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Neoadjuvant Chemotherapy With Cabazitaxel
CLUBNET
1 other identifier
interventional
11
1 country
1
Brief Summary
This study is aimed at evaluating the efficacy regarding the response rate and metastasis-free survival time of cabazitaxel as a neoadjuvant treatment in patients with high risk prostate cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Jul 2013
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2013
CompletedFirst Submitted
Initial submission to the registry
July 22, 2013
CompletedFirst Posted
Study publicly available on registry
September 13, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2016
CompletedSeptember 13, 2016
September 1, 2016
2.5 years
July 22, 2013
September 12, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Complete pathological response rate
Primary endpoint: overall or cancer specific survival nor progression-free survival(PFS) in 5 years. Composite measurement. Key-parameters: * Complete pathohistological remission * Intra/perioperative compl. * PFS * Metastasis-FS * Biochemical, radiological, clinical PFS and androgen-deprivation FS * Objective progr. during cabazitaxel therapy (cab.th.) and post surgery * PSA response at the end of cab.th. * PSA progression after 12 w. of cab.th. * Percentage of pat. with undetectable PSA (\<0.1 ng/ml) post surgery * Relationship between PSA kinetics, histol. response and MRI response * Role of pathohistol. parameters such as intraductal, cribriform growth patterns and effect on response * Immunohistochemical evaluation of prostate biopsy and radical prostatectomy specimens of markers potentially associated with chemoresistance: growth differentiation factor 15, surviving, beta-tubuline I \& II, p53, bcl-2, * Measurement of the serum concentrations of free circulating mDNA
5 years
Study Arms (1)
Cabazitaxel chemotherapy
OTHERPatients undergo 6 cycles Cabazitaxel chemotherapy. Cabazitaxel suspension is given once per cycle as infusion intravenously, 1 mg/square meter. For max. 6 times at all.
Interventions
Eligibility Criteria
You may qualify if:
- Surgically resectable high risk prostate cancer with a 5-year relapse probability ≥ 60% according to the Kattan pre-operative nomogram (cancer 2009, 115: 1005-1010)
- no prior therapy for prostate cancer such as androgen deprivation therapy, radiation therapy, or chemotherapy
- ECOG performance status 0-1
- No evidence of active infection
- Hemoglobin \>9.0 g/dL
- Absolute neutrophil count \>1.5 x 109/L,
- Platelet count \>100 x 109/L,
- AST/SGOT and/or ALT/SGPT \<2.5 x ULN;
- Total bilirubin \<1.0 x ULN,
- Serum creatinine \<1.5 x ULN. If creatinine 1.0 - 1.5 x ULN, creatinine clearance will be calculated according to CKD-EPI formula and patients with creatinine clearance \<60 mL/min should be excluded)
- Patient information and signature of informed consent
- Male ≥ 18 years
- Patients of reproductive age must take appropriate contraceptive precautions during and for 6 months after the end of their participation in the study
You may not qualify if:
- Evidence of lymph node, visceral or bone metastases
- previous major intrapelvic surgery
- previous radiation therapy to the small pelvis
- any type of malignancies within the last 5 years except basalioma and non-muscle invasive urothelial cancer of the urinary bladder
- previous chemotherapy with taxanes (docetaxel, paclitaxel, cabazitaxel) for any indication
- Hypersensitivity to the active substance or to any of the excipients
- Known or suspected brain metastases or leptomeningeal metastases
- Active or symptomatic viral hepatitis or chronic liver disease
- Serious or uncontrolled co-existent non-malignant disease, including active and uncontrolled infection
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Uniklinik RWTH Aachen
Aachen, North Rhine-Westphalia, 52074, Germany
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 22, 2013
First Posted
September 13, 2013
Study Start
July 1, 2013
Primary Completion
January 1, 2016
Study Completion
January 1, 2016
Last Updated
September 13, 2016
Record last verified: 2016-09