Prostate Cancer Clinical Trial
Official title:
A Phase III Randomized, Double-Blind, Placebo-Controlled Trial of Gabapentin in the Management of Hot Flashes in Men
RATIONALE: Gabapentin may be effective in relieving hot flashes in men who have prostate
cancer. It is not yet known which regimen of gabapentin is most effective in treating hot
flashes.
PURPOSE: Randomized phase III trial to compare different regimens of gabapentin in treating
men who have prostate cancer.
OBJECTIVES:
- Determine the effectiveness of gabapentin in managing hot flashes in men with prostate
cancer.
- Determine the response of patients to this drug.
- Determine the toxicity of this drug in these patients.
- Determine the quality of life of patients treated with this drug.
OUTLINE: This is a randomized, double-blind, placebo-controlled, multicenter study. Patients
are stratified according to the number of hot flashes per day (2-3 vs 4-9 vs 10 or more) and
duration of hot flash symptoms (less than 9 months vs 9 months or more). Patients are
randomized to one of four treatment arms.
All patients are observed for 7 days prior to drug administration in order to collect
baseline hot flash information.
- Arm I: Patients receive oral gabapentin once daily on days 1-28.
- Arm II: Patients receive oral gabapentin once daily on days 1-7 and twice daily on days
8-28.
- Arm III: Patients receive oral gabapentin once daily on days 1-7, twice daily on days
8-14, and three times daily on days 15-28.
- Arm IV: Patients receive oral placebo on one of three schedules corresponding to arms
I-III.
Patients in all arms may continue therapy with gabapentin for an additional 8 weeks.
Quality of life is assessed at baseline, day 28, and at the end of the additional 8 weeks.
Patients are followed at 6, 12, and 24 months.
PROJECTED ACCRUAL: A total of 220 patients (55 per treatment arm) will be accrued for this
study within 1 year.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Supportive Care
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