NCT03144596

Brief Summary

It was aimed to evaluate and investigate the effects of tamsulosin hydrochloride, has preferential selectivity for the α1A receptor in the prostat versus the α1B receptor in the blood vessels, and alfuzosin hydrochloride on choroidal thickness (CT), pupil diameter sizes evaluated by using enhanced depth imaging spectral-domain optical coherence tomography (EDI-OCT) and scheimpflug/placido photography-based topoghraphy system in this study. 63 men patients with newly diagnosis of benign prostatic hyperplasia were randomly assigned to either alfuzosin hydrochloride or to tamsulosin hydrochloride groups in this prospective, randomized, parallel-group clinical trial. Enhanced depth imaging spectral-domain optical coherence tomography, pupillography were obtained at baseline, 1st and 3rd month, and choroidal thicknesses and pupil diameter sizes were compared between the 2 groups.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
63

participants targeted

Target at P25-P50 for phase_4

Timeline
Completed

Started Oct 2015

Shorter than P25 for phase_4

Status
completed

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

Study Start

First participant enrolled

October 29, 2015

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 3, 2016

Completed
10 months until next milestone

Study Completion

Last participant's last visit for all outcomes

November 19, 2016

Completed
5 months until next milestone

First Submitted

Initial submission to the registry

May 2, 2017

Completed
7 days until next milestone

First Posted

Study publicly available on registry

May 9, 2017

Completed
Last Updated

May 9, 2017

Status Verified

May 1, 2017

Enrollment Period

3 months

First QC Date

May 2, 2017

Last Update Submit

May 4, 2017

Conditions

Outcome Measures

Primary Outcomes (2)

  • Change from baseline choroidal thicknesses at 3 months

    Choroidal thicknesses (CTs) measurement under the fovea, 3 mm nasal to the fovea and 3 mm temporal to the fovea at baseline, 1st and 3rd month, and recording as submacular (SCT), nasal (NCT) and temporal (TCT) choroidal thicknesses.

    1 month and 2 months

  • Change from baseline pupil diameter sizes at 3 months

    Mesopic, scotopic and photopic pupil diameter sizes measurement at baseline, 1st and 3rd months

    1 month and 2 months

Study Arms (2)

Alfuzosin Hydrochloride

EXPERIMENTAL

Alfuzosin hydrochloride 10 mg tablet by mouth, every 24 hours for 3 months

Drug: Alfuzosin Hydrochloride 10 MG

Tamsulosin Hydrochloride

ACTIVE COMPARATOR

Tamsulosin hydrochloride 0.4 mg tablet by mouth, every 24 hours for 3 months

Drug: Tamsulosin Hydrochloride 0.4 MG

Interventions

Alfuzosin hydrochloride Tablet

Also known as: Xatral
Alfuzosin Hydrochloride

Tamsulosin Hydrochloride Tablet

Also known as: Flomax
Tamsulosin Hydrochloride

Eligibility Criteria

Age45 Years+
Sexmale(Gender-based eligibility)
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Best corrected visual acuity (BCVA) ≥ 0.8
  • Diagnosis of BPH and initiation of alfuzosin hydrochloride or tamsulosin hydrochloride treatments
  • years of age or older man

You may not qualify if:

  • Occluded angle by gonioscopy (grade 0, narrow angle, grade I, grade II)
  • Corneal scarring or cataract that prevents appearance of the fundus
  • Formation of macular or peripheral retinal pathologies or choroidopathy
  • Optic nerve pathologies such as optic neuropathy
  • Spherical refractive error ≥ ±6.00 D or cylinder refractive error ≥ ±3.00 D
  • Systemic diseases that may affect choroidal blood flow

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (26)

  • Berry SJ, Coffey DS, Walsh PC, Ewing LL. The development of human benign prostatic hyperplasia with age. J Urol. 1984 Sep;132(3):474-9. doi: 10.1016/s0022-5347(17)49698-4.

    PMID: 6206240BACKGROUND
  • Yuan J, Liu Y, Yang Z, Qin X, Yang K, Mao C. The efficacy and safety of alpha-1 blockers for benign prostatic hyperplasia: an overview of 15 systematic reviews. Curr Med Res Opin. 2013 Mar;29(3):279-87. doi: 10.1185/03007995.2013.766594. Epub 2013 Jan 29.

    PMID: 23323875BACKGROUND
  • McVary KT, Roehrborn CG, Avins AL, Barry MJ, Bruskewitz RC, Donnell RF, Foster HE Jr, Gonzalez CM, Kaplan SA, Penson DF, Ulchaker JC, Wei JT. Update on AUA guideline on the management of benign prostatic hyperplasia. J Urol. 2011 May;185(5):1793-803. doi: 10.1016/j.juro.2011.01.074. Epub 2011 Mar 21.

