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Calcium With or Without Estrogen and/or Risedronate in Preventing Osteoporosis in Patients with Prostate Cancer



Calcium With or Without Estrogen and/or Risedronate in Preventing Osteoporosis in Patients with Prostate Cancer

For Condition: stage 1 prostate cancer,Osteoporosis,stage 3 prostate cancer,stage 2 prostate cancer
Status: Recruiting
Sponsor(s): North Central Cancer Treatment Group , National Cancer Institute (NCI)
Synopsis: RATIONALE: Preventing bone loss in patients who are undergoing androgen ablation for prostate cancer may decrease the risk of fractures and may help patients live more comfortably. It is not yet known whether calcium is more effective with or without estrogen and/or risedronate in preventing osteoporosis. PURPOSE: Randomizedphase III trial to compare the effectiveness of two forms of calcium with or without estrogen and/or risedronate in preventing osteoporosis in patients with prostate cancer who are receiving androgen ablation therapy.
Details: OBJECTIVES: - Compare the change in bone mineral density in patients with prostate cancer who are receiving androgen-ablation therapy treated with calcium and cholecalciferol with or without conjugated estrogens and with or without risedronate. - Compare the toxicity of these regimens in these patients. - Compare the changes in bone markers in patients treated with these regimens. - Compare the quality of life of patients treated with these regimens. - Compare hot flashes in patients treated with these regimens. OUTLINE: This is a randomized, double-blind, placebo-controlled, multicenter study. Patients are stratified according to duration of therapy with luteinizing hormone-releasing hormone agonists (no more than 30 days vs 31 to 150 days vs 151 to 365 days vs more than 365 days). Patients are randomized to 1 of 4 treatment arms. - Arm I: Patients receive oral calcium, oral cholecalciferol, oral risedronate placebo, and oral estrogen placebo daily. - Arm II: Patients receive oral calcium, oral cholecalciferol, oral risedronate, and oral estrogen placebo daily. - Arm III: Patients receive oral calcium, oral cholecalciferol, low-dose oral conjugated estrogens, and oral risedronate placebo daily. - Arm IV: Patients receive oral calcium, oral cholecalciferol, low-dose oral conjugated estrogens, and oral risedronate daily. Treatment in all arms continues for 2 years. Quality of life is assessed at baseline, monthly for 6 months, and then at 1 and 2 years. Bone mineral density is assessed at baseline, 6 months, and 1 and 2 years. PROJECTED ACCRUAL: A total of 282 patients (70 per treatment arm) will be accrued for this study within 14 months.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - History of prostate cancer - No evidence of metastatic bony disease (except elevated prostate-specific antigen [PSA]) - Meets one of the following criteria: - Currently on treatment with androgen-ablation therapy in the adjuvant setting - Rising PSA without other evidence of recurrent disease with planned treatment for at least 6 months - No known osteoporosis or prior osteoporotic fracture - Osteoporosis defined as bone density at the hip or spine of more than 2.5 standard deviations below the mean for young men PATIENT CHARACTERISTICS: Age - 18 and over Performance status - Not specified Life expectancy - Not specified Hematopoietic - Not specified Hepatic - SGOT or SGPT no greater than 1.5 times upper limit of normal (ULN) - Alkaline phosphatase normal OR no greater than 1.5 times ULN with a normal bone scan Renal - Creatinine no greater than 1.5 times ULN - No prior renal stones - No prior symptomatic hypercalcemia or hypocalcemia Cardiovascular - No active heart disease - No congestive heart failure under active treatment - No myocardial infarction within the past 5 years - No coronary artery disease (CAD) with recent myocardial infarction - Patients with a remote history of CAD who are only on medical treatment (e.g., antilipid agents) are allowed - No prior thrombosis (deep vein thrombosis, stroke, or pulmonary embolism) or other known hypercoagulable state other than cancer Other - Fertile patients must use effective contraception - Triglycerides no greater than 250 mg/dL (treatment allowed) - Able to complete questionnaire(s) by self or with assistance - Able to swallow pills - No prior hyperlipidemia (e.g., prior familial hyperlipidemia or fasting triglyceride greater than 250 mg/dL within the past 6 months) - No sarcoidosis - No parathyroid dysfunction - No intolerance to bisphosphonates PRIOR CONCURRENT THERAPY: Biologic therapy - Not specified Chemotherapy - No concurrent chemotherapy Endocrine therapy - See Disease Characteristics - No concurrent systemic steroids Radiotherapy - No concurrent radiotherapy Surgery - Not specified Other - No prior bisphosphonates - More than 5 years since prior percutaneous transluminal coronary angioplasty
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
CharlesLoprinzi,  Study Chair,  Mayo Clinic Cancer Center

