- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT01385228
Pazopanib, Docetaxel, Prednisone Prostate
Phase I Study of Docetaxel, Prednisone and Pazopanib in Men With Metastatic Castrate-Resistant Prostate Cancer (mCRPC) and Poor-Risk Factors
연구 개요
상세 설명
This Phase I study will consist of a dose escalation portion which includes a dose escalation phase of 10 dose levels: (1a) docetaxel 60 mg/m2, pazopanib 400 mg daily, prednisone 5 mg BID; (2a) docetaxel 75 mg/m2, pazopanib 400 mg daily, prednisone 5 mg BID; and (3a) docetaxel 75 mg/m2, pazopanib 600 mg daily, prednisone 5 mg BID; (4a) docetaxel 75mg/m2, pazopanib 800 mg daily, (5a) docetaxel 75mg/m2, pazopanib 1000mg daily, prednisone 5 mg; (1b) docetaxel 60 mg/m2, pazopanib 400 mg daily x 17 days, prednisone 5 mg BID; (2b) docetaxel 75 mg/m2, pazopanib 400 mg daily x 17 days, prednisone 5 mg BID; and (3b) docetaxel 75 mg/m2, pazopanib 600 mg daily x 17 days, prednisone 5 mg BID; (4b) docetaxel 75mg/m2, pazopanib 800 mg daily x 17 days, (5b) docetaxel 75mg/m2, pazopanib 1000mg daily x 17 days, prednisone 5 mg. If the investigators see > 1 dose limiting toxicity (DLT) at Dose level 3 then the investigators would investigate docetaxel 75 mg/m2, pazopanib 600 mg daily, prednisone 5 mg BID (Dose level 3a). If < 1 DLT are seen at Dose level 3 and Pharmacokinetic (PK) analysis is complete and acceptable, then the investigators will proceed to dose level 4) docetaxel 75 mg/m2, pazopanib 1000 mg daily, prednisone 5 mg BID.
The investigators will dose escalate in a classic 3+3 design. The maximum tolerated dose (MTD) will be defined as the highest dose level that does not result in 2 or more dose limiting toxicities (DLTs). A dose expansion at the MTD of 10-15 patients (up to a total of 36 patients) will be accrued in order to further describe the safety profile.
연구 유형
등록 (실제)
단계
- 1단계
연락처 및 위치
연구 장소
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Illinois
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Chicago, Illinois, 미국, 60637
- The University of Chicago
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North Carolina
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Durham, North Carolina, 미국, 27710
- Duke Cancer Institute
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- Histologically confirmed carcinoma of the prostate. Histologic evidence may be confirmed through local or metastatic biopsy review. Non-adenocarcinomas are permitted.
- Radiographic evidence of metastatic disease; non-evaluable, bone only metastasis is permitted.
- Evidence of disease progression despite castrate levels of testosterone (<50 ng/dl).
- At the time of screening, at least 2 weeks since prior palliative radiation therapy and 4 weeks from major surgery, and resolution of all toxic effects of prior therapy to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE); version 4.0 Grade < 1.
- Age >18 years
- Adequate laboratory parameters
- Eastern Cooperative Oncology Group (ECOG) performance status between 0 and 2
- Life expectancy greater than 3 months
- Written, signed and dated Institutional Review Board (IRB) approved informed consent form.
Exclusion Criteria:
- History of or active central nervous system metastases
- The use of immunologic, biologic, or hormonal therapies within 2 weeks of study entry.
- Major surgery, open biopsy, traumatic injury within 4 weeks of the screening visit
- Subjects who have not recovered from prior biopsy, surgery, traumatic injury, and/or radiation therapy.
- Previous treatment with docetaxel, including in the neo-adjuvant or adjuvant setting
- Presence of non-healing wound or ulcer
- Grade 3 or greater hemorrhage within the past month.
