perception of Study Medication (PPSM): Number of Participants With the Indicated Responses to Question 12 (LOCF)
This 12-item questionnaire (PPSM) was developed by GlaxoSmithKline for use in this study and was designed to quantify the participant's perceptions and satisfaction with the effect of study treatment on control of their urinary symptoms at baseline and Months 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39, 42, 45, and 48. Participants were asked to respond to the question of "Would you ask your doctor for the medication you received in this study?".
Measured: Baseline and Months 12, 24, 36, and 48
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Aug 2004 (estimated)
- Study startNov 2003
- Primary completionApr 2009
- Study completionApr 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (14)Papers the sponsor has linked to this study.
- Other trials for Prostatic HyperplasiaStudies of the same condition, open and under way.
- More trials run by GlaxoSmithKlineThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 4,844 participants (actual)
Sponsor and investigators
- Lead sponsor
- GlaxoSmithKline
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, GlaxoSmithKline
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00090103
- Sponsor's protocol ID
- ARI40005
- Status last verified
- Jan 2017
- First submitted
- 24 Aug 2004
- Last updated
- 28 Feb 2017
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Antonanzas F, Brenes F, Molero JM, Fernandez-Pro A, Huerta A, Palencia R, Cozar JM. [Cost-effectiveness of the combination therapy of dutasteride and tamsulosin in the treatment of benign prostatic hyperlasia in Spain]. Actas Urol Esp. 2011 Feb;35(2):65-71. doi: 10.1016/j.acuro.2010.11.008. Epub 2011 Jan 26. Spanish.
PubMed 21269736Barkin J, Roehrborn CG, Siami P, Haillot O, Morrill B, Black L, Montorsi F; CombAT Study Group. Effect of dutasteride, tamsulosin and the combination on patient-reported quality of life and treatment satisfaction in men with moderate-to-severe benign prostatic hyperplasia: 2-year data from the CombAT trial. BJU Int. 2009 Apr;103(7):919-26. doi: 10.1111/j.1464-410X.2009.08196.x. Epub 2009 Feb 23.
PubMed 19239460Bjerklund Johansen TE, Baker TM, Black LK. Cost-effectiveness of combination therapy for treatment of benign prostatic hyperplasia: a model based on the findings of the Combination of Avodart and Tamsulosin trial. BJU Int. 2012 Mar;109(5):731-8. doi: 10.1111/j.1464-410X.2011.10511.x. Epub 2011 Sep 20.
PubMed 21933326Black L, Grove A, Morrill B. The psychometric validation of a US English satisfaction measure for patients with benign prostatic hyperplasia and lower urinary tract symptoms. Health Qual Life Outcomes. 2009 Jun 19;7:55. doi: 10.1186/1477-7525-7-55.
PubMed 19545384Chung BH, Roehrborn CG, Siami P, Major-Walker K, Morrill BB, Wilson TH, Montorsi F. Efficacy and safety of dutasteride, tamsulosin and their combination in a subpopulation of the CombAT study: 2-year results in Asian men with moderate-to-severe BPH. Prostate Cancer Prostatic Dis. 2009;12(2):152-9. doi: 10.1038/pcan.2008.49. Epub 2008 Sep 23.
PubMed 18813219Roehrborn CG, Siami P, Barkin J, Damiao R, Major-Walker K, Nandy I, Morrill BB, Gagnier RP, Montorsi F; CombAT Study Group. The effects of combination therapy with dutasteride and tamsulosin on clinical outcomes in men with symptomatic benign prostatic hyperplasia: 4-year results from the CombAT study. Eur Urol. 2010 Jan;57(1):123-31. doi: 10.1016/j.eururo.2009.09.035. Epub 2009 Sep 19.
PubMed 19825505Roehrborn CG, Andriole GL, Wilson TH, Castro R, Rittmaster RS. Effect of dutasteride on prostate biopsy rates and the diagnosis of prostate cancer in men with lower urinary tract symptoms and enlarged prostates in the Combination of Avodart and Tamsulosin trial. Eur Urol. 2011 Feb;59(2):244-9. doi: 10.1016/j.eururo.2010.10.040. Epub 2010 Nov 4.
