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

• Status: Completed
• Trial end date: 1969-12-31
• Target enrollment: 0
• Participant gender: Male

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.

• Phase: Phase 2
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: European Organisation for Research and Treatment of Cancer - EORTC
• Treatments: Docetaxel; Hormones; Oblimersen

Criteria

DISEASE CHARACTERISTICS:

• Histologically confirmed adenocarcinoma of the prostate

• Hormone-refractory disease

• Disease progression after prior hormonal therapy with luteinizing hormone-releasing hormone (LH-RH) analogues or orchiectomy and antiandrogens (given together or consecutively)

• Prostate-specific antigen (PSA) progression documented by at least 2 increases in PSA values over previous PSA reference value

• Must demonstrate continued PSA elevation for at least 6 weeks after discontinuation of antiandrogen therapy

• PSA ≥ 5 ng/mL (Hybritech or equivalent) within the past week

• Testosterone ≤ 0.5 ng/mL* NOTE: *Patients with medical castration with LH-RH analogue must continue with LH-RH analogue throughout the study

• No evidence of painful and/or destructive bone metastases requiring concurrent radiotherapy, bisphosphonates, or bone-seeking radionuclides

• Other bone metastases allowed

• No clinical evidence of brain metastases

PATIENT CHARACTERISTICS:

Age

• 18 and over

Performance status

• WHO 0-2

Life expectancy

• Not specified

Hematopoietic

• Absolute neutrophil count ≥ 1,500/mm^3

• Platelet count ≥ 100,000/mm^3

• WBC ≥ 3,500/mm^3

• Hemoglobin ≥ 10 g/dL

Hepatic

• AST and ALT ≤ 1.5 times upper limit of normal (ULN)

• Bilirubin ≤ ULN

• PTT and PT ≤ 1.5 times ULN OR

• INR ≤ 1.3

Renal

• Creatinine ≤ 1.5 times ULN OR

• Creatinine clearance ≥ 50 mL/min

Cardiovascular

• No unstable angina

• No uncontrolled hypertension

• No deep venous thrombosis within the past 6 months

• No cerebrovascular accident, transient ischemic attack, or myocardial infarction within the past 6 months

Pulmonary

• No pulmonary embolism

• No history of interstitial pneumonitis

• No history of pulmonary fibrosis

Other

• Adequate venous access

• HIV negative

• No active infection

• No pre-existing neuropathy

• No hypersensitivity to phosphorothioates

• No hypersensitivity to oligonucleotides or any other component of the oblimersen formulation or to drugs formulated with polysorbate

• No psychological, familial, sociological, or geographical condition that would preclude study compliance

• No other malignancy within the past 5 years except adequately treated superficial urothelial or skin cancer

PRIOR CONCURRENT THERAPY:

Biologic therapy

• Not specified

Chemotherapy

• Prior estramustine allowed

• No other prior chemotherapy

• No concurrent estramustine

Endocrine therapy

• See Disease Characteristics

• At least 6 weeks since prior flutamide, bicalutamide, or nilutamide

• More than 6 weeks since prior hormonal manipulation with PC-SPES

• Concurrent LH-RH agonist allowed

• No concurrent antiandrogens

Radiotherapy

• See Disease Characteristics

• No prior radiotherapy involving > 25% of marrow-producing area

• No prior bone-seeking radionuclides

• No concurrent radiotherapy (including palliative therapy for painful bone metastases)

• No concurrent bone-seeking radionuclides

Surgery

• See Disease Characteristics

Other

• Prior bisphosphonates allowed

• No concurrent anticoagulation except for low-dose warfarin (1 mg/day)

• No concurrent regular (daily) intake of opioid analgesics

• No other concurrent experimental drugs or anticancer drugs

• No concurrent bisphosphonates