Docetaxel and Erlotinib in Treating Older Patients With Prostate Cancer
Phase II Trial Of TAXOTERE + TARCEVA™ To Treat HRPC In Men ≥ 65 Years Of Age
4 other identifiers
interventional
1
1 country
3
Brief Summary
RATIONALE: Drugs used in chemotherapy, such as docetaxel, work in different ways to stop tumor cells from dividing so they stop growing or die. Erlotinib may stop the growth of tumor cells by blocking the enzymes necessary for their growth. Combining docetaxel with erlotinib may kill more tumor cells. PURPOSE: This phase II trial is studying how well giving docetaxel together with erlotinib works in treating older patients with progressive prostate cancer that has not responded to hormone therapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2 prostate-cancer
Started May 2004
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2004
CompletedFirst Submitted
Initial submission to the registry
July 8, 2004
CompletedFirst Posted
Study publicly available on registry
July 12, 2004
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2006
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2008
CompletedAugust 3, 2020
August 1, 2012
2.1 years
July 8, 2004
July 30, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Response
During the primary phase of the study (cycles 1-9), response to the combination of Taxotere® and Tarceva™ treatment will be assessed at the end of every 3 treatment cycles (9 weeks) with the standard procedures such as physical examination, CT scans, bone scans, MRI and laboratory results. For those patients that continue on in the extension phase of the study (cycles 10 -17), response to Tarceva™ is to be assessed at the end of 4 treatment cycles (end of cycle 13).
9 weeks
Secondary Outcomes (1)
Safety and tolerability based on adverse events, laboratory tests and physical exams
9 weeks
Study Arms (1)
Taxotere plus Tarceva
EXPERIMENTALPatients receive Tarceva 150 mg daily for 21 consecutive days (one treatment cycle). In addition, all patients will receive single agent Taxotere 60 mg/m2 IV over 1 hour infusion every 21 ± 2 days and have it administered on day 1. Taxotere + Tarceva to be taken for three cycles past maximal response or until one of the following occurs: 1) a drug-related toxicity requiring discontinuation, 2) disease progression, or 3) for a maximum of 9 cycles. Upon completion of 9 cycles of Taxotere plus Tarceva, patients showing evidence of objective response (CR, PR or stable disease) may continue in the extension phase of the study and receive treatment with Tarceva alone. Treatment response evaluated after four cycles of Tarceva treatment(immediately prior to cycle 14). Patients with progression of disease will be taken off study. Responding and stable disease patients will remain on study for up to 8 extension-phase cycles for a total of 17 cycles.
Interventions
Administered as an IV infusion of 60m/m2 over a 1-hour period, once every 21 ± 2 days
Will be taken at a starting daily dose of 150mg
Eligibility Criteria
You may qualify if:
- Histologically confirmed adenocarcinoma of the prostate.
- Disease progression following primary or secondary hormonal therapy.
- All patients must be maintained on GnRH analog during this study.
- Serum PSA must be \> 20 ng/mL in patients without bidimensionally measurable disease or bone disease.
- Age \> 65 years.
- Karnofsky performance status of \> 70%.
- Life Expectancy of \> 12 weeks.
- Peripheral neuropathy, if present must be \< grade 1 by NCI criteria.
- Radionuclide bone scan and chest /abdominal/pelvic CT scan must be obtained in all patients within 4 weeks prior to cycle 1/day 1.
- Sexually active men must be willing to consent to using effective contraception while on treatment and for 6 months following treatment.
- No concomitant use of prostata or saw palmetto.
- Testosterone must be castrate levels(\< 50 ng/ml).
- WBC \> 2.8 x 109/L
- Granulocytes \> 1.5 x 109/L
- Platelets \> 100 x 109/L
- +5 more criteria
You may not qualify if:
- Any major surgery or radiotherapy, within 4 weeks prior to cycle 1/day 1 (within 12 weeks for previous treatment with strontium-89, rhenium, or sumarium).
- Hormonal therapy, with the exception of androgen deprivation therapy and stable regimens of prednisone and dexamethasone, (no change within 2 weeks prior to cycle1/day 1). Prior prostate hormonal treatment must have been discontinued at least four weeks (6 weeks for Casodex) prior to cycle1/day 1.
- Cardiovascular: Uncontrolled hypertension (resting blood pressure \>160/100 mm/Hg); clinical episodes of congestive heart failure, angina pectoris, or myocardial infarction within the last year.
- Any active infections (requiring IV antibiotics).
- Any prior chemotherapy.
- Not reliable for adequate follow-up.
- History of severe hypersensitivity reaction to drugs formulated with polysorbate 80.
- Brain metastases or (clinical signs of) brain involvement or leptomeningeal disease.
- Patients with a history of another malignancy during the last 5 years other than prostate cancer, nonmelanomatous skin cancer or in situ bladder cancer (Stage T1a).
- Concurrent commercial or investigational antineoplastic therapy.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Jonsson Comprehensive Cancer Centerlead
- Aventis Pharmaceuticalscollaborator
- Genenteccollaborator
Study Sites (3)
Samuel Oschin Comprehensive Cancer Institute at Cedars-Sinai Medical Center
Los Angeles, California, 90048, United States
Jonsson Comprehensive Cancer Center at UCLA
Los Angeles, California, 90095-1781, United States
University Cancer Center at University of Washington Medical Center
Seattle, Washington, 98195-6043, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Allan Pantuck, MD
Jonsson Comprehensive Cancer Center
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 8, 2004
First Posted
July 12, 2004
Study Start
May 1, 2004
Primary Completion
June 1, 2006
Study Completion
March 1, 2008
Last Updated
August 3, 2020
Record last verified: 2012-08