High-Dose Vitamin D Supplementation for ADT-Induced Bone Loss in Older Prostate Cancer Patients
Status
RECRUITING
Phase
PHASE3
Age
≥ 60 Years
Enrollments
366Conditions
Stage I Prostate Cancer AJCC v8, Stage II Prostate Cancer AJCC v8, Stage III Prostate Cancer AJCC v8, Stage IVA Prostate Cancer AJCC v8Drugs
Placebo AdministrationSummary
This phase III trial tests whether high-dose vitamin D works in treating androgen-deprivation therapy (ADT)-induced bone loss in patients with prostate cancer who are undergoing androgen-deprivation therapy. Vitamins are substances that the body needs to grow and develop normally. Vitamin D helps the body absorb calcium. Calcium is one of the main building blocks of bone. A lack of vitamin D can lead to bone diseases such as osteoporosis or rickets. This trial may help researcher determine if high-dose vitamin D helps keep bones strong, lowers number of falls, and lessens fatigue in men getting androgen-deprivation therapy.
Detailed Description
PRIMARY OBJECTIVES:
I. To evaluate the effect of high-dose vitamin D (HDVD) supplementation in prostate cancer patients on ADT-induced bone mineral density loss in the total hip over 52 weeks as measured by dual-energy x-ray absorptiometry (DXA).
II. To evaluate the effect of HDVD supplementation in prostate cancer patients on ADT-induced bone mineral density loss in the femoral neck, distal radius, and lumbar spine (L1-L4) over 52 weeks as measured by DXA.
SECONDARY OBJECTIVES:
I. To evaluate the effect of HDVD supplementation on falls over 52 weeks as measured by the Falls History questionnaire.
II. To evaluate the effect of HDVD supplementation on fractures over 52 weeks as determined by the Clinical Record Information – Follow-up Form.
III. To evaluate the effect of HDVD supplementation on quality of life over 52 weeks as measured by the Functional Assessment of Cancer Therapy- Prostate (FACT-P).
EXPLORATORY OBJECTIVES:
I. To explore the effect of HDVD supplementation on skeletal muscle mass as measured by DXA.
II. To explore the effect of HDVD supplementation on bone biomarkers measured by Millipore Luminex/enzyme-linked immunosorbent assay (ELISA) assays from serum.
III. To evaluate the effect of HDVD supplementation on pain, fatigue, sleep, and activities of daily living over 52 weeks as measured by patient-reported outcomes.
OUTLINE: After undergoing collection of blood and DXA scan, patents are randomized to 1 of 2 arms.
ARM I: Patients receive HDVD orally (PO) throughout the study. Patients also undergo collection of blood and DXA scan on study.
ARM II: Patients receive placebo PO throughout the study. Patients also undergo collection of blood and DXA scan on study.
Locations
1 location Found with status Recruiting
Status
- RECRUITING
Contact Person
- Eileen Mederos
- 504-842-3000
- [email protected]
Principal Investigator
- Luke J Peppone
Eligibility Criteria
Inclusion Criteria:
* Be diagnosed with Stage I-IV prostate cancer without metastases to bone (lymph node involvement and prior diagnosis of a primary cancer is allowed)
* Be age 60 years or older
* Be starting ADT or have received their first ADT treatment in the past 3 months, with at least 6 planned months of treatment remaining (both luteinizing hormone-releasing hormone (LHRH) antagonists and LHRH agonists are permitted)
* Have a total serum vitamin D between 10 and 27 ng/ml
* Have an total serum calcium of less than or equal to 10.5 mg/dl
* Have a normal GFR (glomerular filtration rate)
* Agree not to take calcium and/or vitamin D supplements for the duration of the intervention other than those provided by the study
* Be able to provide written informed consent
* Be able to swallow pills and capsules
* Be able to speak and read English
Exclusion Criteria:
* Have long term (greater than 3 months) use of any pharmacologic bone-modifying agent including but not limited to oral or IV bisphosphonates, denosumab, or teriparatide prior to enrollment
* Have a diagnosis of stage IV chronic kidney disease
* Have a diagnosis of grade II or greater hypercalcemia (serum calcium greater than 10.5 mg/dl)
* Have a history of hypercalcemia or vitamin D toxicity/sensitivity
Study Plan
Arm I (HDVD)
EXPERIMENTAL
Patients receive HDVD PO throughout the study. Patients also undergo collection of blood and DXA scan on study.
PROCEDURE:
Biospecimen CollectionDescription:
Undergo collection of bloodDIETARY_SUPPLEMENT:
D VitaminDescription:
Given POPROCEDURE:
Dual X-ray AbsorptiometryDescription:
Undergo DXA scanOTHER:
Quality-of-Life AssessmentDescription:
Ancillary studiesOTHER:
Questionnaire AdministrationDescription:
Ancillary studies
Arm II (placebo, DXA scan, blood collection, questionnaire)
PLACEBO_COMPARATOR
Patients receive placebo PO throughout the study. Patients also undergo collection of blood and DXA scan on study.
PROCEDURE:
Biospecimen CollectionDescription:
Undergo collection of bloodPROCEDURE:
Dual X-ray AbsorptiometryDescription:
Undergo DXA scanDRUG:
Placebo AdministrationDescription:
Given POOTHER:
Quality-of-Life AssessmentDescription:
Ancillary studiesOTHER:
Questionnaire AdministrationDescription:
Ancillary studies
Outcome Measures
Primary Outcome Measures
Reduction of bone mineral density (BMD) loss as measured at the total hip
Reduction of BMD loss as measured at the lumbar spine
Timeline
Last Updated
January 18, 2024Start Date
May 1, 2023Today
January 16, 2025Completion Date ( Estimated )
May 31, 2027
Sponsors of this trial
Lead Sponsor
University of Rochester NCORP Research BaseCollaborating Sponsors
National Cancer Institute (NCI)
RECRUITING 
21 - 64 Years