CCOP - Illinois Oncology Research Association *Recruiting*
Peoria,  Illinois,  61602
United States
Recruiting John  Kugler 309-636-3605

Siouxland Hematology-Oncology *Recruiting*
Sioux City,  Iowa,  51101-1733
United States
Recruiting Donald  Wender 712-252-0088

CCOP - Carle Cancer Center *Recruiting*
Urbana,  Illinois,  61801
United States
Recruiting Kendrith  Rowland 217-383-4083

Rapid City Regional Hospital *Recruiting*
Rapid City,  South Dakota,  57709
United States
Recruiting Larry  Ebbert 605-341-8704

CCOP - Mayo Clinic Scottsdale Oncology Program *Recruiting*
Scottsdale,  Arizona,  85259-5404
United States
Recruiting Tom  Fitch 480-301-9875

CCOP - Wichita *Recruiting*
Wichita,  Kansas,  67214-3882
United States
Recruiting Shaker  Dakhil 316-268-5784

Medcenter One Health System *Recruiting*
Bismark,  North Dakota,  58501-5505
United States
Recruiting Edward  Wos 701-323-5741

Mayo Clinic *Recruiting*
Jacksonville,  Florida,  32224
United States
Recruiting Edith  Perez 904-953-0118

CCOP - Iowa Oncology Research Association *Recruiting*
Des Moines,  Iowa,  50309-1016
United States
Recruiting Roscoe  Morton 515-244-7586

Mayo Clinic Cancer Center *Recruiting*
Rochester,  Minnesota,  55905
United States
Recruiting Charles  Loprinzi 507-284-2511

CCOP - Ochsner *Recruiting*
New Orleans,  Louisiana,  70121
United States
Recruiting Carl  Kardinal 504-842-3910

CCOP - Metro-Minnesota *Recruiting*
St. Louis Park,  Minnesota,  55416
United States
Recruiting Patrick  Flynn 952-993-15175

CCOP - Missouri Valley Cancer Consortium *Recruiting*
Omaha,  Nebraska,  68106
United States
Recruiting James  Mailliard 402-280-4364

CCOP - Sioux Community Cancer Consortium *Recruiting*
Sioux Falls,  South Dakota,  57104
United States
Recruiting Loren  Tschetter 605-328-8044


Additional Information:
Study ID Numbers:
  CDR0000069502;  NCI-P02-0229,NCCTG-N01C8
Study Start Date: 
Record last reviewed: March 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00043069

Other Stage 3 Prostate Cancer Studies:
1. Radiation Therapy With or Without Antiandrogen Therapy in Treating Patients With Stage I or Stage II Prostate Cancer

2. Monoclonal Antibody Therapy in Treating Patients With Prostate Cancer

3. Hormone Therapy and Radiation Therapy in Treating Patients With Prostate Cancer

4. Radiation Therapy in Treating Patients With Stage I, Stage II, or Stage III Prostate Cancer

5. Neoadjuvant Exisulind in Treating Patients Who Are Undergoing Radical Prostatectomy for High-Risk Stage II or Stage III Prostate Cancer

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