Docetaxel (Taxotere) and Imatinib Mesylate (Gleevec) in Hormone Refractory Prostate Cancer

This study has been terminated.
(due to slow accrual)
Sponsor:
Collaborator:
Novartis
Information provided by:
New York University School of Medicine
ClinicalTrials.gov Identifier:
NCT00861471
First received: March 12, 2009
Last updated: August 17, 2011
Last verified: August 2011
Results First Received: April 29, 2011  
Study Type: Interventional
Study Design: Endpoint Classification: Safety/Efficacy Study;   Intervention Model: Single Group Assignment;   Masking: Open Label;   Primary Purpose: Treatment
Conditions: Prostate Cancer
Prostatic Neoplasms
Interventions: Drug: Docetaxel
Drug: Imatinib Mesylate

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
12 patients were enrolled between Sep. 2006 and Nov. 2008 for the Phase II part of the study in New York University Medical center and affiliated hospitals.

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
Once the optimal combination dose of Docetaxel (Taxotere) and Gleevec (Imatinib Mesylate) was determined in the Phase I part, the study proceeded to Phase II. There were 12 patients in Phase I and Phase II, respectively. The results reported here are only for Phase II.

Reporting Groups
  Description
Docetaxel +Gleevec 21 days per treatment cycle for up to 1 year: Day 1: Docetaxel (Taxotere) ( 70 mg/m^2 intravenously over 1 hour. Day 2: (24-36 hours later) start Gleevec (Imatinib Mesylate) 600 mg, orally, daily x 14 days

Participant Flow:   Overall Study
    Docetaxel +Gleevec  
STARTED     12  
COMPLETED     3  
NOT COMPLETED     9  
Withdrawal by Subject                 1  
Adverse Event                 2  
Lack of Efficacy                 3  
treatment for lumbar laminectomy                 1  
Physician Decision                 2  



  Baseline Characteristics
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Reporting Groups
  Description
Docetaxel +Gleevec 21 days per treatment cycle for up to 1 year: Day 1: Docetaxel (Taxotere) ( 70 mg/m^2 intravenously over 1 hour. Day 2: (24-36 hours later) start Gleevec (Imatinib Mesylate) 600 mg, orally, daily x 14 days

Baseline Measures
    Docetaxel +Gleevec  
Number of Participants  
[units: participants]
  12  
Age  
[units: participants]
 
<=18 years     0  
Between 18 and 65 years     5  
>=65 years     7  
Age  
[units: years]
Mean ± Standard Deviation
  67.2  ± 9.9  
Gender  
[units: participants]
 
Female     0  
Male     12  
Region of Enrollment  
[units: participants]
 
United States     12  



  Outcome Measures
  Show All Outcome Measures

1.  Primary:   Percentage of Participants With Prostate Specific Antigen (PSA) Response   [ Time Frame: up to 9 months ]

2.  Secondary:   Percentage of Participants With Greater or Equal to 80% PSA Reduction From Baseline Without Clinical or Radiologic Evidence of Progression   [ Time Frame: up to 9 months ]

3.  Secondary:   Percentage of Participants With Measurable Disease Response   [ Time Frame: up to 2 years ]

4.  Secondary:   Time to PSA Progression   [ Time Frame: up to 2 years ]

5.  Secondary:   Median Overall Survival Time   [ Time Frame: up to 4 years ]


  Serious Adverse Events


  Other Adverse Events
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Time Frame on study (up to 9 months) plus 30 days after
Additional Description adverse events were collected by patient reporting, investigator questioning, physical exams, lab tests, etc.

Frequency Threshold
Threshold above which other adverse events are reported   5%  

Reporting Groups
  Description
Docetaxel +Gleevec 21 days per treatment cycle for up to 1 year: Day 1: Docetaxel (Taxotere) ( 70 mg/m^2 intravenously over 1 hour. Day 2: (24-36 hours later) start Gleevec (Imatinib Mesylate) 600 mg, orally, daily x 14 days

