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Efficacy and Safety of DKF-313 in Patients With Benign Prostatic Hyperplasia

Primary Purpose

Benign Prostatic Hyperplasia

Status
Completed
Phase
Phase 3
Locations
Korea, Republic of
Study Type
Interventional
Intervention
DKF-313
Dutasteride
Tadalafil
DKF-313 placebo
Dutasteride placebo
Tadalafil placebo
Sponsored by
Dongkook Pharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Benign Prostatic Hyperplasia

Eligibility Criteria

45 Years - 80 Years (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Male aged 45 to 80 years
  • BPH diagnosis
  • Voluntarily signed the informed consent form
  • Willing to participate in the study
  • Total IPSS 13 or greater at baseline
  • Prostate volume 30 cc or greater by TRUS at baseline
  • Qmax 4 to 15 mL/s and minimum voided volume 125 mL or greater at baseline

Exclusion Criteria:

  • Serum PSA 4 ng/mL or greater with a positive biopsy result
  • Malignant urogenital tumors including prostate cancer, bladder cancer, etc.
  • Previous prostatic surgery including TURP, balloon dilatation, thermotherapy and stent replacement or other invasive procedures to treat prostate
  • Prostate biopsy within 4 weeks of screening
  • Use of alpha-blockers, alpha-agonists, phosphodiesterase type 5 (PDE5) inhibitors, antidiuretics, anticholinergics, cholinergics, antispasmodics, nitrates or herbal preparations affecting prostate within 4 weeks of screening, or 5-alpha reductase inhibitors (5-ARIs) within 24 weeks of screening
  • Acute urinary retention within 12 weeks of screening
  • Any causes other than BPH resulting in urinary symptoms or changes in flow rate (e.g. neurogenic bladder, bladder neck contracture, urethral stricture, bladder malignancy, acute or chronic prostatitis, acute or chronic urinary tract infections)
  • Bladder postvoid residual 200 mL or greater
  • Anatomical deformation of the penis (such as angulation, cavernosal fibrosis, or Peyronie's disease) or conditions that might predispose to priapism (such as sickle cell anemia, multiple myeloma, or leukemia)
  • Cardiovascular diseases such as myocardial infarction within 12 weeks of screening, unstable angina or angina during sexual intercourse, heart failure (NYHA Class 2 or higher) within 24 weeks of screening, uncontrolled arrhythmias, hypotension (<90/50 mmHg) or uncontrolled hypertension (>170/100 mmHg), or stroke within 24 weeks of screening
  • Left ventricular outflow obstruction (e.g. aortic stenosis and idiopathic hypertrophic subaortic stenosis)
  • Inherited disorders including galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption
  • Inherited retinal degeneration including retinitis pigmentosa
  • Vision loss in one eye due to non-arteritic anterior ischemic optic neuropathy (NAION)
  • Hypersensitivity to ingredients of investigational products
  • Alcohol or drug abuse or treating psychiatric disorders
  • Severe hepatic impairment (ALT or AST > 3xULN)
  • Renal impairment with severe heart failure (serum creatinine > 2xULN)
  • Uncontrolled diabetes (HbA1c 9% or greater)
  • Other investigational products or procedures within 12 weeks of screening
  • Plans to have a child or unwilling to comply with using medically accepted contraception methods (such as surgical sterilization and condom) during the treatment period
  • Not eligible due to other reasons at the investigator's discretion

Sites / Locations

  • Ewha Womans University mokdong Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Active Comparator

Arm Label

DKF-313

Dutasteride

Tadalafil

Arm Description

Dutasteride 0.5mg + Tadalafil 5mg

Dutasteride 0.5mg

Tadalafil 5mg

Outcomes

Primary Outcome Measures

Change in Total International Prostate Symptom Score (IPSS) from baseline to Week 48