- Uncontrolled hypertension
- American Heart Association Class 2-4 heart disease or any history of congestive heart failure with an ejection fraction <40%, recent cardiovascular event (within 12 months) including unstable angina, any exertional angina, myocardial infarction, exertional or rest claudication, or stroke/Cerebral Vascular Event/Transient Ischemic Attack. Patients with known moderate to severe documented carotid or peripheral vascular disease are excluded. Angioplasty or stenting of coronary or peripheral arteries are exclusionary if within the past 12 months.
- Anticoagulation with warfarin (therapeutic doses of warfarin for catheter patency are permitted up to 2 mg/day). Low molecular weight heparin is permitted.
- Diabetes mellitus with glycosylated hemoglobin A1c (HbgA1c) > 8% despite therapy
- Subjects with active autoimmune disorder(s) being treated with systemic immunosuppressive agents within 4 weeks prior to the screening visit.
- Active infection(s), active antimicrobial therapy or serious intercurrent illness.
- Does not agree to use medically acceptable contraceptive methods while on study and for 3 months after the last dose of pazopanib.
- Any other major medical or psychiatric illness that, in the investigator's judgment, will substantially increase the risk associated with the subject's participation in this study, including inability to absorb oral medications.
- Known hypersensitivity to any of the components in the docetaxel infusion or other medical reasons for not being able to receive adequate premedication (for example, antihistamine or anti-inflammatory agents).
- CalculatedQT (QTc) interval on baseline EKG > 500milliseconds
- History or presence of nephrotic syndrome
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 단일 그룹 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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실험적: Dose Level "Xa"
once daily pazopanib for Days 1-21 in combination with docetaxel given IV on Day 1 and prednisone daily.
Pegfilgrastim (Neulasta) every 21 days on Day 2, 3 or 4 of each cycle.
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다른 이름들:
Dose Level "Xa" - daily administration of pazopanib on days 1 through 21 starting at 400mg with a maximum dose of 1000mg.
다른 이름들:
Docetaxel given IV on Day 1 starting dose 60mg/m2 increase to 75mg/m2
다른 이름들:
Dose Level "Xb" - daily administration of pazopanib on days 3 through 19 starting at 400mg with a maximum dose of 1000mg.
다른 이름들:
5mg Prednisone given twice daily days 1-21.
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실험적: Dose Level "Xb"
once daily oral administration of pazopanib for Days 3-19 in combination with docetaxel given intravenous administration on Day 1 and prednisone daily.
Pegfilgrastim (Neulasta) every 21 days on Day 2, 3 or 4 of each cycle.
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다른 이름들:
Dose Level "Xa" - daily administration of pazopanib on days 1 through 21 starting at 400mg with a maximum dose of 1000mg.
다른 이름들:
Docetaxel given IV on Day 1 starting dose 60mg/m2 increase to 75mg/m2
다른 이름들:
Dose Level "Xb" - daily administration of pazopanib on days 3 through 19 starting at 400mg with a maximum dose of 1000mg.
다른 이름들:
5mg Prednisone given twice daily days 1-21.
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
---|---|---|
Number and Percent of Participants with Adverse Events as a Measure of Safety and Tolerability
기간: 15 months
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The primary objective for the phase I study is to assess the safety and tolerability of pazopanib, docetaxel, and prednisone given in combination in patients with metastatic castration resistant prostate cancer.
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15 months
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Establish the maximum tolerated dose
기간: 15 months
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Determine the dose levels of pazopanib and docetaxel that are the most tolerated.
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15 months
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Establish the optimal dosing schedule
기간: 15 months
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Establish the optimal dosing schedule for the combination of docetaxel, prednisone and pazopanib
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15 months
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공동 작업자 및 조사자
연구 기록 날짜
연구 주요 날짜
연구 시작
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
- Pro00026577
- PZP113296 (기타 보조금/기금 번호: GSK)
- c09-039 (기타 식별자: Prostate Cancer Clinical Trials Consortium)
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
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