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GTI-2040, Docetaxel, and Prednisone in Treating Patients With Prostate Cancer

Primary Purpose

Prostate Cancer

Status
Completed
Phase
Phase 2
Locations
Canada
Study Type
Interventional
Intervention
GTI-2040
docetaxel
prednisone
Sponsored by
University Health Network, Toronto
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

Eligibility Criteria

18 Years - 120 Years (Adult, Older Adult)MaleDoes not accept healthy volunteers

DISEASE CHARACTERISTICS: Diagnosis of 1 of the following: Histologically or cytologically confirmed adenocarcinoma of the prostate Metastatic carcinoma of presumptive prostate origin Bony metastases AND a serum prostate-specific antigen (PSA) level > 20 ng/mL Disease progression after prior hormonal therapy as defined by rising PSA levels At least 2 consecutive rises in PSA over a reference value, with measurements taken at least 7 days apart Prior hormonal therapy must include either medical (luteinizing hormone-releasing hormone [LHRH] agonist) OR surgical (orchiectomy) castration Patients who received prior LHRH agonist must continue or re-start such therapy Castrate levels of testosterone < 50 ng/dL PSA ≥ 20 ng/mL No known brain metastases PATIENT CHARACTERISTICS: Age 18 and over Performance status ECOG 0-2 OR Karnofsky 60-100% Life expectancy More than 3 months Hematopoietic Absolute neutrophil count ≥ 1,500/mm^3 Platelet count ≥ 100,000/mm^3 WBC ≥ 3,000/mm^3 Hepatic AST and ALT ≤ 1.5 times upper limit of normal (ULN) Bilirubin normal PTT ≤ 1.25 times upper limit of control INR ≤ 1.3 Renal Creatinine ≤ 1.5 times ULN OR Creatinine clearance ≥ 50 mL/min Cardiovascular No symptomatic congestive heart failure No unstable angina pectoris No cardiac arrhythmia Other Fertile patients must use effective contraception No symptomatic peripheral neuropathy ≥ grade 2 No history of allergic reaction attributed to compounds of similar chemical or biologic composition to GTI-2040 or other study agents No concurrent uncontrolled illness No active or ongoing infection No psychiatric illness or social situation that would preclude study compliance PRIOR CONCURRENT THERAPY: Biologic therapy No concurrent prophylactic filgrastim (G-CSF) or epoetin alfa Chemotherapy No prior chemotherapy except monotherapy with oral estramustine At least 4 weeks since prior estramustine and recovered Endocrine therapy See Disease Characteristics At least 6 weeks since prior bicalutamide* At least 4 weeks since prior flutamide, nilutamide, or cyproterone* Concurrent steroids allowed NOTE: *Patients must have evidence of disease progression despite cessation of antiandrogen therapy Radiotherapy At least 4 weeks since prior radiotherapy No prior radiotherapy to > 25% of bone marrow No prior isotope therapy Surgery See Disease Characteristics Other No concurrent prophylactic antibiotics No concurrent anticoagulants Concurrent low-dose warfarin for prophylaxis of central line thrombosis allowed No concurrent combination antiretroviral therapy for HIV-positive patients No other concurrent investigational agents or therapies

Sites / Locations

  • British Columbia Cancer Agency - Vancouver Cancer Centre
  • Margaret and Charles Juravinski Cancer Centre
  • London Regional Cancer Program at London Health Sciences Centre
  • Ottawa Hospital Regional Cancer Centre - General Campus
  • Princess Margaret Hospital

Outcomes

Primary Outcome Measures

PSA response rate

Secondary Outcome Measures

Median survival
1-year survival
Response rate and duration

Full Information

First Posted
July 8, 2004
Last Updated
April 23, 2021
Sponsor
University Health Network, Toronto
Collaborators
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00087165
Brief Title
GTI-2040, Docetaxel, and Prednisone in Treating Patients With Prostate Cancer
Official Title
A Phase II Study of GTI-2040 in Combination With Docetaxel and Prednisone in Hormone-Refractory Prostate Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
April 2021
Overall Recruitment Status
Completed
Study Start Date
January 2005 (Actual)
Primary Completion Date
September 2006 (Actual)
Study Completion Date
December 2006 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University Health Network, Toronto
Collaborators
National Cancer Institute (NCI)

4. Oversight

5. Study Description

Brief Summary
RATIONALE: GTI-2040 may stop the growth of tumor cells by blocking the enzymes necessary for their growth. Drugs used in chemotherapy, such as docetaxel, work in different ways to stop tumor cells from dividing so they stop growing or die. GTI-2040 may help docetaxel kill more tumor cells by making them more sensitive to the drug. PURPOSE: This phase II trial is studying how well giving GTI-2040 together with docetaxel and prednisone works in treating patients with prostate cancer that has not responded to hormone therapy.
Detailed Description
OBJECTIVES: Primary Determine the efficacy of GTI-2040, docetaxel, and prednisone, in terms of prostate-specific antigen (PSA) response rate, in patients with hormone-refractory prostate cancer. Secondary Determine objective tumor response in patients treated with this regimen. Determine the median time to progression in patients treated with this regimen. Determine the safety and tolerability of this regimen in these patients. Determine the median duration of PSA response in patients treated with this regimen. Correlate baseline and post-treatment levels of ribonucleotide reductase activity in tumor biopsies and peripheral blood mononuclear cells and tumoral expression of c-myc, R2 subunit protein, and markers of cellular proliferation and apoptosis with clinical outcomes in patients treated with this regimen. OUTLINE: This is an open-label, multicenter study. Patients receive GTI-2040 IV continuously on days 1-14, docetaxel IV on day 3 of course 1 and on day 1 of subsequent courses, and oral prednisone twice daily on days 1-21. Treatment repeats every 21 days for up to 10 courses in the absence of disease progression or unacceptable toxicity. Patients are followed for survival. PROJECTED ACCRUAL: A total of 18-46 patients will be accrued for this study within 3.6-9.5 months.

