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. 2023 Jun 22;2023(6):CD001423. doi: 10.1002/14651858.CD001423.pub4

Glémain 2002.

Study characteristics
Methods Study design: parallel‐group randomized trial
Study dates: not available
Setting: outpatient, multicenter and national
Country: France
Participants Inclusion criteria:
  • Men above 50 years old

  • IPSS ≥ 13

  • LUTS

  • Diagnosed BPH

  • Qmax of 7 to 15 mL/s for a voided volume of at least 120 mL


Exclusion criteria:
  • History of surgical intervention in the bladder, prostate, or pelvic area

  • PVR > 300 mL

  • Ailments that could affect urination or the final evaluation (bladder disease, prostate cancer, urinary tract infection, urethral stricture)

  • Stopping treatment for BPH for less than 15 days (for alpha‐blockers) or less than 1 month (for plant extract or finasteride)

  • Hepatic insufficiency

  • Cardiovascular or cerebrovascular event

  • Neurological disease

  • Allergy to alpha‐blockers

  • Life‐threatening pathology


Sample size: 329 randomized participants
Age (years):
Group 1 mean (SD): 64.4 (7.7)
Group 2 mean (SD): 65.2 (7.9)
IPSS score (baseline):
Group 1 mean (SD): 16.3 (5.6)
Group 2 mean (SD): 16.2 (5.2)
Prostate size:
Group 1 mean (SD): 38.6 (15)
Group 2 mean (SD): 40.8 (16.5)
Interventions Group 1 (n = 161): placebo orally after breakfast and dinner for 52 weeks
Group 2 (n = 165): Serenoa repens 160 mg orally (Permixon) after breakfast and dinner for 52 weeks
Co‐interventions: tamsulosin (Omix LP 0.4 mg) orally after breakfast
Outcomes Urinary symptoms
  • How measured: IPSS score

  • Time points measured: 0, 4, 13, 26, 39, and 52 weeks

  • Time points reported: 0, 4, 13, 26, 39, and 52 weeks

  • Subgroups: none


Quality of life
  • How measured: IPSS‐QoL and UROLIFE BPH QoL9

  • Time points measured: 0, 4, 13, 26, 39, and 52 weeks

  • Time points reported: 0, 4, 13, 26, 39, and 52 weeks

  • Subgroups: none


Adverse events
  • How measured: not described (classified as serious/non‐serious)

  • Time points measured: not available (possibly 52 weeks)

  • Time points reported: not available (possibly 52 weeks)

  • Subgroups: none


Other outcomes measured in the trial: sexual function was assessed using the Brief Male Sexual Function Inventory (BMSFI), Qmax
Notes Funding sources: not available
Declarations of interest: not available