Full Text View  
  Tabular View  
  Contacts and Locations  
  No Study Results Posted  
  Related Studies  
Pilot Efficacy Study of PI-88 With Docetaxel to Treat Prostate Cancer
This study has been completed.
Sponsors and Collaborators: Progen Pharmaceuticals
Northern Sydney and Central Coast Health
Aventis Pharmaceuticals
Information provided by: Progen Pharmaceuticals
ClinicalTrials.gov Identifier: NCT00268593
  Purpose

Docetaxel (Taxotere) is an approved chemotherapeutic drug for the treatment of androgen-independent prostate cancer. The aim of the study is to investigate whether addition of the investigational drug PI-88 will increase the efficacy of docetaxel in this disease. PI-88 inhibits cancer growth by inhibiting the development of new blood vessels and starving the tumour of oxygen and nutrients (anti-angiogenic). Because PI-88 and docetaxel have different mechanisms of action, they are expected to have increased (synergistic) activity when combined.


Condition Intervention Phase
Prostate Cancer
Drug: PI-88
Drug: docetaxel
Drug: prednisone
Phase II

MedlinePlus related topics: Cancer Prostate Cancer
Drug Information available for: Docetaxel Prednisone Phosphomannopentaose sulfate
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Historical Control, Parallel Assignment, Safety/Efficacy Study
Official Title: A Randomised Phase II Study of Two Dose Schedules of PI-88 in Combination With Docetaxel in Patients With Androgen-Independent Prostate Cancer

Further study details as provided by Progen Pharmaceuticals:

Primary Outcome Measures:
  • Prostate Specific Antigen (PSA) response (incidence and duration)

Secondary Outcome Measures:
  • Radiologic response rate in patients with measurable disease
  • PSA progression-free survival
  • Disease progression-free survival
  • Overall survival
  • Safety and tolerability
  • Quality of life Functional Assessment of Cancer Therapy - Prostate questionnaire (FACT-P)
  • Exploratory predictive value of biologic parameters C-reactive protein (CRP), vascular endothelial growth factor (VEGF), interleukin-6 (IL6), D-dimer

Estimated Enrollment: 82
Study Start Date: August 2005
Study Completion Date: February 2008
Detailed Description:

The trial is a multi-centre, open-label randomised phase II study in patients with androgen-independent prostate cancer (AIPC), with a lead-in combination tolerance study. The aim of the lead-in phase is to establish the maximum tolerated dose (MTD) of PI-88 administered either 4 days/week or 7 days/week) in combination with fixed doses of docetaxel (75 mg/m^2 every 21 days) and prednisone (5 mg twice daily). In the randomized phase II component, patients will receive PI-88 at the MTD, either 4 days/week or 7 days/week, in combination with docetaxel and prednisone. The patients will receive up to 10 treatment cycles of the combination therapy. Response to treatment will be assessed by measuring serum levels of prostate specific antigen (PSA). Other efficacy measures will include radiological assessment, progression-free survival, overall survival and quality of life.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Histologically/cytologically proven prostate adenocarcinoma that is unresponsive or refractory to hormone therapy
  • Patients must have received prior hormonal therapy, defined as castration by orchiectomy and/or luteinizing hormone releasing hormone (LHRH) agonists
  • Patients must have documented progression detected by PSA increase, physical examination and/or imaging
  • Patients must have achieved stable pain control for a minimum of seven consecutive days prior to study entry.
  • Prior radiation therapy (to < 25% of the bone marrow only) is permitted. At least 4 weeks must have elapsed since the completion of radiation therapy and the patient must have recovered from side effects prior to study entry.
  • Prior surgery is allowed. At least 4 weeks must have elapsed since the completion of surgery
  • Life expectancy > 3 months
  • ECOG Performance score of < 2.
  • Neutrophil count > 1.5 x 109/L (1,500/mm3)
  • Haemoglobin > 10 g/dL
  • Platelet count > 100 x 109/L (100,000/mm3)
  • Total bilirubin < the upper limit of normal (ULN) of the institution
  • ALT (SGPT) and AST (SGOT) < 1.5 x the ULN of the institution
  • Calculated creatinine clearance, using Cockroft and Gault formula, >60 mL/min
  • APTT and PT < 1.5 X ULN
  • Patients (or legally acceptable representative) must have voluntarily given written informed consent to participate in this study.
  • Patients must be willing to comply with the scheduled visit, treatment plans, laboratory tests, and other study procedures

Exclusion Criteria:

