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| ID | Type | Description | Link |
|---|---|---|---|
| NCI-2011-01676 | Registry Identifier | CTRP (Clinical Trial Reporting Program) |
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| Name | Class |
|---|---|
| Hunter Holmes Mcguire Veteran Affairs Medical Center | FED |
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Lovastatin may protect against late effects of radiation therapy in patients with prostate cancer
Oral lovastatin will be given at the dose of 20 mg/day with evening meal beginning on the first day of external beam radiation therapy (external beam alone or external beam followed by brachytherapy) or on the first day of brachytherapy (brachytherapy alone or brachytherapy followed by external beam radiotherapy) and continue for 12 months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lovastatin for 1 yr | Experimental | Lovastatin (20-80 mg/d) was started on day 1 of radiation and continued for 12 months. Patients were followed for an additional 12 months. Lovastatin once per day for 1 year. After the implant, they are asked to return for checkups (study visits 4-13) 4 weeks, 8 weeks, 4 months, 6 months, 9 months, 12 months, 15 months, 18 months, 21 months and 24 months after the procedure. At 8 weeks, 4 months, 6 months, 9 months and 12 months, will also have a blood test to check their liver. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| lovastatin | Drug | The HMG-coA reductase inhibitor used in this study will be lovastatin. Dosage: 20 mg/d PO with evening meal. Patients on a higher dose of lovastatin at the time of study entry may continue at that dose level; for patients switching to lovastatin, the dose will be at the discretion of the prescribing physician, but must be at least 20 mg/day.Schedule: begin on the first day of external beam radiation therapy (external beam alone or external beam followed by brachytherapy) or on the day of brachytherapy (brachytherapy alone or brachytherapy followed by external beam radiotherapy) and continue for 12 months. Patients or their third party payers will be expected to cover the cost of the drug. |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With Physician Reported Rectal Toxicity ≥ Grade 2 During the First 2 Years of Radiation Treatment | The primary endpoint of this study was percentage of participants with physician reported rectal toxicity ≥Grade 2 during the first 2 years after treatment. A one sided test will be conducted in order to evaluate reduction of risk from adding Lovastatin. The analysis is using a one-stage design, 5% level of significance, and 83% power. | 24 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mitchell S. Anscher, MD | Massey Cancer Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hunter Holmes McGuire Veterans Administration Medical Center | Richmond | Virginia | 23249 | United States | ||
Enrollment period was between April 12, 2007 and May 30, 2013. During that time 73 consecutive subjects enrolled in the study, 72 started treatment. A total of 20 subjects were ineligible for analysis because they did not reach 6 months of Lovastatin treatment, resulting in a total of 53 evaluable subjects.
Recruitment period was between between 2007 to 2013 at Virginia Commonwealth University, Stony Point, Hanover Medical Center, Southside Regional Medical Center, and Hunter Holmes McGuire Veterans Affairs Medical Center (VAMC).
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| ID | Title | Description |
|---|---|---|
| FG000 | Supportive Care (Lovastatin) | Subjects took Lovastatin on the first day of radiation (either EBRT,external beam radiotherapy, or on the day of brachytherapy) and continued for 12 months. 73 subjects enrolled in the study, 72 started treatment, 20 subjects were ineligible for analysis, and a total of 53 evaluable subjects. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Pre-treatment |
|
| ||||||||||||||||||
| Treatment (Lovastatin) |
|
Between April 12, 2007 and May 30, 2013, 73 consecutive patients enrolled in the study. A total of 20 patients did not complete at least 6 months of Lovastatin treatment and were deemed ineligible for the purpose of assessing late rectal toxicity and additional patients were enrolled in order to achieve the accrual goal of 53 evaluable patients.
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| ID | Title | Description |
|---|---|---|
| BG000 | Supportive Care (Lovastatin) (Evaluable) | The 53 subjects started Lovastatin treatment on the first day of radiation (either EBRT,external beam radiotherapy, or on the day of brachytherapy) and continued up to 12 months. The subjects were considered evaluable for analysis because they completed 6 months of Lovastatin. |
| BG001 |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Median |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Percentage of Participants With Physician Reported Rectal Toxicity ≥ Grade 2 During the First 2 Years of Radiation Treatment | The primary endpoint of this study was percentage of participants with physician reported rectal toxicity ≥Grade 2 during the first 2 years after treatment. A one sided test will be conducted in order to evaluate reduction of risk from adding Lovastatin. The analysis is using a one-stage design, 5% level of significance, and 83% power. | The primary endpoint of the study was percentage of participants with physician reported rectal toxicity ≥Grade 2 during the first 2 years after treatment. Only the highest-grade toxicity for each symptom was counted. Symptoms starting in the acute period and unresolved beyond 90 days post treatment are considered late toxicity. | Posted | Number | percentage of participants | 24 months |
|
2 years
Systematic Assessments includes medical history, physical exam, Karnofsky Performance Status (KPS), International Index of Erectile Function (IIEF), The Expanded Prostate Cancer Index Composite (EPIC), Common Terminology Criteria for Adverse Events Version 3 (CTCAE), and blood samples (e.g. Lipid profile, CK, CPC, Hepatic panel).
