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Hormone Therapy With or Without Squalamine Lactate in Treating Patients Who Are Undergoing a Radical Prostatectomy for Locally Advanced Prostate Cancer

Primary Purpose

Prostate Cancer

Status
Withdrawn
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
bicalutamide
leuprolide acetate
squalamine lactate
adjuvant therapy
antiandrogen therapy
antiangiogenesis therapy
conventional surgery
neoadjuvant therapy
releasing hormone agonist therapy
Sponsored by
OHSU Knight Cancer Institute
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, stage III prostate cancer

Eligibility Criteria

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

DISEASE CHARACTERISTICS: Histologically confirmed adenocarcinoma of the prostate Locally advanced disease No metastatic disease High-risk characteristics, meeting ≥ 1 of the following criteria: Large, hard tumor on digital exam Aggressive-appearing cancer cells on biopsy Prostate-specific antigen > 10 ng/mL PATIENT CHARACTERISTICS: Performance status 0-1 Life expectancy Not specified Hematopoietic WBC > 1,500/mm^3 Platelet count > 100,000/mm^3 Hemoglobin > 11.0 g/dL Hepatic Bilirubin < 2 times upper limit of normal (ULN) SGOT and SGPT < 2 times ULN PT and PTT normal Renal Creatinine < 1.8 g/dL Cardiovascular No history of ventricular arrhythmia or dysfunction No congestive heart failure No symptomatic coronary artery disease No prior myocardial infarction No history of thromboembolic disease (e.g., deep vein thrombosis or stroke) within the past 12 months No other significant cardiovascular disease Pulmonary No pulmonary embolism within the past 12 months No exercise-limiting respiratory disease Other Fertile patients must use effective barrier method contraception No sexual intercourse for 6 weeks after surgery No uncontrolled diabetes No serious acute infection No other malignancy except nonmelanoma skin cancer PRIOR CONCURRENT THERAPY: Biologic therapy No prior squalamine lactate Chemotherapy No prior chemotherapy for prostate cancer No concurrent anticancer chemotherapy Endocrine therapy No concurrent systemic corticosteroids Radiotherapy No prior radiotherapy for prostate cancer No concurrent radiotherapy Surgery No prior surgery for prostate cancer No other concurrent surgery Other At least 6 weeks since prior and no concurrent use of over-the-counter or herbal drugs that have estrogenic activity No participation in another investigational study within the past 3 months No concurrent participation in another investigational study

Sites / Locations

    Outcomes

    Primary Outcome Measures

    Tumor response in terms of tumor volume as measured by transrectal ultrasound before and after neoadjuvant treatment
    Tumor response in terms of conventional histopathology as measured by prostatectomy specimens and Gleason scores in comparison to pre-treatment biopsies
    Tumor response in terms of molecular markers as measured by changes in VEGF, VEGF-flt-1, and integrin Alpha6Beta4, AlphaVBeta3, and AlphaVBeta5 expression in pre-treatment biopsy and post-treatment prostatectomy specimens

    Secondary Outcome Measures

    Safety, feasibility, and tolerability as measured by CTCAE v3.0
    Prostate-specific antigen (PSA) serology as measured by PSA value during and after completion of study treatment
    Survival for up to 3 years after completion of study treatment

    Full Information

    First Posted
    October 25, 2005
    Last Updated
    May 24, 2012
    Sponsor
    OHSU Knight Cancer Institute
    Collaborators
    National Cancer Institute (NCI)
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00244920
    Brief Title
    Hormone Therapy With or Without Squalamine Lactate in Treating Patients Who Are Undergoing a Radical Prostatectomy for Locally Advanced Prostate Cancer
    Official Title
    An Open Label Randomized Phase 2 Study To Evaluate The Activity, Tolerability, And Toxicity Of Combined Neoadjuvant Anti-angiogenesis and Androgen Ablation Therapy in Men Undergoing Radical Prostatectomy
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2011
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Sponsor withdrew drug.
    Study Start Date
    January 2002 (undefined)
    Primary Completion Date
    June 2007 (Actual)
    Study Completion Date
    June 2007 (Actual)

