This is a randomized, double-blind, controlled, non-inferiority multicenter Phase III clinical study to evaluate the efficacy and safety of H077 sustained-release tablets versus silodosin capsules in treating benign prostatic hyperplasia.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
728
Subjects are administered one H077 sustained-release tablet (8 mg) orally once daily, along with one silodosin capsule (placebo) orally twice daily.
Subjects are administered one Silodosin capsule (4 mg) twice daily, along with one H077 sustained-release tablet placebo once daily, orally.
changes in International Prostatism Symptom Score (IPSS) at 12 weeks from baseline
The study set the change in the IPSS of patients after 12 weeks of medication compared to the baseline data as the primary endpoint. The IPSS is currently the internationally recognized best method for assessing the severity of symptoms in patients with benign prostatic hyperplasia. The IPSS scale is used to evaluate the severity of 7 urinary symptoms, namely: incomplete urination, frequent urination, intermittent urine flow, urgency, weak urine stream, difficulty in urination, and nocturia frequency. Each of the 7 symptoms is scored in 6 segments based on the occurrence in the last month (0-5 points, 0 indicates no occurrence, 5 indicates almost always occurring). The total score is 35 points, and the patient's symptoms are classified as mild (0-7 points), moderate (8-19 points), and severe (20-35 points).
Time frame: baseline to 12 weeks
changes in IPSS at 1, 2, 4, and 8 weeks from baseline
The changes in the IPSS compared to the baseline after 1, 2, 4, and 8 weeks of medication administration.
Time frame: baseline to 1, 2, 4, and 8 weeks
quality of life (QOL) scores
The QOL score is used to understand the patient's subjective perception of their current level of lower urinary tract symptoms throughout their lifetime. It mainly focuses on the extent to which BPH patients are troubled by lower urinary tract symptoms and whether they can tolerate it. Based on subjective feelings, it is classified as: happy, satisfied, generally satisfied, acceptable, not very satisfied, distressed, and very bad. The scores range from 0 to 6.
Time frame: baseline to 1, 2, 4, 8, and 12 weeks
The proportion of subjects whose IPSS scores changed by ≥ 3 points or improved by ≥ 25% compared to the baseline
The proportion of subjects whose IPSS scores changed by ≥ 3 points or improved by ≥ 25% compared to the baseline after 1, 2, 4, 8, and 12 weeks of medication administration.
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The First Affiliated Hospital of Anhui Medical University
Hefei, Anhui, China
The Second People's Hospital of Hefei
Hefei, Anhui, China
Beijing Tongren Hospital Affiliated to Capital Medical University
Beijing, Beijing Municipality, China
The First Affiliated Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, China
Fujian Provincial People's Hospital
Fuzhou, Fujian, China
The First Affiliated Hospital of Fujian Medical University
Fuzhou, Fujian, China
The First Affiliated Hospital of Xiamen University
Xiamen, Fujian, China
Zhangzhou Affiliated Hospital of Fujian Medical University
Zhangzhou, Fujian, China
The Tenth Affiliated Hospital of Southern Medical University (Dongguan People's Hospital)
Dongguan, Guangdong, China
The Second Affiliated Hospital of Shantou University Medical College
Shantou, Guangdong, China
...and 56 more locations
Time frame: baseline to 1, 2, 4, 8, and 12 weeks
maximum urine flow rate (Qmax) changes
The changes in the maximum urine flow rate (Qmax) compared to the baseline after 2, 4, 8, and 12 weeks of medication administration.
Time frame: baseline to 2, 4, 8, and 12 weeks
The proportion of subjects whose Qmax increased by ≥ 3 ml/s and improved by ≥ 30% compared to the baseline
The proportion of subjects whose Qmax increased by ≥ 3 ml/s and improved by ≥ 30% compared to the baseline after 1, 2, 4, 8, and 12 weeks of medication administration.
Time frame: baseline to 1, 2, 4, 8, and 12 weeks
The incidence of acute urinary retention (AUR) during medication administration
The incidence of acute urinary retention (AUR) during medication administration
Time frame: baseline to 12 weeks
The incidence of BPH-related surgical treatment.
The proportion of participants who discontinued the study treatment during the medication period due to the need for BPH-related surgical treatment.
Time frame: baseline to 12 weeks
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
the incidence and severity of adverse events (AEs) and serious adverse events (SAEs), as well as changes in vital signs and laboratory test results, etc.
Time frame: baseline to 13 weeks
Multiple-dose exposure-response relationship
Trough plasma concentrations will be measured after multiple oral doses of H077 sustained-release tablets in BPH subjects. Individual systemic exposure will be predicted from trough concentrations and subsequently utilized for exposure-response analysis.
Time frame: baseline to 1, 2, 4, 8, and 12 weeks