PubMed 21093145Roehrborn CG, Barkin J, Siami P, Tubaro A, Wilson TH, Morrill BB, Gagnier RP. Clinical outcomes after combined therapy with dutasteride plus tamsulosin or either monotherapy in men with benign prostatic hyperplasia (BPH) by baseline characteristics: 4-year results from the randomized, double-blind Combination of Avodart and Tamsulosin (CombAT) trial. BJU Int. 2011 Mar;107(6):946-54. doi: 10.1111/j.1464-410X.2011.10124.x. Epub 2011 Feb 18.
PubMed 21332630Roehrborn CG, Wilson TH, Black LK. Quantifying the contribution of symptom improvement to satisfaction of men with moderate to severe benign prostatic hyperplasia: 4-year data from the CombAT trial. J Urol. 2012 May;187(5):1732-8. doi: 10.1016/j.juro.2011.12.083. Epub 2012 Mar 15.
PubMed 22425127Becher E, Roehrborn CG, Siami P, Gagnier RP, Wilson TH, Montorsi F. The effects of dutasteride, tamsulosin, and the combination on storage and voiding in men with benign prostatic hyperplasia and prostatic enlargement: 2-year results from the Combination of Avodart and Tamsulosin study. Prostate Cancer Prostatic Dis. 2009;12(4):369-74. doi: 10.1038/pcan.2009.37. Epub 2009 Sep 1.
PubMed 19901936Montorsi F, Roehrborn C, Garcia-Penit J, Borre M, Roeleveld TA, Alimi JC, Gagnier P, Wilson TH. The effects of dutasteride or tamsulosin alone and in combination on storage and voiding symptoms in men with lower urinary tract symptoms (LUTS) and benign prostatic hyperplasia (BPH): 4-year data from the Combination of Avodart and Tamsulosin (CombAT) study. BJU Int. 2011 May;107(9):1426-31. doi: 10.1111/j.1464-410X.2011.10129.x. Epub 2011 Feb 23.
PubMed 21348912Montorsi F, Henkel T, Geboers A, Mirone V, Arrosagaray P, Morrill B, Black L. Effect of dutasteride, tamsulosin and the combination on patient-reported quality of life and treatment satisfaction in men with moderate-to-severe benign prostatic hyperplasia: 4-year data from the CombAT study. Int J Clin Pract. 2010 Jul;64(8):1042-51. doi: 10.1111/j.1742-1241.2010.02428.x. Epub 2010 May 7.
PubMed 20487046Haillot O, Fraga A, Maciukiewicz P, Pushkar D, Tammela T, Hofner K, Chantada V, Gagnier P, Morrill B. The effects of combination therapy with dutasteride plus tamsulosin on clinical outcomes in men with symptomatic BPH: 4-year post hoc analysis of European men in the CombAT study. Prostate Cancer Prostatic Dis. 2011 Dec;14(4):302-6. doi: 10.1038/pcan.2011.13. Epub 2011 Apr 19.
PubMed 21502969Roehrborn CG, Siami P, Barkin J, Damiao R, Major-Walker K, Morrill B, Montorsi F; CombAT Study Group. The effects of dutasteride, tamsulosin and combination therapy on lower urinary tract symptoms in men with benign prostatic hyperplasia and prostatic enlargement: 2-year results from the CombAT study. J Urol. 2008 Feb;179(2):616-21; discussion 621. doi: 10.1016/j.juro.2007.09.084. Epub 2007 Dec 21.
