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NCT05838716PHASE3Recruiting

Vitamin D for Prostate Endocrine Therapy

University of Rochester

Start Date

12/14/2023

Completion Date

4/29/2029

Summary

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 researchers 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 OBJECTIVE: I. 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, patients are randomized to 1 of 2 arms. ARM I: Patients receive HDVD orally (PO) once a week (QW) for 52 weeks. Patients also undergo collection of blood and DXA scan on study. ARM II: Patients receive placebo PO QW for 52 weeks. Patients also undergo collection of blood and DXA scan on study.

Eligibility Criteria

Age Range: 50 years to No maximum

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 50 years or older * Be starting ADT or have received their first ADT treatment in the past 6 months, with a total of at least 6 planned months of treatment (both luteinizing hormone-releasing hormone \[LHRH\] antagonists and LHRH agonists are permitted) * Have a total serum vitamin D between 10 and 32 ng/ml * Have a total serum calcium of less than or equal to 10.5 mg/dl * Have a normal GFR (glomerular filtration rate \> 30ml) * 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 intravenous (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 11.5 mg/dl) * Have a history of hypercalcemia or vitamin D toxicity/sensitivity

Interventions

PROCEDURE

Biospecimen Collection

DIETARY_SUPPLEMENT

D Vitamin

PROCEDURE

Dual X-ray Absorptiometry

DRUG

Placebo Administration

OTHER

Quality-of-Life Assessment

OTHER

Questionnaire Administration

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Conditions

Stage I Prostate Cancer AJCC v8Stage II Prostate Cancer AJCC v8Stage III Prostate Cancer AJCC v8Stage IVA Prostate Cancer AJCC v8

Locations

Helen F Graham Cancer Center

Newark, Delaware 19713

United States

Medical Oncology Hematology Consultants PA

Newark, Delaware 19713

United States

Carle at The Riverfront

Danville, Illinois 61832

United States

Cancer Care Specialists of Illinois - Decatur

Decatur, Illinois 62526

United States

Carle Physician Group-Effingham

Effingham, Illinois 62401

United States

Carle Physician Group-Mattoon/Charleston

Mattoon, Illinois 61938

United States

Cancer Care Center of O'Fallon

O'Fallon, Illinois 62269

United States

Carle Cancer Center

Urbana, Illinois 61801

United States

University of Kansas Cancer Center

Kansas City, Kansas 66160

United States

University of Kansas Cancer Center-Overland Park

Overland Park, Kansas 66210

United States

University of Kansas Health System Saint Francis Campus

Topeka, Kansas 66606

United States

University of Kansas Hospital-Westwood Cancer Center

Westwood, Kansas 66205

United States

Louisiana State University Health Science Center

New Orleans, Louisiana 70112

United States

University Medical Center New Orleans

New Orleans, Louisiana 70112

United States

Ochsner Medical Center Jefferson

New Orleans, Louisiana 70121

United States

Mercy Hospital

Coon Rapids, Minnesota 55433

United States

Minnesota Oncology Hematology PA-Maplewood

Maplewood, Minnesota 55109

United States

Saint John's Hospital - Healtheast

Maplewood, Minnesota 55109

United States

Park Nicollet Clinic - Saint Louis Park

Saint Louis Park, Minnesota 55416

United States

Regions Hospital

Saint Paul, Minnesota 55101

United States

Ridgeview Medical Center

Waconia, Minnesota 55387

United States

University of Kansas Cancer Center - North

Kansas City, Missouri 64154

United States

University of Kansas Cancer Center - Lee's Summit

Lee's Summit, Missouri 64064

United States

Mercy Hospital Saint Louis

St Louis, Missouri 63141

United States

OptumCare Cancer Care at Charleston

Las Vegas, Nevada 89102

United States

CarolinaEast Medical Center

New Bern, North Carolina 28561

United States

Nash UNC HealthCare

Rocky Mount, North Carolina 27804

United States

Adena Regional Medical Center

Chillicothe, Ohio 45601

United States

Geisinger Cancer Center Dickson City

Dickson City, Pennsylvania 18519

United States

Community Medical Center

Scranton, Pennsylvania 18510

United States

Geisinger Wyoming Valley/Henry Cancer Center

Wilkes-Barre, Pennsylvania 18711

United States

Gibbs Cancer Center-Gaffney

Gaffney, South Carolina 29341

United States

Saint Francis Hospital

Greenville, South Carolina 29601

United States

Saint Francis Cancer Center

Greenville, South Carolina 29607

United States

Gibbs Cancer Center-Pelham

Greer, South Carolina 29651

United States

Spartanburg Medical Center

Spartanburg, South Carolina 29303

United States

SMC Center for Hematology Oncology Union

Union, South Carolina 29379

United States

Regional Cancer Center at Johnson City Medical Center

Johnson City, Tennessee 37604

United States

Ballad Health Cancer Care - Kingsport

Kingsport, Tennessee 37660

United States

Ballad Health Cancer Care - Bristol

Bristol, Virginia 24201

United States

Bon Secours Memorial Regional Medical Center

Mechanicsville, Virginia 23116

United States

Bon Secours Saint Francis Medical Center

Midlothian, Virginia 23114

United States

Bon Secours Saint Mary's Hospital

Richmond, Virginia 23226

United States

Bon Secours Cancer Institute at Reynolds Crossing

Richmond, Virginia 23230

United States

VCU Massey Cancer Center at Stony Point

Richmond, Virginia 23235

United States

VCU Massey Comprehensive Cancer Center

Richmond, Virginia 23298

United States

Carilion Roanoke Memorial Hospital

Roanoke, Virginia 24033

United States

Saint Vincent Hospital Cancer Center Green Bay

Green Bay, Wisconsin 54301

United States

Saint Vincent Hospital Cancer Center at Saint Mary's

Green Bay, Wisconsin 54303

United States

Gundersen Lutheran Medical Center

La Crosse, Wisconsin 54601

United States

Saint Vincent Hospital Cancer Center at Sturgeon Bay

Sturgeon Bay, Wisconsin 54235-1495

United States