Study of Irofulven in Patients With Hormone-refractory Prostate Cancer

NCT ID: NCT00124566

Last Updated: 2016-01-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

135 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-06-30

Study Completion Date

2009-12-31

Brief Summary

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The purpose of this study is to assess the efficacy and safety of irofulven-based regimens compared to mitoxantrone plus prednisone in patients with hormone-refractory prostate cancer (HRPC) whose disease has progressed following Taxotere based regimens.

Detailed Description

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For every five patients randomized, two will receive treatment number 1 (irofulven + prednisone), two patients will receive treatment number 2 (irofulven + capecitabine (Xeloda®) + prednisone), and one patient will receive treatment number 3 (mitoxantrone + prednisone). This is not a blinded study, so both the patient and doctor will know which treatment has been assigned.

Conditions

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Prostate Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Irofulven + prednisone

Group Type EXPERIMENTAL

Irofulven

Intervention Type DRUG

Subjects will receive irofulven in a 30 minute intravenous (IV) infusion at a dose of 0.45 mg/kg on Days 1 and 8 every 3 weeks.

Prednisone

Intervention Type DRUG

Subjects will also receive oral prednisone at a dose of 10 mg per day in the morning.

2

Irofulven + capecitabine + prednisone

Group Type EXPERIMENTAL

Prednisone

Intervention Type DRUG

Subjects will also receive oral prednisone at a dose of 10 mg per day in the morning.

Capecitabine

Intervention Type DRUG

Subjects will receive oral capecitabine at a dose of 1000 mg/m\^2 twice daily for 15 days every 28 days.

Irofulven

Intervention Type DRUG

Subjects will receive irofulven in a 30 minute intravenous (IV) infusion at a dose of 0.4 mg/kg on Days 1 and 15 every 4 weeks.

3

Mitoxantrone + prednisone

Group Type ACTIVE_COMPARATOR

Prednisone

Intervention Type DRUG

Subjects will also receive oral prednisone at a dose of 10 mg per day in the morning.

Mitoxantrone

Intervention Type DRUG

Subjects will receive mitoxantrone in an intravenous (IV) infusion (5 to 15 minutes) at a dose of 12 mg/m\^2 per day, once every 3 weeks.

Interventions

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Irofulven

Subjects will receive irofulven in a 30 minute intravenous (IV) infusion at a dose of 0.45 mg/kg on Days 1 and 8 every 3 weeks.

Intervention Type DRUG

Prednisone

Subjects will also receive oral prednisone at a dose of 10 mg per day in the morning.

Intervention Type DRUG

Mitoxantrone

Subjects will receive mitoxantrone in an intravenous (IV) infusion (5 to 15 minutes) at a dose of 12 mg/m\^2 per day, once every 3 weeks.

Intervention Type DRUG

Capecitabine

Subjects will receive oral capecitabine at a dose of 1000 mg/m\^2 twice daily for 15 days every 28 days.

Intervention Type DRUG

Irofulven

Subjects will receive irofulven in a 30 minute intravenous (IV) infusion at a dose of 0.4 mg/kg on Days 1 and 15 every 4 weeks.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

To be included in the study, patients must meet the following criteria:

1. Cancer of the prostate confirmed by a biopsy sample.
2. 18 years of age or older.
3. Disease must have spread beyond the prostate as proven by chest x ray, abdominal and pelvic computed tomography (CT) scan, bone scan or clinical examination.
4. At least one prior hormonal treatment with documented disease progression during hormone therapy.
5. One previous line of chemotherapy that included Taxotere® (as monotherapy or in combination). This could be in addition to estramustine single agent therapy.
6. Disease progression during prior Taxotere-based therapy or within 3 months of discontinuing.
7. Recovered from any toxic effects of prior chemotherapy, radiotherapy and surgery.
8. Recovered from any toxic effects associated with other investigational drugs, if applicable.
9. Signed informed consent obtained prior to initiation of any study-specific procedures or treatment.

Exclusion Criteria

Patients cannot participate in the study if any of the following apply:

1. Unable to use prednisone.
2. Prior treatment with irofulven, capecitabine (Xeloda), continuous/protracted infusion 5-FU (5-fluorouracil) (infusion duration greater than or equal to 24 hours), other fluoropyrimidines or mitoxantrone.
3. Ongoing treatment with a corticosteroid at a prednisone-equivalent dose \> 10 mg/day.
4. More than 1 prior treatment with either 153Sm or 89Sr, or radioisotope treatment within 8 weeks prior to entering this study.
5. Initiation of treatment with bisphosphonate agents (e.g., pamidronate, etidronate) within 2 months of entering the study. Pre-existing treatment with bisphosphonate agents is to be continued during this study.
6. Treatment with warfarin and/or phenytoin within 14 days before entering this study or during the study period.
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Eisai Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Eisai Inc.

Locations

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Hot Springs, Arkansas, United States

Site Status

Jonesboro, Arkansas, United States

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Greenbrae, California, United States

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Colorado Springs, Colorado, United States

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Bonita Springs, Florida, United States

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Bradenton, Florida, United States

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Cape Coral, Florida, United States

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Fort Meyers, Florida, United States

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Naples, Florida, United States

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Port Charlotte, Florida, United States

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Sarasota, Florida, United States

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Venice, Florida, United States

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Atlanta, Georgia, United States

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Augusta, Georgia, United States

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Macon, Georgia, United States

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Marietta, Georgia, United States

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Chicago, Illinois, United States

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Minneapolis, Minnesota, United States

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Billings, Montana, United States

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Albany, New York, United States

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East Setauket, New York, United States

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Kettering, Ohio, United States

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Greenville, South Carolina, United States

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Nashville, Tennessee, United States

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Dallas, Texas, United States

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Fort Worth, Texas, United States

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Tyler, Texas, United States

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Spokane, Washington, United States

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Marshfield, Wisconsin, United States

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Belo Horizonte, , Brazil

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Porto Alegre, , Brazil

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Rio de Janeiro, , Brazil

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Calgary, Alberta, Canada

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Vancouver, British Columbia, Canada

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Winnipeg, Manitoba, Canada

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London, Ontario, Canada

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Montreal, Quebec, Canada

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Santiago, , Chile

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Zagreb, , Croatia

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Avignon, , France

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Orléans, , France

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Paris, , France

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Saint-Brieuc, , France

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Saint-Grégoire, , France

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Lima, , Peru

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Bucharest, , Romania

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Cluj-Napoca, , Romania

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Arkhangelsk, , Russia

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Chelyabinsk, , Russia

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Moscow, , Russia

Site Status

Countries

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United States Brazil Canada Chile Croatia France Peru Romania Russia

Other Identifiers

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IROF-018

Identifier Type: -

Identifier Source: org_study_id

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