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Supportive Care (Lovastatin) | Subjects who started treatment on Lovastatin on the first day of radiation therapy (external beam radiation therapy (EBRT) alone, brachytherapy alone, or EBRT followed by brachytherapy). 73 subjects enrolled in the study, 72 started Lovastatin treatment, 20 subjects were ineligible for analysis, and a total of 53 subjects evaluable for analysis. 72 subjects started treatment and were at risk for Adverse Events (AEs) and Serious Adverse Events(SAEs). |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Hemoglobin | Blood and lymphatic system disorders | CTCAE v3.0 | Systematic Assessment | Blood/Bone Marrow |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Hot flashes/flushes | Endocrine disorders | CTCAE v3.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Mitchell S. Anscher, M.D. Professor and chairman | Virginia Commonwealth University/Massey Cancer Center | 804-828-7238 | mitchell.anscher@vcuhealth.org |
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| ID | Term |
|---|---|
| D011471 | Prostatic Neoplasms |
| ID | Term |
|---|---|
| D005834 | Genital Neoplasms, Male |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D008148 | Lovastatin |
| ID | Term |
|---|---|
| D009281 | Naphthalenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
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|
|
| Massey Cancer Center/Virginia Commonwealth University |
| Richmond |
| Virginia |
| 23298 |
| United States |
| Southside Regional Medical Center | Richmond | Virginia | 23805 | United States |
| NOT COMPLETED |
|
|
| Supportive Care (Lovastatin) (Ineligible) |
The 20 subjects started Lovastatin on the first day of radiation (either EBRT,external beam radiotherapy, or on the day of brachytherapy). The subjects were ineligible because they did not complete 6 months of Lovastatin. |
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
The 53 subjects started Lovastatin treatment on the first day of radiation (either EBRT,external beam radiotherapy, or on the day of brachytherapy) and continued up to 12 months. The subjects were considered evaluable for analysis because they completed 6 months of Lovastatin.
|
|
|
| 8 |
| 72 |
| 70 |
| 72 |
|
| Cardiac General | Cardiac disorders | CTCAE v3.0 | Systematic Assessment |
|
| Gastrointestinal/Proctitis | Gastrointestinal disorders | CTCAE v3.0 | Systematic Assessment |
|
| Hemorrhage/Bleeding | Gastrointestinal disorders | CTCAE v3.0 | Systematic Assessment | Colon |
|
| Hemorrhage/Bleeding | Gastrointestinal disorders | CTCAE v3.0 | Systematic Assessment | Lower GI NOS |
|
| Hemorrhage/Bleeding | Gastrointestinal disorders | CTCAE v3.0 | Systematic Assessment | GI - Rectum |
|
| Hepatobiliary/Pancreas | Gastrointestinal disorders | CTCAE v3.0 | Systematic Assessment | Pancreatitis |
|
| Pain | General disorders | CTCAE v3.0 | Systematic Assessment | Chest/thorax Not Otherwise Specified (NOS) |
|
| Constipation | Gastrointestinal disorders | CTCAE v3.0 | Systematic Assessment |
|
| Diarrhea | Gastrointestinal disorders | CTCAE v3.0 | Systematic Assessment |
|
| Flatulence | Gastrointestinal disorders | CTCAE v3.0 | Systematic Assessment |
|
| Hemorrhage, GI - Anus | Gastrointestinal disorders | CTCAE v3.0 | Systematic Assessment |
|
| Hemorrhage, GI - Lower GI NOS | Gastrointestinal disorders | CTCAE v3.0 | Systematic Assessment |
|
| Hemorrhage, GI - Rectum | Gastrointestinal disorders | CTCAE v3.0 | Systematic Assessment |
|
| Hemorrhoids | Gastrointestinal disorders | CTCAE v3.0 | Systematic Assessment |
|
| Incontinence, anal | Gastrointestinal disorders | CTCAE v3.0 | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | CTCAE v3.0 | Systematic Assessment |
|
| Pain - Abdomen NOS | Gastrointestinal disorders | CTCAE v3.0 | Systematic Assessment |
|
| Proctitis | Gastrointestinal disorders | CTCAE v3.0 | Systematic Assessment |
|
| Fatigue (asthenia, lethargy, malaise) | General disorders | CTCAE v3.0 | Systematic Assessment |
|
| Pain - Back | Musculoskeletal and connective tissue disorders | CTCAE v3.0 | Systematic Assessment |
|
| Pain - Extremity-limb | Musculoskeletal and connective tissue disorders | CTCAE v3.0 | Systematic Assessment |
|
| Bladder spasms | Renal and urinary disorders | CTCAE v3.0 | Systematic Assessment |
|
| Cystitis | Renal and urinary disorders | CTCAE v3.0 | Systematic Assessment |
|
| Hemorrhage, GU - Urinary NOS | Renal and urinary disorders | CTCAE v3.0 | Systematic Assessment |
|
| Incontinence, urinary | Renal and urinary disorders | CTCAE v3.0 | Systematic Assessment |
|
| Dysuria | Renal and urinary disorders | CTCAE v3.0 | Systematic Assessment |
|
| Stricture/stenosis (including anastomotic), GU - Prostate | Renal and urinary disorders | CTCAE v3.0 | Systematic Assessment |
|
| Urinary frequency/urgency | Renal and urinary disorders | CTCAE v3.0 | Systematic Assessment |
|
| Urinary retention (including neurogenic bladder) | Renal and urinary disorders | CTCAE v3.0 | Systematic Assessment |
|
| Erectile dysfunction | Reproductive system and breast disorders | CTCAE v3.0 | Systematic Assessment |
|
| Pain - Penis | Reproductive system and breast disorders | CTCAE v3.0 | Systematic Assessment |
|
| Pain - Urethra | Reproductive system and breast disorders | CTCAE v3.0 | Systematic Assessment |
|
| Nocturia | Renal and urinary disorders | CTCAE v3.0 | Systematic Assessment |
|
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| D005832 |
| Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D011469 | Prostatic Diseases |
| D052801 | Male Urogenital Diseases |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D011083 | Polycyclic Compounds |