search
Back to results

Pharmacokinetic Study of BAY43-9006 and Taxotere to Treat Patient With Prostatic Cancer

Primary Purpose

Primary Disease, Prostate Cancer

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
sorafenib (200 or 400mg bid) and taxotere iv
Sponsored by
Cliniques universitaires Saint-Luc- Université Catholique de Louvain
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Primary Disease focused on measuring hormone-resistant, metastatic prostatic cancer, pharmacokinetics, naïve patient

Eligibility Criteria

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

Inclusion Criteria:

  • Signed informed consent prior to beginning protocol specific procedures.
  • 18 years
  • Radiologically proven presence of metastases
  • Histologically/cytologically proven prostate adenocarcinoma.
  • Biochemically evaluable disease
  • Patients must have received prior hormonal therapy as defined below:

    • Castration by orchiectomy and/or LHRH agonists with or without
    • Antiandrogens
    • Other hormonal agents (e.g., ketoconazole, ...)
  • The testosterone level should be < 50 ng/dl (10) documented disease progression defined by PSA increase. Patients must have a value of at least 5 ng/ml in addition to increasing PSA to be eligible.
  • Life expectancy > 3 months
  • ECOG performance status 0-2.
  • Normal cardiac function.

Exclusion Criteria:

  • Prior chemotherapy except estramustine phosphate.
  • Prior isotope therapy (e.g., strontium, samarium).
  • Prior radiotherapy to >25% of bone marrow
  • Prior therapy with anti-VEGF therapy
  • 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.
  • History or presence of central nervous system (CNS) disease (i.e. primary brain tumor, malignant seizures, CNS metastases or carcinomatous meningitis)
  • Symptomatic peripheral neuropathy
  • Other serious illness or medical condition the use of corticosteroids.
  • Concurrent treatment with other experimental drugs. Participation in another clinical trial with any investigational drug within 30 days prior to study screening.
  • Impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of BAY 9006.
  • Major surgery with 4 weeks of study entry
  • Autologous bone marrow transplant or stem cell rescue within 4 months of study entry
  • Use of biologic response modifiers, such as G-CSF, within 3 weeks of study entry
  • Treatment with any other anti-cancer therapy (except LHRH agonists) including any prescribed compounds and/or OTC products for the treatment of prostate cancer must be stopped.
  • Treatment with drugs that are metabolized by the cytochrome P450 system (i.e warfarin sodium,…)
  • Treatment with systemic corticosteroids used for reasons other than specified by the protocol must be stopped.
  • Biphosphonates could not be initiated after inclusion into the protocol. At inclusion, patients receiving biphosphonates with a PSA progression could continue biphosphonates.
  • Patients with reproductive potential not employing an effective method of birth control. Barrier contraceptives must be used throughout the trial.
  • Inadequate recovery from previous surgery, radiation, chemo-, biologic or immunotherapy
  • Patients who have known hypersensitivity to the study medication
  • Substance abuse, medical social, psychological conditions that may interfere with the subject's participation in the study or evaluation of study results
  • Patients unable to sallow oral medications.

Sites / Locations

  • St Pierre
  • Cliniques Universitaires St Luc
  • Notre Dame et Reine Fabiola
  • Clinique Universiataire de Mont Godinne
  • Sainte Elisabeth
  • Hôpital Européen Georges Pompidou

Outcomes

Primary Outcome Measures

Determine the recommended dose of BAY 43-9006 (SORAFENIB) in combination with docetaxel in hormone-refractory prostate cancer patients as first line treatment in patients with metastatic hormone refractory prostate cancer.

Secondary Outcome Measures

Evaluation of pharmacokinetics and pharmacodynamics of BAY43-9006 in combination with docetaxel*
Toxicity and safety
Response rate in patients with measurable disease
PSA response rate
PSA response duration
Time to PSA progression (=time between treatment start and PSA progression)
Time to PSA progression after the last dose of docetaxel in patients with no progression after stopping docetaxel (= time between the last dose of docetaxel and PSA progression)
Event progression-free survival

Full Information

First Posted
November 28, 2006
Last Updated
May 20, 2011
Sponsor
Cliniques universitaires Saint-Luc- Université Catholique de Louvain
search

1. Study Identification

Unique Protocol Identification Number
NCT00405210
Brief Title
Pharmacokinetic Study of BAY43-9006 and Taxotere to Treat Patient With Prostatic Cancer
Official Title
Open-label, Multicenter,PhaseI Trial in Order To Determine the Safety and Pharmacokinetics of BAY43-9006 in Combination With Docetaxel as First-line Treatment in Metastatic Hormone Refractory Prostate Cancer Patients
Study Type
Interventional

2. Study Status

Record Verification Date
May 2011
Overall Recruitment Status
Completed
Study Start Date
September 2006 (undefined)
Primary Completion Date
August 2008 (Actual)
Study Completion Date
December 2009 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Cliniques universitaires Saint-Luc- Université Catholique de Louvain

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of the trial is to determine the most effective dose of BAy 46-9003 associated to taxotere for first-line treatment of patient with prostatic cancer. BAY 43-9006 (SORAFENIB) is a novel dual-action Raf kinase and VEGFR inhibitor, which is orally available and has a favorable safety profile in patients with advanced solid tumors. This, together with the antitumor activity observed after treatment with BAY 43-9006 (SORAFENIB), provides a rationale for further evaluation in patients with advanced cancer. The recommended dose of BAY 43-9006 (SORAFENIB) for future studies is 400 mg bid as a continuous dosing schedule.
Detailed Description
This study propose to treat patients with metastatic and hormone-refractory prostatic cancer in first intention. There is no limits of age from 18 years old. A new inhibitor of angiogenesis (Sorafenib) is associated to the standard treatment in this type of pathology. Patients have to demonstrate radiologically a disease progression and also a progression based on increase of psa level. The main objective is to Determine the recommended dose of BAY 43-9006 in combination with docetaxel in hormone-refractory prostate cancer patients as first line treatment in patients with metastatic hormone-refractory prostate cancer.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Primary Disease, Prostate Cancer
Keywords
hormone-resistant, metastatic prostatic cancer, pharmacokinetics, naïve patient

