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Prostate HyperplasiaPhase 2NCT02244294

FLOMAX® Versus Placebo, in Male Patients With Acute Urinary Retention Related to Benign Prostatic Hyperplasia (BPH)

A Phase 2 study testing FLOMAX® capsules in people with Prostate Hyperplasia, run by Boehringer Ingelheim.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

To establish whether the administration of FLOMAX® improves the outcome of a trial without catheter (TWOC) after an episode of acute urinary retention and to determine whether spontaneous voiding is maintained over the course of six months of active treatment Read more about this study

Who is it for?
Ages 45 years and older, men only
Conditions the study is for
Prostate Hyperplasia
What is being tested?
FLOMAX® capsules
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
176 participants
Where
No sites listed yet
Study dates
Mar 2001to Jun 2005
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 45 years and older
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Phase I
  • Adult men, 45 years of age or older, diagnosed with acute urinary retention due to BPH
  • Patients who have never taken alpha-blockers or discontinued taking alpha-blockers 72 hours or more prior to entrance into this study
  • Patients that have been treated with an indwelling urethral catheter as treatment for acute urinary retention (AUR) due to BPH
  • Patients must be judged by the investigator to be reliable and willing to comply with all tests and examinations stipulated in the protocol
  • All patients must be willing to give meaningful, written, informed consent prior to participation in the trial, in accordance with regulatory requirements. Patients must also have sufficient understanding to communicate effectively with the investigator
  • Phase II - Patients who voided spontaneously, at least 100 mL and a post-void residual volume of ≤ 300 mL, at Visit 2

Who cannot join

  • Phase I
  • Patients diagnosed with a symptomatic/active urinary tract infection (UTI) or an abnormal urine culture at baseline or 2 or more UTIs within the last six months. An abnormal urine culture was defined as:
  • A bacterial colony count of greater than or equal to 100,000 CFU/mL or
  • A bacterial colony count of greater than or equal to 100 CFU/mL of a known urinary pathogen in a symptomatic patient
  • Patients that have a distended bladder volume greater than 1.5 liters (1500 ml) of retention as measured by initial catheter urine volume
  • Patients with history of sexually transmitted disease within last two years
Show all 40Show fewer
  • Patients with active genital herpes disease whose urinary function was impacted due to the disease
  • Patients who have a history of mechanical outlet obstruction excluding BPH (i.e., bladder neck contracture or stricture, bladder tumor, or bladder calculi)
  • Patients with urethral stricture disease
  • Patients with a history of bladder, prostate, or urethral surgery in the last three months
  • Patients presenting with AUR who were not been seen within 5 days of urethral catheter placement
  • Patients presenting with any of the following: active urinary stone disease, previous pelvic radiotherapy, perirectal inflammatory disorders or inflammatory bowel disease
  • Participation in another drug study within 30 days of Visit 1
  • Clinically relevant conditions which may interfere with the patient's ability to participate in the study including, but not limited to, the following: neurologic, gastrointestinal, cardiovascular, hepatic, renal, psychiatric, hematologic or respiratory disease and clinically relevant laboratory abnormalities not mentioned above (e.g., hematuria) based upon the clinical judgment of the investigator
  • Patients receiving cimetidine, ranitidine or warfarin within two weeks of study start date and who would potentially use such medications during the course of the trial
  • Patients currently treated with finasteride (PROSCAR®) and who would not discontinue its use upon entrance into the study
  • Patients with known hypersensitivity to FLOMAX® (tamsulosin hydrochloride) or other alpha-blockers
  • Patients with a history of myocardial infarction within six months of baseline
  • Patients with uncontrolled hypertension (systolic > 160 mmHg, diastolic > 100 mmHg) and patients with severe hypotension (systolic < 90 mmHg)
  • Patients who have been using the following drugs, 72 hours prior to study start date, or who are unable to discontinue these drugs over the course of the study:
  • Alpha-adrenergic medication
  • Drugs with systemic anticholinergic activity including antihistamines. The following antihistamines are allowed: ALLEGRA®, CLARITIN® or ZYRTEX®
  • Antispasmodics or muscle relaxants
  • Parasympathomimetics, cholinomimetics or similar drug
  • Patients that have poorly controlled diabetes mellitus who suffer from peripheral neuropathy or diabetic cystopathy
  • Patients who suffer from neurological diseases affecting the bladder (i.e., multiple sclerosis, Parkinson's disease, stroke, and any bladder trauma that may be an exclusion criterion in the opinion of the investigator
  • Patients with a neurological impairment or psychiatric disorder that prevents their comprehension of the informed consent and/or the ability to comply with the protocol
  • Patients with a urine volume at the initial catheterization less than 300 mL
  • Patients with a diagnosis of active cancer, except basal cell carcinoma, within 5 years or less
  • Patients who had a transurethral resection of the prostate (TURP) within 5 years or less of study enrollment and irreversible urethral damage due to the procedure
  • Phase II
  • Patients with clinically, significant abnormal lab results including any baseline laboratory serum test with the following values:
  • Hemoglobin < 11.0 g/dL
  • Leukocytes < 3,000 per mm3
  • Liver enzymes [aspartate aminotransferase (SGOT), alanine transaminase (SGPT) and alkaline phosphatase]: more than two times the upper limit of normal at baseline
  • Serum creatinine more than two times the upper limit of normal at Visit 1
  • Patients with clot retention, persistent gross hematuria (Visit 3 only), prostatitis, a symptomatic/active urinary tract infection (UTI) or an abnormal baseline urine culture
  • An abnormal urine culture was defined as:
  • A bacterial colony count of greater than or equal to 100,000 colony forming units (CFU)/mL or
  • A bacterial colony count of greater than or equal to 100 CFU/mL of a kown urinary pathogen in a symptomatic patient

