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A Prospective Randomized Controlled Trial Assessing the Efficacy of Withdrawing Alpha-blocker Following Initial Combination Therapy with 5-Alpha Reductase Inhibitor for Benign Prostatic Hyperplasia

A Prospective Randomized Controlled Trial Assessing the Efficacy of Withdrawing Alpha-blocker Following Initial Combination Therapy with 5-Alpha Reductase Inhibitor for Benign Prostatic Hyperplasia

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12612000853842
Enrollment
102
Registered
2012-08-14
Start date
2010-01-01
Completion date
Unknown
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Combination therapy of alpha-blocker and 5-alpha-reductase inhibitor (5ARI) is effective for the treatment of benign prostate hyperplasia (BPH) but it is costly. This study aimed to assess the efficacy of withdrawing alpha-blocker following initial combination therapy with 5ARI.

Interventions

Tablet dutasteride 0.5mg daily, oral, 3 months

Sponsors

Universiti Kebangsaan Malaysia Medical Centre
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
Male
Age
40 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

patients with moderate or severe BPH based on IPSS score who were newly diagnosed and started on combination therapy or who were previously diagnosed and were already on combination therapy for a duration of not more than one year. All patients on combination therapy had a prostate size of more than 40g as assessed by digital rectal examination

Exclusion criteria

All patients had a baseline PSA taken routinely and patients with a value higher than 4ng/ml underwent biopsy to screen for possible malignancy. Patients with PSA value less than 1.5ng/ml, prostate cancer and patients with recurrent urinary tract infections were excluded from our study.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026