PubMed 18082216
Study at a glance
From the registry record, last updated by the sponsor on 28 Feb 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Parallel Group Study to Investigate the Efficacy and Safety of Treatment With Dutasteride (0.5mg) and Tamsulosin (0.4mg), Administered Once Daily for 4 Years, Alone and Combination, on the Improvement of Symptoms and Clinical Outcome in Men With Moderate to Severe Symptomatic Benign Prostatic Hyperplasia
- ClinicalTrials.gov ID
- NCT00090103
- Acronym / sponsor ID
- ARI40005
- Conditions
- Prostatic Hyperplasia
- Keywords
- Combination Therapy, dutasteride, BPH
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 4,844 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- Nov 2003
- Primary completion
- Apr 2009 (actual)
- Study completion
- Apr 2009 (actual)
- First posted
- 26 Aug 2004 (estimated)
- Results
- Posted 16 Mar 2010
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will investigate the efficacy and safety of treatment with dutasteride and tamsulosin, administered once daily for 4 years, alone and in combination, on the improvement of symptoms and clinical outcome in men with moderate to severe symptomatic Benign Prostatic Hyperplasia (BPH). Study visits are every 3 months for up to 4 years (18 clinic visits). Transrectal ultrasound (TRUS) is done annually.
Detailed description
A randomised, double-blind, parallel group study to investigate the efficacy and safety of treatment with Dutasteride (0.5 mg) and Tamsulosin (0.4 mg), administered once daily for 4 years, alone and in combination, on the improvement of symptoms and clinical outcome in men with moderate to severe symptomatic benign prostatic hyperplasia.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| dutasteride | Active comparator | Drug: dutasteride 0.5mg once daily for 4 yearsdutasteride 0.5mg once daily |
| Combo | Experimental | Drug: dutasteride 0.5mg once daily for 4 years, Drug: tamsulosin 0.4mg once daily for 4 yearsCombination of dutasteride (0.5mg) and tamsulosin (0.4mg), once daily |
| tamsulosin | Active comparator | Drug: tamsulosin 0.4mg once daily for 4 yearstamsulosin 0.4mg once daily |
Who may qualify
- Ages
- 50 years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- A subject will be considered eligible for inclusion in this study only if all of the following criteria apply:
- males, aged ≥50 years
- clinical diagnosis of BPH by medical history and physical examination, including a digital rectal examination (DRE)
- International Prostate Symptom Score (IPSS) ≥12 points at Screening
- prostate volume ≥30 cc by transrectal ultrasonography; (TRUS)
Key exclusion criteria (28 listed)
- A subject will not be eligible for inclusion in this study if any of the following criteria apply:
- total serum PSA >10.0ng/mL at Screening
- history or evidence of prostate cancer (e.g. positive biopsy or ultrasound, suspicious DRE). Patients with suspicious ultrasound or DRE who have had a negative biopsy within the preceding 6 months and stable PSA are eligible for the study.
- Note: If total serum PSA is >4ng/mL and unless PSA value has been stable for at least the past 2 years, the investigator should make every appropriate effort to exclude the possibility of prostate cancer, e.g. further DRE, review TRUS taken within previous month, consider 8-12 core prostate biopsy in accordance with routine clinical practice.
- previous prostatic surgery (including TURP, balloon dilatation, thermotherapy and stent replacement) or other invasive procedures to treat BPH.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| dutasteride 0.5mg once daily for 4 yearscombination or single agent | Drug | Combo, dutasteride |
| tamsulosin 0.4mg once daily for 4 yearsAlso: dutasteride, tamsulosincombination agent or single agent | Drug | Combo, tamsulosin |
Primary outcome
Number of Events of Acute Urinary Retention (AUR) or Benign Prostatic Hyperplasia (BPH)-Related Prostatic Surgery at the Indicated Time Periods.
Time frame: Years 1, 2, 3, and 4
A participant was considered to have AUR when he was unable to urinate and required bladder catheterization. BPH is also known as an enlarged prostate. When symptoms of BPH become bothersome, surgery may be required. When events of AUR and BPH-related surgery were participant-reported or identified, they were recorded in the participants' clinic record.
