R-Flurbiprofen in Treating Patients With Localized Prostate Cancer at Risk of Recurrence
- Conditions
- Prostate Cancer
- Registration Number
- NCT00045123
- Lead Sponsor
- Myrexis Inc.
- Brief Summary
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. R-flurbiprofen may be effective in delaying the recurrence of localized prostate cancer.
PURPOSE: Randomized phase II trial to study the effectiveness of R-flurbiprofen in treating patients who have localized prostate cancer at risk of recurrence following radiation therapy and/or prostatectomy.
- Detailed Description
OBJECTIVES:
* Determine the effect of R-flurbiprofen on time to systemic disease progression evaluated over a minimum of 3 years in patients with localized adenocarcinoma of the prostate with an intermediate or high risk of recurrence and rising prostate-specific antigen (PSA) levels after radiotherapy alone, prostatectomy alone, or both radiotherapy and prostatectomy.
* Determine the effect of this drug on the change in serum PSA levels over time prior to androgen-deprivation therapy (ADT) in these patients.
* Determine the effect of this drug on the time of initiation of ADT in these patients.
* Determine the effect of this drug on the number of patients requiring ADT.
* Determine the safety of this drug in these patients.
* Determine the population pharmacokinetics of R-flurbiprofen and bioinversion of R-ToS in this patient population.
* Determine the number of patients with systemic disease progression at the end of the study.
* Determine the time to clinical disease progression in patients treated with this drug.
* Determine the time to prostate cancer-related mortality and time to all cause mortality in patients treated with this drug.
OUTLINE: This is a randomized, double-blind, placebo-controlled, multicenter study. Patients are stratified according to risk of recurrence based on Gleason score at diagnosis (5-7 vs 8-10). Patients are randomized to 1 of 3 treatment arms.
* Arm I: Patients receive oral low-dose R-flurbiprofen twice daily.
* Arm II: Patients receive oral high-dose R-flurbiprofen twice daily.
* Arm III: Patients receive oral placebo twice daily. In all arms, treatment continues for up to 5.5 years (66 months) in the absence of disease progression or unacceptable toxicity. Patients who demonstrate increased prostate-specific antigen without objective disease progression and require androgen-deprivation therapy (ADT) continue receiving R-flurbiprofen. Patients who develop local recurrence or systemic disease may withdraw from study and receive additional therapy off study.
PROJECTED ACCRUAL: Approximately 390 patients (130 per treatment arm) will be accrued for this study within 3 years.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- Male
- Target Recruitment
- Not specified
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (56)
Decatur Memorial Hospital Cancer Care Institute
🇺🇸Decatur, Illinois, United States
Jonsson Comprehensive Cancer Center, UCLA
🇺🇸Los Angeles, California, United States
Urological Associates, Incorporated
🇺🇸Columbus, Ohio, United States
Northwest Hospital and Medical Center
🇺🇸Seattle, Washington, United States
Highline Hospital Campus
🇺🇸Seattle, Washington, United States
Charles M. Barrett Cancer Center at University Hospital
🇺🇸Cincinnati, Ohio, United States
Urology Consultants, P.A.
🇺🇸San Antonio, Texas, United States
Salt Lake Research
🇺🇸Salt Lake City, Utah, United States
North Idaho Urology
🇺🇸Coeur d'Alene, Idaho, United States
Urology Associates of North Texas
🇺🇸Arlington, Texas, United States
Urology Associates
🇺🇸Nashville, Tennessee, United States
Center for Cancer Prevention and Care at Scott and White Clinic
🇺🇸Temple, Texas, United States
University of Wisconsin Comprehensive Cancer Center
🇺🇸Madison, Wisconsin, United States
Alaska Clinical Research Center, LLC
🇺🇸Anchorage, Alaska, United States
Urology Centers of Alabama
🇺🇸Homewood, Alabama, United States
Urology Associates Of Central California
🇺🇸Fresno, California, United States
Orange County Urology Associates
🇺🇸Laguna Hills, California, United States
South Orange County Hematology-Oncology Associates
🇺🇸Laguna Hills, California, United States
Loma Linda University Cancer Institute at Loma Linda University Medical Center
🇺🇸Loma Linda, California, United States
South Florida Medical Research
🇺🇸Aventura, Florida, United States
San Diego Urological Medical Group
🇺🇸San Diego, California, United States
Evanston Northwestern Health Care - Evanston Hospital
🇺🇸Evanston, Illinois, United States
Cancer Center at Lexington Clinic
🇺🇸Lexington, Kentucky, United States
Northeast Indiana Research, LLC
🇺🇸Fort Wayne, Indiana, United States
St. Agnes Cancer Center
🇺🇸Baltimore, Maryland, United States
Drs. Werner, Murdock and Francis, P.A., Urology Associates
🇺🇸Greenbelt, Maryland, United States
Regional Urology, L.L.C.
🇺🇸Shreveport, Louisiana, United States
Center for Urologic Care
🇺🇸Bryn Mawr, Pennsylvania, United States
Lakeside Urology, P.C.
🇺🇸St. Joseph, Michigan, United States
AccuMed Research Associates
🇺🇸Garden City, New York, United States
Mallinckrodt Institute of Radiology
🇺🇸St. Louis, Missouri, United States
Veterans Affairs Medical Center - Albany
🇺🇸Albany, New York, United States
Lawrenceville Urology
🇺🇸Lawrenceville, New Jersey, United States
Staten Island Urologic Oncology
🇺🇸Staten Island, New York, United States
Urology Center
🇺🇸Greensboro, North Carolina, United States
Ireland Cancer Center
🇺🇸Cleveland, Ohio, United States
Oregon Urology Specialists
🇺🇸Eugene, Oregon, United States
Urological Associates of Lancaster, Ltd.
🇺🇸Lancaster, Pennsylvania, United States
Center of Urologic Care of Berks County
🇺🇸West Reading, Pennsylvania, United States
University Urological Research Institute
🇺🇸Providence, Rhode Island, United States
Grand Strand Urology LLP
🇺🇸Myrtle Beach, South Carolina, United States
Urology Clinics of North Texas
🇺🇸Dallas, Texas, United States
Vermont Cancer Center at University of Vermont
🇺🇸Burlington, Vermont, United States
Coastal Medical Research Group, Incorporated
🇺🇸San Luis Obispo, California, United States
Atlantic Urology Medical Group
🇺🇸Long Beach, California, United States
21st Century Oncology - Fort Myers
🇺🇸Fort Myers, Florida, United States
UroSearch - Ocala
🇺🇸Ocala, Florida, United States
University of Tennessee - Graduate School of Medicine
🇺🇸Knoxville, Tennessee, United States
Walter Reed Army Medical Center
🇺🇸Washington, District of Columbia, United States
Lynn Regional Cancer Center West
🇺🇸Boca Raton, Florida, United States
Cancer Care Specialists of Central Illinois, S.C. - Decatur
🇺🇸Decatur, Illinois, United States
Rice, Lake and Harper Urology, LLC
🇺🇸Columbus, Georgia, United States
Simmons Cancer Center at University of Texas Southwestern Medical Center - Dallas
🇺🇸Dallas, Texas, United States
Baylor University Medical Center
🇺🇸Dallas, Texas, United States
Urology Associates - Research
🇺🇸Denver, Colorado, United States
Rhode Island Hospital
🇺🇸Providence, Rhode Island, United States