Status:

RECRUITING

A Feasibility Study Evaluating a Role for Maintenance Therapy in Patients With Biochemically Progressive Castration Sensitive Prostate Cancer on Intermittent Androgen Deprivation Therapy

Lead Sponsor:

University of Arkansas

Conditions:

Castration Sensitive Prostate Cancer

Eligibility:

MALE

18-100 years

Phase:

PHASE1

Brief Summary

The goal of this clinical trial is to assess the feasibility of adding a combination of metformin and turmeric as part of a nutritional intervention regimen to the current standard of care, namely, in...

Detailed Description

The purpose of this research is to determine if a nutritional plan of metformin and turmeric is feasible for individuals receiving iADT for prostate cancer. Turmeric is an over-the-counter supplement ...

Eligibility Criteria

Inclusion

  • 18 years of age or older.
  • History of prior prostatectomy and/or radiation therapy to the prostate.
  • Currently have rising PSA levels ≥ 0.2 ng/ml if they have undergone radical prostatectomy, or a PSA ≥ nadir + 2 if they have received only radiotherapy. Patients who were not offered salvage radiotherapy as an alternative treatment will be considered ineligible (due to a high PSA, other medical concerns).
  • Currently have at least 2 consecutively rising serum PSA levels more than 1 week apart
  • Currently have a PSA doubling time \< 9 months obtained within 60 days of consent.
  • Eugonad with testosterone \> 150 ng/dl at time of consent.
  • Prior ADT (including iADT) for up to 24 months in association with definitive treatment is permitted if completed at least 12 months prior to consent.
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 - 1.
  • Willing to take study agents at the dose specified with meals.
  • Willing to discontinue current vitamin/mineral supplements and use only those provided by study. Herbal supplements may still be used.

Exclusion

  • Current Chronic Lymphocytic Leukemia (CLL), Monoclonal Gammopathy of Unknown Significance (MGUS), Renal Cell Carcinoma (RCC) or another cancer requiring active treatment. Indolent or stable malignancies such as non-melanoma skin cancers are allowed.
  • Any active or deteriorating liver or renal disease, Human Immunodeficiency Virus (HIV), Hepatitis B, Hepatitis C or bone marrow deficiency.
  • Any history of allergic reactions attributed to turmeric, metformin, or other compounds of similar chemical or biologic compositions.
  • History of lactic acidosis or risk factors for lactic acidosis (e.g., renal impairment, concomitant use of carbonic anhydrase inhibitors such as topiramate, hypoxic states such as acute congestive heart failure, excessive alcohol intake, and hepatic impairment).
  • Any other condition that, in the opinion of the investigator, might interfere with the safe conduct of the study.

Key Trial Info

Start Date :

April 11 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

October 1 2027

Estimated Enrollment :

30 Patients enrolled

Trial Details

Trial ID

NCT06044025

Start Date

April 11 2024

End Date

October 1 2027

Last Update

February 6 2025

Active Locations (1)

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1

University of Arkansas for Medical Sciences

Little Rock, Arkansas, United States, 72205