Prostate Cancer Prevention Study for Men With High Grade PIN (Prostatic Intraepithelial Neoplasia)
Preneoplastic Conditions, Prostatic Intraepithelial Neoplasia
About this trial
This is an interventional prevention trial for Preneoplastic Conditions focused on measuring neoplasia, chemoprevention, cancer, premalignant, precancerous, Chemoprophylaxis, Intraepithelial Prostatic Neoplasia, Neoplasia, Prostatic Intraepithelial
Eligibility Criteria
Inclusion Criteria: Give voluntary signed informed consent in accordance with institutional policies Be male, aged ≥ 30 years Have a diagnosis of high grade PIN from any previous prostate biopsy. The diagnosis of high grade PIN must be confirmed by the central pathologist Have had a prostate biopsy in the last 6 months with a minimum of 10 cores that shows no evidence of cancer as confirmed by the central pathologist; OR, have had 2 prostate biopsies (each with a minimum of 6 cores) in the 12 months prior to screening with at least one of the biopsies occurring within 6 months prior to the screening visit. Both biopsies should have no evidence of cancer as confirmed by the central pathologist Have a serum PSA of ≤ 10 ng/mL Agree to provide tablet containers for tablet counts and to complete a daily diary of study drug intake Agree to use an effective method of contraception, if the partner is of child-bearing age, while on study and for 30 days after the last dose of study medication Have adequate bone marrow, liver and renal function: White Blood Cell (WBC) Count ≥ 3,000/mm3; Platelet Count ≥ 100,000/mm3; Bilirubin ≤ 1.5 mg/dL; AST and ALT < 2x upper limit of normal; Serum Creatinine ≤ 2.0 mg% Exclusion Criteria: Previous exposure to toremifene citrate Have evidence of prostate cancer (local, regional and/or distal metastasis) Have any history of other malignancies (Exceptions include non-melanoma skin cancer or other cancer that has no evidence of tumor reoccurrence 5 years after definitive treatment). Have active systemic viral, bacterial, or fungal infections requiring treatment Have, in the judgment of the investigator, a clinically significant concurrent illness or psychological, familial, sociological, geographical or other concomitant condition that would not permit adequate follow-up and compliance with the study protocol Concurrently being treated with other investigational agents or have participated in an investigational study within 60 days prior to screening Currently taking dutasteride. Subject is eligible if he stops dutasteride for a total washout of 90 days prior to the Screening Visit and agrees not to use dutasteride for the duration of the study. Have previously taken finasteride for greater than two years Currently taking finasteride. Subject is eligible if he stops finasteride for a total washout of 30 days prior to the Screening Visit and agrees not to use finasteride for the duration of the study. Currently taking testosterone or testosterone-like supplements, such as dehydroepiandrosterone (DHEA). Subject is eligible if he stops these agents for a total washout of 30 days prior to the Screening Visit and agrees not to use these agents for the duration of the study. Have a history of taking PC-SPES within the past two years. Currently taking herbal medicine or dietary supplements for prostate health, such as Saw Palmetto (also known as Serenoa Repens). Subject is eligible if he stops these agents for a total washout of 30 days prior to taking the first dose of study drug and agrees not to use these agents for the duration of the study. Lycopene, vitamin E and selenium are not prohibited and no washout is required. However, vitamin E intake should be limited to less than 400 i.u. per day. Have a history of thromboembolic event or disease including deep vein thrombosis, pulmonary embolus, or thrombotic stroke History of chronic hepatitis or cirrhosis
Sites / Locations
- Medical Affiliated Research Ctr.
- Coastal Clinical Research
- Hope Research Inst.
- Arkansas Urology
- San Bernardino Urological Associates Medical Group
- Western Clinical Research, Inc.
- Urology Research Options
- Urology Associates, P.C.
- The Urology Center of Colorado
- Connecticut Surgical Group
- Urological Associates of Bridgeport
- Connecticut Clinical Research
- South Florida Medical Research
- Atlantic Urological Associates
- Southwest Florida Urologic Associates
- Advanced Research Institute
- UroSearch
- Central Florida Urology Group/ UroSearch
- Florida Foundation for Healthcare Research
- Winter Park Urology Associates
- Panama City Urological Center
- Demaur Clinical Research Center
- DMI Research
- Urology Consultants
- Florida Urology Specialists
- Midtown Urology
- Georgia Urology
- Urology Enterprises
- North Fulton Urology
- St. Joseph's, Candler Health System
- Specialty Care Research
- Urology of Indiana, LLC
- Metropolitan Urology, PSC
- Kansas City Urology Care, P.C.
