Adenocarcinoma of the ProstatePhase 2NCT00087139
Ixabepilone in Treating Patients With Metastatic Prostate Cancer
A Phase 2 study testing ixabepilone in people with Adenocarcinoma of the Prostate and Recurrent Prostate Cancer, run by National Cancer Institute (NCI) at 162 sites in United States.
Trial summary
Drugs used in chemotherapy, such as ixabepilone, work in different ways to stop tumor cells from dividing so they stop growing or die. This phase II trial is studying how well ixabepilone works in treating patients with metastatic prostate cancer that has not responded to previous hormone therapy. Read more about this study
- Who is it for?
- Ages 18 years and older, men only
- Conditions the study is for
- Adenocarcinoma of the Prostate, Recurrent Prostate Cancer, Stage IV Prostate Cancer
- What is being tested?
- ixabepilone
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 124 participants
- Where
- 162 sitesUnited States
- Study dates
- Sep 2004to Feb 2011
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Men only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically confirmed adenocarcinoma of the prostate
- Metastatic disease
- Evidence of disease progression (e.g., new lesions on bone scan or new/enlarging lesions on CT scan) OR rising prostate-specific antigen (PSA) within the past 4 weeks
- Radiologic evidence of hydronephrosis alone is not considered evidence of metastatic disease (e.g., increasing PSA)
- Patients with bone metastases only (i.e., lacking soft tissue disease) must have a PSA level >= 10 ng/mL within the past week
- Patients with stable disease and rising PSA must show 2 consecutive rises in PSA measurements taken at least 2 weeks apart
Show all 47Show fewer
- Most recent PSA level must be obtained within the past 4 weeks
- Disease progression after prior anti-androgen withdrawal must be confirmed by a rising PSA after the 4-6 week washout period (e.g., PSA level higher than the last PSA obtained while on anti-androgen therapy)
- Failed prior bilateral orchiectomy or other primary hormonal therapy
- Patients who have not undergone bilateral orchiectomy must continue on luteinizing hormone-releasing hormone (LHRH) agonist therapy (e.g., leuprolide or goserelin) or LHRH antagonist (e.g., abarelix) during study treatment AND must have a serum testosterone level =< 50 ng/dL within the past 4 weeks to confirm androgen suppression
- ECOG 0-2
- Granulocyte count >= 1,500/mm^3
- Platelet count >= 100,000/mm^3
- WBC >= 4,000/mm^3
- SGPT =< 2 times upper limit of normal
- Bilirubin =< 1.5 mg/dL
- INR normal
- Creatinine =< 1.5 mg/dL
- Creatinine clearance >= 50 mL/min
- No New York Heart Association class III-IV heart disease
- No myocardial infarction within the past 6 months
- No active angina pectoris
- No evidence of ventricular dysrhythmias or other unstable arrhythmia
- Rate-controlled atrial fibrillation allowed provided the patient is asymptomatic
- No other malignancy within the past 5 years except curatively treated nonmelanoma skin cancer
- No serious medical illness or active infection that would preclude study participation
- No concurrent prophylactic filgrastim (G-CSF)
- No more than 2 prior cytotoxic chemotherapy regimens for hormone-refractory disease
- At least 4 weeks since prior chemotherapy with a taxane-based regimen, mixantrone, or another cytotoxic chemotherapy regimen provided there is evidence of progressive disease
- At least 4 weeks since prior flutamide AND continued evidence of progressive disease
- At least 6 weeks since prior bicalutamide or nilutamide AND continued evidence of progressive disease
- At least 4 weeks since prior estrogen or estrogen-like agents (e.g., PC-SPES, saw palmetto, or other herbal products which may contain phytoestrogens)
- At least 4 weeks since prior hormonal therapy, including megestrol, finasteride, ketoconazole, or systemic corticosteroids
- No concurrent estrogen or estrogen-like agents (e.g., PC-SPES, saw palmetto, or other herbal products which may contain phytoestrogens)
- More than 4 weeks since prior radiotherapy
- No prior strontium chloride Sr 89 or samarium Sm 153 lexidronam pentasodium
- No other prior radioisotope
- No concurrent radiotherapy for pain control
- No more than 1 prior experimental (non-cytotoxic) therapy AND evidence of progressive disease
- At least 4 weeks since prior experimental therapy
- Concurrent bisphosphonates (e.g., pamidronate or zoledronate) allowed provided treatment was initiated at least 4 weeks ago and there is evidence of progressive disease
- No other concurrent investigational agents
- No concurrent therapeutic warfarin
- Concurrent prophylactic or therapeutic doses of low molecular weight heparin allowed provided criterion for INR is met
- No carcinomatous meningitis or brain metastases
- Fertile patients must use effective contraception
- No peripheral neuropathy > grade 1
Who cannot join
None listed.