    3. Sponsor/Collaborators

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

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    RATIONALE: Androgens can cause the growth of prostate cancer cells. Drugs, such as leuprolide and bicalutamide, may stop the adrenal glands from making androgens. Squalamine lactate may stop the growth of prostate cancer by blocking blood flow to the tumor. Giving hormone therapy together with squalamine lactate before surgery may make the tumor smaller and reduce the amount of normal tissue that needs to be removed. PURPOSE: This randomized phase II trial is studying how well giving hormone therapy together with squalamine lactate works compared to hormone therapy alone in treating patients who are undergoing a radical prostatectomy for locally advanced prostate cancer.
    Detailed Description
    OBJECTIVES: Compare the effect of neoadjuvant androgen-ablation therapy with vs without squalamine lactate on induced tumor regression and grade migration in patients with locally advanced high-risk adenocarcinoma of the prostate undergoing a radical prostatectomy. Compare the duration of clinical disease-free survival of patients treated with these regimens. Determine the applicability of prostate-specific antigen (PSA) serology as an endpoint determinant in patients treated with these regimens. Compare the feasibility and potential safety effects on wound healing and recovery in patients treated with these regimens before and after a radical prostatectomy. OUTLINE: This is an open-label, randomized, multicenter study. Patients are randomized to 1 of 2 treatment arms. Arm I: Patients receive leuprolide intramuscularly once a month for 3 months and oral bicalutamide once a day for 2 weeks. Arm II: Patients receive leuprolide and bicalutamide as in arm I plus squalamine lactate IV over 4 hours once weekly for 6 weeks. Seven weeks after beginning treatment, patients in both arms undergo standard radical prostatectomy. Patients then continue to receive leuprolide and bicalutamide with or without squalamine lactate for up to 6 additional weeks. After completion of study treatment, patients are followed periodically for at least 3 years. PROJECTED ACCRUAL: A total of 132 patients (66 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, stage III prostate cancer

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Intervention Type
    Drug
    Intervention Name(s)
    bicalutamide
    Intervention Type
    Drug
    Intervention Name(s)
    leuprolide acetate
    Intervention Type
    Drug
    Intervention Name(s)
    squalamine lactate
    Intervention Type
    Procedure
    Intervention Name(s)
    adjuvant therapy
    Intervention Type
    Procedure
    Intervention Name(s)
    antiandrogen therapy
    Intervention Type
    Procedure
    Intervention Name(s)
    antiangiogenesis therapy
    Intervention Type
    Procedure
    Intervention Name(s)
    conventional surgery
    Intervention Type
    Procedure
    Intervention Name(s)
    neoadjuvant therapy
    Intervention Type
    Procedure
    Intervention Name(s)
    releasing hormone agonist therapy
    Primary Outcome Measure Information:
    Title
    Tumor response in terms of tumor volume as measured by transrectal ultrasound before and after neoadjuvant treatment
    Title
    Tumor response in terms of conventional histopathology as measured by prostatectomy specimens and Gleason scores in comparison to pre-treatment biopsies
    Title
    Tumor response in terms of molecular markers as measured by changes in VEGF, VEGF-flt-1, and integrin Alpha6Beta4, AlphaVBeta3, and AlphaVBeta5 expression in pre-treatment biopsy and post-treatment prostatectomy specimens
    Secondary Outcome Measure Information:
    Title
    Safety, feasibility, and tolerability as measured by CTCAE v3.0
    Title
    Prostate-specific antigen (PSA) serology as measured by PSA value during and after completion of study treatment
    Title
    Survival for up to 3 years after completion of study treatment

    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 Locally advanced disease No metastatic disease High-risk characteristics, meeting ≥ 1 of the following criteria: Large, hard tumor on digital exam Aggressive-appearing cancer cells on biopsy Prostate-specific antigen > 10 ng/mL PATIENT CHARACTERISTICS: Performance status 0-1 Life expectancy Not specified Hematopoietic WBC > 1,500/mm^3 Platelet count > 100,000/mm^3 Hemoglobin > 11.0 g/dL Hepatic Bilirubin < 2 times upper limit of normal (ULN) SGOT and SGPT < 2 times ULN PT and PTT normal Renal Creatinine < 1.8 g/dL Cardiovascular No history of ventricular arrhythmia or dysfunction No congestive heart failure No symptomatic coronary artery disease No prior myocardial infarction No history of thromboembolic disease (e.g., deep vein thrombosis or stroke) within the past 12 months No other significant cardiovascular disease Pulmonary No pulmonary embolism within the past 12 months No exercise-limiting respiratory disease Other Fertile patients must use effective barrier method contraception No sexual intercourse for 6 weeks after surgery No uncontrolled diabetes No serious acute infection No other malignancy except nonmelanoma skin cancer PRIOR CONCURRENT THERAPY: Biologic therapy No prior squalamine lactate Chemotherapy No prior chemotherapy for prostate cancer No concurrent anticancer chemotherapy Endocrine therapy No concurrent systemic corticosteroids Radiotherapy No prior radiotherapy for prostate cancer No concurrent radiotherapy Surgery No prior surgery for prostate cancer No other concurrent surgery Other At least 6 weeks since prior and no concurrent use of over-the-counter or herbal drugs that have estrogenic activity No participation in another investigational study within the past 3 months No concurrent participation in another investigational study
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Mitchell Sokoloff, MD, FACS
    Organizational Affiliation
    OHSU Knight Cancer Institute
    Official's Role
    Study Chair

    12. IPD Sharing Statement

    Learn more about this trial

    Hormone Therapy With or Without Squalamine Lactate in Treating Patients Who Are Undergoing a Radical Prostatectomy for Locally Advanced Prostate Cancer

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