Benign prostatic hyperplasia (BPH) is one of the most prevalent human diseases and a major cause of lower urinary tract symptoms (LUTS). Some men respond to current medical treatment (mainly α-1 adrenoreceptor antagonists and 5 α-reductase inhibitors), but a large proportion of patients continues to need a surgical procedure to treat resistant LUTS or even more serious complications of BPH, creating the emerging necessity for novel pharmacological therapies. Oxitriptan may have a possible positive effect on BPH associated symptoms with probably no impact in sexual function (which is a common side effect of the current drugs for BPH associated symptoms). Also, improvement in symptoms could be higher than that of current drugs used for this condition. This is a single-center parallel group, randomized clinical trial. The study will take place in Hospital de Braga (Urology department). Eligible patients will be randomized to receive tamsulosin 0.4mg (once a day, q.d.) or 5-HTP (5-hidroxitriptophan) 100mg (three times a day, t.i.d.), for 6 months.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
70
Oral medication, once a day for 6 months.
Oral medication, 3 times a day for 6 months.
Clinical Academic Center - Braga, Association (2CA-Braga)
Braga, Portugal
RECRUITINGInternational Prostate Symptom Score (IPSS)
Evaluate the effect of tryptophan supplementation on lower urinary tract symptoms (LUTS)
Time frame: Change from baseline to day 1, 1-month, 3- month and EOT (6-month)
Qmax
Urine maximum flow rate
Time frame: Change from baseline to EOT (6-month)
IIEF-5
Erectile function, assessed by International Index of Erectile Function-5 (IIEF-5)
Time frame: Change from baseline to EOT (6-month)
Prostate volume
Prostate volume (in cc), assessed by trans-rectal ultra-sound
Time frame: Change from baseline to EOT (6-month)
question 8 of the IPSS
quality of life due to urinary symptoms (question 8 of the IPSS).
Time frame: Change from baseline to EOT (6-month)
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