Prostatic NeoplasmsPhase 2NCT00537381
An Efficacy and Safety Study of Intetumumab (CNTO 95) in Participants With Metastatic Hormone Refractory Prostate Cancer
A Phase 2 study testing Docetaxel, Prednisone and Intetumumab in people with Prostatic Neoplasms, run by Centocor, Inc. at 59 sites in 10 countries.
Trial summary
The purpose of this study is to assess the effects of intetumumab when given in combination with docetaxel and prednisone to participants with metastatic (spread of cancer cells from one part of the body to another) hormone-refractory (not responding to treatment) prostate cancer (abnormal tissue that grows and… Read more about this study
- Who is it for?
- Ages 18 years and older, men only
- Conditions the study is for
- Prostatic Neoplasms
- What is being tested?
- Docetaxel, Prednisone and Intetumumab
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 131 participants
- Where
- 59 sitesin 10 countries
- Study dates
- May 2007to Nov 2009
- 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
- Confirmed cancer of the prostate
- Evidence of metastatic disease
- Have a life expectancy greater than 12 weeks
- Have at least 4 weeks from previous major surgery to date of first study agent given
- Have progressive hormone-refractory disease after orchiectomy or gonadotropin-releasing hormone analog and/or antiandrogen treatment within 6 months prior to the first study agent administration Exclusion Criteria
- Have known Central Nervous System metastases (cancerous tumors that have spread to the brain from somewhere else in the body)
Show all 10Show fewer
- Had prior systemic non-hormonal therapy for hormone refractory prostate cancer
- Have known Human Immunodeficiency Virus (HIV, a life-threatening infection which you can get from an infected person's blood or from having sex with an infected person) seropositivity or known hepatitis B or C infection
- Have planned major surgery during the study
- Have taken any over-the-counter (medicine that can be bought without a prescription) or herbal treatment for prostate cancer within 4 weeks prior to the first study treatment administration
Who cannot join
None listed.
Trial locations and contacts
59 sites in 10 countries.
59 sites in 10 countries
Belgium10 sites
Study site
Antwerp
Study site
Brasschaat
Study site
Brussels
Study site
Haine-Saint-Paul, La Louviere
Study site
Leuven
Study site
Liÿge
Study site
Ottignies
Study site
Roeselare
Study site
Tournai
Study site
Wilrijk
Germany8 sites
Study site
Aschaffenburg
Study site
Berlin
Study site
Cologne
Study site
Freiburg im Breisgau
Study site
Kirchheim
Study site
Marburg
Study site
München
Study site
Tübingen
United States7 sites
Study site
Birmingham, Alabama
Study site
Charleston, South Carolina
Study site
Los Angeles, California
Study site
North Charleston, South Carolina
Study site
San Bernardino, California
Study site
Shreveport, Louisiana
Study site
Wichita, Kansas
Russia7 sites
Study site
Moscow
Study site
Moscow Region
Study site
Saint Petersburg
Study site
St-Petersburg Leningrad
Study site
Voronezh
Study site
Yaroslavl
Study site
Yekaterinburg
India6 sites
Study site
Ahmedabad
Study site
Bangalore
Study site
Chennai
Study site
Mumbai
Study site
New Delhi
Study site
Pune
Poland6 sites
Study site
Bydgoszcz
Study site
Gdansk
Study site
Inowrocław
Study site
Kościerzyna
Study site
Lodz
Study site
Lublin
Netherlands5 sites
Study site
Apeldoorn
Study site
Leiden
Study site
Maastricht
Study site
Nijmegen
Study site
The Hague
United Kingdom4 sites
Study site
Cambridge
Study site
Leicester
Study site
Lincoln
Study site
London
South Africa3 sites
Study site
Johannesburg Gauteng
Study site
Pretoria
Study site
Pretoria Gauteng
About this study
Official title: A Randomized, Double-blind, Multicenter, Phase 2 Study of a Human Monoclonal Antibody to Human av Integrins (CNTO 95) in Combination With Docetaxel for the First-Line Treatment of Subjects With Metastatic Hormone Refractory Prostate Cancer
The purpose of this study is to assess the effects of intetumumab when given in combination with docetaxel and prednisone to participants with metastatic (spread of cancer cells from one part of the body to another) hormone-refractory (not responding to treatment) prostate cancer (abnormal tissue that grows and spreads in the body until it kills).
