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Cholecalciferol Supplement in Treating Patients With Localized Prostate Cancer Undergoing Observation

19:48 EDT 19th May 2013 | BioPortfolio

Summary

RATIONALE: Cholecalciferol may help prostate cancer cells become more like normal cells, and to grow and spread more slowly.

PURPOSE: This randomized clinical trial is studying how well cholecalciferol supplement works in treating patients with localized prostate cancer undergoing observation.

Description

OBJECTIVES:

Primary

- To determine PSA response with oral high-dose vitamin D3 supplementation in patients with localized, histologically proven adenocarcinoma of the prostate who have not received any treatment for prostate cancer ever and have chosen expectant management.

Secondary

- To examine the pattern of response of PSA dynamics as well as the absolute change in PSA after treatment with this regimen.

- To assess the toxicity of this regimen in these patients.

OUTLINE: Patients are stratified according to Gleason score (≤ 6 vs > 6) and season of study entry (winter/spring vs summer/fall). Patients are randomized to 1 of 2 treatment arms.

- Arm I: Patients receive oral cholecalciferol once daily for 9 months in the absence of disease progression or unacceptable toxicity. After a wash-out period of 3 months, patients then receive oral placebo once daily for 9 months in the absence of disease progression or unacceptable toxicity.

- Arm II: Patients receive oral placebo once daily for 9 months in the absence of disease progression or unacceptable toxicity. After a wash-out period of 3 months, patients then receive oral cholecalciferol once daily for 9 months in the absence of disease progression or unacceptable toxicity.

Study Design

Allocation: Randomized, Control: Placebo Control, Intervention Model: Crossover Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment

Conditions

Prostate Cancer

Intervention

cholecalciferol, placebo

Location

Roswell Park Cancer Institute
Buffalo
New York
United States
14263-0001

Status

Recruiting

Source

Roswell Park Cancer Institute

Results (where available)

View Results

Links

Medical and Biotech [MESH] Definitions

Prostate-specific Antigen

A glycoprotein that is a kallikrein-like serine proteinase and an esterase, produced by epithelial cells of both normal and malignant prostate tissue. It is an important marker for the diagnosis of prostate cancer.

Fenretinide

A synthetic retinoid that is used orally as a chemopreventive against prostate cancer and in women at risk of developing contralateral breast cancer. It is also effective as an antineoplastic agent.

Ultrasound, High-intensity Focused, Transrectal

Tissue ablation of the PROSTATE performed by ultrasound from a transducer placed in the RECTUM. The procedure is used to treat prostate cancer (PROSTATIC NEOPLASMS) and benign prostatic hypertrophy (PROSTATIC HYPERPLASIA).

Prostatic Secretory Proteins

Proteins secreted by the prostate gland. The major secretory proteins from the human prostate gland include PROSTATE-SPECIFIC ANTIGEN, prostate-specific acid phosphatase, prostate-specific membrane antigen, and prostate-specific protein-94.

Prostatic Neoplasms

Tumors or cancer of the PROSTATE.

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