Efficacy Study of Risedronate to Prevent Cancer Treatment-Induced Bone Loss in Prostate Cancer
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Purpose
Prostate cancer patients treated with LHRH agonists (e.g., leuprolide) lose bone mineral density. This is similar to post-menopausal osteoporosis. Risedronate is approved to prevent osteoporosis. We hypothesize that risedronate may also be effective in prostate cancer patients treated with LHRH agonists.
| Condition | Intervention | Phase |
|---|---|---|
|
Prostate Cancer |
Drug: risedronate Drug: Control |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Subject) Primary Purpose: Prevention |
| Official Title: | A Randomized, Single-blind, Placebo-controlled, Multicentre Study to Evaluate the Effect of Risedronate and Placebo on Bone Mineral Density in Men Undergoing Androgen Deprivation Therapy With Leuprolide Acetate |
- bone mineral density of the lumbar spine [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- overall safety [ Time Frame: 12 months ] [ Designated as safety issue: No ]
| Enrollment: | 160 |
| Study Start Date: | January 2007 |
| Study Completion Date: | February 2009 |
| Primary Completion Date: | January 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: risedronate |
Drug: risedronate
risedronate 35mg tablet, weekly for 12 months
Other Name: Actonel
Drug: risedronate
35mg weekly
Other Name: Actonel
|
| Placebo Comparator: placebo |
Drug: Control
risedronate-matched placebo weekly
|
Detailed Description:
IV bisphosphonates have proven effective in treating bone loss in prostate cancer patients treated with LHRH agonists. However, it is yet to be determined if an oral bisphosphonate such as risedronate could offer the same benefits.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients over 18 years of age.
- Histologically confirmed diagnosis of prostate cancer without metastases.
- Patient must have negative bone scan to rule out bone metastases.
- Patient for whom androgen deprivation therapy with leuprolide acetate is indicated for at least 1 year.
- Eastern Cooperative Oncology Group (ECOG) score of 0 - 2.
- Study medication must be started within 3 months of initiation of ADT.
- Signed written informed consent.
Exclusion Criteria:
- Prior ADT (greater than 3 months).
- History of treatment with calcitriol or bisphosphonates.
- Suppressive doses of thyroxine within the previous year.
- Concomitant or prior history of long-term treatment (greater than or equal to 3 months) with systemic glucocorticoids.
- Evidence of any of the following conditions per subject self-report or chart review:
Current hyper- or hypothyroidism (stable on thyroid replacement therapy is allowed, if TSH is within normal reference range).
Paget's disease, Cushing's disease, hyperprolactinemia, chronic liver disease. Unstable systemic disease including active infection, uncontrolled hypertension, unstable angina, congestive heart failure, or myocardial infarction within 6 months before randomization.
Major surgery or significant traumatic injury occurring within 1 month prior to randomization.
- Known hypersensitivity to leuprolide acetate or any of the components found in Eligard
- Any concurrent condition that would make it undesirable, in the physician's opinion, for the subject to participate in the study or would jeopardize compliance with the protocol.
Contacts and Locations| Canada, British Columbia | |
| Southern Interior Medical Research Corporation | |
| Kelowna, British Columbia, Canada, V1Y 2H4 | |
| Dr. Cal Andreou | |
| Surrey, British Columbia, Canada, V3V 1N1 | |
| Canada, New Brunswick | |
| Dr. Allan Patrick | |
| Fredericton, New Brunswick, Canada, E3B 5B8 | |
| Canada, Ontario | |
| The Male/Female Health and Research Centre | |
| Barrie, Ontario, Canada, L4M 7G1 | |
| Dr. Stanley Flax | |
| Brampton, Ontario, Canada, L6T 3J1 | |
| Brantford Urology Research, Medical Arts Building | |
| Brantford, Ontario, Canada, N3R 4N3 | |
| G. Kenneth Jansz Medicine Professional Corporation | |
| Burlington, Ontario, Canada, L7N 3V2 | |
| Urology Research Centre | |
| Burlington, Ontario, Canada, L7S 1V2 | |
| Guelph Urology Associates | |
| Guelph, Ontario, Canada, N1H 5J1 | |
| Credit Valley Medical Arts Centre | |
| Mississauga, Ontario, Canada, L5M 4N4 | |
| Mor Urology Inc., Bayview Business Centre | |
| Newmarket, Ontario, Canada, L3X 1W1 | |
| The Male and Female Health Centre | |
| Oakville, Ontario, Canada, L6H 3P1 | |
| Orillia Urology Associates | |
| Orillia, Ontario, Canada, L3V 7V1 | |
| Urotec | |
| Oshawa, Ontario, Canada, L1H 1B9 | |
| Dr. Todd Webster | |
| Owen Sound, Ontario, Canada, N4K 2J1 | |
| Kawartha Urology Associates | |
| Peterborough, Ontario, Canada, K9H 1T6 | |
| Dr. Allan Abramovitch | |
| Scarborough, Ontario, Canada, M1S 4V5 | |
| Northern Urology Centre | |
| Sudbury, Ontario, Canada, P3E 4T3 | |
| The Male Health Centre | |
| Toronto, Ontario, Canada, M6A 3B5 | |
| Dr. Roger J. Buckley | |
| Willowdale, Ontario, Canada, M2K 2W1 | |
| Canada, Quebec | |
| Urology South Shore Research | |
| Greenfield Park, Quebec, Canada, J4V 2H3 | |
| Principal Investigator: | Richard W Casey, M.D. | CMX Research |
More Information
No publications provided
| Responsible Party: | CMX Research |
| ClinicalTrials.gov Identifier: | NCT00426777 History of Changes |
| Other Study ID Numbers: | SA-CMX-01 |
| Study First Received: | January 24, 2007 |
| Last Updated: | February 2, 2012 |
| Health Authority: | Canada: Health Canada |
Keywords provided by CMX Research:
|
prostate cancer prostatic adenoma prostatic neoplasm |
Additional relevant MeSH terms:
|
Prostatic Neoplasms Genital Neoplasms, Male Urogenital Neoplasms Neoplasms by Site Neoplasms Genital Diseases, Male Prostatic Diseases Risedronic acid Etidronic Acid |
Bone Density Conservation Agents Physiological Effects of Drugs Pharmacologic Actions Calcium Channel Blockers Membrane Transport Modulators Molecular Mechanisms of Pharmacological Action Cardiovascular Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 23, 2013