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NCT Number: NCT05401032

Proof-of-concept Study to Evaluate the Safety and Efficacy of Tryptophan in Patients with BPH.

Benign prostatic hyperplasia (BPH) is one of the most prevalent human diseases and a major cause of lower urinary tract symptoms (LUTS). Some men respond to current medical treatment (mainly α-1 adrenoreceptor antagonists and 5 α-reductase inhibitors), but a large proportion of patients continues to need a surgical procedure to treat resistant LUTS or even more serious complications of BPH, creating the emerging necessity for novel pharmacological therapies.

Oxitriptan may have a possible positive effect on BPH associated symptoms with probably no impact in sexual function (which is a common side effect of the current drugs for BPH associated symptoms). Also, improvement in symptoms could be higher than that of current drugs used for this condition.

This is a single-center parallel group, randomized clinical trial. The study will take place in Hospital de Braga (Urology department). Eligible patients will be randomized to receive tamsulosin 0.4mg (once a day, q.d.) or 5-HTP (5-hidroxitriptophan) 100mg (three times a day, t.i.d.), for 6 months.

Recruiting

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Key information

Age range

50 year–74 year

Sex eligibility

Male

Study type

Interventional

Phase

Phase 2

Primary location

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Written informed consent;
  • Male patients with BPH for which tamsulosin is the therapeutic option per SoC;
  • Aged ≥50 and less than 75 years old;
  • With prostate volume ≥30 cm3 by TRUS;
  • Diagnosed with LUTS defined by a stable IPSS total score ≥13 points.

Exclusion criteria

  • Patients with post-void bladder residual volume ≥250 ml;
  • Patients with intravesical obstruction from any cause other than BPH;
  • History of any procedure considered an intervention for BPH;
  • Patients with active urinary tract infection;
  • History of recurrent urinary tract infections;
  • Current prostatitis or diagnosis of chronic prostatitis;
  • History of prostate or invasive bladder cancer;
  • Use of 5 α-reductase inhibitors within 6 months;
  • Phytotherapy within 2 weeks before entry;
  • Use of serotonin reuptake inhibitors or monoamine oxidase inhibitors;
  • Patients with acute or chronic kidney failure;
  • Patients with diagnosed or suspicion of intolerance to lactose;
  • Patients submitted to general anesthesia in the past 4 weeks;
  • Known intellectual disability that may hampers giving informed consent and would make the patient inappropriate for entry into this study, in the judgment of the investigator.

Treatment and study plan

Tamsulosin

Drug

Oral medication, once a day for 6 months.

Other names: Omnic

5-hidroxitriptophan

Drug

Oral medication, 3 times a day for 6 months.

Other names: Cincofarm

Primary outcomes

  1. International Prostate Symptom Score (IPSS)

    Time frame: Change from baseline to day 1, 1-month, 3- month and EOT (6-month)

    Evaluate the effect of tryptophan supplementation on lower urinary tract symptoms (LUTS)

Secondary outcomes

  1. Qmax

    Time frame: Change from baseline to EOT (6-month)

    Urine maximum flow rate

  2. IIEF-5

    Time frame: Change from baseline to EOT (6-month)

    Erectile function, assessed by International Index of Erectile Function-5 (IIEF-5)

  3. Prostate volume

    Time frame: Change from baseline to EOT (6-month)

    Prostate volume (in cc), assessed by trans-rectal ultra-sound

  4. question 8 of the IPSS

    Time frame: Change from baseline to EOT (6-month)

    quality of life due to urinary symptoms (question 8 of the IPSS).

Study contacts

Contact information is provided by the study sponsor or research team.

Mónica Gonçalves

CONTACT

[email protected]

+351 253 027 249

Rosana Magalhães

CONTACT

[email protected]

+351 253 027 249

Sponsors and collaborators

Lead sponsor

Clinical Academic Center (2CA-Braga)

Other

Registry information

Official study title

TryptoBPH - Proof-of-concept Study to Evaluate the Safety and Efficacy of Tryptophan in Patients with BPH

Acronym: TryptoBPH

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
Jun 2, 2022
Registry last updated
Jan 6, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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