Trial locations and contacts
162 sites in 1 country.
162 sites in 1 country
United States162 sites
Lehigh Valley Hospital
Allentown, Pennsylvania, 18105
McFarland Clinic PC-William R Bliss Cancer Center
Ames, Iowa, 50010
Saint Joseph Mercy Hospital
Ann Arbor, Michigan, 48106-0995
Michigan Cancer Research Consortium Community Clinical Oncology Program
Ann Arbor, Michigan, 48106
The Medical Center of Aurora
Aurora, Colorado, 80012
Rush - Copley Medical Center
Aurora, Illinois, 60504
Greater Baltimore Medical Center
Baltimore, Maryland, 21204
Saint Luke's University Hospital-Bethlehem Campus
Bethlehem, Pennsylvania, 18015
Constantinou, Costas L MD (UIA Investigator)
Bettendorf, Iowa, 52722
Saint Joseph Medical Center
Bloomington, Illinois, 61701
Eastern Cooperative Oncology Group
Boston, Massachusetts, 02215
Boulder Community Hospital
Boulder, Colorado, 80301
Ocean Medical Center
Brick, New Jersey, 08724
Bryn Mawr Hospital
Bryn Mawr, Pennsylvania, 19010
Graham Hospital Association
Canton, Illinois, 61520
Mercy Medical Center
Canton, Ohio, 44708
Saint Anthony Regional Hospital
Carroll, Iowa, 51401
Memorial Hospital
Carthage, Illinois, 62321
Saint Luke's Hospital
Cedar Rapids, Iowa, 52402
Cedar Rapids Oncology Association
Cedar Rapids, Iowa, 52403
Mercy Hospital
Cedar Rapids, Iowa, 52403
Oncology Associates at Mercy Medical Center
Cedar Rapids, Iowa, 52403
MetroHealth Medical Center
Cleveland, Ohio, 44109
Medical Oncology and Hematology Associates-West Des Moines
Clive, Iowa, 50325
Penrose-Saint Francis Healthcare
Colorado Springs, Colorado, 80907
Mary Imogene Bassett Hospital
Cooperstown, New York, 13326
Alegent Health Mercy Hospital
Council Bluffs, Iowa, 51503
Oakwood Hospital
Dearborn, Michigan, 48124
Porter Adventist Hospital
Denver, Colorado, 80210
Exempla Saint Joseph Hospital
Denver, Colorado, 80218
Presbyterian - Saint Lukes Medical Center - Health One
Denver, Colorado, 80218
Rose Medical Center
Denver, Colorado, 80220
Colorado Cancer Research Program CCOP
Denver, Colorado, 80224-2522
Mercy Capitol
Des Moines, Iowa, 50307
Iowa Methodist Medical Center
Des Moines, Iowa, 50309
Iowa Oncology Research Association CCOP
Des Moines, Iowa, 50309
Medical Oncology and Hematology Associates-Des Moines
Des Moines, Iowa, 50309
Medical Oncology and Hematology Associates-Laurel
Des Moines, Iowa, 50314
Mercy Medical Center - Des Moines
Des Moines, Iowa, 50314
Iowa Lutheran Hospital
Des Moines, Iowa, 50316
Saint John Hospital and Medical Center
Detroit, Michigan, 48236
Essentia Health Duluth Clinic CCOP
Duluth, Minnesota, 55805
Essentia Health Saint Mary's Medical Center
Duluth, Minnesota, 55805
Miller-Dwan Hospital
Duluth, Minnesota, 55805
Sacred Heart Hospital
Eau Claire, Wisconsin, 54701
Advocate Sherman Hospital
Elgin, Illinois, 60123
Alexian Brothers Medical and Cancer Center
Elk Grove Village, Illinois, 60007
Elkhart General Hospital
Elkhart, Indiana, 46515
Swedish Medical Center
Englewood, Colorado, 80113
Green Bay Oncology - Escanaba
Escanaba, Michigan, 49431
Eureka Hospital
Eureka, Illinois, 61530
Hunterdon Medical Center
Flemington, New Jersey, 08822
Hurley Medical Center
Flint, Michigan, 48502
Genesys Regional Medical Center-West Flint Campus
Flint, Michigan, 48532
Fremont Area Medical Center
Fremont, Nebraska, 68025
Galesburg Cottage Hospital
Galesburg, Illinois, 61401
Illinois CancerCare Galesburg
