- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00046826
Docetaxel, Estramustine, and Thalidomide in Treating Patients With Prostate Cancer Previously Treated With Hormone Therapy
A Phase II Clinical Trial of Taxotere, Emcyt and Thalidomide (TET) for the Treatment of Hormone-Refractory Prostate Cancer
RATIONALE: Thalidomide may stop the growth of prostate cancer by stopping blood flow to the tumor. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining chemotherapy with thalidomide may kill more tumor cells.
PURPOSE: Phase II trial to study the effectiveness of combining docetaxel and estramustine with thalidomide in treating patients who have prostate cancer previously treated with hormone therapy.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
OBJECTIVES:
- Determine the objective response rate in patients with hormone-refractory prostate cancer treated with docetaxel, estramustine, and thalidomide.
- Determine the safety and toxicity of this regimen in these patients.
- Determine the efficacy of this regimen for pain control in these patients.
OUTLINE: Patients receive oral estramustine on days 1-3 and docetaxel IV over 1 hour on day 2 for 3 weeks. Treatment repeats every 4 weeks for at least 6 courses in the absence of disease progression or unacceptable toxicity.
Patients also receive oral thalidomide once daily beginning on day 1 and continuing for 1 year in the absence of disease progression or unacceptable toxicity.
Patients are followed monthly until disease progression.
PROJECTED ACCRUAL: A total of 25 patients will be accrued for this study within 1 year.
Study Type
Phase
- Phase 2
Contacts and Locations
Study Locations
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Connecticut
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Norwalk, Connecticut, United States, 06856
- Whittingham Cancer Center at Norwalk Hospital
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Stamford, Connecticut, United States, 06904
- Carl and Dorothy Bennett Cancer Center at Stamford Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
DISEASE CHARACTERISTICS:
- Histologically confirmed adenocarcinoma of the prostate
Prior treatment with androgen ablation including:
- Orchiectomy OR
Luteinizing hormone-releasing hormone (LHRH) therapy (e.g., leuprolide)
- Patients on leuprolide must continue to receive the drug
- Prior nonsteroidal antiandrogens (e.g., flutamide, bicalutamide, or nilutamide) required
Metastatic disease with disease progression during androgen ablation, defined by at least 1 of the following:
- 2 consecutive increased prostate-specific antigen (PSA) levels measured at least 1 week apart
- More than 25% increase in bidimensionally measurable soft tissue metastases
- 20% increase in the sum of the baseline sum of longest diameter of measurable lesions
- Appearance of new lesions
- Appearance of new foci on a radionuclide bone scan
- PSA greater than 10 ng/dL
- Testosterone no greater than 50 ng/mL (castrate level)
- No CNS metastases
PATIENT CHARACTERISTICS:
Age:
- Over 18
Performance status:
- Karnofsky 70-100%
Life expectancy:
- More than 16 weeks
Hematopoietic:
- WBC greater than 3,500/mm3
- Absolute neutrophil count greater than 1,500/mm3
- Platelet count greater than 100,000/mm3
- Hemoglobin at least 8 g/dL
Hepatic:
- AST and/or ALT no greater than 2.5 times upper limit of normal (ULN) if alkaline phosphatase no greater than ULN OR
- Alkaline phosphatase no greater than 4 times ULN if AST/ALT no greater than ULN
- Bilirubin no greater than ULN
Renal:
- Creatinine less than 2.2 mg/dL
Cardiovascular:
- No myocardial infarction within the past 6 months
- No New York Heart Association class III or IV heart disease
- No history of arterial or venous thrombosis
- No cerebrovascular accident within the past year
Pulmonary:
- No history of pulmonary embolism
Other:
- Fertile patients must use effective contraception during and for 4 weeks after study
- No peripheral neuropathy grade 2 or greater
- No active infection
- No serious concurrent medical illness that would preclude study
- No prior severe hypersensitivity reaction to docetaxel or other drugs formulated with polysorbate 80
- No other prior or concurrent active malignancy within the past 2 years except non-melanoma skin cancers
- No other medical condition or reason that would preclude study
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- Not specified
Chemotherapy:
- No prior chemotherapy for prostate cancer
Endocrine therapy:
- See Disease Characteristics
- At least 4 weeks since prior flutamide (6 weeks for bicalutamide or nilutamide) and continued evidence of disease progression (rising PSA)
- Prior steroids for prostate cancer allowed
- No concurrent steroids except for pre-medication for docetaxel
Radiotherapy:
- At least 4 weeks since prior radiotherapy
Surgery:
- See Disease Characteristics
Other:
- No concurrent herbal supplements to treat prostate cancer
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Masking: None (Open Label)
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
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Objective response rate as measured by RECIST criteria and prostate-specific antigen (PSA) response 3 months, 6 months, and 1 year after treatment
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Secondary Outcome Measures
Outcome Measure |
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Safety and toxicity as measured by CTC toxicity grading at baseline and during every visit
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Effectiveness of taxotere, emcyt, and thalidomide in pain control as measured by the pain scale at baseline and during every visit
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Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Richard C. Frank, MD, Nuvance Health
Publications and helpful links
General Publications
- Frank RC, Coscia A, Versea L, et al.: Low dose docetaxel, estramustine and thalidomide followed by maintenance thalidomide for the treatment of hormone refractory prostate cancer (HRPC): a phase II community based trial. [Abstract] J Clin Oncol 22 (Suppl 14): A-4681, 426s, 2004.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neoplasms
- Urogenital Neoplasms
- Neoplasms by Site
- Genital Neoplasms, Male
- Prostatic Diseases
- Prostatic Neoplasms
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Tubulin Modulators
- Antimitotic Agents
- Mitosis Modulators
- Antineoplastic Agents, Hormonal
- Antineoplastic Agents, Alkylating
- Alkylating Agents
- Angiogenesis Inhibitors
- Angiogenesis Modulating Agents
- Growth Substances
- Growth Inhibitors
- Anti-Bacterial Agents
- Leprostatic Agents
- Docetaxel
- Thalidomide
- Estramustine
Other Study ID Numbers
- CDR0000069081
- NH-0139
- NCI-V01-1681
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.
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