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Docetaxel in Treating Patients With Relapsed Prostate Cancer

Primary Purpose

Prostate Cancer

Status
Terminated
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
docetaxel
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, recurrent prostate cancer, stage I prostate cancer, stage II prostate cancer, stage III prostate cancer, stage IV prostate cancer

Eligibility Criteria

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

Criteria for Patient eligibility

Inclusion criteria

  1. Histologically confirmed adenocarcinoma of the prostate.
  2. Prior primary therapy for prostate cancer, including radical prostatectomy, external beam radiation therapy, or brachytherapy.
  3. Serum PSA > 0.2 ng/dL following 8 months of androgen deprivation therapy or a nadir PSA >0.2 ng/dL and at least 1 subsequent PSA values at the same or higher level, if prior to 8 months.
  4. Serum testosterone < 50 ng/ml.
  5. No evidence of metastases on bone scan.
  6. No evidence of metastases on CT scan of the abdomen and pelvis.
  7. ECOG performance status < 2.
  8. Laboratory criteria for entry: absolute neutrophil count ≥ 1.2 K/cu mm, platelets ≥ 100 K/cu mm, serum bilirubin ≤ upper limit of normal (ULN), SGOT and SGPT ≤ 1.5 times institutional ULN if alkaline phosphatase ≤ ULN, alkaline phosphatase ≤ 5 times ULN if SGOT and SGPT are ≤ ULN, a serum creatinine ≤ 2 times institutional ULN.
  9. Signed informed consent.

Exclusion Criteria

  1. A second active malignancy during the last 5 years, except adequately treated non-melanoma skin cancer.
  2. Life expectancy < 3 months.
  3. Grade 2 or higher peripheral neuropathy.
  4. Prior investigational agent within the past 28 days.
  5. Less than a 10% decrease (or continued rise) in PSA in response to initial androgen-deprivation therapy.
  6. More than 12 months since initiation of androgen-deprivation therapy.
  7. Prior docetaxel chemotherapy.
  8. Patients recently (within 28 days) started on corticosteroids, with the exception of inhaled and topical steroids. Patients on stable doses of systemic corticosteroids will be eligible.

Sites / Locations

  • OHSU Knight Cancer Institute
  • University Cancer Center at University of Washington Medical Center

Outcomes

Primary Outcome Measures

Number of Participants With a Complete Response as Measured by Serum PSA Less Than 0.2 ng/ml
Complete response rate, as measured by PSA and defined as a PSA ≤0.2 ng/ml in PSA-relapsed, hormone-sensitive patients treated with docetaxel.

Secondary Outcome Measures

Average Time for Participants to Develop PSA Recurrence (PSA > 0.2ng/ml)
Average time for participants to develop PSA recurrence (PSA > 0.2ng/ml). Due to the limited enrollment, this analysis was not completed.
Time to Metastatic Disease
Due to the limited enrollment, this analysis was not completed.
Time to Androgen Independent State
Due to the limited enrollment, this analysis was not completed.
Time to Death From Any Cause
Due to the limited enrollment, this analysis was not completed.

Full Information

First Posted
June 4, 2007
Last Updated
April 26, 2017
Sponsor
OHSU Knight Cancer Institute
Collaborators
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00482274
Brief Title
Docetaxel in Treating Patients With Relapsed Prostate Cancer
Official Title
Phase II Study of the Early Use of Docetaxel in Patients With Biochemical Relapse After Primary Therapy for Prostate Cancer and an Incomplete Response to Androgen Deprivation Therapy.
Study Type
Interventional

2. Study Status

Record Verification Date
April 2017
Overall Recruitment Status
Terminated
Why Stopped
Drug supplier stopped funding due to loss of study drug (docetaxel) patent.
Study Start Date
May 2007 (undefined)
Primary Completion Date
July 2009 (Actual)
Study Completion Date
July 2009 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

