A Randomized, Double-Blind, Placebo-Controlled, Multicenter Efficacy and Safety Study of Toremifene Citrate for the Prevention of Prostate Cancer in Men With High Grade Prostatic Intraepithelial Neoplasia (PIN)
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 发起方
- GTx
- 入组人数
- 1,589
- 试验地点
- 137
- 主要终点
- Efficacy of Toremifene in the Prevention of Prostate Cancer in Men With High Grade Prostatic Intraepithelial Neoplasia (PIN)
研究概览
简要总结
The purpose of this study is to determine if toremifene citrate is effective and safe in the prevention of prostate cancer in men who have been diagnosed with high grade prostatic intraepithelial neoplasia (PIN).
详细描述
The purpose of this study is to determine if toremifene citrate is effective and safe in the prevention of prostate cancer in men who have been diagnosed with high grade prostatic intraepithelial neoplasia. Men who have ever been diagnosed with high grade PIN will be enrolled into an 36 month trial and will be assigned to either 20 mg of study drug or placebo per day. Subjects will undergo safety evaluations at Month 3, Month 6, Month 12, Month 18, Month 24, Month 30 and Month 36 along with prostate biopsies at Month 12 and Month 24 and Month 36 to determine efficacy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Triple (Participant, Care Provider, Investigator)
入排标准
- 年龄范围
- 30 Years 至 —（Adult, Older Adult）
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •Give voluntary signed informed consent in accordance with institutional policies
- •Be male, aged ≥ 30 years
- •Have a diagnosis of high grade PIN from any previous prostate biopsy. The diagnosis of high grade PIN must be confirmed by the central pathologist
- •Have had a prostate biopsy in the last 6 months with a minimum of 10 cores that shows no evidence of cancer as confirmed by the central pathologist; OR, have had 2 prostate biopsies (each with a minimum of 6 cores) in the 12 months prior to screening with at least one of the biopsies occurring within 6 months prior to the screening visit. Both biopsies should have no evidence of cancer as confirmed by the central pathologist
- •Have a serum PSA of ≤ 10 ng/mL
- •Agree to provide tablet containers for tablet counts and to complete a daily diary of study drug intake
- •Agree to use an effective method of contraception, if the partner is of child-bearing age, while on study and for 30 days after the last dose of study medication
- •Have adequate bone marrow, liver and renal function:
- •White Blood Cell (WBC) Count ≥ 3,000/mm3;
- •Platelet Count ≥ 100,000/mm3;
- •Bilirubin ≤ 1.5 mg/dL;
- •AST and ALT < 2x upper limit of normal;
- •Serum Creatinine ≤ 2.0 mg%
排除标准
- •Previous exposure to toremifene citrate
- •Have evidence of prostate cancer (local, regional and/or distal metastasis)
- •Have any history of other malignancies (Exceptions include non-melanoma skin cancer or other cancer that has no evidence of tumor reoccurrence 5 years after definitive treatment).
- •Have active systemic viral, bacterial, or fungal infections requiring treatment
- •Have, in the judgment of the investigator, a clinically significant concurrent illness or psychological, familial, sociological, geographical or other concomitant condition that would not permit adequate follow-up and compliance with the study protocol
- •Concurrently being treated with other investigational agents or have participated in an investigational study within 60 days prior to screening
- •Currently taking dutasteride. Subject is eligible if he stops dutasteride for a total washout of 90 days prior to the Screening Visit and agrees not to use dutasteride for the duration of the study.
- •Have previously taken finasteride for greater than two years
- •Currently taking finasteride. Subject is eligible if he stops finasteride for a total washout of 30 days prior to the Screening Visit and agrees not to use finasteride for the duration of the study.
- •Currently taking testosterone or testosterone-like supplements, such as dehydroepiandrosterone (DHEA). Subject is eligible if he stops these agents for a total washout of 30 days prior to the Screening Visit and agrees not to use these agents for the duration of the study.
- •Have a history of taking PC-SPES within the past two years.
- •Currently taking herbal medicine or dietary supplements for prostate health, such as Saw Palmetto (also known as Serenoa Repens).
- •Subject is eligible if he stops these agents for a total washout of 30 days prior to taking the first dose of study drug and agrees not to use these agents for the duration of the study.
- •Lycopene, vitamin E and selenium are not prohibited and no washout is required. However, vitamin E intake should be limited to less than 400 i.u. per day.
- •Have a history of thromboembolic event or disease including deep vein thrombosis, pulmonary embolus, or thrombotic stroke
- •History of chronic hepatitis or cirrhosis
研究组 & 干预措施
20 mg Toremifene Citrate
The subject takes one dose by mouth of the 20mg Toremifine Citrate tablet once a day for the length of the trial (360 days).
干预措施: Toremifene 20 mg (Drug)
Placebo
The subject takes a placebo tablet identical in appearance to the toremifene 20mg tablet, administered by mouth daily for 360 days
干预措施: Placebo (Drug)
结局指标
主要结局
Efficacy of Toremifene in the Prevention of Prostate Cancer in Men With High Grade Prostatic Intraepithelial Neoplasia (PIN)
时间窗: The outcome measurement time is up to 36 months
To measure the efficacy of toremifene citrate in men with high grade prostatic intraepithelial neoplasia (PIN). Prostate cancer-free survival distributions (Kaplan-Meier)
Occurrence of a Positive Cancer Biopsy
时间窗: Up to 36 months
To measure the occurrence of a positive cancer biopsy
次要结局
- The Effect of Toremifene on % Free Serum PSA (Prostate Specific Antigen) Levels, Change From Baseline(36 months)
- The Effect of Toremifene on Lipid Levels(Up to 36 months)
- The Effect of Toremifene on Hormone Levels(Up to 36 months)
- The Effect of Toremifene on Total PSA (Prostate Specific Antigen) Levels(Up to 36 months)
- The Effect of Toremifene on the Mean Change at 36 Months in AUA (American Urological Association) Symptom Score(36 months)
- Occurrence of High Grade PIN at the 12, 24, 36 Month Biopsies(Up to 36 months)