ZANTE: Zometa and Taxotere in Hormone Refractory Prostate Cancer

NCT ID: NCT00415779

Last Updated: 2010-02-24

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

PHASE1

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-07-31

Study Completion Date

2009-07-31

Brief Summary

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This phase I trial is studying the side effects and best dose of docetaxel when given with zoledronic acid in patients with bone metastasis from prostate cancer that has not responded to hormone therapy.

Detailed Description

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Docetaxel has been used alone and in combination with other anti-cancer therapies in the treatment of hormone refractory metastatic prostate cancer. Zoledronic acid has been used in the treatment of bone metastasis from prostate cancer. This is a study of the combination of these two agents. The Zante study will test a dose escalation of docetaxel in association with a predetermined dose of zoledronic acid (2 mg), given every 14 days for a minimum of 6 and maximum of 12 cycles.

Sequence A: Docetaxel on day 1 and zoledronic acid on day 2

Sequence B: Zoledronic acid on day 1 and docetaxel on day 2

Patients are enrolled sequentially in cohorts of 3 for each dose level, and a maximum of 36 patients will be enrolled.

Conditions

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Metastatic Prostate Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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docetaxel

given IV in subsequent cohorts of patients at 30, 40, or 50mg/m2

Intervention Type DRUG

zoledronic acid

2 mg IV every 2 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Written informed consent
* Hormone refractory prostate cancer
* Stage IV disease with bone metastasis
* No immunotherapy, hormonal therapy or radiotherapy within the previous month
* Performance status \< or = 2 (ECOG)
* Serum creatinine \< 1.5 mg/100ml
* Serum bilirubin \< or = 1.25 x UNL (upper normal limit) (or \< or = 1.5 x UNL in the presence of hepatic metastases); SGOT e SGPT \< or = 1.5 x UNL (or \< or = 2.5 x UNL in presence of hepatic metastases)
* Left ventricular ejection fraction \> or = 50% (measured by cardiac ultrasound or MUGA scan)
* Neutrophils \> 1500/mm3; platelets \>100000/mm3; hemoglobin \>10 g/100 ml· Life expectancy of at least 3 months

Exclusion Criteria

* Previous malignancies with the exception of radically treated epithelioma
* Previous chemotherapy
* Comorbidities that would, in the Investigator's opinion, contraindicate the use of the drugs in the study
* Uncontrolled Diabetes
* Severe cardiac arrhythmias, severe uncontrolled congestive heart failure, severe ischemic cardiac disease or myocardial infarction within the previous 6 months
* severe infection
* cerebral metastasis
* Pre-existing motor or sensory neurotoxicity \> or = grade 2 according to CTC (Common Toxicity Criteria).
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute, Naples

OTHER

Sponsor Role lead

Responsible Party

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National Cancer Institute Naples, Italy

Principal Investigators

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Michele Caraglia, M.D.

Role: PRINCIPAL_INVESTIGATOR

Experimental Pharmacology, National Cancer Institute Naples

Alfredo Budillon, M.D.

Role: PRINCIPAL_INVESTIGATOR

Experimental Pharmacology, National Cancer Institute Naples

Francesco Perrone, M.D., Ph.D

Role: PRINCIPAL_INVESTIGATOR

National Cancer Institute Naples, Italy; Director Clinical Trials Unit

R. Vincenzo Iaffaioli, M.D

Role: PRINCIPAL_INVESTIGATOR

Medical Oncology B, National Cancer Institute Naples

Gaetano Facchini, M.D.

Role: PRINCIPAL_INVESTIGATOR

Medical Oncology B, National Cancer Institute Naples

Alessandro Morabito, M.D.

Role: PRINCIPAL_INVESTIGATOR

Clinical Trials Unit, National Cancer Institute Naples

Locations

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Istituto Nazionale dei Tumori

Napoli, , Italy

Site Status

Ospedale Oncologico Regionale C.R.O.B. - Basilicata

Rionero in Vulture, , Italy

Site Status

Countries

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Italy

Other Identifiers

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EUDRACT 2006-000426-31

Identifier Type: -

Identifier Source: secondary_id

ZANTE

Identifier Type: -

Identifier Source: org_study_id

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