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Docetaxel With or Without Oblimersen in Treating Patients With Hormone-Refractory Adenocarcinoma (Cancer) of the Prostate

Phase 2
Completed
Conditions
Prostate Cancer
Registration Number
NCT00085228
Lead Sponsor
European Organisation for Research and Treatment of Cancer - EORTC
Brief Summary

RATIONALE: Drugs used in chemotherapy, such as docetaxel, work in different ways to stop tumor cells from dividing so they stop growing or die. Oblimersen may increase the effectiveness of docetaxel by making tumor cells more sensitive to the drug.

PURPOSE: This randomized phase II trial is studying how well giving docetaxel together with oblimersen works compared to docetaxel alone in treating patients with hormone-refractory adenocarcinoma (cancer) of the prostate.

Detailed Description

OBJECTIVES:

Primary

* Compare the activity of docetaxel with or without oblimersen, in terms of prostate-specific antigen response, in patients with hormone-refractory adenocarcinoma of the prostate.

* Compare the toxicity of these regimens in these patients.

Secondary

* Compare the time to progression in patients treated with these regimens.

* Compare survival of patients treated with these regimens.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to participating center, metastatic disease (M0 vs M1 with non-measurable lesions only vs M1 with measurable lesions), prior estramustine (yes vs no), and prior bisphosphonates (yes vs no). Patients are randomized to 1 of 2 treatment arms.

* Arm I: Patients receive docetaxel IV over 1 hour on day 5 and oblimersen IV continuously on days 1-7.

* Arm II: Patients receive docetaxel IV over 1 hour on day 1. In both arms, treatment repeats every 21 days for up to 12 courses in the absence of disease progression or unacceptable toxicity.

Patients are followed every 8 weeks until progressive disease and then every 16 weeks thereafter.

PROJECTED ACCRUAL: A total of 102 patients (51 per treatment arm) will be accrued for this study.

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
116
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Prostate-specific antigen response as measured by Bubley criteria every course until progression or after 12 courses
Severe toxic events as measured by CTCAE v3.0 every course until progression or after 12 courses
Secondary Outcome Measures
NameTimeMethod
Time to progression as measured by RECIST and Bubley criteria every 3 courses, and then every 8 weeks until progression, and every 16 weeks from progression until death
Toxicity as measured by CTCAE v3.0 every 3 courses, and then every 8 weeks until progression, and every 16 weeks from progression until death
Objective response as measured by RECIST every 3 courses, and then every 8 weeks until progression, and every 16 weeks from progression until death
Overall survival as measured by Logrank every 3 courses, and then every 8 weeks until progression, and every 16 weeks from progression until death

Trial Locations

Locations (16)

Rigshospitalet - Copenhagen University Hospital

🇩🇰

Copenhagen, Denmark

Institut Jules Bordet

🇧🇪

Brussels, Belgium

CHU de Grenoble - Hopital de la Tronche

🇫🇷

Grenoble, France

Hospital General Universitari Vall d'Hebron

🇪🇸

Barcelona, Spain

Kaiser Franz Josef Hospital

🇦🇹

Vienna, Austria

Cliniques Universitaires Saint-Luc

🇧🇪

Brussels, Belgium

Universitair Ziekenhuis Gent

🇧🇪

Ghent, Belgium

Ospedale S. Camillo-Forlanini

🇮🇹

Rome, Italy

Assaf Harofeh Medical Center

🇮🇱

Zerifin, Israel

Hospital Desterro

🇵🇹

Lisboa, Portugal

Onze Lieve Vrouw Ziekenhuis Aalst

🇧🇪

Aalst, Belgium

U.Z. Gasthuisberg

🇧🇪

Leuven, Belgium

Academisch Medisch Centrum at University of Amsterdam

🇳🇱

Amsterdam, Netherlands

Western Infirmary

🇬🇧

Glasgow, Scotland, United Kingdom

Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology

🇵🇱

Warsaw, Poland

Saint Bartholomew's Hospital

🇬🇧

London, England, United Kingdom

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