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Benign Prostatic HyperplasiaPhase 3EMPATHYNCT04245566

Prostatic Artery Embolization vs. Pharmacotherapy for LUTS/BPH

A Phase 3 study testing Prostatic Artery Embolization (PAE) and Pharmacotherapy in people with Benign Prostatic Hyperplasia and Pharmacotherapy, run by Dominik Abt.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This study compares safety and efficacy of prostatic artery embolization and pharmacotherapy in the treatment of lower urinary tract symptoms associated wit benign prostatic hyperplasia. Read more about this study

Who is it for?
Ages 45 to 100 years, men only
What is being tested?
Prostatic Artery Embolization (PAE) and Pharmacotherapy
Type of treatment
Surgery or procedure
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
425 participants
Where
No sites listed yet
Study dates
Sep 2021to Dec 2025
Phase
Phase 3
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 to 100 years
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • men ≥45 years of age
  • lower urinary tract symptoms assigned to BPH (diagnosis by medical history and physical examination)
  • IPSS ≥ 8 points
  • QoL ≥ 3 points
  • Qmax ≤ 15 ml/s with a minimum voided volume ≥ 125 ml
  • informed consent for study participation

Who cannot join

  • renal impairment (GFR < 30ml/min)
  • previous prostatic surgery
  • 5-alpha reductase inhibitor (5-ARI) use within 6 mo (or dutasteride within 12 mo) prior to entry, or use of an α-blocker or phytotherapy for BPH within 2 weeks prior to entry
  • history or evidence of prostate cancer
  • absolute indication for surgical treatment of complications related to BPH (i.e. bladder stones, renal impairment due to bladder outlet obstruction)
  • history of neurogenic bladder dysfunction
  • not able to complete questionnaires due to cognitive or thought disorders
  • language skills insufficient for informed consent and / or completion of questionnaires

Trial locations and contacts

No sites are listed yet.

Dominik ABT, MD contact

41714941418

dominik.abt@kssg.ch

About this study

Official title: Prostatic Artery Embolization vs. Pharmacotherapy for Lower Urinary Tract Symptoms Secondary to Benign Prostatic Hyperplasia: a Multicenter Randomized Controlled Trial

This study compares safety and efficacy of prostatic artery embolization and pharmacotherapy in the treatment of lower urinary tract symptoms associated wit benign prostatic hyperplasia.

Being tested
Prostatic Artery Embolization (PAE), Pharmacotherapy
Medical subject headings
Prostatic Hyperplasia

What participants receive

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

  • Prostatic Artery Embolization (PAE)Procedure or surgery

    Prostatic artery embolization will be performed under local anesthesia according to well established and standardized techniques.

  • PharmacotherapyDrug

    Pharmacotherapy will be performed using α1-blockers and 5α-reductase inhibitors in accordance with the EAU recommendations

Study groups in NCT04245566
Study groupRoleWhat they receive
Prostatic Artery Embolization (PAE)ExperimentalPAE will be performed as an inpatient or outpatient procedure by interventional radiologists who are familiar with the procedure and according to established techniques. A unilateral femoral sheath is placed in the right common femoral artery under local anaesthesia. The prostatic arterial supply is identified by selective internal iliac arteriography. Prostatic arteries are selectively catheterised and embolised by use of 250-600 μm microspheres . PAE is performed bilaterally if possible and considered successful in the absence of the normal blush of the prostate and stasis of flow in the prostate arteries on angiography after embolisation.
Receives: Procedure: Prostatic Artery Embolization (PAE)
PharmocotherapyPlacebo comparatorPharmacotherapy will be performed using α1-blockers and 5α-reductase inhibitors in accordance with the EAU recommendations. Thus, patients with a prostate size smaller than 40mL will be treated with 0.4 mg tamsulosin once daily, while patients with larger prostates will be treated with 0.4 mg tamsulosin plus 0.5 mg dutasteride once daily during the complete study follow-up.
Receives: Drug: Pharmacotherapy

What is being measured

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

  1. International Prostate Symptoms Score (IPSS)

    The International Prostate Symptoms Score (IPSS) measures the degree of symptoms associated with benign prostatic hyperplasia (BPH). Range of values 0-35 points. Higher values indicate more severe symptoms.

