Pazopanib, Docetaxel, Prednisone Prostate
Information source: Duke University
ClinicalTrials.gov processed this data on August 23, 2015 Link to the current ClinicalTrials.gov record.
Condition(s) targeted: Prostate Cancer
Intervention: Pazopanib (Drug); Docetaxel (Drug); Pazopanib (Drug); Prednisone (Drug); Pegfilgrastim (Drug)
Phase: Phase 1
Status: Active, not recruiting
Sponsored by: Daniel George, MD Official(s) and/or principal investigator(s): Daniel J George, MD, Principal Investigator, Affiliation: Duke Cancer Institute
Summary
The primary purpose is to define the safety and tolerability of docetaxel/prednisone in
combination with pazopanib (DPP) in men with metastatic Castration Resistant Prostate Cancer
(mCRPC).
Clinical Details
Official title: Phase I Study of Docetaxel, Prednisone and Pazopanib in Men With Metastatic Castrate-Resistant Prostate Cancer (mCRPC) and Poor-Risk Factors
Study design: Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Primary outcome: Number and Percent of Participants with Adverse Events as a Measure of Safety and Tolerability; Number and Percent of participants who have disease progression
Secondary outcome: Establish the maximum tolerated doseMeasurement of pazopanib and docetaxel drug levels in participants. Relationship between genetic variants and drug levels (Cmax, Tmax, AUC, CL, Vd). Establish the optimal dosing schedule
Detailed description:
This Phase I study will consist of a dose escalation portion which includes a dose
escalation phase of 10 dose levels: (1a) docetaxel 60 mg/m2, pazopanib 400 mg daily,
prednisone 5 mg BID; (2a) docetaxel 75 mg/m2, pazopanib 400 mg daily, prednisone 5 mg BID;
and (3a) docetaxel 75 mg/m2, pazopanib 600 mg daily, prednisone 5 mg BID; (4a) docetaxel
75mg/m2, pazopanib 800 mg daily, (5a) docetaxel 75mg/m2, pazopanib 1000mg daily, prednisone
5 mg; (1b) docetaxel 60 mg/m2, pazopanib 400 mg daily x 17 days, prednisone 5 mg BID; (2b)
docetaxel 75 mg/m2, pazopanib 400 mg daily x 17 days, prednisone 5 mg BID; and (3b)
docetaxel 75 mg/m2, pazopanib 600 mg daily x 17 days, prednisone 5 mg BID; (4b) docetaxel
75mg/m2, pazopanib 800 mg daily x 17 days, (5b) docetaxel 75mg/m2, pazopanib 1000mg daily x
17 days, prednisone 5 mg. If the investigators see > 1 dose limiting toxicity (DLT) at Dose
level 3 then the investigators would investigate docetaxel 75 mg/m2, pazopanib 600 mg daily,
prednisone 5 mg BID (Dose level 3a). If < 1 DLT are seen at Dose level 3 and Pharmacokinetic
(PK) analysis is complete and acceptable, then the investigators will proceed to dose level
4) docetaxel 75 mg/m2, pazopanib 1000 mg daily, prednisone 5 mg BID.
The investigators will dose escalate in a classic 3+3 design. The maximum tolerated dose
(MTD) will be defined as the highest dose level that does not result in 2 or more dose
limiting toxicities (DLTs). A dose expansion at the MTD of 10-15 patients (up to a total of
36 patients) will be accrued in order to further describe the safety profile.
Eligibility
Minimum age: 18 Years.
Maximum age: N/A.
Gender(s): Male.
Criteria:
Inclusion Criteria:
- Histologically confirmed carcinoma of the prostate. Histologic evidence may be
confirmed through local or metastatic biopsy review. Non-adenocarcinomas are
permitted.
- Radiographic evidence of metastatic disease; non-evaluable, bone only metastasis is
permitted.
- Evidence of disease progression despite castrate levels of testosterone (<50 ng/dl).
- At the time of screening, at least 2 weeks since prior palliative radiation therapy
and 4 weeks from major surgery, and resolution of all toxic effects of prior therapy
to National Cancer Institute Common Terminology Criteria for Adverse Events
(NCI-CTCAE); version 4. 0 Grade < 1.
- Age >18 years
- Adequate laboratory parameters
- Eastern Cooperative Oncology Group (ECOG) performance status between 0 and 2
- Life expectancy greater than 3 months
- Written, signed and dated Institutional Review Board (IRB) approved informed consent
form.
Exclusion Criteria:
- History of or active central nervous system metastases
- The use of immunologic, biologic, or hormonal therapies within 2 weeks of study
entry.
- Major surgery, open biopsy, traumatic injury within 4 weeks of the screening visit
- Subjects who have not recovered from prior biopsy, surgery, traumatic injury, and/or
radiation therapy.
- Previous treatment with docetaxel, including in the neo-adjuvant or adjuvant setting
- Presence of non-healing wound or ulcer
- Grade 3 or greater hemorrhage within the past month.
- Uncontrolled hypertension
- American Heart Association Class 2-4 heart disease or any history of congestive heart
failure with an ejection fraction <40%, recent cardiovascular event (within 12
months) including unstable angina, any exertional angina, myocardial infarction,
exertional or rest claudication, or stroke/Cerebral Vascular Event/Transient Ischemic
Attack. Patients with known moderate to severe documented carotid or peripheral
vascular disease are excluded. Angioplasty or stenting of coronary or peripheral
arteries are exclusionary if within the past 12 months.
- Anticoagulation with warfarin (therapeutic doses of warfarin for catheter patency are
permitted up to 2 mg/day). Low molecular weight heparin is permitted.
- Diabetes mellitus with glycosylated hemoglobin A1c (HbgA1c) > 8% despite therapy
- Subjects with active autoimmune disorder(s) being treated with systemic
immunosuppressive agents within 4 weeks prior to the screening visit.
- Active infection(s), active antimicrobial therapy or serious intercurrent illness.
- Does not agree to use medically acceptable contraceptive methods while on study and
for 3 months after the last dose of pazopanib.
- Any other major medical or psychiatric illness that, in the investigator's judgment,
will substantially increase the risk associated with the subject's participation in
this study, including inability to absorb oral medications.
- Known hypersensitivity to any of the components in the docetaxel infusion or other
medical reasons for not being able to receive adequate premedication (for example,
antihistamine or anti-inflammatory agents).
- CalculatedQT (QTc) interval on baseline EKG > 500milliseconds
- History or presence of nephrotic syndrome
Locations and Contacts
The University of Chicago, Chicago, Illinois 60637, United States
Duke Cancer Institute, Durham, North Carolina 27710, United States
Additional Information
Starting date: June 2011
Last updated: February 3, 2015
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