Status:

UNKNOWN

Impact of Atorvastatin on Prostate Cancer Progression During ADT

Lead Sponsor:

Tampere University Hospital

Collaborating Sponsors:

Turku University Hospital

Central Finland Hospital District

Conditions:

Metastatic Prostate Cancer

Recurrent Prostate Cancer

Eligibility:

MALE

18+ years

Phase:

PHASE3

Brief Summary

This randomized double-blind placebo-controlled trial tests whether intervention with atorvastatin delays development of castration resistance compared to placebo during androgen deprivation therapy (...

Detailed Description

Cholesterol-lowering statin drugs have been reported to lower proliferation activity in prostate cancer, delay occurrence of castration resistance and reduce the risk of prostate cancer death. Therefo...

Eligibility Criteria

Inclusion

  • Histopathologically confirmed metastatic (radiologically confirmed bone or soft tissue metastasis or enlarged lymph nodes at minimum 15 mm in diameter beyond the pelvic lymph nodes) or recurrent (requiring treatment after curative-intent surgery or radiotherapy) adenocarcinoma of the prostate for which androgen deprivation or antiandrogen therapy (GnRH agonist/antagonist, bicalutamide/flutamide, surgical castration or enzalutamide/abiraterone monotherapy) is initiated as definitive treatment no longer than 3 months before recruitment
  • previous prostatectomy and radiation therapy allowed
  • ADT/antiandrogen therapy for neoadjuvant hormone therapy is not included
  • Willingness to participate and signing of informed consent

Exclusion

  • Statin use at the time of recruitment or within 6 months of it
  • Previous adverse effects during statin therapy
  • Familial hypercholesterolemia or very high total cholesterol (9.3 mmol/l or above)
  • Clinically significant renal insufficiency (serum creatinine above 170 µmol/l) or liver insufficiency (serum alanine aminotransferase more than 2x above the upper limit of normal range)
  • Use of drugs that may interact with statins (St John's Wort, HIV protease inhibitors, ciclosporin, macrolide antibiotics, fucidic acid, phenytoin, carbamazepine, dronedarone or oral antifungal medication).

Key Trial Info

Start Date :

August 15 2019

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2025

Estimated Enrollment :

400 Patients enrolled

Trial Details

Trial ID

NCT04026230

Start Date

August 15 2019

End Date

December 31 2025

Last Update

October 21 2022

Active Locations (10)

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Page 1 of 3 (10 locations)

1

Herlev and Gentofte Hospital

Herlev, Denmark

2

Tartu University Hospital

Tartu, Estonia

3

Helsinki University Hospital, Department of Urology

Helsinki, Finland

4

Central Finland central hospital

Jyväskylä, Finland