Prostate Cancer Clinical Trial
Official title:
A Randomized Phase II Trial Of Calcitriol In Patients With Prostatic Intraepithelial Neoplasia
RATIONALE: Chemoprevention is the use of certain drugs to keep cancer from forming, growing,
or coming back. The use of calcitriol may prevent prostate cancer. It is not yet known
whether calcitriol is more effective than observation in preventing prostate cancer.
PURPOSE: This randomized phase II trial is studying how well calcitriol works in preventing
prostate cancer in patients with prostatic intraepithelial neoplasia.
OBJECTIVES:
- Determine the effects of calcitriol in patients with high-grade prostatic
intraepithelial neoplasia.
- Determine the toxicity of this drug in these patients.
- Determine the effect of this drug on prostate specific antigen in these patients.
OUTLINE: This is a randomized, multicenter study. Patients are randomized to 1 of 2 arms.
- Arm I: Patients receive oral calcitriol once daily for 8 weeks. Treatment repeats every
8 weeks for 2 courses in the absence of unacceptable toxicity.
After completion of course 2 (week 16), patients undergo biopsy. Patients continue to
receive calcitriol for up to 3 additional weeks while the biopsy is being evaluated.
Patients with persistent high-grade prostatic intraepithelial neoplasia (HGPIN) by biopsy
receive 2 additional courses of calcitriol. Patients with no HGPIN or prostate cancer by
biopsy are removed from the study.
- Arm II: Patients undergo observation for 16 weeks. At week 16, patients undergo biopsy.
Patients with persistent HGPIN by biopsy receive 2 courses of calcitriol as in arm I.
Patients with no HGPIN or prostate cancer by biopsy are removed from the study.
After completion of study treatment, patients are followed annually for 2 years.
PROJECTED ACCRUAL: A total of 50 patients (25 per arm) will be accrued for this study.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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