Prostate Cancer Clinical Trial
Official title:
Phase III Trial of Selenium for Prostate Cancer Prevention
RATIONALE: Selenium supplements may stop or delay the development of prostate cancer in
patients at high risk of prostate cancer. It is not yet known which dose of selenium may be
more effective in preventing prostate cancer.
PURPOSE: This randomized phase III trial is studying how well selenium works in preventing
prostate cancer.
OBJECTIVES:
- To determine whether selenium (Se) supplementation decreases the incidence of prostate
cancer.
- To determine whether Se supplementation inhibits the biochemical progression of
prostate cancer.
OUTLINE: This is a multicenter study. Patients are randomized to 1 of 3 treatment arms.
- Arm I: Patients receive oral placebo daily. Treatment continues for up to 57 months in
the absence of unacceptable toxicity or diagnosis of prostate cancer.
- Arm II: Patients receive 200 μg of oral selenium (Se) as high-Se Baker's yeast daily.
Treatment continues for up to 57 months in the absence of unacceptable toxicity or
diagnosis of prostate cancer.
- Arm III: Patients receive 400 μg of oral Se as high-Se baker's yeast daily. Treatment
continues for up to 57 months in the absence of unacceptable toxicity or diagnosis of
prostate cancer.
Blood samples are collected at baseline, at randomization, and then semi-annually for
laboratory and other testing. Tissue samples may also be collected for biomarker analysis.
Patients complete an initial questionnaire and urological-symptoms questionnaire at
baseline, a follow-up questionnaire after randomization (to capture new illness,
medications, and toxicity symptoms during the 30-day run-in period; a urological-symptoms
questionnaire; a food-frequency questionnaire; and a mood questionnaire). Patients then
undergo questionnaires semi-annually, including vital status, tablet compliance, nutrition,
mood, new illnesses or medications, and any incidence of cancer or family history of
cancer).
;
Allocation: Randomized, Masking: Double-Blind, Primary Purpose: Prevention
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