Comparative Efficacy of Dutasteride Plus Tamulosin With Lifestyle Advice Versus Watchful Waiting Plus Lifestyle Advice in the Management of Treatment naïve Men With Moderately Symptomatic Benign Prostatic Hyperplasia and Prostate Enlargement
CompletedPhase 4Results postedLast updated 20 August 2018
What this trial tests
Phase 4 trial testing Dutasteride plus tamsulosin in Prostatic Hyperplasia in 742 participants. Completed in 17 October 2013.
50 and older, male only, with Prostatic Hyperplasia. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Change From Baseline in the Total International Prostate Symptom Score (IPSS) at Months 1, 3, 6, 9, 12, 15, 18, 21, and 24 Using the Last Observation Carried Forward (LOCF) ApproachPrimary· Baseline and Months 1, 3, 6, 9, 12, 15, 18, 21, and 24
The IPSS questionnaire is a 7-item self-administered questionnaire designed to quantify the following urinary symptoms: Question 1 (Q1), incomplete emptying; Q2, frequency; Q3, intermittency; Q4, urgency; Q5, weak stream; Q6, straining; Q7, nocturia. It has an additional, independent eighth question to assess change in BPH-related health status (BHS) and quality of life. BHS scores range from 0 to 6, where 0 indicates "delighted" and 6 indicates "terrible." The 7 items in the IPSS questionnaire quantitatively measure the level of urinary symptoms reported as a total IPSS. The total IPSS (sum o
Month 1, n=358, 367
Group
Value
95% CI
Dutasteride Plus Tamsulosin
-3.2
± 0.21
Watchful Waiting All: Escalated Yes and No
-0.9
± 0.20
Month 3, n=359, 368
Group
Value
95% CI
Dutasteride Plus Tamsulosin
-4.5
± 0.22
Watchful Waiting All: Escalated Yes and No
-2.4
± 0.22
Month 6, n=359, 368
Group
Value
95% CI
Dutasteride Plus Tamsulosin
-4.6
± 0.23
Watchful Waiting All: Escalated Yes and No
-3.2
± 0.22
Month 9, n=359, 368
Group
Value
95% CI
Dutasteride Plus Tamsulosin
-5.1
± 0.22
Watchful Waiting All: Escalated Yes and No
-3.6
± 0.22
Month 12, n=359, 368
Group
Value
95% CI
Dutasteride Plus Tamsulosin
-5.2
± 0.23
Watchful Waiting All: Escalated Yes and No
-3.6
± 0.23
Month 15, n=359, 368
Group
Value
95% CI
Dutasteride Plus Tamsulosin
-5.2
± 0.25
Watchful Waiting All: Escalated Yes and No
-3.6
± 0.24
Month 18, n=359, 368
Group
Value
95% CI
Dutasteride Plus Tamsulosin
-5.1
± 0.25
Watchful Waiting All: Escalated Yes and No
-3.3
± 0.25
Month 21, n=359, 368
Group
Value
95% CI
Dutasteride Plus Tamsulosin
-5.5
± 0.25
Watchful Waiting All: Escalated Yes and No
-3.6
± 0.24
Number of Participants With Change From Baseline in the Indicated Improvement Categories in the IPSS at Months 1, 3, 6, 9, 12, 15, 18, 21, and 24 Using the LOCF ApproachSecondary· Baseline and Months 1, 3, 6, 9, 12, 15, 18, 21, and 24
Symptom improvement was assessed using IPSS categorical changes from Baseline. Change from Baseline categories were summarized by treatment group using five improvement levels: \>=1 point through \>=5 points. IPSS percent change from Baseline was summarized using seven improvement levels: \>0 percent, \>=10 percent, \>=20 percent, \>=25 percent, \>=30 percent, \>=40 percent, and \>=50 percent. Change in IPSS from Baseline was analysed using the LOCF method and is summarized for the following categories: \>=2 points, \>=3 points, and percent change \>=25. The 7 items in the IPSS questionnaire q
