Prospective Observation Study of Insulin Sensitivity During and After Gonadotropin Releasing Hormone Agonist Therapy for Prostate Cancer

NCT ID: NCT00456144

Last Updated: 2013-07-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

36 participants

Study Classification

OBSERVATIONAL

Study Start Date

2006-08-31

Study Completion Date

2012-09-30

Brief Summary

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The purpose of this research study is to find out if a certain type of hormone therapy, gonadotropin-releasing hormone agonist (GnRH agonist), affects the way the body produces and responds to insulin. The investigators will evaluate the changes in insulin sensitivity during and after GnRH agonist treatment for prostate cancer. The investigators are assessing the possibility that treatment-related insulin resistance may contribute to the risk of diabetes and/or cardiovascular disease in men with prostate cancer.

Detailed Description

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* The study will be divided into 2 groups: one group (Cohort A) will consist of men undergoing GnRH agonist therapy for at least 24 months. The second group (Cohort B) will consist of men undergoing the same treatment but who are scheduled to receive only 6 months of treatment.
* The following tests and procedures will be performed when the participant joins the study, then at 3, 6, 12 and 24 months thereafter. (All visits will take place at the General Clinical Research Center (GCRC) at the Massachusetts General Hospital.) Height and weight; blood and urine samples; Oral Glucose Tolerance Test (OGTT), Dual energy X-ray Absorptiometry scan; medical history; and physical examinations.

Conditions

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Prostate Cancer

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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Group 1

GnRH agonist for 24 months

Gonadotropin Releasing Hormone Agonist Therapy

Intervention Type DRUG

Given either for 24 months and 6 months

Group 2

GnRH agonist for 6 months

Gonadotropin Releasing Hormone Agonist Therapy

Intervention Type DRUG

Given either for 24 months and 6 months

Interventions

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Gonadotropin Releasing Hormone Agonist Therapy

Given either for 24 months and 6 months

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adenocarcinoma of the prostate, clinical stage M0
* Scheduled to initiate GnRH agonist therapy with intended treatment duration of greater than 24 months (Group A)
* Scheduled for radiation therapy and neoadjuvant GnRH agonist therapy with intended 6 month duration of treatment (Group B)
* Karnofsky Performance Status 90 or 100
* Local or local-regional disease (Group B)

Exclusion Criteria

* Prior hormone therapy (GnRH agonist or antiandrogen)
* History of bilateral orchiectomy
* Known diabetes mellitus or glucose intolerance
* Current treatment with anabolic agents or metabolic agents known to affect insulin or glucose levels
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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National Institutes of Health (NIH)

NIH

Sponsor Role collaborator

Massachusetts General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Matthew R. Smith, MD, PhD

Director, Genitourinary Malignancies Program

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Matthew R. Smith, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Massachusetts General Hospital

Locations

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Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Countries

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United States

References

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Saylor PJ, Karoly ED, Smith MR. Prospective study of changes in the metabolomic profiles of men during their first three months of androgen deprivation therapy for prostate cancer. Clin Cancer Res. 2012 Jul 1;18(13):3677-85. doi: 10.1158/1078-0432.CCR-11-3209. Epub 2012 May 15.

Reference Type RESULT
PMID: 22589396 (View on PubMed)

Other Identifiers

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06-086

Identifier Type: -

Identifier Source: org_study_id

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