Featured Research

from universities, journals, and other organizations

Two-Drug Therapy Is Best For Symptomatic Prostate Enlargement

Date:
May 29, 2002
Source:
NIH/National Institute Of Diabetes And Digestive And Kidney Diseases
Summary:
Two drugs commonly used to treat benign prostatic hyperplasia (BPH) are more effective in combination than alone to prevent progression of this condition, according to results of a multi-center National Institutes of Health clinical trial being presented at the American Urological Association (AUA) meeting in Orlando on May 28.

Two drugs commonly used to treat benign prostatic hyperplasia (BPH) are more effective in combination than alone to prevent progression of this condition, according to results of a multi-center National Institutes of Health clinical trial being presented at the American Urological Association (AUA) meeting in Orlando on May 28.

The Medical Therapy of Prostatic Symptoms (MTOPS) Trial found that compared to placebo the 5 -reductase inhibitor finasteride (Proscar) and -1 receptor blocker doxazosin (Cardura) together reduced the risk of BPH progression by 67 percent. The risk of progression was reduced by 39 percent with doxazosin alone and by 34 percent with finasteride alone.

An estimated 9 million men suffer from BPH symptoms, and about 400,000 have surgery each year to remove some of the enlarged gland, which impairs the flow of urine through the urethra. Symptoms include urinary urgency, frequency, and nighttime urination.

"This is the kind of clear-cut result we all strive for when we launch a clinical trial," says Leroy M. Nyberg Jr., Ph.D., M.D., whose urology research program at the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) funded the study. "The evidence supporting combination therapy in selected patients is so strong that I expect to see major changes in medical practice in the near future."

Physicians at 17 medical centers treated about 3,000 men age 50 and up for an average of 4.5 years. The men all had BPH and were evenly divided into four groups that took either 5 mg finasteride, 4 mg or 8 mg doxazosin, both drugs, or a placebo. The aim of the trial was to prevent BPH progression, defined primarily as either a significant worsening of symptoms, recurring urinary tract infection, urinary retention, incontinence or invasive therapy such as surgery.

Compared to placebo, the risk of urinary retention was reduced by 79 percent with combination therapy, by 67 percent with finasteride and by 31 percent with doxazosin (not significantly different from placebo), and the risk of invasive therapy was reduced by 69 percent with the combination, by 64 percent with finasteride and by 8 percent with doxazosin (not significantly different from placebo).

"Combination therapy not only provides better long-lasting symptom relief, but because finasteride reduces prostate size, patients have fewer episodes of urinary retention and invasive treatments," says MTOPS trial leader John McConnell, M.D., professor of urology and executive vice president of the University of Texas Southwestern Medical Center in Dallas. "In addition, the study clearly demonstrates which patients are at increased risk of progression and most likely to benefit from treatment, which we will discuss at the AUA meeting."

When MTOPS began, doctors were prescribing each drug individually for BPH symptoms. But some doctors were concerned that while single-drug therapy provided partial relief, symptoms might worsen over time or the prostate might continue to enlarge, blocking the flow of urine and damaging the bladder and kidneys.

"In MTOPS, the rates of urinary tract infection and urinary incontinence were low in all drug treatment groups, and no patient in any group developed kidney problems from BPH. So we are very pleased," says Nyberg.

Investigators plan to publish study data later this year. The abstract for Dr. McConnell's AUA presentation is available at http://www.niddk.nih.gov/welcome/releases/05-28-02abstract.pdf.

Study Sponsors: The National Institute of Diabetes and Digestive and Kidney Diseases and National Center on Minority Health and Health Disparities funded the study, and Pfizer Inc., New York City; and Merck & Co., Rahway, New Jersey, donated products.


Story Source:

The above story is based on materials provided by NIH/National Institute Of Diabetes And Digestive And Kidney Diseases. Note: Materials may be edited for content and length.


Cite This Page:

NIH/National Institute Of Diabetes And Digestive And Kidney Diseases. "Two-Drug Therapy Is Best For Symptomatic Prostate Enlargement." ScienceDaily. ScienceDaily, 29 May 2002. <www.sciencedaily.com/releases/2002/05/020529071209.htm>.
NIH/National Institute Of Diabetes And Digestive And Kidney Diseases. (2002, May 29). Two-Drug Therapy Is Best For Symptomatic Prostate Enlargement. ScienceDaily. Retrieved October 1, 2014 from www.sciencedaily.com/releases/2002/05/020529071209.htm
NIH/National Institute Of Diabetes And Digestive And Kidney Diseases. "Two-Drug Therapy Is Best For Symptomatic Prostate Enlargement." ScienceDaily. www.sciencedaily.com/releases/2002/05/020529071209.htm (accessed October 1, 2014).

Share This



More Health & Medicine News

Wednesday, October 1, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Some Positive Ebola News: Outbreak 'Contained' In Nigeria

Some Positive Ebola News: Outbreak 'Contained' In Nigeria

Newsy (Sep. 30, 2014) The CDC says a new case of Ebola has not been reported in Nigeria for more than 21 days, leading to hopes the outbreak might be nearing its end. Video provided by Newsy
Powered by NewsLook.com
UN Ebola Mission Head: Immediate Action Is Crucial

UN Ebola Mission Head: Immediate Action Is Crucial

AFP (Sep. 30, 2014) The newly appointed head of the United Nations Mission for Ebola Emergency Response (UNMEER), Anthony Banbury, outlines operations to tackle the virus. Duration: 00:39 Video provided by AFP
Powered by NewsLook.com
CDC Confirms First Case of Ebola in US

CDC Confirms First Case of Ebola in US

AP (Sep. 30, 2014) The CDC has confirmed the first diagnosed case of Ebola in the United States. The patient is being treated at a Dallas hospital after traveling earlier this month from Liberia. (Sept. 30) Video provided by AP
Powered by NewsLook.com
New Breast Cancer Drug Extends Lives In Clinical Trial

New Breast Cancer Drug Extends Lives In Clinical Trial

Newsy (Sep. 30, 2014) In a clinical trial, breast cancer patients lived an average of 15 months longer when they received new drug Perjeta along with Herceptin. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins