The PCPT trial

The PCPT trial is the first phase III trial with the principal objective of examining the hypothesis that the use of chemoprevention could prevent the development of prostate cancer. This is a large scale randomised clinical trial comparing finasteride (5-α reductase inhibitor) to placebo. A total o...

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Main Authors: Hamdy, F, Rouprêt, M
Format: Journal article
Language:French
Published: 2008
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author Hamdy, F
Rouprêt, M
author_facet Hamdy, F
Rouprêt, M
author_sort Hamdy, F
collection OXFORD
description The PCPT trial is the first phase III trial with the principal objective of examining the hypothesis that the use of chemoprevention could prevent the development of prostate cancer. This is a large scale randomised clinical trial comparing finasteride (5-α reductase inhibitor) to placebo. A total of 18,882 men aged 55 years old or above with unremarkable rectal examination and serum PSA below 3 ng/ml were randomised between daily treatment with 5 mg of finasteride or placebo for 7 years. The incidence of prostate cancer diagnosed by biopsy was 24.4% in the placebo group compared to 18.4% in the finasteride group. The incidence of high Gleason grade cancers (7-10) in the finasteride group (6.4%) appeared to be higher than in the placebo group (5.1%) although it was subsequently shown that these results were not significant. Sexual adverse effects were more common in the finasteride group and urinary symptoms were more common in the placebo group than in the finasteride group. The volumes of prostates treated with finasteride were reduced by 24% compared to the placebo arm. It does not therefore appear at present appropriate to give finasteride to prevent the development of prostate cancer until more detailed results are available about the nature of the cancers which may possibly have been detected or avoided. © 2008 Elsevier Masson SAS. All rights reserved.
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spelling oxford-uuid:32d0a80c-2cee-4ef3-8464-f3774330a3f22022-03-26T13:16:29ZThe PCPT trialJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:32d0a80c-2cee-4ef3-8464-f3774330a3f2FrenchSymplectic Elements at Oxford2008Hamdy, FRouprêt, MThe PCPT trial is the first phase III trial with the principal objective of examining the hypothesis that the use of chemoprevention could prevent the development of prostate cancer. This is a large scale randomised clinical trial comparing finasteride (5-α reductase inhibitor) to placebo. A total of 18,882 men aged 55 years old or above with unremarkable rectal examination and serum PSA below 3 ng/ml were randomised between daily treatment with 5 mg of finasteride or placebo for 7 years. The incidence of prostate cancer diagnosed by biopsy was 24.4% in the placebo group compared to 18.4% in the finasteride group. The incidence of high Gleason grade cancers (7-10) in the finasteride group (6.4%) appeared to be higher than in the placebo group (5.1%) although it was subsequently shown that these results were not significant. Sexual adverse effects were more common in the finasteride group and urinary symptoms were more common in the placebo group than in the finasteride group. The volumes of prostates treated with finasteride were reduced by 24% compared to the placebo arm. It does not therefore appear at present appropriate to give finasteride to prevent the development of prostate cancer until more detailed results are available about the nature of the cancers which may possibly have been detected or avoided. © 2008 Elsevier Masson SAS. All rights reserved.
spellingShingle Hamdy, F
Rouprêt, M
The PCPT trial
title The PCPT trial
title_full The PCPT trial
title_fullStr The PCPT trial
title_full_unstemmed The PCPT trial
title_short The PCPT trial
title_sort pcpt trial
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