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Neoadjuvant Docetaxel on Newly Diagnosed Intermediate and High Grade Cancer of the Prostate (2007-5904)

Primary Purpose

Prostate Cancer, Adenocarcinoma of the Prostate, Stage I Prostate Cancer

Status
Withdrawn
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Docetaxel
Prednisone
Sponsored by
John P. Fruehauf
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

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

Eligibility Criteria

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

Inclusion Criteria:

  • Patient must have a histological diagnosis of adenocarcinoma of the prostate which is measurable or evaluable Stage I or II.
  • Patient must have an Eastern Cooperative Oncology Group (ECOG) performance status 0-2.
  • Patient must have a pre-study PSA within 28 days prior to start of therapy.
  • Patients who have received prior radiotherapy are not eligible.
  • Patient must have an adequate renal function
  • Men of childbearing potential must be willing to consent to using effective contraception while on treatment and for at least 3 months thereafter.
  • Age > 18
  • Patients must be able to take oral medications

Exclusion Criteria:

  • Patients with measurable metastatic diseases by a CT scan of the abdomen and pelvis within 28 days and by a bone scan within 42 days prior to start of therapy.
  • Patient must not have received chemotherapy, biologic therapy or any other investigational drug for any reason within 28 days prior to start of therapy and must have recovered from toxicities of prior therapy to grade 1 or less with the exception of alopecia.
  • Patients must not be treated with non-steroidal anti-androgens (flutamide, bicalutamide, nilutamide or ketoconazole).
  • Patients must not take vitamins, herbs, or micronutrient supplement within 28 days prior to start of therapy.
  • Patients may not have ongoing problems with bowel obstruction or short bowel syndrome characterized by grade 2 or greater diarrhea or malabsorptive disorders.
  • Patients with a history of severe hypersensitivity reaction to docetaxel or other drugs formulated with polysorbate 80
  • Patients should not have psychological, familial, sociological, or geographical conditions that do not permit medical follow-up or compliance with the study protocol.
  • Patients should not have any medical life-threatening complications of their malignancies
  • Patients should not have a known severe and/or uncontrolled concurrent medical disease (e.g., uncontrolled diabetes, uncontrolled chronic renal or liver disease, active uncontrolled infection, or HIV).
  • Patients should not have current, recent (within 4 weeks of the first infusion of this study), or planned participation in an experimental drug study.
  • Patients with history of myocardial infarction, cerebrovascular accident, transient ischemic attack, or unstable angina within 6 months
  • Patients with clinically significant peripheral vascular disease
  • Patients with evidence of bleeding diathesis or coagulopathy
  • Patients with central nervous system or brain metastases
  • Patients who had major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to Day 0, anticipation of need for major surgical procedure during the course of the study
  • Patients with minor surgical procedures, fine needle aspirations or core biopsies within 7 days prior to Day 0
  • Patients with history of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess
  • Patients with serious, non-healing wound, ulcer, or bone
  • Patients who are diagnosed of any other malignancy except non-melanomatous skin cancer in the past 5 years
  • Patients receiving anticoagulation therapy (e.g. Coumadin) prior to registration

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Treatment (docetaxel and prednisone)

    Arm Description

    Patients receive docetaxel IV over 60 minutes on days 1 and 2 and prednisone PO BID on days 1-21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.

    Outcomes

    Primary Outcome Measures

    PSA response rate (partial response (PR) + complete response (CR))
    Expressed with two-sided exact binomial confidence intervals. Significance of changes between pre- and after-treatment PSA or testosterone will be determined by the Wilcoxon signed-rank test. The difference of response rates between different pre-treatment pathological stages or Gleason scores will also be examined by Fisher's exact test. Associations between PSA response and tumor response, and PSA response and gene expression will also be examined by Fisher's exact test.

