Study of a Drug [DCVax (tm)-Prostate] to Treat Prostate Cancer When Hormone Therapy is no Longer Effective.
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Purpose
The purpose of this clinical research study is to assess the safety and efficacy of an investigational therapy called DCVax(TM)-Prostate.
| Condition | Intervention | Phase |
|---|---|---|
|
Prostate Cancer |
Drug: Dendritic cell immunotherapy |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Treatment |
| Official Title: | A Randomized, Double-blind, Placebo-controlled Phase III Clinical Trial Evaluating DCVax(tm)-Prostate, Autologous Dendritic Cells Loaded With Recombinant PSMA for the Treatment of Metastatic Hormone Refractory Prostate Cancer |
| Enrollment: | 0 |
Patients with hormone refractory prostate cancer are eligible if they have a rising PSA or three or fewer metastatic lesions. The experimental therapy uses a patient's own white blood cells and "teaches" the cells to recognize a "flag" on prostate cancer cells. This may help the immune system destroy prostate cancer cells. Side effects reported from the Phase I/II trial include skin reactions of redness, pain & swelling at the injection site, and short-lived headache, fever & fatigue. Full details are available in the informed consent.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria
Hormone refractory prostate cancer (HRPC) – progressive disease despite androgen deprivation and serum testosterone <50ng/dL; progression defined as either:
- Rising PSA over 6 months with at least a 50% increase between the 1st and 3rd measurement, and the 3rd measurement >2.0 ng/ml; or
- Progression of metastatic lesion on bone scan, or
- Progression of lymph node metastasis by CT scan.
- Zubrod or ECOG performance status of 0-1.
- Three or fewer bone metastases on a bone scan with minimal symptoms.
- No lymph node lesions greater than 3.0 cm at longest diameter.
- Adequate hematological, hepatic and renal function.
Exclusion Criteria
- History of other active malignancy.
- Prior chemotherapy, radiation therapy, immunosuppressive or investigational therapy for metastatic disease in previous 12 months.
- Strong opioids, immunosuppressives, megestrol acetate or other estrogenic hormones (e.g., Saw Palmetto, PC-SPES) within 1 month prior to enrollment.
- Brain, liver, or lung metastases; uncontrolled heart, liver, lung, or renal diseases or other serious illness.
- Prior splenectomy.
- History of severe asthma, anaphylaxis, or other serious adverse reactions to vaccines or any of the antigens included in the skin test.
- History of moderate to severe lower limb lymphedema, or recent signs of deep venous thrombosis (DVT) or thrombo-embolic disease, or impending stroke.
- History of immunodeficiency or autoimmune disease; positive HIV, HbsAg or anti-HCV.
- Impending untreated spinal cord compression or urinary outlet obstruction.
- Any medication that might affect immune function. (Exceptions: Nonprescription doses of NSAIDS; acetaminophen or aspirin; low doses of antihistamine therapy; normal range doses of vitamins; and H2 blockers).
Contacts and Locations| United States, Arkansas | |
| Highlands Oncology Group | |
| Springdale, Arkansas, United States | |
| United States, California | |
| University of California, Los Angeles | |
| Los Angeles, California, United States | |
| University of California, San Diego Medical Center | |
| San Diego, California, United States | |
| United States, District of Columbia | |
| Walter Reed Army Medical Center | |
| Washington, District of Columbia, United States | |
| United States, Florida | |
| Cancer Centers of Florida, P.A. | |
| Orlando, Florida, United States | |
| United States, Illinois | |
| St. Francis Medical Center | |
| Peoria, Illinois, United States | |
| United States, Louisiana | |
| Louisiana State University | |
| New Orleans, Louisiana, United States | |
| United States, Nevada | |
| Clinical Research Solutions | |
| Las Vegas, Nevada, United States | |
| United States, New York | |
| Albany Regional Cancer Center | |
| Albany, New York, United States | |
| United States, North Carolina | |
| Carolinas HealthCare System | |
| Charlotte, North Carolina, United States | |
| United States, Ohio | |
| Cleveland Clinic Foundation | |
| Cleveland, Ohio, United States | |
| United States, Texas | |
| Mary Crowley Medical Research Center | |
| Dallas, Texas, United States | |
| Tyler Cancer Center | |
| Tyler, Texas, United States | |
| United States, Utah | |
| University of Utah | |
| Salt Lake City, Utah, United States | |
| United States, Washington | |
| Cancer Care Northwest | |
| Spokane, Washington, United States | |
| United States, Wisconsin | |
| St. Luke's Medical Center | |
| Milwaukee, Wisconsin, United States | |
More Information
Additional Information:
No publications provided
| Responsible Party: | Northwest Biotherapeutics |
| ClinicalTrials.gov Identifier: | NCT00043212 History of Changes |
| Other Study ID Numbers: | DC3-HRPC, October 2001 |
| Study First Received: | August 6, 2002 |
| Last Updated: | April 30, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Northwest Biotherapeutics:
|
prostate cancer oncology urology hormone refractory prostate cancer |
Additional relevant MeSH terms:
|
Prostatic Neoplasms Genital Neoplasms, Male Urogenital Neoplasms Neoplasms by Site Neoplasms Genital Diseases, Male |
Prostatic Diseases Hormones Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 23, 2013