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Phase 3 N=619 Randomized Triple-blind Prevention

S9917, Selenium in Preventing Cancer in Patients With Neoplasia of the Prostate

Precancerous/Nonmalignant Condition · Prostate Cancer

Enrolled (actual)
619
Serious AEs
3.2%
Results posted
Feb 2013
Primary outcome: Primary: Presence of Carcinoma of the Prostate as Measured by Biopsy — 48; 49 participants — p=0.73

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
L-selenomethionine (Drug); L-selenomethionine placebo (Drug)
Age
Adult, Older Adult · 40+ yrs
Sex
Male
Sponsor
SWOG Cancer Research Network
Primary completion
Nov 2011

Outcome Measures

OutcomeResultp-value
PRIMARY
Presence of Carcinoma of the Prostate as Measured by Biopsy
48; 49 0.73
SECONDARY
Number of Patients With Grade 3 Through Grade 5 Adverse Events That Are Related to Study Drug
0; 1; 0; 1; 1; 0

Summary

RATIONALE: Chemoprevention therapy is the use of certain drugs to try to prevent the development of cancer. The use of selenium may be an effective way to prevent prostate cancer in patients who have neoplasia of the prostate. PURPOSE: Randomized phase III trial to study the effectiveness of selenium in preventing prostate cancer in patients who have neoplasia of the prostate.

Eligibility Criteria

DISEASE CHARACTERISTICS:

  • Diagnosis of high-grade prostatic intraepithelial neoplasia with no evidence of cancer
  • Documented by a digital rectal exam and biopsy of the prostate with transrectal ultrasound guidance (required if fewer than 6 cores obtained in biopsy) meeting one of the following conditions:
  • Biopsy yielded fewer than 10 cores within the past 24 months OR yielded more than 10 cores 6-24 months before study
  • Biopsy yielded 10 or more cores within the past 6 months
  • PSA ≤ 10 ng/mL (≤ 5 ng/mL for patients who have received finasteride or other androgen suppressor within the past 2 months)
  • American Urological Association symptom score of less than 20

PATIENT CHARACTERISTICS:

Age:

  • 40 and over

Performance status:

  • SWOG 0-1

Life expectancy:

  • Not specified

Hematopoietic:

  • Not specified

Hepatic:

  • Not specified

Renal:

  • Not specified

Other:

  • No malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer or adequately treated stage I or II cancer that is in complete remission

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • Not specified

Chemotherapy

  • Not specified

Endocrine therapy

  • See Disease Characteristics
  • No concurrent finasteride or any other androgen suppressor

Radiotherapy

  • Not specified

Surgery

  • Not specified

Other

  • At least 30 days since prior daily dietary supplements containing 50 micrograms or more of selenium
  • No concurrent daily dietary supplements containing more than 50 micrograms of selenium
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00030901). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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