Prostate Cancer Clinical Trial
Effect of GTx-758 on Total and Free Testosterone Levels in Men With Prostate Cancer
Summary
The purpose of this study is to determine whether GTx 758 is effective in achieving and maintaining castrate testosterone levels in men with advanced prostate cancer.
Full Description
Prostate cancer is one of the most frequently diagnosed noncutaneous cancers among men in the US and is the second most common cause of cancer deaths. Patients with advanced prostate cancer undergo androgen deprivation therapy (ADT), by either LHRH agonists, LHRH antagonists, DES and other nonselective estrogens, or by bilateral orchiectomy. ADT by LHRH agonists, LHRH antagonists, or bilateral orchiectomy not only reduces testosterone, but also substantially lowers estrogen levels as estrogen is derived from the aromatization of testosterone. ADT-induced estrogen deficiency causes significant side effects which include hot flushes, gynecomastia, bone loss, decreases in bone quality and strength, osteoporosis and life-threatening fractures, adverse lipid changes, increase in body fat composition, and higher cardiovascular disease and myocardial infarction, and depression and other mood changes.
GTx-758 is a nonsteroidal selective ER agonist that suppresses LH secretion by the pituitary by feedback inhibition of the hypothalamic-pituitary-gonadal axis to induce castrate levels of testosterone. However, because it is a selective ER agonist, GTx-758 may maintain bone, does not induce hot flushes, avoids adverse lipid changes and body fat composition changes, and does not have the acute testosterone surge that are associated with other forms of ADT.
Eligibility Criteria
Inclusion Criteria:
be between age 45 and 80 years of age
be able to communicate effectively with study personnel
ECOG is < or = 2
screening serum total testosterone> or = 150ng/dL
have prostate cancer, confirmed by pathology report
have not been treated with androgen deprivation therapy(chemical or surgical
have a clinical indication for the initiation of androgen deprivation therapy
give written informed consent prior to any study specific procedures
subject must agree to use acceptable methods of contraception
Exclusion Criteria:
known hypersensitivity or allergy to estrogen or estrogen like drugs
a clinically significant concurrent illness or psychological, familial, sociological, geographical or other concomitant condition that would not permit adequate follow-up and compliance with the study protocol
history of abnormal blood clotting,Factor V Leiden clotting disorder, thrombotic disease
have ALT or AST above 2 times the upper normal limit
have alkaline phosphatase greater than 3 times UNL and/or bilirubin levels above 2mg/dL at baseline
patients cannot have brain or spinal cord metastases
patients cannot have or be at risk for spinal cord compression from bone metastases
received an investigational drug within a period of 90 days prior to enrollment in the study
received the study medication previously
currently taking testosterone, testosterone-like agents, or antiandrogens including 5-alpha reductase inhibitors within 4 weeks of randomization
currently taking Saw Palmetto or PC-SPES (the subject may be considered for randomization after a 4 week washout period prior to randomization)
have taken diethylstilbestrol or other estrogen products within the previous 12 months prior to randomization
have taken body building or fertility supplements within 4 weeks of admission into the study (steroids and steroid like supplements)
have a history of cancer other than prostate cancer, superficial bladder cancer (with no recurrence in the last 5 years) and/or non-melanoma carcinoma of the skin
QTcB>480 msec, If the first QTcB reading exceeds 480msec two additional ECGs are to be performed separated at least 5 min apart, then take the average of the three QTcB or readings to determine if the subject satisfies the above criteria. If the average QYcB reading is >480 msec then the subject is excluded.
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There are 36 Locations for this study
Phoenix Arizona, 85032, United States
La Mesa California, 91942, United States
Los Angeles California, 90048, United States
San Bernardino California, 92404, United States
Middlebury Connecticut, 06762, United States
Aventura Florida, 33180, United States
Daytona Beach Florida, 32114, United States
Wellington Florida, 33449, United States
Marietta Georgia, 30060, United States
Springfield Illinois, 62703, United States
Fort Wayne Indiana, 46825, United States
Indianapolis Indiana, 46260, United States
Jeffersonville Indiana, 47130, United States
Annapolis Maryland, 21401, United States
Baltimore Maryland, 21204, United States
Brick New Jersey, 08724, United States
Lawrenceville New Jersey, 08648, United States
Albuquerque New Mexico, 87109, United States
Albany New York, 12208, United States
Garden City New York, 11530, United States
New York New York, 10016, United States
Oneida New York, 13421, United States
Syracuse New York, 13210, United States
Chapel Hill North Carolina, 27514, United States
Raleigh North Carolina, 27607, United States
Cincinnati Ohio, 45212, United States
Columbus Ohio, 43220, United States
Bala-Cynwyd Pennsylvania, 19004, United States
Lancaster Pennsylvania, 17606, United States
Pittsburgh Pennsylvania, 15232, United States
Myrtle Beach South Carolina, 29572, United States
Memphis Tennessee, 38117, United States
Nashville Tennessee, 37209, United States
Arlington Texas, 76017, United States
Houston Texas, 77030, United States
San Antonio Texas, 78229, United States
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