Prostate Cancer
Conditions
Keywords
Prostate Cancer, Atkins
Brief summary
This study will test the hypothesis that a low-carbohydrate Atkins diet will prevent or at least minimize the metabolic consequences of androgen deprivation therapy (ADT).
Detailed description
Androgen deprivation therapy (ADT) is the standard treatment for advanced prostate cancer. While a very effective anti-cancer treatment, ADT is associated with significant toxicity including but not limited to major metabolic disturbances including impaired glucose tolerance, insulin resistance, and weight gain. We hypothesize that limiting carbohydrates within the diet will prevent or at least minimize these consequences.
Interventions
Patients are given an outline of the Atkins diet and are asked to follow it for 6 months
Sponsors
Study design
Eligibility
Inclusion criteria
1. Histologically confirmed adenocarcinoma of the prostate 2. Scheduled to initiate ADT with an anticipated duration of ≥ 6 months 3. Overweight or obese (body mass index ≥ 25 kg/m2)
Exclusion criteria
1. Symptomatic metastatic disease 2. Myocardial infarction within 6 months 3. Treatment with medications known to affect insulin or glucose levels (i.e. insulin, oral hypoglycemics, prednisone, etc.) 4. Patient consuming a low-carbohydrate diet 5. Medical conditions or co-morbidities that preclude participation in the protocol 6. Vegetarians
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary end-point will be differences in insulin sensitivity between the arms | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Measures will include other cardiac risk factors, overall body morphometrics, body composition as assessed by dual energy x-ray absorptiometry (DXA), and cancer control (PSA levels) | 6 months |
Countries
United States