5-Alpha Reductase 2 as a Marker of Resistance to 5ARI Therapy

Description

The study is being conducted to learn why some patients with Benign Prostatic Hyperplasia (BPH) do not respond to a commonly used treatment drug, Finasteride. The hope is to find ways to predict which patients will not respond to Finasteride so that, in the future, these patients can be identified prior to offering this treatment and they can be offered alternative treatment strategies in its place. The aim is to see if noninvasive techniques such as MRI can detect inflammation of the prostate to assist with early detection of those who will and who will not respond to Finasteride.

Conditions

Benign Prostatic Hyperplasia, Prostate Hyperplasia, Prostate Disease, Prostate Hypertrophy, Prostate Pain, Lower Urinary Tract Symptoms, Urinary Obstruction, Urinary Tract Disease

Study Overview

Study Details

Study overview

The study is being conducted to learn why some patients with Benign Prostatic Hyperplasia (BPH) do not respond to a commonly used treatment drug, Finasteride. The hope is to find ways to predict which patients will not respond to Finasteride so that, in the future, these patients can be identified prior to offering this treatment and they can be offered alternative treatment strategies in its place. The aim is to see if noninvasive techniques such as MRI can detect inflammation of the prostate to assist with early detection of those who will and who will not respond to Finasteride.

5-Alpha Reductase 2 as a Marker of Resistance to 5ARI Therapy

5-Alpha Reductase 2 as a Marker of Resistance to 5ARI Therapy

Condition
Benign Prostatic Hyperplasia
Intervention / Treatment

-

Contacts and Locations

Boston

Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States, 02215

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Male (physiological);
  • * Age ≥ 50;
  • * Eligible for treatment with 5ARI therapy;
  • * Presence of lower urinary tract symptoms secondary to BPH;
  • * Prostate size \>40cc by digital rectal examination;
  • * Absence of prostate nodule, tenderness or firmness;
  • * Mildly elevated PSA's \>1.5 ng/ml and ≤ 40 ng/ml;
  • * Undergoing clinically indicated prostate biopsy for elevated prostate-specific antigen (PSA).
  • * Diagnosis of any prostatic malignancy or precancerous lesions (atypical glandular foci and prostatic intraepithelial neoplasia);
  • * Treatment with 5ARI (Finasteride or Dutasteride) within six months of study enrollment;
  • * Current urinary tract infection;
  • * Previous pelvic radiation;
  • * Previous treatment with demethylating drugs;
  • * Diagnosis of multiple sclerosis, Alzheimer's, Parkinson's, neurological deficits in the judgment of the investigator;
  • * Unable or unwilling to undergo MRI due to implants, claustrophobia, etc.

Ages Eligible for Study

50 Years to

Sexes Eligible for Study

MALE

Accepts Healthy Volunteers

No

Collaborators and Investigators

Beth Israel Deaconess Medical Center,

Aria F. Olumi, MD, PRINCIPAL_INVESTIGATOR, Beth Israel Deaconess Medical Center

Study Record Dates

2025-11-30