Second-line Chemotherapy in Castration Resistant Prostate Cancer

• Status: Completed
• Trial end date: 2014-12-01
• Target enrollment: 0
• Participant gender: Male

Summary

This study is designed to evaluate the safety of biweekly cabazitaxel for the treatment of metastatic castration resistant prostate cancer (mCRPC) patients previously treated with docetaxel containing regimen. The primary endpoint is safety. Secondary endpoints include time to treatment failure, response rate, overall survival and quality of life.

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

Details

• Lead Sponsor: Tampere University Hospital
• Collaborators: Helsinki University Central Hospital; Kuopio University Hospital; Seinajoki Central Hospital; Turku University Hospital

Criteria

Inclusion Criteria:

• Metastatic castration resistant prostate cancer

• Disease progression during or after docetaxel-containing regimen for mCRPC

• Surgical or medical castration

• WHO performance status < 2

• Age > 18 years

• Adequate bone marrow, liver and renal functions:

Hematology:

• neutrophils > 1.5 x 109/ l

• hemoglobin > 100 g/l

• platelets > 100 x 109/l

Hepatic and renal functions:

• total bilirubin <1 x ULN

• ALAT and ASAT < 2.5 x ULN, alkaline phosphate <6 x ULN.In the presence of extensive bone disease, alkaline phosphate > 6 x ULN is accepted

• creatinine < 1.5 x ULN (ie NCI CTC-AE grade < 1)

Exclusion Criteria:

• Prior surgery, radiation, chemotherapy, or other anti-cancer therapy within 4 weeks prior to enrollment

• Prior therapy with radioisotopes

• Other malignant disease (except superficial non-melanoma skin cancer) within the past 5 years

• Serious liver disease

• History of severe hypersensitivity reaction (grade > 3) to polysorbate 80 containing drugs

• Concurrent or planned treatment with potent inhibitors or inducers of cytochrome P450 3A4/5 (a one week wash-out period is necessary for patients who already are on these treatments)

• Other serious illness or medical condition:

• Serious cardiac disease; ischemic or thromboembolic cardiac disease, pulmonary emboli, cardiac infarction within 12 months

• Active infection

• Active peptic ulcer, uncontrolled diabetes mellitus or other contraindications for the use of corticosteroids

• Auto-immune disease (lupus, scleroderma, rheumatoid polyarthritis)

• Active grade > 2 polyneuropathy