Prostate Cancer
Conditions
Keywords
Stellate ganglion block, hot flushes, androgen deprivation therapy, prostate cancer
Brief summary
Androgen deprivation therapy (ADT) is widely used as standard therapy in the treatment of locally advanced and metastatic prostate cancer. Hot flushes and night sweats are one of the main side-effects of ADT. There are no successful and well-tolerable treatment options available. A possible treatment for hot flushes is stellate-ganglion block (SGB), used as a means of interrupting parts of the sympathetic nervous system involved in temperature regulation. Objective of this study: To assess the short-term efficacy of stellate ganglion block on hot flush reduction versus sham procedure
Detailed description
Androgen deprivation therapy (ADT) is widely used as standard therapy in the treatment of locally advanced and metastatic prostate cancer. Hot flushes and night sweats are one of the main side-effects of ADT. There are no successful and well-tolerable treatment options available. A possible treatment for hot flushes is stellate-ganglion block (SGB), used as a means of interrupting parts of the sympathetic nervous system involved in temperature regulation. Objective of this study
Interventions
7 ml of 0.5% bupivacaine will subsequently be injected next to the stellate ganglion to produce a sympathetic block.
7 ml of 0.9 % sodium chloride will subsequently be injected next to the stellate ganglion
Sponsors
Study design
Eligibility
Inclusion criteria
* Male * Age: \>18 years * Mean daily flush frequency of 10 or more and a hot flush score of 15 or more * Treatment with ADT because of prostate cancer * Absence of any other cause of flushing
Exclusion criteria
* Use of medication that affects flushing: oestrogens, progestogens, clonidine, naloxone, paroxetine, fluoxetine, venlafaxine, gabapentin, luteinizing hormone-releasing hormone receptor antagonist * Still receiving chemotherapy of radiotherapy * Psychiatric disease * Any unstable concurrent disease * Allergic reactions against bupivacaine or contrast media.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hot flush score | 4 weeks |
Countries
Netherlands