Secondary Outcome Measures

Change in Total International Prostate Symptom Score (IPSS) from baseline to Weeks 4, 12, 24 and 36
Change in Total International Prostate Symptom Score (IPSS) voiding (obstructive) subscores from baseline to Weeks 4, 12, 24, 36 and 48
Change in Total International Prostate Symptom Score (IPSS) storage (irritative) subscores from baseline to Weeks 4, 12, 24, 36 and 48
Change in Total International Prostate Symptom Score (IPSS) Quality of Life (QoL) index from baseline to Weeks 4, 12, 24, 36 and 48
Change in Qmax from baseline to Weeks 24 and 48
Change in post void residual (PVR) volume from baseline to Weeks 24 and 48
Change in prostate volume (PV) from baseline to Week 48
Change in prostate specific antigen (PSA) from baseline to Weeks 24 and 48

Full Information

First Posted
May 19, 2021
Last Updated
September 18, 2023
Sponsor
Dongkook Pharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04947631
Brief Title
Efficacy and Safety of DKF-313 in Patients With Benign Prostatic Hyperplasia
Official Title
A Multi-center, Randomized, Double-blinded, Double-dummy, Parallel Group, 48-week, Phase III Clinical Trial to Evaluate the Efficacy and Safety of DKF-313 in Patients With Benign Prostatic Hyperplasia
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Completed
Study Start Date
July 27, 2021 (Actual)
Primary Completion Date
June 12, 2023 (Actual)
Study Completion Date
June 12, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Dongkook Pharmaceutical Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a multi-center, randomized, double-blinded, double-dummy, parallel group, 48-week study to evaluated the efficacy and safety of DKF-313 (dutasteride and tadalafil) in patients with benign prostatic hyperplasia.
Detailed Description
This study is conducted to access whether DKF-313 once daily for 48 weeks is superior to dutasteride 0.5 mg once daily and tadalafil 5 mg once daily each in improving BPH-LUTS as measured by changes in IPSS total scores.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Benign Prostatic Hyperplasia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
667 (Actual)

8. Arms, Groups, and Interventions

Arm Title
DKF-313
Arm Type
Experimental
Arm Description
Dutasteride 0.5mg + Tadalafil 5mg
Arm Title
Dutasteride
Arm Type
Active Comparator
Arm Description
Dutasteride 0.5mg
Arm Title
Tadalafil
Arm Type
Active Comparator
Arm Description
Tadalafil 5mg
Intervention Type
Drug
Intervention Name(s)
DKF-313
Intervention Description
Combination of dutasteride 0.5 mg and tadalafil 5 mg once daily for 48 weeks
Intervention Type
Drug
Intervention Name(s)
Dutasteride
Other Intervention Name(s)
Avodart
Intervention Description
Dutasteride 0.5 mg once daily for 48 weeks
Intervention Type
Drug
Intervention Name(s)
Tadalafil
Other Intervention Name(s)
Cialis
Intervention Description
Tadalafil 5 mg once daily for 48 weeks
Intervention Type
Drug
Intervention Name(s)
DKF-313 placebo
Intervention Description
Once daily for 48 weeks
Intervention Type
Drug
Intervention Name(s)
Dutasteride placebo
Intervention Description
Once daily for 48 weeks
Intervention Type
Drug
Intervention Name(s)
Tadalafil placebo
Intervention Description
Once daily for 48 weeks
Primary Outcome Measure Information:
Title
Change in Total International Prostate Symptom Score (IPSS) from baseline to Week 48
Time Frame
Weeks 0 and 48
Secondary Outcome Measure Information:
Title
Change in Total International Prostate Symptom Score (IPSS) from baseline to Weeks 4, 12, 24 and 36
Time Frame
Weeks 0, 4, 12, 24 and 36
Title
Change in Total International Prostate Symptom Score (IPSS) voiding (obstructive) subscores from baseline to Weeks 4, 12, 24, 36 and 48
Time Frame
Weeks 0, 4, 12, 24, 36 and 48
Title
Change in Total International Prostate Symptom Score (IPSS) storage (irritative) subscores from baseline to Weeks 4, 12, 24, 36 and 48
Time Frame
Weeks 0, 4, 12, 24, 36 and 48
Title
Change in Total International Prostate Symptom Score (IPSS) Quality of Life (QoL) index from baseline to Weeks 4, 12, 24, 36 and 48
Time Frame
Weeks 0, 4, 12, 24, 36 and 48
Title
Change in Qmax from baseline to Weeks 24 and 48
Time Frame
Weeks 0, 24 and 48
Title
Change in post void residual (PVR) volume from baseline to Weeks 24 and 48
Time Frame
Weeks 0, 24 and 48
Title
Change in prostate volume (PV) from baseline to Week 48
Time Frame
Weeks 0 and 48
Title
Change in prostate specific antigen (PSA) from baseline to Weeks 24 and 48
Time Frame
Weeks 0, 24 and 48
Other Pre-specified Outcome Measures:
Title
Change in International Index of Erectile Function (IIEF) - Erectile Function (EF) domain scores from baseline to Weeks 4, 12, 24, 36 and 48
Time Frame
Weeks 0, 4, 12, 24, 36 and 48
Title
Change in Sexual Encounter Profile (SEP) Q2 and Q3 from baseline to Weeks 4, 12, 24, 36 and 48
Time Frame
Weeks 0, 4, 12, 24, 36 and 48

