Novel Window of Opportunity Trial to Evaluate the Impact of Statins to Oppose Prostate Cancer

NCT ID: NCT01992042

Last Updated: 2017-10-26

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

Clinical Phase

PHASE2

Total Enrollment

33 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-02-28

Study Completion Date

2016-12-31

Brief Summary

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This research study provides a novel opportunity to examine the intra-prostatic tumour inhibitory effects of statins in men with prostate cancer undergoing surgery.

Detailed Description

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Conditions

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Prostate Cancer

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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Fluvastatin/Pimonidazole

Patients will take 40mg BID of fluvastatin. The day before surgery patients will take a single dose of pimonidazole that will be calculate based on body surface area.

Group Type EXPERIMENTAL

Fluvastatin

Intervention Type DRUG

HMG-CoA reductase inhibitors that lowers cholesterol levels. 40mg twice daily

Pimonidazole

Intervention Type DRUG

Interventions

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Fluvastatin

HMG-CoA reductase inhibitors that lowers cholesterol levels. 40mg twice daily

Intervention Type DRUG

Pimonidazole

Intervention Type DRUG

Other Intervention Names

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Lescol

Eligibility Criteria

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Inclusion Criteria

1. Men \>18 and \< 75 years of age
2. Willing and able to provide informed consent, either alone or with the aid of a translator
3. Histologically confirmed prostate cancer as determined by transrectal ultrasound (TRUS) guided prostate biopsy performed within 6 months of study enrolment
4. Prostate cancer that is Gleason grade ≥ 7 involving at least 30% of one unfragmented biopsy core
5. Candidates for radical prostatectomy considered surgically resectable, either open or robotic, by urologic evaluation
6. Normal organ and marrow function as defined by the following criteria:

i. absolute neutrophil count \>1,500/uL

ii. platelets \>100,000/uL

iii. total bilirubin \<1.5 X institutional ULN

iv. AST (SGOT) or ALT (SGPT) \<1.5 X institutional ULN

v. creatinine \<1.5 X institutional ULN
7. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1

Exclusion Criteria

1. Previous or current use of neo-adjuvant or hormonal management of prostate cancer (surgical castration or other hormonal manipulation, including GnRH receptor agonists, GnRH receptor antagonists, anti-androgens, estrogens, megestrol acetate and ketoconazole)
2. History of receiving radiation to the pelvic area
3. Past or current use of 5-alpha reductase inhibitors finasteride and/or dutasteride
4. History of bilateral orchiectomy, adrenalectomy, or hypophysectomy
5. Statin use within 2 years of prostate cancer diagnosis
6. Known hypersensitivity towards any component of the investigational medicinal product.
7. Previous history or presence of another malignancy, other than prostate cancer or treated squamous / basal cell carcinoma of the skin, within the last five years
8. Clinically significant laboratory abnormalities (e.g. severe renal or hepatic impairment) which in the judgment of the Investigator would affect the patient's health or the outcome of the trial
9. Clinically significant disorder (other than prostate cancer) including, but not limited to, renal, haematological, gastrointestinal, endocrine, cardiac, neurological, or psychiatric disease, and alcohol or drug abuse or any other condition, which may affect the patient's health or the outcome of the trial as judged by the Investigator
10. Use of natural medicines thought to have endocrine effects on prostate cancer (e.g. saw palmetto and St. John's Wort) 4 weeks prior to enrollment.
11. Use of any drug listed in Prohibited Medications List
12. Mental incapacity or language barrier precluding adequate understanding or co operation
13. Use of an investigational drug within the last 28 days preceding the Screening Visit or longer if considered to possibly influence the outcome of the current trial
14. Patients who are unable or unwilling to undergo MRI testing
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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University Health Network, Toronto

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University Health Network- The Princess Margaret Cancer Centre

Toronto, Ontario, Canada

Site Status

Countries

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Canada

References

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Longo J, Hamilton RJ, Masoomian M, Khurram N, Branchard E, Mullen PJ, Elbaz M, Hersey K, Chadwick D, Ghai S, Andrews DW, Chen EX, van der Kwast TH, Fleshner NE, Penn LZ. A pilot window-of-opportunity study of preoperative fluvastatin in localized prostate cancer. Prostate Cancer Prostatic Dis. 2020 Dec;23(4):630-637. doi: 10.1038/s41391-020-0221-7. Epub 2020 Mar 13.

Reference Type DERIVED
PMID: 32203069 (View on PubMed)

Other Identifiers

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WIN-STOPCa_001

Identifier Type: -

Identifier Source: org_study_id