Status:

RECRUITING

New Treatment Strategies and Epigenetic Biomarker for Management of Benign Prostatic Hyperplasia

Lead Sponsor:

Beth Israel Deaconess Medical Center

Collaborating Sponsors:

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

Conditions:

BPH (Benign Prostatic Hyperplasia)

Lower Urinary Track Symptoms

Eligibility:

MALE

18+ years

Phase:

PHASE2

Brief Summary

SRD5A2 is a critical enzyme for prostatic development and growth, and the SRD5A2 inhibitor, finasteride, is used to treat benign prostatic hyperplasia (BPH). SRD5A2 is absent in 30% of normal adult me...

Detailed Description

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

Eligibility Criteria

Inclusion

  • Inclusion criteria
  • ≥18 yrs old on the day of study consent;
  • Finasteride has been recommended for treatment of BPH by a physician;
  • PSA \<20ng/ml within the last six months;
  • Willingness to maintain any current genitourinary medications (e.g., beta agonists, alpha blockers, anticholinergics);
  • Patient is able and willing to provide written informed consent.
  • Exclusion criteria
  • Active or past history of venous thromboembolism, including deep vein thrombosis, pulmonary embolism, and retinal vein thrombosis;
  • Previous diagnosis with any prostatic malignancy or precancerous lesions (atypical glandular foci);
  • History of pelvic radiation;
  • Actively receiving intravesical therapy for bladder cancer;
  • Received treatment with any demethylating medications (azacitidine, decitabine, zebularine, guadecitabine, hydralazine);
  • Current use of warfarin;
  • Prior treatment with 5ARI medications (e.g., Finasteride or Dutasteride) in the last year;
  • Diagnosed with diabetes mellitus;
  • Diagnosed with any neurodegenerative diseases;
  • History of allergic reaction to any intravenous (IV) iron replacement products;
  • Currently taking cholestyramine medication;
  • Contraindications to MRI examination, which may include:
  • Cardiac pacemaker
  • Intracranial clips, metal implants, or external clips within 10mm of the head
  • Previous metal injury in the eye or occupation risk to ferrous metal in the eye (e.g. metalworker)
  • Claustrophobia that cannot be managed with benzodiazepine

Exclusion

    Key Trial Info

    Start Date :

    December 3 2025

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    August 31 2030

    Estimated Enrollment :

    242 Patients enrolled

    Trial Details

    Trial ID

    NCT06944145

    Start Date

    December 3 2025

    End Date

    August 31 2030

    Last Update

    December 5 2025

    Active Locations (1)

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    Page 1 of 1 (1 locations)

    1

    Beth Israel Deaconess Medical Center

    Boston, Massachusetts, United States, 02215