Docetaxel, Estramustine, and Thalidomide in Treating Patients With Prostate Cancer Previously Treated With Hormone Therapy

This study has been completed.
Sponsor:
Information provided by:
National Cancer Institute (NCI)
ClinicalTrials.gov Identifier:
NCT00046826
First received: October 3, 2002
Last updated: April 2, 2013
Last verified: January 2006
  Purpose

RATIONALE: Thalidomide may stop the growth of prostate cancer by stopping blood flow to the tumor. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining chemotherapy with thalidomide may kill more tumor cells.

PURPOSE: Phase II trial to study the effectiveness of combining docetaxel and estramustine with thalidomide in treating patients who have prostate cancer previously treated with hormone therapy.


Condition Intervention Phase
Prostate Cancer
Drug: docetaxel
Drug: estramustine phosphate sodium
Drug: thalidomide
Phase 2

Study Type: Interventional
Study Design: Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase II Clinical Trial of Taxotere, Emcyt and Thalidomide (TET) for the Treatment of Hormone-Refractory Prostate Cancer

Resource links provided by NLM:


Further study details as provided by National Cancer Institute (NCI):

Primary Outcome Measures:
  • Objective response rate as measured by RECIST criteria and prostate-specific antigen (PSA) response 3 months, 6 months, and 1 year after treatment [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Safety and toxicity as measured by CTC toxicity grading at baseline and during every visit [ Designated as safety issue: Yes ]
  • Effectiveness of taxotere, emcyt, and thalidomide in pain control as measured by the pain scale at baseline and during every visit [ Designated as safety issue: No ]

Study Start Date: September 2001
Study Completion Date: October 2009
Primary Completion Date: June 2007 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

  • Determine the objective response rate in patients with hormone-refractory prostate cancer treated with docetaxel, estramustine, and thalidomide.
  • Determine the safety and toxicity of this regimen in these patients.
  • Determine the efficacy of this regimen for pain control in these patients.

OUTLINE: Patients receive oral estramustine on days 1-3 and docetaxel IV over 1 hour on day 2 for 3 weeks. Treatment repeats every 4 weeks for at least 6 courses in the absence of disease progression or unacceptable toxicity.

Patients also receive oral thalidomide once daily beginning on day 1 and continuing for 1 year in the absence of disease progression or unacceptable toxicity.

Patients are followed monthly until disease progression.

PROJECTED ACCRUAL: A total of 25 patients will be accrued for this study within 1 year.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed adenocarcinoma of the prostate
  • Prior treatment with androgen ablation including:

    • Orchiectomy OR
    • Luteinizing hormone-releasing hormone (LHRH) therapy (e.g., leuprolide)

      • Patients on leuprolide must continue to receive the drug
  • Prior nonsteroidal antiandrogens (e.g., flutamide, bicalutamide, or nilutamide) required
  • Metastatic disease with disease progression during androgen ablation, defined by at least 1 of the following:

    • 2 consecutive increased prostate-specific antigen (PSA) levels measured at least 1 week apart
    • More than 25% increase in bidimensionally measurable soft tissue metastases
    • 20% increase in the sum of the baseline sum of longest diameter of measurable lesions
    • Appearance of new lesions
    • Appearance of new foci on a radionuclide bone scan
  • PSA greater than 10 ng/dL
  • Testosterone no greater than 50 ng/mL (castrate level)
  • No CNS metastases

PATIENT CHARACTERISTICS:

Age:

  • Over 18

Performance status:

  • Karnofsky 70-100%

Life expectancy:

  • More than 16 weeks

Hematopoietic:

  • WBC greater than 3,500/mm3
  • Absolute neutrophil count greater than 1,500/mm3
  • Platelet count greater than 100,000/mm3
  • Hemoglobin at least 8 g/dL

Hepatic:

  • AST and/or ALT no greater than 2.5 times upper limit of normal (ULN) if alkaline phosphatase no greater than ULN OR
  • Alkaline phosphatase no greater than 4 times ULN if AST/ALT no greater than ULN
  • Bilirubin no greater than ULN

Renal:

  • Creatinine less than 2.2 mg/dL

Cardiovascular:

  • No myocardial infarction within the past 6 months
  • No New York Heart Association class III or IV heart disease
  • No history of arterial or venous thrombosis
  • No cerebrovascular accident within the past year

Pulmonary:

  • No history of pulmonary embolism

Other:

  • Fertile patients must use effective contraception during and for 4 weeks after study
  • No peripheral neuropathy grade 2 or greater
  • No active infection
  • No serious concurrent medical illness that would preclude study
  • No prior severe hypersensitivity reaction to docetaxel or other drugs formulated with polysorbate 80
  • No other prior or concurrent active malignancy within the past 2 years except non-melanoma skin cancers
  • No other medical condition or reason that would preclude study

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • Not specified

Chemotherapy:

  • No prior chemotherapy for prostate cancer

Endocrine therapy:

  • See Disease Characteristics
  • At least 4 weeks since prior flutamide (6 weeks for bicalutamide or nilutamide) and continued evidence of disease progression (rising PSA)
  • Prior steroids for prostate cancer allowed
  • No concurrent steroids except for pre-medication for docetaxel

Radiotherapy:

  • At least 4 weeks since prior radiotherapy

Surgery:

  • See Disease Characteristics

Other:

  • No concurrent herbal supplements to treat prostate cancer
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00046826

Locations
United States, Connecticut
Whittingham Cancer Center at Norwalk Hospital
Norwalk, Connecticut, United States, 06856
Carl and Dorothy Bennett Cancer Center at Stamford Hospital
Stamford, Connecticut, United States, 06904
Sponsors and Collaborators
Whittingham Cancer Center
Investigators
Study Chair: Richard C. Frank, MD Whittingham Cancer Center
  More Information

Additional Information:
Publications:
Frank RC, Coscia A, Versea L, et al.: Low dose docetaxel, estramustine and thalidomide followed by maintenance thalidomide for the treatment of hormone refractory prostate cancer (HRPC): a phase II community based trial. [Abstract] J Clin Oncol 22 (Suppl 14): A-4681, 426s, 2004.

ClinicalTrials.gov Identifier: NCT00046826     History of Changes
Other Study ID Numbers: CDR0000069081, NH-0139, NCI-V01-1681
Study First Received: October 3, 2002
Last Updated: April 2, 2013
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
adenocarcinoma of the prostate
stage IV prostate cancer
recurrent prostate cancer

Additional relevant MeSH terms:
Prostatic Neoplasms
Genital Diseases, Male
Genital Neoplasms, Male
Neoplasms
Neoplasms by Site
Prostatic Diseases
Urogenital Neoplasms
Docetaxel
Estramustine
Thalidomide
Alkylating Agents
Angiogenesis Inhibitors
Angiogenesis Modulating Agents
Anti-Bacterial Agents
Anti-Infective Agents
Antimitotic Agents
Antineoplastic Agents
Antineoplastic Agents, Alkylating
Antineoplastic Agents, Hormonal
Growth Inhibitors
Growth Substances
Immunologic Factors
Immunosuppressive Agents
Leprostatic Agents
Mitosis Modulators
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Physiological Effects of Drugs
Therapeutic Uses
Tubulin Modulators

ClinicalTrials.gov processed this record on October 21, 2014