Trial Outcomes & Findings for Docetaxel Plus Lycopene in Castration Resistant, Chemotherapy-Naïve Prostate Cancer Patients (NCT NCT01882985)

NCT ID: NCT01882985

Last Updated: 2021-01-05

Results Overview

To define the prostate-specific antigen (PSA) response rate according to the criteria of Bubley, et al. in subjects treated with a combination of docetaxel and lycopene. Per criteria of Bubley, et al., PSA response rate is defined the number of subjects who achieve a \>50% decline in PSA from baseline.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

14 participants

Primary outcome timeframe

Up to week 12 of therapy

Results posted on

2021-01-05

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment (Docetaxel and Lycopene)
Patients receive docetaxel IV over 1 hour on day 2 and lycopene PO once daily on days 1-21. Treatment repeats every 21days for at least 4 courses in the absence of disease progression or unacceptable toxicity. Docetaxel: Given IV Lycopene: Given PO
Overall Study
STARTED
14
Overall Study
COMPLETED
12
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment (Docetaxel and Lycopene)
Patients receive docetaxel IV over 1 hour on day 2 and lycopene PO once daily on days 1-21. Treatment repeats every 21days for at least 4 courses in the absence of disease progression or unacceptable toxicity. Docetaxel: Given IV Lycopene: Given PO
Overall Study
Lost to Follow-up
1
Overall Study
Withdrawal by Subject
1

Baseline Characteristics

Docetaxel Plus Lycopene in Castration Resistant, Chemotherapy-Naïve Prostate Cancer Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (Docetaxel and Lycopene)
n=14 Participants
Patients receive docetaxel IV over 1 hour on day 2 and lycopene PO once daily on days 1-21. Treatment repeats every 21days for at least 4 courses in the absence of disease progression or unacceptable toxicity. Docetaxel: Given IV Lycopene: Given PO
Region of Enrollment
United States
14 Participants
n=5 Participants
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=5 Participants
Age, Categorical
>=65 years
11 Participants
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
Sex: Female, Male
Male
14 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
11 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
11 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to week 12 of therapy

Population: One patient was inevaluable due to lost to follow up and one patient withdrew consent.

To define the prostate-specific antigen (PSA) response rate according to the criteria of Bubley, et al. in subjects treated with a combination of docetaxel and lycopene. Per criteria of Bubley, et al., PSA response rate is defined the number of subjects who achieve a \>50% decline in PSA from baseline.

Outcome measures

Outcome measures
Measure
Treatment (Docetaxel and Lycopene)
n=12 Participants
Patients receive docetaxel IV over 1 hour on day 2 and lycopene PO once daily on days 1-21. Treatment repeats every 21days for at least 4 courses in the absence of disease progression or unacceptable toxicity. Docetaxel: Given IV Lycopene: Given PO
Proporation of Subjects Achieving Partial Response, Stable Disease or Progressive Disease Based on PSA Response Rates
Partial Response (PR)
9 Participants
Proporation of Subjects Achieving Partial Response, Stable Disease or Progressive Disease Based on PSA Response Rates
Stable Disease (SD)
2 Participants
Proporation of Subjects Achieving Partial Response, Stable Disease or Progressive Disease Based on PSA Response Rates
Progressive Disease (PD)
1 Participants

SECONDARY outcome

Timeframe: Up to 4 years

Population: Data was not collected for this objective.

The percent of subjects achieving an objective response by RECIST criteria in either visceral or lymph node metastases, and the percent achieving clinical complete disappearance of disease at any site, will be recorded.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 4 years

Population: Mean time to PSA progression

The definition of time to PSA progression is the date (after the initiation of chemotherapy on day 2) that a 25% or greater increase, and an absolute increase of 2ng/mL or more, from the nadir PSA is documented. If there is no decrease in PSA following chemotherapy, then PSA progression is the date for documentation of a 25% increase from the baseline value along with an increase in absolute value of 2ng/mL or more.

