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Docetaxel With or Without Oblimersen in Treating Patients With Hormone-Refractory Adenocarcinoma (Cancer) of the Prostate

Primary Purpose

Prostate Cancer

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
oblimersen sodium
docetaxel
Sponsored by
European Organisation for Research and Treatment of Cancer - EORTC
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Prostate Cancer focused on measuring adenocarcinoma of the prostate, recurrent prostate cancer, stage IV prostate cancer

Eligibility Criteria

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

DISEASE CHARACTERISTICS: Histologically confirmed adenocarcinoma of the prostate Hormone-refractory disease Disease progression after prior hormonal therapy with luteinizing hormone-releasing hormone (LH-RH) analogues or orchiectomy and antiandrogens (given together or consecutively) Prostate-specific antigen (PSA) progression documented by at least 2 increases in PSA values over previous PSA reference value Must demonstrate continued PSA elevation for at least 6 weeks after discontinuation of antiandrogen therapy PSA ≥ 5 ng/mL (Hybritech or equivalent) within the past week Testosterone ≤ 0.5 ng/mL* NOTE: *Patients with medical castration with LH-RH analogue must continue with LH-RH analogue throughout the study No evidence of painful and/or destructive bone metastases requiring concurrent radiotherapy, bisphosphonates, or bone-seeking radionuclides Other bone metastases allowed No clinical evidence of brain metastases PATIENT CHARACTERISTICS: Age 18 and over Performance status WHO 0-2 Life expectancy Not specified Hematopoietic Absolute neutrophil count ≥ 1,500/mm^3 Platelet count ≥ 100,000/mm^3 WBC ≥ 3,500/mm^3 Hemoglobin ≥ 10 g/dL Hepatic AST and ALT ≤ 1.5 times upper limit of normal (ULN) Bilirubin ≤ ULN PTT and PT ≤ 1.5 times ULN OR INR ≤ 1.3 Renal Creatinine ≤ 1.5 times ULN OR Creatinine clearance ≥ 50 mL/min Cardiovascular No unstable angina No uncontrolled hypertension No deep venous thrombosis within the past 6 months No cerebrovascular accident, transient ischemic attack, or myocardial infarction within the past 6 months Pulmonary No pulmonary embolism No history of interstitial pneumonitis No history of pulmonary fibrosis Other Adequate venous access HIV negative No active infection No pre-existing neuropathy No hypersensitivity to phosphorothioates No hypersensitivity to oligonucleotides or any other component of the oblimersen formulation or to drugs formulated with polysorbate No psychological, familial, sociological, or geographical condition that would preclude study compliance No other malignancy within the past 5 years except adequately treated superficial urothelial or skin cancer PRIOR CONCURRENT THERAPY: Biologic therapy Not specified Chemotherapy Prior estramustine allowed No other prior chemotherapy No concurrent estramustine Endocrine therapy See Disease Characteristics At least 6 weeks since prior flutamide, bicalutamide, or nilutamide More than 6 weeks since prior hormonal manipulation with PC-SPES Concurrent LH-RH agonist allowed No concurrent antiandrogens Radiotherapy See Disease Characteristics No prior radiotherapy involving > 25% of marrow-producing area No prior bone-seeking radionuclides No concurrent radiotherapy (including palliative therapy for painful bone metastases) No concurrent bone-seeking radionuclides Surgery See Disease Characteristics Other Prior bisphosphonates allowed No concurrent anticoagulation except for low-dose warfarin (1 mg/day) No concurrent regular (daily) intake of opioid analgesics No other concurrent experimental drugs or anticancer drugs No concurrent bisphosphonates

Sites / Locations

  • Kaiser Franz Josef Hospital
  • Onze Lieve Vrouw Ziekenhuis Aalst
  • Institut Jules Bordet
  • Cliniques Universitaires Saint-Luc
  • Universitair Ziekenhuis Gent
  • U.Z. Gasthuisberg
  • Rigshospitalet - Copenhagen University Hospital
  • CHU de Grenoble - Hopital de la Tronche
  • Assaf Harofeh Medical Center
  • Ospedale S. Camillo-Forlanini
  • Academisch Medisch Centrum at University of Amsterdam
  • Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology
  • Hospital Desterro
  • Hospital General Universitari Vall d'Hebron
  • Saint Bartholomew's Hospital
  • Western Infirmary

Outcomes

Primary Outcome Measures

Prostate-specific antigen response as measured by Bubley criteria every course until progression or after 12 courses
Severe toxic events as measured by CTCAE v3.0 every course until progression or after 12 courses

Secondary Outcome Measures

Time to progression as measured by RECIST and Bubley criteria every 3 courses, and then every 8 weeks until progression, and every 16 weeks from progression until death
Toxicity as measured by CTCAE v3.0 every 3 courses, and then every 8 weeks until progression, and every 16 weeks from progression until death
Objective response as measured by RECIST every 3 courses, and then every 8 weeks until progression, and every 16 weeks from progression until death
Overall survival as measured by Logrank every 3 courses, and then every 8 weeks until progression, and every 16 weeks from progression until death

