ISRCTN ISRCTN74130527
DOI https://doi.org/10.1186/ISRCTN74130527
Secondary identifying numbers N/A
Submission date
23/03/2008
Registration date
16/07/2008
Last edited
16/07/2008
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Urological and Genital Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Abdulaziz Al Thunayan
Scientific

P.O.Box 5439
Riyadh
11422
Saudi Arabia

Study information

Study designProspective randomised placebo-controlled double-blinded crossover trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleProspective randomised placebo-controlled double-blind crossover trial in using anti-cholinergics with alpha blockers for the treatment of benign prostatic hyperplasia (BPH) in newly diagnosed patients
Study objectivesAnti-cholinergics might improve symptomatic benign prostatic hyperplasia (BPH).
Ethics approval(s)This study was approved by the Ethical Committee of the Continuous Medical Research Centre at King Khaled University Hospital in late 2007.
Health condition(s) or problem(s) studiedBenign prostatic hyperplasia
InterventionAll patients will have the following investigations at the recruitment visit: prostate specific antigen (PSA), peak urinary flow rate, post-voiding urine volume, ultrasound for the prostate, kidneys and the bladder with the ditrusal wall thickness, urine analysis, digital rectal exam, the symptoms are more voiding or imitative in nature creatinine level and International Prostatic Symptoms Score (IPSS).

1. Anti-cholinergic group: the patients in this group should receive alpha-blockers (tamsulosin) 0.4 mg orally (PO) once daily (OD) and anti-cholinergic (tolterodine) 2 mg PO twice daily (BID) for eight weeks
2. Control group: the patients in this group should receive alpha-blockers (tamsulosin) 0.4 mg PO OD and placebo tablet PO BID for eight weeks.

The patients will then be crossed over for another four weeks. All of them will be followed up throughout the study.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Alpha blocker (tamsulosin), anti-cholinergic (tolterodine)
Primary outcome measureSymptoms measured by:
1. The International Prostatic Symptoms Score (IPSS)
2. Peak urinary flow rate (Q max)

All outcomes will be assessed at visit one (zero time), visit two (eight weeks), visit three (one week from the last visit for wash out) and visit four (final visit at sixteen weeks).
Secondary outcome measures1. Post voiding urine volume (PVR)
2. Ultrasound (optional)

All outcomes will be assessed at visit one (zero time), visit two (eight weeks), visit three (one week from the last visit for wash out) and visit four (final visit at sixteen weeks).
Overall study start date01/04/2008
Completion date01/06/2009

Eligibility

Participant type(s)Patient
Age groupAdult
SexMale
Target number of participants260 patients
Key inclusion criteria1. Male patients; no specific age group but for the condition most patients will be aged 50 years and older
2. Naive patients with BPH
3. Have an International Prostate Symptom Score (IPSS) more than seven
4. Must be living in Riyadh city; patients from the peripheries will be excluded
5. Patients who are already on alpha blockers can be included after a washout period of two weeks
Key exclusion criteria1. Patients with renal failure
2. Acute angle glaucoma
3. Arrythmias (will be excluded by the past medical history and the current cardiac medication)
Date of first enrolment01/04/2008
Date of final enrolment01/06/2009

Locations

Countries of recruitment

  • Saudi Arabia

Study participating centre

P.O.Box 5439
Riyadh
11422
Saudi Arabia

Sponsor information

The Continuous Medical Research Centre at King Khaled University Hospital (Saudi Arabia)
Hospital/treatment centre

College of Medicine
University Hospital
P.O. Box 245
Riyadh
11411
Saudi Arabia

ROR logo "ROR" https://ror.org/046gga527

Funders

Funder type

Hospital/treatment centre

The Continuous Medical Research Centre at King Khaled University Hospital (Saudi Arabia)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan