Metformin Prostate Cancer Adjuvant Trial

Study Overview
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Brief Summary
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This is a Phase II clinical study to determine if Metformin can increase Prostate Specific Antigen (PSA) doubling time for patients with Prostate Cancer who have failed primary treatment with radiation, or surgical patients that are at high risk for recurrence based on surgical pathology. Men with confirmed prostate cancer and rising serum PSA levels will receive Metformin and will be monitored for PSA response and disease progression.

Detailed Description
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Prostate cancer patients who have received treatment with radiation therapy or surgery, who have indicators of high-risk disease will be administered 750mg Metformin Extended Release twice per day for a period of 9 months. Metformin is an FDA-approved drug that is prescribed to treat high blood sugar levels in patients with Type 2 Diabetes. To track prostate cancer response in study participants, investigators will obtain prostate specific antigen (PSA) levels every three months for the duration of the trial.

Official Title
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Phase II Clinical Study of Effect of Metformin on Prostate Specific Antigen Doubling Time

Conditions
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Prostate Cancer, Prostate Cancer Recurrent

Intervention / Treatment
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* Drug: Metformin Hydrochloride Extended Release 750mg


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male > 18 years of age Biopsy confirmed adenocarcinoma of the prostate Able to swallow and retain oral medication Hemoglobin A1C <7.0% Able and willing to participate in the full 12 months of the study Able to understand instructions related to study procedures Able to read and write English Exclusion Criteria: Metastatic Prostate Cancer Prostate Specific Antigen Doubling Time < 6 months Prior Chemotherapy, hormonal therapy, oral glucocorticoid therapy, Gonadotropin-releasing hormone analogue therapy Current or previous use of 5α-reductase inhibitors, antiandrogen drugs, metformin, oral or injectable diabetes drug Diagnosis of Type 1 Diabetes Mellitus Known hypersensitivity to metformin any condition associated with increased risk of metformin associated lactic acidosis participation in any investigational or marketed drug trial within 30 days prior to screening or during study period any unstable, serious co-existing medical conditions including but not limited to myocardial infarction, coronary bypass surgery, unstable angina, cardiac arrhythmias, clinically evident congestive heart failure, or cerebrovascular accident within 6 months prior to screening history of megaloblastic anemia abnormal liver function test (total bilirubin, aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase or serum creatinine above upper limit of normal) history of other malignancies, with the exception of adequately treated non-melanoma skin cancer, stage 1 melanoma, non-muscle invasive bladder cancer, or other solid tumors curatively treated with no evidence of disease for at least 5 years history or current evidence of substance abuse within 12 months of screening history of any illness (including psychiatric) that, in the opinion of the investigator, might confound the results of the study or post an additional risk to the subject

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Surgery - High Risk, Undetectable prostate-specific antigen (PSA)<br> | Drug: Metformin Hydrochloride Extended Release 750mg<br>* Metformin Hydrochloride Extended Release 750mg twice per day for 9 months.<br>* Other names: Glumetza XR;|
| Experimental: Radiation - Rising PSA<br> | Drug: Metformin Hydrochloride Extended Release 750mg<br>* Metformin Hydrochloride Extended Release 750mg twice per day for 9 months.<br>* Other names: Glumetza XR;|
| Experimental: Surgery - Rising PSA<br> | Drug: Metformin Hydrochloride Extended Release 750mg<br>* Metformin Hydrochloride Extended Release 750mg twice per day for 9 months.<br>* Other names: Glumetza XR;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mean Prostate Specific Antigen (PSA) Level |  | 9 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Prostate Cancer, Prostate Cancer Recurrent