DHA-Paclitaxel in Treating Patients With Metastatic Prostate Cancer
Prostate Cancer
About this trial
This is an interventional treatment trial for Prostate Cancer focused on measuring adenocarcinoma of the prostate, stage IV prostate cancer, recurrent prostate cancer
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically or cytologically confirmed adenocarcinoma of the prostate Progressive metastatic disease on continuous hormonal therapy (e.g., orchiectomy or luteinizing hormone-releasing hormone (LHRH) agonist) Progressive disease is defined by all of the following: Measurable disease or lesions on bone scan Increases in prostate-specific antigen (PSA) levels on at least 2 consecutive measurements Continued PSA elevation after cessation of prior antiandrogen therapy (4 weeks after flutamide and nilutamide and 8 weeks after bicalutamide) PSA level at least 5 ng/mL Serum testosterone level less than 50 ng/mL Patients who have not undergone prior surgical castration should continue primary androgen suppression (LHRH agonist) No known or clinical evidence of CNS metastasis PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG 0-1 Life expectancy: Not specified Hematopoietic: Absolute neutrophil count at least 1,500/mm^3 Platelet count at least 100,000/mm^3 Hepatic: Bilirubin no greater than 1.5 times upper limit of normal (ULN) SGOT or SGPT no greater than 2.5 times ULN Renal: Creatinine no greater than 1.5 times ULN Cardiovascular: No uncontrolled ventricular arrhythmia No myocardial infarction within the past 3 months No superior vena cava syndrome Neurologic: No peripheral neuropathy greater than grade 1 No uncontrolled major seizure disorder No spinal cord compression Other: No psychiatric disorder that would preclude informed consent No unstable or serious concurrent medical condition No concurrent serious infection requiring parenteral therapy No other prior or concurrent malignancy except: Curatively treated nonmelanoma skin cancer OR Other cancer curatively treated with surgery alone that has not recurred for more than 5 years Fertile patients must use effective contraception during and for at least 6 months after study therapy PRIOR CONCURRENT THERAPY: Biologic therapy: No concurrent immunotherapy Chemotherapy: No prior taxanes Prior mitoxantrone or prednisone for metastatic disease allowed At least 28 days since prior chemotherapy and recovered No other concurrent chemotherapy Endocrine therapy: See Disease Characteristics No concurrent hormonal therapy Radiotherapy: No prior samarium SM 153 lexidronam pentasodium or strontium chloride Sr 89 Prior external radiotherapy for metastatic disease allowed At least 28 days since prior large-field radiotherapy and recovered No concurrent radiotherapy, including whole-brain radiotherapy for documented CNS metastasis Surgery: See Disease Characteristics At least 14 days since prior major surgery and recovered Other: No other prior nonhormonal treatment for metastatic disease At least 28 days since prior herbal preparations (e.g., PC-SPES) and recovered No other concurrent anticancer medications
Sites / Locations
- Arizona Oncology Associates
- Alta Bates Comprehensive Cancer Center
- Lucille Parker Markey Cancer Center, University of Kentucky
- Louisiana State University Health Sciences Center - Shreveport
- Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
- Veterans Affairs Medical Center - East Orange
- Herbert Irving Comprehensive Cancer Center
- Kimmel Cancer Center of Thomas Jefferson University - Philadelphia