Trial Outcomes & Findings for Statin Therapy Versus Placebo Prior to Prostatectomy (NCT NCT00572468)

NCT ID: NCT00572468

Last Updated: 2017-07-13

Results Overview

Measure the effect of pre-operative simvastatin versus placebo on the mevalonate pathway synthesis and target activation in benign and malignant prostate tissue using Androgen Receptor (AR) antibody. AR was measured in tissue obtained at the time of prostatectomy in both benign and malignant tissues.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

42 participants

Primary outcome timeframe

5 years

Results posted on

2017-07-13

Participant Flow

Participant milestones

Participant milestones
Measure
Simvastatin
Participants were randomized into the Simvastatin arm of this trial.
Placebo
Participants were randomized into the placebo arm of this trial.
Overall Study
STARTED
22
20
Overall Study
COMPLETED
20
16
Overall Study
NOT COMPLETED
2
4

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Statin Therapy Versus Placebo Prior to Prostatectomy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Simvastatin
n=20 Participants
Participants were randomized into the Simvastatin arm of this trial.
Placebo
n=16 Participants
Participants were randomized into the placebo arm of this trial.
Total
n=36 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
16 Participants
n=5 Participants
12 Participants
n=7 Participants
28 Participants
n=5 Participants
Age, Categorical
>=65 years
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Age, Continuous
60.4 Years
n=5 Participants
60.75 Years
n=7 Participants
60.56 Years
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
20 Participants
n=5 Participants
16 Participants
n=7 Participants
36 Participants
n=5 Participants
Region of Enrollment
United States
20 participants
n=5 Participants
16 participants
n=7 Participants
36 participants
n=5 Participants

PRIMARY outcome

Timeframe: 5 years

Population: We enrolled a total of 42 subjects, 36 completed this study. Of the 36 subjects who completed this study, only 26 subjects had tissue available for this analysis.

Measure the effect of pre-operative simvastatin versus placebo on the mevalonate pathway synthesis and target activation in benign and malignant prostate tissue using Androgen Receptor (AR) antibody. AR was measured in tissue obtained at the time of prostatectomy in both benign and malignant tissues.

Outcome measures

Outcome measures
Measure
Simvastatin
n=15 Participants
Participants were randomized into the Simvastatin arm of this trial.
Placebo
n=11 Participants
Participants were randomized into the placebo arm of this trial.
Measure the Effect of Pre-operative Simvastatin Versus Placebo on the Mevalonate Pathway Synthesis and Target Activation in Benign and Malignant Prostate Tissue.
168.6666667 Percentage of cells
Interval 142.4517 to 194.882
182.7272727 Percentage of cells
Interval 161.46353 to 203.99107

SECONDARY outcome

Timeframe: 2 years

Population: We enrolled a total of 42 subjects, 36 completed this study. Of the 36 subjects who completed this study, only 26 subjects had tissue available for this analysis.

Compare the effect of pre-operative simvastatin versus placebo on prostate cancer cell apoptosis and its mediators in men undergoing planned prostatectomy. Apoptosis was measured by calculating the percent of Ki67 cellular staining.

Outcome measures

Outcome measures
Measure
Simvastatin
n=15 Participants
Participants were randomized into the Simvastatin arm of this trial.
Placebo
n=11 Participants
Participants were randomized into the placebo arm of this trial.
Compare the Effect of Pre-operative Simvastatin Versus Placebo on Prostate Cancer Cell Apoptosis and Its Mediators in Men Undergoing Planned Prostatectomy.
7.53333 Percentage of cells
Interval 3.95134 to 11.11532
6 Percentage of cells
Interval 1.87843 to 10.12157

Adverse Events

Simvastatin

Serious events: 11 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo

Serious events: 3 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Simvastatin
n=20 participants at risk
Participants were randomized into the Simvastatin arm of this trial.
Placebo
n=16 participants at risk
Participants were randomized into the placebo arm of this trial.
Renal and urinary disorders
UTI
20.0%
4/20 • Number of events 4 • Adverse events were collected at baseline, weekly while on treatment, and at 30-day follow-up. Subjects were on trial for 4-8 weeks (depending on prostatectomy scheduling).
6.2%
1/16 • Number of events 1 • Adverse events were collected at baseline, weekly while on treatment, and at 30-day follow-up. Subjects were on trial for 4-8 weeks (depending on prostatectomy scheduling).
Cardiac disorders
Hypotension
5.0%
1/20 • Number of events 1 • Adverse events were collected at baseline, weekly while on treatment, and at 30-day follow-up. Subjects were on trial for 4-8 weeks (depending on prostatectomy scheduling).
6.2%
1/16 • Number of events 1 • Adverse events were collected at baseline, weekly while on treatment, and at 30-day follow-up. Subjects were on trial for 4-8 weeks (depending on prostatectomy scheduling).
Reproductive system and breast disorders
Penile pain
15.0%
3/20 • Number of events 3 • Adverse events were collected at baseline, weekly while on treatment, and at 30-day follow-up. Subjects were on trial for 4-8 weeks (depending on prostatectomy scheduling).
0.00%
0/16 • Adverse events were collected at baseline, weekly while on treatment, and at 30-day follow-up. Subjects were on trial for 4-8 weeks (depending on prostatectomy scheduling).
Infections and infestations
Wound infection
5.0%
1/20 • Number of events 1 • Adverse events were collected at baseline, weekly while on treatment, and at 30-day follow-up. Subjects were on trial for 4-8 weeks (depending on prostatectomy scheduling).
0.00%
0/16 • Adverse events were collected at baseline, weekly while on treatment, and at 30-day follow-up. Subjects were on trial for 4-8 weeks (depending on prostatectomy scheduling).
Gastrointestinal disorders
Nausea
0.00%
0/20 • Adverse events were collected at baseline, weekly while on treatment, and at 30-day follow-up. Subjects were on trial for 4-8 weeks (depending on prostatectomy scheduling).
6.2%
1/16 • Number of events 1 • Adverse events were collected at baseline, weekly while on treatment, and at 30-day follow-up. Subjects were on trial for 4-8 weeks (depending on prostatectomy scheduling).
Renal and urinary disorders
Catheter discomfort
5.0%
1/20 • Number of events 1 • Adverse events were collected at baseline, weekly while on treatment, and at 30-day follow-up. Subjects were on trial for 4-8 weeks (depending on prostatectomy scheduling).
6.2%
1/16 • Number of events 1 • Adverse events were collected at baseline, weekly while on treatment, and at 30-day follow-up. Subjects were on trial for 4-8 weeks (depending on prostatectomy scheduling).
Infections and infestations
Bloody drainage from wound
5.0%
1/20 • Number of events 1 • Adverse events were collected at baseline, weekly while on treatment, and at 30-day follow-up. Subjects were on trial for 4-8 weeks (depending on prostatectomy scheduling).
0.00%
0/16 • Adverse events were collected at baseline, weekly while on treatment, and at 30-day follow-up. Subjects were on trial for 4-8 weeks (depending on prostatectomy scheduling).

Other adverse events

Adverse event data not reported

Additional Information

Wesley Stoller

Portland VA Health Care System

Phone: 503-220-8262

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place