Rapid Hormonal Cycling as Treatment for Patients With Prostate Cancer: The Men's Cycle

NCT ID: NCT00586898

Last Updated: 2016-03-25

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2001-07-31

Study Completion Date

2009-03-31

Brief Summary

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Objective: To determine the response to rapid hormonal cycling in patients with non-castrate prostate cancer.

Detailed Description

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Conditions

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Prostate Cancer Hormonal Cycling

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Group Type EXPERIMENTAL

GnRH

Intervention Type DRUG

leuprolide and goserelin are gonadotropin-releasing hormone analogues

Ketoconazole

Intervention Type DRUG

An imidazole antifungal agent. reduces adrenal and testicular androgen production in men

Bicalutamide

Intervention Type DRUG

A pure nonsteroidal antiandrogen

Testosterone transdermal gel

Intervention Type DRUG

an androgenic anabolic steroid

Estrogen transdermal patch

Intervention Type DRUG

Estradiol is the primary and most potent estrogen

Interventions

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GnRH

leuprolide and goserelin are gonadotropin-releasing hormone analogues

Intervention Type DRUG

Ketoconazole

An imidazole antifungal agent. reduces adrenal and testicular androgen production in men

Intervention Type DRUG

Bicalutamide

A pure nonsteroidal antiandrogen

Intervention Type DRUG

Testosterone transdermal gel

an androgenic anabolic steroid

Intervention Type DRUG

Estrogen transdermal patch

Estradiol is the primary and most potent estrogen

Intervention Type DRUG

Other Intervention Names

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LUPRON ZOLADEX Nizoral Casodex Androgel CLIMARA

Eligibility Criteria

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Inclusion Criteria

-Patients residing in the following clinical states wit! be considered: A. Rising PSA: Patients with a history of localized disease who have undergone definitive radiation or surgery. These patients must demonstrate progression of disease biochemically as outlined below. Patients in this group may not have radiographically evident disease.

B. Non-castrate metastatic: Patients must present with radiographic evidence of metastatic disease at the time of diagnosis or after treatment for localized disease. These patients must show newly detected disease or progressing disease in bone or in soft tissue. Biochemical progression is defined as: minimum no. of determinations: 3 Interval: \>2 weeks Minimal Baseline PSA value (ng/ml): 2 Minimal % increase in range of values: 50%

* Diagnosis of prostate adenocarcinoma histologically confirmed at MSKCC.
* Patient must have level of serum testosterone above the lower limit of normal.
* Karnofskcy performance status (KPS) \>\_70%.
* Patients must have adequate organ function as defined by the following laboratory criteria:
* WBC \>\_3500/mm3, platelet count \>\_100,000/mm3.
* Bilirubin \<2.0 mg/dl or SGOT \<3.0 X the upper limit of normal.
* Creatinine \<\_1.6 mg/dl or creatinine clearance \>\_60 cc/min.
* Prior hormonal therapy is allowed as:

1. Neoadjuvant treatment prior to radiation therapy or radical prostatectomy, provided that the total duration of exposure does not exceed 10 months.
2. One cycle of intermittent therapy up to a maximum exposure of 10 months.
* Patients must be at least 18 years of age.
* Patients must have signed an informed consent document stating that they understand the investigational nature of the proposed treatment

Exclusion Criteria

* Clinically significant cardiac disease (New York Heart Association Class III/IV),or severe debilitating puhnonary disease.
* Uncontrolled serious active infection.
* Anticipated survival of less than 3 months.
* Active CNS or epiduraltumor
* Inability or unwillingness to comply with the treatment protocol, follow-up, or research tests.
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Memorial Sloan Kettering Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Howard Scher, MD

Role: PRINCIPAL_INVESTIGATOR

Memorial Sloan Kettering Cancer Center

Locations

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Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

Countries

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United States

Related Links

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http://www.mskcc.org

Memorial Sloan Kettering Cancer Center

Other Identifiers

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01-085

Identifier Type: -

Identifier Source: org_study_id

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