Moxibustion as an Adjuvant for Benign Prostatic Hyperplasia With Lower Urinary Tract Symptoms: a Pilot Study

This study has been completed.
Information provided by (Responsible Party):
JUNGNAM KWON, Korean Medicine Hospital of Pusan National University Identifier:
First received: January 26, 2014
Last updated: March 11, 2016
Last verified: March 2016
This study aims to explore the feasibility of moxibustion as a supplementary intervention and to assess the sample size for verifying the effectiveness and safety of integrative treatment involving moxibustion compared with conventional treatment for patients with benign prostate hyperplasia (BPH) accompanying moderate to severe lower urinary tract symptoms (LUTS).

Condition Intervention
Benign Prostatic Hyperplasia
Benign Prostatic Hypertrophy
Lower Urinary Tract Symptom
Procedure: Moxibustion

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Pilot Study on Effectiveness and Safety of Moxibustion for Benign Prostate Hyperplasia With Lower Urinary Tract Syndrome

Resource links provided by NLM:

Further study details as provided by Korean Medicine Hospital of Pusan National University:

Primary Outcome Measures:
  • International prostate symptom score (IPSS) at 4 weeks [ Time Frame: four weeks after randomization ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Patient's global impression of change (PGIC) [ Time Frame: visit 2,3,4,5,6,7,8, 9 in experimental group, visit 8,9 in control group ] [ Designated as safety issue: No ]
  • The Short Form (36) Health Survey (SF-36) [ Time Frame: basline, four weeks, 12 weeks after randomization (both group). two weeks after ramdomization (active group) ] [ Designated as safety issue: No ]
  • Maximum flow rate by uroflowmetry (Qmax) [ Time Frame: Baseline and 12 weeks after randomization (both group) ] [ Designated as safety issue: No ]
  • Post-voiding residual urine in bladder (PVR) [ Time Frame: Baseline and 12 weeks after randomization ] [ Designated as safety issue: No ]
  • Changing Process and Persistence of International Prostate Symptom Score (IPSS) [ Time Frame: 2 weeks, 12 weeks after randomization ] [ Designated as safety issue: No ]
  • recruitment rate [ Time Frame: 31-December-2015 ] [ Designated as safety issue: No ]
  • compliance rate [ Time Frame: after 12 weeks ] [ Designated as safety issue: No ]
    the attendance rate for treatment phase in integrative group, and for three major assessments (baseline, visit 9 and visit 10)

  • retention rate [ Time Frame: after four weeks, after 12 weeks ] [ Designated as safety issue: No ]
    the ratio of 1) the number of patients who attend at the primary outcome assessment after four weeks versus the number of total participants, 2) the number of patients who attend the final assessment after 12 weeks versus the number of total participants, 3) the number of patients who returned the frequency-volume chart (FVC) versus the number of total participants.

  • adverse events [ Time Frame: visit 1,2,3,4,5,6,7,8,9 in experimental group ; visit 1,8,9 in control group ] [ Designated as safety issue: No ]
    patients will be asked if adverse effects have developed

Enrollment: 25
Study Start Date: February 2014
Study Completion Date: December 2015
Primary Completion Date: December 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Moxibustion
A series of moxibustion sessions within four weeks from the baseline with concurrent conventional medications for BPH.
Procedure: Moxibustion

In the moxibustion treatment group, 5 moxibustion points (bilateral SP6, LV3 and unilateral CV4) will be heated with indirect moxibustion (KangHwa, Korea).

The moxa pillars will be removed when the patient feel hotness and require to remove them.

The moxibustion will be conducted repeatedly unless patients feel the sense of heat up to seven times per session.

No Intervention: Waiting
Participants who will be allocated to waitlist will receive no moxibustion treatments throughout the 4 weeks while receiving other conventional managements for BPH. After 4 weeks, if participants choose to try the moxibustion treatment, the active acupuncture treatment will be provided for 4 weeks (2 sessions/week).

Detailed Description:

Patients who diagnosed as BPH with moderate to severe LUTS aged 20 to 80 years old will be divided into two groups, one is moxibustion plus conventional therapy group and the other is conventional therapy group.

Patients who belong to moxibustion plus conventional therapy group will be treated moxibustion for eight times by a Korean Medicine doctor with conventional therapy by a urologist.

Patients who belong to conventional therapy group will be treated with conventional therapy only, and they can receive moxibustion therapy after the clinical trial is finished.

IPSS, post void residual volume (PVR) and peak urine flow (Qmax) will be checked to evaluate the effectiveness and safety.


Ages Eligible for Study:   20 Years to 80 Years
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. Male patients aged 20-80 years diagnosed with BPH with a prostate size over 20 gm
  2. greater than or equal to eight score on IPSS
  3. submit written consent
  4. who can understand and answer IPSS.

Exclusion Criteria:

  1. prostate or bladder malignancy
  2. received herbal medication for lower urinary tract symptoms within 1 week
  3. history of brain disease could cause urinary difficulty
  4. having problems on answering IPSS due to cognitive impairment.
  5. signs of acute urinary tract infection
  6. Diabetic mellitus
  7. Neurogenic bladder
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT02051036

Korea, Republic of
National Clinical Research Center, Korean Medicine Hospital, Pusan National University
Yangsa, Kyungsangnamdo, Korea, Republic of, 626-770
Sponsors and Collaborators
Principal Investigator: Jung Nam Kwon, PhD Korean Medicine Hospital, Pusan National University
  More Information

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: JUNGNAM KWON, Professor, Korean Medicine Hospital of Pusan National University Identifier: NCT02051036     History of Changes
Other Study ID Numbers: NC1307 
Study First Received: January 26, 2014
Last Updated: March 11, 2016
Health Authority: Korea: Institutional Review Board

Keywords provided by Korean Medicine Hospital of Pusan National University:

Additional relevant MeSH terms:
Lower Urinary Tract Symptoms
Prostatic Hyperplasia
Genital Diseases, Male
Pathologic Processes
Pathological Conditions, Anatomical
Prostatic Diseases
Signs and Symptoms
Urological Manifestations processed this record on May 26, 2016