XRP6258 Plus Prednisone Compared to Mitoxantrone Plus Prednisone in Hormone Refractory Metastatic Prostate Cancer

NCT ID: NCT00417079

Last Updated: 2011-03-10

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

755 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-01-31

Study Completion Date

2009-09-30

Brief Summary

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This is a randomized, open-label, multi-center study comparing the safety and efficacy of XRP6258 plus prednisone to mitoxantrone plus prednisone in the treatment of hormone refractory metastatic prostate cancer previously treated with a Taxotere®-containing regimen. The primary objective is overall survival. Secondary objectives include progression free survival, overall response rate, prostate-specific antigen (PSA) response/progression, pain response/progression, overall safety, and pharmacokinetics. Patients will be treated until disease progression, death, unacceptable toxicity, or for a maximum of 10 cycles. Patients will have long-term follow-up for a maximum of up to 2 years.

Detailed Description

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Conditions

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Neoplasms Prostatic Neoplasms

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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Mitoxantrone + Prednisone

Mitoxantrone + Prednisone

Group Type ACTIVE_COMPARATOR

mitoxantrone

Intervention Type DRUG

12 mg/m\^2 administered by intravenous (IV) route over 15-30 minutes on day 1 of each 21-day cycle

prednisone

Intervention Type DRUG

10 mg daily administered by oral route

Cabazitaxel + Prednisone

Cabazitaxel + Prednisone

Group Type EXPERIMENTAL

cabazitaxel (XRP6258) (RPR116258)

Intervention Type DRUG

25 mg/m\^2 administered by intravenous (IV) route over 1 hour on day 1 of each 21-day cycle

prednisone

Intervention Type DRUG

10 mg daily administered by oral route

Interventions

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cabazitaxel (XRP6258) (RPR116258)

25 mg/m\^2 administered by intravenous (IV) route over 1 hour on day 1 of each 21-day cycle

Intervention Type DRUG

mitoxantrone

12 mg/m\^2 administered by intravenous (IV) route over 15-30 minutes on day 1 of each 21-day cycle

Intervention Type DRUG

prednisone

10 mg daily administered by oral route

Intervention Type DRUG

Other Intervention Names

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Jevtana

Eligibility Criteria

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Inclusion Criteria

1. Histologically or cytologically confirmed adenocarcinoma of the prostate that is refractory to hormone therapy and previously treated with a Taxotere®-containing regimen.
2. Documented progression of disease (demonstrating at least one visceral or soft tissue metastatic lesion, including a new lesion). Patients with non-measurable disease must have documented rising prostate-specific antigen (PSA) levels or appearance of new lesion.
3. Surgical or hormone-induced castration
4. Life expectancy \> 2 months
5. Eastern Cooperative Oncology Group (ECOG) performance status 0 - 2

Exclusion Criteria

1. Previous treatment with mitoxantrone
2. Previous treatment with \<225 mg/m\^2 cumulative dose of Taxotere (or docetaxel)
3. Prior radiotherapy to ≥ 40% of bone marrow
4. Surgery, radiation, chemotherapy, or other anti-cancer therapy within 4 weeks prior to enrollment in the study
5. Other prior malignancy, except for adequately treated superficial basal cell skin cancer, or any other cancer from which the patient has been disease-free for less than 5 years
6. Known brain or leptomeningeal involvement
7. Other concurrent serious illness or medical conditions
8. Inadequate organ function evidenced by unacceptable laboratory results

The investigator will evaluate whether there are other reasons why a patient may not participate.
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role lead

