search
Back to results

Study to Assess the Activity of Nexrutine® in Prostate Cancer Patients (Nexrutine)

Primary Purpose

Prostate Cancer

Status
Terminated
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Nexrutine
Sponsored by
The University of Texas Health Science Center at San Antonio
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Prostate Cancer focused on measuring nexrutine, prostate cancer

Eligibility Criteria

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

Inclusion Criteria:

  1. Have a histologic diagnosis of prostate cancer (in more than 1 core) with one of the following:

    • Gleason > 6,
    • Unilateral Gleason 6 in ≥ 3 cores,
    • bilateral Gleason 6,
    • PSA > 10.0 ng/ml.
  2. Age ≥18 years.
  3. Has an ECOG Performance Status 0-2 or Karnofsky 60-100.
  4. Has the following laboratory values at study entry: absolute neutrophil count (ANC) ≥ 1,500 cells/μL; platelet count ≥ 100,000 cells/μL; hemoglobin ≥ 9 g/dL; total serum bilirubin ≤ 1.5 x institutional upper limit of normal (ULN); ALT and AST ≤ 1.5 x institutional ULN if alkaline phosphatase is ≤ULN creatinine and BUN ≤ 1.5 x institutional upper limit of normal (ULN)
  5. Signed informed consent
  6. No new, undiagnosed bone pain or has a negative bone scan. (within 2 months of consent) If there is no bone pain, then a bone scan is not required.

Exclusion Criteria:

  1. Has documented metastatic disease.
  2. Has received a prior chemotherapy or androgen ablation.
  3. Has received prior immunotherapy.
  4. Has been previously treated with Strontium, Samarium, other systemic radioisotopes or radiation therapy.
  5. Has diagnosis of congestive heart failure
  6. Currently taking anticoagulation medications, i.e., coumadin or heparin. Over the counter aspirin and ibuprofen are allowed.
  7. Is receiving any other investigational agents for cancer.
  8. Has a history of other malignancy within the last 5 years, which could affect the diagnosis or assessment of prostate cancer.
  9. Has a serious intercurrent illness with a life expectancy of less than 5 years.
  10. Has a concomitant medical, psychological, or social circumstance, which would interfere with compliance with the protocol treatment and follow-up.
  11. Use of any herbal or alternative regimens, which may have antineoplastic or hormonal activity (including but not limited to finasteride, dutasteride, Saw Palmetto, PC-SPES, shark cartilage, etc), is prohibited while receiving study treatment.
  12. Clinical stage T3 or T4 and PSA >10 ng/ml and Gleason > 8.
  13. Patient is to receive adjuvant androgen ablation with the radiation.
  14. EKG which shows a baseline QTc > 450 msec or ischemic changes. For ischemic changes, patient will be eligible if evaluated and cleared by internal medicine.
  15. Previous history of drug-induced QTc prolongation and/or concurrent treatment with medications that are known to produce or are suspected of QT prolongation.

Sites / Locations

  • The University of Texas Health Science Center at San Antonio, study site: ALM VA Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Nexrutine Surgery Group

Nexrutine Radiation Group

Arm Description

Surgery Group: Nexrutine 500mg by mouth, three times per day, given prior to surgery.

Radiation Group: Nexrutine 500mg by mouth, three times per day, given prior to and during radiation treatment.

Outcomes

Primary Outcome Measures

PSA (Prostate Specific Antigen)
PSA decline to < 1.0 ng/ml at 3 months post end of radiation or surgery

Secondary Outcome Measures

Full Information

First Posted
October 9, 2012
Last Updated
May 26, 2015
Sponsor
The University of Texas Health Science Center at San Antonio
search

1. Study Identification

Unique Protocol Identification Number
NCT01705652
Brief Title
Study to Assess the Activity of Nexrutine® in Prostate Cancer Patients
Acronym
Nexrutine
Official Title
Phase II Study to Assess the Activity of Nexrutine® in Prostate Cancer Patients Undergoing Surgery or Radiation Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
May 2015
Overall Recruitment Status
Terminated
Why Stopped
loss of funding
Study Start Date
July 2011 (undefined)
Primary Completion Date
March 2014 (Actual)
Study Completion Date
March 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
The University of Texas Health Science Center at San Antonio

