A RAndomizeD Intervention for Cardiovascular and Lifestyle Risk Factors in Prostate Cancer Patients

NCT ID: NCT03127631

Last Updated: 2025-01-31

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

RECRUITING

Clinical Phase

NA

Total Enrollment

6000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-10-21

Study Completion Date

2026-12-31

Brief Summary

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RADICAL PC1 is a prospective cohort study of men with a new diagnosis of prostate cancer. RADICAL PC2 is a randomized, controlled trial of a systematic approach to modifying cardiovascular and lifestyle risk factors in men with a new diagnosis of prostate cancer.

Detailed Description

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RADICAL PC describes two prospective studies, one of which is embedded in the other. RADICAL PC1 is a prospective cohort study of men within one year of their first diagnosis of prostate cancer, or treated with Androgen Deprivation Therapy for the first time within 6 months prior to enrollment visit, or to be treated with Androgen Deprivation Therapy for the first time within one month after the enrollment visit. Its goal will be to identify factors associated with the development of cardiovascular disease among men with prostate cancer, with a particular focus on Androgen Deprivation Therapy. RADICAL PC2 is a randomized, controlled trial embedded in RADICAL PC1. RADICAL PC2 will test a systematic approach to modifying cardiovascular and lifestyle risk factors in men within one year of their first diagnosis of prostate cancer, or treated with Androgen Deprivation Therapy for the first time within 6 months prior to enrollment visit, or to be treated with Androgen Deprivation Therapy for the first time within one month after the enrollment visit.

Conditions

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Prostate Cancer Cardiovascular Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Randomized - Intervention

The intervention will consist of a systematic cardiovascular and lifestyle risk factor modification strategy, including dietary and exercise advice, advice to quit smoking, and the prescription of open-label statins, ACE-I, and other antihypertensive medications where appropriate.

Group Type ACTIVE_COMPARATOR

Nutrition

Intervention Type BEHAVIORAL

Standardized advice on healthy diet practices.

Exercise

Intervention Type BEHAVIORAL

Standardized advice on exercise including strength training and resistance training exercises.

Smoking cessation

Intervention Type BEHAVIORAL

Advice to quit smoking, if applicable, and on available aids to quit smoking,

Statin (such as Simvastatin, Atorvastatin, Rosuvastatin, Pravastatin)

Intervention Type DRUG

Prescription for a low to moderate dose statin, such as simvastatin 10-40mg daily, atorvastatin 10-40mg daily, rosuvastatin 5-20mg daily or pravastatin 10-40mg daily.

ACE inhibitor

Intervention Type DRUG

Prescription for an ACE-I (preferable) or an angiotensin receptor blocker for baseline systolic blood pressure greater \>130mmHg, or other blood pressure lowering medication as applicable.

Randomized - Control

The control will consist of usual clinical care, which may include a referral to a cardiologist or internist, or the use of treatments included in the intervention as clinically indicated, if part of the treating physician's standard practice.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Nutrition

Standardized advice on healthy diet practices.

Intervention Type BEHAVIORAL

Exercise

Standardized advice on exercise including strength training and resistance training exercises.

Intervention Type BEHAVIORAL

Smoking cessation

Advice to quit smoking, if applicable, and on available aids to quit smoking,

Intervention Type BEHAVIORAL

Statin (such as Simvastatin, Atorvastatin, Rosuvastatin, Pravastatin)

Prescription for a low to moderate dose statin, such as simvastatin 10-40mg daily, atorvastatin 10-40mg daily, rosuvastatin 5-20mg daily or pravastatin 10-40mg daily.

Intervention Type DRUG

ACE inhibitor

Prescription for an ACE-I (preferable) or an angiotensin receptor blocker for baseline systolic blood pressure greater \>130mmHg, or other blood pressure lowering medication as applicable.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1\. A man with a diagnosis of prostate cancer that is either:

* new (i.e. the diagnosis was made within 1 year of the enrolment visit) or
* treated with Androgen Deprivation Therapy for the first time within 6 months prior to the enrolment visit, or
* to be treated with Androgen Deprivation Therapy for the first time within 1 month after the enrolment visit

Exclusion Criteria

1. Patients will be excluded if they fulfill any of the following:

1. are unwilling to provide consent or
2. are \<45 years of age, or
3. prostate cancer was found incidentally following cystectomy for bladder cancer
2. Patients will be eligible for RADICAL PC1, but will not be eligible for RADICAL PC2 if they:

1. see a cardiologist every year, or
2. both take a statin and have systolic blood pressure ≤130mmHg
Minimum Eligible Age

45 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Prostate Cancer Canada

OTHER

Sponsor Role collaborator

Canadian Cancer Society (CCS)

OTHER

Sponsor Role collaborator

McMaster University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dr. Darryl Leong, MBBs,MPH,PhD,FRACP,FESC

Role: STUDY_DIRECTOR

McMaster University

Locations

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Georgia Cancer Center at Augusta University