    Measured: 24 months after treatment initiation

Secondary outcomes (48)
  1. International Prostate Symptoms Score (IPSS)

    The International Prostate Symptoms Score (IPSS) measures the degree of symptoms associated with benign prostatic hyperplasia (BPH). Range of values 0-35 points. Higher values indicate more severe symptoms.

    Measured: 6 weeks after treatment initiation

  2. International Prostate Symptoms Score (IPSS)

    The International Prostate Symptoms Score (IPSS) measures the degree of symptoms associated with benign prostatic hyperplasia (BPH). Range of values 0-35 points. Higher values indicate more severe symptoms.

    Measured: 6 months after treatment initiation

  3. International Prostate Symptoms Score (IPSS)

    The International Prostate Symptoms Score (IPSS) measures the degree of symptoms associated with benign prostatic hyperplasia (BPH). Range of values 0-35 points. Higher values indicate more severe symptoms.

    Measured: 1 year after treatment initiation

  4. International Prostate Symptoms Score (IPSS)

    The International Prostate Symptoms Score (IPSS) measures the degree of symptoms associated with benign prostatic hyperplasia (BPH). Range of values 0-35 points. Higher values indicate more severe symptoms.

    Measured: 5 year after treatment initiation

  5. Self-assessed goal achievement (SAGA)

    SAGA is a PROM focusing on individual treatment goals SAGA is a patient reported outcome measure focusing on individual treatment goals

    Measured: 6 weeks after treatment initiation

  6. Self-assessed goal achievement (SAGA)

    SAGA is a PROM focusing on individual treatment goals SAGA is a patient reported outcome measure focusing on individual treatment SAGA is a PROM focusing on individual treatment goals

    Measured: 6 months after treatment initiation

  7. Self-assessed goal achievement (SAGA)

    SAGA is a PROM focusing on individual treatment goals SAGA is a patient reported outcome measure focusing on individual treatment goals

    Measured: 1 year after treatment initiation

  8. Self-assessed goal achievement (SAGA)

    SAGA is a PROM focusing on individual treatment goals SAGA is a patient reported outcome measure focusing on individual treatment goals

    Measured: 2 years after treatment initiation

  9. Self-assessed goal achievement (SAGA)

    SAGA is a PROM focusing on individual treatment goals SAGA is a patient reported outcome measure focusing on individual treatment goals

    Measured: 5 years after treatment initiation

  10. Maximum urinary stream (Qmax)

    Urinary stream will be measured by free uroflowmetry and recorded in mL per second. Higher values indicate a better maximum urinary stream.

    Measured: 6 weeks after treatment initiation

  11. Maximum urinary stream (Qmax)

    Urinary stream will be measured by free uroflowmetry and recorded in mL per second. Higher values indicate a better maximum urinary stream.

    Measured: 6 months after treatment initiation

  12. Maximum urinary stream (Qmax)

    Urinary stream will be measured by free uroflowmetry and recorded in mL per second. Higher values indicate a better maximum urinary stream.

    Measured: 1 year after treatment initiation

  13. Maximum urinary stream (Qmax)

    Urinary stream will be measured by free uroflowmetry and recorded in mL per second. Higher values indicate a better maximum urinary stream.

    Measured: 2 years after treatment initiation

  14. Maximum urinary stream (Qmax)

    Urinary stream will be measured by free uroflowmetry and recorded in mL per second. Higher values indicate a better maximum urinary stream.

    Measured: 5 years after treatment initiation

  15. Post void residual urine (PVR)

    Post void residual is measured after voiding by transabdominal ultrasound and calculated in mL. Higher values indicate more post void residual urine and a worse ability to empty the bladder.

    Measured: 6 weeks after treatment initiation

  16. Post void residual urine (PVR)

    Post void residual is measured after voiding by transabdominal ultrasound and calculated in mL. Higher values indicate more post void residual urine and a worse ability to empty the bladder.

    Measured: 6 months after treatment initiation

  17. Post void residual urine (PVR)

    Post void residual is measured after voiding by transabdominal ultrasound and calculated in mL. Higher values indicate more post void residual urine and a worse ability to empty the bladder.

    Measured: 1 year after treatment initiation

  18. Post void residual urine (PVR)

    Post void residual is measured after voiding by transabdominal ultrasound and calculated in mL. Higher values indicate more post void residual urine and a worse ability to empty the bladder.

