Sonoda T, Endo H, Kuroda K, Takamura T, Inada F, Ohori T, Kubo T, Suzuki Y, Nakano N, Sato S
Hinyokika Kiyo. 1984 Apr;30(4):561-79.
The clinical effectiveness, safety and usefulness of KN-7 tablet as a new oral application of the prostatic extract, on urinary dysfunction of neurogenic bladder were compared with those of Robaveron injection by the double-blind test method. In the study, 2 tablets t.i.d. and a shot of intramuscular injection 1 ml a day were given successively for 3 weeks. A total of 233 cases were reported from 37 facilities belonging to the KN-7 Clinical Research Group. Some of them were excluded or dropped out. The number of cases used for analysing the effectiveness, safety and usefulness were 214, 232 and 215, respectively. There was no bias between the two groups with a significant homogeneity in the background. In the overall clinical effectiveness, the effective rate including excellent, moderate and slightly effective was 76.9% with KN-7 and 77.4% with Robaveron. In the clinical usefulness, the rate of usefulness of slightly useful or above was 75.0% with KN-7 and 75.7% with Robaveron. There was no significant difference between the two groups in the clinical effective and useful rates at a significant level of 5%. Side effects were observed in 1 of the 114 (0.9%) patients given KN-7 and 8 of the 118 (6.8%) patients given Robaveron. The incidence of adverse reactions with KN-7 was significantly lower than that with Robaveron. Based on the results, it was concluded that KN-7 tablets, 2 tablets t.i.d., would be as effective and useful as a Robaveron injection 1 ml daily and safer than the latter in the treatment of neurogenic bladder.
采用双盲试验法,将新型口服制剂前列腺提取物KN-7片与罗布氨酯注射液用于神经源性膀胱排尿功能障碍的临床疗效、安全性和实用性进行了比较。在该研究中,连续3周每日给予KN-7片,每次2片,每日3次,以及每日1次肌肉注射1 ml罗布氨酯注射液。KN-7临床研究组所属的37个机构共报告了233例病例。其中一些病例被排除或退出研究。用于分析疗效、安全性和实用性的病例数分别为214例、232例和215例。两组之间无偏差,背景具有显著同质性。在总体临床疗效方面,KN-7的有效率(包括优效、中效和微效)为76.9%,罗布氨酯为77.4%。在临床实用性方面,KN-7的微效及以上有效率为75.0%,罗布氨酯为75.7%。两组在5%的显著水平下,临床有效率和有效使用率无显著差异。在服用KN-7的114例患者中有1例(0.9%)出现副作用,在服用罗布氨酯的118例患者中有8例(6.8%)出现副作用。KN-7的不良反应发生率显著低于罗布氨酯。基于这些结果,得出结论:KN-7片,每次2片,每日3次,在治疗神经源性膀胱方面与每日1 ml罗布氨酯注射液一样有效且实用,且比后者更安全。