    PMID: 21420124BACKGROUND
  • Filson CP, Hollingsworth JM, Clemens JQ, Wei JT. The efficacy and safety of combined therapy with alpha-blockers and anticholinergics for men with benign prostatic hyperplasia: a meta-analysis. J Urol. 2013 Dec;190(6):2153-60. doi: 10.1016/j.juro.2013.05.058. Epub 2013 May 30.

    PMID: 23727412BACKGROUND
  • Osman NI, Chapple CR, Cruz F, Desgrandchamps F, Llorente C, Montorsi F. Silodosin : a new subtype selective alpha-1 antagonist for the treatment of lower urinary tract symptoms in patients with benign prostatic hyperplasia. Expert Opin Pharmacother. 2012 Oct;13(14):2085-96. doi: 10.1517/14656566.2012.714368. Epub 2012 Aug 28.

    PMID: 22924980BACKGROUND
  • Oelke M, Gericke A, Michel MC. Cardiovascular and ocular safety of alpha1-adrenoceptor antagonists in the treatment of male lower urinary tract symptoms. Expert Opin Drug Saf. 2014 Sep;13(9):1187-97. doi: 10.1517/14740338.2014.936376. Epub 2014 Jul 29.

    PMID: 25073735BACKGROUND
  • Hollingsworth JM, Wilt TJ. Lower urinary tract symptoms in men. BMJ. 2014 Aug 14;349:g4474. doi: 10.1136/bmj.g4474.

    PMID: 25125424BACKGROUND
  • Schwinn DA, Michelotti GA. alpha1-adrenergic receptors in the lower urinary tract and vascular bed: potential role for the alpha1d subtype in filling symptoms and effects of ageing on vascular expression. BJU Int. 2000 Apr;85 Suppl 2:6-11. doi: 10.1046/j.1464-410x.2000.00061.x. No abstract available.

    PMID: 10781179BACKGROUND
  • Hatano A, Takahashi H, Tamaki M, Komeyama T, Koizumi T, Takeda M. Pharmacological evidence of distinct alpha 1-adrenoceptor subtypes mediating the contraction of human prostatic urethra and peripheral artery. Br J Pharmacol. 1994 Nov;113(3):723-8. doi: 10.1111/j.1476-5381.1994.tb17053.x.

    PMID: 7858860BACKGROUND
  • de Mey C. alpha(1)-blockers for BPH: are there differences? Eur Urol. 1999;36 Suppl 3:52-63. doi: 10.1159/000052349.

    PMID: 10559631BACKGROUND
  • Dunn CJ, Matheson A, Faulds DM. Tamsulosin: a review of its pharmacology and therapeutic efficacy in the management of lower urinary tract symptoms. Drugs Aging. 2002;19(2):135-61. doi: 10.2165/00002512-200219020-00004.

    PMID: 11950378BACKGROUND
  • Bird ST, Delaney JA, Brophy JM, Etminan M, Skeldon SC, Hartzema AG. Tamsulosin treatment for benign prostatic hyperplasia and risk of severe hypotension in men aged 40-85 years in the United States: risk window analyses using between and within patient methodology. BMJ. 2013 Nov 5;347:f6320. doi: 10.1136/bmj.f6320.

    PMID: 24192967BACKGROUND
  • Chrischilles E, Rubenstein L, Chao J, Kreder KJ, Gilden D, Shah H. Initiation of nonselective alpha1-antagonist therapy and occurrence of hypotension-related adverse events among men with benign prostatic hyperplasia: a retrospective cohort study. Clin Ther. 2001 May;23(5):727-43. doi: 10.1016/s0149-2918(01)80022-9.

    PMID: 11394731BACKGROUND
  • Chang DF, Campbell JR. Intraoperative floppy iris syndrome associated with tamsulosin. J Cataract Refract Surg. 2005 Apr;31(4):664-73. doi: 10.1016/j.jcrs.2005.02.027.

    PMID: 15899440BACKGROUND
  • Abdel-Aziz S, Mamalis N. Intraoperative floppy iris syndrome. Curr Opin Ophthalmol. 2009 Jan;20(1):37-41. doi: 10.1097/ICU.0b013e32831bc0ad.

    PMID: 19077827BACKGROUND
  • Mamalis N. Intraoperative floppy-iris syndrome associated with systemic alpha blockers. J Cataract Refract Surg. 2008 Jul;34(7):1051-2. doi: 10.1016/j.jcrs.2008.05.017. No abstract available.

