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Pharmacokinetic Study of BAY43-9006 and Taxotere to Treat Patient With Prostatic Cancer

Open-label, Multicenter,PhaseI Trial in Order To Determine the Safety and Pharmacokinetics of BAY43-9006 in Combination With Docetaxel as First-line Treatment in Metastatic Hormone Refractory Prostate Cancer Patients

The purpose of the trial is to determine the most effective dose of BAy 46-9003 associated to taxotere for first-line treatment of patient with prostatic cancer.

BAY 43-9006 (SORAFENIB) is a novel dual-action Raf kinase and VEGFR inhibitor, which is orally available and has a favorable safety profile in patients with advanced solid tumors. This, together with the antitumor activity observed after treatment with BAY 43-9006 (SORAFENIB), provides a rationale for further evaluation in patients with advanced cancer. The recommended dose of BAY 43-9006 (SORAFENIB) for future studies is 400 mg bid as a continuous dosing schedule.

研究概览

详细说明

This study propose to treat patients with metastatic and hormone-refractory prostatic cancer in first intention. There is no limits of age from 18 years old. A new inhibitor of angiogenesis (Sorafenib) is associated to the standard treatment in this type of pathology.

Patients have to demonstrate radiologically a disease progression and also a progression based on increase of psa level.

The main objective is to Determine the recommended dose of BAY 43-9006 in combination with docetaxel in hormone-refractory prostate cancer patients as first line treatment in patients with metastatic hormone-refractory prostate cancer.

研究类型

介入性

注册 (实际的)

38

阶段

  • 阶段1

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

      • Namur、比利时、5000
        • Sainte Elisabeth
    • Brabant Wallon
      • Ottignies、Brabant Wallon、比利时、1340
        • St Pierre
    • Brussels Capital
      • Brussels、Brussels Capital、比利时、1200
        • Cliniques Universitaires St Luc
    • Hainaut
      • Charleroi、Hainaut、比利时、6000
        • Notre Dame et Reine Fabiola
    • Namur
      • Yvoir、Namur、比利时、5030
        • Clinique Universiataire de Mont Godinne
      • Paris、法国、75015
        • Hopital Europeen Georges Pompidou

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 及以上 (成人、年长者)

接受健康志愿者

有资格学习的性别

男性

描述

Inclusion Criteria:

  • Signed informed consent prior to beginning protocol specific procedures.
  • 18 years
  • Radiologically proven presence of metastases
  • Histologically/cytologically proven prostate adenocarcinoma.
  • Biochemically evaluable disease
  • Patients must have received prior hormonal therapy as defined below:

    • Castration by orchiectomy and/or LHRH agonists with or without
    • Antiandrogens
    • Other hormonal agents (e.g., ketoconazole, ...)
  • The testosterone level should be < 50 ng/dl (10) documented disease progression defined by PSA increase. Patients must have a value of at least 5 ng/ml in addition to increasing PSA to be eligible.
  • Life expectancy > 3 months
  • ECOG performance status 0-2.
  • Normal cardiac function.

Exclusion Criteria:

  • Prior chemotherapy except estramustine phosphate.
  • Prior isotope therapy (e.g., strontium, samarium).
  • Prior radiotherapy to >25% of bone marrow
  • Prior therapy with anti-VEGF therapy
  • Prior malignancy except the following: adequately treated basal cell or squamous cell skin cancer, or any other cancer from which the patient has been disease-free for >5 years.
  • History or presence of central nervous system (CNS) disease (i.e. primary brain tumor, malignant seizures, CNS metastases or carcinomatous meningitis)
  • Symptomatic peripheral neuropathy
  • Other serious illness or medical condition the use of corticosteroids.
  • Concurrent treatment with other experimental drugs. Participation in another clinical trial with any investigational drug within 30 days prior to study screening.
  • Impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of BAY 9006.
  • Major surgery with 4 weeks of study entry
  • Autologous bone marrow transplant or stem cell rescue within 4 months of study entry
  • Use of biologic response modifiers, such as G-CSF, within 3 weeks of study entry
  • Treatment with any other anti-cancer therapy (except LHRH agonists) including any prescribed compounds and/or OTC products for the treatment of prostate cancer must be stopped.
  • Treatment with drugs that are metabolized by the cytochrome P450 system (i.e warfarin sodium,…)
  • Treatment with systemic corticosteroids used for reasons other than specified by the protocol must be stopped.
  • Biphosphonates could not be initiated after inclusion into the protocol. At inclusion, patients receiving biphosphonates with a PSA progression could continue biphosphonates.
  • Patients with reproductive potential not employing an effective method of birth control. Barrier contraceptives must be used throughout the trial.
  • Inadequate recovery from previous surgery, radiation, chemo-, biologic or immunotherapy
  • Patients who have known hypersensitivity to the study medication
  • Substance abuse, medical social, psychological conditions that may interfere with the subject's participation in the study or evaluation of study results
  • Patients unable to sallow oral medications.

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:治疗
  • 分配:非随机化
  • 介入模型:并行分配
  • 屏蔽:无(打开标签)

研究衡量的是什么?

主要结果指标

结果测量
大体时间
Determine the recommended dose of BAY 43-9006 (SORAFENIB) in combination with docetaxel in hormone-refractory prostate cancer patients as first line treatment in patients with metastatic hormone refractory prostate cancer.
大体时间:after the first 24 patients
after the first 24 patients

次要结果测量

结果测量
大体时间
Evaluation of pharmacokinetics and pharmacodynamics of BAY43-9006 in combination with docetaxel*
大体时间:after the first 24 patients
after the first 24 patients
Toxicity and safety
大体时间:at end of study
at end of study
Response rate in patients with measurable disease
大体时间:at end of study
at end of study
PSA response rate
大体时间:at end of study
at end of study
PSA response duration
大体时间:at end of study
at end of study
Time to PSA progression (=time between treatment start and PSA progression)
大体时间:at end of study
at end of study
Time to PSA progression after the last dose of docetaxel in patients with no progression after stopping docetaxel (= time between the last dose of docetaxel and PSA progression)
大体时间:at end of study
at end of study
Event progression-free survival
大体时间:at end of study
at end of study

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

调查人员

  • 研究主任:Jean-Pascal H Machiels, Prof、Cliniques Universitaires St Luc -UCL

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始

2006年9月1日

初级完成 (实际的)

2008年8月1日

研究完成 (实际的)

2009年12月1日

研究注册日期

首次提交

2006年11月28日

首先提交符合 QC 标准的

2006年11月28日

首次发布 (估计)

2006年11月29日

研究记录更新

最后更新发布 (估计)

2011年5月23日

上次提交的符合 QC 标准的更新

2011年5月20日

最后验证

2011年5月1日

更多信息

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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