Galesburg, Illinois, 61401
Saint Mary's Hospital and Regional Medical Center
Grand Junction, Colorado, 81502
North Colorado Medical Center
Greeley, Colorado, 80631
Green Bay Oncology at Saint Vincent Hospital
Green Bay, Wisconsin, 54301-3526
Saint Vincent Hospital
Green Bay, Wisconsin, 54301
Green Bay Oncology Limited at Saint Mary's Hospital
Green Bay, Wisconsin, 54303
Saint Mary's Hospital
Green Bay, Wisconsin, 54303
Cancer Institute of New Jersey At Hamilton
Hamilton, New Jersey, 08690
Mason District Hospital
Havana, Illinois, 62644
Penn State Milton S Hershey Medical Center
Hershey, Pennsylvania, 17033-0850
Hopedale Medical Complex - Hospital
Hopedale, Illinois, 61747
Green Bay Oncology - Iron Mountain
Iron Mountain, Michigan, 49801
Allegiance Health
Jackson, Michigan, 49201
Edna Williams Cancer Center at the Baptist Cancer Institute
Jacksonville, Florida, 32207
UW Cancer Center Johnson Creek
Johnson Creek, Wisconsin, 53038
Joliet Oncology-Hematology Associates Limited
Joliet, Illinois, 60435
Kalamazoo Center for Medical Studies
Kalamazoo, Michigan, 49008
Kewanee Hospital
Kewanee, Illinois, 61443
Community Howard Regional Health
Kokomo, Indiana, 46904
Gundersen Lutheran
La Crosse, Wisconsin, 54601
Indiana University Health La Porte Hospital
La Porte, Indiana, 46350
Lakeland Regional Cancer Center
Lakeland, Florida, 33805
Saint Anthony Hospital
Lakewood, Colorado, 80228
Sparrow Hospital
Lansing, Michigan, 48912
Lewistown Hospital
Lewistown, Pennsylvania, 17044
Bryan LGH Medical Center West
Lincoln, Nebraska, 68502
Bryan LGH Medical Center East
Lincoln, Nebraska, 68506
Saint Elizabeth Regional Medical Center
Lincoln, Nebraska, 68510
Meeker County Memorial Hospital
Litchfield, Minnesota, 55355
Saint Mary Mercy Hospital
Livonia, Michigan, 48154
Sky Ridge Medical Center
Lone Tree, Colorado, 80124
Longmont United Hospital
Longmont, Colorado, 80501
McKee Medical Center
Loveland, Colorado, 80539
Mcdonough District Hospital
Macomb, Illinois, 61455
UW Health Oncology - 1 South Park
Madison, Wisconsin, 53715
University of Wisconsin Hospital and Clinics
Madison, Wisconsin, 53792
Bay Area Medical Center
Marinette, Wisconsin, 54143
Franciscan Saint Anthony Health-Michigan City
Michigan City, Indiana, 46360
Virginia Piper Cancer Institute
Minneapolis, Minnesota, 55407
Saint Joseph Regional Medical Center-Mishawaka
Mishawaka, Indiana, 46545-1470
Community Memorial Hospital
Missouri Valley, Iowa, 51555
Garneau, Stewart C MD (UIA Investigator)
Moline, Illinois, 61265
Porubcin, Michael MD (UIA Investigator)
Moline, Illinois, 61265
Sharis, Christine M MD (UIA Investigator)
Moline, Illinois, 61265
Stoffel, Thomas J MD (UIA Investigator)
Moline, Illinois, 61265
Vigliotti, Antonio, P.G. M.D. (UIA Investigator)
Moline, Illinois, 61265
Mountainside Hospital
Montclair, New Jersey, 07042
Morristown Memorial Hospital
Morristown, New Jersey, 07962
Fox Chase Cancer Center at Virtua Memorial Hospital of Burlington County
Mount Holly, New Jersey, 08060
Cancer Institute of New Jersey
New Brunswick, New Jersey, 08903
Bromenn Regional Medical Center
Normal, Illinois, 61761
Community Cancer Center Foundation
Normal, Illinois, 61761
Green Bay Oncology - Oconto Falls
Oconto Falls, Wisconsin, 54154
Burgess Memorial Hospital
Onawa, Iowa, 51040
Illinois CancerCare-Ottawa Clinic
Ottawa, Illinois, 61350
Ottawa Regional Hospital and Healthcare Center
