Docetaxel With Rapid Hormonal Cycling as a Treatment for Patients With Prostate Cancer

NCT ID: NCT00587431

Last Updated: 2023-11-07

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

102 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-07-31

Study Completion Date

2008-02-29

Brief Summary

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We postulate that multiple apoptototic events are indusce through testosterone depletion and repletion with taxotere given in conjunction with androgen withdrawal.

Detailed Description

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Conditions

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Prostate Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Group Type EXPERIMENTAL

GnRh (Leuprolide)

Intervention Type DRUG

Leuprolide LUPRON

Testosterone Gel

Intervention Type DRUG

Starting during week 3 (day 19) of cycle 1, 7.5G applied topically daily for 3 days (applied at approximately 9p)

Docetaxel

Intervention Type DRUG

70 mg/m2 given on day o1 of each 3 week cycle

2

Group Type ACTIVE_COMPARATOR

GnRh (Leuprolide)

Intervention Type DRUG

Leuprolide LUPRON

Testosterone Gel

Intervention Type DRUG

Starting during week 3 (day 19) of cycle 1, 7.5G applied topically daily for 3 days (applied at approximately 9p)

Interventions

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GnRh (Leuprolide)

Leuprolide LUPRON

Intervention Type DRUG

Testosterone Gel

Starting during week 3 (day 19) of cycle 1, 7.5G applied topically daily for 3 days (applied at approximately 9p)

Intervention Type DRUG

Docetaxel

70 mg/m2 given on day o1 of each 3 week cycle

Intervention Type DRUG

Other Intervention Names

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22.5 mg intramuscular injection AndroGel Taxotere

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of prostate adenocarcinoma histologically confirmed at MSKCC or SKCCC.
* Patient must have a serum testosterone \> 180 ng/dl.
* Karnofsky performance status (KPS)\>\_70%.
* Patients must have adequate organ function as defined by the following
* laboratory criteria:
* WBC \>\_ 3500/mm3
* ANC \>\_1500/mm3
* Platelet count \>100,000/mm3
* Hemoglobin \>8.0g/dL
* Creatinine \<1.6mg/dl
* Total Bilirubin WNL (unless due to Gilbert's disease and other LFTs are WNL)
* SGOT and SGPT If alkaline phosphatase is \_\< 2.5 x ULN, any elevations in
* AST/ALT; OR if AST/ALT is \_\<1.5 x ULN, any elevation in alkaline phos
* Prior hormonal therapy is allowed as:

1. Neoadjuvant treatment prior to radiation therapy or radical pmstatectomy, provided that the total duration of therapy does not exceed 6 months (Proscar is not considered a hormone therapy).
2. One cycle of intermittent therapy up to a maximum exposure of 6 months (Proscar is not considered a hormone therapy).
* Patients must be at least 18 years of age.
* Patients must have signed an informed consent document stating that they understand the investigational nature of the proposed treatment

Exclusion Criteria

* Clinically significant cardiac disease (New York Heart Association Class III/IV), or severe debilitating pulmonary disease.
* Uncontrolled serious active infection.
* Anticipated survival of less than 3 months.
* Active CNS or epiduraltumor
* Inability or unwillingness to comply with the treatment protocol, follow-up, or research tests
* Peripheral neuropathy \>\_ grade 3.
* Patients with a history of severe hypersensitivity reaction to drugs formulated with polysorbate 80.
* Men of childbearing potential must be willing to consent to using effective contraception while on treatment and for at least 6 months after completion of the treatment.
* Prior chemotherapy
* Concomitant use of phenytoin, carbamazepine, barbiturates, rifampicin, phenobarbital, St. Johns's Wort (hypericum perforatum) and ketoconazole is prohibited.
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Memorial Sloan Kettering Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dana Rathkopf, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Memorial Sloan Kettering Cancer Center

Locations

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Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

Countries

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United States

Other Identifiers

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03-076

Identifier Type: -

Identifier Source: org_study_id

NCT00070369

Identifier Type: -

Identifier Source: nct_alias

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