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Zoledronate and BMS-275291 in Treating Patients With Prostate Cancer

Primary Purpose

Adenocarcinoma of the Prostate, Recurrent Prostate Cancer, Stage IV Prostate Cancer

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
rebimastat
zoledronic acid
laboratory biomarker analysis
Sponsored by
National Cancer Institute (NCI)
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Adenocarcinoma of the Prostate

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria: Histologically or cytologically confirmed (adeno)carcinoma of the prostate refractory to hormone therapy Metastatic bone disease, as documented by bone scan and confirmed by x-rays, CT scan or MRI scan Note: Patients may also have measurable disease in the lymph nodes (retroperitoneal, pelvic or inguinal only), prostate and /or prostatic bed; measurable disease is defined as lesions that can be accurately measured in at least one dimension (longest diameter to be recorded) as >= 20 mm =< 21 days prior to registration PSA progression defined as two consecutive increases in PSA value over the previous reference value; the first increase of PSA should occur no earlier than one (1) week after the reference measurement; all patients need to demonstrate continued PSA elevation with an increasing PSA four weeks after the required cessation of their antiandrogen treatment; the required cessation period is 4 weeks for flutamide, nilutamide, and Megace-based treatment, and 8 weeks for bicalutamide-based treatment One of the following: Continuing primary androgen suppression (LHRH agonist) Orchiectomy WBC >= 2000/mm^3 Absolute neutrophil count (ANC) >= 1500/mm^3 PLT >= 100,000/mm^3 Hgb >= 9.0 g/dL Total bilirubin =< institutional upper normal limits (UNL) AST =< 1.5 x UNL Serum creatinine =< 1.5 x UNL PSA >= 5 ng/mL Serum testosterone < 50 ng/dL =< 3 months prior to registration Estimated life expectancy of >= 6 months ECOG Performance Status (PS) 0, 1, or 2 Capable of understanding the investigational nature, potential risks and benefits of the study and able to provide valid informed consent If sexually active, willing to use an accepted and effective method of contraception consistently for the duration of study participation Exclusion Criteria: Any of the following: > 2 prior chemotherapy regimen > 2 non-hormonal treatments for metastatic disease (including biologics, gene therapy, angiogenesis inhibitors, etc., but excluding external radiotherapy) Prior therapy with a matrix metalloproteinase inhibitor (MMPI) Immunotherapy =< 4 weeks prior to study entry Biologic therapy =< 4 weeks prior to study entry Radiation therapy =< 4 weeks prior to study entry Concomitant hormonal treatment (except LHRH) Prior use of systemic radiopharmaceuticals such as samarium and strontium PC-Spes =< 4 weeks prior to study entry Failure to fully recover from adverse effects of prior therapies regardless of interval since last treatment Other concurrent chemotherapy, immunotherapy, or radiotherapy directed at the cancer Other therapy or supportive care that is considered investigational Known CNS metastases Known visceral metastases (pulmonary, liver, kidney, splenic lesions); patients with retroperitoneal, pelvic or inguinal lymph node metastases and/or disease in the prostate (or prostatic bed) will not be excluded Uncontrolled intercurrent illness including, but not limited to: Ongoing or active infection Symptomatic congestive heart failure Unstable angina pectoris, cardiac arrhythmia Psychiatric illness/social situations that would limit compliance with study requirements HIV-positive patients receiving combination anti-retroviral therapy Prior malignancy except for adequately treated basal cell or squamous cell skin cancer, adequately treated noninvasive carcinomas, or other cancer from which the patient has been disease free for >= 5 years

Sites / Locations

  • Mayo Clinic

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Arm I (rebimastat, zoledronic acid)

Arm II (zoledronic acid)

Arm Description

Patients receive zoledronate IV over at least 15 minutes on day 1 and oral BMS-275291 daily on days 1-28.

Patients receive zoledronate as in Arm I.

