A Study of Tadalafil in Men With Benign Prostatic Hyperplasia
A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Parallel-Design, Global Multicenter Study to Evaluate the Efficacy and Safety of Tadalafil Once Daily Dosing for 12 Weeks in Men With Signs and Symptoms of Benign Prostatic Hyperplasia
2 other identifiers
interventional
511
9 countries
40
Brief Summary
The purpose of this study is to determine whether an experimental drug known as tadalafil given once daily can reduce the symptoms associated with Benign Prostatic Hyperplasia (straining, urinary frequency, feeling like your bladder is still full etc.)
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Oct 2009
Shorter than P25 for phase_3
40 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 1, 2009
CompletedFirst Posted
Study publicly available on registry
September 2, 2009
CompletedStudy Start
First participant enrolled
October 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2011
CompletedResults Posted
Study results publicly available
December 23, 2011
CompletedMarch 12, 2012
March 1, 2012
1.3 years
September 1, 2009
November 21, 2011
March 8, 2012
Conditions
Outcome Measures
Primary Outcomes (1)
Change From Baseline in Total International Prostate Symptom Score (IPSS) at 12 Weeks
The IPSS Total Score was obtained by combining the scores of the responses to Component Questions 1-7. Each question was scored from 0-5 for an IPSS range of 0-35 points; higher numerical scores from the IPSS questionnaire represented greater severity of symptoms. Least Squares (LS) Mean of change from baseline to endpoint (Week 12 or last post-baseline value carried forward) was from an analysis of covariance (ANCOVA) and adjusted for treatment group, region, centered-baseline covariate, centered-baseline-by-treatment interaction, and treatment-by-region interaction.
Baseline, 12 weeks
Secondary Outcomes (16)
Change From Baseline in Total International Prostate Symptom Score (IPSS) at 4 Weeks
Baseline, 4 weeks
Change From Baseline in International Prostate Symptom Score (IPSS) Storage (Irritative) Subscore at 12 Weeks
Baseline, 12 weeks
Change From Baseline in International Prostate Symptom Score (IPSS) Voiding (Obstructive) Subscore at 12 Weeks.
Baseline, 12 weeks
Change From Baseline in International Prostate Symptom Score (IPSS) Nocturia Question at 12 Weeks
Baseline, 12 weeks
Change From Baseline in International Prostate Symptom Score (IPSS) Quality of Life (QoL) Index at 12 Weeks
Baseline, 12 weeks
- +11 more secondary outcomes
Study Arms (3)
Placebo
PLACEBO COMPARATORPlacebo tablet with tamsulosin dose orally (po) once daily (QD) and placebo capsule with tadalafil dose po QD for 12 weeks
Tadalafil 5 milligram (mg)
EXPERIMENTALTadalafil 5 mg tablet po QD and placebo capsule po QD for 12 weeks
Tamsulosin 0.4 mg
ACTIVE COMPARATORTamsulosin 0.4 mg capsule po QD and placebo tablet po QD for 12 weeks
Interventions
Tadalafil 5 mg po QD for 12 weeks
Eligibility Criteria
You may qualify if:
- Men 45 years of age or older with benign prostatic hyperplasia (BPH) also referred to as BPH-lower urinary tract symptoms (LUTS) on the disease diagnostic criteria at the start of study.
- Provide signed informed consent at the start of the study.
- Agree not to use any other approved or experimental pharmacologic BPH, overactive bladder (OAB), or erectile dysfunction (ED) treatments anytime during the study.
- Have not taken finasteride therapy for at least 3 months before study drug is dispensed and dutasteride therapy for at least 6 months before study drug is dispensed.
- Have not taken other BPH therapy (including herbal preparations), OAB therapy, ED therapy for at least 4 weeks prior to study drug is dispensed.
- Have LUTS with a total International Prostate Symptom Score (IPSS) greater than or equal to 13 when study drug is dispensed.
- Have reduced urine flow (measured by special toilet equipment).
- Demonstrate compliance with study drug administration requirements.
You may not qualify if:
- Treated with nitrates
- Have unstable angina or angina that requires treatment.
- Have had any of the following in the past 90 days: Heart attack, also known as a myocardial infarction (MI); Heart bypass surgery (called coronary artery bypass graft surgery); Had a procedure to open up blood vessels in the heart known as angioplasty or stent placement (percutaneous coronary intervention).
