Benign Prostatic Hyperplasia
Conditions
Keywords
Benign Prostatic Hyperplasia, alpha Adrenergic Blockers, alpha-1 Adrenergic Receptor
Brief summary
In this study, we investigate the changes of the expression of alpha adrenergic receptor in the prostate tissue during 2-yr medication period in the man with benign prostatic hyperplasia. And we also evaluate the efficacy and safety of 24 mo-treatment with doxazosin (4mg, 8mg)
Detailed description
To compare the expression of alpha-1 adrenergic receptors, we will use various methodologies such as * Real-time RT-PCR * Radioligand receptor binding * Western blot * Immunohistochemistry
Interventions
Treatment with doxazosin 4mg daily for 24 mos
Sponsors
Study design
Eligibility
Inclusion criteria
* 50 yrs or greater * International prostatic symptom score \>= 8 * Maximal flow rate \< 15mL/sec * baseline PSA 2.5-10 ng/mL * Pathologically proven BPH * No medication history for BPH * Able to give fully informed consent
Exclusion criteria
* Previous use of alpha-blocker, 5-alpha reductase inhibitor * Previous surgery for BPH * Urologic cancer history * Urethral stricture * baseline PSA \> 10ng/mL * BP \< 90/70 mmHg * Orthotopic hypotension with syncope * Serum Cr \> 2.0 mg/dl, alanine aminotransferase \> 1.5 times of normal limit * Bacterial prostatitis within 1 year * Urinary tract infection(UTI) more than 2 times within 1 year * Active UTI or prostate biopsy within 1 month * Unable to void * Ped use because of incontinence * Hypersensitivity to alpha-blocker that include quinazoline * Unstable angina, Myocardial infarction, or cerebrovascular accident within 6 months * Neurogenic bladder dysfunction (ex. multiple sclerosis, Parkinson's disease, Spinal injury etc.) * Psychiatric problem * Alcohol abuse or other drug abuse history * Severe comorbidities unable to perform long-term trial * seems not to be appropriate to this study because of any other reasons
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Expression of alpha-1 adrenoceptor | before treatment and 12mos and 24 mos after treatment |
Secondary
| Measure | Time frame |
|---|---|
| International Prostate Symptom Score, Patient perception of bladder condition, Maximal flow rate of urine, Postvoid Residual, Prostate volume, Serum PSA level, Adverse events | before treatment and 3mos, 12mos, and 24mos after treatment |
Countries
South Korea