Responsible Party

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sanofi-aventis

Principal Investigators

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ICD

Role: STUDY_DIRECTOR

Sanofi

Locations

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sanofi-aventis US

Bridgewater, New Jersey, United States

Site Status

sanofi-aventis Argentina

Buenos Aires, , Argentina

Site Status

sanofi-aventis Belgium

Diegem, , Belgium

Site Status

sanofi-aventis Brazil

São Paulo, , Brazil

Site Status

sanofi-aventis Canada

Laval, Quebec, Canada

Site Status

sanofi-aventis Chile

Santiago, , Chile

Site Status

sanofi-aventis Czech Republic

Prague, , Czechia

Site Status

sanofi-aventis Denmark

Hørsholm, , Denmark

Site Status

sanofi-aventis Finland

Helsinki, , Finland

Site Status

sanofi-aventis France

Paris, , France

Site Status

sanofi-aventis Germany

Berlin, , Germany

Site Status

Sanofi-Aventis Hungaria

Budapest, , Hungary

Site Status

sanofi-aventis India

Mumbai, , India

Site Status

sanofi-aventis Italy

Milan, , Italy

Site Status

sanofi-aventis Mexico

México, , Mexico

Site Status

sanofi-aventis Netherlands

Gouda, , Netherlands

Site Status

sanofi-aventis Russia

Moscow, , Russia

Site Status

sanofi-aventis Singapore

Singapore, , Singapore

Site Status

sanofi-aventis Slovakia

Bratislava, , Slovakia

Site Status

sanofi-aventis South Africa

Midrand, , South Africa

Site Status

sanofi-aventis South Korea

Seoul, , South Korea

Site Status

sanofi-aventis Spain

Barcelona, , Spain

Site Status

sanofi-aventis Sweden

Bromma, , Sweden

Site Status

sanofi-aventis Taiwan

Taipei, , Taiwan

Site Status

sanofi-aventis Turkey

Istanbul, , Turkey (Türkiye)

Site Status

sanofi-aventis UK

Guildford, Surrey, United Kingdom

Site Status

Countries

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United States Argentina Belgium Brazil Canada Chile Czechia Denmark Finland France Germany Hungary India Italy Mexico Netherlands Russia Singapore Slovakia South Africa South Korea Spain Sweden Taiwan Turkey (Türkiye) United Kingdom

References

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Lorente D, Mateo J, Templeton AJ, Zafeiriou Z, Bianchini D, Ferraldeschi R, Bahl A, Shen L, Su Z, Sartor O, de Bono JS. Baseline neutrophil-lymphocyte ratio (NLR) is associated with survival and response to treatment with second-line chemotherapy for advanced prostate cancer independent of baseline steroid use. Ann Oncol. 2015 Apr;26(4):750-755. doi: 10.1093/annonc/mdu587. Epub 2014 Dec 23.

Reference Type DERIVED
PMID: 25538172 (View on PubMed)

Bahl A, Oudard S, Tombal B, Ozguroglu M, Hansen S, Kocak I, Gravis G, Devin J, Shen L, de Bono JS, Sartor AO; TROPIC Investigators. Impact of cabazitaxel on 2-year survival and palliation of tumour-related pain in men with metastatic castration-resistant prostate cancer treated in the TROPIC trial. Ann Oncol. 2013 Sep;24(9):2402-8. doi: 10.1093/annonc/mdt194. Epub 2013 May 30.

Reference Type DERIVED
PMID: 23723295 (View on PubMed)

Pouessel D, Oudard S, Gravis G, Priou F, Shen L, Culine S. [Cabazitaxel for metastatic castration-resistant prostate cancer progressing after docetaxel treatment: the TROPIC study in France]. Bull Cancer. 2012 Jul-Aug;99(7-8):731-41. doi: 10.1684/bdc.2012.1608. French.

Reference Type DERIVED
PMID: 22743148 (View on PubMed)

de Bono JS, Oudard S, Ozguroglu M, Hansen S, Machiels JP, Kocak I, Gravis G, Bodrogi I, Mackenzie MJ, Shen L, Roessner M, Gupta S, Sartor AO; TROPIC Investigators. Prednisone plus cabazitaxel or mitoxantrone for metastatic castration-resistant prostate cancer progressing after docetaxel treatment: a randomised open-label trial. Lancet. 2010 Oct 2;376(9747):1147-54. doi: 10.1016/S0140-6736(10)61389-X.

Reference Type DERIVED
PMID: 20888992 (View on PubMed)

Other Identifiers

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EFC6193

Identifier Type: -

Identifier Source: org_study_id

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