Study 1 of 1 for search of: A Randomized, Phase II Study of GW786034 (Pazopanib) in Stage D0 Relapsed
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Pazopanib After Leuprolide or Goserelin in Treating Patients With Relapsed Prostate Cancer
This study is currently recruiting participants.
Verified by National Cancer Institute (NCI), December 2009
First Received: March 27, 2007   Last Updated: December 22, 2009   History of Changes
Sponsor: University of Chicago
Collaborator: National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00454571
  Purpose

RATIONALE: Pazopanib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor. Androgens can cause the growth of prostate cancer cells. Antihormone therapy, such as leuprolide or goserelin, may lessen the amount of androgens made by the body. Giving pazopanib after leuprolide or goserelin may be an effective treatment for prostate cancer.

PURPOSE: This randomized phase II trial is studying how well pazopanib works after leuprolide or goserelin in treating patients with relapsed prostate cancer.


Condition Intervention Phase
Prostate Cancer
Drug: pazopanib hydrochloride
Other: active surveillance
Phase II

Study Type: Interventional
Study Design: Treatment, Randomized
Official Title: A Randomized, Phase II Study of GW786034 (Pazopanib) in Stage D0 Relapsed Androgen Sensitive Prostate Cancer Following Limited GnRH Agonist Therapy

Resource links provided by NLM:


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

Primary Outcome Measures:
  • Time to prostate-specific antigen (PSA) progression [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • PSA progression-free survival [ Designated as safety issue: No ]
  • Adverse events [ Designated as safety issue: Yes ]
  • Applicability of surface-enhanced laser desorption/ionization time-of-flight mass spectrometry as a predictor of response and toxicity [ Designated as safety issue: Yes ]

Estimated Enrollment: 98
Study Start Date: June 2006
Estimated Primary Completion Date: September 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Arm I: Experimental
Patients receive oral pazopanib hydrochloride once daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity. PSA and testosterone levels are measured monthly.
Drug: pazopanib hydrochloride
given orally
Arm II: No Intervention
Patients undergo observation. PSA and testosterone levels are measured monthly.
Other: active surveillance
observation no treatment

Detailed Description:

OBJECTIVES:

Primary

  • Determine if pazopanib hydrochloride is able to increase time to progression, as measured by prostate-specific antigen (PSA), after 6 months of limited gonadotropin-releasing hormone (GnRH) agonist therapy comprising leuprolide acetate or goserelin in patients with androgen-sensitive relapsed stage D0 prostate cancer.

Secondary

  • Determine the adverse events in patients treated with this regimen.
  • Determine if VEGFR1, R2, R3, PDGFRα, or PDGFRβ expression is predictive of response to this regimen in these patients.
  • Determine the effects of this regimen on PSA secretion in LNCaP cells in these patients.
  • Correlate changes in testosterone in patients treated with pazopanib hydrochloride vs observation after receiving GnRH agonist therapy.
  • Determine the applicability of surface-enhanced laser desorption/ionization time-of-flight mass spectrometry as a predictor of response and toxicity.

OUTLINE: This is a multicenter, randomized study.

Patients receive androgen blockade comprising gonadotropin-releasing hormone (GnRH) agonist therapy (e.g., leuprolide acetate or goserelin) for 6 months. Patients who develop metastases or have prostate-specific antigen (PSA) progression while on GnRH agonist therapy are removed from the study and placed on total androgen blockade. The remaining patients are randomized to 1 of 2 treatment arms.

  • Arm I: Patients receive oral pazopanib hydrochloride once daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity. PSA and testosterone levels are measured monthly.
  • Arm II: Patients undergo observation. PSA and testosterone levels are measured monthly.

Blood samples are collected at baseline and analyzed by surface-enhanced laser desorption/ionization time-of-flight mass spectrometry for biological markers, including VEGFR1-3, PDGFRα, and PDGFRβ.

After completion of study treatment, patients are followed periodically for up to 12 months.

PROJECTED ACCRUAL: A total of 98 patients will be accrued for this study.

