A Study of Picoplatin and Docetaxel in Subjects With Prostate Cancer

NCT ID: NCT00448734

Last Updated: 2009-01-21

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

UNKNOWN

Clinical Phase

PHASE1/PHASE2

Total Enrollment

95 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-06-30

Study Completion Date

2010-07-31

Brief Summary

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This study will review the safety of picoplatin, a new type of platinum drug, with docetaxel, a drug commonly used in the treatment of prostate cancer. Patients who are eligible for this study will have had a diagnosis of hormone-refractory prostate cancer that has metastasized to other areas of the body, and have not been previously treated with chemotherapy drugs. Picoplatin will be administered in combination with docetaxel and prednisone to identify the maximum tolerated dose (MTD). Patients will receive IV treatments of picoplatin with docetaxel every 3 weeks, with prednisone, 5 mg orally, twice daily.

Detailed Description

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Conditions

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Hormone Refractory Prostate Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

The treatment regimen will be the assigned dose of picoplatin plus docetaxel, 60 mg/m2 or 75 mg/m2, once every three weeks, plus prednisone (or prednisolone, if prednisone is not available), 5 mg orally twice daily beginning on day 1 and continuing daily until therapy is discontinued.

Docetaxel will be given intravenously over 60 minutes, followed 30 minutes later by picoplatin as a 1-2 hour intravenous infusion.

Group Type EXPERIMENTAL

Picoplatin

Intervention Type DRUG

The treatment regimen will be the assigned dose of picoplatin plus docetaxel, 60 mg/m2 or 75 mg/m2, once every three weeks, plus prednisone (or prednisolone, if prednisone is not available), 5 mg orally twice daily beginning on day 1 and continuing daily until therapy is discontinued.

Docetaxel will be given intravenously over 60 minutes, followed 30 minutes later by picoplatin as a 1-2 hour intravenous infusion.

2

Docetaxel

Group Type ACTIVE_COMPARATOR

docetaxel

Intervention Type DRUG

The treatment regimen will be the assigned dose of picoplatin plus docetaxel, 60 mg/m2 or 75 mg/m2, once every three weeks, plus prednisone (or prednisolone, if prednisone is not available), 5 mg orally twice daily beginning on day 1 and continuing daily until therapy is discontinued.

Docetaxel will be given intravenously over 60 minutes, followed 30 minutes later by picoplatin as a 1-2 hour intravenous infusion.

Interventions

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Picoplatin

The treatment regimen will be the assigned dose of picoplatin plus docetaxel, 60 mg/m2 or 75 mg/m2, once every three weeks, plus prednisone (or prednisolone, if prednisone is not available), 5 mg orally twice daily beginning on day 1 and continuing daily until therapy is discontinued.

Docetaxel will be given intravenously over 60 minutes, followed 30 minutes later by picoplatin as a 1-2 hour intravenous infusion.

Intervention Type DRUG

docetaxel

The treatment regimen will be the assigned dose of picoplatin plus docetaxel, 60 mg/m2 or 75 mg/m2, once every three weeks, plus prednisone (or prednisolone, if prednisone is not available), 5 mg orally twice daily beginning on day 1 and continuing daily until therapy is discontinued.

Docetaxel will be given intravenously over 60 minutes, followed 30 minutes later by picoplatin as a 1-2 hour intravenous infusion.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically or cytologically confirmed adenocarcinoma of the prostate.
* Radiologic evidence of metastatic disease (Jewett-Whitmore Stages D1-D2 or TNM Stage N1-3 or M1).
* Disease progression or recurrence documented by either: increasing serum PSA on three consecutive measurements each obtained at least one week apart, or findings on radiographic imaging studies.
* Non-surgically castrate subjects must be receiving androgen ablation therapy as maintenance therapy.
* Adequate hormonal therapy as documented by a castrate level of serum testosterone (all subjects without surgical castration must have a serum testosterone less than 50 ng/ml).
* At least 4 weeks must have elapsed after the withdrawal of antiandrogens (6 weeks in the case of bicalutamide).
* Age 18 years and over. Subjects older than 80 years should be entered on study only if considered "physiologically appropriate" for combination chemotherapy.
* ECOG performance score (PS) of 0 or 1.
* Stable levels of pain for at least 7 days before study entry.
* Life expectancy more than 3 months.
* At least 28 days must have elapsed since prior radiotherapy.
* At least 28 days must have elapsed since any prior investigational agent.
* Absolute neutrophil count (ANC) at least 1.5 x 10\^9th/L.
* Platelet count at least 100 x 10\^9th/L.
* Hemoglobin at least 10 g/dL.
* Serum AST and ALT levels ≥ 1.5 times upper limit of normal (ULN).
* Serum bilirubin ≤ ULN.
* Serum creatinine ≤ ULN.
* All subjects must agree to use appropriate birth control methods while on study and until 1 month after completion of study chemotherapy.