Read the detailed description
This is a multicenter (when more than one hospital or medical school team work on a medical research study), randomized (the study drug is assigned by chance), double-blind (neither physician nor participant knows the treatment that the participant receives) study of intetumumab in combination with docetaxel and prednisone for the first-line treatment of participants with metastatic hormone-refractory prostate cancer. There will be 2 study groups. One group will receive intetumumab in combination with docetaxel and prednisone (study treatment) and the other group will receive placebo (an inactive substance that is compared with a drug to test whether the drug has a real effect in a clinical trial) matching to intetumumab in combination with docetaxel and prednisone (control treatment). The duration of treatment will be 6 months. Participants who respond to treatment with stable disease or better will receive extended treatment until disease progression (disease worsening) or for an additional 6 months, whichever occurs first. Treatment can be further continued with the sponsor's discretion after receiving 6 months of extended treatment, if participant response to the treatment (with stable disease, partial response, or complete response). Participants who have confirmed progressive disease while receiving study treatment may have their treatment unblinded (participants will know the name of drug which was given to them), if they wish to be considered for alternative treatment. Participants who were receiving the control treatment will be considered to have completed the study treatment, and will have the option to receive alternative treatment. Alternative treatment will either be intetumumab along with docetaxel and prednisone or intetumumab alone. Participants' safety will be monitored throughout the study.
- Conditions
- Prostatic Neoplasms
- Being tested
- Docetaxel, Prednisone, Intetumumab, Placebo
- Keywords
- Prostatic neoplasms, CNTO 95, Intetumumab, Docetaxel, Prednisone
- Medical subject headings
- Prostatic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
DocetaxelDrug
Docetaxel 75 mg/m^2 as intravenous infusion every 3 weeks.
PrednisoneDrug
Prednisone 5 mg orally twice daily.
IntetumumabBiological
Also called CNTO 95
Intetumumab 10 mg/kg as intravenous infusion every week for initial 6 weeks, then every 3 weeks.
PlaceboDrug
Placebo matching to intetumumab, as intravenous infusion every week for initial 6 weeks, then every 3 weeks.
| Study group | Role | What they receive |
|---|---|---|
| Docetaxel + Prednisone + Placebo | Active comparator | Matching placebo as intravenous infusion (a fluid or a medicine delivered into a vein by way of a needle) every week for initial 6 weeks, then every 3 weeks; along with docetaxel 75 milligram per square meter (mg/m^2) as intravenous infusion every 3 weeks and prednisone 5 mg orally twice daily were administered till 6 months or disease progression. Receives: Drug: Docetaxel; Drug: Prednisone; Drug: Placebo |
| Docetaxel + Prednisone + Intetumumab | Experimental | Intetumumab 10 mg per kilogram (mg/kg) as intravenous infusion every week for initial 6 weeks, then every 3 weeks; along with docetaxel 75 mg/m^2 as intravenous infusion every 3 weeks and prednisone 5 mg orally twice daily were administered till 6 months or disease progression. Receives: Drug: Docetaxel; Drug: Prednisone; Biological: Intetumumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-Free Survival (PFS)
The PFS was assessed as median number of days from baseline until the first documented sign of disease progression (increase in disease; radiographic, clinical, or both) or death due to any cause, whichever occurred earlier.
Measured: Baseline up to 6 months after last dose of study treatment, assessed up to 551 days
Secondary outcomes (6)
Number of Participants With Best Overall Response (OR)
Number of participants with best OR is based on assessment of confirmed complete response (CR) or confirmed partial response (PR). Confirmed CR is defined as disappearance of all target lesions. Confirmed PR is defined as greater than or equal to 30 percent decrease in sum of the longest dimensions (LD) of the target lesions taking as a reference the baseline sum LD. Confirmed responses are those that persist on repeat imaging study greater than or equal to 4 weeks after initial documentation of response.