About this study

Official title: A Two Phase, Double-blinded, Randomized, Parallel Group Design, Multicenter Study of FLOMAX® Capsules, 0.4 mg Versus Placebo, in Male Patients With Acute Urinary Retention Related to Benign Prostatic Hyperplasia

To establish whether the administration of FLOMAX® improves the outcome of a trial without catheter (TWOC) after an episode of acute urinary retention and to determine whether spontaneous voiding is maintained over the course of six months of active treatment

Being tested
FLOMAX® capsules, Placebo capsules
Medical subject headings
Prostatic Hyperplasia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • FLOMAX® capsulesDrug

    Also called Tamsulosin hydrochloride

  • Placebo capsulesDrug

Study groups in NCT02244294
Study groupRoleWhat they receive
FLOMAX®ExperimentalNot described
Receives: Drug: FLOMAX® capsules
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo capsules

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Successful spontaneous voiding after urethral catheter removal

    For Phase I of the trial

    Measured: Up to 96 hours after start of treatment

  2. Maintenance of successful spontaneous voiding

    For Phase II of the trial

    Measured: Up to 6 months after start of treatment

Secondary outcomes (5)
  1. Change in voided urine volume

    Measured: Up to 6 months after start of treatment

  2. Determination of post-void residual urine volume

    by ultrasound or bladder scan

    Measured: Up to 6 months after start of treatment

  3. Time to recurrence of AUR

    For phase II of the trial

    Measured: Up to 6 months after start of treatment

  4. Clinically significant changes from baseline in vital signs

    Measured: Pre-dose, up to 6 months after start of treatment

  5. Number of patients with adverse events

    Measured: Up to 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Sep 2014 (estimated)
  2. Study startMar 2001
  3. Primary completionJun 2005

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Enrolment
176 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02244294
Sponsor's protocol ID
527.26
Status last verified
Sep 2014
First submitted
18 Sep 2014
Last updated
19 Sep 2014
Results posted
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing FLOMAX® capsules in people with Prostate Hyperplasia, run by Boehringer Ingelheim.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 40 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 19 Sep 2014. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Successful spontaneous voiding after urethral catheter removal (time frame: Up to 96 hours after start of treatment). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Sep 2014.

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