- Have very high or very low blood pressure.
- Have certain neurological conditions associated with bladder problems or injuries to brain or spinal cord within a specified time of starting this study.
- Have uncontrolled diabetes.
- Have prostate cancer, are being treated for cancer.
- Have prostate specific antigen (PSA) greater than 10 nanograms per milliliter (ng/mL) at the start of study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (44)
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Adelaide, South Australia, 5000, Australia
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Bentleigh East, Victoria, 3165, Australia
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Bunbury, Western Australia, 6230, Australia
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Nedlands, Western Australia, 6009, Australia
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Salzburg, 5020, Austria
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Vienna, 1220, Austria
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Brussels, 1070, Belgium
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Ghent, 9000, Belgium
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Liège, 4000, Belgium
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Garches, 92380, France
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Nice, 06002, France
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Orléans, 45067, France
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Paris, 75475, France
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Pierre-Bénite, 69495, France
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Suresnes, 92150, France
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Bad Rappenau, 74906, Germany
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Bad Wiessee, D-83707, Germany
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Hanover, 30625, Germany
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Leipzig, 04109, Germany
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Marburg, 35039, Germany
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Mühlacker, D-75417, Germany
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Oranienburg, D-16515, Germany
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Heraklion, 71110, Greece
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Ioannina, 45500, Greece
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Larissa, 41221, Greece
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Pátrai, 26500, Greece
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Thessaloniki, 56429, Greece
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Bergamo, 24128, Italy
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Cagliari, Italy
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Florence, 50139, Italy
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Napoli, 80131, Italy
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Sassari, 07100, Italy
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Monterrey, 64710, Mexico
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Morelia, 58000, Mexico
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Saltillo, 25210, Mexico
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Zapopan, 45070, Mexico
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's-Hertogenbosch, 5211 NL, Netherlands
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Arnhem, 6803 AA, Netherlands
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Breda, 4819 EV, Netherlands
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Tilburg, 5022 GC, Netherlands
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Veldhoven, 5504 DB, Netherlands
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Bialystok, 15-276, Poland
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Kutno, 99-300, Poland
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Warsaw, 02-005, Poland
Related Publications (3)
Vlachopoulos C, Oelke M, Maggi M, Mulhall JP, Rosenberg MT, Brock GB, Esler A, Buttner H. Impact of cardiovascular risk factors and related comorbid conditions and medical therapy reported at baseline on the treatment response to tadalafil 5 mg once-daily in men with lower urinary tract symptoms associated with benign prostatic hyperplasia: an integrated analysis of four randomised, double-blind, placebo-controlled, clinical trials. Int J Clin Pract. 2015 Dec;69(12):1496-507. doi: 10.1111/ijcp.12722. Epub 2015 Aug 24.
PMID: 26299520DERIVEDGiuliano F, Oelke M, Jungwirth A, Hatzimouratidis K, Watts S, Cox D, Viktrup L. Tadalafil once daily improves ejaculatory function, erectile function, and sexual satisfaction in men with lower urinary tract symptoms suggestive of benign prostatic hyperplasia and erectile dysfunction: results from a randomized, placebo- and tamsulosin-controlled, 12-week double-blind study. J Sex Med. 2013 Mar;10(3):857-65. doi: 10.1111/jsm.12039. Epub 2013 Jan 24.
PMID: 23346990DERIVEDOelke M, Giuliano F, Mirone V, Xu L, Cox D, Viktrup L. Monotherapy with tadalafil or tamsulosin similarly improved lower urinary tract symptoms suggestive of benign prostatic hyperplasia in an international, randomised, parallel, placebo-controlled clinical trial. Eur Urol. 2012 May;61(5):917-25. doi: 10.1016/j.eururo.2012.01.013. Epub 2012 Jan 20.
PMID: 22297243DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Chief Medical Officer
- Organization
- Eli Lilly and Company
Study Officials
- STUDY DIRECTOR
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
Eli Lilly and Company
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- GT60
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 1, 2009
First Posted
September 2, 2009
Study Start
October 1, 2009
Primary Completion
January 1, 2011
Study Completion
January 1, 2011
Last Updated
March 12, 2012
Results First Posted
December 23, 2011
Record last verified: 2012-03