Testosterone Replacement in Men With Non-Metastatic Castrate Resistant Prostate Cancer
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Purpose
The purpose of this study is to determine whether prostate cancer growth can be slowed in patients who receive Androgel® 1% at 10 gram dose.
| Condition | Intervention | Phase |
|---|---|---|
|
Prostate Cancer |
Drug: AndroGel Drug: placebo |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | A Randomized, Double Blind, Placebo-Controlled Phase II Study of Testosterone Replacement in Men With Non-Metastatic Castrate Resistant Prostate Cancer |
- The primary objective of the study is to determine the effect of testosterone replacement progression and time to clinical cancer progression. [ Time Frame: time to progression evaluated every 8 weeks ] [ Designated as safety issue: No ]
- To explore the value of AR expression in circulating tumor cells. [ Time Frame: every 8 weeks ] [ Designated as safety issue: Yes ]
| Enrollment: | 6 |
| Study Start Date: | July 2007 |
| Study Completion Date: | August 2012 |
| Primary Completion Date: | November 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: A
Twenty subjects will receive testosterone gel
|
Drug: AndroGel
Androgel 1%, 10g daily
|
|
Placebo Comparator: B
Twenty subjects will receive the placebo
|
Drug: placebo
placebo
|
Detailed Description:
The primary objective of the study is to determine the effect of testosterone replacement on time to disease progression and time to clinical cancer progression.
The secondary objectives are to describe the effect of testosterone replacement on patient-reported quality of life (FACT-P, FACT-fatigue and specific measures from the Expanded Prostate Cancer Index (EPIC): Sexual and Hormonal Assessments), and hand-grip strength; to describe changes in total testosterone, free testosterone, and PSA levels; to explore AR levels in circulating tumor cells as a marker of treatment benefit.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Prostate cancer
- Patient must have received primary definitive local therapy to the prostate (surgery and/or radiotherapy)
- Patient was surgically or pharmacologically castrated at least 6 months prior to starting the study
- Patient must have had a previous trial of anti-androgen therapy
- Patient must have a rising PSA
- No evidence of distant metastatic disease
- ECOG performance status < 2
- Age >18 years
- Patients must have normal hepatic function
Exclusion Criteria:
- Patients with a history of any previous cytotoxic therapy or radionuclide therapy (such as rhenium, strontium, or samarium)
- Patients may not be receiving any other investigational agents
- Uncontrolled intercurrent illness including, but not limited to ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, uncontrolled cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
- Patients receiving renal dialysis
- Patients with significant pulmonary disease who have received chronic or pulse steroid therapy within the last 3 months prior to randomization will be excluded
- Patients who have known hypersensitivity to any of the AndroGel ingredients, including testosterone that is chemically synthesized from soy
Contacts and Locations| United States, California | |
| University of Southern California | |
| Los Angeles, California, United States, 90033 | |
| United States, Colorado | |
| University of Colorado | |
| Aurora, Colorado, United States, 80045 | |
| United States, Illinois | |
| University of Chicago | |
| Chicago, Illinois, United States, 60637 | |
| Northwestern University | |
| Chicago, Illinois, United States, 60610 | |
| NorthShore University Helath System | |
| Evnaston, Illinois, United States, 60201 | |
| Ingalls Memorial Hospital | |
| Harvey, Illinois, United States, 60426 | |
| Illinois Cancer Care | |
| Peoria, Illinois, United States, 61656 | |
| United States, Maryland | |
| University of Maryland | |
| Baltimore, Maryland, United States, 21202 | |
| University of Rochester | |
| Rochester, Maryland, United States, 14642 | |
| United States, Texas | |
| Baylor College of Medicine | |
| Houston, Texas, United States, 77030 | |
| United States, Wisconsin | |
| Medical College of Wisconsin | |
| Milwaukee, Wisconsin, United States, 53226 | |
| Principal Investigator: | Walter Stadler, MD | University of Chicago |
More Information
No publications provided by University of Chicago
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Walter Stadler, Professor, Dir Genitourinary Oncology, University of Chicago |
| ClinicalTrials.gov Identifier: | NCT00515112 History of Changes |
| Other Study ID Numbers: | 15393B |
| Study First Received: | August 9, 2007 |
| Last Updated: | February 10, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by University of Chicago:
|
prostate cancer testosterone replacement |
AndroGel prostatic cancer prostatic neoplasms |
Additional relevant MeSH terms:
|
Prostatic Neoplasms Genital Neoplasms, Male Urogenital Neoplasms Neoplasms by Site Neoplasms Genital Diseases, Male Prostatic Diseases Testosterone Testosterone enanthate Testosterone undecanoate Testosterone 17 beta-cypionate |
Methyltestosterone Androgens Hormones Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs Pharmacologic Actions Antineoplastic Agents, Hormonal Antineoplastic Agents Therapeutic Uses Anabolic Agents |
ClinicalTrials.gov processed this record on May 22, 2013