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

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexMale
Age18+
SponsorBeth Israel Deaconess Medical Center

About this trial

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 men, which explains the resistance of a subset of patients to this commonly prescribed drug. This project proposes new combination therapies (5-ARI+raloxifene) and evaluates novel non-invasive biomarkers, based on alternative pathways that lead to prostatic enlargement.

Eligibility criteria

Qualifiers

≥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);

Disqualifiers

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;

Trial design

Treatments tested in this trial

  • raloxifene
  • Finasteride

Treatment groups

242 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Beth Israel Deaconess Medical Center

Lead sponsor

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

Collaborator