    Secondary Outcome Measures

    Rates of tumor response
    Expressed with two-sided exact binomial confidence intervals.
    The rate of negative surgical margin
    The proportion of patients with pathological down-staging defined as evidence of decreased pathological stage or Gleason score when compared with pretreatment pathological stage
    Adverse events defined as any untoward medical occurrence in a patient administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment
    Severity will be categorized by toxicity grade according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 3.0.

    Full Information

    First Posted
    January 10, 2008
    Last Updated
    December 6, 2016
    Sponsor
    John P. Fruehauf
    Collaborators
    Sanofi
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00598858
    Brief Title
    Neoadjuvant Docetaxel on Newly Diagnosed Intermediate and High Grade Cancer of the Prostate
    Acronym
    2007-5904
    Official Title
    Phase II Study to Determine the Effects of Neoadjuvant Docetaxel on Newly Diagnosed Intermediate and High Grade Cancer of the Prostate in Patients Who Are Scheduled for Radical Prostatectomy With Genomic Correlates of Pathological Response
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2013
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Halted due to zero accrual and lack of funding
    Study Start Date
    January 2009 (undefined)
    Primary Completion Date
    June 2010 (Actual)
    Study Completion Date
    June 2010 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor-Investigator
    Name of the Sponsor
    John P. Fruehauf
    Collaborators
    Sanofi

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    This pilot phase II trial studies docetaxel and prednisone in treating patients with newly diagnosed stage I-II prostate cancer undergoing prostatectomy. 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. Biological therapies, such as prednisone, may stimulate the immune system in different ways and stop cancer cells from growing. Giving docetaxel and prednisone together may kill more tumor cells.
    Detailed Description
    PRIMARY OBJECTIVES: I. To determine the rate of a 3-month prostate-specific antigen (PSA) decline of at least 30% by chemotherapy regimen of docetaxel and prednisone in patients with stage I/II prostate cancer, who are scheduled for prostatectomy. II. To compare tumor, pathological and PSA responses to neoadjuvant docetaxel between patients with intermediate and high grades of prostate cancer. III. To obtain prostate specimens for genomic correlates with responses of the chemotherapy regimen of docetaxel and prednisone. OUTLINE: Patients receive docetaxel intravenously (IV) over 60 minutes on days 1 and 2 and prednisone orally (PO) twice daily (BID) on days 1-21. Treatment repeats every 21 days for 3 courses in the absence of disease progression or unacceptable toxicity. Patients undergo prostatectomy within 3 weeks after completion of chemotherapy. After completion of study treatment, patients are followed up within 7 days.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Prostate Cancer, Adenocarcinoma of the Prostate, Stage I Prostate Cancer, Stage II Prostate Cancer
    Keywords
    prostate cancer, Prostatectomy

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Arm Title
    Treatment (docetaxel and prednisone)
    Arm Type
    Experimental
    Arm Description
    Patients receive docetaxel IV over 60 minutes on days 1 and 2 and prednisone PO BID on days 1-21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
    Intervention Type
    Drug
    Intervention Name(s)
    Docetaxel
    Other Intervention Name(s)
    114977-28-5, 40466, 628503, RP 56976, RP56976, Taxotere, TXT
    Intervention Description
    Given IV
    Intervention Type
    Drug
    Intervention Name(s)
    Prednisone
    Other Intervention Name(s)
    Adasone, Cortancyl, Dacortin, DeCortin, Decortisyl, Decorton, Delta(1)-Cortisone, Delta-Dome, Deltacortene, deltacortisone, deltadehydrocortisone, Deltison, Deltra, Econosone, Liquid Pred, Lisacort, Meprosona-F, metacortandracin, Meticorten, Ofisolona, Orasone, Panafcort, Panasol-S, Paracort, PRD, PRED, Predeltin, Predicor, Predicorten, Prednicen-M, Prednicort, Prednidib, Prednilonga, Predniment, Prednisonum, Prednitone, Promifen, Servisone, Sk-Prednisone, Sterapred
    Intervention Description
    Given PO
    Primary Outcome Measure Information:
    Title
    PSA response rate (partial response (PR) + complete response (CR))
    Description
    Expressed with two-sided exact binomial confidence intervals. Significance of changes between pre- and after-treatment PSA or testosterone will be determined by the Wilcoxon signed-rank test. The difference of response rates between different pre-treatment pathological stages or Gleason scores will also be examined by Fisher's exact test. Associations between PSA response and tumor response, and PSA response and gene expression will also be examined by Fisher's exact test.
    Time Frame
    9 weeks
    Secondary Outcome Measure Information:
    Title
    Rates of tumor response
    Description
    Expressed with two-sided exact binomial confidence intervals.
    Time Frame
    Up to 7 days after completion of study treatment
    Title
    The rate of negative surgical margin
    Time Frame
    Up to 7 days after completion of study treatment
    Title
    The proportion of patients with pathological down-staging defined as evidence of decreased pathological stage or Gleason score when compared with pretreatment pathological stage
    Time Frame
    Up to 7 days after completion of study treatment
    Title
    Adverse events defined as any untoward medical occurrence in a patient administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment
    Description
    Severity will be categorized by toxicity grade according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 3.0.
    Time Frame
    Up to 28 days after completion of study treatment

