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

This study has been withdrawn prior to enrollment.
(Halted due to zero accrual and lack of funding)
Sponsor:
Collaborator:
Sanofi
Information provided by (Responsible Party):
Chao Family Comprehensive Cancer Center, University of California, Irvine
ClinicalTrials.gov Identifier:
NCT00598858
First received: January 10, 2008
Last updated: April 3, 2013
Last verified: April 2013
  Purpose

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.


Condition Intervention Phase
Prostate Cancer
Adenocarcinoma of the Prostate
Stage I Prostate Cancer
Stage II Prostate Cancer
Drug: Docetaxel
Drug: Prednisone
Phase 2

Study Type: Interventional
Study Design: Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
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

Resource links provided by NLM:


Further study details as provided by University of California, Irvine:

Primary Outcome Measures:
  • PSA response rate (partial response (PR) + complete response (CR)) [ Time Frame: 9 weeks ] [ Designated as safety issue: No ]
    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 [ Time Frame: Up to 7 days after completion of study treatment ] [ Designated as safety issue: No ]
    Expressed with two-sided exact binomial confidence intervals.

  • The rate of negative surgical margin [ Time Frame: Up to 7 days after completion of study treatment ] [ Designated as safety issue: No ]
  • 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 ] [ Designated as safety issue: No ]
  • 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 [ Time Frame: Up to 28 days after completion of study treatment ] [ Designated as safety issue: Yes ]
    Severity will be categorized by toxicity grade according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 3.0.


Enrollment: 0
Study Start Date: January 2009
Study Completion Date: June 2010
Primary Completion Date: June 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Treatment (docetaxel and prednisone)
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.
Drug: Docetaxel
Given IV
Other Names:
  • 114977-28-5
  • 40466
  • 628503
  • RP 56976
  • RP56976
  • Taxotere
  • TXT
Drug: Prednisone
Given PO
Other Names:
  • 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

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.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   No
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
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00598858

Sponsors and Collaborators
University of California, Irvine
Sanofi
Investigators
Principal Investigator: John P. Fruehauf, MD, PhD University of California, Irvine
  More Information

No publications provided

Responsible Party: Chao Family Comprehensive Cancer Center, User Account Contact, University of California, Irvine
ClinicalTrials.gov Identifier: NCT00598858     History of Changes
Other Study ID Numbers: UCI 07-14, 2007-5904, NCI-2012-02085
Study First Received: January 10, 2008
Last Updated: April 3, 2013
Health Authority: United States: Institutional Review Board
United States: Food and Drug Administration

Keywords provided by University of California, Irvine:
prostate cancer
Prostatectomy

Additional relevant MeSH terms:
Adenocarcinoma
Prostatic Neoplasms
Carcinoma
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Neoplasms
Genital Neoplasms, Male
Urogenital Neoplasms
Neoplasms by Site
Genital Diseases, Male
Prostatic Diseases
Prednisone
Docetaxel
Glucocorticoids
Hormones
Hormones, Hormone Substitutes, and Hormone Antagonists
Physiological Effects of Drugs
Pharmacologic Actions
Antineoplastic Agents, Hormonal
Antineoplastic Agents
Therapeutic Uses
Anti-Inflammatory Agents

ClinicalTrials.gov processed this record on July 26, 2014