Efficacy and Safety of Alfuzosin for the Treatment of Voiding Dysfunction in Female

Samsung Medical Center

Status and phase

Completed

Phase 2

Conditions

Voiding Dysfunction

Treatments

Drug: Placebo

Drug: alfuzosin hydrochloride XL 10mg

Study type

Interventional

Funder types

Other

Industry

Identifiers

NCT00679315

2007-07-073

Details and patient eligibility

About

The purpose of this study is to explore the efficacy of Alfuzosin (10 mg, qd) in reducing the score of International Prostate Symptom Score (IPSS) from baseline to 8 weeks of treatment in female patients with voiding dysfunction.

Full description

Trial design

Phase II, multi-center, randomized, double-blind, placebo-controlled, parallel group study to evaluate the clinical efficacy and safety of alfuzosin (10mg, qd) from baseline to 8 weeks of treatment in female patients with non-neurogenic voiding dysfunction.

Efficacy Assessment

Primary efficacy endpoint

Actual change in the score of IPSS from baseline to 8 weeks of treatment.
Secondary efficacy endpoint
- IPSS parameters
- Percent change in the score of IPSS from baseline to 4 and 8 weeks of treatment.
- Actual and percent changes in the sub-scale of IPSS from baseline to 4 and 8 weeks of treatment
- Storage score: sum of questions 2, 4 and 7
- Voiding score: sum of questions 1, 3, 5 and 6
- Scored form of the Bristol Female Lower Urinary Tract Symptoms (BFLUTS-SF)parameters
- Actual and Percent change in BFLUTS-SF from baseline to 4 and 8 weeks of treatment.
- Actual and percent changes in the sub-scale of BFLUTS-SF from baseline to 4 and 8 weeks of treatment
  - BFLUTS-FS: sum scores F1-F4
  - BFLUTS-VS: sum scores V1-V3
  - BFLUTS-IS: sum scores I1-I5
  - BFLUTS-sex: sum scores S1 & S2
- Uroflowmetry & PVR parameters
  - Numeric and percent changes from baseline to 4 and 8 weeks of treatment.
  - Maximum flow rate (mL/s)
  - Average flow rate (mL/s)
  - Post-void residual urine (mL)
  - Micturition diary parameters
  - Change in mean number of micturitions per 24 hours at weeks 4 and 8 relative to baseline
  - Percent change of micturitions per 24 hours at weeks 4 and 8 relative to baseline
  - Change in mean number of nighttime micturitions per 24 hours at weeks 4 and 8 relative to baseline
  - Percent change of nighttime micturitions per 24 hours at weeks 4 and 8 relative to baseline
  - Change in mean number of urgency episodes per 24 hours at weeks 4 and 8 relative to baseline (Urgency episodes are defined as those with Bladder Sensation Scale rating of ≥ 3 in the diary).
  - Percent change of urgency episodes per 24 hours at weeks 4 and 8 relative to baseline
  - Change in the mean and sum rating on the Bladder Sensation Scale at weeks 4 and 8 relative to baseline
  - Quality of life (QoL) parameters
  - Change in Bother score of IPSS from baseline to 4 and 8 weeks of treatment.
  - Change in QOL subscale scores of BFLUTS SF from baseline to 4 and 8 weeks of treatment
  - BFLUTS-QoL: Sum scores QoL1-QoL5
  - Patient Perception of Bladder Condition (PPBC)
  - Change from baseline in PPBC after 8 weeks of double-blind treatment
  - Benefit, Satisfaction, and Willingness to Continue (BSW) Questions
  - Patient Perception of Treatment Benefit at week 8
  - Patient Perception of Treatment Satisfaction at week 8
  - Willingness to continue with treatment at week 8

Enrollment

190 patients

Sex

Female

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Female aged ≥ 18
Have voiding symptoms as chief complaints over 3 months
IPSS symptom score ≥ 15
A peak flow rate <12 mL/sec with a minimum voided volume of 100 mL and/or a postvoid residual urine volume >150 mL
Underwent pressure-flow study

Exclusion criteria

Patients who meet any of the following criteria are to be excluded from the study:
Neurogenic voiding dysfunction
Anatomic causes of bladder outlet obstruction
Perform physical examination in patients diagnosed as BOO in pressure-flow study by urethral evaluation with 16 Fr urethral sound: if there is resistance to 16Fr sound, it will be diagnosed as anatomical BOO and the patients can not participate in the study.
Previous surgical procedures related to incontinence or cystocele
Pregnant or nursing women
Intake of medications and drugs affecting bladder function: alpha blocker, anticholinergic
Anticholinergic drugs: Tolterodine, Oxybutynin, Propiverin, Trospium, Solifenacin, SSRI including TCA
Cholinergic drug: Bethanechol
Any other blocker other than alfuzosin
patients can be enrolled after wash-out
Any positive urine culture had to be successfully treated before the recruitment.
Clinically significant ( ≥ Stamey grade II/III) stress incontinence as determined by the investigator and confirmed for female patients by a cough provocation test.
Recurrent UTIs defined as having been treated for symptomatic UTIs ≥ 4 times in the last year
Diagnosed or suspected interstitial cystitis
Patients with marked cystocele or other clinically significant pelvic prolapse.
Treatment within the 14 days preceding randomization, or expected to initiate treatment during the study with:
Estrogen treatment started more than 2 months prior to inclusion will be allowed
Receipt of any electrostimulation or bladder training within the 14 days before randomization, or expected to start such treatment during the study.
Hypersensitive to the study drug
Orthotopic hypotension or history of orthotopic hypotension
Intake of calcium channel blockers
Severe hepatic or renal dysfunctions