Original Article

Prostate Cancer and Prostatic Diseases (2006) 9, 432–438. doi:10.1038/sj.pcan.4500911; published online 19 September 2006

Efficacy and tolerability of the dual 5alpha-reductase inhibitor, dutasteride, in the treatment of benign prostatic hyperplasia in African-American men

C G Roehrborn1 and P Ray2

  1. 1Department of Urology, The University of Texas Southwestern Medical Center at Dallas, Dallas, TX, USA
  2. 2Division of Urology, Cook County Hospital, Chicago, IL, USA

Correspondence: Dr CG Roehrborn, Department of Urology, The University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Blvd., J8-130, Dallas, TX 75390-9110, USA. E-mail: Claus.Roehrborn@UTSouthwestern.edu

Received 8 June 2006; Accepted 20 July 2006; Published online 19 September 2006.

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Abstract

The efficacy and tolerability of dutasteride (0.5 mg daily for 2 years) in African-Americans (n=161), compared with Caucasians (n=3961), was assessed in a post hoc analysis of data from three Phase III clinical trials. Dutasteride significantly reduced serum dihydrotestosterone levels by >90% and significantly improved subjective (symptom score) and objective (prostate volume, peak urinary flow rate, risk of benign prostatic hyperplasia-related surgery and acute urinary retention) outcomes in both African-Americans and Caucasians. For all efficacy measures, there was no statistically significant treatment-by-race interaction and dutasteride was well tolerated in both racial groups. Therefore, dutasteride demonstrated similar efficacy and safety profiles in African-Americans and Caucasians.

Keywords:

benign prostatic hyperplasia, African-American men, dutasteride

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