Number of Participants With AUR or BPH-related Surgery
Time frame: Baseline (Day 1) through Year 4
A participant was considered to have AUR when he was unable to urinate and required bladder catheterization. BPH is also known as an enlarged prostate. When symptoms of BPH become bothersome, surgery may be required. When events of AUR and BPH-related surgery were participant reported or identified, they were recorded in the participants' clinic record.
29 secondary outcomes
Number of Events of First BPH Clinical Progression at Years 1, 2, 3 and 4
Time frame: Years 1, 2, 3, and 4
The Number of Participants With Each of the Five Components of BPH Clinical Progression
Time frame: Baseline (Day 1) to Year 4
Number of Events of Symptom Deterioration at the Indicated Time Periods
Time frame: Years 1, 2, 3, and 4 (from treatment start until each participant's last treatment-phase visit)
Number of Participants With an Event of Post-baseline BPH-related Macroscopic Hematuria
Time frame: Baseline (Day 1) through Year 4
Number of Participants With an Event of Post-baseline BPH-related Hematospermia
Time frame: Baseline (Day 1) through Year 4
Adjusted Mean Change From Baseline in International Prostate Symptom Score (IPSS) at Months 12, 24, 36, and 48
Time frame: Baseline and Months 12, 24, 36, and 48
Adjusted Mean Change From Baseline in Urinary Flow Rate (Qmax) at Months 12, 24, 36, and 48
Time frame: Baseline and Months 12, 24, 36, and 48
Adjusted Mean Percent Change From Baseline in Prostate Volume at Months 12, 24, 36, and 48
Time frame: Baseline and Months 12, 24, 36, and 48
Adjusted Mean Change From Baseline in Transition Zone (Portion of the Prostate That Surrounds the Proximal Urethra) Volume at Months 12, 24, 36, and 48
Time frame: Baseline and Months 12, 24, 36, and 48
Number of Unscheduled Visits to GP/Urologist Regarding AUR Symptoms Since the Last Study Visit
Time frame: Every 3 months from Month 3 to Month 48
Number of "Yes" Responses to the Question: "Would the Participant Have Paid a Visit to His GP/Urologist Regarding AUR Symptoms if the Study Visit Had Not Been Planned"?.
Time frame: Every 3 months from Month 3 to Month 48
Number of Visits to GP/Urologist Regarding BPH-related Surgery Since the Last Study Visit
Time frame: Every 3 months from Month 3 to Month 48
Number of "Yes" Responses to the Question: "Would the Participant Have Paid a Visit to His GP/Urologist Regarding BPH-related Surgery Since the Last Study Visit?"
Time frame: Every 3 months from Month 3 to Month 48
Number of Unplanned Visits to GP/Urologist That Would Have Taken Place if a Scheduled Study Visit Had Not Been Planned (Including Visits Resulting From UTI, UI, Macroscopic Haematuria, Etc.)
Time frame: Every 3 months from Month 3 to Month 48
Number of Unscheduled Visits to GP/Urologist (Outpatient) Planned, Not Relating to the Study (Including Visits Resulting From UTI, UI, Macroscopic Haematuria, Etc.)