Augusta, Georgia, United States

Site Status RECRUITING

University of Kansas Medical Center

Kansas City, Kansas, United States

Site Status RECRUITING

Westmead Hospital

Westmead, New South Wales, Australia

Site Status RECRUITING

Royal Adelaide Hospital

Adelaide, South Australia, Australia

Site Status RECRUITING

Flinders Medical Center

Adelaide, South Australia, Australia

Site Status RECRUITING

Centro de Pesquisa Clínica do Brasil

Brasília, Federal District, Brazil

Site Status RECRUITING

Hospital Felício Rocho

Belo Horizonte, Minas Gerais, Brazil

Site Status RECRUITING

Universidade Federal do Triângulo Mineiro

Uberaba, Minas Gerais, Brazil

Site Status RECRUITING

Sociedade Hospitalar Angelina Caron

Campina Grande do Sul, Paraná, Brazil

Site Status RECRUITING

Nucleo de Pesquisa Clinica Hospital do Rocio

Campo Largo, Paraná, Brazil

Site Status RECRUITING

Centro Médico São Francisco

Curitiba, Paraná, Brazil

Site Status RECRUITING

Instituto De Medicina Integral Prof. Fernando Figueira - IMIP

Recife, Pernambuco, Brazil

Site Status RECRUITING

Instituto Nacional de Cardiologia

Rio de Janeiro, Rio de Janeiro, Brazil

Site Status RECRUITING

Hospital de Caridade de Ijuí

Ijuí, Rio Grande do Sul, Brazil

Site Status RECRUITING

Hospital de Clínicas de Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil

Site Status RECRUITING

Irmandade Da Santa Casa De Misericórdia De Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil

Site Status RECRUITING

Hospital Mae de Deus

Porto Alegre, Rio Grande do Sul, Brazil

Site Status RECRUITING

Hospital Municipal de Barueri

Barueri, São Paulo, Brazil

Site Status RECRUITING

Faculdade de Medicina da Universidade Estadual Paulista - Campus de Botucatu - UNESP

Botucatu, São Paulo, Brazil

Site Status RECRUITING

Hospital Universitário São Francisco na Providência de Deus

Bragança Paulista, São Paulo, Brazil

Site Status RECRUITING

Fundacao Doutor Amaral Carvalho

Jaú, São Paulo, Brazil

Site Status RECRUITING

Fundação Faculdade Regional de Medicina de São José do Rio Preto

São José do Rio Preto, São Paulo, Brazil

Site Status RECRUITING

Santa Casa de São Paulo (IPITEC)

São Paulo, São Paulo, Brazil

Site Status RECRUITING

Hospital Alemao Oswaldo Cruz

São Paulo, São Paulo, Brazil

Site Status RECRUITING

Beneficência Nipo-Brasileira de São Paulo. Hospital Nipo-Brasileiro

São Paulo, São Paulo, Brazil

Site Status RECRUITING

Marina Leonardo

São Paulo, São Paulo, Brazil

Site Status RECRUITING

Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo and Fundação Zerbini (Incor)