Other Adverse Events
    Docetaxel +Gleevec  
Total, other (not including serious) adverse events    
# participants affected / at risk     12/12  
Blood and lymphatic system disorders    
hemoglobin † 1  
# participants affected / at risk     8/12 (66.67%)  
leukocytes † 1  
# participants affected / at risk     1/12 (8.33%)  
lymphatics † 1  
# participants affected / at risk     3/12 (25.00%)  
neutrophils/ granulocytes † 1  
# participants affected / at risk     2/12 (16.67%)  
platelets † 1  
# participants affected / at risk     1/12 (8.33%)  
Cardiac disorders    
edema † 1  
# participants affected / at risk     5/12 (41.67%)  
palpitations † 1  
# participants affected / at risk     1/12 (8.33%)  
sinus tachycardia † 1  
# participants affected / at risk     1/12 (8.33%)  
Eye disorders    
ocular/ visual -other † 1  
# participants affected / at risk     3/12 (25.00%)  
tearing † 1  
# participants affected / at risk     3/12 (25.00%)  
Gastrointestinal disorders    
anorexia † 1  
# participants affected / at risk     4/12 (33.33%)  
constipation † 1  
# participants affected / at risk     4/12 (33.33%)  
dehydration † 1  
# participants affected / at risk     1/12 (8.33%)  
diarrhea (with colostomy) † 1  
# participants affected / at risk     1/12 (8.33%)  
diarrhea (without colostomy) † 1  
# participants affected / at risk     5/12 (41.67%)  
gastrointestinal- other † 1  
# participants affected / at risk     1/12 (8.33%)  
nausea † 1  
# participants affected / at risk     7/12 (58.33%)  
stomatitis/ pharyngitis † 1  
# participants affected / at risk     1/12 (8.33%)  
taste disturbance † 1  
# participants affected / at risk     4/12 (33.33%)  
vomiting † 1  
# participants affected / at risk     3/12 (25.00%)  
General disorders    
abdominal pain or cramping † 1  
# participants affected / at risk     2/12 (16.67%)  
constitutioanl symptoms-other † 1  
# participants affected / at risk     1/12 (8.33%)  
fatigue † 1  
# participants affected / at risk     9/12 (75.00%)  
fever † 1  
# participants affected / at risk     1/12 (8.33%)  
pain -other † 1  
# participants affected / at risk     3/12 (25.00%)  
rigors/ chills † 1  
# participants affected / at risk     1/12 (8.33%)  
weight gain † 1  
# participants affected / at risk     1/12 (8.33%)  
weight loss † 1  
# participants affected / at risk     1/12 (8.33%)  
Immune system disorders    
allergic rhinitis † 1  
# participants affected / at risk     1/12 (8.33%)  
Metabolism and nutrition disorders    
hyponatremia † 1  
# participants affected / at risk     1/12 (8.33%)  
Musculoskeletal and connective tissue disorders    
bone pain † 1  
# participants affected / at risk     1/12 (8.33%)  
myalgia † 1  
# participants affected / at risk     2/12 (16.67%)  
Nervous system disorders    
insomnia † 1  
# participants affected / at risk     1/12 (8.33%)  
neuropathy /sensory † 1  
# participants affected / at risk     7/12 (58.33%)  
Respiratory, thoracic and mediastinal disorders    
cough † 1  
# participants affected / at risk     2/12 (16.67%)  
dyspnea † 1  
# participants affected / at risk     5/12 (41.67%)  
Skin and subcutaneous tissue disorders    
alopecia † 1  
# participants affected / at risk     5/12 (41.67%)  
dermotology/ skin- other † 1  
# participants affected / at risk     4/12 (33.33%)  
dry skin † 1  
# participants affected / at risk     2/12 (16.67%)  
injection site reaction † 1  
# participants affected / at risk     1/12 (8.33%)  
nail changes † 1  
# participants affected / at risk     4/12 (33.33%)  
pruritus † 1  
# participants affected / at risk     1/12 (8.33%)  
rash/ desquamation † 1  
# participants affected / at risk     1/12 (8.33%)  
Events were collected by systematic assessment
1 Term from vocabulary, CTCAE (3.0)



  More Information
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Certain Agreements:  
All Principal Investigators ARE employed by the organization sponsoring the study.


Limitations and Caveats
Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
This study was terminated before it reached the target accrual number due to slow accrual, leading to small number of subjects analyzed (12 out of the target number of 37).  


Results Point of Contact:  
Name/Title: Anna Ferrari, MD
Organization: New York University Cancer Institute
phone: 212-731-5389
e-mail: anna.ferrari@nyumc.org


No publications provided


Responsible Party: Anna Ferrari, MD, NYU Cancer Institute
ClinicalTrials.gov Identifier: NCT00861471     History of Changes
Other Study ID Numbers: NYU 04-47 (H12554), Novartis CSTI571BUS200
Study First Received: March 12, 2009
Results First Received: April 29, 2011
Last Updated: August 17, 2011
Health Authority: United States: Institutional Review Board