A dose-finding, multi-centre, double-blind, randomised, parallel, placebo-controlled trial to investigate efficacy and safety of degarelix in men with lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH)
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
404
Mannitol 50 mg/mL solution
10 mg degarelix, 40 mg/mL solution
20 mg degarelix, 40 mg/mL solution
Mean Change in International Prostate Symptom Score (IPSS)
This outcome measure was used to assess the dose-response of the 3 degarelix dose groups in terms of severity of lower urinary tract symptoms (LUTS) and progress of the disease process, versus the placebo group. One treatment month equals 28 days. The IPSS questionnaire is a tool commonly used to assess the severity of LUTS, and to monitor the progress of the symptoms during treatment. It contains 7 questions regarding incomplete emptying, frequency, intermittency, urgency, weak stream, straining, and nocturia. Each question is assigned a score of 0-5 (i.e. minimum total score is 0 and the maximum score is 35), where "0" corresponds to a response of "not at all" for the first six symptoms and "none" for nocturia, and "5" corresponds to a response of "almost always" for the first six symptoms and "5 times or more" for nocturia. The IPSS also includes a question to evaluate a patient's quality of life in relation to his urinary symptoms, which is not included in the total IPSS score.
Time frame: From Baseline to Month 3 after Dosing
Mean Change in IPSS
This secondary outcome measure was used to assess the maintained dose-response of the 3 degarelix dose groups in terms of severity of LUTS and progress of the disease process, versus the placebo group.
Time frame: From Baseline to Month 4, Month 5 and Month 6 after Dosing
Odds Ratio (as Compared to Placebo) of Treatment Response in IPSS
A 3-point reduction in IPSS score compared to baseline is defined as a clinically meaningful treatment response. Percentage of participants who met criteria for a clinically meaningful treatment response and odds ratios of treatment responses between each degarelix dose group and the placebo group are presented.
Time frame: At Month 3, Month 4, Month 5 and Month 6 after Dosing
Mean Percentage Change in Total Prostate Volume (TPV)
TPV was measured directly by standardised trans-rectal ultrasound (TRUS).
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30 mg degarelix, 40 mg/mL solution
Urology Centers of Alabama, PC
Homewood, Alabama, United States
Coastal Clinical Research Inc
Mobile, Alabama, United States
California Professional Research
Newport Beach, California, United States
Genitourinary Surgical Consultants
Denver, Colorado, United States
Urology Associates , PC
Englewood, Colorado, United States
South Florida Medical Research
Aventura, Florida, United States
Winter Park Urology Associates
Orlando, Florida, United States
Pinellas Urology Inc
St. Petersburg, Florida, United States
Florida Urology Partners
Tampa, Florida, United States
Northwestern University
Chicago, Illinois, United States
...and 37 more locations
Time frame: From Baseline to Month 3 and Month 6 after Dosing
Mean Change in Maximum Urinary Flow (Qmax)
Urinary flow rate (mL/second) was measured using uroflowmetry performed according to the recommendation from the International Continence Society (ICS).
Time frame: From Baseline to Month 3 and Month 6 after Dosing