Urokinase Plasminogen Activator Receptor in Abiraterone Treated Patients With Castration Resistant Prostate Cancer (uPARCRPC)
uPAR in Blood From Zytiga® (Abiraterone) Treated Patients With Castration Resistant Prostate Cancer - a Predictive Marker of Response?
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
-
-
-
Copenhagen, Denmark, 2100
- University Hospital of Copenhagen, Rigshospitalet
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Signed informed consent.
- Age ≥18 years and male
- Histologically or cytologically confirmed adenocarcinoma of the prostate without neuroendocrine differentiation or small cell histology
- Received at least one but not more than two cytotoxic chemotherapy regimens for metastatic CRPC. At least one regimen must have contained a taxane such as docetaxel.
Prostate cancer progression as assessed by the investigator with one of the following:
- PSA progression according to Prostate Cancer Working Group 2 (PCWG2) criteria
- Solid Tumors (RECIST) criteria or bone scans with or without PSA progression.
- Radiographic progression in soft tissue according to Response Evaluation Criteria in
- Ongoing androgen deprivation with serum testosterone <2.0 nM
- Eastern Cooperative Oncology Group (ECOG) performance status of ≤2
- Platelet count ≥100,000/μL
- Serum albumin ≥30 g/dL
- Serum creatinine <1.5 x upper limit of normal (ULN) or a calculated creatinine clearance ≥ 60 mL/min
- Serum potassium ≥3.5 mmol/L
Exclusion Criteria:
- Received abiraterone or MDV3100 in the past.
- Serious or uncontrolled co-existent non-malignant disease, including active and uncontrolled infection.
Abnormal liver functions consisting of any of the following:
- Serum bilirubin ≥1.5 x ULN (except for subjects with documented Gilbert's disease, for whom the upper limit of serum bilirubin is 51 µmol/l)
- Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) ≥2.5 x ULN
- Uncontrolled hypertension (systolic blood pressure ≥160 mmHg or diastolic blood pressure ≥95 mmHg); subjects with a history of hypertension are allowed provided blood pressure is controlled by anti-hypertensive therapy.
- Active or symptomatic viral hepatitis or chronic liver disease
- History of pituitary or adrenal dysfunction
- Clinically significant heart disease as evidenced by myocardial infarction, or arterial thrombotic events in the past 6 months, severe or unstable angina, or New York Heart Association (NYHA) Class III or IV heart disease or left ventricular ejection fraction (LVEF) of <50% at baseline.
- Known brain metastasis
- History of gastrointestinal disorders (medical disorders or extensive surgery) that may interfere with the absorption of the study drug
- Any acute toxicities due to prior chemotherapy or radiotherapy that have not resolved to a NCI-CTCAE (Version 4.0) Grade of ≤1. Chemotherapy induced alopecia and Grade 2 peripheral neuropathy is allowed.
- Use of other anticancer therapy including cytotoxic, radionucleotide, and immunotherapy; diethylstilbestrol; PC-SPES; spironolactone (ie, ALDACTONE, SPIRONOL); and other preparations such as saw palmetto thought to have endocrine effects on prostate cancer, within 4 weeks of Cycle 1 Day 1
- Prior systemic treatment with an azole drug (eg, fluconazole, itraconazole, ketoconazole) within 4 weeks of Cycle 1 Day 1
- Current enrolment in an investigational drug or device study or participation in such a study within 30 days of Day 1
- Condition or situation which, in the investigator's opinion, may put the subjects at significant risk, may confound the study results, or may interfere significantly with subject's participation in the study.
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Castration-resistant prostate cancer, Progression after taxane
Treated with abiraterone 1000 mg/day Prednisolone 10 mg/day
|
1000 mg/day
Other Names:
10 mg/day
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Impact of baseline uPAR cleavage products on response.
Time Frame: 6 months
|
Impact of baseline plasma concentration of uPAR cleavage products on overall response rate (ORR) defined as the proportion of patients with radiologic response according to the RECIST criteria or PSA-response.
|
6 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Impact of baseline plasma concentration of uPAR cleavage products on overall survival (OS).
Time Frame: 6 months
|
Impact of baseline plasma concentration of uPAR cleavage products on overall survival (OS).
|
6 months
|
|
Impact of baseline plasma concentration of uPAR cleavage products on progression free survival (PFS).
Time Frame: 6 months
|
Impact of baseline plasma concentration of uPAR cleavage products on progression free survival (PFS).
|
6 months
|
|
Impact of baseline plasma concentration of uPAR cleavage products on pain relief rate.
Time Frame: 6 months
|
Impact of baseline plasma concentration of uPAR cleavage products on pain relief rate.
|
6 months
|
|
Impact of baseline plasma concentration of uPAR cleavage products on disease control rate (DCR).
Time Frame: 6 months
|
Impact of baseline plasma concentration of uPAR cleavage products on disease control rate (DCR).
|
6 months
|
|
Impact of baseline plasma concentration of uPAR cleavage products on serious adverse events (SAE).
Time Frame: 6 months
|
Impact of baseline plasma concentration of uPAR cleavage products on serious adverse events (SAE).
|
6 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Chair: Kristoffer S Rohrberg, MD, Phd, Rigshospitalet, Denmark
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Urogenital Diseases
- Genital Diseases
- Genital Neoplasms, Male
- Urogenital Neoplasms
- Neoplasms by Site
- Neoplasms
- Genital Diseases, Male
- Prostatic Diseases
- Male Urogenital Diseases
- Prostatic Neoplasms
- Polycyclic Compounds
- Pregnadienes
- Pregnanes
- Steroids
- Fused-Ring Compounds
- Pregnadienetriols
- Androstenes
- Androstanes
- Abiraterone Acetate
- Prednisolone
- abiraterone
Other Study ID Numbers
Other Study ID Numbers
- uPARCRPC
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.