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MLN2704 in Treating Patients With Progressive Metastatic Prostate Cancer
This study has been completed.
Study NCT00058409   Information provided by National Cancer Institute (NCI)
First Received: April 7, 2003   Last Updated: February 6, 2009   History of Changes

April 7, 2003
February 6, 2009
October 2002
 
 
Complete list of historical versions of study NCT00058409 on ClinicalTrials.gov Archive Site
 
 
 
MLN2704 in Treating Patients With Progressive Metastatic Prostate Cancer
A Phase I Single Ascending Dose Trial of MLN2704 (DM1 Conjugated Monoclonal Antibody MLN591) in Subjects With Metastatic Androgen Independent Prostate Cancer

RATIONALE: Monoclonal antibodies such as MLN2704 can locate tumor cells and either kill them or deliver tumor-killing substances to them without harming normal cells.

PURPOSE: Phase I trial to study the effect of MLN2704 on the body in treating patients who have progressive metastatic prostate cancer.

OBJECTIVES:

  • Determine the dose-limiting toxicity and maximum tolerated dose of MLN2704 immunoconjugate in patients with progressive metastatic androgen-independent prostate cancer.
  • Determine the pharmacokinetics of this drug in these patients.
  • Determine the prostate-specific antigen and disease response in patients treated with this drug.
  • Determine the anti-MLN591 antibody and anti-MLN2704 antibody response to this drug in these patients.

OUTLINE: This is an open-label, dose-escalation, multicenter study.

Patients receive MLN2704 IV over 2.5 hours on day 1. Treatment repeats every 6-8 weeks for up to 3 doses in the absence of disease progression or unacceptable toxicity. Patients with responsive disease after 3 doses of therapy may receive additional therapy as above at the investigator's discretion.

Cohorts of 3-6 patients receive escalating doses of MLN2704 until the maximum tolerated dose (MTD) is determined.

The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity.

Patients are followed every 3 months until disease progression.

PROJECTED ACCRUAL: A maximum of 36 patients will be accrued for this study within 1 year.

Phase I
Interventional
Treatment, Open Label
Prostate Cancer
Biological: MLN2704
 
Galsky MD, Eisenberger M, Moore-Cooper S, Kelly WK, Slovin SF, DeLaCruz A, Lee Y, Webb IJ, Scher HI. Phase I trial of the prostate-specific membrane antigen-directed immunoconjugate MLN2704 in patients with progressive metastatic castration-resistant prostate cancer. J Clin Oncol. 2008 May 1;26(13):2147-54. Epub 2008 Mar 24.

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Completed
 
 
 

DISEASE CHARACTERISTICS:

  • Histologically confirmed prostate adenocarcinoma

    • Metastatic disease
  • Progressive disease by physical exam, imaging studies, and/or rising prostate-specific antigen (PSA) levels defined by at least 1 of the following criteria*:

    • Progressive tumor lesions (changes in the size of lymph nodes or parenchymal masses on physical exam or x-ray and CT scan or MRI)
    • Progressive bone metastases (presence of new lesion[s] on a bone scan)
    • Progressive PSA levels despite castrate levels of testosterone

      • PSA at least 5 ng/mL
    • Progression of disease demonstrated after completion of antiandrogen therapy NOTE: *Patients whose sole manifestation of progressive disease is an increase in disease-related symptoms are not eligible
  • Measurable or evaluable disease
  • Failed prior hormonal therapy (including antiandrogen withdrawal therapy)
  • No history of CNS metastasis (including epidural disease)

PATIENT CHARACTERISTICS:

Age

  • Not specified

Performance status

  • Karnofsky 60-100%

Life expectancy

  • At least 6 months

Hematopoietic

  • Absolute neutrophil count greater than 1,500/mm^3
  • Platelet count greater than 100,000/mm^3
  • Hematocrit greater than 30%
  • No serious hematologic illness that would preclude study completion or interfere with determination of causality of study adverse events

Hepatic

  • Bilirubin no greater than upper limit of normal (ULN)
  • AST or ALT no greater than 1.5 times ULN
  • PTT normal
  • PT and INR normal
  • No serious hepatic illness that would preclude study completion or interfere with determination of causality of study adverse events

Renal

  • Creatinine no greater than 2.0 mg/dL OR
  • Creatinine clearance at least 60 mL/min
  • Calcium less than 12.5 mg/dL
  • No serious renal illness that would preclude study completion or interfere with determination of causality of study adverse events

Cardiovascular

  • No history of stroke
  • No active angina pectoris
  • No New York Heart Association class III or IV heart disease
  • No serious cardiac illness that would preclude study completion or interfere with determination of causality of study adverse events

Pulmonary

  • No serious respiratory illness that would preclude study completion or interfere with determination of causality of study adverse events

Other

  • Fertile patients must use effective barrier contraception
  • HIV negative
  • No history of seizure disorder requiring active treatment
  • No serious CNS illness that would preclude study completion or interfere with determination of causality of study adverse events
  • No grade 2 or greater peripheral neuropathy
  • No active serious infection not controlled by antibiotics
  • No other serious illness that would preclude study completion or interfere with determination of causality of study adverse events

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • No prior monoclonal antibody therapy (including Prostacint®)
  • No concurrent filgrastim (G-CSF), sargramostim (GM-CSF), or other white cell colony-stimulating factors, except for febrile neutropenia
  • No concurrent interleukin-11 for platelet count support

Chemotherapy

  • More than 6 weeks since prior cytotoxic chemotherapy

Endocrine therapy

  • See Disease Characteristics
  • More than 4 weeks since prior corticosteroids and/or adrenal hormone inhibitors
  • More than 6 weeks since prior antiandrogen therapy (e.g., flutamide, bicalutamide, or nilutamide)
  • No prior finasteride (Proscar® or Propecia®)
  • Luteinizing hormone-releasing hormone (LHRH) analog therapy allowed if 1 of the following circumstances exists:

    • If patient is currently receiving LHRH analog therapy, therapy must be maintained for study duration
    • If patient discontinued LHRH analog therapy prior to study entry, therapy must be discontinued at least 10 weeks prior to study entry for 1-month depot preparations, 24 weeks for 3-month depot preparations, or 32 weeks for 4-month depot preparations

Radiotherapy

  • More than 6 weeks since prior radiotherapy

Surgery

  • Not specified

Other

  • More than 4 weeks since prior PC-SPES
  • No other concurrent medication for platelet count support
Male
 
No
Contact information is only displayed when the study is recruiting subjects
United States
 
 
NCT00058409
 
CDR0000288829, MSKCC-02099, MILLENNIUM-M59102-042
Memorial Sloan-Kettering Cancer Center
National Cancer Institute (NCI)
Study Chair: Howard I. Scher, MD Memorial Sloan-Kettering Cancer Center
National Cancer Institute (NCI)
April 2005

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP