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Biomarkers of Response to Taxotere in HRPC. ICORG 08-08, V2

Completed
Conditions
Metastatic Cancer
Prostate Cancer
Registration Number
NCT01160705
Lead Sponsor
Cancer Trials Ireland
Brief Summary

RATIONALE: Studying samples of blood from patients with cancer in the laboratory may help doctors learn more about changes that occur in DNA and identify biomarkers related to cancer. It may also help doctors predict how patients will respond to treatment.

PURPOSE: This clinical trial is studying blood samples in predicting how patients with prostate cancer will respond to treatment with docetaxel.

Detailed Description

OBJECTIVES:

Primary

* To determine if mRNA present in circulating tumor cells will help predict response in patients with hormone-refractory prostate cancer treated with docetaxel.

* In parallel with this, based on discoveries made since our protocol was initially submitted to ICORG, here we also propose to analyse serum specimens from these consenting patients for the presence of EC miRNA, mRNA and protein predictive of response to Taxotere.

Secondary

* To develop a predictive model based on the most accurate and sensitive combination of these biomarkers.

OUTLINE: This is a multicenter study.

Treatment Plan:

All patients will be treated with Docetaxel on a weekly, biweekly or three weekly schedule, dose and schedule at the discretion of the treating physician.

Blood samples are collected for biomarker laboratory studies at baseline, every 3-4 weeks during study, and at disease progression or every 12 weeks after completion of study. Samples are analyzed for mRNA via RT-PCR.

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
73
Inclusion Criteria

Patients must satisfy the following criteria:

  1. Patients must, in the opinion of the Investigator, be suitable for treatment with Docetaxel on a weekly, biweekly or three weekly schedule.
  2. Patients must be aged 18 years or over.
  3. Patients must have histologically or cytologically proven adenocarcinoma of the prostate gland.
  4. Patients must have evidence of locally advanced or metastatic disease (e.g. bone, pelvic mass, lymph node, liver or lung metastases).
  5. Patients must have had prior treatment with bilateral orchiectomy or other primary hormonal therapy (LHRH-agonist etc.) with evidence of treatment failure.
  6. Patients must not have received prior treatment with chemotherapy.
  7. Patients must be able to give written informed consent.
  8. Prior radiotherapy is allowed.
  9. Concomitant use of bisphosphonates is allowed.
Exclusion Criteria
  1. Patients who have received previous cytotoxic therapy for prostate cancer are ineligible.

  2. Patients who in the judgement of their treating physician will not be able to receive therapy and follow-up according to the protocol guidelines will be ineligible.

  3. Presence of a medical or psychiatric condition, which, in the opinion of the investigator, would potentially pose a risk to the patient by participating in this trial.

  4. History of other primary cancer, unless:

    • Curatively resected non-melanomatous skin cancer
    • Other primary solid tumour curatively treated with no known active disease present and no curative treatment for the last year.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Presence of mRNA in circulating tumor cells as a predictor of responseongoing
Secondary Outcome Measures
NameTimeMethod
Development of a predictive modelEnd of trial

Trial Locations

Locations (5)

Beaumont Hospital

🇮🇪

Dublin, Ireland

Mater Private Hospital

🇮🇪

Dublin, Ireland

Adelaide and Meath Hospital, Dublin Incorporating the National Children's Hospital

🇮🇪

Dublin, Ireland

Mater Misericordiae University Hospital

🇮🇪

Dublin, Ireland

St. James's Hospital

🇮🇪

Dublin, Ireland

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