Trial Outcomes & Findings for Docetaxel (Taxotere) and Imatinib Mesylate (Gleevec) in Hormone Refractory Prostate Cancer (NCT NCT00861471)

NCT ID: NCT00861471

Last Updated: 2016-06-30

Results Overview

PSA response is defined as a greater than or equal to a 50% decrease in PSA from the baseline without clinical or radiologic evidence of progression according to the Response Evaluation Criteria in Solid Tumors (RECIST). PSA concentration was measured at baseline on day 1/cycle 1 before treatment, then day 1 of every cycle afterwards during therapy.

Recruitment status

TERMINATED

Study phase

PHASE1/PHASE2

Target enrollment

24 participants

Primary outcome timeframe

up to 9 months

Results posted on

2016-06-30

Participant Flow

12 patients were enrolled between Sep. 2006 and Nov. 2008 for the Phase II part of the study in New York University Medical center and affiliated hospitals.

Once the optimal combination dose of Docetaxel (Taxotere) and Gleevec (Imatinib Mesylate) was determined in the Phase I part, the study proceeded to Phase II. There were 12 patients in Phase I and Phase II, respectively. The results reported here are only for Phase II.

Participant milestones

Participant milestones
Measure
Docetaxel +Gleevec
21 days per treatment cycle for up to 1 year: Day 1: Docetaxel (Taxotere) ( 70 mg/m\^2 intravenously over 1 hour. Day 2: (24-36 hours later) start Gleevec (Imatinib Mesylate) 600 mg, orally, daily x 14 days
Overall Study
STARTED
12
Overall Study
COMPLETED
3
Overall Study
NOT COMPLETED
9

Reasons for withdrawal

Reasons for withdrawal
Measure
Docetaxel +Gleevec
21 days per treatment cycle for up to 1 year: Day 1: Docetaxel (Taxotere) ( 70 mg/m\^2 intravenously over 1 hour. Day 2: (24-36 hours later) start Gleevec (Imatinib Mesylate) 600 mg, orally, daily x 14 days
Overall Study
Withdrawal by Subject
1
Overall Study
Adverse Event
2
Overall Study
Lack of Efficacy
3
Overall Study
treatment for lumbar laminectomy
1
Overall Study
Physician Decision
2

Baseline Characteristics

Docetaxel (Taxotere) and Imatinib Mesylate (Gleevec) in Hormone Refractory Prostate Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Docetaxel +Gleevec
n=12 Participants
21 days per treatment cycle for up to 1 year: Day 1: Docetaxel (Taxotere) ( 70 mg/m\^2 intravenously over 1 hour. Day 2: (24-36 hours later) start Gleevec (Imatinib Mesylate) 600 mg, orally, daily x 14 days
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
5 Participants
n=5 Participants
Age, Categorical
>=65 years
7 Participants
n=5 Participants
Age, Continuous
67.2 years
STANDARD_DEVIATION 9.9 • n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
Sex: Female, Male
Male
12 Participants
n=5 Participants
Region of Enrollment
United States
12 participants
n=5 Participants

PRIMARY outcome

Timeframe: up to 9 months

Population: The analysis was based on intent-to-treat population.

PSA response is defined as a greater than or equal to a 50% decrease in PSA from the baseline without clinical or radiologic evidence of progression according to the Response Evaluation Criteria in Solid Tumors (RECIST). PSA concentration was measured at baseline on day 1/cycle 1 before treatment, then day 1 of every cycle afterwards during therapy.

Outcome measures

Outcome measures
Measure
Docetaxel +Gleevec
n=12 Participants
21 days per treatment cycle for up to 1 year: Day 1: Docetaxel (Taxotere) ( 70 mg/m\^2 intravenously over 1 hour. Day 2: (24-36 hours later) start Gleevec (Imatinib Mesylate) 600 mg, orally, daily x 14 days
Percentage of Participants With Prostate Specific Antigen (PSA) Response
50 percentage of participants

SECONDARY outcome

Timeframe: up to 9 months

Population: The analysis was based on intent-to-treat population

PSA was measured at baseline on day 1/cycle 1 before treatment, then day 1 of every cycle afterwards during therapy.

Outcome measures

Outcome measures
Measure
Docetaxel +Gleevec
n=12 Participants
21 days per treatment cycle for up to 1 year: Day 1: Docetaxel (Taxotere) ( 70 mg/m\^2 intravenously over 1 hour. Day 2: (24-36 hours later) start Gleevec (Imatinib Mesylate) 600 mg, orally, daily x 14 days
Percentage of Participants With Greater or Equal to 80% PSA Reduction From Baseline Without Clinical or Radiologic Evidence of Progression
16 percentage of participants

SECONDARY outcome

Timeframe: up to 2 years

Population: Based on the participants with measurable disease

Measurable disease response is defined as the number of participants whose best response is complete response or partial response over the number of patients with measurable desease according to the Response Evaluation Criteria in Solid Tumors (RECIST).

Outcome measures

Outcome measures
Measure
Docetaxel +Gleevec
n=5 Participants
21 days per treatment cycle for up to 1 year: Day 1: Docetaxel (Taxotere) ( 70 mg/m\^2 intravenously over 1 hour. Day 2: (24-36 hours later) start Gleevec (Imatinib Mesylate) 600 mg, orally, daily x 14 days
Percentage of Participants With Measurable Disease Response
20 percentage of participants

SECONDARY outcome

Timeframe: up to 2 years

Population: Based on intent-to-treat population

Time to PSA pregression is defined as the time at which therapy statred and ends when the PSA increased by 50% above the nadir confirmed on a second determination.