    Measured: 2 years after treatment initiation

  19. Post void residual urine (PVR)

    Post void residual is measured after voiding by transabdominal ultrasound and calculated in mL. Higher values indicate more post void residual urine and a worse ability to empty the bladder.

    Measured: 5 years after treatment initiation

  20. Prostate volume

    Prostate volume measured by transrectal ultrasound. This examination is only performed at selected food-up visits (i.e. 6mo, 2y, 5y)

    Measured: 6 moths after treatment initiation

  21. Prostate volume

    Prostate volume measured by transrectal ultrasound. This examination is only performed at selected food-up visits (i.e. 6mo, 2y, 5y)

    Measured: 2 years after treatment initiation

  22. Prostate volume

    Prostate volume measured by transrectal ultrasound. This examination is only performed at selected food-up visits (i.e. 6mo, 2y, 5y)

    Measured: 5 years after treatment initiation

  23. Prostate specific antigen (PSA)

    laboratory test

    Measured: 6 months after treatment initiation

  24. Prostate specific antigen (PSA)

    laboratory test

    Measured: 1 year after treatment initiation

  25. Prostate specific antigen (PSA)

    laboratory test

    Measured: 2 years after treatment initiation

  26. Prostate specific antigen (PSA)

    laboratory test

    Measured: 5 years after treatment initiation

  27. Safety / adverse events

    Number of patients developing adverse events: Classification will be performed according to Clavien-Dindo classification and CTCAE.

    Measured: 6 weeks after treatment initiation

  28. Safety / adverse events

    Number of patients developing adverse events: Classification will be performed according to Clavien-Dindo classification and CTCAE.

    Measured: 6 months after treatment initiation

  29. Safety / adverse events

    Number of patients developing adverse events: Classification will be performed according to Clavien-Dindo classification and CTCAE.

    Measured: 1 year after treatment initiation

  30. Safety / adverse events

    Number of patients developing adverse events: Classification will be performed according to Clavien-Dindo classification and CTCAE.

    Measured: 2 year after treatment initiation

  31. Safety / adverse events

    Number of patients developing adverse events: Classification will be performed according to Clavien-Dindo classification and CTCAE.

    Measured: 5 year after treatment initiation

  32. Erectile function

    Assessed by the questionnaire IIEF-5. Score of IIEF-5 can range from 0 to 25 points. Higher values indicate a better erectile function.

    Measured: 6 weeks after treatment initiation

  33. Erectile function

    Assessed by the questionnaire IIEF-5. Score of IIEF-5 can range from 0 to 25 points. Higher values indicate a better erectile function.

    Measured: 6 months after treatment initiation

  34. Erectile function

    Assessed by the questionnaire IIEF-5. Score of IIEF-5 can range from 0 to 25 points. Higher values indicate a better erectile function.

    Measured: 1 year after treatment initiation

  35. Erectile function

    Assessed by the questionnaire IIEF-5. Score of IIEF-5 can range from 0 to 25 points. Higher values indicate a better erectile function.

    Measured: 2 year after treatment initiation

  36. Erectile function

    Assessed by the questionnaire IIEF-5. Score of IIEF-5 can range from 0 to 25 points. Higher values indicate a better erectile function.

    Measured: 5 year after treatment initiation

  37. Ejaculatory function

    Assessed by the questionnaire Male Sexual Health Questionnaire-Ejaculation Dysfunction Short Form (MSHQ-EjD). Ejaculatory function total score (questions 1-3, possible range 0-15, higher values indicate better ejaculatory function, and MSHQ-EjD ejaculatory bother item (question 4, possible range 0-5, higher values indicate more bother).

    Measured: 6 weeks after treatment initiation

  38. Ejaculatory function

    Assessed by the questionnaire Male Sexual Health Questionnaire-Ejaculation Dysfunction Short Form (MSHQ-EjD). Ejaculatory function total score (questions 1-3, possible range 0-15, higher values indicate better ejaculatory function, and MSHQ-EjD ejaculatory bother item (question 4, possible range 0-5, higher values indicate more bother).

