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N/A N=8,617

Evaluating the Impact of Early Versus Delayed 5 Alpha Reductase Inhibitor Treatment on the Risk of Emergent Surgery in Men With Benign Prostatic Hyperplasia

Prostatic Hyperplasia

Enrolled (actual)
8,617
Serious AEs
Results posted
Feb 2012
Primary outcome: Primary: Number of Participants Who Experienced Progression of Disease — 589; 393; 280; 212 participants — p=0.002

Study Design & Population

Study type
Observational
Phase
N/A
Interventions
5ARI + AB (Drug)
Age
Adult, Older Adult · 50+ yrs
Sex
Male
Sponsor
GlaxoSmithKline
Primary completion
Aug 2010

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants Who Experienced Progression of Disease
589; 393; 280; 212; 86; 52 0.002 sig
SECONDARY
Number of Participants With the Indicated Time Between Acute Urinary Retention and Subsequent Surgery
37; 27; 54; 35; 85; 51

Summary

This retrospective study aims to assess the impact of early vs delayed 5-alpha-reductase inhibitor (5ARI) therapy in patients with BPH on alpha-blocker (AB) therapy and the risk of acute urinary retention (AUR), prostate-related surgery, and emergency surgery (defined as prostate surgery occurring within 30 days of AUR). The MarketScan database will be utilized for this study (2000-2008).

Eligibility Criteria

Inclusion Criteria

  • Male
  • aged 50 years or older
  • diagnostic claim for BPH
  • prescription claim for an AB and a 5ARI in the observation period (5ARI must occur within a 6-month window after the AB).
  • continuously eligible for 6 months prior to and 12 months after index prescription date

Exclusion Criteria

  • prostate or bladder cancer during the study period
  • any prostate-related surgical procedure within 5 months of the index prescription date
  • prescription claim for finasteride 1 mg for male pattern baldness during the study period
  • 5ARI therapy prior to initiation of AB therapy
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01332487). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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