Outcome measures

Outcome measures
Measure
Docetaxel +Gleevec
n=12 Participants
21 days per treatment cycle for up to 1 year: Day 1: Docetaxel (Taxotere) ( 70 mg/m\^2 intravenously over 1 hour. Day 2: (24-36 hours later) start Gleevec (Imatinib Mesylate) 600 mg, orally, daily x 14 days
Time to PSA Progression
188 days
Interval 85.0 to 279.0

SECONDARY outcome

Timeframe: up to 4 years

Population: Based on intent-to-treat population

Overall survival time is the time from the start of therapy till death. Median overall survival reported here is the time when 50% of the participants are alive.

Outcome measures

Outcome measures
Measure
Docetaxel +Gleevec
n=12 Participants
21 days per treatment cycle for up to 1 year: Day 1: Docetaxel (Taxotere) ( 70 mg/m\^2 intravenously over 1 hour. Day 2: (24-36 hours later) start Gleevec (Imatinib Mesylate) 600 mg, orally, daily x 14 days
Median Overall Survival Time
24.9 months
Interval 14.3 to 35.4

Adverse Events

Docetaxel +Gleevec

Serious events: 3 serious events
Other events: 12 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Docetaxel +Gleevec
n=12 participants at risk
21 days per treatment cycle for up to 1 year: Day 1: Docetaxel (Taxotere) ( 70 mg/m\^2 intravenously over 1 hour. Day 2: (24-36 hours later) start Gleevec (Imatinib Mesylate) 600 mg, orally, daily x 14 days
Cardiac disorders
Sinus tachycardia
8.3%
1/12 • Number of events 1 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Respiratory, thoracic and mediastinal disorders
cough
8.3%
1/12 • Number of events 1 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Respiratory, thoracic and mediastinal disorders
dyspnea
16.7%
2/12 • Number of events 2 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Infections and infestations
infection with normal ANC
8.3%
1/12 • Number of events 1 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
General disorders
pain-other
8.3%
1/12 • Number of events 1 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.

Other adverse events

Other adverse events
Measure
Docetaxel +Gleevec
n=12 participants at risk
21 days per treatment cycle for up to 1 year: Day 1: Docetaxel (Taxotere) ( 70 mg/m\^2 intravenously over 1 hour. Day 2: (24-36 hours later) start Gleevec (Imatinib Mesylate) 600 mg, orally, daily x 14 days
General disorders
abdominal pain or cramping
16.7%
2/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Immune system disorders
allergic rhinitis
8.3%
1/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Skin and subcutaneous tissue disorders
alopecia
41.7%
5/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Gastrointestinal disorders
anorexia
33.3%
4/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Musculoskeletal and connective tissue disorders
bone pain
8.3%
1/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Gastrointestinal disorders
constipation
33.3%
4/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
General disorders
constitutioanl symptoms-other
8.3%
1/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Respiratory, thoracic and mediastinal disorders
cough
16.7%
2/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Gastrointestinal disorders
dehydration
8.3%
1/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Skin and subcutaneous tissue disorders
dermotology/ skin- other
33.3%
4/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Gastrointestinal disorders
diarrhea (with colostomy)
8.3%
1/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Gastrointestinal disorders
diarrhea (without colostomy)
41.7%
5/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Skin and subcutaneous tissue disorders
dry skin
16.7%
2/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Respiratory, thoracic and mediastinal disorders
dyspnea
41.7%
5/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Cardiac disorders
edema
41.7%
5/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
General disorders
fatigue
75.0%
9/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
General disorders
fever
8.3%
1/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Gastrointestinal disorders
gastrointestinal- other
8.3%
1/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Blood and lymphatic system disorders
hemoglobin
66.7%
8/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Metabolism and nutrition disorders
hyponatremia
8.3%
1/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Skin and subcutaneous tissue disorders
injection site reaction
8.3%
1/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Nervous system disorders
insomnia
8.3%
1/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Blood and lymphatic system disorders
leukocytes
8.3%
1/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Blood and lymphatic system disorders
lymphatics
25.0%
3/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Musculoskeletal and connective tissue disorders
myalgia
16.7%
2/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Skin and subcutaneous tissue disorders
nail changes
33.3%
4/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Gastrointestinal disorders
nausea
58.3%
7/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Nervous system disorders
neuropathy /sensory
58.3%
7/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Blood and lymphatic system disorders
neutrophils/ granulocytes
16.7%
2/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Eye disorders
ocular/ visual -other
25.0%
3/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
General disorders
pain -other
25.0%
3/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Cardiac disorders
palpitations
8.3%
1/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Blood and lymphatic system disorders
platelets
8.3%
1/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Skin and subcutaneous tissue disorders
pruritus
8.3%
1/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Skin and subcutaneous tissue disorders
rash/ desquamation
8.3%
1/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
General disorders
rigors/ chills
8.3%
1/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Cardiac disorders
sinus tachycardia
8.3%
1/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Gastrointestinal disorders
stomatitis/ pharyngitis
8.3%
1/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Gastrointestinal disorders
taste disturbance
33.3%
4/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Eye disorders
tearing
25.0%
3/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
Gastrointestinal disorders
vomiting
25.0%
3/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
General disorders
weight gain
8.3%
1/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.
General disorders
weight loss
8.3%
1/12 • on study (up to 9 months) plus 30 days after
adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.

Additional Information

Anna Ferrari, MD

New York University Cancer Institute

Phone: 212-731-5389

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place