Ottawa, Illinois, 61350
Paoli Memorial Hospital
Paoli, Pennsylvania, 19301
Midlands Community Hospital
Papillion, Nebraska, 68046
Pekin Cancer Treatment Center
Pekin, Illinois, 61554
Pekin Hospital
Pekin, Illinois, 61554
Methodist Medical Center of Illinois
Peoria, Illinois, 61603
Proctor Hospital
Peoria, Illinois, 61614
Illinois CancerCare-Peoria
Peoria, Illinois, 61615
Illinois Oncology Research Association CCOP
Peoria, Illinois, 61615
OSF Saint Francis Medical Center
Peoria, Illinois, 61637
Illinois Valley Hospital
Peru, Illinois, 61354
Saint Joseph Regional Medical Center - Mishawaka
Plymouth, Indiana, 46544
Saint Joseph Mercy Oakland
Pontiac, Michigan, 48341-2985
Saint Joseph Mercy Port Huron
Port Huron, Michigan, 48060
Perry Memorial Hospital
Princeton, Illinois, 61356
Saint Mary Corwin Medical Center
Pueblo, Colorado, 81004
Marshfield Clinic-Rice Lake Center
Rice Lake, Wisconsin, 54868
Saint Mary's of Michigan
Saginaw, Michigan, 48601
Lakeland Hospital
Saint Joseph, Michigan, 49085
Saint Joseph's Hospital - Healtheast
Saint Paul, Minnesota, 55102
Nanticoke Memorial Hospital
Seaford, Delaware, 19973
Siouxland Regional Cancer Center
Sioux City, Iowa, 51101-1733
Siouxland Hematology Oncology Associates
Sioux City, Iowa, 51101
Mercy Medical Center-Sioux City
Sioux City, Iowa, 51104
Saint Luke's Regional Medical Center
Sioux City, Iowa, 51104
Sanford Cancer Center-Oncology Clinic
Sioux Falls, South Dakota, 57104
Medical X-Ray Center
Sioux Falls, South Dakota, 57105
Sanford USD Medical Center - Sioux Falls
Sioux Falls, South Dakota, 57117-5134
Memorial Hospital of South Bend
South Bend, Indiana, 46601
South Bend Clinic
South Bend, Indiana, 46617
Northern Indiana Cancer Research Consortium
South Bend, Indiana, 46628
Saint Margaret's Hospital
Spring Valley, Illinois, 61362
Memorial Medical Center
Springfield, Illinois, 62781-0001
Mount Nittany Medical Center
State College, Pennsylvania, 16803
Green Bay Oncology - Sturgeon Bay
Sturgeon Bay, Wisconsin, 54235
Overlook Hospital
Summit, New Jersey, 07902
Morton Hospital and Medical Center
Taunton, Massachusetts, 02780
Albert Einstein College of Medicine
The Bronx, New York, 10461
Montefiore Medical Center-Wakefield Campus
The Bronx, New York, 10466
Montefiore Medical Center
The Bronx, New York, 10467-2490
North Suburban Medical Center
Thornton, Colorado, 80229
Carle Clinic-Urbana Main
Urbana, Illinois, 61801
Virtua West Jersey Hospital Voorhees
Voorhees Township, New Jersey, 08043
Saint John Macomb-Oakland Hospital
Warren, Michigan, 48093
Marshfield Clinic - Weston Center
Weston, Wisconsin, 54476
Exempla Lutheran Medical Center
Wheat Ridge, Colorado, 80033
Saint Francis Hospital - Wilmington
Wilmington, Delaware, 19805
Marshfield Clinic - Wisconsin Rapids Center
Wisconsin Rapids, Wisconsin, 54494
Woodwinds Health Campus
Woodbury, Minnesota, 55125
Lankenau Hospital
Wynnewood, Pennsylvania, 19096
Mainline Health CCOP
Wynnewood, Pennsylvania, 19096
About this study
Official title: Phase II Study of a Weekly Schedule of BMS-247550 for Patients With Hormone Refractory Prostate Cancer
Drugs used in chemotherapy, such as ixabepilone, work in different ways to stop tumor cells from dividing so they stop growing or die. This phase II trial is studying how well ixabepilone works in treating patients with metastatic prostate cancer that has not responded to previous hormone therapy.