Month 1, >=2 points, n=358, 367
Group
Value
95% CI
Dutasteride Plus Tamsulosin
225
Watchful Waiting All: Escalated Yes and No
149
Month 1, >=3 points, n=358, 367
Group
Value
95% CI
Dutasteride Plus Tamsulosin
182
Watchful Waiting All: Escalated Yes and No
90
Month 1, >=25 percent, n=358, 367
Group
Value
95% CI
Dutasteride Plus Tamsulosin
161
Watchful Waiting All: Escalated Yes and No
76
Month 3, >=2 points, n=359, 368
Group
Value
95% CI
Dutasteride Plus Tamsulosin
277
Watchful Waiting All: Escalated Yes and No
221
Month 3, >=3 points, n=359, 368
Group
Value
95% CI
Dutasteride Plus Tamsulosin
233
Watchful Waiting All: Escalated Yes and No
172
Month 3, >=25 percent, n= 359, 368
Group
Value
95% CI
Dutasteride Plus Tamsulosin
218
Watchful Waiting All: Escalated Yes and No
150
Month 6, >=2 points, n=359, 368
Group
Value
95% CI
Dutasteride Plus Tamsulosin
277
Watchful Waiting All: Escalated Yes and No
250
Month 6, >=3 points, n=359, 368
Group
Value
95% CI
Dutasteride Plus Tamsulosin
245
Watchful Waiting All: Escalated Yes and No
208
Change From Baseline in the BPH Impact Index (BII) Score at Months 1, 3, 6, 9, 12, 15, 18, 21, and 24 Using the LOCF ApproachSecondary· Baseline and Months 1, 3, 6, 9, 12, 15, 18, 21, and 24
The BII is a 4-item questionnaire covering physical discomfort, worry, bother, and impact on usual activities, with a minimum score of 0 (best) and a maximum score (worst) of 13 points. Individual missing questionnaire responses were imputed, as applicable. Change from Baseline in the BII score was summarized by treatment group using the LOCF approach at each scheduled post-Baseline assessment. LOCF analysis involves bringing forward the last non-missing post-Baseline assessment for a participant with missing data and/or for a participant who discontinued from the study. Estimates are based on
Month 1, n=357, 366
Group
Value
95% CI
Dutasteride Plus Tamsulosin
-1.3
± 0.11
Watchful Waiting All: Escalated Yes and No
-0.4
± 0.11
Month 3, n=359, 368
Group
Value
95% CI
Dutasteride Plus Tamsulosin
-1.8
± 0.11
Watchful Waiting All: Escalated Yes and No
-1.0
± 0.11
Month 6, n=359, 368
Group
Value
95% CI
Dutasteride Plus Tamsulosin
-1.9
± 0.11
Watchful Waiting All: Escalated Yes and No
-1.3
± 0.11
Month 9, n=359, 368
Group
Value
95% CI
Dutasteride Plus Tamsulosin
-2.1
± 0.11
Watchful Waiting All: Escalated Yes and No
-1.5
± 0.11
Month 12, n=359, 368
Group
Value
95% CI
Dutasteride Plus Tamsulosin
-2.1
± 0.12
Watchful Waiting All: Escalated Yes and No
-1.5
± 0.12
Month 15, n=359, 368
Group
Value
95% CI
Dutasteride Plus Tamsulosin
-2.2
± 0.12
Watchful Waiting All: Escalated Yes and No
-1.5
± 0.12
Month 18, n=359, 368
Group
Value
95% CI
Dutasteride Plus Tamsulosin
-2.2
± 0.12
Watchful Waiting All: Escalated Yes and No
-1.4
± 0.12
Month 21, n=359, 368
Group
Value
95% CI
Dutasteride Plus Tamsulosin
-2.4
± 0.12
Watchful Waiting All: Escalated Yes and No
-1.6
± 0.12
Change From Baseline in the BPH-related Health Status (BHS) Score at Months 1, 3, 6, 9, 12, 15, 18, 21, and 24 Using the LOCF ApproachSecondary· Baseline and Months 1, 3, 6, 9, 12, 15, 18, 21, and 24