  Eligibility

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

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed prostate cancer

    • Stage D0
  • Must have undergone some definitive local therapy for prostate cancer
  • Must be free of macrometastatic disease, as evidenced by CT scan and bone scan, if serum prostate-specific antigen (PSA) ≥ 10 ng/mL prior to gonadotropin-releasing hormone (GnRH) agonist therapy
  • Progressive disease meeting the following criteria:

    • Two consecutive rises in PSA above nadir recorded after definite local therapy
    • Serum PSA concentrations must have absolute value of > 0.5 ng/mL (separated by ≥ 2 weeks) prior to beginning GnRH agonist therapy
  • NOTE: Patients who have undergone a prostatectomy and have two detectable, rising serum PSA levels are eligible
  • PSA < 0.5 ng/mL
  • Testosterone < 30 ng/mL
  • No measurable disease
  • No brain metastases requiring steroid or anticonvulsant therapy

PATIENT CHARACTERISTICS:

  • ECOG performance status (PS) 0-2 OR Karnofsky PS 60-100%
  • PT/INR/PTT ≤ 1.2 times upper limit of normal (ULN)
  • Bilirubin normal
  • AST and ALT ≤ 2.5 times ULN
  • Creatinine ≤ 1.5 times ULN OR creatinine clearance > 50 mL/min
  • Proteinuria ≤ 1+ on 2 consecutive dipsticks > 1 week apart
  • Urine protein:creatinine ratio < 1 OR urine protein < 1.0 g/24 hours
  • Fertile patients must use effective double-barrier contraception during study therapy OR completely abstain from sexual intercourse 14 days prior to, during, and for ≥ 21 days after completion of study therapy
  • No history of allergic reactions attributed to compounds of similar chemical or biological composition to pazopanib hydrochloride or to other agents used in the study
  • No concurrent uncontrolled illness including, but not limited to, any of the following:

    • Ongoing or active infection
    • Psychiatric illness or social situations that would preclude compliance with study requirements
  • No HIV positivity
  • No condition that impairs the ability to swallow and retain pazopanib hydrochloride tablets, including any of the following:

    • Gastrointestinal tract disease resulting in an inability to take oral medication
    • Requirement for IV alimentation
    • Prior surgical procedures affecting absorption
    • Active peptic ulcer disease
  • No other conditions, including any of the following:

    • Serious or nonhealing wound, ulcer, or bone fracture
    • Abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within the past 28 days
    • Cerebrovascular accident within the past 6 months
    • Myocardial infarction, admission for unstable angina, cardiac angioplasty, or stenting within the past 6 months
    • Venous thrombosis within the past 12 weeks
    • New York Heart Association (NYHA) class III or IV heart failure

      • History of currently treated asymptomatic NYHA class II heart failure allowed
  • Systolic blood pressure (BP) ≤ 140 mm Hg and diastolic BP ≤ 90 mm Hg

    • Prior initiation or adjustment of BP medication allowed provided that the average of 3 BP readings at a visit prior to enrollment is < 140/90 mm Hg

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
  • More than 3 months since prior antiandrogen
  • More than 4 months since prior orchiectomy or implantable luteinizing hormone-releasing hormone (LHRH) agonist
  • No prior GnRH agonists except for neoadjuvant or adjuvant therapy associated with local therapy

    • Patients who have started a GnRH agonist for micrometastatic disease after local therapy allowed provided the following criteria are met:

      • Progressive disease
      • Willing to discontinue therapy before 6 months have elapsed
      • Have signed consent prior to completing 6 months of the initial hormone therapy
      • Are within 4 months of initiating GnRH agonist therapy
  • No prior or concurrent GnRH antagonist therapy
  • No concurrent ketoconazole
  • No concurrent CYP2C9 substrates, including any of the following:

    • Anticoagulants (e.g., warfarin [therapeutic doses only])

      • Low molecular weight heparin or prophylactic low-dose warfarin allowed
    • Oral hypoglycemics (e.g., glipizide, glyburide, tolbutamide, glimepiride, or nateglinide)
    • Ergot derivatives (e.g., dihydroergotamine, ergonovine, ergotamine, or methylergonovine)
    • Neuroleptics (e.g., pimozide )
    • Erectile dysfunction agents (e.g., sildenafil, tadalafil, or vardenafil)
    • Antiarrhythmics (e.g., bepridil, flecainide, lidocaine, mexiletin, amiodarone, quinidine, or propafenone)
    • Immune modulators (e.g., cyclosporine, tacrolimus, or sirolimus)
    • Miscellaneous medications (e.g., theophylline, quetiapine, risperidone, tacrine, clozapine, or atomoxetine)
  • No other concurrent non-FDA-approved agents
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00454571

