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Objective: To evaluate the efficacy and safety of Ningmitai Capsules and Silodosin Capsules in the treatment of Benign Prostatic Hyperplasia (BPH) with Lower Urinary Tract Symptoms (LUTS) compared with Tamsulosin Hydrochloride Sustained Release Capsules.
Study design: A multicenter, prospective, randomized, double-blind, positive controlled clinical study.
Interventions:
Group A: Oral Tamsulosin Hydrochloride Capsules and Ningmitai Capsules placebo for 12 weeks.
Group B: Oral l Silodosin Capsules and Ningmitai Capsules placebo for 12 weeks. Group C: Oral l Silodosin Capsules and Ningmitai Capsules for 12 weeks.
Sample size: 312
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tamsulosin Hydrochloride Capsules combine with Ningmitai Capsules placebo | Active Comparator | Patients take tamsulosin hydrochloride capsules (1 tablet each time, once daily) and Ningmitai capsules placebo (0.38 g/capsule, 4 capsules/time, tid.) |
|
| Silodosin Capsules combine with Ningmitai Capsules placebo | Experimental | Patients take Silodosin Capsules ( Qianweitai®, 4mg/capsule, 1 capsule/time, bid, after breakfast and dinner) and Ningmitai capsules placebo (0.38 g/capsule, 4 capsules/time, tid). |
|
| Silodosin Capsules combine with Ningmitai Capsules | Experimental | Patients take Silodosin Capsules ( Qianweitai®, 4mg/capsule, 1 capsule/time, bid, after breakfast and dinner) and Ningmitai capsules (Ningmitai®, 0.38 g/capsule, 4 capsules/time, tid). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Silodosin Capsules | Drug | Silodosin is a α1A-adrenergic receptor antagonist which can relax the smooth muscle of bladder and prostate, relieves the dynamic obstruction of bladder outlet, and improves the lower urinary tract symptoms caused by BPH. The instruction of Silodosin Capsule (Qianweitai®) is 4mg/capsule,1 capsule/time, bid, after breakfast and dinner. |
| Measure | Description | Time Frame |
|---|---|---|
| International Prostate Symptom Score(IPSS) | Changes of IPSS scores at the 12th week of treatment compared with baseline scores. The scores of the scale ranged from 0 to 35. The higher the score, the more severe the symptoms are. | 12 week |
| Measure | Description | Time Frame |
|---|---|---|
| International Prostate Symptom Score(IPSS) total score | Changes of IPSS scores at 1, 2, 4 and 8 weeks after treatment compared with baseline scores. The scores of the scale ranged from 0 to 35. The higher the score, the more severe the symptoms are. | 1, 2, 4 and 8 weeks |
| IPSS Stimulus score |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Peiling Shi | Contact | +8619821240029 | lc-spl@xtyyoa.com |
| Name | Affiliation | Role |
|---|---|---|
| Zhongguo Chen, MD | employee | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Tiantan Hospital, Capital Medical University | Not yet recruiting | Beijing | Beijing Municipality | China |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Sep 8, 2022 | Sep 19, 2022 |
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Group A: Oral Tamsulosin Hydrochloride Capsules and Ningmitai Capsules placebo for 12 weeks.
Group B: Oral l Silodosin Capsules and Ningmitai Capsules placebo for 12 weeks. Group C: Oral l Silodosin Capsules and Ningmitai Capsules for 12 weeks.
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|
|
| Ningmitai capsule | Drug | Ningmitai Capsule (Ningmitai®) is Traditional Chinese Medicine which has already used in treatment of urinary system disease (eg. CPPS, BPH) in China for more than twenty years. The instruction of Ningmitai Capsule is 0.38g/capsule, 4 capsule/time, tid. |
|
|
| Tamsulosin | Drug | Tamsulosin is α1A-adrenergic receptor which has used in treatment of BPH for few years. The instruction of Tamsulosin Capsule is 1 tablet at a time, 1 time a day. |
|
IPSS Stimulation Score at 1, 2, 4, 8, 12 weeks (Sum of Question 2, 4, 7) compared with baseline. The scores of the scale ranged from 0 to 15. The higher the score, the more severe the symptoms are. |
| 1, 2, 4 ,8 and 12 weeks |
| IPSS obstruction score | Changes of IPSS obstruction score (sum of question 1, 3, 5, 6) at 1, 2, 4, 8, 12 weeks after treatment compared with baseline. The scores of the scale ranged from 0 to 20. The higher the score, the more severe the symptoms are. | 1, 2, 4 ,8 and 12 weeks |
| IPSS total score severity | Proportion of patients with IPSS total score severity decreased by at least one grade at 12 weeks. The scores of the scale were divided into three grades: mild (0-7), moderate (8-19) and severe (20-35). | 12 week |
| Quality of life (QoL) score | Changes in scores at 4, 8 and 12 weeks of treatment compared with baseline.The scores of the scale ranged from 0 to 6. The higher the score, the more severe the symptoms are. | 4, 8 and 12 weeks |
| Maximum urinary flow rate (Qmax) | The change of Qmax at 12 weeks of treatment compared with baseline. | 12 weeks |
| Residual urine volume (PVR) | Changes of PVR at 12 weeks of treatment compared with baseline. | 12 weeks |
| Prostate specific antigen (PSA) | Changes of PSA at 12 weeks of treatment compared with baseline. | 12 weeks |
| Prostate volume (PV) | Changes of PV at 12 weeks of treatment compared with baseline. | 12 weeks |
| Patient response rate | Patient response rate is defined as the proportion of patients whose IPSS total score decreased by ≥ 25% and Qmax increased by ≥ 30% compared with baseline value after treatment. | 12 weeks |
| Proportion of patients with BPH clinical progression | Clinical progress is defined as the first occurrence of one of the following two conditions during the trial:
| 12 weeks |
| Beijing Tongren Hospital, Capital Medical University | Recruiting | Beijing | Beijing Municipality | China |
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| The First Affiliated Hospital of Guangzhou Medical University | Not yet recruiting | Guangzhou | Guangdong | China |
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| Peking University Shenzhen Hospital | Not yet recruiting | Shenzhen | Guangdong | China |
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| The Central Hospital Of WUHAN | Not yet recruiting | Wuhan | Hubei | China |
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| Wuhan No.1 Hospital | Not yet recruiting | Wuhan | Hubei | China |
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| The Second Affiliated Hospital of Soochow University | Not yet recruiting | Suzhou | Jiangsu | China |
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| Wuxi No.2 People's Hospital | Not yet recruiting | Wuxi | Jiangsu | China |
|
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Sep 8, 2022 | Sep 19, 2022 | SAP_001.pdf |
| ID | Term |
|---|---|
| C095285 | silodosin |
| D000077409 | Tamsulosin |
| ID | Term |
|---|---|
| D000096926 | Benzenesulfonamides |
| D013449 | Sulfonamides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D013450 | Sulfones |
| D013457 | Sulfur Compounds |
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