- Regional Urology, LLC
- Anne Arundel Urology
- Maryland Prostate Center: University of Maryland Medical Center
- Drs. Werner, Murdock, & Francis PA, Urology Associates
- Urology Center, PA
- Mid Atlantic Clinical Research
- Chesapeake Urology Research Assoc.
- Brigham & Women's Hospital, Division of Urological Surgery
- Boston Clinical Trials
- Michigan Medical, PC Urology
- Mich. Inst. of Urology
- Adult & Pediatric Urology
- St. Louis Urological Surgeons
- Metropolitan Urological Specialists
- Midwest Urology Center
- Washington University Urologic Research Ctr.
- Urology PC
- Sheldon Freeman
- Urologic Surgeons, Ltd.
- Coastal Urology Associates
- Central Jersey Clinical Research
- Hamilton Urology PA
- Delaware Valley Urology
- Delaware Valley Urology
- Urology Group of New Mexico
- The Urological Institute of Northeastern Research Department
- Metropolitan Urologic Services, P.C.
- AccuMed Research Associates
- Urological Surgeons of Long Island
- Lake Success Urological Associates
- Urology Associates, PC
- NYU Urology Associates
- University Urology Associates
- CNY Urology
- Staten Island Urological Research
- Asheboro Urology Clinic
- McKay Urology
- Wake Urology Associates
- Summa Health System, Cancer Research Office
- Tri-State Urologic Services/PSC, Inc. d/b/a The Urology Group
- Capital Urology
- Columbus Urology, Inc.
- Urology of Northern Ohio
- Southwest Urology
- Parkhurst Research Organization
- Urologic Specialists of Oklahoma Research Department
- Oregon Urology Specialists
- Urologic Associates of Allentown
- Urologic Surgery, P.C.
- Urological Associates of Lancaster, Ltd.
- The Urology Institute
- University of Pennsylvania
- Triangle Urological Group
- University of Pittsburgh, Department of Urology
- State College Urologic Associates, Inc.
- University Urological Research Institute
- Columbia Urological Associates
- Carolina Urologic Research Center
- Urology Center of the South
- Volunteer Research Group
- Southeast Urology Network
- University of Tennessee, Dept. of Urology
- Urology Associates
- Professional Quality Research
- Research Across America
- Urology San Antonio Research, PA
- Advanced Clinical Research
- Salt Lake Research
- Devine-Tidewater Urology
- Med Atlantic, Inc (Virginia Urology)
- Seattle Urological Associates
- Deaconess Medical Center
- Urologic Northwest Surgeons
- Urology Services Madigan Army Medical Center
- Centro Urologico Buenos Aires
- Hospital Italiano de Buenos Aires
- Hospital Pirovano
- Policlinico Bancario de Buenos Aires
- Sanatorio Municipal
- Servicio de Urologia
- Prostate Cancer Inst.
- Alberta Urology Inst.. Research Center
- Southern Interior Medical Research Inc.
- Dr. G. Steinhoff Clinical Research
- Allan B. Patrick, M.D. Professional corporation
- Queen Elizabeth Health Sciences Centre
- Male/Female Health and Research Centre
- Burlington Urology
- Centre for Advanced Urological Research
- Urology Assoc./Urologic Medical Research
- London Health Sciences Centre
- Mor Urology
- The Fe/Male Health Centres
- Urotec
- The Health Institute for Men
- Stanley Flax Medical Professional Corp.
- Univ. Health Network, Princess Margaret Hospital Prostate Centre
- The Male Health Centre
- Roger Buckley, MD
- Urology South Shore Research
- Les Urologues Associes du CHUM
- McGill Urology Associates
- Ultra-Med, Inc.
- G.R.U.M.
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
20 mg Toremifene Citrate
Placebo
The subject takes one dose by mouth of the 20mg Toremifine Citrate tablet once a day for the length of the trial (360 days).
The subject takes a placebo tablet identical in appearance to the toremifene 20mg tablet, administered by mouth daily for 360 days