Prostate Carcinoma Clinical Trial
Official title:
Phase I Multiple Dose Study of 12-Week Treatment by Se-Methyl-L-Cysteine(MSC) and L SeMet in Adult Males
This randomized phase I trial studies the side effects and the best dose of Se-methyl-seleno-L-cysteine or selenomethionine in preventing prostate cancer in healthy participants. Chemoprevention is the use of certain drugs to keep cancer from forming. The use of Se-methyl-seleno-L-cysteine or selenomethionine, two different types of selenium compounds, may prevent prostate cancer from forming.
PRIMARY OBJECTIVES:
I. To determine the individual toxicity profiles of Se-methyl-seleno-L-cysteine (methyl
selenocysteine; MSC) and selenomethionine (SeMet) administered to cohorts of men daily for
twelve weeks, with dose escalation with each successive cohort.
SECONDARY OBJECTIVES:
I. To measure the pharmacokinetics of selenium, according to form (MSC vs SeMet): MSC and
SeMet impacts on plasma, albumin, and urinary concentrations of selenium over 48 hours on
dosing days 1 and 84.
II. To evaluate the pharmacodynamics of selenium by form (MSC vs SeMet): plasma, albumin,
and urinary Selenoprotein P (Sepp1) concentrations and glutathione peroxidase (GPx) activity
over 48 hours on dosing days 1 and 84.
III. To store plasma and formed elements (red cells plus platelets) for future analysis of
methyl selenol and other key selenium species, when those assays become available.
OUTLINE: This is a dose-escalation study. Participants are randomized to 1 of 3 treatment
arms.
ARM I: Participants receive Se-methyl-seleno-L-cysteine orally (PO) on days 1-84.
ARM II: Participants receive selenomethionine PO on days 1-84.
ARM III: Participants receive placebo PO on days 1-84.
After completion of study treatment, patients are followed up on day 112.
;
Allocation: Randomized, Endpoint Classification: Safety Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Prevention
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