Locations
United States, California
City of Hope Comprehensive Cancer Center Recruiting
Duarte, California, United States, 91010-3000
Contact: Clinical Trials Office - City of Hope Comprehensive Cancer Cen     800-826-4673     becomingapatient@coh.org    
University of California Davis Cancer Center Recruiting
Sacramento, California, United States, 95817
Contact: Clinical Trials Office - University of California Davis Cancer     916-734-3089        
USC/Norris Comprehensive Cancer Center and Hospital Recruiting
Los Angeles, California, United States, 90089-9181
Contact: Clinical Trials Office - USC/Norris Comprehensive Cancer Cente     323-865-0451        
United States, Illinois
Cardinal Bernardin Cancer Center at Loyola University Medical Center Recruiting
Maywood, Illinois, United States, 60153
Contact: Clinical Trials Office - Cardinal Bernardin Cancer Center     708-226-4357        
Joliet Oncology-Hematology Associates, Limited - West Recruiting
Joliet, Illinois, United States, 60435
Contact: Sanjiv S. Modi, MD     815-730-3098     smod@jolietoncology.com    
Decatur Memorial Hospital Cancer Care Institute Recruiting
Decatur, Illinois, United States, 62526
Contact: Clinical Trials Office - Decatur Memorial Hospital Cancer Care     217-876-6601        
Evanston Hospital Recruiting
Evanston, Illinois, United States, 60201-1781
Contact: Clinical Trials Office - Evanston Hospital     847-570-1381        
Ingalls Cancer Care Center at Ingalls Memorial Hospital Recruiting
Harvey, Illinois, United States, 60426
Contact: Clinical Trials Office - Ingalls Cancer Care Center at Ingalls     708-915-6747        
Central Illinois Hematology Oncology Center Recruiting
Springfield, Illinois, United States, 62701
Contact: Edem S. Agamah, MD, MS     217-525-2500     ihdn@aol.com    
Oncology Hematology Associates of Central Illinois, PC - Peoria Recruiting
Peoria, Illinois, United States, 61615-7828
Contact: Sachdev P. Thomas, MD     309-243-1000     sthomas@ohaci.com    
University of Chicago Cancer Research Center Recruiting
Chicago, Illinois, United States, 60637-1470
Contact: Clinical Trials Office - University of Chicago Cancer Research     773-834-7424        
United States, Indiana
CCOP - Northern Indiana CR Consortium Recruiting
South Bend, Indiana, United States, 46601
Contact: David A. Taber, MD     574-647-3353        
Fort Wayne Medical Oncology and Hematology Recruiting
Fort Wayne, Indiana, United States, 46885-5099
Contact: Sreenivasa R. Nattam, MD     260-484-8830     ledgar@fwmoh.com    
United States, Maryland
Greenebaum Cancer Center at University of Maryland Medical Center Recruiting
Baltimore, Maryland, United States, 21201
Contact: Clinical Trials Office - Greenebaum Cancer Center at Universit     800-888-8823        
United States, Michigan
Oncology Care Associates, PLLC Recruiting
Saint Joseph, Michigan, United States, 49085
Contact: Eric P. Lester, MD     269-985-0029        
University of Michigan Comprehensive Cancer Center Recruiting
Ann Arbor, Michigan, United States, 48109-0942
Contact: Clinical Trials Office - University of Michigan Comprehensive     800-865-1125        
United States, Missouri
David C. Pratt Cancer Center at St. John's Mercy Recruiting
Saint Louis, Missouri, United States, 63141
Contact: Clinical Trials Office - David C. Pratt Cancer Center at St. J     314-251-6770        
United States, Pennsylvania
UPMC Cancer Centers Recruiting
Pittsburgh, Pennsylvania, United States, 15232
Contact: Clinical Trials Office - UPMC Cancer Centers     412-647-8073        
United States, Wisconsin
Medical College of Wisconsin Cancer Center Recruiting
Milwaukee, Wisconsin, United States, 53226
Contact: Clinical Trials Office - Medical College of Wisconsin Cancer C     414-805-4380        
Sponsors and Collaborators
University of Chicago
Investigators
Study Chair: Edwin M. Posadas, MD University of Chicago
  More Information

Additional Information:
No publications provided

Responsible Party: University of Chicago Cancer Research Center ( Everett E. Vokes )
Study ID Numbers: CDR0000538086, UCCRC-14954A
Study First Received: March 27, 2007
Last Updated: December 22, 2009
ClinicalTrials.gov Identifier: NCT00454571     History of Changes
Health Authority: Unspecified

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

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Site
Prostatic Diseases
Genital Neoplasms, Male
Urogenital Neoplasms
Genital Diseases, Male
Prostatic Neoplasms

ClinicalTrials.gov processed this record on February 08, 2010