Safety and Efficacy Study of AT-101 in Combination With Docetaxel and Prednisone in Men With HRPC

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This is an open-label, multicenter Phase I/II study to evaluate the safety and efficacy of AT-101 in combination with docetaxel and prednisone in men with hormone-refractory prostate cancer that are either chemotherapy naive or have received and progressed on a docetaxel containing...

Brief Summary

Official Title: “An Open-label, Multicenter, Phase I/II Study of AT-101 in Combination With Docetaxel and Prednisone in Men With Hormone Refractory Prostate Cancer (HRPC)”

This is an open-label, multicenter Phase I/II study to evaluate the safety and efficacy of AT-101 in combination with docetaxel and prednisone in men with hormone-refractory prostate cancer that are either chemotherapy naive or have received and progressed on a docetaxel containing regimen,

  • Study Type: Interventional
  • Study Design: Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
  • Study Primary Completion Date: November 2009

Intervention(s) in this Clinical Trial

  • Drug: AT-101
    • Oral

Arms, Groups and Cohorts in this Clinical Trial

  • Experimental: SIngle Arm Study of AT-101 in combination with Docetaxel

Outcome Measures for this Clinical Trial

Primary Measures

  • Safety of AT-101 in combination with docetaxel and prednisone
    • Time Frame: 12 months
      Safety Issue?: Yes

Secondary Measures

  • Preliminary efficacy of AT-101 in combination with docetaxel and prednisone
    • Time Frame: 12 months
      Safety Issue?: No

Criteria for Participation in this Clinical Trial

Inclusion Criteria:

  • 1. Rising prostate specific antigen (PSA) despite castrate levels of testosterone due to orchiectomy or luteinizing hormone-releasing hormone (LHRH) agonist therapy.
  • 2. Patients must have metastatic disease by bone scan, computed tomography (CT) scan, or magnetic resonance imaging (MRI).
  • 3. ECOG performance status 0 or 1
  • 4. Adequate hematologic function
  • 5. Adequate liver and renal function
  • 6. Able to swallow and retain oral medication.
  • 7. Patients enrolled into Cohort B must have documented progression of disease during treatment with a docetaxel-containing regimen by meeting one or more of the following criteria- rising PSA, progression of disease per RECIST, or >2 new lesions on bone scan.
  • 8. Patients enrolled into Cohort B must have received at least two cycles of docetaxel.
  • Minimum doses of prior docetaxel permitted are 60 mg/m2 on a q 3 week schedule or 20 mg/m2 on a weekly schedule.
  • 9. At least 4 weeks since prior flutamide, megestrol, ketoconazole, and radiotherapy, and at least 6 weeks since prior bicalutamide or nilutamide.

Exclusion Criteria:

  • 1. Patients enrolled into Cohort A must not have received prior chemotherapy for HRPC.
  • 2. Known history of or clinical evidence of central nervous system (CNS) metastases.
  • 3. Active secondary malignancy or history of other malignancy within the last 5 years.
  • 4. Prior history of radiation therapy to > 25% of the bone marrow
  • 5. Peripheral neuropathy of > Grade 2
  • 6. Uncontrolled concurrent illness
  • 7. Failure to recover fully, as judged by the investigator, from prior surgical procedures.
  • 8. Concurrent anti-cancer therapy other than docetaxel and prednisone.
  • 9. Patients must not be receiving concurrent anti-androgen hormonal therapy for HRPC (LHRH therapies are acceptable to maintain castrate levels of testosterone)

Gender Eligibility for this Clinical Trial: Male

Minimum Age for this Clinical Trial: 18 Years

Maximum Age for this Clinical Trial: N/A

Are Healthy Volunteers Accepted for this Clinical Trial?: No

Clinical Trial Investigator Information

Lead Investigator: Ascenta Therapeutics Industry

Overall Clinical Trial Officials and Contacts

Lance Leopold, MD Study Director Ascenta Therapeutics, Inc.  

Additional Information

Information obtained from ClinicalTrials.gov on February 09, 2012

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00286793

Study ID Number: AT-101-CS-202

ClinicalTrials.gov Identifier: NCT00286793

Health Authority: United States: Food and Drug Administration

Ascenta - Clinical Trials

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