Prostate Cancer Clinical Trial
Official title:
Phase II, Randomized, Open Label to Evaluate Efficacy,Safety of Radium 223 in Prolonging the Off Treatment Interval in Men With Rising PSA Post-rad, or Post-prostatectomy Without Bone Mets on Intermittent Androgen Ablation Therapy
This is a multicentre, phase II, randomized, open label study to evaluate the efficacy and safety of monthly Radium 223 in prolonging the off treatment interval of men with localized prostate cancer receiving intermittent androgen ablation therapy for a rising PSA post-radiation or post-prostatectomy, who are at high risk for occult metastases.
Eligible subjects will be randomized in a 1:1 ratio to receive either (1) study medication,
Radium 223 monthly for six months or (2) no treatment (usual care). All patients will have a
physical exam, PSA, testosterone and clinical lab tests conducted monthly. Group 1 will
receive monthly Radium 233 beginning one month after discontinuing ADT, for a maximum of 6
months of treatment. Radium-223 will be given in accordance with the Canadian product label
and Product Monograph at 50kBq/kg.
If PSA reaches 5ng/ml before 7 months after discontinuing ADT, the patient will discontinue
Radium 223 and resume ADT. Group 2 will have no further therapy until their PSA reaches
5ng/ml, at which point they will resume ADT.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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