Pilot Efficacy Study of PI-88 With Docetaxel to Treat Prostate Cancer

Inclusion Criteria: Histologically/cytologically proven prostate adenocarcinoma that is unresponsive or refractory to hormone therapy Patients must have received prior hormonal therapy, defined as castration by orchiectomy and/or luteinizing hormone releasing hormone (LHRH) agonists Patients must have documented progression detected by PSA increase, physical examination and/or imaging Patients must have achieved stable pain control for a minimum of seven consecutive days prior to study entry. Prior radiation therapy (to < 25% of the bone marrow only) is permitted. At least 4 weeks must have elapsed since the completion of radiation therapy and the patient must have recovered from side effects prior to study entry. Prior surgery is allowed. At least 4 weeks must have elapsed since the completion of surgery Life expectancy > 3 months ECOG Performance score of < 2. Neutrophil count > 1.5 x 109/L (1,500/mm3) Haemoglobin > 10 g/dL Platelet count > 100 x 109/L (100,000/mm3) Total bilirubin < the upper limit of normal (ULN) of the institution ALT (SGPT) and AST (SGOT) < 1.5 x the ULN of the institution Calculated creatinine clearance, using Cockroft and Gault formula, >60 mL/min APTT and PT < 1.5 X ULN Patients (or legally acceptable representative) must have voluntarily given written informed consent to participate in this study. Patients must be willing to comply with the scheduled visit, treatment plans, laboratory tests, and other study procedures Exclusion Criteria: Prior cytotoxic chemotherapy Prior isotope therapy (e.g., strontium, samarium) Prior radiotherapy to >25% of bone marrow (whole pelvic irradiation is not allowed) Prior treatment with biological response modifiers within the previous 4 weeks Prior malignancy except the following: adequately treated basal cell or squamous cell skin cancer, or any other cancer from which the patient has been disease-free for > 5 years Known brain or leptomeningeal involvement Symptomatic peripheral neuropathy > grade 2 according to the NCI Common Terminology Criteria for Adverse Events v3 (NCI CTCAE v3) Serious intercurrent medical illness that does not permit adequate follow-up and compliance with the study protocol History of immune-mediated thrombocytopenia, thrombotic thrombocytopenic purpura or other platelet disease, or laboratory evidence of anti-heparin antibodies Use of drugs that may inhibit the metabolism of docetaxel (cyclosporin, terfenadine, ketoconazole, erythromycin, troleandomycin) within the previous week or during the study Concurrent treatment with other experimental drugs. Participation in another clinical trial with any investigational drug within 30 days prior to study screening Treatment with any other anti-cancer therapy (except LHRH agonists) including any prescribed compounds and/or over-the-counter (OTC) products for the treatment of prostate cancer must be stopped prior to day of enrolment Treatment with systemic corticosteroids used for reasons other than specified by the protocol must be stopped prior to day of enrolment Concomitant bisphosphonate therapy is not allowed. Patients already receiving bisphosphonates must be stopped prior to day of enrolment Concomitant use of aspirin (> 150 mg/day), non-steroidal anti-inflammatory drugs (except specific COX-2 inhibitors), heparin, low molecular weight heparin (LMWH), warfarin (> 1 mg/day) or anti-platelet drugs (abciximab, clopidogrel, dipyridamole, ticlopidine and tirofiban). Low-dose aspirin (≤ 150 mg/day) and low-dose warfarin (≤ 1 mg/day) are permitted as concomitant medications Treatment with heparin or low molecular weight heparin within the previous two weeks is not permitted History of allergy and/or hypersensitivity to heparin or other anti-coagulants/thrombolytic agents History of acute or chronic gastrointestinal bleeding within the last two years, inflammatory bowel disease or other abnormal bleeding tendency Patients at risk of bleeding due to open wounds or planned surgery Myocardial infarction, stroke or congestive heart failure within the past three months Uncontrolled or serious infection within the past four weeks