Each participant was asked the following question "If you were to spend the rest of your life with your urinary condition just the way it is now, how would you feel about that?". This response was rated from 0 ("delighted") to 6 ("terrible"). Change from Baseline in the BHS score was summarized by treatment group using the LOCF approach at each scheduled post-Baseline assessment. LOCF analysis involves bringing forward the last non-missing post-Baseline assessment for a participant with missing data and/or for a participant who discontinued from the study. Estimates are based on the adjusted m
Month 1, n=358, 367
Group
Value
95% CI
Dutasteride Plus Tamsulosin
-0.8
± 0.06
Watchful Waiting All: Escalated Yes and No
-0.3
± 0.05
Month 3, n=359, 368
Group
Value
95% CI
Dutasteride Plus Tamsulosin
-1.1
± 0.06
Watchful Waiting All: Escalated Yes and No
-0.7
± 0.06
Month 6, n=359, 368
Group
Value
95% CI
Dutasteride Plus Tamsulosin
-1.2
± 0.06
Watchful Waiting All: Escalated Yes and No
-0.9
± 0.06
Month 9, n=359, 368
Group
Value
95% CI
Dutasteride Plus Tamsulosin
-1.3
± 0.06
Watchful Waiting All: Escalated Yes and No
-1.0
± 0.06
Month 12, n=359, 368
Group
Value
95% CI
Dutasteride Plus Tamsulosin
-1.3
± 0.06
Watchful Waiting All: Escalated Yes and No
-1.1
± 0.06
Month 15, n=359, 368
Group
Value
95% CI
Dutasteride Plus Tamsulosin
-1.4
± 0.06
Watchful Waiting All: Escalated Yes and No
-1.1
± 0.06
Month 18, n=359, 368
Group
Value
95% CI
Dutasteride Plus Tamsulosin
-1.4
± 0.06
Watchful Waiting All: Escalated Yes and No
-1.1
± 0.06
Month 21, n=359, 368
Group
Value
95% CI
Dutasteride Plus Tamsulosin
-1.5
± 0.06
Watchful Waiting All: Escalated Yes and No
-1.1
± 0.06
Number of Events of Clinical Progression (CP) of BPHSecondary· Up to 2 years
The number of participants with the first occurrence of clinical progression (CP) of BPH occurring on or after the randomization date are summarized by treatment and year. Time is based on the date of the first-occurring CP event, and is relative to the randomization date. CP of BPH is a composite of five endpoints assessed through the end of the study, including: symptom deterioration by IPSS \>=3 points from Baseline (Visit 2); acute urinary retention related to BPH; incontinence (overflow or urge) related to BPH; recurrent urinary tract infection (UTI) or urosepsis related to BPH; renal ins
Year 1, n=369, 373
Group
Value
95% CI
Dutasteride Plus Tamsulosin
48
Watchful Waiting All: Escalated Yes and No
94
Year 2, n=276, 251
Group
Value
95% CI
Dutasteride Plus Tamsulosin
17
Watchful Waiting All: Escalated Yes and No
14
Number of Participants With the Indicated First-occurring Component of Clinical Progression (CP) of BPHSecondary· Up to Month 24
CP of BPH is a composite of five endpoints assessed through the end of the study, including: symptom progression (symptom deterioration by IPSS \>=3 points from Baseline \[Visit 2\]); acute urinary retention (AUR) related to BPH; incontinence (overflow or urge) related to BPH; recurrent urinary tract infection (UTI) or urosepsis related to BPH; renal insufficiency related to BPH (a single \>=50% rise from Baseline serum creatinine and a total value \>=1.5 milligrams/deciliter). The number of participants with CP of BPH, the number of participants with the indicated first-occurring component of
Participants with CP of BPH, n=369, 373
Group
Value
95% CI
Dutasteride Plus Tamsulosin
65
Watchful Waiting All: Escalated Yes and No
108
BPH symptom progression, n=65, 108
Group
Value
95% CI
