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临床试验/NCT00678054
NCT00678054已完成2 期

A Phase II Study of Granulocyte-Macrophage Colony-Stimulating Factor (GM-CSF) for the Treatment of Patients With Evidence of Serologic (PSA) Progression After Definitive Therapy for Localized Prostate Cancer

University of California, San Francisco1 个研究点 分布在 1 个国家目标入组 30 人开始时间: 1999年4月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
已完成
入组人数
30
试验地点
1
主要终点
PSA Response

研究概览

简要总结

This is a Phase II study to test the efficacy of exogenously administered GM-CSF in prostate cancer patients who have failed definitive local therapy, and have only serologic (PSA) evidence of progression.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

性别
Male
接受健康志愿者

入选标准

  • Histologic diagnosis of adenocarcinoma of the prostate; stage T1-T3, N0-N1, M0
  • Prior definitive therapy for primary prostate cancer consisting of:external beam radiotherapy;brachytherapy with or without pelvic external beam radiation; or radical prostatectomy with or without adjuvant or salvage radiation therapy
  • Therapeutic PSA response to primary therapy below 1.0 ng/ml post radiation therapy or below 0.4 ng/ml for radical prostatectomy
  • Patients treated with adjuvant or salvage radiation therapy following radical prostatectomy are eligible provided:Post prostatectomy PSA was never > 6.0 ng/ml, last effective day of androgen deprivation is at least 3 months prior to study entry
  • Recurrent PSA level elevation (between 0.4 ng/ml and 6.0 ng/ml) on two determinations at least one week apart.
  • No clinical evidence of gross local recurrence or known metastatic disease other than PSA elevation. Transrectal ultrasound and/or biopsy to evaluate local recurrence is not required. All patients will receive a bone scan and CT scan of the abdomen to exclude metastases.
  • Estimated life expectancy of at least 6 months.
  • ECOG Performance status of 0 or
  • Willing and able to give informed consent.

排除标准

  • Cryosurgery as definitive therapy of primary tumor.
  • Any metastasis.
  • No concurrent or prior malignancy is allowed except for the following: adequately treated basal or squamous cell skin cancer, adequately treated Stage I or II cancer from which the patient is currently in complete remission, or any other cancer from which the patient has been disease-free for 5 years.
  • Current systemic steroid therapy (inhaled or topical steroids acceptable).
  • Prior hormonal therapy for treatment of progressive disease.
  • Prior chemotherapy, immunotherapy, or therapy with other experimental agents for prostate cancer.
  • Any surgery within the prior 4 weeks.
  • Bilirubin and SGOT > 2 x upper limit of normal.
  • BUN and serum creatinine > 2.0 times normal.
  • No active congestive heart failure.
  • If there is a history of clinically significant obstructive airway disease, a DLCO must exceed 50%.
  • Active uncontrolled bacterial, viral or fungal infection until these conditions are corrected or controlled.
  • Any underlying medical condition which in the principal investigator's opinion will make the administration of GM-CSF hazardous or obscure the interpretation of adverse events.
  • PSA > 6.0 ng/ml

研究组 & 干预措施

Granulocyte-Macrophage Colony-Stimulating Factor (GM-CSF)

Experimental

干预措施: GM-CSF (Drug)

结局指标

主要结局

PSA Response

时间窗: Monthly

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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