Measured: Baseline up to 6 months after last dose of study treatment, assessed up to 551 days
Number of Participants With Prostate Specific Antigen (PSA) Response
The PSA response is defined as at least a 50 percent decrease in PSA below the baseline value, confirmed by a second PSA value greater than or equal to 6 weeks later. A participant was considered to be a PSA responder if and only if the response occurs prior to PSA progression (increase of at least 25 percent and an increase of 5 nanogram per milliliter from the lowest observed PSA value since initiation of treatment, to be confirmed greater than or equal to 3 weeks later).
Measured: Baseline up to 6 months after last dose of study treatment or early withdrawal, assessed up to 601 days
Overall Survival
Overall Survival is defined as the time from the date of randomization to death due to any cause. For participants who were alive at the time of analysis, overall survival was censored at the last contact date.
Measured: Baseline until death (up to 887 days)
Percent Change From Baseline in 'C-telopeptide of Type I Collagen (CTx)' Marker Concentration
Percent change = marker concentration at time of measurement minus baseline value divided by baseline value multiplied by 100.
Measured: Baseline, Week 6, 7, 10 and 13
Percent Change From Baseline in 'N-telopeptide of Type I Collagen (NTx)' Marker Concentration
Percent change = marker concentration at time of measurement minus baseline value divided by baseline value multiplied by 100.
Measured: Baseline, Week 6, 7, 10 and 13
Percent Change From Baseline in 'Vascular Endothelial Growth Factor (VEGF)' Marker Concentration
Percent change = marker concentration at time of measurement minus baseline value divided by baseline value multiplied by 100.
Measured: Baseline, Week 6, 7, 10 and 13
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Oct 2007 (estimated)
- Study startMay 2007
- Primary completionNov 2009
- Study completionNov 2009
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 Prostatic NeoplasmsStudies of the same condition, open and under way.
- 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
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 131 participants (actual)
Sponsor and investigators
- Lead sponsor
- Centocor, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Centocor, Inc. Clinical Trial, Study director, Centocor, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00537381
- Sponsor's protocol ID
- CR013249
- Other IDs
- C1034T08, 2006-005766-39
- Status last verified
- Jun 2013
- First submitted
- 27 Sep 2007
- Last updated
- 20 Jun 2013
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 20 Jun 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Multicenter, Phase 2 Study of a Human Monoclonal Antibody to Human av Integrins (CNTO 95) in Combination With Docetaxel for the First-Line Treatment of Subjects With Metastatic Hormone Refractory Prostate Cancer
- ClinicalTrials.gov ID
- NCT00537381
- Acronym / sponsor ID
- CR013249
- Conditions
- Prostatic Neoplasms
- Keywords
- Prostatic neoplasms, CNTO 95, Intetumumab, Docetaxel, Prednisone
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 131 participants (actual)
- Lead sponsor
- Centocor, Inc.Industry (pharma, biotech, devices)
- Study start
- May 2007
- Primary completion
- Nov 2009 (actual)
- Study completion
- Nov 2009 (actual)
- First posted
- 1 Oct 2007 (estimated)
- Results
- Posted 20 May 2013
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to assess the effects of intetumumab when given in combination with docetaxel and prednisone to participants with metastatic (spread of cancer cells from one part of the body to another) hormone-refractory (not responding to treatment) prostate cancer (abnormal tissue that grows and spreads in the body until it kills).
