Docetaxel and Gemcitabine in Hormonal Refractory Metastatic Prostate Cancer

Herlev Hospital

Status and phase

Completed

Phase 2

Phase 1

Conditions

Prostate Cancer

Treatments

Drug: docetaxel

Drug: gemcitabine

Study type

Interventional

Funder types

Other

Industry

Identifiers

NCT00115635

EudraCT number: 2004-002353-31

UR0416

Details and patient eligibility

About

The aim of the study is to determine the optimal dose of the combination of docetaxel and gemcitabine in patients with hormone refractory prostate cancer, and evaluate this dose with respect to efficacy and toxicity in a phase II trial.

Enrollment

60 patients

Sex

Male

Ages

18 to 95 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Histologically verified adenocarcinoma of the prostate.
Hormone refractory prostate cancer (HRPC) defined as progression during previous anti-hormone treatment. Patients must have been off previous anti-androgen therapy for more than 4 weeks.
Stage IV disease (verified by imaging or clinical examination).
PSA > 10 microgram/l.
PSA progression defined as a > 25% increase between two independent measurements performed with a 1-month interval or more after discontinuation of anti-androgen treatment.
Castrate level of testosterone (< 50 ng).
No previous oestrogen or steroid as metastatic prostate cancer treatment.
Satisfactory hepatic function in the form of total bilirubin ≤ UNL (upper normal limit), ASAT/ALAT ≤ 2.5 x UNL, alkaline phosphatase ≤ 5 x UNL.
Satisfactory renal function, defined as serum creatinine ≤ 1.5 x UNL.
Satisfactory haematologic function defined as ANC >1.5 x 10^9/l, leucocytes >3.0 x 10^9/l, thrombocytes ≥ 100 x 10^9/l, haemoglobin > 7 mmol/l
ECOG performance status ≤ 2.
Life expectancy > 3 months.
Patient must be able to adhere to protocol requirements.
Written informed consent.
> 18 years of age.

Exclusion criteria

Previous prostate cancer treatment with oestrogens or steroid hormones.
Previous chemotherapy.
Previous treatment with systemic radioactive isotopes.
Bisphosphonate treatment (concomitant).
Radiation therapy covering more than 25% of the bone marrow producing area.
Other serious coincidental and/or concomitant medical condition.
Symptomatic cerebral metastases.
Other previous or current malignant disease, excluding *adequately treated and cured planocellular skin carcinoma; or *other cancer assessed to carry minimal risk of recurrence.
ECOG performance status > 2.