Epigenetic test and new treatments for enlarged prostate (BPH)

New Treatment Strategies and Epigenetic Biomarker for Management of BPH

NIH-funded research Beth Israel Deaconess Medical Center · NIH-11194463

This work looks at whether an epigenetic marker and anti-inflammatory approaches can help men with enlarged prostate (BPH) who do not respond to finasteride.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionBeth Israel Deaconess Medical Center NIH-funded
Lab location1 site (Boston, United States)
Project IDNIH-11194463 on NIH RePORTER

What this research studies

You would be asked to share medical information and provide prostate tissue or blood samples so researchers can measure an epigenetic change (methylation) of the SRD5A2 gene and levels of inflammatory signals like TNF-α. The team will compare men who respond to finasteride with those who do not to see if methylation or inflammation explains treatment resistance. Lab tests will link these molecular findings to symptoms, age, and body weight. Results may point to targeted treatments that reverse methylation or reduce inflammation to improve urinary symptoms.

Who could benefit from this research

Good fit: Ideal candidates are adult men with BPH and lower urinary tract symptoms, especially those currently taking or not improving on 5α-reductase inhibitors like finasteride.

Not a fit: Men without prostate enlargement, those whose urinary symptoms are due to other causes, or men who lack the specific SRD5A2 methylation changes may not benefit from this research.

Why it matters

Potential benefit: If successful, this could let doctors predict who will not benefit from finasteride and offer more personalized treatments for BPH.

How similar studies have performed: Prior laboratory work supports a link between SRD5A2 methylation, inflammation, and finasteride resistance, but translating those findings into a clinical biomarker and treatment strategy is novel and unproven.

Where this research is happening

Boston, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.