Detailed description
This is a multicenter (when more than one hospital or medical school team work on a medical research study), randomized (the study drug is assigned by chance), double-blind (neither physician nor participant knows the treatment that the participant receives) study of intetumumab in combination with docetaxel and prednisone for the first-line treatment of participants with metastatic hormone-refractory prostate cancer. There will be 2 study groups. One group will receive intetumumab in combination with docetaxel and prednisone (study treatment) and the other group will receive placebo (an inactive substance that is compared with a drug to test whether the drug has a real effect in a clinical trial) matching to intetumumab in combination with docetaxel and prednisone (control treatment). The duration of treatment will be 6 months. Participants who respond to treatment with stable disease or better will receive extended treatment until disease progression (disease worsening) or for an additional 6 months, whichever occurs first. Treatment can be further continued with the sponsor's discretion after receiving 6 months of extended treatment, if participant response to the treatment (with stable disease, partial response, or complete response). Participants who have confirmed progressive disease while receiving study treatment may have their treatment unblinded (participants will know the name of drug which was given to them), if they wish to be considered for alternative treatment. Participants who were receiving the control treatment will be considered to have completed the study treatment, and will have the option to receive alternative treatment. Alternative treatment will either be intetumumab along with docetaxel and prednisone or intetumumab alone. Participants' safety will be monitored throughout the study.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Docetaxel + Prednisone + Placebo | Active comparator | Drug: Docetaxel, Drug: Prednisone, Drug: PlaceboMatching placebo as intravenous infusion (a fluid or a medicine delivered into a vein by way of a needle) every week for initial 6 weeks, then every 3 weeks; along with docetaxel 75 milligram per square meter (mg/m^2) as intravenous infusion every 3 weeks and prednisone 5 mg orally twice daily were administered till 6 months or disease progression. |
| Docetaxel + Prednisone + Intetumumab | Experimental | Drug: Docetaxel, Drug: Prednisone, Biological: IntetumumabIntetumumab 10 mg per kilogram (mg/kg) as intravenous infusion every week for initial 6 weeks, then every 3 weeks; along with docetaxel 75 mg/m^2 as intravenous infusion every 3 weeks and prednisone 5 mg orally twice daily were administered till 6 months or disease progression. |
Who may qualify
- Ages
- 18 years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Confirmed cancer of the prostate
- Evidence of metastatic disease
- Have a life expectancy greater than 12 weeks
- Have at least 4 weeks from previous major surgery to date of first study agent given
- Have progressive hormone-refractory disease after orchiectomy or gonadotropin-releasing hormone analog and/or antiandrogen treatment within 6 months prior to the first study agent administration Exclusion Criteria
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 |
|---|---|---|
| DocetaxelDocetaxel 75 mg/m^2 as intravenous infusion every 3 weeks. | Drug | Docetaxel + Prednisone + Intetumumab, Docetaxel + Prednisone + Placebo |
| PrednisonePrednisone 5 mg orally twice daily. | Drug | Docetaxel + Prednisone + Intetumumab, Docetaxel + Prednisone + Placebo |
| IntetumumabAlso: CNTO 95Intetumumab 10 mg/kg as intravenous infusion every week for initial 6 weeks, then every 3 weeks. | Biological | Docetaxel + Prednisone + Intetumumab |
| PlaceboPlacebo matching to intetumumab, as intravenous infusion every week for initial 6 weeks, then every 3 weeks. | Drug | Docetaxel + Prednisone + Placebo |
Primary outcome
Progression-Free Survival (PFS)
Time frame: Baseline up to 6 months after last dose of study treatment, assessed up to 551 days
The PFS was assessed as median number of days from baseline until the first documented sign of disease progression (increase in disease; radiographic, clinical, or both) or death due to any cause, whichever occurred earlier.
6 secondary outcomes
Number of Participants With Best Overall Response (OR)
Time frame: Baseline up to 6 months after last dose of study treatment, assessed up to 551 days
Number of Participants With Prostate Specific Antigen (PSA) Response
Time frame: Baseline up to 6 months after last dose of study treatment or early withdrawal, assessed up to 601 days
Overall Survival
Time frame: Baseline until death (up to 887 days)
Percent Change From Baseline in 'C-telopeptide of Type I Collagen (CTx)' Marker Concentration
Time frame: Baseline, Week 6, 7, 10 and 13
Percent Change From Baseline in 'N-telopeptide of Type I Collagen (NTx)' Marker Concentration
Time frame: Baseline, Week 6, 7, 10 and 13
Percent Change From Baseline in 'Vascular Endothelial Growth Factor (VEGF)' Marker Concentration
Time frame: Baseline, Week 6, 7, 10 and 13
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Jun 2013.
- 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.
Centocor, Inc. Clinical Trial study director
Centocor, Inc.
59 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Docetaxel, Prednisone and Intetumumab in people with Prostatic Neoplasms, run by Centocor, Inc. at 59 sites in 10 countries.
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 10 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 20 Jun 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 59 sites in Belgium, Germany, United States, Russia, India and 5 more countries. 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 20 May 2013). 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?
Progression-Free Survival (PFS) (time frame: Baseline up to 6 months after last dose of study treatment, assessed up to 551 days). 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 20 Jun 2013.