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Table 2 Summary of all clinical studies

From: The role of flower pollen extract in managing patients affected by chronic prostatitis/chronic pelvic pain syndrome: a comprehensive analysis of all published clinical trials

Author, year [reference]

Study design

Patients number (response rate)

Controls Number (response rate)

Comparator

Outcomes measured

Buck AC. 1989 [23]

Prospective trial (phase II)

15 (86.6)

-

-

- pollen extract effective in the treatment of chronic prostatitis and prostatodynia.

Cai T. 2013 [11]

Prospective trial (phase II)

20 (90.0)

-

-

- pollen extract significantly improved total symptoms, pain, and QoL in patients with non-inflammatory CP/CPPS without severe side effects.

Cai T, 2014 [27]

Randomized controlled trial

41 (75.6)

46 (41.3)

ibuprofen

- pollen extract significantly improved quality of life of patients when compared with those treated with ibuprofen (treatment difference in the NIH-CPSI pain domain, -2.14 ± 0.51, P < 0.001; QoL scores, P = 0.002).

Elist J. 2006 [28]

Randomized controlled trial

30 (73.3)

28 (64.2)

Placebo

- pollen extract is superior to placebo in providing symptomatic relief in men with chronic nonbacterial prostatitis/chronic pelvic pain syndrome.

Iwamura H, 2015 [29]

Randomized placebo-controlled trial

50 (78.1)

50 (88.2)

Eviprostat (phytotherapeutic agent)

- pollen extract significantly reduced the symptoms of category III CP/CPPS without any adverse events, in terms of NIH-CPSI, IPSS, and QoL.

Jodai A, 1988 [24]

Prospective trial (phase II)

32 (75.0)

-

-

- pollen extract significantly reduced the symptoms in 75.0% of all treated patients.

Monden K. 2002 [25]

Prospective trial (phase II)

24 (91.6)

-

-

- pollen extract significantly reduced the symptoms of chronic prostatitis group

Rugendorff EW. 1993 [10]

Prospective trial (phase II)

90 (62.2)

-

-

- pollen extract significantly reduced the symptoms of category III CP/CPPS without any adverse events, in terms of urinary symptoms and QoL.

Suzuki T. 1992 [26]

Prospective trial (phase II)

25 (96.0)

-

-

- pollen extract significantly reduced the symptoms of prostatitis patients without any adverse events.

Wagenlehner FM. 2009 [13]

Randomized controlled trial

70 (70.6)

69 (49.3)

Placebo

- pollen extract significantly improved total symptoms, pain, and QoL in patients with inflammatory CP/CPPS without severe side-effects.