Time frame: Every 3 months from Month 3 to Month 48
Adjusted Mean Change From Baseline in BPH Impact Index (BII) at Months 12, 24, 36, and 48
Time frame: Baseline and Months 12, 24, 36, and 48
Adjusted Mean Change From Baseline in BPH-Related Health Status (BHS) at Months 12, 24, 36, and 48
Time frame: Baseline and Months 12, 24, 36, 48
Patient Perception of Study Medication (PPSM): Number of Participants With the Indicated Responses to Question 1 (LOCF)
Time frame: Baseline and Months 12, 24, 36, and 48
Patient Perception of Study Medication (PPSM): Number of Participants With the Indicated Responses to Question 2 (LOCF)
Time frame: Baseline and Months 12, 24, 36, and 48
Patient Perception of Study Medication (PPSM): Number of Participants With the Indicated Responses to Question 3 (LOCF)
Time frame: Baseline and Months 12, 24, 36, and 48
Patient Perception of Study Medication (PPSM): Number of Participants With the Indicated Responses to Question 4 (LOCF)
Time frame: Baseline and Months 12, 24, 36, and 48
Patient Perception of Study Medication (PPSM): Number of Participants With the Indicated Responses to Question 5 (LOCF)
Time frame: Baseline and Months 12, 24, 36, and 48
Patient Perception of Study Medication (PPSM): Number of Participants With the Indicated Responses to Question 6 (LOCF)
Time frame: Baseline and Months 12, 24, 36, and 48
Patient Perception of Study Medication (PPSM): Number of Participants With the Indicated Responses to Question 7 (LOCF)
Time frame: Baseline and Months 12, 24, 36, and 48
Patient Perception of Study Medication (PPSM): Number of Participants With the Indicated Responses to Question 8 (LOCF)
Time frame: Baseline and Months 12, 24, 36, and 48
Patient Perception of Study Medication (PPSM): Number of Participants With the Indicated Responses to Question 9 (LOCF)
Time frame: Baseline and Months 12, 24, 36, and 48
Patient Perception of Study Medication (PPSM): Number of Participants With the Indicated Responses to Question 10 (LOCF)
Time frame: Baseline and Months 12, 24, 36, and 48
Patient Perception of Study Medication (PPSM): Number of Participants With the Indicated Responses to Question 11 (LOCF)
Time frame: Baseline and Months 12, 24, 36, and 48
Patient Perception of Study Medication (PPSM): Number of Participants With the Indicated Responses to Question 12 (LOCF)
Time frame: Baseline and Months 12, 24, 36, and 48
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Feb 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 21269736Antonanzas F, Brenes F, Molero JM, Fernandez-Pro A, Huerta A, Palencia R, Cozar JM. [Cost-effectiveness of the combination therapy of dutasteride and tamsulosin in the treatment of benign prostatic hyperlasia in Spain]. Actas Urol Esp. 2011 Feb;35(2):65-71. doi: 10.1016/j.acuro.2010.11.008. Epub 2011 Jan 26. Spanish.
- Background: PubMed 19239460Barkin J, Roehrborn CG, Siami P, Haillot O, Morrill B, Black L, Montorsi F; CombAT Study Group. Effect of dutasteride, tamsulosin and the combination on patient-reported quality of life and treatment satisfaction in men with moderate-to-severe benign prostatic hyperplasia: 2-year data from the CombAT trial. BJU Int. 2009 Apr;103(7):919-26. doi: 10.1111/j.1464-410X.2009.08196.x. Epub 2009 Feb 23.
- Background: PubMed 21933326Bjerklund Johansen TE, Baker TM, Black LK. Cost-effectiveness of combination therapy for treatment of benign prostatic hyperplasia: a model based on the findings of the Combination of Avodart and Tamsulosin trial. BJU Int. 2012 Mar;109(5):731-8. doi: 10.1111/j.1464-410X.2011.10511.x. Epub 2011 Sep 20.
- Background: PubMed 19545384Black L, Grove A, Morrill B. The psychometric validation of a US English satisfaction measure for patients with benign prostatic hyperplasia and lower urinary tract symptoms. Health Qual Life Outcomes. 2009 Jun 19;7:55. doi: 10.1186/1477-7525-7-55.
- Background: PubMed 18813219Chung BH, Roehrborn CG, Siami P, Major-Walker K, Morrill BB, Wilson TH, Montorsi F. Efficacy and safety of dutasteride, tamsulosin and their combination in a subpopulation of the CombAT study: 2-year results in Asian men with moderate-to-severe BPH. Prostate Cancer Prostatic Dis. 2009;12(2):152-9. doi: 10.1038/pcan.2008.49. Epub 2008 Sep 23.
- Background: PubMed 19825505Roehrborn CG, Siami P, Barkin J, Damiao R, Major-Walker K, Nandy I, Morrill BB, Gagnier RP, Montorsi F; CombAT Study Group. The effects of combination therapy with dutasteride and tamsulosin on clinical outcomes in men with symptomatic benign prostatic hyperplasia: 4-year results from the CombAT study. Eur Urol. 2010 Jan;57(1):123-31. doi: 10.1016/j.eururo.2009.09.035. Epub 2009 Sep 19.