Dutasteride Plus Tamsulosin
59
Watchful Waiting All: Escalated Yes and No
97
BPH-related AUR, n=65, 108
Group
Value
95% CI
Dutasteride Plus Tamsulosin
2
Watchful Waiting All: Escalated Yes and No
4
BPH-related incontinence, n=65, 108
Group
Value
95% CI
Dutasteride Plus Tamsulosin
4
Watchful Waiting All: Escalated Yes and No
3
Recurrent BPH-related UTI, n=65, 108
Group
Value
95% CI
Dutasteride Plus Tamsulosin
0
Watchful Waiting All: Escalated Yes and No
4
BPH-related renal insufficiency, n=65, 108
Group
Value
95% CI
Dutasteride Plus Tamsulosin
0
Watchful Waiting All: Escalated Yes and No
0
Tied for first component, n=65, 108
Group
Value
95% CI
Dutasteride Plus Tamsulosin
0
Watchful Waiting All: Escalated Yes and No
0
Multiple components (2 components), n=65, 108
Group
Value
95% CI
Dutasteride Plus Tamsulosin
4
Watchful Waiting All: Escalated Yes and No
9
Number of Participants Who Had Any BPH-related Surgery, Who Had the Indicated Type of Surgery, Who Had 2 BPH-related Surgeries, and Who Had >=3 BPH-related SurgeriesSecondary· Up to Month 24
BPH-related surgery was summarized for events occurring on or after the date of randomization. The number of participants who had any BPH-related surgery, the indicated type of surgery, and multiple surgeries was summarized by treatment. Type of surgery data (cystoscopy, transurethral resection of the prostate \[TURP\], and prostatectomy) are presented in terms of the first-occurring BPH-related surgery after randomization. It was possible for a single participant to have multiple surgeries.
Participants with any BPH-related surgery
Group
Value
95% CI
Dutasteride Plus Tamsulosin
6
Watchful Waiting All: Escalated Yes and No
3
Participants with cystoscopy
Group
Value
95% CI
Dutasteride Plus Tamsulosin
5
Watchful Waiting All: Escalated Yes and No
1
Participants with TURP
Group
Value
95% CI
Dutasteride Plus Tamsulosin
2
Watchful Waiting All: Escalated Yes and No
1
Participants with prostatectomy
Group
Value
95% CI
Dutasteride Plus Tamsulosin
0
Watchful Waiting All: Escalated Yes and No
1
Participants with 2 surgeries
Group
Value
95% CI
Dutasteride Plus Tamsulosin
1
Watchful Waiting All: Escalated Yes and No
0
Participants with >=3 surgeries
Group
Value
95% CI
Dutasteride Plus Tamsulosin
0
Watchful Waiting All: Escalated Yes and No
0
Number of Participants With the Indicated Responses to Question 1 of the Patient Perception of Study Treatment (PPST) Questionnaire at Baseline and Months 1, 3, 6, 9, 12, 15, 18, 21, and 24 Using the LOCF ApproachSecondary· Baseline and Months 1, 3, 6, 9, 12, 15, 18, 21, and 24
The PPST questionnaire consists of two questions (asked to determine how satisfied participants are with the treatment received) and was administered at Baseline and all post-Baseline visits. Question 1 was: "Overall, how satisfied are you with the treatment and its effect on your urinary problems?" There were seven possible responses, including: "very satisfied," "satisfied," "somewhat satisfied," neutral," "somewhat dissatisfied," "dissatisfied," and "very dissatisfied." Response categories were created by grouping together "very satisfied," "satisfied," and "somewhat satisfied" responses in
Baseline, Any Satisfaction, n=315, 328
Group
Value
95% CI
Dutasteride Plus Tamsulosin
119
Watchful Waiting All: Escalated Yes and No
122
