UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000018743
Receipt number R000021187
Scientific Title Evaluation of silodosin versus tadalafil in patients with urination disorders associated with benign prostatic hyperplasia
Date of disclosure of the study information 2015/08/21
Last modified on 2017/09/07 10:36:21

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Basic information

Public title

Evaluation of silodosin versus tadalafil in patients with urination disorders associated with benign prostatic hyperplasia

Acronym

Evaluation of silodosin versus tadalafil in patients with urination disorders associated with benign prostatic hyperplasia

Scientific Title

Evaluation of silodosin versus tadalafil in patients with urination disorders associated with benign prostatic hyperplasia

Scientific Title:Acronym

Evaluation of silodosin versus tadalafil in patients with urination disorders associated with benign prostatic hyperplasia

Region

Japan


Condition

Condition

Benign Prostatic Hyperplasia

Classification by specialty

Urology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

< Treatment period I >
This research is intended to evaluate the efficacy and safety of oral administration of silodosin 8 mg/day or tadalafil 5 mg/day for 8 weeks in patients with urination disorders associated with benign prostatic hyperplasia using a parallel-group design.
< Treatment period II >
Subjects in the tadalafil group in treatment period I will be divided into 2 groups; a group switched to silodosin 8 mg/day and a group continuing tadalafil 5 mg/day to evaluate the efficacy and safety of oral administration of each drug for 8 weeks using a parallel-group design.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Change in total IPSS score before and after treatment

Key secondary outcomes

1) Change in IPSS subscore before and after treatment
2) Percentage of subjects with an improvement of 25% or higher for total IPSS score
3) Change in QOL score before and after treatment
4) Change in OABSS score before and after treatment
5) Change in OABSS subscore before and after treatment
6) Changes in total IPSS score, QOL score, and OABSS score before and after treatment in the early stage of treatment (treatment period I, Weeks 1, 2, 3, 4: treatment period II, Weeks 9, 10, 11, 12)
7) Change in maximum urine flow rate before and after treatment
8) Change in mean urine flow rate before and after treatment
9) Change in residual urine volume before and after treatment
10) Subgroup analyses of primary/secondary endpoints by subject's baseline characteristic (age, BMI, duration of illness, OAB/ED/renal disease/hepatic disease and other complications, treatment history, prostate volume, baseline data of each endpoint at the start of treatment [Week 0])
11) Adverse events and adverse drug reactions


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Silodosin 4 mg will be orally administered twice daily after breakfast and dinner for 8 weeks.

Interventions/Control_2

Tadalafil 5 mg will be orally administered once daily for 8 weeks.
Subsequently, Tadalafil will be switched to silodosin 4 mg, which will be orally administered twice daily after breakfast and dinner for 8 weeks.

Interventions/Control_3

Tadalafil 5 mg will be orally administered once daily for 8 weeks.
Subsequently, Tadalafil 5 mg will continue to be orally administered once daily for 8 weeks.

Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

60 years-old <=

Age-upper limit


Not applicable

Gender

Male

Key inclusion criteria

Patients diagnosed with benign prostatic hyperplasia by digital rectal examination or ultrasonography who provide written consent to participate in the research.
1) Patients meet the following conditions as confirmed through inspection and examination at the start of treatment (Week 0):
Total IPSS Score of 13 or higher
QOL score of 3 or higher
Prostate volume of 20 mL or higher
Residual urine volume of 100 mL or less
2) Patients are 60 years or older (at the time of consent).

Key exclusion criteria

1) Patients have any of the contraindications listed in the package inserts for silodosin or tadalafil.
2) Patients have prostate cancer.
3) Patients have lower urinary tract symptoms possibly due to urinary tract infection or neurogenic bladder.
4) Patients have used silodosin or tadalafil within 12 weeks prior to Week 0.

Target sample size

180


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masaki Yoshida

Organization

National Center for Geriatrics and Gerontology

Division name

Division of Urology, Department of Surgery and Intensive Care

Zip code


Address

7-430 Morioka-cho, Obu, Aichi, Japan

TEL

0562-46-2311

Email

myoshida@ncgg.go.jp


Public contact

Name of contact person

1st name
Middle name
Last name Katsumi Watanabe

Organization

Mebix, Inc.

Division name

Research Promotion Division

Zip code


Address

Akasaka Intercity, 1-11-44, Akasaka Minato-ku, Tokyo, Japan

TEL

03-4362-4504

Homepage URL


Email

silodosin@mebix.co.jp


Sponsor or person

Institute

Kissei Pharmaceutical Co.,Ltd.

Institute

Department

Personal name



Funding Source

Organization

Kissei Pharmaceutical Co.,Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2015 Year 08 Month 21 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

http://onlinelibrary.wiley.com/doi/10.1111/luts.12177/epdf

Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2015 Year 04 Month 03 Day

Date of IRB


Anticipated trial start date

2015 Year 08 Month 21 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2015 Year 08 Month 20 Day

Last modified on

2017 Year 09 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000021187


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name