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Safety Study of TAK-700 in Subjects With Prostate Cancer. (TAK-700)

Primary Purpose

Prostatic Neoplasms

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
TAK-700
Sponsored by
Millennium Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Prostatic Neoplasms focused on measuring Androgen-independent prostate cancer, metastatic

Eligibility Criteria

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

Inclusion Criteria:

  • Subject is male and at least 18 years of age.
  • Subject has histologically- or cytologically-confirmed prostate adenocarcinoma with metastatic, progressive disease while on androgen deprivation therapy.
  • Subject has radiograph-documented (computed tomography, magnetic resonance imaging or x-ray) metastatic disease.
  • Subject has undergone orchiectomy or is expected to continue receiving luteinizing hormone-releasing hormone analogue therapy, and has a testosterone level of <50 ng/dL at screening.
  • Subject has discontinued all antiandrogen therapy (within 30 days for flutamide and within 6 weeks for all others) prior to their first dose of study drug.
  • Subject has a prostate-specific antigen level ≥5 ng/mL.
  • Subject meets all screening laboratory values as specified in the protocol.
  • Subject has a screening ejection fraction that is above the lower limit of the institutional normal range.
  • Subject has ECOG performance status of 0 to 2.
  • Subject has normal or, in the opinion of the investigator, clinically insignificant, physical examination findings, ECG and chest x-ray results.
  • Subjects, even if surgically sterilized (ie, status postvasectomy), who: agree to practice effective barrier contraception during the entire study treatment period and for 4 months after the last dose of study drug, or agree to completely abstain from heterosexual intercourse.

Exclusion Criteria:

  • Subject has known hypersensitivity to TAK-700 or related compounds.
  • Subject has received prior therapy with aminoglutethimide or ketoconazole within 30 days prior to the first dose of study drug.
  • Subject has received prior chemotherapy for prostate cancer.
  • Subject has received any investigational compound within 30 days prior to first dose of study drug.
  • Subject has received prior herbal product known to decrease prostate-specific antigen levels (eg, Saw Palmetto, PC-SPES) within 30 days prior to the first dose of study drug.
  • Subject has received radiation therapy for prostate cancer within 30 days prior to first dose of study drug.
  • Chronic therapy with oral or other systemically administered corticosteroids, such as prednisone, within 30 days prior to Screening. Chronic therapy is defined as the use of corticosteroids for more than 7 days within a 30-day period.
  • Subject has current spinal cord compression, current bilateral hydronephrosis, or current bladder neck outlet obstruction.
  • Subject has a history of adrenal insufficiency.
  • Subject has a history of myocardial infarction, ischaemic symptomatic heart disease, cardiac arrhythmias or thromboembolic events (eg, deep vein thrombosis, pulmonary embolism, or symptomatic cerebrovascular events), or any other cardiac condition (e.g., pericardial effusion restrictive cardiomyopathy) within 12 months prior to first dose of study drug.
  • Subject has any symptoms which the investigator deems related to prostate cancer, i.e., bone pain, pelvic pain.
  • Subject has a history of congestive heart failure (New York Heart Association Class II or greater.
  • Subject has history of another malignancy other than basal cell carcinoma or state 1 squamous cell carcinoma of the skin, within the last 5 years.
  • Subject has uncontrolled hypertension.
  • Subject is known to have HIV infection, chronic Hepatitis B or C or any other serious medical condition or psychiatric illness that might affect life expectancy or make it difficult to successfully manage and follow the subject according to protocol.
  • Subject is unable to understand verbal or written English or any other language for which a certified translation of the institutional review board (IRB)-approved informed consent has been provided.
  • Subject is unwilling or unable to comply with the protocol or cooperate fully with the investigator and site personnel.

