Literature DB >> 21554128

Recruitment of participants to a clinical trial of botanical therapy for benign prostatic hyperplasia.

Jeannette Y Lee1, Harris E Foster, Kevin T McVary, Sreelatha Meleth, Karen Stavris, Joe Downey, John W Kusek.   

Abstract

OBJECTIVES: The timely recruitment of study participants is a critical component of successful trials. Benign prostatic hyperplasia (BPH), a common nonmalignant urologic condition among older men, is characterized by lower urinary tract symptoms (LUTS). Successful recruitment methods for a trial of medical therapy for BPH, Medical Therapy of Prostate Symptoms (MTOPS), were mass mailing and advertising. The Complementary and Alternative Medicines Trial for Urological Symptoms (CAMUS) was designed to evaluate a botanical therapy, saw palmetto, for the treatment of BPH. The objective of this study was to evaluate recruitment strategies for CAMUS and to contrast the baseline characteristics of CAMUS participants with those recruited to a similar trial using conventional medical therapy.
DESIGN: CAMUS is a randomized, double-blind, placebo-controlled trial designed to evaluate the effects of saw palmetto given at escalating doses over an 18-month period on relief from LUTS.
SUBJECTS: The target enrollment goal was 350 men with LUTS from 11 clinical centers over a 12-month period. The recruitment techniques used and participants contacted, screened, and randomized through each technique were obtained from the clinical centers. Baseline characteristics of the CAMUS participants were compared with participants in the MTOPS trial who met the CAMUS eligibility criteria for LUTS.
RESULTS: The target enrollment goal was achieved in 11 months. The overall monthly recruitment rate per site was 3.7 and ranged from 2.4 to 8.0. The most successful recruitment methods were mass mailing and advertising, which accounted for 39% and 35% of the study participants, respectively. In comparison to MTOPS participants, CAMUS participants were younger, more highly educated, more diverse, and had less severe urinary symptoms.
CONCLUSIONS: Successful recruitment methods for CAMUS were similar to those in MTOPS. The use of botanical therapy attracted a less symptomatic and more educated study population.

Entities:  

Mesh:

Substances:

Year:  2011        PMID: 21554128      PMCID: PMC3155098          DOI: 10.1089/acm.2010.0300

Source DB:  PubMed          Journal:  J Altern Complement Med        ISSN: 1075-5535            Impact factor:   2.579


  17 in total

1.  Use of herbal/natural supplements according to racial/ethnic group.

Authors:  Judith Parsells Kelly; David W Kaufman; Katherine Kelley; Lynn Rosenberg; Allen A Mitchell
Journal:  J Altern Complement Med       Date:  2006 Jul-Aug       Impact factor: 2.579

2.  Factors associated with herbal therapy use by adults in the United States.

Authors:  Paula Gardiner; Robert Graham; Anna T R Legedza; Andrew C Ahn; David M Eisenberg; Russell S Phillips
Journal:  Altern Ther Health Med       Date:  2007 Mar-Apr       Impact factor: 1.305

3.  The American Urological Association symptom index for benign prostatic hyperplasia. The Measurement Committee of the American Urological Association.

Authors:  M J Barry; F J Fowler; M P O'Leary; R C Bruskewitz; H L Holtgrewe; W K Mebust; A T Cockett
Journal:  J Urol       Date:  1992-11       Impact factor: 7.450

4.  Phytotherapeutic agents in the treatment of lower urinary tract symptoms: a demographic analysis of awareness and use at the University of Chicago.

Authors:  G T Bales; A P Christiano; E J Kirsh; G S Gerber
Journal:  Urology       Date:  1999-07       Impact factor: 2.649

5.  Clinical, demographic and psychosocial correlates of complementary and alternative medicine use by men diagnosed with localized prostate cancer.

Authors:  Michael A Diefenbach; Natalie Hamrick; Robert Uzzo; Alan Pollack; Eric Horwitz; Richard Greenberg; Paul F Engstrom
Journal:  J Urol       Date:  2003-07       Impact factor: 7.450

6.  Use of herbs among adults based on evidence-based indications: findings from the National Health Interview Survey.

Authors:  Aditya Bardia; Nicole L Nisly; M Bridget Zimmerman; Brian M Gryzlak; Robert B Wallace
Journal:  Mayo Clin Proc       Date:  2007-05       Impact factor: 7.616

7.  Profile and management of patients treated for the first time for lower urinary tract symptoms/benign prostatic hyperplasia in four European countries.

Authors:  Richard-Olivier Fourcade; Nathalie Théret; Charles Taïeb
Journal:  BJU Int       Date:  2008-02-15       Impact factor: 5.588

Review 8.  Serenoa repens for benign prostatic hyperplasia.

Authors:  James Tacklind; Roderick MacDonald; Indy Rutks; Timothy J Wilt
Journal:  Cochrane Database Syst Rev       Date:  2009-04-15

9.  The future magnitude of urological symptoms in the USA: projections using the Boston Area Community Health survey.

Authors:  Heather J Litman; John B McKinlay
Journal:  BJU Int       Date:  2007-06-05       Impact factor: 5.588

10.  Saw palmetto for benign prostatic hyperplasia.

Authors:  Stephen Bent; Christopher Kane; Katsuto Shinohara; John Neuhaus; Esther S Hudes; Harley Goldberg; Andrew L Avins
Journal:  N Engl J Med       Date:  2006-02-09       Impact factor: 91.245

View more
  4 in total

1.  Effect of increasing doses of saw palmetto extract on lower urinary tract symptoms: a randomized trial.

Authors:  Michael J Barry; Sreelatha Meleth; Jeannette Y Lee; Karl J Kreder; Andrew L Avins; J Curtis Nickel; Claus G Roehrborn; E David Crawford; Harris E Foster; Steven A Kaplan; Andrew McCullough; Gerald L Andriole; Michael J Naslund; O Dale Williams; John W Kusek; Catherine M Meyers; Joseph M Betz; Alan Cantor; Kevin T McVary
Journal:  JAMA       Date:  2011-09-28       Impact factor: 56.272

2.  Recruitment of participants to a multiple sclerosis trial: the CombiRx experience.

Authors:  Minal J Bhanushali; Tarah Gustafson; Steve Powell; Robin A Conwit; Jerry S Wolinsky; Gary R Cutter; Fred D Lublin; Stacey S Cofield
Journal:  Clin Trials       Date:  2014-04       Impact factor: 2.486

Review 3.  Strategies to improve recruitment to randomised trials.

Authors:  Shaun Treweek; Marie Pitkethly; Jonathan Cook; Cynthia Fraser; Elizabeth Mitchell; Frank Sullivan; Catherine Jackson; Tyna K Taskila; Heidi Gardner
Journal:  Cochrane Database Syst Rev       Date:  2018-02-22

4.  Recruitment strategies in randomised controlled trials of men aged 50 years and older: a systematic review.

Authors:  Karen Bracken; Lisa Askie; Anthony C Keech; Wendy Hague; Gary Wittert
Journal:  BMJ Open       Date:  2019-04-03       Impact factor: 2.692

  4 in total

北京卡尤迪生物科技股份有限公司 © 2022-2023.