Status:

RECRUITING

5-Alpha Reductase 2 as a Marker of Resistance to 5ARI Therapy

Lead Sponsor:

Beth Israel Deaconess Medical Center

Collaborating Sponsors:

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Conditions:

Benign Prostatic Hyperplasia

Prostate Hyperplasia

Eligibility:

MALE

50+ years

Phase:

NA

Brief Summary

The study is being conducted to learn why some patients with Benign Prostatic Hyperplasia (BPH) do not respond to a commonly used treatment drug, Finasteride. The hope is to find ways to predict which...

Detailed Description

Over 90% of adult males develop lower urinary tract symptoms (LUTS) secondary to bladder outlet obstruction by age 80, rendering benign prostatic hyperplasia (BPH) the most common proliferative abnorm...

Eligibility Criteria

Inclusion

  • Male (physiological);
  • Age ≥ 50;
  • Eligible for treatment with 5ARI therapy;
  • Presence of lower urinary tract symptoms secondary to BPH;
  • Prostate size \>40cc by digital rectal examination;
  • Absence of prostate nodule, tenderness or firmness;
  • Mildly elevated PSA's \>1.5 ng/ml and ≤ 40 ng/ml;
  • Undergoing clinically indicated prostate biopsy for elevated prostate-specific antigen (PSA).

Exclusion

  • Diagnosis of any prostatic malignancy or precancerous lesions (atypical glandular foci and prostatic intraepithelial neoplasia);
  • Treatment with 5ARI (Finasteride or Dutasteride) within six months of study enrollment;
  • Current urinary tract infection;
  • Previous pelvic radiation;
  • Previous treatment with demethylating drugs;
  • Diagnosis of multiple sclerosis, Alzheimer's, Parkinson's, neurological deficits in the judgment of the investigator;
  • Unable or unwilling to undergo MRI due to implants, claustrophobia, etc.

Key Trial Info

Start Date :

September 25 2020

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

November 30 2026

Estimated Enrollment :

120 Patients enrolled

Trial Details

Trial ID

NCT04288427

Start Date

September 25 2020

End Date

November 30 2026

Last Update

October 28 2025

Active Locations (1)

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1

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States, 02215