Safety Study of Combination of Hormone Therapy, Paclitaxel and Radiation Therapy to Treat Prostate Cancer
Phase 1
Completed
- Conditions
- Prostate Cancer
- Interventions
- Registration Number
- NCT02911350
- Lead Sponsor
- NYU Langone Health
- Brief Summary
The purpose of this study is to determine if the combination therapy of Hormone, Paclitaxel and Radiation therapy are effective in treatment of locally advanced prostate cancer
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Male
- Target Recruitment
- 23
Inclusion Criteria
- Any one or more of the following characteristics will qualify patient with T2/T3 prostate cancer for eligibility to current study:
- Biopsy proven prostate cancer with Gleason score > 7
- Pathologic staging TXN1 (on MRI or CT)
- Prostate-specific antigen (PSA) > 10 ng/ml done within a month prior to study entry (the day of first hormonal ablation) and > 10 days after prostate biopsy.
In addition patients must also have:
- Performance status < 2
- Hemoglobin > 11 grams per deciliter (g/dL), White blood cell (WBC) > 4000 and platelet count > 100.000/l
- No evidence of other synchronous primary. Prior malignancies does not exclude if the patient is disease free > 5 years.
- Prior or concurrent basal cell or non-invasive squamous carcinoma of the skin is eligible and
- Received hormone therapy with any of the following combination for less than 3 months
- Lupron / Flutamide
- Zoladex/ Flutamide
- Lupron/ Casodex
- Zoladex/ Casodex
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Exclusion Criteria
- Clinical stage T1N0, PSA < 10, and Gleason score less than 7.
- Evidence of distant metastasis
- Previous surgery for prostate cancer (radical prostatectomy).
- Current treatment with ketoconazole, cimetidine or hormone therapy for more than 3 months prior to inclusion in the protocol for prostate cancer
- Major medical or psychiatric illness, which in the investigator's opinion may prevent completion of the study and interfere with follow up.
- Bilirubin > 1.5
- Prior chemotherapy is not allowed
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Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Hormone Suppressors, Paclitaxel & Radiation therapy Hormone Suppressors Hormone Suppressors: Patients may take any of the following combinations for a period of 6 months: 1. Lupron / Flutamide 2. Zoladex/ Flutamide 3. Lupron/ Casodex 4. Zoladex/ Casodex Paclitaxel: 30 mg/m2 twice a week administered as a one hour infusion either Monday \& Wednesday or Tuesday \& Thursday for eight consecutive weeks will be started within the first week of radiation therapy. Following the first 3 dose levels, the dose of Paclitaxel will be escalated to 35 mg/m2 (dose level IV), 40 mg/m2 (dose level V) \& 45 mg/m2 (dose level VI). Radiation Therapy: 5 days a week for 8 weeks to a total dose of 66.6 to 73.8 Gray depending on when patient enter the study. Hormone Suppressors, Paclitaxel & Radiation therapy Paclitaxel Hormone Suppressors: Patients may take any of the following combinations for a period of 6 months: 1. Lupron / Flutamide 2. Zoladex/ Flutamide 3. Lupron/ Casodex 4. Zoladex/ Casodex Paclitaxel: 30 mg/m2 twice a week administered as a one hour infusion either Monday \& Wednesday or Tuesday \& Thursday for eight consecutive weeks will be started within the first week of radiation therapy. Following the first 3 dose levels, the dose of Paclitaxel will be escalated to 35 mg/m2 (dose level IV), 40 mg/m2 (dose level V) \& 45 mg/m2 (dose level VI). Radiation Therapy: 5 days a week for 8 weeks to a total dose of 66.6 to 73.8 Gray depending on when patient enter the study. Hormone Suppressors, Paclitaxel & Radiation therapy Radiation Therapy Hormone Suppressors: Patients may take any of the following combinations for a period of 6 months: 1. Lupron / Flutamide 2. Zoladex/ Flutamide 3. Lupron/ Casodex 4. Zoladex/ Casodex Paclitaxel: 30 mg/m2 twice a week administered as a one hour infusion either Monday \& Wednesday or Tuesday \& Thursday for eight consecutive weeks will be started within the first week of radiation therapy. Following the first 3 dose levels, the dose of Paclitaxel will be escalated to 35 mg/m2 (dose level IV), 40 mg/m2 (dose level V) \& 45 mg/m2 (dose level VI). Radiation Therapy: 5 days a week for 8 weeks to a total dose of 66.6 to 73.8 Gray depending on when patient enter the study.
- Primary Outcome Measures
Name Time Method Maximum tolerated dose (MTD) assessment 8 weeks The MTD will be the lowest dose at which 2/6 or 2/3 patients experience dose limiting toxicity (DLT)
Number of participants with qualitative and quantitative toxicities up to 8 months
- Secondary Outcome Measures
Name Time Method