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Doxorubicin and Strontium-89 With or Without Celecoxib in Treating Patients With Progressive Androgen-Independent Prostate Cancer and Bone Metastases
This study is ongoing, but not recruiting participants.
First Received: April 7, 2004   Last Updated: February 6, 2009   History of Changes
Sponsors and Collaborators: M.D. Anderson Cancer Center
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00080782
  Purpose

RATIONALE: Drugs used in chemotherapy, such as doxorubicin, work in different ways to stop tumor cells from dividing so they stop growing or die.

Strontium-89 may relieve bone pain caused by prostate cancer. Celecoxib may stop the growth of cancer by stopping blood flow to the tumor and by blocking the enzymes necessary for tumor cell growth. Combining doxorubicin and strontium-89 with celecoxib may kill more tumor cells.

PURPOSE: This randomized phase II trial is studying celecoxib together with doxorubicin and strontium-89 to see how well they work compared to doxorubicin and strontium-89 alone in treating patients with progressive androgen-independent prostate cancer and bone metastases.


Condition Intervention Phase
Metastatic Cancer
Prostate Cancer
Drug: celecoxib
Drug: doxorubicin hydrochloride
Radiation: strontium chloride Sr 89
Phase II

Study Type: Interventional
Study Design: Treatment, Randomized, Active Control
Official Title: A Randomized Phase II Trial of Bone-Targeted Therapy Consisting of Strontium-89 and Doxorubicin With or Without Celecoxib in Androgen-Independent Prostate Cancer

Resource links provided by NLM:


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

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

Estimated Enrollment: 70
Study Start Date: February 2002
Detailed Description:

OBJECTIVES:

  • Compare time to prostate-specific antigen progression in patients with progressive androgen-independent prostate cancer and bone metastases treated with doxorubicin and strontium chloride Sr 89 with or without celecoxib.

OUTLINE: This is a randomized study. Patients are stratified according to extent of bone metastases on bone scan (> 20 lesions vs ≤ 20 lesions) and quality of response (i.e., decline of the prostate-specific antigen from baseline) to prior induction chemotherapy (≥ 80% vs < 80%). Patients are randomized to 1 of 2 treatment arms.

  • Arm I: Patients receive doxorubicin IV over 30 minutes on days 1, 8, 15, and 22 and strontium chloride Sr 89 IV on day 1. Patients also receive oral celecoxib twice daily in the absence of disease progression.
  • Arm II: Patients receive doxorubicin and strontium chloride Sr 89 as in arm I.

PROJECTED ACCRUAL: A total of 70 patients (35 per treatment arm) will be accrued for this study within 18 months.

  Eligibility

Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Diagnosis of androgen-independent prostate cancer

    • Osteoblastic metastases
    • No predominant visceral metastases
  • Progressive disease after response to prior induction chemotherapy (prostate-specific antigen decline of at least 50% from baseline after 16 weeks of treatment)
  • No symptomatic lymphadenopathy (i.e., scrotal or pedal edema)

PATIENT CHARACTERISTICS:

Age

  • Any age

Performance status

  • Not specified

Life expectancy

  • Not specified

Hematopoietic

  • Not specified

Hepatic

  • Not specified

Renal

  • Not specified

Other

  • Adequate physiologic reserves

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • Not specified

Chemotherapy

  • See Disease Characteristics

Endocrine therapy

  • Not specified

Radiotherapy

  • No prior radionuclide therapy

Surgery

  • Not specified

Other

  • No more than 3 prior cytotoxic treatments
  • More than 6 months since prior celecoxib or rofecoxib
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00080782

Locations
United States, Texas
M.D. Anderson Cancer Center at University of Texas
Houston, Texas, United States, 77030-4009
Sponsors and Collaborators
M.D. Anderson Cancer Center
Investigators
Study Chair: Shi-Ming Tu, MD M.D. Anderson Cancer Center
  More Information

Additional Information:
No publications provided

Study ID Numbers: CDR0000355360, MDA-ID-02035
Study First Received: April 7, 2004
Last Updated: February 6, 2009
ClinicalTrials.gov Identifier: NCT00080782     History of Changes
Health Authority: United States: Federal Government

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

Study placed in the following topic categories:
Anti-Inflammatory Agents
Celecoxib
Genital Neoplasms, Male
Prostatic Diseases
Cyclooxygenase Inhibitors
Urogenital Neoplasms
Genital Diseases, Male
Recurrence
Doxorubicin
Anti-Bacterial Agents
Analgesics, Non-Narcotic
Neoplasm Metastasis
Anti-Inflammatory Agents, Non-Steroidal
Peripheral Nervous System Agents
Analgesics
Antirheumatic Agents
Prostatic Neoplasms
Androgens

Additional relevant MeSH terms:
Anti-Inflammatory Agents
Prostatic Diseases
Genital Neoplasms, Male
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Physiological Effects of Drugs
Urogenital Neoplasms
Antibiotics, Antineoplastic
Neoplastic Processes
Neoplasms by Site
Pathologic Processes
Sensory System Agents
Therapeutic Uses
Neoplasm Metastasis
Anti-Inflammatory Agents, Non-Steroidal
Analgesics
Celecoxib
Cyclooxygenase Inhibitors
Enzyme Inhibitors
Genital Diseases, Male
Doxorubicin
Pharmacologic Actions
Neoplasms
Analgesics, Non-Narcotic
Peripheral Nervous System Agents
Antirheumatic Agents
Central Nervous System Agents
Prostatic Neoplasms

ClinicalTrials.gov processed this record on July 02, 2009