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
45 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male aged 45 to 80 years BPH diagnosis Voluntarily signed the informed consent form Willing to participate in the study Total IPSS 13 or greater at baseline Prostate volume 30 cc or greater by TRUS at baseline Qmax 4 to 15 mL/s and minimum voided volume 125 mL or greater at baseline Exclusion Criteria: Serum PSA 4 ng/mL or greater with a positive biopsy result Malignant urogenital tumors including prostate cancer, bladder cancer, etc. Previous prostatic surgery including TURP, balloon dilatation, thermotherapy and stent replacement or other invasive procedures to treat prostate Prostate biopsy within 4 weeks of screening Use of alpha-blockers, alpha-agonists, phosphodiesterase type 5 (PDE5) inhibitors, antidiuretics, anticholinergics, cholinergics, antispasmodics, nitrates or herbal preparations affecting prostate within 4 weeks of screening, or 5-alpha reductase inhibitors (5-ARIs) within 24 weeks of screening Acute urinary retention within 12 weeks of screening Any causes other than BPH resulting in urinary symptoms or changes in flow rate (e.g. neurogenic bladder, bladder neck contracture, urethral stricture, bladder malignancy, acute or chronic prostatitis, acute or chronic urinary tract infections) Bladder postvoid residual 200 mL or greater Anatomical deformation of the penis (such as angulation, cavernosal fibrosis, or Peyronie's disease) or conditions that might predispose to priapism (such as sickle cell anemia, multiple myeloma, or leukemia) Cardiovascular diseases such as myocardial infarction within 12 weeks of screening, unstable angina or angina during sexual intercourse, heart failure (NYHA Class 2 or higher) within 24 weeks of screening, uncontrolled arrhythmias, hypotension (<90/50 mmHg) or uncontrolled hypertension (>170/100 mmHg), or stroke within 24 weeks of screening Left ventricular outflow obstruction (e.g. aortic stenosis and idiopathic hypertrophic subaortic stenosis) Inherited disorders including galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption Inherited retinal degeneration including retinitis pigmentosa Vision loss in one eye due to non-arteritic anterior ischemic optic neuropathy (NAION) Hypersensitivity to ingredients of investigational products Alcohol or drug abuse or treating psychiatric disorders Severe hepatic impairment (ALT or AST > 3xULN) Renal impairment with severe heart failure (serum creatinine > 2xULN) Uncontrolled diabetes (HbA1c 9% or greater) Other investigational products or procedures within 12 weeks of screening Plans to have a child or unwilling to comply with using medically accepted contraception methods (such as surgical sterilization and condom) during the treatment period Not eligible due to other reasons at the investigator's discretion
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Choung-Soo Kim, M.D.,Ph.D
Organizational Affiliation
Ewha Womans University Mokdong Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Ewha Womans University mokdong Hospital
City
Seoul
Country
Korea, Republic of

12. IPD Sharing Statement

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Efficacy and Safety of DKF-313 in Patients With Benign Prostatic Hyperplasia

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