Second-line Chemotherapy in Castration Resistant Prostate Cancer (ProstyII)

Tampere University Hospital

Status and phase

Completed

Phase 2

Conditions

Metastatic Prostate Cancer

Treatments

Drug: cabacitaxel

Study type

Interventional

Funder types

Other

Identifiers

NCT01558219

2011-003156-39

Details and patient eligibility

About

This study is designed to evaluate the safety of biweekly cabazitaxel for the treatment of metastatic castration resistant prostate cancer (mCRPC) patients previously treated with docetaxel containing regimen. The primary endpoint is safety. Secondary endpoints include time to treatment failure, response rate, overall survival and quality of life.

Full description

The objective of this study is to explore new, biweekly schedule of cabazitaxel in metastatic castration resistant prostate cancer patients. A previous study has shown that the biweekly administration of docetaxel in 1st line setting of mCRPC is better tolerated than docetaxel administered every three weeks. Also, the efficacy of biweekly docetaxel was better than three-weekly docetaxel and biweekly dosing presented a significant overall survival benefit (ASCO 2011, Kellokumpu-Lehtinen et al. As the occurrence of neutropenia in the TROPIC trial was rather high, the hypothesis is to reduce the incidence of severe adverse events by administrating cabazitaxel more frequently, yet maintaining the same dose intensity as in every three weeks´ dosing schedule.

This study is designed to evaluate the safety of biweekly cabazitaxel for the treatment of 60 patients with metastatic castration resistant prostate cancer (mCRPC) patients previously treated with docetaxel containing regimen.

Enrollment

60 patients

Sex

Male

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Metastatic castration resistant prostate cancer
Disease progression during or after docetaxel-containing regimen for mCRPC
Surgical or medical castration
WHO performance status < 2
Age > 18 years
Adequate bone marrow, liver and renal functions:

Hematology:

neutrophils > 1.5 x 109/ l
hemoglobin > 100 g/l
platelets > 100 x 109/l

Hepatic and renal functions:

total bilirubin <1 x ULN
ALAT and ASAT < 2.5 x ULN, alkaline phosphate <6 x ULN.In the presence of extensive bone disease, alkaline phosphate > 6 x ULN is accepted
creatinine < 1.5 x ULN (ie NCI CTC-AE grade < 1)

Exclusion criteria

Prior surgery, radiation, chemotherapy, or other anti-cancer therapy within 4 weeks prior to enrollment
Prior therapy with radioisotopes
Other malignant disease (except superficial non-melanoma skin cancer) within the past 5 years
Serious liver disease
History of severe hypersensitivity reaction (grade > 3) to polysorbate 80 containing drugs
Concurrent or planned treatment with potent inhibitors or inducers of cytochrome P450 3A4/5 (a one week wash-out period is necessary for patients who already are on these treatments)
Other serious illness or medical condition:
Serious cardiac disease; ischemic or thromboembolic cardiac disease, pulmonary emboli, cardiac infarction within 12 months
Active infection
Active peptic ulcer, uncontrolled diabetes mellitus or other contraindications for the use of corticosteroids
Auto-immune disease (lupus, scleroderma, rheumatoid polyarthritis)
Active grade > 2 polyneuropathy