5. Study Description

Brief Summary
RATIONALE: Drugs used in chemotherapy, such as docetaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. PURPOSE: This phase II trial is studying how well docetaxel works in treating patients with relapsed prostate cancer.
Detailed Description
OBJECTIVES: Primary Determine the complete response rate in patients with biochemically-relapsed, hormone-sensitive prostate cancer treated with docetaxel. Secondary Determine the time to PSA recurrence in patients receiving this treatment. Determine the time to metastatic disease in patients receiving this treatment. Determine the time to androgen independent state in patients receiving this treatment. Determine the time to death from any cause in patients receiving this treatment. OUTLINE: This is an open label study. Patients receive docetaxel IV over 60 minutes on day 1. Treatment repeats every 21 days for 4-6 courses in the absence of unacceptable toxicity or disease progression. After completion of study therapy, patients are followed periodically for up to 5 years. PROJECTED ACCRUAL: A total of 36 patients 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, recurrent prostate cancer, stage I prostate cancer, stage II prostate cancer, stage III prostate cancer, stage IV prostate cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
3 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
docetaxel
Other Intervention Name(s)
Taxotere
Intervention Description
Docetaxel 75 mg/m2 intravenously (IV) over 60 minutes will be given on day 1 of each 21 day cycle.
Primary Outcome Measure Information:
Title
Number of Participants With a Complete Response as Measured by Serum PSA Less Than 0.2 ng/ml
Description
Complete response rate, as measured by PSA and defined as a PSA ≤0.2 ng/ml in PSA-relapsed, hormone-sensitive patients treated with docetaxel.
Time Frame
While receiving study treatment (approximately 6 months)
Secondary Outcome Measure Information:
Title
Average Time for Participants to Develop PSA Recurrence (PSA > 0.2ng/ml)
Description
Average time for participants to develop PSA recurrence (PSA > 0.2ng/ml). Due to the limited enrollment, this analysis was not completed.
Time Frame
Average days to develop recurrence from treatment start date amount applicable participants
Title
Time to Metastatic Disease
Description
Due to the limited enrollment, this analysis was not completed.
Time Frame
Measured at Time of documented metastases (no historical estimate is available)
Title
Time to Androgen Independent State
Description
Due to the limited enrollment, this analysis was not completed.
Time Frame
Measured at date of documented androgen independence (no estimate available)
Title
Time to Death From Any Cause
Description
Due to the limited enrollment, this analysis was not completed.
Time Frame
measured at date of death (no estimate available)

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Criteria for Patient eligibility Inclusion criteria Histologically confirmed adenocarcinoma of the prostate. Prior primary therapy for prostate cancer, including radical prostatectomy, external beam radiation therapy, or brachytherapy. Serum PSA > 0.2 ng/dL following 8 months of androgen deprivation therapy or a nadir PSA >0.2 ng/dL and at least 1 subsequent PSA values at the same or higher level, if prior to 8 months. Serum testosterone < 50 ng/ml. No evidence of metastases on bone scan. No evidence of metastases on CT scan of the abdomen and pelvis. ECOG performance status < 2. Laboratory criteria for entry: absolute neutrophil count ≥ 1.2 K/cu mm, platelets ≥ 100 K/cu mm, serum bilirubin ≤ upper limit of normal (ULN), SGOT and SGPT ≤ 1.5 times institutional ULN if alkaline phosphatase ≤ ULN, alkaline phosphatase ≤ 5 times ULN if SGOT and SGPT are ≤ ULN, a serum creatinine ≤ 2 times institutional ULN. Signed informed consent. Exclusion Criteria A second active malignancy during the last 5 years, except adequately treated non-melanoma skin cancer. Life expectancy < 3 months. Grade 2 or higher peripheral neuropathy. Prior investigational agent within the past 28 days. Less than a 10% decrease (or continued rise) in PSA in response to initial androgen-deprivation therapy. More than 12 months since initiation of androgen-deprivation therapy. Prior docetaxel chemotherapy. Patients recently (within 28 days) started on corticosteroids, with the exception of inhaled and topical steroids. Patients on stable doses of systemic corticosteroids will be eligible.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Tomasz M. Beer, MD
Organizational Affiliation
OHSU Knight Cancer Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
OHSU Knight Cancer Institute
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239-3098
Country
United States
Facility Name
University Cancer Center at University of Washington Medical Center
City
Seattle
State/Province
Washington
ZIP/Postal Code
98195-6043
Country
United States

12. IPD Sharing Statement

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Docetaxel in Treating Patients With Relapsed Prostate Cancer

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