Outcomes

Primary Outcome Measures

Confirmed response (PSA decline of greater than 50% confirmed at least four weeks apart)

Secondary Outcome Measures

Overall survival time
The distribution of survival time will be estimated using the method of Kaplan-Meier.
Time to disease progression
The distribution of time to progression will be estimated using the method of Kaplan-Meier.
Duration of PSA response or duration of PSA control
The distribution of this response duration will be estimated using the method of Kaplan-Meier.
Incidence of toxicity as per NCI CTCAE version 2.0
The maximum grade for each type of toxicity will be recorded for each patient, and frequency tables will be reviewed to determine toxicity patterns.

Full Information

First Posted
June 6, 2002
Last Updated
June 4, 2013
Sponsor
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00039104
Brief Title
Zoledronate and BMS-275291 in Treating Patients With Prostate Cancer
Official Title
A Phase II, Open-Label, Randomized Trial of Zoledronic Acid (Zometa™) and BMS-275291 (NSC#713763) in Patients With Hormone Refractory Prostate Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
June 2013
Overall Recruitment Status
Completed
Study Start Date
April 2002 (undefined)
Primary Completion Date
January 2005 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
National Cancer Institute (NCI)

4. Oversight

5. Study Description

Brief Summary
Phase II trial to study the effectiveness of combining zoledronate with BMS-275291 in treating patients who have prostate cancer that has not responded to previous hormone therapy. Zoledronate may prevent bone loss and stop the growth of tumor cells in bone. BMS-275291 may stop the growth of tumor cells by blocking the enzymes necessary for cancer cell growth. Combining zoledronate with BMS-275291 may kill more tumor cells.
Detailed Description
PRIMARY OBJECTIVES: I. To evaluate the confirmed response rate of hormone refractory prostate cancer patients treated with Zometa with BMS-275291. SECONDARY OBJECTIVES: I. To evaluate the toxicity profile associated with this treatment in this patient population. II. To evaluate the overall and progression-free survival associated with this treatment regimen. III. To explore changes markers for bone turnover, fPYR, fDPYR, and serum samples for cross-linked N-telopeptides from baseline. IV. To assess changes in bone tumor metabolism after treatment using PET scans. V. To assess changes in MMP-1, MMP-9, VEGF and bFGF from baseline after treatment. OUTLINE: This is an open-label, multicenter study. Patients are stratified according to prior chemotherapy (yes vs no) and participating center. ARM I: Patients receive zoledronate IV over at least 15 minutes on day 1 and oral BMS-275291 daily on days 1-28. ARM II (CLOSED TO ACCRUAL AS OF 10/10/2003): Patients receive zoledronate as in Arm I. In both arms, courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients are followed every 3 months until disease progression and then every 6 months for up to 2 years.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Adenocarcinoma of the Prostate, Recurrent Prostate Cancer, Stage IV Prostate Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
50 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Arm I (rebimastat, zoledronic acid)
Arm Type
Experimental
Arm Description
Patients receive zoledronate IV over at least 15 minutes on day 1 and oral BMS-275291 daily on days 1-28.
Arm Title
Arm II (zoledronic acid)
Arm Type
Experimental
Arm Description
Patients receive zoledronate as in Arm I.
Intervention Type
Drug
Intervention Name(s)
rebimastat
Other Intervention Name(s)
BMS-275291, D2163
Intervention Description
Given PO
Intervention Type
Drug
Intervention Name(s)
zoledronic acid
Other Intervention Name(s)
CGP 42446, CGP42446A, NDC-zoledronate, zoledronate, Zometa
Intervention Description
Given IV
Intervention Type
Other
Intervention Name(s)
laboratory biomarker analysis
Intervention Description
Correlative studies
Primary Outcome Measure Information:
Title
Confirmed response (PSA decline of greater than 50% confirmed at least four weeks apart)
Time Frame
Up to 2 years
Secondary Outcome Measure Information:
Title
Overall survival time
Description
The distribution of survival time will be estimated using the method of Kaplan-Meier.
Time Frame
From registration to death due to any cause, assessed for up to 2 years
Title
Time to disease progression
Description
The distribution of time to progression will be estimated using the method of Kaplan-Meier.
Time Frame
From registration to documentation of disease progression, assessed up to 2 years
Title
Duration of PSA response or duration of PSA control
Description
The distribution of this response duration will be estimated using the method of Kaplan-Meier.
Time Frame
Up to 2 years
Title
Incidence of toxicity as per NCI CTCAE version 2.0
Description
The maximum grade for each type of toxicity will be recorded for each patient, and frequency tables will be reviewed to determine toxicity patterns.
Time Frame
Up to 2 years

