UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000025282
Receipt number R000029077
Scientific Title A randomized controlled study of the efficacy of Tadalafil monotherapy versus combination of Tadalafil and mirabegron for the treatment of overactive bladder (OAB) associated with benign prostatic hyperplasia (BPH)
Date of disclosure of the study information 2016/12/15
Last modified on 2019/02/05 15:56:41

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Basic information

Public title

A randomized controlled study of the efficacy of Tadalafil monotherapy versus combination of Tadalafil and mirabegron for the treatment of overactive bladder (OAB) associated with benign prostatic hyperplasia (BPH)

Acronym

CONTACT Study

Scientific Title

A randomized controlled study of the efficacy of Tadalafil monotherapy versus combination of Tadalafil and mirabegron for the treatment of overactive bladder (OAB) associated with benign prostatic hyperplasia (BPH)

Scientific Title:Acronym

CONTACT Study

Region

Japan


Condition

Condition

Benign prostatic hyperplasia

Classification by specialty

Urology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficacy and safety of add-on treatment of mirabegron (50mg/day) for OAB /BPH patients who were not satisfied with tadalafil (5mg/day) monotherapy for 8 weeks or longer.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Change from baseline to end of treatment in overactive bladder symptom score (OABSS) total score.

Key secondary outcomes

1) Changes in OABSS subscore (daytime frequency, night-time frequency, urgency, urgent incontinence).
2) Changes in international prostate symptom score (IPSS) total score and subscore (void, storage, postvoid, QOL).
3) Change in National Institute of Health-Chronic Prostatitis Symptom Index (NIH-CPSI) total score and subscore (pain, urination, QOL).
4) Changes in the parameters in frequency volume chart (number of void/ 24 hour, number of night-time void, number of urgency episodes/24 hour, number of incontinence episodes/24 hour).
5) Changes in postvoid residual (PVR) volume.
6) Changes in urine volume, Qmax and Qave.
7) Frequency of adverse events.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Tadalafil monotherapy group: Group A
Tadalafil at the dose of 5mg is orally administered once daily after breakfast for 12 weeks.

Interventions/Control_2

Tadalafil/mirabegron combination therapy group: Group B
Tadalafil at the dose of 5mg and mirabegron at the dose of 50mg are orally administered once daily after breakfast for 12 weeks.

Interventions/Control_3


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

50 years-old <=

Age-upper limit

90 years-old >

Gender

Male

Key inclusion criteria

1) Male patients with BPH.
2) Patients who meet the following criteria even after administering tadalafil 5mg/day for more than 8 weeks:
OABSS total score >3
Urgency > once/week (OABSS urgency score >= 2)
3) Aged >=50 years and < 90 years
4) Patients who are able to give informed consent.
5) Patients from whom we have received written consent.

Key exclusion criteria

1) Patients with a history of hypersensitivity to tadalafil or mirabegron
2) Medication with anti-cholinergics, cholinergics,beta-agonists or antagonists, alpha-blocker and any other agents for treating pollakisuria/urinary incontinence during 8 weeks prior to the study. (Eligible if the medication was discontinued before tadalafil administration (before 8 weeks or more).5 alpha-reductase inhibitors or anti-androgen drugs can be included if they were administered > 6months and the patients had stable condition).
3) History or current condition of urinary retention or severe difficulty of urination
4) Patients with cancer in the part of lower urinary tract such as prostate or bladder, neurogenic bladder, urethra stricture, chronic bacterial prostatitis, symptomatic urinary tract infection, urinary tract stones and interstitial cystitis
5) Patients with serious cardiac disorder, serious cerebrovascular disease, serious liver dysfunction and serious kidney dysfunction
6) Qmax < 5 mL/sec
7) Postvoid residual volume (PVR) >150 mL
8) Any other patients who are regarded as unsuitable for this study by the investigator.

Target sample size

170


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Tomonori Yamanishi

Organization

Dokkyo Medical University

Division name

Department of Urology and Neurology, Continence Center

Zip code


Address

880 Kita-Kobayashi, Mibu-machi, Shimotsuga-gun, Tochigi 321-0293, JAPAN

TEL

0282-86-1111

Email

yamanish@dokkyomed.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Tomonori Yamanishi

Organization

Dokkyo Medical University

Division name

Department of Urology and Neurology, Continence Center

Zip code


Address

880 Kita-Kobayashi, Mibu-machi, Shimotsuga-gun, Tochigi 321-0293, JAPAN

TEL

0282-86-1111

Homepage URL


Email

yamanish@dokkyomed.ac.jp


Sponsor or person

Institute

Clinical Research Support Center Kyushu

Institute

Department

Personal name



Funding Source

Organization

Astellas Pharma Inc.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


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

2016 Year 12 Month 15 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


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

Completed

Date of protocol fixation

2016 Year 09 Month 01 Day

Date of IRB


Anticipated trial start date

2016 Year 12 Month 08 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

2016 Year 12 Month 15 Day

Last modified on

2019 Year 02 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000029077


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name