- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01054079
Cinacalcet Hydrochloride in Treating Men With Recurrent Prostate Cancer
A Phase II Trial to Assess the Effect of Cinacalcet Hydrochloride on PSA Levels in Patients With Biochemically Recurrent Prostate Cancer After Failed Definitive Local Therapy
Study Overview
Status
Detailed Description
PRIMARY OBJECTIVES:
I. To test the hypothesis that once-daily treatment with 30 mg of cinacalcet hydrochloride (Sensipar) will reduce the rate of rise of serum prostate-specific antigen (PSA) compared to pre-treatment PSA values in subjects with biochemically recurrent prostate cancer after failed definitive local therapy.
OUTLINE:
Patients receive cinacalcet hydrochloride orally (PO) once daily (QD) for 20 weeks in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed up for 4 weeks.
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
North Carolina
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Winston-Salem, North Carolina, United States, 27157
- Wake Forest University Health Sciences
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients must have histologically or cytologically confirmed adenocarcinoma of the prostate
- For patients who have recurrent disease following surgery as first line therapy ("surgical failures")
- PSA requirement is 0.2 ng/ml or above
- For patients who have recurrent disease following radiation as first line therapy, the eligibility follows the "Phoenix criteria", that is, a rise of 2 ng/mL over the PSA nadir
- Eastern Cooperative Oncology Group (ECOG) performance status =< 2
- Granulocytes >= 1000/uL
- Serum creatinine =< 2.0 mg/dl
- Total serum calcium > 9.0 and < 10.5 mg/dl
- Total bilirubin =< 2.0 mg/dl
- Platelet count >=100,000/uL
- Hemoglobin (Hgb) >= 9 g/dL
- Total testosterone >= 50 ng/dL
- Ability to understand and the willingness to sign a written informed consent document (either directly or via a legally authorized representative)
Exclusion Criteria:
- Serious medical illness which would limit survival to less than 3 months
- Active, uncontrolled bacterial, viral or fungal infection
- Hemorrhagic disorder
- Any radiographic evidence of metastatic disease including positive bone scan or computed tomography (CT) abdomen/pelvis
- History of hypocalcemia or seizure disorder
- Patients with known hypersensitivity to any of the components of cinacalcet (cinacalcet hydrochloride)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Treatment (cinacalcet hydrochloride)
Patients receive cinacalcet hydrochloride PO QD for 20 weeks in the absence of disease progression or unacceptable toxicity.
|
Correlative study
Ancillary study
Other Names:
Ancillary study
Given PO
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Rate of Rise of Serum PSA
Time Frame: 24 weeks
|
The difference of post treatment and pre-enrollment PSA.For those with multiple PSA measures post we use the median of those measures to estimate the participant's post PSA level.
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24 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Quality of Life (QOL) as Assessed by the Brief Male Sexual Inventory
Time Frame: Up to 20 weeks
|
The Brief Male Sexual Inventory is an 11 question assessment including subscales: sex drive, erections, ejaculation.
The scores are totaled to produce an overall score with a range of 1-45, with higher score indicating worse outcomes.
|
Up to 20 weeks
|
Change in Hormonal Assessment Scale From Expanded Prostate Cancer Index Composite (EPIC)
Time Frame: up to 20 weeks
|
The Expanded Prostate Cancer Index Composite (EPIC) is a comprehensive instrument designed to evaluate patient function and bother after prostate cancer treatment.
Epic produces two scores, one for function (5 items) and the other for bother (6 items).
The response for each item is standardized to a 0 to 100 scale.
For both scales, higher scores indicate worse outcomes.
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up to 20 weeks
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Change in Functional Assessment of Cancer Therapy-Prostate (FACT-P)
Time Frame: up to 20 weeks
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The FACT-P is a multidimensional, self-report QoL instrument specifically designed for use with prostate cancer patients.
It consists of 27 core items which assess patient function in four domains: Physical, Social/Family, Emotional, and Functional well-being, which is further supplemented by 12 site specific items to assess for prostate related symptoms.
Each item is rated on a 0 to 4 Likert type scale, and then combined to produce subscale scores for each domain, as well as a global QoL score.
All subscale items are summed to a total.
The score range is 0-156.
Higher scores represent better quality of life.
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up to 20 weeks
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Change in Total and Free Testosterone
Time Frame: Up to 20 weeks
|
The detectable difference is estimated using a paired t-test approach.
The lab measure will also be analyzed longitudinally using all measures with a mixed model approach adjusting for individual covariates.
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Up to 20 weeks
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: K.C. Balaji, MD, Wake Forest University Health Sciences
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 (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Neoplasms
- Urogenital Neoplasms
- Neoplasms by Site
- Disease Attributes
- Genital Neoplasms, Male
- Prostatic Diseases
- Prostatic Neoplasms
- Recurrence
- Physiological Effects of Drugs
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Hormone Antagonists
- Calcium-Regulating Hormones and Agents
- Calcimimetic Agents
- Cinacalcet
Other Study ID Numbers
- IRB00009741
- NCI-2009-01514 (Registry Identifier: CTRP (Clinical Trial Reporting Program))
- CCCWFU 98309 (Other Identifier: Wake Forest University Health Sciences)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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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