Prostate Cancer
Conditions
Keywords
adenocarcinoma of the prostate, stage I prostate cancer, stage II prostate cancer
Brief summary
RATIONALE: Doxercalciferol may be an effective way to treat localized prostate cancer before surgery. PURPOSE: Randomized phase II trial to study the effectiveness of giving doxercalciferol before surgery in treating patients who have localized prostate cancer.
Detailed description
OBJECTIVES: * Determine whether doxercalciferol modulates intermediate endpoint biomarkers in the development of prostate cancer in patients with localized prostate cancer. * Assess the toxicity of this drug in these patients. OUTLINE: This is a randomized, open-label, multicenter study. Patients are randomized to one of 2 arms. * Arm I: Patients receive doxercalciferol once daily for 28 days. Patients then undergo prostatectomy. * Arm II: Patients undergo observation for 28 days. Patients then undergo prostatectomy. PROJECTED ACCRUAL: A total of 60 patients (30 per arm) will be accrued for this study within 18 months.
Interventions
Arm 1: Patients receive doxercalciferol once daily for 28 days. Patients then undergo prostatectomy.
Procedure: Prostatectomy for prostate cancer
Sponsors
Study design
Eligibility
Inclusion criteria
DISEASE CHARACTERISTICS: * Histologically or cytologically confirmed localized adenocarcinoma of the prostate * Candidate for prostatectomy PATIENT CHARACTERISTICS: Age: * 21 and over Performance status: * Not specified Life expectancy: * Not specified Hematopoietic: * WBC at least 4,000/mm\^3 * Platelet count at least 100,000/mm\^3 Hepatic: * Bilirubin no greater than 1.4 mg/dL * AST no greater than 3 times normal Renal: * Creatinine no greater than 2.0 mg/dL * Calcium no greater than 10.2 mg/dL * No idiopathic urinary calcium stone disease PRIOR CONCURRENT THERAPY: Biologic therapy: * Not specified Chemotherapy: * Not specified Endocrine therapy: * No prior hormonal therapy for prostate cancer * No concurrent hormonal therapy, including luteinizing hormone-releasing hormone agonists, antiandrogens, glucocorticoids, ketoconazole, finasteride, diethylstilbestrol, or progestins Radiotherapy: * No prior brachytherapy or external beam radiotherapy for prostate cancer Surgery: * See Disease Characteristics Other: * At least 7 days since prior vitamin D therapy or calcium supplements * No other concurrent vitamin D analogues or calcium supplements * No concurrent magnesium-containing antacids * No concurrent thiazide-containing diuretics * No concurrent phenytoin, phenobarbital, glutethimide, digoxin, or digitalis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intermediate endpoint biomarker modulation | 18 months |
| Toxicity | 30 months |
Countries
United States