- Background: PubMed 21093145Roehrborn CG, Andriole GL, Wilson TH, Castro R, Rittmaster RS. Effect of dutasteride on prostate biopsy rates and the diagnosis of prostate cancer in men with lower urinary tract symptoms and enlarged prostates in the Combination of Avodart and Tamsulosin trial. Eur Urol. 2011 Feb;59(2):244-9. doi: 10.1016/j.eururo.2010.10.040. Epub 2010 Nov 4.
- Background: PubMed 21332630Roehrborn CG, Barkin J, Siami P, Tubaro A, Wilson TH, Morrill BB, Gagnier RP. Clinical outcomes after combined therapy with dutasteride plus tamsulosin or either monotherapy in men with benign prostatic hyperplasia (BPH) by baseline characteristics: 4-year results from the randomized, double-blind Combination of Avodart and Tamsulosin (CombAT) trial. BJU Int. 2011 Mar;107(6):946-54. doi: 10.1111/j.1464-410X.2011.10124.x. Epub 2011 Feb 18.
- Background: PubMed 22425127Roehrborn CG, Wilson TH, Black LK. Quantifying the contribution of symptom improvement to satisfaction of men with moderate to severe benign prostatic hyperplasia: 4-year data from the CombAT trial. J Urol. 2012 May;187(5):1732-8. doi: 10.1016/j.juro.2011.12.083. Epub 2012 Mar 15.
- Background: PubMed 19901936Becher E, Roehrborn CG, Siami P, Gagnier RP, Wilson TH, Montorsi F. The effects of dutasteride, tamsulosin, and the combination on storage and voiding in men with benign prostatic hyperplasia and prostatic enlargement: 2-year results from the Combination of Avodart and Tamsulosin study. Prostate Cancer Prostatic Dis. 2009;12(4):369-74. doi: 10.1038/pcan.2009.37. Epub 2009 Sep 1.
- Background: PubMed 21348912Montorsi F, Roehrborn C, Garcia-Penit J, Borre M, Roeleveld TA, Alimi JC, Gagnier P, Wilson TH. The effects of dutasteride or tamsulosin alone and in combination on storage and voiding symptoms in men with lower urinary tract symptoms (LUTS) and benign prostatic hyperplasia (BPH): 4-year data from the Combination of Avodart and Tamsulosin (CombAT) study. BJU Int. 2011 May;107(9):1426-31. doi: 10.1111/j.1464-410X.2011.10129.x. Epub 2011 Feb 23.
- Background: PubMed 20487046Montorsi F, Henkel T, Geboers A, Mirone V, Arrosagaray P, Morrill B, Black L. Effect of dutasteride, tamsulosin and the combination on patient-reported quality of life and treatment satisfaction in men with moderate-to-severe benign prostatic hyperplasia: 4-year data from the CombAT study. Int J Clin Pract. 2010 Jul;64(8):1042-51. doi: 10.1111/j.1742-1241.2010.02428.x. Epub 2010 May 7.
- Researchers can use this site to request access to anonymised patient level data and/or supporting documents from clinical studies to conduct further research.Link provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
GSK Clinical Trials study director
GlaxoSmithKline
503 sites in 37 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing dutasteride 0.5mg once daily for 4 years and tamsulosin 0.4mg once daily for 4 years in people with Prostatic Hyperplasia, run by GlaxoSmithKline at 503 sites in 37 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 11 inclusion and 28 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 28 Feb 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 503 sites in United States, France, Germany, Spain, Canada and 31 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 16 Mar 2010). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Events of Acute Urinary Retention (AUR) or Benign Prostatic Hyperplasia (BPH)-Related Prostatic Surgery at the Indicated Time Periods. (time frame: Years 1, 2, 3, and 4). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00090103, which also lists 14 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Feb 2017.