Full Information

First Posted
June 10, 2004
Last Updated
September 20, 2012
Sponsor
European Organisation for Research and Treatment of Cancer - EORTC
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1. Study Identification

Unique Protocol Identification Number
NCT00085228
Brief Title
Docetaxel With or Without Oblimersen in Treating Patients With Hormone-Refractory Adenocarcinoma (Cancer) of the Prostate
Official Title
Randomized Phase II Trial of Docetaxel (Taxotere) and Oblimersen (Antisense Oligonucleotide Directed to BCL-2) Versus Taxotere Alone in Patients With Hormone-Refractory Prostate Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
September 2012
Overall Recruitment Status
Completed
Study Start Date
April 2004 (undefined)
Primary Completion Date
January 2006 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
European Organisation for Research and Treatment of Cancer - EORTC

4. Oversight

5. Study Description

Brief Summary
RATIONALE: Drugs used in chemotherapy, such as docetaxel, work in different ways to stop tumor cells from dividing so they stop growing or die. Oblimersen may increase the effectiveness of docetaxel by making tumor cells more sensitive to the drug. PURPOSE: This randomized phase II trial is studying how well giving docetaxel together with oblimersen works compared to docetaxel alone in treating patients with hormone-refractory adenocarcinoma (cancer) of the prostate.
Detailed Description
OBJECTIVES: Primary Compare the activity of docetaxel with or without oblimersen, in terms of prostate-specific antigen response, in patients with hormone-refractory adenocarcinoma of the prostate. Compare the toxicity of these regimens in these patients. Secondary Compare the time to progression in patients treated with these regimens. Compare survival of patients treated with these regimens. OUTLINE: This is a randomized, multicenter study. Patients are stratified according to participating center, metastatic disease (M0 vs M1 with non-measurable lesions only vs M1 with measurable lesions), prior estramustine (yes vs no), and prior bisphosphonates (yes vs no). Patients are randomized to 1 of 2 treatment arms. Arm I: Patients receive docetaxel IV over 1 hour on day 5 and oblimersen IV continuously on days 1-7. Arm II: Patients receive docetaxel IV over 1 hour on day 1. In both arms, treatment repeats every 21 days for up to 12 courses in the absence of disease progression or unacceptable toxicity. Patients are followed every 8 weeks until progressive disease and then every 16 weeks thereafter. PROJECTED ACCRUAL: A total of 102 patients (51 per treatment arm) will be accrued for this study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Prostate Cancer
Keywords
adenocarcinoma of the prostate, recurrent prostate cancer, stage IV prostate cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Allocation
Randomized
Enrollment
116 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Biological
Intervention Name(s)
oblimersen sodium
Intervention Type
Drug
Intervention Name(s)
docetaxel
Primary Outcome Measure Information:
Title
Prostate-specific antigen response as measured by Bubley criteria every course until progression or after 12 courses
Title
Severe toxic events as measured by CTCAE v3.0 every course until progression or after 12 courses
Secondary Outcome Measure Information:
Title
Time to progression as measured by RECIST and Bubley criteria every 3 courses, and then every 8 weeks until progression, and every 16 weeks from progression until death
Title
Toxicity as measured by CTCAE v3.0 every 3 courses, and then every 8 weeks until progression, and every 16 weeks from progression until death
Title
Objective response as measured by RECIST every 3 courses, and then every 8 weeks until progression, and every 16 weeks from progression until death
Title
Overall survival as measured by Logrank every 3 courses, and then every 8 weeks until progression, and every 16 weeks from progression until death