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Masking
None (Open Label)
Enrollment
22 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Biological
Intervention Name(s)
GTI-2040
Intervention Type
Drug
Intervention Name(s)
docetaxel
Intervention Type
Drug
Intervention Name(s)
prednisone
Primary Outcome Measure Information:
Title
PSA response rate
Secondary Outcome Measure Information:
Title
Median survival
Title
1-year survival
Title
Response rate and duration

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
120 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Diagnosis of 1 of the following: Histologically or cytologically confirmed adenocarcinoma of the prostate Metastatic carcinoma of presumptive prostate origin Bony metastases AND a serum prostate-specific antigen (PSA) level > 20 ng/mL Disease progression after prior hormonal therapy as defined by rising PSA levels At least 2 consecutive rises in PSA over a reference value, with measurements taken at least 7 days apart Prior hormonal therapy must include either medical (luteinizing hormone-releasing hormone [LHRH] agonist) OR surgical (orchiectomy) castration Patients who received prior LHRH agonist must continue or re-start such therapy Castrate levels of testosterone < 50 ng/dL PSA ≥ 20 ng/mL No known brain metastases PATIENT CHARACTERISTICS: Age 18 and over Performance status ECOG 0-2 OR Karnofsky 60-100% Life expectancy More than 3 months Hematopoietic Absolute neutrophil count ≥ 1,500/mm^3 Platelet count ≥ 100,000/mm^3 WBC ≥ 3,000/mm^3 Hepatic AST and ALT ≤ 1.5 times upper limit of normal (ULN) Bilirubin normal PTT ≤ 1.25 times upper limit of control INR ≤ 1.3 Renal Creatinine ≤ 1.5 times ULN OR Creatinine clearance ≥ 50 mL/min Cardiovascular No symptomatic congestive heart failure No unstable angina pectoris No cardiac arrhythmia Other Fertile patients must use effective contraception No symptomatic peripheral neuropathy ≥ grade 2 No history of allergic reaction attributed to compounds of similar chemical or biologic composition to GTI-2040 or other study agents No concurrent uncontrolled illness No active or ongoing infection No psychiatric illness or social situation that would preclude study compliance PRIOR CONCURRENT THERAPY: Biologic therapy No concurrent prophylactic filgrastim (G-CSF) or epoetin alfa Chemotherapy No prior chemotherapy except monotherapy with oral estramustine At least 4 weeks since prior estramustine and recovered Endocrine therapy See Disease Characteristics At least 6 weeks since prior bicalutamide* At least 4 weeks since prior flutamide, nilutamide, or cyproterone* Concurrent steroids allowed NOTE: *Patients must have evidence of disease progression despite cessation of antiandrogen therapy Radiotherapy At least 4 weeks since prior radiotherapy No prior radiotherapy to > 25% of bone marrow No prior isotope therapy Surgery See Disease Characteristics Other No concurrent prophylactic antibiotics No concurrent anticoagulants Concurrent low-dose warfarin for prophylaxis of central line thrombosis allowed No concurrent combination antiretroviral therapy for HIV-positive patients No other concurrent investigational agents or therapies
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Malcolm J. Moore, MD
Organizational Affiliation
Princess Margaret Hospital, Canada
Official's Role
Principal Investigator
Facility Information:
Facility Name
British Columbia Cancer Agency - Vancouver Cancer Centre
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V5Z 4E6
Country
Canada
Facility Name
Margaret and Charles Juravinski Cancer Centre
City
Hamilton
State/Province
Ontario
ZIP/Postal Code
L8V 5C2
Country
Canada
Facility Name
London Regional Cancer Program at London Health Sciences Centre
City
London
State/Province
Ontario
ZIP/Postal Code
N6A 4L6
Country
Canada
Facility Name
Ottawa Hospital Regional Cancer Centre - General Campus
City
Ottawa
State/Province
Ontario
ZIP/Postal Code
K1H 8L6
Country
Canada
Facility Name
Princess Margaret Hospital
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 2M9
Country
Canada

12. IPD Sharing Statement

Citations:
PubMed Identifier
20602233
Citation
Sridhar SS, Canil CM, Chi KN, Hotte SJ, Ernst S, Wang L, Chen EX, Juhasz A, Yen Y, Murray P, Zwiebel JA, Moore MJ. A phase II study of the antisense oligonucleotide GTI-2040 plus docetaxel and prednisone as first-line treatment in castration-resistant prostate cancer. Cancer Chemother Pharmacol. 2011 Apr;67(4):927-33. doi: 10.1007/s00280-010-1389-7. Epub 2010 Jul 3.
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GTI-2040, Docetaxel, and Prednisone in Treating Patients With Prostate Cancer

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