Read the detailed description
PRIMARY OBJECTIVE:
- To determine the effect on percent with a 50% decrease in PSA response in patients with metastatic prostate cancer who have progressed on androgen ablation therapy and are classified into 1 of 3 separate categories:
- Never received prior chemotherapy/cytotoxic therapy
- Received prior taxane-based regimen
- Received 2 prior cytotoxic chemotherapy regimens (including, but not limited to, prior taxane and anthracyclines)
SECONDARY OBJECTIVES:
- Determine measurable disease response in patients with measurable disease treated with this drug and overall response rate.
II. Determine the toxic effects of this drug in these patients. III. Determine the duration of PSA and measurable disease response in patients treated with this drug.
IV. Determine the expression of p53, multidrug resistance protein, and Bcl-2 by immunohistochemistry in the primary tumors of patients treated with this drug.
OUTLINE: This is a multicenter study. Patients are stratified according to prior chemotherapy (none vs 1 prior taxane-containing regimen vs 2 prior cytotoxic regimens).
Patients receive ixabepilone IV over 1 hour on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Patients are followed every 3 months for 2 years and then every 6 months for 3 years.
- Being tested
- ixabepilone
- Medical subject headings
- Prostatic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ixabepiloneDrug
Also called BMS-247550, epothilone B lactam, Ixempra
Given IV
| Study group | Role | What they receive |
|---|---|---|
| Arm I | Experimental | Patients are stratified according to prior chemotherapy (none vs 1 prior taxane-containing regimen vs 2 prior cytotoxic regimens).
Patients receive ixabepilone IV over 1 hour on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Receives: Drug: ixabepilone |
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion of Patients With PSA Response
PSA response is defined as a decline from baseline value by >=50%, or normalization of PSA (PSA < 0.2 ng/lm), confirmed by a second measurement >= 4 weeks later. The proportion of patients with PSA response was reported separately for 3 strata. Additional patients accrued to this study were not included in this analysis.
Measured: Every 4 weeks during treatment; then every 3 months if <2 years from study entry; then every 6 months if 2-5 years from study entry
Secondary outcomes (3)
Proportion of Patients With Measurable Disease Response (Best Overall Response)
Only patients with measurable disease were included in this analysis. The proportion of patients with measurable disease response (based on RECIST: Response Evaluation Criteria in Solid Tumors) was reported separately for 3 strata.
Per RECIST criteria, Complete response (CR)= disappearance of all target and nontarget lesions Partial response (PR)= >=30% decrease in the sum of the longest diameters of target lesions from baseline, and persistence of one or more non-target lesion(s) and/or the maintenance of tumor marker level above the normal limits.
Objective response = CR + PR
Measured: Every 8 weeks during treatment; then every 3 months if <2 years from study entry; then every 6 months if 2-5 years from study entry
Duration of PSA Response
Duration of PSA response was defined as the time from the date of onset of PSA response until the date the criteria were met for PSA progression. Only patients with a PSA response were included in this analysis. The results were reported separately for 3 strata.
Measured: Every 4 weeks during treatment; then every 3 months if <2 years from study entry; then every 6 months if 2-5 years from study entry
Duration of Measurable Disease Response
Duration of measurable disease response was defined as the time from the date when measurement criteria were met for complete or partial response, whichever status was recorded first, until the first date that recurrent or progressive disease was objectively documented based on RECIST (Response Evaluation Criteria in Solid Tumors). Only patients with measurable disease response were included in this analysis.
Measured: Every 8 weeks during treatment; then every 3 months if <2 years from study entry; then every 6 months if 2-5 years from study entry
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Jul 2004 (estimated)
- Study startSep 2004
- Primary completionApr 2009
- Study completionFeb 2011
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Adenocarcinoma of the ProstateStudies of the same condition, open and under way.
