High-dose vitamin D for bone health in older prostate cancer patients on hormone therapy
High-dose Vitamin D Supplementation for ADT-Induced Bone Loss in Older Prostate Cancer Patients
This study is testing if high-dose vitamin D can help older prostate cancer patients on hormone therapy keep their bones strong and reduce the risk of falls and fractures.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Enrollment | 240 (estimated) |
| Ages | 50 Years and up |
| Sex | Male |
| Sponsor | University of Rochester Academic / other |
| Drugs / interventions | denosumab |
| Locations | 51 sites (Newark, Delaware and 50 other locations) |
| Trial ID | NCT05838716 on ClinicalTrials.gov |
What this trial studies
This phase III trial investigates the effectiveness of high-dose vitamin D supplementation in preventing bone loss in older prostate cancer patients undergoing androgen-deprivation therapy (ADT). The study aims to measure changes in bone mineral density at various sites, including the hip and spine, over a 52-week period using dual-energy x-ray absorptiometry (DXA). Additionally, it evaluates the impact of supplementation on falls, fractures, quality of life, and other health outcomes. Participants will be randomized to receive either high-dose vitamin D or a placebo, with assessments conducted throughout the study duration.
Who should consider this trial
Good fit: Ideal candidates are men aged 60 and older with Stage I-IV prostate cancer who are starting or have recently begun ADT.
Not a fit: Patients with a history of long-term use of bone-modifying agents or those with severe vitamin D deficiency may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could help maintain bone density and reduce the risk of fractures in older men receiving ADT for prostate cancer.
How similar studies have performed: Previous studies have shown promising results with vitamin D supplementation in similar patient populations, suggesting potential for success in this approach.
Eligibility criteria
Show full inclusion / exclusion 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 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
Where this trial is running
Newark, Delaware and 50 other locations
- Helen F Graham Cancer Center — Newark, Delaware, United States (Recruiting)
- Medical Oncology Hematology Consultants PA — Newark, Delaware, United States (Recruiting)
- Carle at The Riverfront — Danville, Illinois, United States (Recruiting)
- Cancer Care Specialists of Illinois - Decatur — Decatur, Illinois, United States (Recruiting)
- Carle Physician Group-Effingham — Effingham, Illinois, United States (Recruiting)
- Carle Physician Group-Mattoon/Charleston — Mattoon, Illinois, United States (Recruiting)
- Cancer Care Center of O'Fallon — O'Fallon, Illinois, United States (Recruiting)
- Carle Cancer Center — Urbana, Illinois, United States (Recruiting)
- University of Kansas Cancer Center — Kansas City, Kansas, United States (Recruiting)
- University of Kansas Cancer Center-Overland Park — Overland Park, Kansas, United States (Recruiting)
- University of Kansas Health System Saint Francis Campus — Topeka, Kansas, United States (Recruiting)
- University of Kansas Hospital-Westwood Cancer Center — Westwood, Kansas, United States (Recruiting)
- Louisiana State University Health Science Center — New Orleans, Louisiana, United States (Recruiting)
- University Medical Center New Orleans — New Orleans, Louisiana, United States (Recruiting)
- Ochsner Medical Center Jefferson — New Orleans, Louisiana, United States (Recruiting)
- Mercy Hospital — Coon Rapids, Minnesota, United States (Recruiting)
- Minnesota Oncology Hematology PA-Maplewood — Maplewood, Minnesota, United States (Recruiting)
- Saint John's Hospital - Healtheast — Maplewood, Minnesota, United States (Recruiting)
- Park Nicollet Clinic - Saint Louis Park — Saint Louis Park, Minnesota, United States (Recruiting)
- Regions Hospital — Saint Paul, Minnesota, United States (Recruiting)
- Ridgeview Medical Center — Waconia, Minnesota, United States (Recruiting)
- University of Kansas Cancer Center - North — Kansas City, Missouri, United States (Recruiting)
- University of Kansas Cancer Center - Lee's Summit — Lee's Summit, Missouri, United States (Recruiting)
- Mercy Hospital Saint Louis — St Louis, Missouri, United States (Recruiting)
- OptumCare Cancer Care at Charleston — Las Vegas, Nevada, United States (Recruiting)
- CarolinaEast Medical Center — New Bern, North Carolina, United States (Recruiting)
- Nash UNC HealthCare — Rocky Mount, North Carolina, United States (Recruiting)
- Adena Regional Medical Center — Chillicothe, Ohio, United States (Recruiting)
- Geisinger Cancer Center Dickson City — Dickson City, Pennsylvania, United States (Recruiting)
- Community Medical Center — Scranton, Pennsylvania, United States (Recruiting)
- Geisinger Wyoming Valley/Henry Cancer Center — Wilkes-Barre, Pennsylvania, United States (Recruiting)
- Gibbs Cancer Center-Gaffney — Gaffney, South Carolina, United States (Recruiting)
- Saint Francis Hospital — Greenville, South Carolina, United States (Recruiting)
- Saint Francis Cancer Center — Greenville, South Carolina, United States (Recruiting)
- Gibbs Cancer Center-Pelham — Greer, South Carolina, United States (Recruiting)
- Spartanburg Medical Center — Spartanburg, South Carolina, United States (Recruiting)
- SMC Center for Hematology Oncology Union — Union, South Carolina, United States (Recruiting)
- Regional Cancer Center at Johnson City Medical Center — Johnson City, Tennessee, United States (Recruiting)
- Ballad Health Cancer Care - Kingsport — Kingsport, Tennessee, United States (Recruiting)
- Ballad Health Cancer Care - Bristol — Bristol, Virginia, United States (Recruiting)
- Bon Secours Memorial Regional Medical Center — Mechanicsville, Virginia, United States (Recruiting)
- Bon Secours Saint Francis Medical Center — Midlothian, Virginia, United States (Recruiting)
- Bon Secours Saint Mary's Hospital — Richmond, Virginia, United States (Recruiting)
- Bon Secours Cancer Institute at Reynolds Crossing — Richmond, Virginia, United States (Recruiting)
- VCU Massey Cancer Center at Stony Point — Richmond, Virginia, United States (Recruiting)
- VCU Massey Comprehensive Cancer Center — Richmond, Virginia, United States (Recruiting)
- Carilion Roanoke Memorial Hospital — Roanoke, Virginia, United States (Recruiting)
- Saint Vincent Hospital Cancer Center Green Bay — Green Bay, Wisconsin, United States (Recruiting)
- Saint Vincent Hospital Cancer Center at Saint Mary's — Green Bay, Wisconsin, United States (Recruiting)
- Gundersen Lutheran Medical Center — La Crosse, Wisconsin, United States (Recruiting)
+1 more sites — see ClinicalTrials.gov for the full list.
Study contacts
- Principal investigator: Luke J Peppone — University of Rochester NCORP Research Base
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.