Literature DB >> 16336332

Long-term therapy with the dual 5alpha-reductase inhibitor dutasteride is well tolerated in men with symptomatic benign prostatic hyperplasia.

Claude Schulman1, Peter Pommerville, Klaus Höfner, Barton Wachs.   

Abstract

OBJECTIVE: To examine the long-term (4-year) safety and tolerability of dutasteride in the treatment of symptomatic benign prostatic hyperplasia (BPH). PATIENTS AND METHODS: Patients who completed the double-blind phase of three dutasteride Phase III studies were eligible to enter a 2-year open-label extension, during which all patients received dutasteride 0.5 mg. Safety was assessed, including adverse-event reporting, clinical laboratory assessments, yearly physical examinations, and vital sign assessments.
RESULTS: In all, 2340 patients entered the open-label phase, 1188 of whom previously received dutasteride during the double-blind phase of the study. The most common drug-related adverse events (occurring in > or = 1%) were effects on sexual function, which decreased with a longer duration of therapy. Gynaecomastia was reported in a small percentage of men throughout the 4-year study period. The incidence of individual sexual functional adverse events that led to withdrawal was < or = 1% (0.3-1.0%) during the 4-year study period. Dutasteride had no relevant effects on vital signs or clinical laboratory variables.
CONCLUSION: These data show that dutasteride is well tolerated during long-term use for the treatment of symptomatic BPH.

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Year:  2006        PMID: 16336332     DOI: 10.1111/j.1464-410X.2005.05909.x

Source DB:  PubMed          Journal:  BJU Int        ISSN: 1464-4096            Impact factor:   5.588


  10 in total

Review 1.  Efficacy and safety of dutasteride for the treatment of symptomatic benign prostatic hyperplasia (BPH): a systematic review and meta-analysis.

Authors:  Taehwan Park; Jae-Young Choi
Journal:  World J Urol       Date:  2014-02-06       Impact factor: 4.226

2.  The association of new-onset diabetes mellitus and medical therapy for benign prostatic hyperplasia: A population-based study.

Authors:  Jeannette Johnstone; Avril Lusty; Mina Tohidi; Marlo Whitehead; Joan Tranmer; J Curtis Nickel; D Robert Siemens
Journal:  Can Urol Assoc J       Date:  2021-08       Impact factor: 1.862

Review 3.  Dutasteride: a review of its use in the management of prostate disorders.

Authors:  Susan J Keam; Lesley J Scott
Journal:  Drugs       Date:  2008       Impact factor: 9.546

Review 4.  Fixed-dose combination therapy with dutasteride and tamsulosin in the management of benign prostatic hyperplasia.

Authors:  Konstantinos Dimitropoulos; Stavros Gravas
Journal:  Ther Adv Urol       Date:  2016-02

Review 5.  Recent Advances in Drug Design and Drug Discovery for Androgen- Dependent Diseases.

Authors:  Marisa Cabeza; Araceli Sánchez-Márquez; Mariana Garrido; Aylín Silva; Eugene Bratoeff
Journal:  Curr Med Chem       Date:  2016       Impact factor: 4.530

6.  Risk of gynecomastia and breast cancer associated with the use of 5-alpha reductase inhibitors for benign prostatic hyperplasia.

Authors:  Katrina Wilcox Hagberg; Hozefa A Divan; Shona C Fang; J Curtis Nickel; Susan S Jick
Journal:  Clin Epidemiol       Date:  2017-02-10       Impact factor: 4.790

7.  Incidence of type 2 diabetes mellitus in men receiving steroid 5α-reductase inhibitors: population based cohort study.

Authors:  Li Wei; Edward Chia-Cheng Lai; Yea-Huei Kao-Yang; Brian R Walker; Thomas M MacDonald; Ruth Andrew
Journal:  BMJ       Date:  2019-04-10

Review 8.  Combination therapy with dutasteride and tamsulosin for the treatment of symptomatic enlarged prostate.

Authors:  J Miller; T H Tarter
Journal:  Clin Interv Aging       Date:  2009-06-09       Impact factor: 4.458

Review 9.  Update on the use of dutasteride in the management of benign prostatic hypertrophy.

Authors:  Joe Miller; Thomas H Tarter
Journal:  Clin Interv Aging       Date:  2007       Impact factor: 4.458

Review 10.  Benign prostatic hyperplasia as a progressive disease: a guide to the risk factors and options for medical management.

Authors:  M Emberton; E B Cornel; P F Bassi; R O Fourcade; J M F Gómez; R Castro
Journal:  Int J Clin Pract       Date:  2008-05-08       Impact factor: 2.503

  10 in total

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