Pharmacokinetic Study of BAY43-9006 and Taxotere to Treat Patient With Prostatic Cancer
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Purpose
The purpose of the trial is to determine the most effective dose of BAy 46-9003 associated to taxotere for first-line treatment of patient with prostatic cancer.
BAY 43-9006 (SORAFENIB) is a novel dual-action Raf kinase and VEGFR inhibitor, which is orally available and has a favorable safety profile in patients with advanced solid tumors. This, together with the antitumor activity observed after treatment with BAY 43-9006 (SORAFENIB), provides a rationale for further evaluation in patients with advanced cancer. The recommended dose of BAY 43-9006 (SORAFENIB) for future studies is 400 mg bid as a continuous dosing schedule.
| Condition | Intervention | Phase |
|---|---|---|
|
Primary Disease Prostate Cancer |
Drug: sorafenib (200 or 400mg bid) and taxotere iv |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Open-label, Multicenter,PhaseI Trial in Order To Determine the Safety and Pharmacokinetics of BAY43-9006 in Combination With Docetaxel as First-line Treatment in Metastatic Hormone Refractory Prostate Cancer Patients |
- Determine the recommended dose of BAY 43-9006 (SORAFENIB) in combination with docetaxel in hormone-refractory prostate cancer patients as first line treatment in patients with metastatic hormone refractory prostate cancer. [ Time Frame: after the first 24 patients ] [ Designated as safety issue: Yes ]
- Evaluation of pharmacokinetics and pharmacodynamics of BAY43-9006 in combination with docetaxel* [ Time Frame: after the first 24 patients ] [ Designated as safety issue: Yes ]
- Toxicity and safety [ Time Frame: at end of study ] [ Designated as safety issue: Yes ]
- Response rate in patients with measurable disease [ Time Frame: at end of study ] [ Designated as safety issue: Yes ]
- PSA response rate [ Time Frame: at end of study ] [ Designated as safety issue: Yes ]
- PSA response duration [ Time Frame: at end of study ] [ Designated as safety issue: No ]
- Time to PSA progression (=time between treatment start and PSA progression) [ Time Frame: at end of study ] [ Designated as safety issue: No ]
- Time to PSA progression after the last dose of docetaxel in patients with no progression after stopping docetaxel (= time between the last dose of docetaxel and PSA progression) [ Time Frame: at end of study ] [ Designated as safety issue: Yes ]
- Event progression-free survival [ Time Frame: at end of study ] [ Designated as safety issue: No ]
| Enrollment: | 38 |
| Study Start Date: | September 2006 |
| Study Completion Date: | December 2009 |
| Primary Completion Date: | August 2008 (Final data collection date for primary outcome measure) |
-
Drug: sorafenib (200 or 400mg bid) and taxotere iv
This study propose to treat patients with metastatic and hormone-refractory prostatic cancer in first intention. There is no limits of age from 18 years old. A new inhibitor of angiogenesis (Sorafenib) is associated to the standard treatment in this type of pathology.
Patients have to demonstrate radiologically a disease progression and also a progression based on increase of psa level.
The main objective is to Determine the recommended dose of BAY 43-9006 in combination with docetaxel in hormone-refractory prostate cancer patients as first line treatment in patients with metastatic hormone-refractory prostate cancer.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Signed informed consent prior to beginning protocol specific procedures.
- 18 years
- Radiologically proven presence of metastases
- Histologically/cytologically proven prostate adenocarcinoma.
- Biochemically evaluable disease
Patients must have received prior hormonal therapy as defined below:
- Castration by orchiectomy and/or LHRH agonists with or without
- Antiandrogens
- Other hormonal agents (e.g., ketoconazole, ...)
- The testosterone level should be < 50 ng/dl (10) documented disease progression defined by PSA increase. Patients must have a value of at least 5 ng/ml in addition to increasing PSA to be eligible.
- Life expectancy > 3 months
- ECOG performance status 0-2.
- Normal cardiac function.
Exclusion Criteria:
- Prior chemotherapy except estramustine phosphate.
- Prior isotope therapy (e.g., strontium, samarium).
- Prior radiotherapy to >25% of bone marrow
- Prior therapy with anti-VEGF therapy
- Prior malignancy except the following: adequately treated basal cell or squamous cell skin cancer, or any other cancer from which the patient has been disease-free for >5 years.
- History or presence of central nervous system (CNS) disease (i.e. primary brain tumor, malignant seizures, CNS metastases or carcinomatous meningitis)
- Symptomatic peripheral neuropathy
- Other serious illness or medical condition the use of corticosteroids.
- Concurrent treatment with other experimental drugs. Participation in another clinical trial with any investigational drug within 30 days prior to study screening.
- Impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of BAY 9006.
- Major surgery with 4 weeks of study entry
- Autologous bone marrow transplant or stem cell rescue within 4 months of study entry
- Use of biologic response modifiers, such as G-CSF, within 3 weeks of study entry
- Treatment with any other anti-cancer therapy (except LHRH agonists) including any prescribed compounds and/or OTC products for the treatment of prostate cancer must be stopped.
- Treatment with drugs that are metabolized by the cytochrome P450 system (i.e warfarin sodium,…)
- Treatment with systemic corticosteroids used for reasons other than specified by the protocol must be stopped.
- Biphosphonates could not be initiated after inclusion into the protocol. At inclusion, patients receiving biphosphonates with a PSA progression could continue biphosphonates.
- Patients with reproductive potential not employing an effective method of birth control. Barrier contraceptives must be used throughout the trial.
- Inadequate recovery from previous surgery, radiation, chemo-, biologic or immunotherapy
- Patients who have known hypersensitivity to the study medication
- Substance abuse, medical social, psychological conditions that may interfere with the subject's participation in the study or evaluation of study results
- Patients unable to sallow oral medications.
Contacts and Locations| Belgium | |
| St Pierre | |
| Ottignies, Brabant Wallon, Belgium, 1340 | |
| Cliniques Universitaires St Luc | |
| Brussels, Brussels Capital, Belgium, 1200 | |
| Notre Dame et Reine Fabiola | |
| Charleroi, Hainaut, Belgium, 6000 | |
| Clinique Universiataire de Mont Godinne | |
| Yvoir, Namur, Belgium, 5030 | |
| Sainte Elisabeth | |
| Namur, Belgium, 5000 | |
| France | |
| Hôpital Européen Georges Pompidou | |
| Paris, France, 75015 | |
| Study Director: | Jean-Pascal H Machiels, Prof | Cliniques Universitaires St Luc -UCL |
More Information
No publications provided
| Responsible Party: | Cliniques universitaires Saint-Luc-Université Catholique de Louvain, Prof. J-P Machiels |
| ClinicalTrials.gov Identifier: | NCT00405210 History of Changes |
| Other Study ID Numbers: | UCL-ONCO 06-003, BAY 43-9006/12180 |
| Study First Received: | November 28, 2006 |
| Last Updated: | May 20, 2011 |
| Health Authority: | Belgium: Ministry of Social Affairs, Public Health and the Environment |
Keywords provided by Cliniques universitaires Saint-Luc- Université Catholique de Louvain:
|
hormone-resistant metastatic prostatic cancer pharmacokinetics naïve patient |
Additional relevant MeSH terms:
|
Prostatic Neoplasms Genital Neoplasms, Male Urogenital Neoplasms Neoplasms by Site Neoplasms Genital Diseases, Male Prostatic Diseases Docetaxel |
Sorafenib Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Protein Kinase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on May 19, 2013