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爱普列特治疗良性前列腺增生的临床效用评估——爱普列特片与活性成分含量高两倍的制剂的比较

[Assessment of clinical usefulness of Eviprostat for benign prostatic hyperplasia--comparison of Eviprostat tablet with a formulation containing two-times more active ingredients].

作者信息

Tamaki Masahiro, Nakashima Masakazu, Nishiyama Ryuichi, Ikeda Hiroki, Hiura Masaru, Kanaoka Toshio, Nakano Tadasu, Hayashi Tadashi, Ogawa Osamu

机构信息

Department of Urology, Japanese Red Cross Society Wakayama Medical Center.

出版信息

Hinyokika Kiyo. 2008 Jun;54(6):435-45.

Abstract

We compared the usefulness of Eviprostat tablet, a therapeutic agent for benign prostatic hyperplasia (BPH), and EVI-F tablet, a new formulation of Eviprostat containing two times more active ingredients (Chimaphila umbellata extract, Populus tremula extract, Pulsatilla pratensis extract, Equisetum arvense extract and purified wheat germ oil) and consequently designed to reduce the number of tablets per dose by half. In this study, patients with BPH were randomly assigned to either Eviprostat group (6 tabs/day) or EVI-F group (3 tabs/day) using the envelope method. The clinical efficacy of these two drugs were evaluated by the International Prostate Symptom Score (IPSS) and QOL score at the end of the treatment period, and their safety was evaluated by the incidence of side effects. Based on the clinical study guidelines for dysuria, the change in the IPSS total score and QOL score were comparable to the previously reported data for other treatment agents for BPH, and these indices showed gradual improvement with the treatment period. Both treatments were well tolerated. The clinical usefulness of the monotherapy with EVI-F tablet or Eviprostat tablet was reasonably demonstrated in this study. Furthermore, both treatments reduced nocturia, which has an impact on the QOL of patients with BPH.

摘要

我们比较了良性前列腺增生(BPH)治疗药物爱普列特片和爱普列特新剂型EVI - F片的效用,EVI - F片的活性成分(鹿蹄草提取物、欧洲山杨提取物、白头翁提取物、问荆提取物和精制小麦胚芽油)含量是爱普列特片的两倍,因此设计为将每剂量的片剂数量减半。在本研究中,使用信封法将BPH患者随机分为爱普列特组(每日6片)或EVI - F组(每日3片)。在治疗期结束时,通过国际前列腺症状评分(IPSS)和生活质量评分评估这两种药物的临床疗效,并通过副作用发生率评估其安全性。根据排尿困难的临床研究指南,IPSS总分和生活质量评分的变化与先前报道的其他BPH治疗药物的数据相当,并且这些指标随着治疗期逐渐改善。两种治疗的耐受性都良好。本研究合理地证明了EVI - F片或爱普列特片单药治疗的临床效用。此外,两种治疗均减少了夜尿症,而夜尿症会影响BPH患者的生活质量。

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