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed adenocarcinoma of the prostate Hormone-refractory disease Disease progression after prior hormonal therapy with luteinizing hormone-releasing hormone (LH-RH) analogues or orchiectomy and antiandrogens (given together or consecutively) Prostate-specific antigen (PSA) progression documented by at least 2 increases in PSA values over previous PSA reference value Must demonstrate continued PSA elevation for at least 6 weeks after discontinuation of antiandrogen therapy PSA ≥ 5 ng/mL (Hybritech or equivalent) within the past week Testosterone ≤ 0.5 ng/mL* NOTE: *Patients with medical castration with LH-RH analogue must continue with LH-RH analogue throughout the study No evidence of painful and/or destructive bone metastases requiring concurrent radiotherapy, bisphosphonates, or bone-seeking radionuclides Other bone metastases allowed No clinical evidence of brain metastases PATIENT CHARACTERISTICS: Age 18 and over Performance status WHO 0-2 Life expectancy Not specified Hematopoietic Absolute neutrophil count ≥ 1,500/mm^3 Platelet count ≥ 100,000/mm^3 WBC ≥ 3,500/mm^3 Hemoglobin ≥ 10 g/dL Hepatic AST and ALT ≤ 1.5 times upper limit of normal (ULN) Bilirubin ≤ ULN PTT and PT ≤ 1.5 times ULN OR INR ≤ 1.3 Renal Creatinine ≤ 1.5 times ULN OR Creatinine clearance ≥ 50 mL/min Cardiovascular No unstable angina No uncontrolled hypertension No deep venous thrombosis within the past 6 months No cerebrovascular accident, transient ischemic attack, or myocardial infarction within the past 6 months Pulmonary No pulmonary embolism No history of interstitial pneumonitis No history of pulmonary fibrosis Other Adequate venous access HIV negative No active infection No pre-existing neuropathy No hypersensitivity to phosphorothioates No hypersensitivity to oligonucleotides or any other component of the oblimersen formulation or to drugs formulated with polysorbate No psychological, familial, sociological, or geographical condition that would preclude study compliance No other malignancy within the past 5 years except adequately treated superficial urothelial or skin cancer PRIOR CONCURRENT THERAPY: Biologic therapy Not specified Chemotherapy Prior estramustine allowed No other prior chemotherapy No concurrent estramustine Endocrine therapy See Disease Characteristics At least 6 weeks since prior flutamide, bicalutamide, or nilutamide More than 6 weeks since prior hormonal manipulation with PC-SPES Concurrent LH-RH agonist allowed No concurrent antiandrogens Radiotherapy See Disease Characteristics No prior radiotherapy involving > 25% of marrow-producing area No prior bone-seeking radionuclides No concurrent radiotherapy (including palliative therapy for painful bone metastases) No concurrent bone-seeking radionuclides Surgery See Disease Characteristics Other Prior bisphosphonates allowed No concurrent anticoagulation except for low-dose warfarin (1 mg/day) No concurrent regular (daily) intake of opioid analgesics No other concurrent experimental drugs or anticancer drugs No concurrent bisphosphonates
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Cora N. Sternberg, MD, FACP
Organizational Affiliation
Azienda Ospedaliera S. Camillo-Forlanini
Official's Role
Study Chair
Facility Information:
Facility Name
Kaiser Franz Josef Hospital
City
Vienna
ZIP/Postal Code
A-1100
Country
Austria
Facility Name
Onze Lieve Vrouw Ziekenhuis Aalst
City
Aalst
ZIP/Postal Code
B-9300
Country
Belgium
Facility Name
Institut Jules Bordet
City
Brussels
ZIP/Postal Code
1000
Country
Belgium
Facility Name
Cliniques Universitaires Saint-Luc
City
Brussels
ZIP/Postal Code
1200
Country
Belgium
Facility Name
Universitair Ziekenhuis Gent
City
Ghent
ZIP/Postal Code
B-9000
Country
Belgium
Facility Name
U.Z. Gasthuisberg
City
Leuven
ZIP/Postal Code
B-3000
Country
Belgium
Facility Name
Rigshospitalet - Copenhagen University Hospital
City
Copenhagen
ZIP/Postal Code
2100
Country
Denmark
Facility Name
CHU de Grenoble - Hopital de la Tronche
City
Grenoble
ZIP/Postal Code
38043
Country
France
Facility Name
Assaf Harofeh Medical Center
City
Zerifin
ZIP/Postal Code
70300
Country
Israel
Facility Name
Ospedale S. Camillo-Forlanini
City
Rome
ZIP/Postal Code
00152
Country
Italy
Facility Name
Academisch Medisch Centrum at University of Amsterdam
City
Amsterdam
ZIP/Postal Code
1105 AZ
Country
Netherlands
Facility Name
Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology
City
Warsaw
ZIP/Postal Code
02-781
Country
Poland
Facility Name
Hospital Desterro
City
Lisboa
ZIP/Postal Code
2700
Country
Portugal
Facility Name
Hospital General Universitari Vall d'Hebron
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Facility Name
Saint Bartholomew's Hospital
City
London
State/Province
England
ZIP/Postal Code
EC1A 7BE
Country
United Kingdom
Facility Name
Western Infirmary
City
Glasgow
State/Province
Scotland
ZIP/Postal Code
G11 6NT
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
19297314
Citation
Sternberg CN, Dumez H, Van Poppel H, Skoneczna I, Sella A, Daugaard G, Gil T, Graham J, Carpentier P, Calabro F, Collette L, Lacombe D; EORTC Genitourinary Tract Cancer Group. Docetaxel plus oblimersen sodium (Bcl-2 antisense oligonucleotide): an EORTC multicenter, randomized phase II study in patients with castration-resistant prostate cancer. Ann Oncol. 2009 Jul;20(7):1264-9. doi: 10.1093/annonc/mdn784. Epub 2009 Mar 17.
Results Reference
result
Citation
Sternberg CN, Dumez H, Van Poppel H, et al.: Multicenter randomized EORTC trial 30021 of docetaxel + oblimersen and docetaxel in patients (pts) with hormone refractory prostate cancer (HRPC). [Abstract] American Society of Clinical Oncology 2007 Prostate Cancer Symposium, 22-24 February 2007, Orlando, FL. A-144, 2007.
Results Reference
result

Learn more about this trial

Docetaxel With or Without Oblimersen in Treating Patients With Hormone-Refractory Adenocarcinoma (Cancer) of the Prostate

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