Clinical trials are conducted at medical centers nationwide, including the UCSF Helen Diller Family Comprehensive Cancer Center. A clinical trial is a study of a new drug or treatment conducted to test its safety and effectiveness before it is approved by the Food and Drug Administration (FDA) or widely used as standard of care. There are three main phases of clinical trials:
These studies can offer hope but have their risks as well. Patients considering participating in a trial should ask a number of questions, such as:
Some promising new approaches for treating prostate cancer include:
Dendritic cells in the blood identify foreign cells or organisms that should be attacked by killer cells of the immune system. In the vaccine approach, dendritic cells are taken from the bloodstream and exposed to the prostate cancer cells. This exposure to cancer cells makes it easier for the dendritic cells to identify cancer cells in the body. After this procedure, dendritic cells are inserted back into the blood stream to target prostate cancer cells for immune system action.
These are agents that are developed to trigger an immune system response by targeting antigens that are present on the surface of prostate cancer cells.
Viruses such as the common cold virus are genetically modified to target prostate cancer cells. These viruses can be injected directly into the prostate or into metastatic tumors.
A traditional chemotherapy drug can be combined with a protein-like compound and is released only when it comes in contact with prostate cancer cells, selectively targeting them for attack.
At some point, cancers need to develop a blood supply if they are to grow. New agents are being developed and tested for their effectiveness in slowing the growth of blood vessels in tumors.
Studies to evaluate modifications in the delivery of radiation therapy, or to discover how radiation therapy can be combined with other therapies to more effectively treat higher-risk prostate cancers, are being conducted.
Dr. Dean Ornish, who developed a program that successfully treats serious cardiovascular disease, is studying whether a similar program can slow or reverse early-stage prostate cancer. The program includes: adhering to a very low fat, vegetarian diet; nutritional supplements; regular exercise; stress reduction and group support.
Past research has shown that certain tomato-based foods and marine fatty acids may contribute to primary prevention and possibly progression of prostate cancer. The UCSF Molecular Effects of Nutrition Supplements (MENS) Prostate Study is researching how nutritional supplements — lycopene (tomato extract) and fish oil — affect prostate tissue.
For a list of prostate cancer clinical trials, visit the website of the UCSF Helen Diller Family Comprehensive Cancer Center.
Prostate Cancer Center
1600 Divisadero St, Third Floor
San Francisco, CA 94115
Phone: (415) 353-7171
Fax: (415) 353-7093