São Paulo, São Paulo, Brazil

Site Status RECRUITING

Hospital Santa Marcelina

São Paulo, São Paulo, Brazil

Site Status RECRUITING

Instituto D'Or de Pesquisa e Ensino

São Paulo, São Paulo, Brazil

Site Status RECRUITING

Integral Pesquisa e Ensino

Votuporanga, São Paulo, Brazil

Site Status RECRUITING

Vancouver General Hospital

Vancouver, British Columbia, Canada

Site Status RECRUITING

St. Joseph's Healthcare

Hamilton, Ontario, Canada

Site Status RECRUITING

Juravinski Cancer Centre

Hamilton, Ontario, Canada

Site Status RECRUITING

Queen's University

Kingston, Ontario, Canada

Site Status RECRUITING

Grand River Hospital, Grand River Regional Cancer Centre

Kitchener, Ontario, Canada

Site Status RECRUITING

London Health Sciences Centre

London, Ontario, Canada

Site Status RECRUITING

London Health Sciences, Victoria Hospital

London, Ontario, Canada

Site Status RECRUITING

Niagara Health, St. Catharines Site

Niagara, Ontario, Canada

Site Status RECRUITING

Ottawa Hospital Research Institute

Ottawa, Ontario, Canada

Site Status RECRUITING

Sunnybrook Health Sciences Centre

Toronto, Ontario, Canada

Site Status RECRUITING

University Health Network, Princess Margaret Cancer Centre

Toronto, Ontario, Canada

Site Status ACTIVE_NOT_RECRUITING

Hopital Maisonneuve-Rosemont

Montreal, Quebec, Canada

Site Status RECRUITING

University Hospital of Montreal

Montreal, Quebec, Canada

Site Status RECRUITING

McGill University

Montreal, Quebec, Canada

Site Status RECRUITING

Jewish General Hospital

Montreal, Quebec, Canada

Site Status RECRUITING

Laval University

Québec, Quebec, Canada

Site Status RECRUITING

Centre Universitaire de Sherbrooke

Sherbrooke, Quebec, Canada

Site Status RECRUITING

Hospital Universitario San Ignacio

Bogotá, Cundinamarca, Colombia

Site Status NOT_YET_RECRUITING

FOSCAL

Floridablanca, Santander Department, Colombia

Site Status RECRUITING

Fundacio Valle de Lili

Cali, Valle del Cauca Department, Colombia

Site Status RECRUITING

Heart Institute - Holon Medical Center

Holon, , Israel

Site Status RECRUITING

Rabin Medical Center

Petah Tikva, , Israel

Site Status RECRUITING

Tel-Aviv Sourasky Medical Centre

Tel Aviv, , Israel

Site Status RECRUITING

Istanbul University

Istanbul, , Turkey (Türkiye)

Site Status TERMINATED

Countries

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United States Australia Brazil Canada Colombia Israel Turkey (Türkiye)

Central Contacts

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Sarah Karampatos, BASc, MSc

Role: CONTACT

905-527-4322 ext. 40506

Steven Agapay, BSc

Role: CONTACT

905-296-5764

Facility Contacts

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Hyma Kunhiraman Harikrishnan

Role: primary

Terry Christenson

Role: primary

Bronte Coorey

Role: primary

Ryan Appleton

Role: primary

Pooja Panchal

Role: backup

Tonia Bromley

Role: primary

Cintia Furtado

Role: primary

Thais Ribeiro

Role: primary

Aline Carlos

Role: primary

Maynara Martins

Role: primary

Gabrielly Lech

Role: primary

Otavio Paulichei

Role: primary

Nathalia da Silva

Role: primary

Lisa Fialho

Role: primary

Fernanda Uggeri

Role: primary

Ana Silveira

Role: primary

Indianara Porgere

Role: primary

Gabriela Crestani

Role: primary

Ana Araujo

Role: primary

Andre Bertani

Role: primary

Claudia Cassaro

Role: backup

Natalia Carvalho

Role: primary

Adriana Coutinho

Role: primary

Debora Campos

Role: backup

Barbara Lacava De Aquino

Role: primary

Daniela de Santana

Role: primary

Antonia Rodrigues

Role: primary

Valquiria Ritter

Role: primary

Marina Leonardo

Role: primary

Beatriz Nascimento

Role: primary

Camila Caroline

Role: primary

Denise Da Silva

Role: backup

Marcio Ferraz

Role: primary

Hugo Morelli

Role: primary

Jackie Chow

Role: primary

Va Chudasama

Role: primary

Shauna Szendrey

Role: primary

Nadra Yasmin

Role: backup

Ashley Griffin

Role: primary

Craig Spencer

Role: backup

Stephanie O'Brien

Role: primary

Cadence Baker

Role: primary

Kate Robertson-Hogg

Role: backup

Nidhi Shah

Role: primary

Shraddha Sawant

Role: primary

David Yachnin, ND, MSc

Role: primary

Shania Nigli

Role: primary

Anabel Grullon

Role: primary

Imene Chergui

Role: primary

Bersabeh Hailemariam

Role: primary

Kelli Dimayuga

Role: primary

514 340 8222 ext. 21285

Pressila Njeim

Role: backup

Audrey Larouche

Role: primary

418 525 4444 ext. 13248

Elsie Morneau

Role: primary

Katherine Castrillon Velez

Role: primary

Viviana Marcela Mendez Calderon

Role: backup

Sandra Rodriguez

Role: primary

Brayan Daniel Cordoba Melo

Role: primary

Anna Michael

Role: primary

972 (3)7471200

Elena Agronov Kaif

Role: backup

Natali Oginets

Role: primary

Marina Liberzon

Role: primary

Limor Ben Zvi

Role: backup

References

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Dahan J, Pinthus J, Delouya G, Taussky D, Duceppe E, de Jesus A, Leong D. Investigation of association between clinically significant prostate cancer, obesity and platelet to-lymphocyte ratio and neutrophil -to-lymphocyte ratio. BMC Urol. 2024 Oct 16;24(1):226. doi: 10.1186/s12894-024-01617-2.

Reference Type DERIVED
PMID: 39407194 (View on PubMed)

Savija N, Leong DP, Pinthus J, Karampatos S, Shayegan B, Mian R, Rangarajan S, Fradet V, de Souza RJ, Mente A, Dehghan M. Development and Comparability of a Short Food-Frequency Questionnaire to Assess Diet in Prostate Cancer Patients: The Role of Androgen Deprivation Therapy in CArdiovascular Disease - A Longitudinal Prostate Cancer Study (RADICAL PC) Substudy. Curr Dev Nutr. 2021 Aug 12;5(11):nzab106. doi: 10.1093/cdn/nzab106. eCollection 2021 Nov.

Reference Type DERIVED
PMID: 34870071 (View on PubMed)

Other Identifiers

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RADICALPC_009-001

Identifier Type: -

Identifier Source: org_study_id

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