Nerve and Kidney Roles in High Blood Pressure During Prostate Cancer Hormone Therapy
Studies how nerves and kidneys affect blood pressure in men on androgen deprivation therapy.
Key facts
- Who runs it
- Virginia Commonwealth University
- Where
- Richmond, United StatesSee the site
- Trial code
- Registry title
- Autonomic and Renal Contributions to Hypertension With ADT
- Status
- Recruiting
- Phase
- Phase 4
- People taking part
- 60 people, planned
- Started
- 1 Aug 2026
- Expected to end
- Jul 2030
- Type of study
- Interventional, 3 groupsOne group gets an existing treatment, for comparison.
- Treatments tested
- Gonadotropin Releasing Hormone Agonists (GNRH)
- Androgen receptor (AR) inhibitor
- Placebo
- Record updated
- 2 November 2026
Who can take part
AI summary
From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.
The trial is looking for men aged 40 or older who are either healthy or recently diagnosed with prostate cancer that has not spread and who plan to have androgen deprivation therapy.
- Age
- 40 years or older
- Sex
- Men only
- Disease stage
- Healthy men, or men with a recent diagnosis of non-metastatic prostate cancer and a Gleason Score of 7 or lower who plan androgen deprivation therapy. Healthy men need a PSA below 4.00 ng/dL.
- Earlier treatment
- No medicines that affect the heart and blood vessels, such as blood pressure or cholesterol medicines. No antioxidant vitamins, corticosteroids or anti-inflammatory medicines, or willing to stop them for four weeks before the study. No sex hormones for at least one year.
- Biomarker or test result
- Resting blood pressure below 140/90 mmHg, fasted blood glucose below 126 mg/dL (7 mmol/L), and testosterone of 400 ng/dL or higher.
Main reasons for not taking part
- Kidney disease, serum creatinine above 1.3 mg/dL (115 µmol/L), or a lot of protein in the urine (above 300 mg/g)
- Heart, kidney or liver disease, epilepsy or other seizure disorder
- Diabetes, ongoing infection, or a disease that affects the nervous system
- Gleason Score of 8 or higher
- Tobacco use within the previous 12 months
The registry criteria, word for word
Show all 20 criteriaShow less
Who can take part
- age 40+ years
- resting blood pressure <140/90 mmHg
- fasted blood glucose <126 mg/dL
- testosterone ≥400 ng/dL
- sedentary to recreationally active
- nonsmokers
- healthy as determined by medical history, physical exam, blood and urine chemistries and resting and exercise ECG during a physician supervised graded exercise treadmill test OR recent diagnosis of non-metastatic prostate cancer with plans to undergo androgen deprivation therapy
- PSA <4.00 ng/dL if in the non-cancer group
- Gleason Score ≤7 if in the prostate cancer group
- no use of medications that might influence cardiovascular function (e.g., antihypertensives, lipid-lowering medications)
- willing and able to be on GnRHagonist and AR inhibitor
- not taking antioxidant vitamins, corticosteroids, or anti-inflammatory medications, or willing to stop use for four weeks prior to the start of the study
- not using exogenous sex hormones for at least one year
Who cannot take part
- tobacco use within the previous 12 months
- -acute liver disease
- pre-existing or active cardiac, renal or hepatic disease, epilepsy or other seizure disorder
- diabetes, active or chronic infection, disease that affects the nervous system
- chronic kidney disease, serum creatinine >1.3 mg/dL, macroalbuminuria >300 mg/g of proteinuria
- Gleason Score ≥8
- thyroid dysfunction, defined as ultrasensitive TSH <0.5 or >5.0 mU/L, volunteers with abnormal TSH values will be re-considered for participation after follow-up evaluation by the PCP with initiation or adjustment of thyroid hormone replacement
Where in United States
- Virginia Commonwealth UniversityRichmond, United StatesContact: Matthew Babcock, PhDTaking people
About the trial
What the trial wants to find out
This study plans to learn more about contributors to high blood pressure in men who undergo androgen deprivation therapy (ADT) to treat prostate cancer. Prostate cancer is the most common non-skin cancer in men, affecting approximately 1 in 8 American men and its primary treatment is through the use of ADT. However, ADT increases the likelihood of developing heart disease including high blood pressure. This study will determine if dysfunction of the nervous system and/or kidneys occurs in men undergoing ADT, as these systems play a significant role in control of blood pressure. The results from this study will help us understand the ways in which ADT contributes to heart disease and help us develop therapies to prevent heart disease in prostate cancer survivors.
The 3 groups in the trial
- Prostate CancerExisting treatment, for comparison
Men undergoing androgen deprivation therapy via gonadotropin releasing hormone agonist plus androgen receptor inhibitor for the treatment of prostate cancer
Treatment: Gonadotropin Releasing Hormone Agonists (GNRH) and Androgen receptor (AR) inhibitor
- Healthy + ADTExisting treatment, for comparison
Healthy men undergoing gonadal suppression via gonadotropin releasing hormone agonist plus androgen receptor inhibitor for 9 weeks
Treatment: Gonadotropin Releasing Hormone Agonists (GNRH) and Androgen receptor (AR) inhibitor
- Healthy + PlaceboPlacebo, for comparison
Healthy men undergoing placebo for 9 weeks.
Treatment: Placebo
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Contact the study team: see the registry record → Contacts and Locations
Print a page for my doctorData and sources
- Registry record
- Listed on ClinicalTrials.gov.
- Official title
- Autonomic and Renal Contributions to Hypertension With Androgen Deprivation Therapy
- Plain-language title
- Nerve and Kidney Roles in High Blood Pressure During Prostate Cancer Hormone TherapyGenerated from the registry record. The registry title is the official one.
- AI summary
- From the trial's eligibility criteria. Read by machine on 13 November 2026.
- Record updated
- 2 November 2026