Impact of Anti-inflammatory Medications in Patients With Elevated Serum Prostate-specific Antigen

NCT ID: NCT05512754

Last Updated: 2025-12-09

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

PHASE4

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-01

Study Completion Date

2027-12-31

Brief Summary

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The purpose of this study is to assess the impact of ibuprofen in men with elevated serum PSA.

Detailed Description

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Serum prostate-specific antigen (PSA) is widely used as a screening marker for prostate cancer. However, elevated serum PSA level could result from various conditions other than malignancy such as benign prostatic hyperplasia (BPH), urinary tract infection, or inflammation (prostatitis). Inflammation within the prostate is often sub-clinical, not readily visible on urinalysis, and can putatively and artificially elevate PSA. Non-steroidal anti-inflammatory drugs (NSAIDs) have shown benefits in reducing symptoms in patients with inflammatory conditions of the prostate. Ibuprofen (Advil, Motrin) is a widely available, cheap, and commonly used over the counter NSAID. NSAID's are routinely given to men with an elevated PSA for empiric treatment of inflammation; however, the impact of NSAIDs in men with elevated serum PSA is unknown.

Conditions

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Elevated Serum PSA

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomization into two groups between Group A (No NSAIDs) or Group B (Ibuprofen 400 mg q 8 h for 10 days)
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Ibuprofen

Participants receive Ibuprofen 400 mg tablet orally every 8 hours for 10 days

Group Type EXPERIMENTAL

Ibuprofen 400 mg

Intervention Type DRUG

400 mg tablet

Control

Participants receive no NSAIDs

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Ibuprofen 400 mg

400 mg tablet

Intervention Type DRUG

Other Intervention Names

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Advil

Eligibility Criteria

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Inclusion Criteria

* Male patients age between 18-80 years old with a screening PSA \> 3 ng/ml being considered for additional diagnostic testing (e.g., MRI, biopsy)
* Normal digital rectal examination.
* No clinical symptoms concerning acute urinary tract infection (e.g. dysuria, malodorous urine, positive urine culture)

Exclusion Criteria

* Active urinary tract infections or bacteriuria
* Known prostate cancer
* Urethral catheter within the last 6 weeks
* History of hypersensitivity or allergy to ibuprofen or NSAIDs.
* Known severe chronic kidney disease: eGFR \< 30 mL/min/1.73 m2
* Known history of severe liver disease (elevated AST or ALT greater than 3 times upper limit of normal)
* History of gastrointestinal bleeding or NSAIDs induced GI adverse events
* Concomitant dual-antiplatelet use or anticoagulants
* Concomitant anti-inflammatory or steroidal drugs
* Known bleeding disorder(s)
* Patients with a solitary kidney or history of a kidney transplant
* Any other medical contraindication to NSAIDs
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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University of Chicago

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Scott Eggener, MD

Role: PRINCIPAL_INVESTIGATOR

University of Chicago

Locations

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University of Chicago

Chicago, Illinois, United States

Site Status RECRUITING

Albany Medical College

Albany, New York, United States

Site Status RECRUITING

The Pennsylvania State University at The Milton S. Hershey Medical Center

Hershey, Pennsylvania, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Scott Eggener, MD

Role: CONTACT

773-834-5087

Leila Yazdanbakhsh, MSCI

Role: CONTACT

7738345087

Facility Contacts

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Scott Eggener, MD

Role: primary

773-834-5087

Leila Yazdanbakhsh, MSCI

Role: backup

7738345087

Badar Mian, MD

Role: primary

518-262-8579

Brenda Romeo

Role: backup

Jay Raman, MD

Role: primary

717-531-8848

Dennis Head

Role: backup

References

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Josefsson A, Mansson M, Kohestani K, Spyratou V, Wallstrom J, Hellstrom M, Lilja H, Vickers A, Carlsson SV, Godtman R, Hugosson J. Performance of 4Kscore as a Reflex Test to Prostate-specific Antigen in the GOTEBORG-2 Prostate Cancer Screening Trial. Eur Urol. 2024 Sep;86(3):223-229. doi: 10.1016/j.eururo.2024.04.037. Epub 2024 May 20.

Reference Type BACKGROUND
PMID: 38772787 (View on PubMed)

Aguiar JA, Li EV, Ho A, Bennett R 4th, Li Y, Neill C, Schaeffer EM, Patel HD, Ross AE. Ultrasensitive PSA: rethinking post-surgical management for node positive prostate cancer. Front Oncol. 2024 Apr 9;14:1363009. doi: 10.3389/fonc.2024.1363009. eCollection 2024.

Reference Type BACKGROUND
PMID: 38655143 (View on PubMed)

Other Identifiers

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IRB21-1952

Identifier Type: -

Identifier Source: org_study_id

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