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Calcitriol in Treating Patients With a Rising PSA Level Following Treatment for Prostate Cancer
This study is ongoing, but not recruiting participants.
First Received: December 10, 1999   Last Updated: April 4, 2009   History of Changes
Sponsored by: Oregon Health and Science University
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00004043
  Purpose

RATIONALE: Calcitriol, a form of vitamin D, may be able to prevent or slow the growth of prostate cancer cells.

PURPOSE: Phase II trial to study the effectiveness of calcitriol in treating patients who have a rising PSA level following previous treatment for prostate cancer.


Condition Intervention Phase
Prostate Cancer
Dietary Supplement: calcitriol
Phase II

MedlinePlus related topics: Cancer Prostate Cancer
Drug Information available for: Calcitriol
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Open Label
Official Title: Phase II Study of Pulse Calcitriol in Patients With Rising PSA After Definitive Treatment for Prostate Cancer

Further study details as provided by National Cancer Institute (NCI):

Estimated Enrollment: 25
Study Start Date: February 1999
Detailed Description:

OBJECTIVES: I. Determine the response to pulse calcitriol in patients with previously treated adenocarcinoma of the prostate with rising PSA levels. II.

Assess the impact of this regimen on the slope of the PSA rise in these patients. III. Determine the qualitative and quantitative toxic effects of this regimen in these patients. IV. Assess the impact of this regimen on the quality of life of these patients.

OUTLINE: All patients remain on a reduced calcium diet for the duration of the study. Twelve hours prior to treatment, patients begin drinking 4-6 glasses of extra fluid for 3 days. Patients receive oral calcitriol over 4 hours weekly. Treatment continues in the absence of disease progression or unacceptable toxicity. Quality of life is assessed at baseline, every 4 weeks during treatment, and at the end of the study. Patients are followed for at least 1 month.

PROJECTED ACCRUAL: A total of 15-25 patients will be accrued for this study.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS: Histologically or cytologically proven adenocarcinoma of the prostate previously treated with prostatectomy or definitive radiotherapy Rising PSA after post definitive therapy nadir on at least 3 measurements at least 2 weeks apart PSA at least 0.4 ng/mL for prostatectomy patients PSA at least 1.0 ng/mL for radiotherapy patients

PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG 0-2 Life expectancy: Greater than 2 months Hematopoietic: Not specified Hepatic: Not specified Renal: Phosphate no greater than 4.2 mg/dL Creatinine no greater than 1.3 mg/dL Calcium no greater than 10.5 mg/dL No history of hypercalcemia Cardiovascular: No significant heart disease No myocardial infarction within past 3 months No history of heart failure Cardiac ejection fraction at least 30% Other: No other significant active medical illness that would preclude compliance Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: No prior systemic chemotherapy for metastatic prostate cancer (except neoadjuvant treatment for localized prostate cancer) Endocrine therapy: No prior systemic hormonal therapy for prostate cancer (except neoadjuvant treatment for localized prostate cancer) Radiotherapy: See Disease Characteristics Surgery: See Disease Characteristics Other: No other concurrent systemic therapy for metastatic prostate cancer At least 30 days since other prior investigational drugs No concurrent digoxin At least 7 days since prior thiazide diuretic therapy No concurrent magnesium containing antacids, bile resin binding drugs, or calcium supplements

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00004043

Locations
United States, Oregon
Oregon Cancer Center at Oregon Health Sciences University
Portland, Oregon, United States, 97201-3098
Sponsors and Collaborators
Oregon Health and Science University
Investigators
Study Chair: William D. Henner, MD, PhD Oregon Health and Science University
  More Information

Additional Information:
Publications:
Lowe BA, Henner WD, Lemmon DD, et al.: Long term administration of high dose weekly oral calcitriol in patients with a rising PSA after definitive treatment for prostate cancer (PC): a phase II study. [Abstract] Proceedings of the American Society of Clinical Oncology 21: A-2446, 2002.

Study ID Numbers: CDR0000067041, OHSU-5231, OCC-HOR-98068-L, NCI-V99-1542
Study First Received: December 10, 1999
Last Updated: April 4, 2009
ClinicalTrials.gov Identifier: NCT00004043     History of Changes
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
adenocarcinoma of the prostate
recurrent prostate cancer

Study placed in the following topic categories:
Genital Neoplasms, Male
Prostatic Diseases
Urogenital Neoplasms
Trace Elements
Bone Density Conservation Agents
Cardiovascular Agents
Genital Diseases, Male
Recurrence
Calcitriol
Calcium, Dietary
Vitamins
Vasoconstrictor Agents
Micronutrients
Adenocarcinoma
Prostatic Neoplasms

Additional relevant MeSH terms:
Molecular Mechanisms of Pharmacological Action
Genital Neoplasms, Male
Prostatic Diseases
Growth Substances
Calcium Channel Agonists
Physiological Effects of Drugs
Bone Density Conservation Agents
Urogenital Neoplasms
Cardiovascular Agents
Genital Diseases, Male
Pharmacologic Actions
Calcitriol
Membrane Transport Modulators
Neoplasms
Neoplasms by Site
Therapeutic Uses
Vitamins
Vasoconstrictor Agents
Micronutrients
Prostatic Neoplasms

ClinicalTrials.gov processed this record on May 07, 2009