Pantoprazole and Docetaxel for Men With Metastatic Castration-Resistant Prostate Cancer
Study Details
Study Description
Brief Summary
The main objectives of this trial are:
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To assess the activity and safety of pantoprazole and docetaxel (with prednisone) in men with metastatic CRPC who have not received prior chemotherapy.
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To evaluate archival prostate cancer tissue of men included in the clinical trial for evidence of autophagy using IHC for LC3B, ATG5, p62 as well as ERG.
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To evaluate pharmacokinetic interactions of pantoprazole with docetaxel.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Pantoprazole, Docetaxel, Prednisone
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Drug: Pantoprazole
Other Names:
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Outcome Measures
Primary Outcome Measures
- Confirmed PSA response [20 months]
The primary endpoint is met if PSA falls to ≤50% of baseline, maintained for ≥3 weeks.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Age ≥18yrs
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ECOG performance status ≤2
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Histologically or cytologically confirmed adenocarcinoma of the prostate
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Clinical or radiological evidence of metastatic disease
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Disease progression while receiving androgen deprivation therapy with an increase in PSA of 25% or greater over nadir value measured on 3 consecutive occasions at least 1 week apart
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Antiandrogen therapy must have been stopped at least 4 weeks prior to start of trial treatment (6 weeks in the case of bicalutamide or nilutamide)if there was a reduction in serum PSA after this therapy was initiated
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Baseline serum prostate-specific antigen (PSA)≥10ng/ml
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Total testosterone <50 ng/dL (<1.7 nmol/L)
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Adequate hematologic values: neutrophil count ≥1,500/mm3, platelet ≥100,000/mm3, hemoglobin ≥10.0 g/dl
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Adequate hepatic and renal function: total bilirubin level ≤1.5 x ULN (unless secondary to documented Gilbert's disease); ALT,AST, and creatinine ≤1.5 x ULN
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Ability to understand and to sign consent for the study
Exclusion Criteria:
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Prior treatment for prostate cancer with chemotherapy or radioisotopes
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History of another cancer within the preceding five years (except basal or squamous-cell skin cancer or adequately treated superficial bladder cancer)
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Known or suspected brain or leptomeningeal metastases
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Symptomatic peripheral neuropathy of grade 2 or higher
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Major surgery within 4 weeks of start of trial treatment
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Radiotherapy to ≥25% of the bone marrow and any radiotherapy within 4 weeks of start of trial treatment
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Known hypersensitivity to trial treatment or hypersensitivity to any of its components
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Any concomitant drugs contraindicated for use with the trial treatment
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Any serious underlying medical condition which could impair the ability of the patient to participate in the trial
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Any psychological, familial, sociological or other patient related factors that might preclude compliance with the study protocol
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Princess Margaret Cancer Centre | Toronto | Ontario | Canada | M5G2M9 |
Sponsors and Collaborators
- University Health Network, Toronto
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- PANDORA
- 12-0388-C