Testosterone Replacement Therapy for the Treatment of Low Testosterone in Hypogonadal Men With Localized Prostate Cancer on Active Surveillance

  • Recruiting
  • Treatment
  • Interventional
  • Non Randomized
  • Drug & Other
  • PHASE4
  • Roswell Park Cancer Institute
  • 18 Years -


Study Purpose

This phase IV trial studies the effects of testosterone replacement therapy (TRT) on treatment outcomes in hypogonadal men with prostate cancer that has not spread to other parts of the body (localized) and who are on active surveillance (AS). AS in prostate cancer involves closely watching the patient's condition through regular physical exams and blood tests, but not giving treatment unless there are changes in test results. It can be a practical alternative to treatment in localized prostate cancer. Hypogonadal men have low testosterone associated with symptoms such as low libido and erectile problems. TRT can be used to treat hypogonadism by increasing testosterone levels, which may improve associated symptoms. TRT is often not used in men with prostate cancer due to concerns it may lead to the cancer growing or spreading. This may lead hypogonadal men to have a poor quality of life or to discontinue AS. TRT may improve treatment and quality of life outcomes in hypogonadal men with localized prostate cancer on active surveillance.

Intervention

Procedure : Biopsy of Prostate

Procedure : Biospecimen Collection

Procedure : Magnetic Resonance Imaging

Other : Patient Observation

Other : Questionnaire Administration

Drug : Therapeutic Testosterone


Eligibility Requirements

info icon Men aged ≥ 18 years

info icon Men with localized prostate cancer are eligible for active surveillance (National Comprehensive Cancer Network \[NCCN\] very low, low, and intermediate favorable risk group)

info icon Participant must understand the investigational nature of this study and sign an independent ethics committee/institutional review board approved written informed consent form prior to receiving any study related procedure

info icon Minimum age: 18

info icon Patients with NCCN intermediate unfavorable, high risk, or very high-risk localized prostate cancer

info icon Patients with contraindications to TRT, which include, * Locally advanced or metastatic prostate cancer * Male breast cancer * Men with an active desire to have children * Hematocrit levels \> 54% or baseline hematocrit of 48-50% * Uncontrolled or poorly controlled congestive heart failure * IPSS score \> 19 * Family history of venous thromboembolis

info icon Unwilling or unable to follow protocol requirements

info icon Any condition which in the investigator's opinion deems the participant an unsuitable candidate to participate in the study

Recruiting status

Recruiting

Estimated enrollment

600

 
Study start date

Jan 15, 2025

Study end date

Jan 15, 2029

Last updated

Mar 22, 2025

Primary purpose

Treatment

Design

Interventional

Intervention

Drug & Other

Study phase

PHASE4

Allocation

Non Randomized

 

Sponsor:

Roswell Park Cancer Institute

Collaborator:

N/A

Investigator:

Ahmed Aly

NCT06733350

Clinic Location Investigator Distance RECRUITING STATUS Contact