  • Prior cytotoxic chemotherapy
  • Prior isotope therapy (e.g., strontium, samarium)
  • Prior radiotherapy to >25% of bone marrow (whole pelvic irradiation is not allowed)
  • Prior treatment with biological response modifiers within the previous 4 weeks
  • Prior malignancy except the following: adequately treated basal cell or squamous cell skin cancer, or any other cancer from which the patient has been disease-free for > 5 years
  • Known brain or leptomeningeal involvement
  • Symptomatic peripheral neuropathy > grade 2 according to the NCI Common Terminology Criteria for Adverse Events v3 (NCI CTCAE v3)
  • Serious intercurrent medical illness that does not permit adequate follow-up and compliance with the study protocol
  • History of immune-mediated thrombocytopenia, thrombotic thrombocytopenic purpura or other platelet disease, or laboratory evidence of anti-heparin antibodies
  • Use of drugs that may inhibit the metabolism of docetaxel (cyclosporin, terfenadine, ketoconazole, erythromycin, troleandomycin) within the previous week or during the study
  • Concurrent treatment with other experimental drugs. Participation in another clinical trial with any investigational drug within 30 days prior to study screening
  • Treatment with any other anti-cancer therapy (except LHRH agonists) including any prescribed compounds and/or over-the-counter (OTC) products for the treatment of prostate cancer must be stopped prior to day of enrolment
  • Treatment with systemic corticosteroids used for reasons other than specified by the protocol must be stopped prior to day of enrolment
  • Concomitant bisphosphonate therapy is not allowed. Patients already receiving bisphosphonates must be stopped prior to day of enrolment
  • Concomitant use of aspirin (> 150 mg/day), non-steroidal anti-inflammatory drugs (except specific COX-2 inhibitors), heparin, low molecular weight heparin (LMWH), warfarin (> 1 mg/day) or anti-platelet drugs (abciximab, clopidogrel, dipyridamole, ticlopidine and tirofiban). Low-dose aspirin (≤ 150 mg/day) and low-dose warfarin (≤ 1 mg/day) are permitted as concomitant medications
  • Treatment with heparin or low molecular weight heparin within the previous two weeks is not permitted
  • History of allergy and/or hypersensitivity to heparin or other anti-coagulants/thrombolytic agents
  • History of acute or chronic gastrointestinal bleeding within the last two years, inflammatory bowel disease or other abnormal bleeding tendency
  • Patients at risk of bleeding due to open wounds or planned surgery
  • Myocardial infarction, stroke or congestive heart failure within the past three months
  • Uncontrolled or serious infection within the past four weeks
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00268593

Locations
Australia, New South Wales
Royal North Shore Hospital
St Leonards, New South Wales, Australia, 2065
Sydney Haematology and Oncology Clinics
Hornsby, New South Wales, Australia, 2077
Port Macquarie Base Hospital
Port Macquarie, New South Wales, Australia, 2444
Lismore Base Hospital
Lismore, New South Wales, Australia, 2477
St George Hospital
Kogarah, New South Wales, Australia, 2217
Liverpool Cancer Therapy Centre
Randwick, New South Wales, Australia, 2031
Australia, South Australia
Ashford Cancer Centre
Ashford, South Australia, Australia, 5035
Australia, Victoria
Border Medical Oncology
Wodonga, Victoria, Australia, 3690
Sponsors and Collaborators
Progen Pharmaceuticals
Northern Sydney and Central Coast Health
Aventis Pharmaceuticals
Investigators
Study Chair: Gavin Marx, MD Sydney Haematology and Oncology Clinics
Study Chair: Nick Pavlakis, MD Royal North Shore Hospital
  More Information

Publications:
Study ID Numbers: PR88206, PROPIT, XRP6976J/6216
Study First Received: December 20, 2005
Last Updated: September 19, 2008
ClinicalTrials.gov Identifier: NCT00268593  
Health Authority: United States: Food and Drug Administration;   Australia: Therapeutic Goods Administration

Keywords provided by Progen Pharmaceuticals:
heparanase
angiogenesis

Study placed in the following topic categories:
Docetaxel
Prednisone
Prostatic Diseases
Genital Neoplasms, Male
Urogenital Neoplasms
Genital Diseases, Male
Prostatic Neoplasms

Additional relevant MeSH terms:
Anti-Inflammatory Agents
Neoplasms
Neoplasms by Site
Antineoplastic Agents, Hormonal
Antineoplastic Agents
Therapeutic Uses
Physiological Effects of Drugs
Hormones, Hormone Substitutes, and Hormone Antagonists
Hormones
Glucocorticoids
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 15, 2009