    PMID: 18571055BACKGROUND
  • Chang DF, Braga-Mele R, Mamalis N, Masket S, Miller KM, Nichamin LD, Packard RB, Packer M; ASCRS Cataract Clinical Committee. ASCRS White Paper: clinical review of intraoperative floppy-iris syndrome. J Cataract Refract Surg. 2008 Dec;34(12):2153-62. doi: 10.1016/j.jcrs.2008.08.031.

    PMID: 19027575BACKGROUND
  • Nickla DL, Wallman J. The multifunctional choroid. Prog Retin Eye Res. 2010 Mar;29(2):144-68. doi: 10.1016/j.preteyeres.2009.12.002. Epub 2009 Dec 29.

    PMID: 20044062BACKGROUND
  • Konno F, Takayanagi I. Characterization of postsynaptic alpha 1-adrenoceptors in the rabbit iris dilator smooth muscle. Naunyn Schmiedebergs Arch Pharmacol. 1986 Jul;333(3):271-6. doi: 10.1007/BF00512940.

    PMID: 2876390BACKGROUND
  • Shapiro BL, Petrovic V, Lee SE, Flach A, McCaffery S, O'Brien JM. Choroidal detachment following the use of tamsulosin (Flomax). Am J Ophthalmol. 2007 Feb;143(2):351-3. doi: 10.1016/j.ajo.2006.09.032. Epub 2006 Oct 23.

    PMID: 17258532BACKGROUND
  • Kerimoglu H, Zengin N, Ozturk B, Gunduz K. Unilateral chemosis, acute onset myopia and choroidal detachment following the use of tamsulosin. Acta Ophthalmol. 2010 Mar;88(2):e20-1. doi: 10.1111/j.1755-3768.2008.01503.x. Epub 2009 Mar 19. No abstract available.

    PMID: 19302075BACKGROUND
  • Nieminen T, Ylitalo R, Koobi T, Ylitalo P, Kahonen M. The vasodilatory effect of alfuzosin and tamsulosin in passive orthostasis: a randomised, double-blind, placebo-controlled study. Eur Urol. 2005 Mar;47(3):340-5. doi: 10.1016/j.eururo.2004.11.002. Epub 2004 Dec 29.

    PMID: 15716198BACKGROUND
  • Gu N, Kim J, Lim KS, Shin KH, Kim TE, Lee B, Shin SG, Jang IJ, Yu KS. Assessment of the effect of mirodenafil on the hemodynamics of healthy male Korean volunteers administered tamsulosin: a randomized, double-blind, placebo-controlled, 2-period crossover study. Clin Ther. 2012 Sep;34(9):1929-39. doi: 10.1016/j.clinthera.2012.08.002. Epub 2012 Aug 24.

    PMID: 22921287BACKGROUND
  • Kiel JW, Lovell MO. Adrenergic modulation of choroidal blood flow in the rabbit. Invest Ophthalmol Vis Sci. 1996 Mar;37(4):673-9.

    PMID: 8595968BACKGROUND
  • Tanabe H, Ito Y, Iguchi Y, Ozawa S, Ishikawa K, Terasaki H. Correlation between cross-sectional shape of choroidal veins and choroidal thickness. Jpn J Ophthalmol. 2011 Nov;55(6):614-9. doi: 10.1007/s10384-011-0079-2. Epub 2011 Aug 27.

    PMID: 21874308BACKGROUND
  • Vance SK, Imamura Y, Freund KB. The effects of sildenafil citrate on choroidal thickness as determined by enhanced depth imaging optical coherence tomography. Retina. 2011 Feb;31(2):332-5. doi: 10.1097/IAE.0b013e3181eef0ae.

    PMID: 20975620BACKGROUND

MeSH Terms

Conditions

Prostatic HyperplasiaPupil DisordersChoroid Diseases

Interventions

alfuzosinTamsulosin

Condition Hierarchy (Ancestors)

Prostatic DiseasesGenital Diseases, MaleGenital DiseasesUrogenital DiseasesMale Urogenital DiseasesNeurologic ManifestationsNervous System DiseasesEye DiseasesSigns and SymptomsPathological Conditions, Signs and SymptomsUveal Diseases

Intervention Hierarchy (Ancestors)

BenzenesulfonamidesSulfonamidesAmidesOrganic ChemicalsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsSulfonesSulfur Compounds

Study Officials

  • Mustafa Dogan, Asst. Prof.

    Afyon Kocatepe University Eye Clinics

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: prospective, randomized, parallel-group clinical trial
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 2, 2017

First Posted

May 9, 2017

Study Start

October 29, 2015

Primary Completion

February 3, 2016

Study Completion

November 19, 2016

Last Updated

May 9, 2017

Record last verified: 2017-05