The investigators compare the efficacy of alpha-blocker and 5-ARI withdrawal to continued combination therapy on the maintenance of LUTS and improvement of quality of life outcomes in men with benign prostatic hyperplasia.
Benign Prostatic Hyperplasia (BPH) is the primary cause of lower urinary tract symptoms (LUTS). Combination therapy with an alpha-blocker and 5 reductase inhibitors (5-ARI) is the first-line treatment of BPH-related LUTS for the reduction of the size of the prostate and LUTS improvement. Combination therapy is tolerated well by most men; however, the incidence of adverse events is higher than with either therapy alone. In patients with improved LUTS following combination therapy, the aim of this study is based on the hypothesis that the withdrawal of either therapy will not increase the risk of LUTS aggravation while improving the quality of life.
The investigators plan a prospective, randomized, open-label, parallel trial, comparing alpha-blocker withdrawal and 5-ARI withdrawal to continued combination therapy. Treatments will be allocated in a 1:1:1 ratio, based on IPSS score (30% decrease from baseline) and prostate volume (35% decrease from baseline).
Condition | Prostate Disorders, Prostatic disorder, benign prostatic hyperplasia, benign prostatic hyperplasia (bph), Benign Prostatic Hyperplasia (Enlarged Prostate), Benign prostatic hypertrophy |
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Treatment | alpha-blocker or 5-ARI withdrawal, Maintenance of alpha-blocker and 5-ARI |
Clinical Study Identifier | NCT05023824 |
Sponsor | Gangnam Severance Hospital |
Last Modified on | 4 September 2021 |
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