Baseline, Neutral/Any Dissatisfaction, n=315, 328
Group
Value
95% CI
Dutasteride Plus Tamsulosin
196
Watchful Waiting All: Escalated Yes and No
206
Month 1, Any Satisfaction, n=358, 349
Group
Value
95% CI
Dutasteride Plus Tamsulosin
272
Watchful Waiting All: Escalated Yes and No
209
Month 1, Neutral/Any Dissatisfaction, n=358, 349
Group
Value
95% CI
Dutasteride Plus Tamsulosin
86
Watchful Waiting All: Escalated Yes and No
140
Month 3, Any Satisfaction, n= 359, 359
Group
Value
95% CI
Dutasteride Plus Tamsulosin
300
Watchful Waiting All: Escalated Yes and No
265
Month 3, Neutral/Any Dissatisfaction, n=359, 359
Group
Value
95% CI
Dutasteride Plus Tamsulosin
59
Watchful Waiting All: Escalated Yes and No
94
Month 6, Any Satisfaction, n=359, 361
Group
Value
95% CI
Dutasteride Plus Tamsulosin
301
Watchful Waiting All: Escalated Yes and No
285
Month 6, Neutral /Any Dissatisfaction, n=359, 361
Group
Value
95% CI
Dutasteride Plus Tamsulosin
58
Watchful Waiting All: Escalated Yes and No
76
Number of Participants With the Indicated Responses to Question 2 of the Patient Perception of Study Treatment (PPST) Questionnaire at Baseline and Months 1, 3, 6, 9, 12, 15, 18, 21, and 24 Using the LOCF ApproachSecondary· Baseline and Months 1, 3, 6, 9, 12, 15, 18, 21, and 24
The PPST questionnaire consists of two questions (asked to determine how satisfied participants are with the treatment received) and was administered at Baseline and all post-Baseline visits. Question 2 was: "Would you ask your doctor for the treatment you received in this study?" There were three possible responses, including: "Yes," "No," and "Not sure." Response categories included "Yes" and "No or Not Sure," created by grouping together "No" and "Not sure." The LOCF method involves bringing forward the last non-missing post-Baseline assessment for a participant with missing data and/or for
Baseline, Yes, n=315, 328
Group
Value
95% CI
Dutasteride Plus Tamsulosin
109
Watchful Waiting All: Escalated Yes and No
103
Baseline, No or Not Sure, n=315, 328
Group
Value
95% CI
Dutasteride Plus Tamsulosin
206
Watchful Waiting All: Escalated Yes and No
225
Month 1, Yes, n=358, 347
Group
Value
95% CI
Dutasteride Plus Tamsulosin
224
Watchful Waiting All: Escalated Yes and No
166
Month 1, No or Not Sure, n=358, 347
Group
Value
95% CI
Dutasteride Plus Tamsulosin
134
Watchful Waiting All: Escalated Yes and No
181
Month 3, Yes, n=359, 357
Group
Value
95% CI
Dutasteride Plus Tamsulosin
232
Watchful Waiting All: Escalated Yes and No
207
Month 3, No or Not Sure, n=359, 357
Group
Value
95% CI
Dutasteride Plus Tamsulosin
127
Watchful Waiting All: Escalated Yes and No
150
Month 6, Yes, n=359, 360
Group
Value
95% CI
Dutasteride Plus Tamsulosin
232
Watchful Waiting All: Escalated Yes and No
227
Month 6, No or Not Sure, n=359, 360
Group
Value
95% CI
Dutasteride Plus Tamsulosin
127
Watchful Waiting All: Escalated Yes and No
133
Exposure to Study DrugSecondary· Up to 2 years
Study drug exposure (days) = treatment stop date - treatment start date + 1. Participants in the Watchful Waiting Escalated=Yes subgroup could have been escalated to study drug at any time during the study. Therefore, it is possible that participants were exposed to tamsulosin for a shorter length of time than participants in the dutasteride plus tamsulosin group.