Exclusion Criteria

* Prior treatment with cytotoxic agents (except estramustine), radioisotopes, or biological therapies other than hormones.
* Clinical evidence of brain or leptomeningeal metastases.
* Symptomatic peripheral neuropathy of Grade 2 or higher.
* History of another cancer within the preceding 5 years, except for superficial skin cancers.
* Known hypersensitivity to drugs formulated with Polysorbate 80.
* Prior radiotherapy that included ≥ 30% of the bone marrow (e.g., the whole of the pelvis or half of the spine).
* Uncontrolled intercurrent illness (e.g., active infection).
* Serious medical or psychiatric illness that could potentially interfere with the completion of the study treatment according to this protocol.
* History of serious cardiac disease, defined as myocardial infarction within six months of enrollment, congestive heart failure classified by the New York Heart Association as Class III or IV, uncontrolled cardiac arrhythmias, poorly controlled or unstable angina, or electrocardiographic evidence of acute ischemia.
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Poniard Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Poniard Pharmaceuticals

Principal Investigators

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Robert Earhart, MD

Role: STUDY_DIRECTOR

Poniard Pharmaceuticals

Locations

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Medical Radiology Research Center under the Russian Academy of Medical Sciences

Obninsk, Kaluga Oblast, Russia

Site Status

Chelyabinsk Regional Oncology Center

Chelyabinsk, , Russia

Site Status

Burdenko Central Military Clinical Hospital

Moscow, , Russia

Site Status

Russian Research Center of Radiology

Moscow, , Russia

Site Status

Research Institute of Urology - Ministry of Health

Moscow, , Russia

Site Status

Leningrad Regional Oncology Center

Saint Petersburg, , Russia

Site Status

Central Medical Unit #122

Saint Petersburg, , Russia

Site Status

Therapeutic and Research Medical Center

Saint Petersburg, , Russia

Site Status

St. Petersburg City Hospital #26

Saint Petersburg, , Russia

Site Status

St. Petersburg City Oncology Center

Saint Petersburg, , Russia

Site Status

State Medical Institution of Yaroslavl Region / Regional Clinical Oncology Hospital

Yaroslavl, , Russia

Site Status

Countries

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Russia

References

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Beale P, Judson I, O'Donnell A, Trigo J, Rees C, Raynaud F, Turner A, Simmons L, Etterley L. A Phase I clinical and pharmacological study of cis-diamminedichloro(2-methylpyridine) platinum II (AMD473). Br J Cancer. 2003 Apr 7;88(7):1128-34. doi: 10.1038/sj.bjc.6600854.

Reference Type BACKGROUND
PMID: 12671715 (View on PubMed)

Canobbio L, Guarneri D, Miglietta L, Decensi A, Oneto F, Boccardo F. Carboplatin in advanced hormone refractory prostatic cancer patients. Eur J Cancer. 1993;29A(15):2094-6. doi: 10.1016/0959-8049(93)90040-m.

Reference Type BACKGROUND
PMID: 7507687 (View on PubMed)

Douillard JY, Schiller J. ZD0473 combined with other chemotherapeutic agents for the treatment of solid malignancies. Eur J Cancer. 2002 Dec;38 Suppl 8:S25-31. doi: 10.1016/s0959-8049(02)80020-x.

Reference Type BACKGROUND
PMID: 12645909 (View on PubMed)

Gelmon KA, Stewart D, Chi KN, Chia S, Cripps C, Huan S, Janke S, Ayers D, Fry D, Shabbits JA, Walsh W, McIntosh L, Seymour LK. A phase I study of AMD473 and docetaxel given once every 3 weeks in patients with advanced refractory cancer: a National Cancer Institute of Canada-Clinical Trials Group trial, IND 131. Ann Oncol. 2004 Jul;15(7):1115-22. doi: 10.1093/annonc/mdh278.

Reference Type BACKGROUND
PMID: 15205207 (View on PubMed)

Holford J, Raynaud F, Murrer BA, Grimaldi K, Hartley JA, Abrams M, Kelland LR. Chemical, biochemical and pharmacological activity of the novel sterically hindered platinum co-ordination complex, cis-[amminedichloro(2-methylpyridine)] platinum(II) (AMD473). Anticancer Drug Des. 1998 Jan;13(1):1-18.

Reference Type BACKGROUND
PMID: 9474239 (View on PubMed)

Holford J, Sharp SY, Murrer BA, Abrams M, Kelland LR. In vitro circumvention of cisplatin resistance by the novel sterically hindered platinum complex AMD473. Br J Cancer. 1998;77(3):366-73. doi: 10.1038/bjc.1998.59.

Reference Type BACKGROUND
PMID: 9472630 (View on PubMed)

Rogers P, Boxall FE, Allott CP, Stephens TC, Kelland LR. Sequence-dependent synergism between the new generation platinum agent ZD0473 and paclitaxel in cisplatin-sensitive and -resistant human ovarian carcinoma cell lines. Eur J Cancer. 2002 Aug;38(12):1653-60. doi: 10.1016/s0959-8049(02)00107-7.

Reference Type BACKGROUND
PMID: 12142057 (View on PubMed)

Related Links

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http://www.poniard.com

Poniard Pharmaceuticals, Inc.

Other Identifiers

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0502

Identifier Type: -

Identifier Source: org_study_id

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