Gynaecomastia, Prostate Cancer
Conditions
Keywords
Casodex, bicalutamide, Tamoxifen, Gynaecomastia, Prostate Cancer
Brief summary
This study looks at the relationship in the dose of nolvadex and the incidence of gynaecomastia and also Prostate Specific Antigen (PSA) inhibition when co-administered with Casodex. The aim of the study is to assess the optimal dose of nolvadex which will reduce the breast tissue adverse effects without reducing the efficacy of Casodex.
Interventions
150mg once daily
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects with adenocarcinoma of the prostate gland but with no evidence of distant metastasis. The stage of disease should be T1-T4, any N, M0 confirmed histologically or cytologically * Subjects in need of immediate hormonal therapy. * PSA equal or above 4 ng/ml
Exclusion criteria
* Presence of gynaecomastia and/or breast pain at screening visit * Any previous endocrine therapy for prostate cancer other than neoadjuvant LHRH therapy prior to primary therapy of curative intent. * Current use, or within the previous 6 months, of any medication known to have a high risk of causing gynaecomastia . * Previous mastectomy or radiation to chest wall
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| To describe the extent of gynaecomastia and breast pain by treatment group | — |
| To describe the relative change from baseline in sex hormones concentrations by treatment group | — |
| To describe the pharmacokinetics of tamoxifen, N-desmethyltamoxifen and R-bicalutamide when nolvadex is co-administered at varying doses with CASODEX 150 mg once daily | — |
| To assess the tolerance of nolvadex when co-administered at varying doses with CASODEX 150 mg once daily | — |