AUA 2019: Contemporary Active Clinical Trials in Benign Prostatic Hyperplasia

Chicago, IL (UroToday.com) The primary goal of the study was to evaluate current research protocols related to the benign prostatic hyperplasia (BPH) and assess a link between funding venues and innovations in treatment options. According to the presenter, BPH is highly prevalent in men over 80 years of age (90%). More than 50% of men develop this chronic condition by the age of 50.  It is estimated that BPH results in $4 billion in economic loss per year. Thus it is important to research new prevention and treatment options, which can potentially reduce the burden of disease.

The study team has queried clinicaltrials.gov database for the active, recruiting, and enrolling studies on the benign prostatic hyperplasia and benign prostatic hypertrophy. Eligible trials were grouped by the specialty of the primary investigator, funding source, and type of intervention.

The study sample included 65 trials related to BPH. The majority of protocols evaluated endoscopic treatment methods (44.6%). Prostate artery embolization techniques were studied in 32.3% of the trials. Eight trials (12.3%) examined drug therapies while seven (10.8) didn’t report any prospective interventions. Only one trial studied a novel medication for BPH (Figure 1)

AUA 2019 interventions for BPH fig 1
Figure 1

Urologists, followed by radiologists and other sub-specialties, dominated Principal Investigator’s specialty (64.6%, 27.7%, and 7.7%, respectively). Educational grants, internal hospital and private funding funded most of the studies (69.2%). Clinical companies sponsored 35.4 % of the trials while the US federal government provided funding for one study (Figure 2).

AUA 2019 funding source vs intervention fig 2
Figure 2

This review showed that BPH studies are underrepresented in the urologic research community. Most of the research evolved around surgical treatment methods, but not novel drug therapies. BPH trials should be prioritized by the federal funding agencies considering the high burden of disease in the population.

Presented by: Karis Buford, MD, Maimonides Medical Center, Brooklyn, New York

Written by: Hanna Stambakio, BS, Clinical Research Coordinator, Division of Urology, University of Pennsylvania, @AStambakio at American Urological Association's 2019 Annual Meeting (AUA 2019), May 3 – 6, 2019 in Chicago, Illinois