The purpose of this study is: * To assess safety of Afalaza drug within 12 months in patients with symptoms of benign prostatic hyperplasia (BPH) and risk of progression. * To assess efficacy of Afalaza drug within 12 months in patients with symptoms of benign prostatic hyperplasia and risk of progression.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
260
Change in Total IPSS Scores (International Prostate Symptome Score) After 1, 3, 6 and 12 Months Compared to Baseline.
The International Prostate Symptom Score (IPSS) is based on the answers to 7 questions concerning urinary symptoms plus one question concerning quality of life (QoL). Each of the seven symptoms includes the assignment of scores from 0 to 5. The total score can therefore range from 0 to 35 points (asymptomatic to very symptomatic). The patient's quality of life (QoL) was evaluated separately in this clinical study.
Time frame: Baseline, 1, 3, 6 and 12 months
Change in Dynamics of Irritative Symptoms Evaluated by IPSS (International Prostate Symptome Score) After 1, 3, 6 and 12 Months Compared to Baseline
The International Prostate Symptom Score (IPSS) is based on the answers to 7 questions concerning urinary symptoms plus one question concerning quality of life (QoL). Each of the seven symptoms includes the assignment of scores from 0 to 5. The total score can therefore range from 0 to 35 points (asymptomatic to very symptomatic). The patient's quality of life (QoL) was evaluated separately in this clinical study. The sum of IPSS questions 2, 4, and 7 related to irritative symptoms. The total score of irritative symptoms can therefore range from 0 to 15 points (asymptomatic to very symptomatic).
Time frame: Baseline and 1, 3, 6, 12 months
Change in Maximum Urinary Flow Rate After 1, 3, 6 and 12 Months Compared to Baseline
Time frame: Baseline and 1, 3, 6 and 12 months
Change in Average Urinary Flow Rate After 1, 3, 6 and 12 Months Compared to Baseline
Time frame: Baseline and 1, 3, 6 and 12 months
Percent Change in Mean Values of Prostate Gland Volume at 3, 6 and 12 Months Compared to Baseline
Change in the volume of the prostate gland as a percentage of the baseline according to transrectal ultrasound
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The State Budget Health Care institution of Moscow the City "Hospital for veterans of wars No. 2 of the Administration of Health Care of Moscow City"
Moscow, Russia
The State Budget Health Care institution of Moscow the City "Specialized clinical (neuro-psychiatric) hospital No. 8 n.a. Z.P. Solovyov - ''Clinic of neuroses" of the Administration of Health Care of Moscow City
Moscow, Russia
The Federal State Budget Educational institution of High Professional Training "Peoples' Friendship University of Russia", Department of Urology and Operative Nephrology
Moscow, Russia
The State Budget Educational institution of High Professional Training I.M. Sechenov First Moscow State Medical University of Ministry of Health Care and Social Development of the Russian Federation, Department of Urology
Moscow, Russia
The State Budgetary Educational Institution of Higher Professional Education " Moscow State University of Medicine and Dentistry of A. I. Evdokimov" Ministry of Health of the Russian Federation
Moscow, Russia
The Federal State Budget institution "Polyclinic № 3" of Affairs Management Department of the President of the Russian Federation
Moscow, Russia
Limited liability company "Family Policlinic No. 4"
Moscow Region Koroljov, Russia
Municipal Treatment-and-Prophylactic Health Care institution Clinical Diagnostic Centre "Zdorovie"
Rostov-on-Don, Russia
The Federal State Budgetary Institution " Saint-Petersburg Research Institute Phthisiopulmonology " Ministry of Health of the Russian Federation
Saint Petersburg, Russia
The Federal State institution "All-Russian center of emergency and radiation medicine n.a. A.M. Nikiforov" of the Ministry of the Russian Federation for Affairs of civil defence, emergencies and elimination of consequences of natural disasters
Saint Petersburg, Russia
...and 6 more locations
Time frame: Baseline and 3, 6 and 12 months
Change in Mean Values of Micturition Volume at 3, 6 and 12 Months Compared to Baseline
Time frame: Baseline and 3, 6 and 12 months
Change in the Mean Values of Residual Urine Volume at 3, 6 and 12 Months Compared to Baseline
according to transabdominal ultrasound
Time frame: Baseline and 3, 6 and 12 months
Change in Quality of Life (QoL Index of IPSS) at 3, 6 and 12 Months Compared to Baseline
Quality of life (QoL) Due to Urinary Symptoms is an eight point of the IPSS scale referred to the patient's quality of life. The answers to this question range from "delighted" to "terrible" or 0 to 5.
Time frame: Baseline and 3, 6 and 12 months
Change in Total Value of Risk Factors for Progression (Total Score of IPSS, Prostate Volume, PSA Level, Maximum Urinary Flow Rate, Residual Urine Volume) Compared to Baseline
To assess the risk of BPH progression, the following were used: 1) moderate to severe BPH symptoms (ie, IPSS total score\> 7); 2) an increase in the volume of the prostate gland (\> 30 cm\^2); 3) increased PSA level in the blood (≥ 1.4 ng / ml); 4) a decrease in Qmax (\<12 ml / s) and 5) a large volume of residual urine (\> 200 ml). The total value of risk factors for progression is assessed as the sum of the risk factors that the patient had at the time of inclusion in the study (presence of risk factors = 1 point, absence = 0 points). After 3, 6 and 12 months of treatment, the dynamics of risk factors for progression was assessed: an increase in the severity of the risk factor meant +1, no change = 0, a decrease in the severity of the risk factor of -1.
Time frame: Baseline and 3, 6 and 12 months
Number of Episodes of Acute Urinary Retention, Surgical Intervention During the Observation Period
Time frame: 12 months