Group
Value
95% CI
Dutasteride Plus Tamsulosin
639.8
± 215.49
Watchful Waiting Escalated=Yes
566.3
± 195.13
Number of Participants With Any Adverse Event (AE) or Serious Adverse Event (SAE) Starting Post-randomizationSecondary· Up to 2 years
A post-randomization adverse event is defined as an event with an onset on or after the randomization date or with a missing onset date. An AE is defined as any untoward medical occurrence in a participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect. Medical or scienti
Any AE
Group
Value
95% CI
Dutasteride Plus Tamsulosin
190
Watchful Waiting All: Escalated Yes and No
119
Watchful Waiting Escalated=Yes
95
Any SAE
Group
Value
95% CI
Dutasteride Plus Tamsulosin
38
Watchful Waiting All: Escalated Yes and No
25
Watchful Waiting Escalated=Yes
19
Adverse events — posted to ClinicalTrials.gov
Time frame: Serious adverse events (SAEs) and non-serious adverse events (AEs) starting post-randomization (including events with an onset on or after the randomization date or with a missing onset date) were collected (up to 2 years)..
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
Dutasteride Plus Tamsulosin
Serious: 38/369 (10%)
Deaths: —
Watchful Waiting All: Escalated Yes and No
Serious: 25/373 (7%)
Deaths: —
Watchful Waiting Escalated=Yes
Serious: 19/229 (8%)
Deaths: —
Serious adverse events (78 terms)
Reaction
System
Dutasteride Plus Tamsulosin
Watchful Waiting All: Esca…
Watchful Waiting Escalated…
Atrial fibrillation
Cardiac disorders
—
—
—
Respiratory tract infection
Infections and infestations
—
—
—
Cellulitis
Infections and infestations
—
—
—
Diverticulitis
Infections and infestations
—
—
—
Inguinal hernia
Gastrointestinal disorders
—
—
—
Presyncope
Nervous system disorders
—
—
—
Colon cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
—
—
—
Prostate cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
—
—
—
Prostatitis
Reproductive system and breast disorders
—
—
—
Cardiac failure
Cardiac disorders
—
—
—
Acute myocardial infarction
Cardiac disorders
—
—
—
Aortic valve stenosis
Cardiac disorders
—
—
—
Atrioventricular block
Cardiac disorders
—
—
—
Cardiomyopathy
Cardiac disorders
—
—
—
Coronary artery disease
Cardiac disorders
—
—
—
Supraventricular tachycardia
Cardiac disorders
—
—
—
Tachycardia
Cardiac disorders
—
—
—
Tachyarrhythmia
Cardiac disorders
—
—
—
Heart valve incompetence
Cardiac disorders
—
—
—
Erysipelas
Infections and infestations
—
—
—
Pilonidal cyst
Infections and infestations
—
—
—
Pneumonia
Infections and infestations
—
—
—
Urinary tract infection
Infections and infestations
—
—
—
Infective exacerbation of chronic obstructive airways
Study FDC114615 is a two year, multi-centre, randomised, open-label trial to assess the efficacy of Dutasteride plus tamsulosin when compared to the standard practice of watchful waiting, with a defined escalation to tamsulosin in treatment naive men with symptomatic benign prostate hyperplasia (BPH).
Once consented, each subject will undergo screening procedures to ensure the prostate volume and post void residual are within eligible range. If all entry criteria are met, subjects will be randomised (1:1) to receive Dutasteride plus tamsulosin with lifestyle advice or watchful waiting, with lifestyle advice, with a defined escalation to tamsulosin. Escalation will be initiated when no improvement from baseline is scored using the International Prostate Symptom Score (version 2) (IPSS) questionnaire.
After randomisation, the subjects return to site at one month, then every 13 weeks until two years of treatment is complete or they are withdrawn. Key assessments, such as Adverse Events (AE's) and concomitant medication monitoring and completion of the quality of life questionnaires are performed at each visit and the data recorded.
Publications & conference data
2 peer-reviewed publications reference this trial (live from Europe PMC):
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by GlaxoSmithKline
Last refreshed: 20 August 2018
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01294592.