Sites / Locations

  • USC Westside Prostate Cancer Center
  • University of Southern California
  • The Angeles Clinic and Research Institute
  • USC Norris Comprehensive Cancer Center
  • South Florida Medical Research
  • Florida Cancer Specialists
  • Northwestern University Medical Center
  • University of Chicago
  • University of Chicago Comprehensive Cancer Center
  • University of Chicago Pharmacy
  • Evanston Hospital
  • Kellogg Pharmacy - Evanston Hospital
  • NorthShore University HealthSystem
  • Kellogg Cancer Care Center
  • Hematology/Oncology Associates of Central New York
  • Gabrail Cancer Center
  • Cleveland Clinic
  • Taussig Cancer Institute
  • Tennessee Oncology

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Arm 1 (TAK-700)

Arm 2 (TAK-700 at 400 mg & 5 mg prednisone)

Arm 3 (TAK-700 at 600 mg & 5 mg prednisone)

Arm 4 (TAK-700 at 600 mg)

Arm Description

Outcomes

Primary Outcome Measures

Safety and tolerability of TAK-700 by evaluating adverse events, vital signs, physical examination findings, concomitant medications and laboratory tests.

Secondary Outcome Measures

Efficacy and pharmacokinetics (PSA response and/or objective disease response)

Full Information

First Posted
December 4, 2007
Last Updated
March 4, 2016
Sponsor
Millennium Pharmaceuticals, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00569153
Brief Title
Safety Study of TAK-700 in Subjects With Prostate Cancer.
Acronym
TAK-700
Official Title
A Phase 1/2, Open-Label, Multiple-Dose Study of the Safety, Tolerability, and Pharmacokinetics of TAK-700 in Metastatic, Androgen-Independent Prostate Cancer Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
March 2016
Overall Recruitment Status
Completed
Study Start Date
April 2008 (undefined)
Primary Completion Date
January 2013 (Actual)
Study Completion Date
February 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Millennium Pharmaceuticals, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine the safety and tolerability of TAK-700 in patients with asymptomatic metastatic, androgen independent prostate cancer.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Prostatic Neoplasms
Keywords
Androgen-independent prostate cancer, metastatic

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
123 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Arm 1 (TAK-700)
Arm Type
Experimental
Arm Title
Arm 2 (TAK-700 at 400 mg & 5 mg prednisone)
Arm Type
Experimental
Arm Title
Arm 3 (TAK-700 at 600 mg & 5 mg prednisone)
Arm Type
Experimental
Arm Title
Arm 4 (TAK-700 at 600 mg)
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
TAK-700
Intervention Description
Phase 1 portion of study: TAK-700 dose escalation. Tablets administered orally, twice daily until disease progression or occurrence of an unacceptable adverse event. Phase 2 portion of study: Patients will receive one of 4 treatments: TAK-700 at 300 mg twice/day TAK-700 at 400 mg and 5 mg prednisone twice/day TAK-700 at 600 mg and 5 mg prednisone twice/day TAK-700 at 600 mg once/day in the morning
Primary Outcome Measure Information:
Title
Safety and tolerability of TAK-700 by evaluating adverse events, vital signs, physical examination findings, concomitant medications and laboratory tests.
Time Frame
Cycle 1: Weeks 1, 2, 3 and 4, then every 4 weeks thereafter.
Secondary Outcome Measure Information:
Title
Efficacy and pharmacokinetics (PSA response and/or objective disease response)
Time Frame
Cycle 1: Weeks 1, 2, 3 and 4, then every 4 weeks thereafter.

