A Randomized Study of Whether Alfuzosin(Xatral) Helps in the Passage of Kidney Stones
Study Details
Study Description
Brief Summary
Patients who present for the first time to Emergency Room with renal colic due to a distal ureteral calculus (as diagnosed with spiral CT scan and KUB) will be randomized to receive Xatral 10mg po once a day or placebo once discharged from the ER. The purpose of this study is to assess if patients treated with Xatral will have a higher spontaneous passage rate of their ureteral stone than those treated with placebo.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: A
|
Drug: Alfuzosin (Xatral)
10 mg PO once a day
|
Placebo Comparator: B
|
Drug: Placebo Alfuzosin
10 mg PO once a day
|
Outcome Measures
Primary Outcome Measures
- The primary outcome will be Cox proportional hazards survival analysis of stone passage over time [4 weeks]
Secondary Outcome Measures
- Secondary outcomes will be stone passage rates, pain scores, intervention rates, hospitalization rates and complication rates [4 weeks]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
first presentation to ER with renal colic secondary to a distal ureteral stone diagnosed on spiral CT scan
-
stone radiopaque on KUB, distal to the sacro-iliac joint
-
patient suitable for discharge from ER
-
patient willing to return for follow-up on a weekly basis for maximum 4 visits
Exclusion Criteria:
-
more than one ureteral calculi
-
radiolucent stones or cystine stones
-
prior ipsilateral calculus or ureteral surgery
-
congenital anomalies of the ureter
-
patients presents with an absolute indication for intervention
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allergy or contraindication to NSAIDs (history of orthostatic hypotension, current systolic BP <90 mmHg)
-
patient currently taking an alpha-blocker
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hepatic insufficiency
-
pregnancy
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | St. Michael's Hospital | Toronto | Ontario | Canada | M5B 1W8 |
Sponsors and Collaborators
- Unity Health Toronto
- Sanofi
Investigators
- Principal Investigator: Kenneth A Pace, MD, FRCSC, Unity Health Toronto
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- SMHXATRAL2007
- ALFUS-L-00811