    10. Eligibility

    Sex
    Male
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Patient must have a histological diagnosis of adenocarcinoma of the prostate which is measurable or evaluable Stage I or II. Patient must have an Eastern Cooperative Oncology Group (ECOG) performance status 0-2. Patient must have a pre-study PSA within 28 days prior to start of therapy. Patients who have received prior radiotherapy are not eligible. Patient must have an adequate renal function Men of childbearing potential must be willing to consent to using effective contraception while on treatment and for at least 3 months thereafter. Age > 18 Patients must be able to take oral medications Exclusion Criteria: Patients with measurable metastatic diseases by a CT scan of the abdomen and pelvis within 28 days and by a bone scan within 42 days prior to start of therapy. Patient must not have received chemotherapy, biologic therapy or any other investigational drug for any reason within 28 days prior to start of therapy and must have recovered from toxicities of prior therapy to grade 1 or less with the exception of alopecia. Patients must not be treated with non-steroidal anti-androgens (flutamide, bicalutamide, nilutamide or ketoconazole). Patients must not take vitamins, herbs, or micronutrient supplement within 28 days prior to start of therapy. Patients may not have ongoing problems with bowel obstruction or short bowel syndrome characterized by grade 2 or greater diarrhea or malabsorptive disorders. Patients with a history of severe hypersensitivity reaction to docetaxel or other drugs formulated with polysorbate 80 Patients should not have psychological, familial, sociological, or geographical conditions that do not permit medical follow-up or compliance with the study protocol. Patients should not have any medical life-threatening complications of their malignancies Patients should not have a known severe and/or uncontrolled concurrent medical disease (e.g., uncontrolled diabetes, uncontrolled chronic renal or liver disease, active uncontrolled infection, or HIV). Patients should not have current, recent (within 4 weeks of the first infusion of this study), or planned participation in an experimental drug study. Patients with history of myocardial infarction, cerebrovascular accident, transient ischemic attack, or unstable angina within 6 months Patients with clinically significant peripheral vascular disease Patients with evidence of bleeding diathesis or coagulopathy Patients with central nervous system or brain metastases Patients who had major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to Day 0, anticipation of need for major surgical procedure during the course of the study Patients with minor surgical procedures, fine needle aspirations or core biopsies within 7 days prior to Day 0 Patients with history of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess Patients with serious, non-healing wound, ulcer, or bone Patients who are diagnosed of any other malignancy except non-melanomatous skin cancer in the past 5 years Patients receiving anticoagulation therapy (e.g. Coumadin) prior to registration
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    John P. Fruehauf, MD, PhD
    Organizational Affiliation
    University of California, Irvine
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    Neoadjuvant Docetaxel on Newly Diagnosed Intermediate and High Grade Cancer of the Prostate

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