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically or cytologically confirmed (adeno)carcinoma of the prostate refractory to hormone therapy Metastatic bone disease, as documented by bone scan and confirmed by x-rays, CT scan or MRI scan Note: Patients may also have measurable disease in the lymph nodes (retroperitoneal, pelvic or inguinal only), prostate and /or prostatic bed; measurable disease is defined as lesions that can be accurately measured in at least one dimension (longest diameter to be recorded) as >= 20 mm =< 21 days prior to registration PSA progression defined as two consecutive increases in PSA value over the previous reference value; the first increase of PSA should occur no earlier than one (1) week after the reference measurement; all patients need to demonstrate continued PSA elevation with an increasing PSA four weeks after the required cessation of their antiandrogen treatment; the required cessation period is 4 weeks for flutamide, nilutamide, and Megace-based treatment, and 8 weeks for bicalutamide-based treatment One of the following: Continuing primary androgen suppression (LHRH agonist) Orchiectomy WBC >= 2000/mm^3 Absolute neutrophil count (ANC) >= 1500/mm^3 PLT >= 100,000/mm^3 Hgb >= 9.0 g/dL Total bilirubin =< institutional upper normal limits (UNL) AST =< 1.5 x UNL Serum creatinine =< 1.5 x UNL PSA >= 5 ng/mL Serum testosterone < 50 ng/dL =< 3 months prior to registration Estimated life expectancy of >= 6 months ECOG Performance Status (PS) 0, 1, or 2 Capable of understanding the investigational nature, potential risks and benefits of the study and able to provide valid informed consent If sexually active, willing to use an accepted and effective method of contraception consistently for the duration of study participation Exclusion Criteria: Any of the following: > 2 prior chemotherapy regimen > 2 non-hormonal treatments for metastatic disease (including biologics, gene therapy, angiogenesis inhibitors, etc., but excluding external radiotherapy) Prior therapy with a matrix metalloproteinase inhibitor (MMPI) Immunotherapy =< 4 weeks prior to study entry Biologic therapy =< 4 weeks prior to study entry Radiation therapy =< 4 weeks prior to study entry Concomitant hormonal treatment (except LHRH) Prior use of systemic radiopharmaceuticals such as samarium and strontium PC-Spes =< 4 weeks prior to study entry Failure to fully recover from adverse effects of prior therapies regardless of interval since last treatment Other concurrent chemotherapy, immunotherapy, or radiotherapy directed at the cancer Other therapy or supportive care that is considered investigational Known CNS metastases Known visceral metastases (pulmonary, liver, kidney, splenic lesions); patients with retroperitoneal, pelvic or inguinal lymph node metastases and/or disease in the prostate (or prostatic bed) will not be excluded Uncontrolled intercurrent illness including, but not limited to: Ongoing or active infection Symptomatic congestive heart failure Unstable angina pectoris, cardiac arrhythmia Psychiatric illness/social situations that would limit compliance with study requirements HIV-positive patients receiving combination anti-retroviral therapy Prior malignancy except for adequately treated basal cell or squamous cell skin cancer, adequately treated noninvasive carcinomas, or other cancer from which the patient has been disease free for >= 5 years
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Roberto Pili
Organizational Affiliation
Mayo Clinic
Official's Role
Principal Investigator
Facility Information:
Facility Name
Mayo Clinic
City
Rochester
State/Province
Minnesota
ZIP/Postal Code
55905
Country
United States

12. IPD Sharing Statement

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Zoledronate and BMS-275291 in Treating Patients With Prostate Cancer

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