A Phase 1b Dose Escalation Trial of PSK®/Placebo With Docetaxel to Treat Metastatic Castration-resistant Prostate Cancer

NCT ID: NCT01685489

Last Updated: 2015-10-27

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

WITHDRAWN

Clinical Phase

PHASE1

Study Classification

INTERVENTIONAL

Study Start Date

2013-05-31

Brief Summary

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This is a phase 1b study that follows a 3+3 dose escalation design and consists of a 21-day lead-in period of oral Polysaccharide Krestin (PSK)/placebo (study drug) alone followed by the addition to study drug of standard intravenous docetaxel at 75 mg/m2 every 3 weeks for three cycles. Study drug will be discontinued on day 15 of the third docetaxel cycle to allow for a 7-day washout period before the fourth dose of docetaxel. Pharmacokinetic (PK) analysis of docetaxel will be conducted during docetaxel cycle 1 (combination therapy) and cycle 4 (docetaxel alone). Serum for future PSK PK analysis will be collected on days 1, 3, and 15 of PSK/placebo lead-in and during cycles 1 and 4.

Detailed Description

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Conditions

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Prostatic Neoplasms

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Docetaxel, PSK®

A 21-day lead-in oral PSK alone is followed by the addition of standard intravenous docetaxel at 75 mg/m2 evey 3 weeks for three cycles. After the third dose of docetaxel, study drug will be discontinued on day 14 to allow for a 7-day washout period before a fourth dose of docetaxel is administered.

Group Type EXPERIMENTAL

Docetaxel, PSK®

Intervention Type DRUG

Docetaxel, Placebo

A 21-day lead-in oral placebo alone is followed by the addition of standard intravenous docetaxel at 75 mg/m2 every 3 weeks for three cycles. After the third dose of docetaxel, the placebo will be discontinued on day 14 to allow for a 7-day washout period before a fourth dose of docetaxel is administered.

Group Type PLACEBO_COMPARATOR

Docetaxel, Placebo

Intervention Type DRUG

Interventions

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Docetaxel, PSK®

Intervention Type DRUG

Docetaxel, Placebo

Intervention Type DRUG

Other Intervention Names

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Polysaccharide-K Krestin Polysaccharide-Kureha

Eligibility Criteria

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Inclusion Criteria

* Male patients 18 years or older
* Histologically confirmed diagnosis of adenocarcinoma of the prostate
* Evidence of metastatic disease by standard imaging studies (bone scan, Computerized Tomography Scan (CT) or Magnetic Resonance Imaging (MRI))
* Testosterone levels \<50 ng/dL
* Confirmed progressive disease defined by one or more of the following:

* an increase in PSA, \> 2ng/dL x 2 or more values at least 1 week apart in the setting of metastatic disease
* appearance of new bone lesions on bone scan
* progression of soft tissue lesion defined by the Response Evaluation Criteria In Solid Tumors \[RECIST\] 1.1 criteria
* Concurrent use of an agent for testosterone suppression (e.g., Luteinizing Hormone Releasing Hormone \[LHRH\] agonist) if the patient is not surgically castrate
* Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2 determined within 28 days before enrollment
* Recovery to CTCAE grade ≤ 1 toxicity, to patient's baseline status (except alopecia), or toxicities deemed irreversible from the effects of prior cancer therapy (CTCAEs grade \> 1 that are not considered a safety risk by the investigator will be allowed)
* Adequate bone marrow function defined as:

* absolute neutrophil count (ANC) \> 1500 cells/mm³ without growth factor support
* platelet count \> 100,000 cells/mm³ without transfusion or growth factor support
* hemoglobin \> 9g/dL without transfusion or growth factor support
* Adequate liver function defined as:

* total bilirubin \< upper limit of normal (ULN)
* alanine aminotransferase (ALT) \< 1.5 x ULN
* aspartate aminotransferase (AST) \< 1.5 x ULN
* Adequate renal function defined as serum creatinine level within normal limits (WNL)
* At least a 6-month or greater life expectancy
* Ability to understand and sign a written informed consent, which will be obtained from study participants before undergoing any study-specific procedures
* Willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other trial procedures
* Suitable venous access for the study-required blood sampling (i.e., including PK sampling)

Exclusion Criteria

* Prior treatment with antineoplastic chemotherapy or radioisotopes for metastatic disease
* Prior adjuvant or neo-adjuvant chemotherapy within 12 months of study entry
* Last dose of sipuleucel-T therapy within 4 weeks of enrollment
* Any investigational therapies within 4 weeks of study entry
* Radiotherapy within 4 weeks of study entry
* Major surgery within 4 weeks of study entry, and not fully recovered to baseline or a stable clinical status
* Uncontrolled high blood pressure (systolic blood pressure \> 160mmHg, diastolic blood pressure \> 95mmHg)
* Receiving chronic steroid therapy. Topical and inhaled steroids are permitted
* Known severe hypersensitivity reactions to docetaxel or other drugs formulated in polysorbate 80, or to mushroom products
* Any comorbid condition or unresolved toxicity that would preclude administration of docetaxel
* Medical contraindication to any docetaxel pre-medications
* History of \> grade 2 neurotoxicity or any toxicity from any cause that has not resolved to \< grade 1
* Brain or other CNS metastasis
* The need for chronic daily immunosuppressive therapy, including concurrent use of prednisone
* Evidence of active second malignancy, except non-melanoma skin cancer
* Infection requiring intravenous antibiotic therapy or other severe infection within 14 days preceding first dose of study drug
* Inability to swallow oral medication or maintain a fast, as required 2 hours before and 1 hour after PSK administration
* Uncontrolled pain at baseline, impending complication from bone metastasis and/or presence of urinary obstruction
* Other medical or psychiatric condition that may increase the risk associated with trial participation or any other condition in the judgment of the investigator that may interfere with the interpretation of trial results or would make the patient inappropriate for enrollment in this trial
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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University of Washington

OTHER

Sponsor Role collaborator

Fred Hutchinson Cancer Center

OTHER

Sponsor Role collaborator

Bastyr University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Celestia Higano, MD

Role: STUDY_DIRECTOR

Seattle Cancer Care Alliance - University of Washington

Cynthia A Wenner, Ph.D

Role: STUDY_DIRECTOR

Bastyr University

Leanna J Standish, PhD, ND, LAc

Role: PRINCIPAL_INVESTIGATOR

Bastyr University

Mary (Nora) L Disis, MD

Role: PRINCIPAL_INVESTIGATOR

University of Washington

Locations

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Seattle Cancer Care Alliance

Seattle, Washington, United States

Site Status

Countries

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United States

References

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Related Links

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http://www.bastyr.edu

General information of Bastyr University

Other Identifiers

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1U19AT006028-01A1

Identifier Type: NIH

Identifier Source: org_study_id

View Link

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