Prostate Cancer Clinical Trial
Official title:
Saw Palmetto Use During Radiation Therapy for Symptom Management Among Prostate Cancer Patients
The aim of this study is to test whether Saw Palmetto, is useful in preventing or reducing the side effects for men undergoing radiation therapy for prostate cancer. Urinary symptoms will be recorded each week, as well as assessment of quality of life through: 1) Physical Well-Being 2) Social/Family Well-being 3) Emotional Well-Being, and 4) Functional Well-Being.
Lower urinary tract symptoms (LUTS) affect from 75-80% of men undergoing radiation therapy
(RT) for prostate cancer. The purpose of this study was to determine the feasibility, safety
and efficacy of inexpensive, non-toxic herbal supplement, Saw Palmetto (SP), in treating
these distressing symptoms.
The study consisted of two phases: Dose Finding phase (DFP), and Exploratory Randomized
Controlled Trail (RCT) phase. In the 12 week DFP, participants were given one of three doses
(SP 320 mg, SP 640mg, and SP 960 mg) using the Time-to-Event Continual Reassessment Method to
determine the maximum therapeutic dose (MTD). Once the MTD was determined the RCT phase was
begun, participants were allocated to receive either the predetermined MTD (960 mg) in the
DFP or a placebo to obtain preliminary evidence of efficacy of SP on LUTS.
Safety data consisted of the Common Terminology for Adverse Events criteria for nausea,
gastritis, and anorexia. Efficacy of the MTD was evaluated by weekly symptom data and voiding
diary. A pill diary was used to ensure the intervention fidelity.
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