Impact of Adjuvant Statin Therapy in Patients Who Underwent Radical Prostatectomy for Locally Advanced Prostate Cancer
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Purpose
Biochemical recurrence develops in approximately 30-40% of men with locally advanced prostate cancer who undergo radical prostatectomy. To date, the effect of statins on prostate cancer recurrence has been investigated in several retrospective studies with inconsistent results. The purpose of this study is to determine the impact of statin on biochemical recurrence after radical prostatectomy for locally advanced prostate cancer.
| Condition | Intervention | Phase |
|---|---|---|
|
Prostatic Neoplasms |
Drug: Atorvastatin 20mg |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | A Randomized Double Blind, Placebo-controlled Study Determining the Role of Adjuvant Statin Therapy in Patients Who Underwent Radical Prostatectomy for Locally Advanced Prostate Cancer |
- Rate of biochemical recurrence [ Time Frame: One year ] [ Designated as safety issue: No ]
- Biochemical recurrence free survival [ Time Frame: Five years ] [ Designated as safety issue: No ]
- Clinical progression-free survival [ Time Frame: Five years ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 354 |
| Study Start Date: | October 2012 |
| Estimated Study Completion Date: | October 2015 |
| Estimated Primary Completion Date: | October 2015 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Atorvastatin 20mg
Atorvastatin 20mg daily for 1 year
|
Drug: Atorvastatin 20mg
Atorvastatin 20mg daily for 1 year
|
|
Placebo Comparator: Placebo
Placebo daily for 1 year
|
Detailed Description:
Estimated Enrollment: 354
Study start date: October 2012
Estimated Study Completion Date: October 2015
Statin Group: Treatment with Atorvastatin 20mg daily after radical prostatectomy during 1 year.
Control Group: Treatment with Placebo daily after radical prostatectomy during 1 year.
Follow up: every 3 months for the first year. Check PSA, Total/LDL-cholesterol and Triglyceride.
Primary End Point Rate of Biochemical recurrence
Secondary End Point Clinical progression of prostate cancer Change of Total/LDL- cholesterol and Triglycerides 5 year-Biochemical recurrence free survival
Eligibility| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Patients must have correspond to one of the following three pathologic criteria.
A. Gleason scores 8 or greater B. Positive resection margin C. pT3-T4
- Patients must have pathologically adenocarcinoma
- Patients must be enrolled within 60 days after radical prostatectomy
- Patients must be able to provide written informed consent
Exclusion Criteria:
- Patients who have received neoadjuvant androgen deprivation therapy
- Patients who have the participation of other clinical trial within the past 3 months
- Patients who have treated with statin
- Patients who have lymph node metastasis or distant metastasis
- Patients who have 10 year risk of cardiovascular disease over 10% based on NCEP ATP III guideline.
Contacts and Locations| Contact: Choung-Soo Kim, MD | 82-2-3010-3734 ext No | cskim@amc.seoul.kr |
| Contact: In Gab Jeong, MD | 82-2-3010-5892 ext No | igjeong@amc.seoul.kr |
| Korea, Republic of | |
| Asan Medical Center | Recruiting |
| Seoul, Korea, Republic of, 138-736 | |
| Contact: Choung-Soo Kim, MD 82-2-3010-3734 ext No cskim@amc.seoul.kr | |
| Contact: In Gab Jeong, MD 82-2-3010-5892 ext No igjeong@amc.seoul.kr | |
| Principal Investigator: Choung-soo Kim, MD | |
| Principal Investigator: | Choung-Soo Kim, MD | Department of Urology,Asan Medical Center, Seoul |
More Information
No publications provided
| Responsible Party: | Choung-Soo Kim, professor, Asan Medical Center |
| ClinicalTrials.gov Identifier: | NCT01759836 History of Changes |
| Other Study ID Numbers: | AMC-PC2012002 |
| Study First Received: | January 1, 2013 |
| Last Updated: | January 9, 2013 |
| Health Authority: | Korea: Institutional Review Board |
Keywords provided by Asan Medical Center:
|
Prostatectomy Statins |
Additional relevant MeSH terms:
|
Neoplasms Prostatic Neoplasms Genital Neoplasms, Male Urogenital Neoplasms Neoplasms by Site Genital Diseases, Male Prostatic Diseases Atorvastatin Hydroxymethylglutaryl-CoA Reductase Inhibitors |
Anticholesteremic Agents Hypolipidemic Agents Antimetabolites Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Enzyme Inhibitors Lipid Regulating Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on June 18, 2013