Trial Outcomes & Findings for Pre-Prostatectomy Lovastatin on Prostate Cancer (NCT NCT01478828)

NCT ID: NCT01478828

Last Updated: 2019-03-27

Results Overview

Number of participants who achieve V-myc Myelocytomatosis Viral Oncogene Homolog (MYC) down-regulation in prostatectomy specimens in intermediate-/high-risk localized prostate cancer patients.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

2 participants

Primary outcome timeframe

1 year

Results posted on

2019-03-27

Participant Flow

Participant milestones

Participant milestones
Measure
Lovastatin
After informed consent and central pathology review of the core prostate biopsy, eligible patients who decide to undergo prostatectomy at Johns Hopkins will be scheduled to receive po lovastatin following a four times a day schedule, at the starting dose of 20 mg/kg/day. Following an initial period of monitoring for safety at this entry dose level of one month, we will then accrue patients to dose de-escalation (to 1, and 10 mg/kg/day) cohorts.
Overall Study
STARTED
2
Overall Study
COMPLETED
1
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Lovastatin
After informed consent and central pathology review of the core prostate biopsy, eligible patients who decide to undergo prostatectomy at Johns Hopkins will be scheduled to receive po lovastatin following a four times a day schedule, at the starting dose of 20 mg/kg/day. Following an initial period of monitoring for safety at this entry dose level of one month, we will then accrue patients to dose de-escalation (to 1, and 10 mg/kg/day) cohorts.
Overall Study
Adverse Event
1

Baseline Characteristics

Pre-Prostatectomy Lovastatin on Prostate Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lovastatin
n=2 Participants
After informed consent and central pathology review of the core prostate biopsy, eligible patients who decide to undergo prostatectomy at Johns Hopkins will be scheduled to receive po lovastatin following a four times a day schedule, at the starting dose of 20 mg/kg/day. Following an initial period of monitoring for safety at this entry dose level of one month, we will then accrue patients to dose de-escalation (to 1, and 10 mg/kg/day) cohorts. Lovastatin: oral qd varying dose escalations/de-escalations
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Sex/Gender, Customized
Male
2 Participants
n=5 Participants
Region of Enrollment
United States
2 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 1 year

Number of participants who achieve V-myc Myelocytomatosis Viral Oncogene Homolog (MYC) down-regulation in prostatectomy specimens in intermediate-/high-risk localized prostate cancer patients.

Outcome measures

Outcome measures
Measure
Lovastatin
n=2 Participants
After informed consent and central pathology review of the core prostate biopsy, eligible patients who decide to undergo prostatectomy at Johns Hopkins will be scheduled to receive po lovastatin following a four times a day schedule, at the starting dose of 20 mg/kg/day. Following an initial period of monitoring for safety at this entry dose level of one month, we will then accrue patients to dose de-escalation (to 1, and 10 mg/kg/day) cohorts.
Number of Participants That Can Achieve 60% MYC Modulation Response
0 Participants

SECONDARY outcome

Timeframe: 1 year

Population: Data was not collected for this outcome measure due to early study termination.

Toxicity of the different doses of continuous daily oral lovastatin in generally healthy men with prostate cancer prior to surgery.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 1 year

Population: Data was not collected for this outcome measure due to early study termination.

Proportion of men with MYC target inhibition in prostate tumor tissue using paired tumor biopsies before and after lovastatin administration.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 1 year

Population: Data was not collected for this outcome measure due to early study termination.

Change in cholesterol level with each tested dose of oral lovastatin.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 1 year

Population: Data was not collected for this outcome measure due to early study termination.

Number of participants with target inhibition of MYC in relationship with pretreatment prostate biopsy Gleason sum, Ki-67, and degree of MYC overexpression.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 1 year

Population: Data was not collected for this outcome measure due to early study termination.

Number of participants with target inhibition of MYC and markers of increased apoptosis (cleaved caspase-3) and proliferation (Ki-67).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 1 year

Population: Data was not collected for this outcome measure due to early study termination.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 1 year

Population: Data was not collected for this outcome measure due to early study termination.

Number of participants with MYC downregulation after high-dose lovastatin.

Outcome measures

Outcome data not reported

Adverse Events

Lovastatin

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Lovastatin
n=2 participants at risk
After informed consent and central pathology review of the core prostate biopsy, eligible patients who decide to undergo prostatectomy at Johns Hopkins will be scheduled to receive po lovastatin following a four times a day schedule, at the starting dose of 20 mg/kg/day. Following an initial period of monitoring for safety at this entry dose level of one month, we will then accrue patients to dose de-escalation (to 1, and 10 mg/kg/day) cohorts.
Musculoskeletal and connective tissue disorders
rhabdomyolysis
50.0%
1/2 • Number of events 1 • up to 1 year

Other adverse events

Adverse event data not reported

Additional Information

Dr. Phuoc Tran

The SKCCC at Johns Hopkins

Phone: 410-614-6477

Results disclosure agreements

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