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View Clinical Trial (Medical Research Study)

Soy Protein/Isoflavones and Venlafaxine in Treating Hot Flashes in Patients Receiving Hormone Therapy for Prostate Cancer - NCT00354432-27216 (Clinical Trial 146846)
Permalink: http://www.ClinicalConnection.com/exp/ExpandedPatientViewStudy146846.aspx



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City:  Burlington
State:  
NC
Zip Code: 27216
Conditions: Hot Flashes - Prostate Cancer
Purpose: RATIONALE: Soy protein/isoflavones and venlafaxine may help relieve hot flashes in patients receiving hormone therapy for prostate cancer. It is not yet known whether soy protein/isoflavones are more effective than venlafaxine when given together or with a placebo in treating hot flashes. PURPOSE: This randomized phase III trial is studying soy protein/isoflavones and venlafaxine to compare how well they work when given together or with a placebo in treating hot flashes in patients receiving hormone therapy for prostate cancer.
Study summary: OBJECTIVES: Primary - Assess the effect of soy protein/isoflavones and venlafaxine on the hot flash symptom severity score in patients undergoing hormonal manipulation for treatment of prostate cancer. Secondary - Assess the effect of soy protein/isoflavones and venlafaxine on quality of life of these patients. - Monitor and assess the participant drop out rate. OUTLINE: This is a randomized, double-blind, multicenter study. Patients are stratified according to severity of disease (metastatic vs nonmetastatic) and baseline severity of hot flashes. Patients are randomized to 1 of 4 treatment arms. - Arm I: Patients receive oral placebo pill and oral soy protein/isoflavones powder once daily. - Arm II: Patients receive oral venlafaxine and oral placebo powder once daily. - Arm III: Patients receive oral venlafaxine and oral soy protein/isoflavones powder once daily. - Arm IV: Patients receive oral placebo pill and oral placebo powder once daily. Treatment in all arms continues for 12 weeks in the absence of disease progression or unacceptable toxicity. After 12 weeks of treatment, patients in arms I and III receive a tapered dose of oral venlafaxine once daily for 1 week. Patients complete a vasomotor symptom diary once daily beginning 7 days before the initiation of study treatment and continuing until the completion of study treatment. Quality of life is assessed at baseline and at week 12. PROJECTED ACCRUAL: A total of 176 patients will be accrued for this study.
Criteria: DISEASE CHARACTERISTICS: - Histologically confirmed prostate cancer - Any stage disease allowed - Undergoing or underwent androgen deprivation for treatment or control of prostate cancer including any of the following: - Bilateral orchiectomy - Luteinizing hormone-releasing hormone (LHRH) agonist therapy (e.g., leuprolide, goserelin, bicalutamide, flutamide, or similar agents) with or without antiandrogen therapy - Chemotherapy - Radiotherapy (patients may undergo concurrent radiotherapy to the prostate, prostate and seminal vesicles, and/or pelvis) - Hot flash frequency ≥ 4 per day, as defined by sweating, flushing, sensation of warmth, night sweats - Patient reports overall hot flash severity as moderate to severe PATIENT CHARACTERISTICS: - Life expectancy ≥ 9 months - Bilirubin < 2 mg/dL - AST ≤ 2 times normal - Must have a telephone - No allergies to soy or dairy products - No uncontrolled hypertension (i.e., BP 160/90 mm Hg) or American Heart Association functional capacity ≥ class I - No history of mania, hypomania, bipolar disorder, or anorexia nervosa - No history of seizures - No history of intolerance to venlafaxine - No history of seizure disorder PRIOR CONCURRENT THERAPY: - See Disease Characteristics - More than 14 days since prior venlafaxine, monoamine oxidase inhibitor (MAOI), selective serotonin reuptake inhibitor (SSRI), or selective norepinephrine reuptake inhibitor (SNRI) - No concurrent chemotherapy, radiotherapy, or surgery - No concurrent estrogen, progestational agents, corticosteroids, androgens, or other medications (such as clonidine or bellamine) directed at alleviating hot flashes - No concurrent SSRIs or MAOIs - No concurrent medication to relieve hot flashes - No other concurrent antidepressant therapy
Study is available at: Alamance Cancer Center at Alamance Regional Medical Center
Burlington, NC 27216
United States

Primary Contact:
Janak K. Choksi, MD
Phone: 336-538-7737
If you are interested in this clinical trial please use the contact information above. If you would like to get additional information about this clinical trial please visit ClinicalTrials.gov.
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Data Source: ClinicalTrials.gov
Date Processed: March 15, 2010
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Clinical trials are medical research studies designed to test the safety and/or effectiveness of new drugs, devices, or treatments in humans. These studies are conducted worldwide for a range of conditions and illnesses. Learn more about clinical research and participating in a study at About Clinical Trials.


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