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Two Doses of Conjugated Estrogen (Premarin) in Patients With Androgen-Independent Prostate Cancer
This study is ongoing, but not recruiting participants.
Study NCT00134654   Information provided by Dana-Farber Cancer Institute
First Received: August 24, 2005   Last Updated: October 30, 2009   History of Changes

August 24, 2005
October 30, 2009
March 2003
July 2005   (final data collection date for primary outcome measure)
To evaluate the efficacy of two different doses of Premarin in the treatment of patients with androgen-independent prostate cancer [ Time Frame: TBD ] [ Designated as safety issue: No ]
To evaluate the efficacy of two different doses of Premarin in the treatment of patients with androgen-independent prostate cancer.
Complete list of historical versions of study NCT00134654 on ClinicalTrials.gov Archive Site
To evaluate the safety of Premarin in this patient population [ Time Frame: 2 years ] [ Designated as safety issue: Yes ]
To evaluate the safety of Premarin in this patient population.
 
Two Doses of Conjugated Estrogen (Premarin) in Patients With Androgen-Independent Prostate Cancer
A Phase II Trial of Two Doses of Conjugated Estrogens (Premarin) in Patients With Androgen-Independent Prostate Cancer

The purpose of this study is to see if Premarin is useful against androgen-independent prostate cancer and to help understand how drugs such as Premarin may work.

Patients will be randomly assigned to one of two study groups (arm A or Arm B). Arm A will receive 1.25mg of Premarin once daily and arm B will receive 1.25mg of Premarin three times a day. Patients will also receive coumadin daily to help prevent thromboembolic disease.

After reviewing the first 30 patients on Arm A, it was determined that arm A (low dose Premarin) was not effective. Arm A was then closed and patients on Arm A were given the choice to switch to Arm B.

Treatment will continue until there is evidence of disease progression or unacceptable side effects.

Every 4 weeks while receiving Premarin, a physical exam and blood work will be performed. Every 12 weeks a CT scan of the abdomen and pelvis and a bone scan will be performed.

Patients will also be encouraged to undergo standard preventative breast irradiation prior to starting Premarin or up to 4 weeks after starting treatment.

Phase II
Interventional
Treatment, Randomized, Open Label, Dose Comparison, Parallel Assignment, Safety/Efficacy Study
Prostate Cancer
Drug: Premarin
  • Active Comparator: Premarin once a day
  • Active Comparator: Premarin 3 times a day
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Active, not recruiting
48
April 2010
July 2005   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Documented histologic evidence of prostate cancer.
  • Progressive androgen-independent prostate cancer as defined by the Prostate-Specific Antigen (PSA) Working Group after conventional androgen deprivation and antiandrogen withdrawal.
  • PSA > 2ng/ml and serum testosterone of < 50ng/ml
  • No history of thromboembolic disease within the prior year
  • ECOG performance status of 0-2
  • Creatinine < 2 x upper limit of normal
  • Bilirubin < 2 x upper limit of normal
  • AST < 2 x upper limit of normal

Exclusion Criteria:

  • Unstable angina or change in anginal symptoms within the past 6 months.
  • Prior therapy with estrogens or PC-SPECS.
  • Concurrent megestrol acetate or steroid hormones
  • Major surgery or radiation therapy within 4 weeks
  • Strontium-89 or samarium-153 therapy within 8 weeks
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00134654
William Oh, MD, Dana-Farber Cancer Institute
02-306
Dana-Farber Cancer Institute
  • Beth Israel Deaconess Medical Center
  • Massachusetts General Hospital
  • Faulkner Hospital
  • Lowell General Hospital
  • South Shore Hospital
  • Emerson Hospital
  • Saint Anne's Hospital
Principal Investigator: William Oh, MD Dana-Farber Cancer Institute
Dana-Farber Cancer Institute
October 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP