OGX-011 and Docetaxel in Treating Patients With Metastatic or Locally Recurrent Solid Tumors

This is an interventional treatment trial for Bladder Cancer focused on measuring recurrent prostate cancer, stage IV prostate cancer, recurrent renal cell cancer, stage IV renal cell cancer, recurrent non-small cell lung cancer, stage IV non-small cell lung cancer, recurrent bladder cancer, stage IV bladder cancer, recurrent breast cancer, stage IV breast cancer, recurrent ovarian epithelial cancer, stage IV ovarian epithelial cancer, unspecified adult solid tumor, protocol specific, male breast cancer Read More

DISEASE CHARACTERISTICS:

• Histologically or cytologically confirmed solid tumors that have been shown to overexpress clusterin, including but not limited to, any of the following:

  • Prostate cancer
  • Renal cell carcinoma
  • Non-small cell lung cancer
  • Bladder cancer
  • Breast cancer
  • Ovarian cancer
• Metastatic or locally recurrent disease

• Refractory to standard curative therapy or no standard curative therapy exists

  • Patients with prostate cancer must be hormone refractory (i.e., have documented evidence of progression while receiving androgen ablative therapy)

• Measurable or nonmeasurable disease

  • Measurable disease defined as measurable lesion ≥ 20 mm by x-ray, physical exam, or nonspiral CT scan or ≥ 10 mm by spiral CT scan
• No documented CNS metastases
• Hormone receptor status not specified

PATIENT CHARACTERISTICS:

• Menopausal status not specified
• ECOG performance status 0-2
• Life expectancy ≥ 12 weeks
• Absolute granulocyte count ≥ 1,500/mm³
• Platelet count ≥ 100,000/mm³
• Bilirubin normal
• Creatinine ≤ 2 times upper limit of normal (ULN)
• AST and ALT ≤ 1.5 times ULN
• PT/INR and PTT normal
• No uncontrolled pain
• No known bleeding disorder
• No history of serious allergic reaction to taxane (paclitaxel or docetaxel)
• No preexisting peripheral neuropathy ≥ grade 2
• Not pregnant or nursing
• Negative pregnancy test
• Fertile patients must use effective contraception

• No other serious illness or medical conditions that would preclude study compliance, including any of the following:

  • Active uncontrolled infection
  • Significant cardiac dysfunction
• No significant neurological disorder that would preclude giving informed consent

PRIOR CONCURRENT THERAPY:

• No prior strontium chloride Sr 89
• No more than 2 prior chemotherapy regimens, including adjuvant or neoadjuvant chemotherapy (for patients assigned to schedule B [docetaxel once every 3 weeks])
• More than 4 weeks since prior chemotherapy and recovered
• At least 4 weeks since prior antiandrogens
• More than 4 weeks since prior external-beam radiotherapy, except low-dose nonmyelosuppressive radiotherapy
• No prior radiotherapy to ≥ 30% of marrow-bearing areas (for patients assigned to schedule B [docetaxel once every 3 weeks])
• At least 28 days since prior new anticancer therapy
• At least 28 days since prior and no other concurrent investigational agents
• No concurrent radiotherapy, except low-dose nonmyelosuppressive radiotherapy
• No other concurrent cytotoxic therapy
• Concurrent luteinizing hormone-releasing hormone agonist allowed (if already initiated in patients with prostate cancer)
• No concurrent anticoagulant therapy (i.e., heparin, warfarin)