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject is male and at least 18 years of age. Subject has histologically- or cytologically-confirmed prostate adenocarcinoma with metastatic, progressive disease while on androgen deprivation therapy. Subject has radiograph-documented (computed tomography, magnetic resonance imaging or x-ray) metastatic disease. Subject has undergone orchiectomy or is expected to continue receiving luteinizing hormone-releasing hormone analogue therapy, and has a testosterone level of <50 ng/dL at screening. Subject has discontinued all antiandrogen therapy (within 30 days for flutamide and within 6 weeks for all others) prior to their first dose of study drug. Subject has a prostate-specific antigen level ≥5 ng/mL. Subject meets all screening laboratory values as specified in the protocol. Subject has a screening ejection fraction that is above the lower limit of the institutional normal range. Subject has ECOG performance status of 0 to 2. Subject has normal or, in the opinion of the investigator, clinically insignificant, physical examination findings, ECG and chest x-ray results. Subjects, even if surgically sterilized (ie, status postvasectomy), who: agree to practice effective barrier contraception during the entire study treatment period and for 4 months after the last dose of study drug, or agree to completely abstain from heterosexual intercourse. Exclusion Criteria: Subject has known hypersensitivity to TAK-700 or related compounds. Subject has received prior therapy with aminoglutethimide or ketoconazole within 30 days prior to the first dose of study drug. Subject has received prior chemotherapy for prostate cancer. Subject has received any investigational compound within 30 days prior to first dose of study drug. Subject has received prior herbal product known to decrease prostate-specific antigen levels (eg, Saw Palmetto, PC-SPES) within 30 days prior to the first dose of study drug. Subject has received radiation therapy for prostate cancer within 30 days prior to first dose of study drug. Chronic therapy with oral or other systemically administered corticosteroids, such as prednisone, within 30 days prior to Screening. Chronic therapy is defined as the use of corticosteroids for more than 7 days within a 30-day period. Subject has current spinal cord compression, current bilateral hydronephrosis, or current bladder neck outlet obstruction. Subject has a history of adrenal insufficiency. Subject has a history of myocardial infarction, ischaemic symptomatic heart disease, cardiac arrhythmias or thromboembolic events (eg, deep vein thrombosis, pulmonary embolism, or symptomatic cerebrovascular events), or any other cardiac condition (e.g., pericardial effusion restrictive cardiomyopathy) within 12 months prior to first dose of study drug. Subject has any symptoms which the investigator deems related to prostate cancer, i.e., bone pain, pelvic pain. Subject has a history of congestive heart failure (New York Heart Association Class II or greater. Subject has history of another malignancy other than basal cell carcinoma or state 1 squamous cell carcinoma of the skin, within the last 5 years. Subject has uncontrolled hypertension. Subject is known to have HIV infection, chronic Hepatitis B or C or any other serious medical condition or psychiatric illness that might affect life expectancy or make it difficult to successfully manage and follow the subject according to protocol. Subject is unable to understand verbal or written English or any other language for which a certified translation of the institutional review board (IRB)-approved informed consent has been provided. Subject is unwilling or unable to comply with the protocol or cooperate fully with the investigator and site personnel.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Monitor
Organizational Affiliation
Millennium Pharmaceuticals, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
USC Westside Prostate Cancer Center
City
Beverly Hills
State/Province
California
Country
United States
Facility Name
University of Southern California
City
Los Angeles
State/Province
California
ZIP/Postal Code
90048
Country
United States
Facility Name
The Angeles Clinic and Research Institute
City
Los Angeles
State/Province
California
Country
United States
Facility Name
USC Norris Comprehensive Cancer Center
City
Los Angeles
State/Province
California
Country
United States
Facility Name
South Florida Medical Research
City
Aventura
State/Province
Florida
Country
United States
Facility Name
Florida Cancer Specialists
City
Fort Myers
State/Province
Florida
Country
United States
Facility Name
Northwestern University Medical Center
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
University of Chicago
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60637
Country
United States
Facility Name
University of Chicago Comprehensive Cancer Center
City
Chicago
State/Province
Illinois
Country
United States
Facility Name
University of Chicago Pharmacy
City
Chicago
State/Province
Illinois
Country
United States
Facility Name
Evanston Hospital
City
Evanston
State/Province
Illinois
Country
United States
Facility Name
Kellogg Pharmacy - Evanston Hospital
City
Evanston
State/Province
Illinois
Country
United States
Facility Name
NorthShore University HealthSystem
City
Evanston
State/Province
Illinois
Country
United States
Facility Name
Kellogg Cancer Care Center
City
Glenview
State/Province
Illinois
Country
United States
Facility Name
Hematology/Oncology Associates of Central New York
City
East Syracuse
State/Province
New York
Country
United States
Facility Name
Gabrail Cancer Center
City
Canton
State/Province
Ohio
Country
United States
Facility Name
Cleveland Clinic
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
Facility Name
Taussig Cancer Institute
City
Cleveland
State/Province
Ohio
Country
United States
Facility Name
Tennessee Oncology
City
Nashville
State/Province
Tennessee
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Safety Study of TAK-700 in Subjects With Prostate Cancer.

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