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
38 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
sorafenib (200 or 400mg bid) and taxotere iv
Other Intervention Name(s)
Nexavar
Intervention Description
200 mg BID, day 3-19 cycle 1, day 2-19 other cycles 200 mg BID, day 3-21 Cycle 1, day 1-21 other cycles 400 mg BID, day 3-19 cycle 1, day 2-19 other cycles 400 mg BID, day 3-21 cycle 1, day 1-21 other cycles
Primary Outcome Measure Information:
Title
Determine the recommended dose of BAY 43-9006 (SORAFENIB) in combination with docetaxel in hormone-refractory prostate cancer patients as first line treatment in patients with metastatic hormone refractory prostate cancer.
Time Frame
after the first 24 patients
Secondary Outcome Measure Information:
Title
Evaluation of pharmacokinetics and pharmacodynamics of BAY43-9006 in combination with docetaxel*
Time Frame
after the first 24 patients
Title
Toxicity and safety
Time Frame
at end of study
Title
Response rate in patients with measurable disease
Time Frame
at end of study
Title
PSA response rate
Time Frame
at end of study
Title
PSA response duration
Time Frame
at end of study
Title
Time to PSA progression (=time between treatment start and PSA progression)
Time Frame
at end of study
Title
Time to PSA progression after the last dose of docetaxel in patients with no progression after stopping docetaxel (= time between the last dose of docetaxel and PSA progression)
Time Frame
at end of study
Title
Event progression-free survival
Time Frame
at end of study

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Signed informed consent prior to beginning protocol specific procedures. 18 years Radiologically proven presence of metastases Histologically/cytologically proven prostate adenocarcinoma. Biochemically evaluable disease Patients must have received prior hormonal therapy as defined below: Castration by orchiectomy and/or LHRH agonists with or without Antiandrogens Other hormonal agents (e.g., ketoconazole, ...) The testosterone level should be < 50 ng/dl (10) documented disease progression defined by PSA increase. Patients must have a value of at least 5 ng/ml in addition to increasing PSA to be eligible. Life expectancy > 3 months ECOG performance status 0-2. Normal cardiac function. Exclusion Criteria: Prior chemotherapy except estramustine phosphate. Prior isotope therapy (e.g., strontium, samarium). Prior radiotherapy to >25% of bone marrow Prior therapy with anti-VEGF therapy 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. History or presence of central nervous system (CNS) disease (i.e. primary brain tumor, malignant seizures, CNS metastases or carcinomatous meningitis) Symptomatic peripheral neuropathy Other serious illness or medical condition the use of corticosteroids. Concurrent treatment with other experimental drugs. Participation in another clinical trial with any investigational drug within 30 days prior to study screening. Impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of BAY 9006. Major surgery with 4 weeks of study entry Autologous bone marrow transplant or stem cell rescue within 4 months of study entry Use of biologic response modifiers, such as G-CSF, within 3 weeks of study entry Treatment with any other anti-cancer therapy (except LHRH agonists) including any prescribed compounds and/or OTC products for the treatment of prostate cancer must be stopped. Treatment with drugs that are metabolized by the cytochrome P450 system (i.e warfarin sodium,…) Treatment with systemic corticosteroids used for reasons other than specified by the protocol must be stopped. Biphosphonates could not be initiated after inclusion into the protocol. At inclusion, patients receiving biphosphonates with a PSA progression could continue biphosphonates. Patients with reproductive potential not employing an effective method of birth control. Barrier contraceptives must be used throughout the trial. Inadequate recovery from previous surgery, radiation, chemo-, biologic or immunotherapy Patients who have known hypersensitivity to the study medication Substance abuse, medical social, psychological conditions that may interfere with the subject's participation in the study or evaluation of study results Patients unable to sallow oral medications.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jean-Pascal H Machiels, Prof
Organizational Affiliation
Cliniques Universitaires St Luc -UCL
Official's Role
Study Director
Facility Information:
Facility Name
St Pierre
City
Ottignies
State/Province
Brabant Wallon
ZIP/Postal Code
1340
Country
Belgium
Facility Name
Cliniques Universitaires St Luc
City
Brussels
State/Province
Brussels Capital
ZIP/Postal Code
1200
Country
Belgium
Facility Name
Notre Dame et Reine Fabiola
City
Charleroi
State/Province
Hainaut
ZIP/Postal Code
6000
Country
Belgium
Facility Name
Clinique Universiataire de Mont Godinne
City
Yvoir
State/Province
Namur
ZIP/Postal Code
5030
Country
Belgium
Facility Name
Sainte Elisabeth
City
Namur
ZIP/Postal Code
5000
Country
Belgium
Facility Name
Hôpital Européen Georges Pompidou
City
Paris
ZIP/Postal Code
75015
Country
France

12. IPD Sharing Statement

Learn more about this trial

Pharmacokinetic Study of BAY43-9006 and Taxotere to Treat Patient With Prostatic Cancer

We'll reach out to this number within 24 hrs