Page last updated: 2024-10-27

flutamide and Substance Withdrawal Syndrome

flutamide has been researched along with Substance Withdrawal Syndrome in 16 studies

Flutamide: An antiandrogen with about the same potency as cyproterone in rodent and canine species.

Substance Withdrawal Syndrome: Physiological and psychological symptoms associated with withdrawal from the use of a drug after prolonged administration or habituation. The concept includes withdrawal from smoking or drinking, as well as withdrawal from an administered drug.

Research Excerpts

ExcerptRelevanceReference
"Flutamide withdrawal was undertaken at the time of disease progression."1.29The antiandrogen withdrawal syndrome. Experience in a large cohort of unselected patients with advanced prostate cancer. ( Small, EJ; Srinivas, S, 1995)

Research

Studies (16)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's10 (62.50)18.2507
2000's5 (31.25)29.6817
2010's1 (6.25)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Suzuki, H2
Okihara, K1
Miyake, H1
Fujisawa, M1
Miyoshi, S1
Matsumoto, T1
Fujii, M1
Takihana, Y1
Usui, T1
Matsuda, T1
Ozono, S1
Kumon, H1
Ichikawa, T2
Miki, T1
Nayebi, AR1
Rezazadeh, H1
Terada, N1
Shimizu, Y1
Yoshida, T1
Maeno, A1
Kamba, T1
Inoue, T1
Nakamura, E1
Kamoto, T1
Ogawa, O1
Lee, YF1
Lin, WJ1
Huang, J1
Messing, EM1
Chan, FL1
Wilding, G1
Chang, C1
Kojima, S1
Akakura, K1
Shimbo, M1
Ito, H1
Sartor, AO1
Tangen, CM1
Hussain, MH1
Eisenberger, MA1
Parab, M1
Fontana, JA1
Chapman, RA1
Mills, GM1
Raghavan, D1
Crawford, ED1
Moul, JW1
Srivastava, S1
McLeod, DG1
Kelly, WK3
Scher, HI3
Morote, J1
Lorente, JA1
Vallejo, C1
Small, EJ3
Srinivas, S1
Slovin, S1
Baron, A1
Bok, R1
Breul, J1
Paul, R1
Longmore, L1
Foley, JP1
Rozanski, TA1
Higgins, B1
Thompson, IM1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase II Trial of Enzalutamide in Combination With PSA-TRICOM in Patients With Non-Metastatic Castration Sensitive Prostate Cancer[NCT01875250]Phase 238 participants (Actual)Interventional2013-07-22Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Median Testosterone After 84 Days of Enzalutamide

Normal testosterone is 270-1070 nd/dL. (NCT01875250)
Timeframe: 84 days

Interventionng/dl (Median)
All Participants834

Number of Participants With Serious and Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)

Here is the count of participants with serious and non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned. (NCT01875250)
Timeframe: Date treatment consent signed to date off study, approximately 43 months and 13 days for Arm A, and 78 months and 6 days for Arm B.

InterventionParticipants (Count of Participants)
Arm A - Enzalutamide for 3 Months19
Arm B - Enzalutamide for 3 Months + PSA-TRICOM19

Percent Change in Prostate Specific Antigen (PSA) After 84 Days of Enzalutamide in Course 1

Median PSA change would be considered optimal. (NCT01875250)
Timeframe: 84 days

InterventionPercent change (Median)
Arm A - Enzalutamide for 3 Months-99
Arm B - Enzalutamide for 3 Months + PSA-TRICOM-99

Tumor Growth Rate

Growth rate was measured using the growth rate equation -f(t) = exp (-d*t) + exp (g*t) -1 where exp is the base of the natural algorithm, e = 2.7182 and t is days since treatment started. The tumor growth rate equation measures Prostate Specific Antigen (PSA) rise over time. The UOM is unitless because this is a way to measure PSA kinetics. (NCT01875250)
Timeframe: 7 months

Interventionunitless (Number)
Arm A - Enzalutamide for 3 Months0.031
Arm B - Enzalutamide for 3 Months + PSA-TRICOM0.030

Mean Pretreatment Plasma Vascular Endothelial Growth Factor (VEGF) Concentration 30 Days After the Start of Course 1 and Course 2 of Enzalutamide

VEGF was measured by the enzyme-linked immunosorbent assay (ELISA) assay. The lower limit of quantitation of assay was 9.0 pg/ml. (NCT01875250)
Timeframe: 30 Days After the Start of Course 1 and Course 2 of Enzalutamide

Interventionpg/ml (Mean)
Course 1Course 2
All Participants192165.04

Median Time Until Prostate Specific Antigen (PSA) Recovery From Baseline Following Course 1 and Course 2 of Enzalutamide

PSA recovery is defined as the return above baseline PSA in participants with normal testosterone and non-metastatic, castration sensitive prostate cancer. (NCT01875250)
Timeframe: up to 41 months

InterventionDays (Median)
Course 1Course 2
All Participants224189

Reviews

2 reviews available for flutamide and Substance Withdrawal Syndrome

ArticleYear
Molecular implications of the antiandrogen withdrawal syndrome.
    Seminars in urology, 1995, Volume: 13, Issue:2