    Measured: 6 months after treatment initiation

  39. Ejaculatory function

    Assessed by the questionnaire Male Sexual Health Questionnaire-Ejaculation Dysfunction Short Form (MSHQ-EjD). Ejaculatory function total score (questions 1-3, possible range 0-15, higher values indicate better ejaculatory function, and MSHQ-EjD ejaculatory bother item (question 4, possible range 0-5, higher values indicate more bother).

    Measured: 1 year after treatment initiation

  40. Ejaculatory function

    Assessed by the questionnaire Male Sexual Health Questionnaire-Ejaculation Dysfunction Short Form (MSHQ-EjD). Ejaculatory function total score (questions 1-3, possible range 0-15, higher values indicate better ejaculatory function, and MSHQ-EjD ejaculatory bother item (question 4, possible range 0-5, higher values indicate more bother).

    Measured: 2 years after treatment initiation

  41. Ejaculatory function

    Assessed by the questionnaire Male Sexual Health Questionnaire-Ejaculation Dysfunction Short Form (MSHQ-EjD). Ejaculatory function total score (questions 1-3, possible range 0-15, higher values indicate better ejaculatory function, and MSHQ-EjD ejaculatory bother item (question 4, possible range 0-5, higher values indicate more bother).

    Measured: 5 years after treatment initiation

  42. Need for additional drug treatment, surgical treatment or change of medical treatment assessed

    assessed by patient interviews at follow up visit

    Measured: 6 weeks after treatment initiation

  43. Need for additional drug treatment, surgical treatment or change of medical treatment assessed

    assessed by patient interviews at follow up visit

    Measured: 6 moths after treatment initiation

  44. Need for additional drug treatment, surgical treatment or change of medical treatment assessed

    assessed by patient interviews at follow up visit

    Measured: 1 year after treatment initiation

  45. Need for additional drug treatment, surgical treatment or change of medical treatment assessed

    assessed by patient interviews at follow up visit

    Measured: 2 years after treatment initiation

  46. Need for additional drug treatment, surgical treatment or change of medical treatment assessed

    assessed by patient interviews at follow up visit

    Measured: 5 years after treatment initiation

  47. Analysis of cost-effectiveness using quality-adjusted life years (QALY)

    One QALY equates to one year in perfect health. QALY scores range from 1 (perfect health) to 0 (dead). To estimate QALY costs will be calculated by calculation of treatment costs, and quality of life will be assessed using the questionnaire EQ-5D. EQ-5D measures five dimensions (5D); mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Respondents self-rate their level of severity for each dimension using a five-level scale. The questionnaire can define 3,125 different health states.

    Measured: 2 years after treatment initiation

  48. Analysis of cost-effectiveness using quality-adjusted life years (QALY)

    One QALY equates to one year in perfect health. QALY scores range from 1 (perfect health) to 0 (dead). To estimate QALY costs will be calculated by calculation of treatment costs, and quality of life will be assessed using the questionnaire EQ-5D. EQ-5D measures five dimensions (5D); mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Respondents self-rate their level of severity for each dimension using a five-level scale. The questionnaire can define 3,125 different health states.

    Measured: 5 years after treatment initiation

Timeline

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

  1. First posted29 Jan 2020
  2. Study startSep 2021 (estimated)
  3. Primary completionDec 2022 (estimated)
  4. Study completionDec 2025 (estimated)

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
1:1 randomized controlled study
Masking
None (open label)
Enrolment
425 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04245566
Sponsor's protocol ID
CTU19/025
Acronym
EMPATHY
Status last verified
Jan 2021
First submitted
23 Jan 2020
Last updated
26 Jan 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: At the end of the study, data are stored in a publicly accessible repository (e.g. Harvard Dataverse or Zenodo, depending on whether the data should be stored on a server in America or Europe). All elements are stored with a unique Digital Object Identifier (DOI), which can be referenced in the respective publication.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Prostatic Artery Embolization (PAE) and Pharmacotherapy in people with Benign Prostatic Hyperplasia and Pharmacotherapy, run by Dominik Abt.

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 6 inclusion and 8 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: status not confirmed, as of the sponsor's last update on 26 Jan 2021. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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

Are results available for this study?

Results are not available in the source record.

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

Contact Dominik ABT, MD (41714941418, dominik.abt@kssg.ch), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

International Prostate Symptoms Score (IPSS) (time frame: 24 months after treatment initiation). 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 26 Jan 2021.

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