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Study to evaluate 2 types of treatment as first line treatment (masitinib + docetaxel or placebo + docetaxel ) in the treatment of patients with metastatic Castrate Resistant Prostate Cancer (mCRPC)

Phase 1
Conditions
metastatic Castrate Resistant Prostate Cancer (mCRPC).
Therapeutic area: Diseases [C] - Cancer [C04]
Registration Number
EUCTR2013-000809-23-ES
Lead Sponsor
AB Science
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
Male
Target Recruitment
550
Inclusion Criteria

1.Patient aged = 18 years old, with histologically or cytologically confirmed metastatic Castrate Resistant Prostate Cancer (medical or surgical castration: androgens deprivation by GnHR agonist or antagonist or patient with surgical castration; hormonal castration confirmed biologically (testosterone < 0.5ng/ml) with one of the following criteria:
-Pre-treated with abiraterone with progressed disease documented, OR
-with indication for initiating docetaxel administration (e.g., widespread visceral disease or rapidly progressive disease).

2.Patient with evidence of progressive metastatic disease. Disease progression at trial enrolment is based on progression in at least one variable described in Table 5.
3.Patient with ECOG ? 1
4.Patient with adequate organ function:
?Absolute neutrophil count (ANC) ? 1.5 x 10ç/L
?Haemoglobin ? 10 g/dL
?Platelets (PTL) ? 75 x 109/L
?AST/ALT ? 3x ULN
?Gamma GT ?2.5 x ULN
?Bilirubin ? 1.5x ULN
?Normal creatinine or if abnormal creatinine, creatinine clearance ? 50 mL/min (Cockcroft and Gault formula)
?Albumin > 1 x LLN
?Proteinuria < 30 mg/dL (1+) on the dipstick; in case of proteinuria ? 1+ on the dipstick, 24 hours proteinuria must be ? 1.5g/24h
5.Patient with life expectancy > 6 months
6.Patient with BMI > 18 and patient weight > 40 kg
7.Man who agree to use two methods (one for the patient and one for the partner) of medically acceptable forms of contraception during the study and for three months after the last treatment intake
8.Patient able and willing to comply with study procedures as per protocol
9.Patient able to understand, sign, and date the written informed consent form at the screening visit prior to any protocol-specific procedures are performed. If the patient is deemed by the treating physician to be cognitively impaired or questionably impaired in such a way that the ability of the patient to give informed consent is questionable, the designated legal guardian must sign the informed consent.
10.Patient able to understand the patient card and to follow the patient card procedures in case of signs or symptoms of severe neutropenia or severe cutaneous toxicity, during the first 2 months of treatment.

Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 250
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 300

Exclusion Criteria

1.Patient who has been previously treated with chemotherapy.
2.Patient with bone marrow irradiation > 40% within 12 months before baseline
3.Patient treated for a cancer other than prostate cancer within 3 years before enrollment, with the exception of basal cell carcinoma (and pTa or pT1)
4.Patient with active central nervous system (CNS) metastasis or with history of CNS metastasis
5.Patient presenting with cardiac disorders defined by at least one of the following conditions:
?Patient with recent cardiac history (within 6 months) of:
oAcute coronary syndrome
oAcute heart failure (class III or IV of the NYHA classification)
oSignificant ventricular arrhythmia (persistent ventricular tachycardia, ventricular fibrillation, resuscitated sudden death)
?Patient with cardiac failure class III or IV of the NYHA classification
?Patient with severe conduction disorders which are not prevented by permanent pacing (atrio-ventricular block 2 and 3, sino-atrial block)
?Syncope without known aetiology within 3 months
?Uncontrolled severe hypertension, according to the judgement of the investigator, or symptomatic hypertension
6.Patient with an history of poor compliance or an history of drug/alcohol abuse, or excessive alcohol beverage consumption that would interfere with the ability to comply with the study protocol, or current or past psychiatric disease that might interfere with the ability to comply with the study protocol or give informed consent
7.Patient under treatment with any anti-tumour therapy (any radiotherapy, chemotherapy, biologic or anti-androgen therapy except GnRH/LHRH analogs)

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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