    Topics: Aged; Androgen Antagonists; Flutamide; Humans; Male; Mutation; Orchiectomy; Prostate-Specific Antige

1995
[Anti-androgen withdrawal syndrome].
    Der Urologe. Ausg. A, 1998, Volume: 37, Issue:2

    Topics: Androgen Antagonists; Antineoplastic Agents, Hormonal; Biomarkers, Tumor; Combined Modality Therapy;

1998

Trials

2 trials available for flutamide and Substance Withdrawal Syndrome

ArticleYear
Antiandrogen withdrawal in castrate-refractory prostate cancer: a Southwest Oncology Group trial (SWOG 9426).
    Cancer, 2008, Volume: 112, Issue:11

    Topics: Adenocarcinoma; Aged; Aged, 80 and over; Androgen Antagonists; Anilides; Bone Neoplasms; Disease-Fre

2008
Simultaneous antiandrogen withdrawal and treatment with ketoconazole and hydrocortisone in patients with advanced prostate carcinoma.
    Cancer, 1997, Nov-01, Volume: 80, Issue:9

    Topics: Adrenal Cortex Hormones; Aged; Aged, 80 and over; Androgen Antagonists; Cohort Studies; Flutamide; H

1997

Other Studies

12 other studies available for flutamide and Substance Withdrawal Syndrome

ArticleYear
Alternative nonsteroidal antiandrogen therapy for advanced prostate cancer that relapsed after initial maximum androgen blockade.
    The Journal of urology, 2008, Volume: 180, Issue:3

    Topics: Adult; Aged; Aged, 80 and over; Androgen Antagonists; Anilides; Antineoplastic Agents, Hormonal; Flu

2008
Effect of testosterone on morphine withdrawal syndrome in rats.
    Asian journal of andrology, 2008, Volume: 10, Issue:5

    Topics: Androgen Antagonists; Androgens; Animals; Behavior, Animal; Female; Flutamide; Male; Morphine; Morph

2008
Antiandrogen withdrawal syndrome and alternative antiandrogen therapy associated with the W741C mutant androgen receptor in a novel prostate cancer xenograft.
    The Prostate, 2010, Feb-15, Volume: 70, Issue:3

    Topics: Administration, Oral; Androgen Antagonists; Androgens; Anilides; Animals; Antineoplastic Agents, Hor

2010
Activation of mitogen-activated protein kinase pathway by the antiandrogen hydroxyflutamide in androgen receptor-negative prostate cancer cells.
    Cancer research, 2002, Nov-01, Volume: 62, Issue:21

    Topics: Androgen Antagonists; Cell Division; Cyclin D1; Enzyme Activation; ErbB Receptors; Flutamide; Humans

2002
Alternative antiandrogens to treat prostate cancer relapse after initial hormone therapy.
    The Journal of urology, 2004, Volume: 171, Issue:2 Pt 1

    Topics: Aged; Aged, 80 and over; Androgen Antagonists; Anilides; Antineoplastic Agents, Hormonal; Flutamide;

2004
Prostate specific antigen decline after antiandrogen withdrawal: the flutamide withdrawal syndrome.
    The Journal of urology, 1993, Volume: 149, Issue:3

    Topics: Aged; Flutamide; Gonadotropin-Releasing Hormone; Humans; Male; Middle Aged; Orchiectomy; Prostate-Sp

1993
Flutamide withdrawal syndrome: its impact on clinical trials in hormone-refractory prostate cancer.
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 1993, Volume: 11, Issue:8

    Topics: Aged; Combined Modality Therapy; Flutamide; Humans; Male; Middle Aged; Neoplasm Metastasis; Prostate

1993
[Fluamide withdrawal syndrome].
    Actas urologicas espanolas, 1994, Volume: 18, Issue:6

    Topics: Adenocarcinoma; Aged; Flutamide; Humans; Male; Prostatic Neoplasms; Substance Withdrawal Syndrome

1994
The antiandrogen withdrawal syndrome. Experience in a large cohort of unselected patients with advanced prostate cancer.
    Cancer, 1995, Oct-15, Volume: 76, Issue:8

    Topics: Adult; Aged; Aged, 80 and over; Androgen Antagonists; Antineoplastic Agents, Hormonal; Combined Moda

1995
Steroid hormone withdrawal syndromes. Pathophysiology and clinical significance.
    The Urologic clinics of North America, 1997, Volume: 24, Issue:2

    Topics: Androgen Antagonists; Antineoplastic Agents, Hormonal; Flutamide; Humans; Male; Neoplasms, Hormone-D

1997
Re: Characterization of patients with androgen independent prostatic carcinoma whose serum prostate specific antigen decreased following flutamide withdrawal.
    The Journal of urology, 1997, Volume: 158, Issue:2

    Topics: Androgen Antagonists; Flutamide; Humans; Male; Prostate-Specific Antigen; Prostatic Neoplasms; Subst

1997
Prolonged prostate-specific antigen response in flutamide withdrawal syndrome despite disease progression.
    Southern medical journal, 1998, Volume: 91, Issue:6

    Topics: Aged; Androgen Antagonists; Antineoplastic Agents, Hormonal; Biomarkers, Tumor; Bone Neoplasms; Brac

1998