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of the study is to (1) to determine the rate of PSA decline (the number declining). Tissue will be obtained for ancillary studies and (2) to determine the number of patients with a PSA decline to <1.0 ng/ml at 3 months in patients receiving Nexrutine® with standard radiation therapy. The Secondary Objective is to confirm the tolerability of this regimen. The Third Objective (Ancillary studies) is To evaluate the molecular response of Nexrutine®. Molecular response is defined as changes in the molecular pathways.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Prostate Cancer
Keywords
nexrutine, prostate cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
21 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Nexrutine Surgery Group
Arm Type
Experimental
Arm Description
Surgery Group: Nexrutine 500mg by mouth, three times per day, given prior to surgery.
Arm Title
Nexrutine Radiation Group
Arm Type
Experimental
Arm Description
Radiation Group: Nexrutine 500mg by mouth, three times per day, given prior to and during radiation treatment.
Intervention Type
Drug
Intervention Name(s)
Nexrutine
Other Intervention Name(s)
bark extract of Phellodendron amurense
Intervention Description
Nexrutine 500mg by mouth, three times per day, given prior to surgery or prior to and during radiation treatment.
Primary Outcome Measure Information:
Title
PSA (Prostate Specific Antigen)
Description
PSA decline to < 1.0 ng/ml at 3 months post end of radiation or surgery
Time Frame
3 months post end of radiation treatment or surgery

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Have a histologic diagnosis of prostate cancer (in more than 1 core) with one of the following: Gleason > 6, Unilateral Gleason 6 in ≥ 3 cores, bilateral Gleason 6, PSA > 10.0 ng/ml. Age ≥18 years. Has an ECOG Performance Status 0-2 or Karnofsky 60-100. Has the following laboratory values at study entry: absolute neutrophil count (ANC) ≥ 1,500 cells/μL; platelet count ≥ 100,000 cells/μL; hemoglobin ≥ 9 g/dL; total serum bilirubin ≤ 1.5 x institutional upper limit of normal (ULN); ALT and AST ≤ 1.5 x institutional ULN if alkaline phosphatase is ≤ULN creatinine and BUN ≤ 1.5 x institutional upper limit of normal (ULN) Signed informed consent No new, undiagnosed bone pain or has a negative bone scan. (within 2 months of consent) If there is no bone pain, then a bone scan is not required. Exclusion Criteria: Has documented metastatic disease. Has received a prior chemotherapy or androgen ablation. Has received prior immunotherapy. Has been previously treated with Strontium, Samarium, other systemic radioisotopes or radiation therapy. Has diagnosis of congestive heart failure Currently taking anticoagulation medications, i.e., coumadin or heparin. Over the counter aspirin and ibuprofen are allowed. Is receiving any other investigational agents for cancer. Has a history of other malignancy within the last 5 years, which could affect the diagnosis or assessment of prostate cancer. Has a serious intercurrent illness with a life expectancy of less than 5 years. Has a concomitant medical, psychological, or social circumstance, which would interfere with compliance with the protocol treatment and follow-up. Use of any herbal or alternative regimens, which may have antineoplastic or hormonal activity (including but not limited to finasteride, dutasteride, Saw Palmetto, PC-SPES, shark cartilage, etc), is prohibited while receiving study treatment. Clinical stage T3 or T4 and PSA >10 ng/ml and Gleason > 8. Patient is to receive adjuvant androgen ablation with the radiation. EKG which shows a baseline QTc > 450 msec or ischemic changes. For ischemic changes, patient will be eligible if evaluated and cleared by internal medicine. Previous history of drug-induced QTc prolongation and/or concurrent treatment with medications that are known to produce or are suspected of QT prolongation.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gregory P. Swanson, MD
Organizational Affiliation
The University of Texas Health Science Center at San Antonio
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
William E. Jones, III, MD
Organizational Affiliation
The University of Texas Health Science Center at San Antonio and ALM VA Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
The University of Texas Health Science Center at San Antonio, study site: ALM VA Hospital
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Study to Assess the Activity of Nexrutine® in Prostate Cancer Patients

We'll reach out to this number within 24 hrs