- More trials run by National Cancer Institute (NCI)The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 124 participants (actual)
Sponsor and investigators
- Lead sponsor
- National Cancer Institute (NCI)
- Sponsor type
- US National Institutes of Health
- Responsible party
- Sponsor
- Investigators
- Glenn Liu, Principal investigator, Eastern Cooperative Oncology Group
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00087139
- Sponsor's protocol ID
- NCI-2009-00548
- Other IDs
- NCI-2009-00548, CDR0000372946, E3803, E3803, E3803, U10CA021115
- Status last verified
- Apr 2013
- First submitted
- 8 Jul 2004
- Last updated
- 9 May 2014
- Results posted
- Yes, on ClinicalTrials.gov
Study at a glance
From the registry record, last updated by the sponsor on 9 May 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase II Study of a Weekly Schedule of BMS-247550 for Patients With Hormone Refractory Prostate Cancer
- ClinicalTrials.gov ID
- NCT00087139
- Acronym / sponsor ID
- NCI-2009-00548
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 124 participants (actual)
- Lead sponsor
- National Cancer Institute (NCI)US National Institutes of Health
- Study start
- Sep 2004
- Primary completion
- Apr 2009 (actual)
- Study completion
- Feb 2011 (actual)
- First posted
- 12 Jul 2004 (estimated)
- Results
- Posted 27 Dec 2012
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Drugs used in chemotherapy, such as ixabepilone, work in different ways to stop tumor cells from dividing so they stop growing or die. This phase II trial is studying how well ixabepilone works in treating patients with metastatic prostate cancer that has not responded to previous hormone therapy.
Detailed description
PRIMARY OBJECTIVE:
- To determine the effect on percent with a 50% decrease in PSA response in patients with metastatic prostate cancer who have progressed on androgen ablation therapy and are classified into 1 of 3 separate categories:
- Never received prior chemotherapy/cytotoxic therapy
- Received prior taxane-based regimen
- Received 2 prior cytotoxic chemotherapy regimens (including, but not limited to, prior taxane and anthracyclines)
SECONDARY OBJECTIVES:
- Determine measurable disease response in patients with measurable disease treated with this drug and overall response rate.
II. Determine the toxic effects of this drug in these patients. III. Determine the duration of PSA and measurable disease response in patients treated with this drug.
IV. Determine the expression of p53, multidrug resistance protein, and Bcl-2 by immunohistochemistry in the primary tumors of patients treated with this drug.
OUTLINE: This is a multicenter study. Patients are stratified according to prior chemotherapy (none vs 1 prior taxane-containing regimen vs 2 prior cytotoxic regimens).
Patients receive ixabepilone IV over 1 hour on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Patients are followed every 3 months for 2 years and then every 6 months for 3 years.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Arm I | Experimental | Drug: ixabepilonePatients are stratified according to prior chemotherapy (none vs 1 prior taxane-containing regimen vs 2 prior cytotoxic regimens). Patients receive ixabepilone IV over 1 hour on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. |
Who may qualify
- Ages
- 18 years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (47 listed)
- Histologically confirmed adenocarcinoma of the prostate
- Metastatic disease
- Evidence of disease progression (e.g., new lesions on bone scan or new/enlarging lesions on CT scan) OR rising prostate-specific antigen (PSA) within the past 4 weeks
- Radiologic evidence of hydronephrosis alone is not considered evidence of metastatic disease (e.g., increasing PSA)
- Patients with bone metastases only (i.e., lacking soft tissue disease) must have a PSA level >= 10 ng/mL within the past week
Key exclusion criteria (0 listed)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ixabepiloneAlso: BMS-247550, epothilone B lactam, IxempraGiven IV | Drug | Arm I |
Primary outcome
Proportion of Patients With PSA Response
Time frame: Every 4 weeks during treatment; then every 3 months if <2 years from study entry; then every 6 months if 2-5 years from study entry
PSA response is defined as a decline from baseline value by >=50%, or normalization of PSA (PSA < 0.2 ng/lm), confirmed by a second measurement >= 4 weeks later. The proportion of patients with PSA response was reported separately for 3 strata. Additional patients accrued to this study were not included in this analysis.
3 secondary outcomes
Proportion of Patients With Measurable Disease Response (Best Overall Response)
Time frame: Every 8 weeks during treatment; then every 3 months if <2 years from study entry; then every 6 months if 2-5 years from study entry
Duration of PSA Response
Time frame: Every 4 weeks during treatment; then every 3 months if <2 years from study entry; then every 6 months if 2-5 years from study entry
Duration of Measurable Disease Response
Time frame: Every 8 weeks during treatment; then every 3 months if <2 years from study entry; then every 6 months if 2-5 years from study entry
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 May 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Glenn Liu principal investigator
Eastern Cooperative Oncology Group
162 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing ixabepilone in people with Adenocarcinoma of the Prostate and Recurrent Prostate Cancer, run by National Cancer Institute (NCI) at 162 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 47 inclusion and 0 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 9 May 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 162 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 27 Dec 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Proportion of Patients With PSA Response (time frame: Every 4 weeks during treatment; then every 3 months if <2 years from study entry; then every 6 months if 2-5 years from study entry). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 May 2014.