Outcome measures

Outcome measures
Measure
Treatment (Docetaxel and Lycopene)
n=12 Participants
Patients receive docetaxel IV over 1 hour on day 2 and lycopene PO once daily on days 1-21. Treatment repeats every 21days for at least 4 courses in the absence of disease progression or unacceptable toxicity. Docetaxel: Given IV Lycopene: Given PO
Time to PSA Progression
335 days
Standard Deviation 350.1

SECONDARY outcome

Timeframe: Up to 4 years

Population: Data was not collected for this outcome measure.

The percentage of subjects experiencing grade 3-4 hematologic and non-hematologic toxicity will be recorded, as well as the reason for ending treatment. This outcome measure was not collected due to lack of funding.

Outcome measures

Outcome data not reported

Adverse Events

Treatment (Docetaxel and Lycopene)

Serious events: 2 serious events
Other events: 9 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Treatment (Docetaxel and Lycopene)
n=14 participants at risk
Patients receive docetaxel IV over 1 hour on day 2 and lycopene PO once daily on days 1-21. Treatment repeats every 21days for at least 4 courses in the absence of disease progression or unacceptable toxicity. Docetaxel: Given IV Lycopene: Given PO
Blood and lymphatic system disorders
Severe Neutropenia
7.1%
1/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
Cardiac disorders
Cardiac Arrhythmia
7.1%
1/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.

Other adverse events

Other adverse events
Measure
Treatment (Docetaxel and Lycopene)
n=14 participants at risk
Patients receive docetaxel IV over 1 hour on day 2 and lycopene PO once daily on days 1-21. Treatment repeats every 21days for at least 4 courses in the absence of disease progression or unacceptable toxicity. Docetaxel: Given IV Lycopene: Given PO
Gastrointestinal disorders
Diarrhea
21.4%
3/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
Immune system disorders
Alopecia
21.4%
3/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
General disorders
Fatigue
57.1%
8/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
Gastrointestinal disorders
Constipation
14.3%
2/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
Skin and subcutaneous tissue disorders
Onchomychosis
35.7%
5/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
General disorders
Insomnia
21.4%
3/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
Respiratory, thoracic and mediastinal disorders
Cough
28.6%
4/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
Injury, poisoning and procedural complications
Edema
21.4%
3/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
General disorders
Pain
21.4%
3/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
Blood and lymphatic system disorders
Anemia
14.3%
2/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
General disorders
Decreased Appetite
14.3%
2/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
General disorders
Cracked Tooth
7.1%
1/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
Skin and subcutaneous tissue disorders
Skin Changes
7.1%
1/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
Infections and infestations
Left Eye Conjunctivitis
7.1%
1/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
Psychiatric disorders
Depression
7.1%
1/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
General disorders
Nausea
7.1%
1/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
Respiratory, thoracic and mediastinal disorders
Decrease taste
14.3%
2/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
General disorders
Dry Mouth
7.1%
1/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
Skin and subcutaneous tissue disorders
Rash
14.3%
2/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
General disorders
Dehydration
7.1%
1/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
Nervous system disorders
Neuropathy
14.3%
2/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
Musculoskeletal and connective tissue disorders
Osteoporosis
7.1%
1/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
Blood and lymphatic system disorders
Proteinuria
7.1%
1/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
General disorders
Confusion
7.1%
1/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
Vascular disorders
Hemorrhoids
7.1%
1/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
Respiratory, thoracic and mediastinal disorders
Upper Respiratory Infection
7.1%
1/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
General disorders
Ecchymoses
7.1%
1/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
Skin and subcutaneous tissue disorders
Dry Skin
7.1%
1/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
General disorders
Blurred Vision
7.1%
1/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
General disorders
Hot Flashes
7.1%
1/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
7.1%
1/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
General disorders
Dizziness
7.1%
1/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
Blood and lymphatic system disorders
Neutropenia
14.3%
2/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
Blood and lymphatic system disorders
Hypertension
7.1%
1/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.
Blood and lymphatic system disorders
Deep Vein Thrombosis
7.1%
1/14 • 86 days. Participants can then choose to continue treatment beyond this point until disease progression.

Additional Information

Dr. John P. Fruehauf

University of California, Irvine

Phone: 714-456-5153

Results disclosure agreements

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