Status:

COMPLETED

Fenretinide In Treating Patients With Advanced or Metastatic Hormone-Refractory Prostate Cancer

Lead Sponsor:

Cancer Therapeutics Research Group

Collaborating Sponsors:

National Cancer Institute (NCI)

Conditions:

Prostate Cancer

Eligibility:

MALE

18+ years

Phase:

PHASE2

Brief Summary

RATIONALE: Drugs used in chemotherapy, such as fenretinide, work in different ways to stop tumor cells from dividing so they stop growing or die. PURPOSE: This phase II trial is studying how well fen...

Detailed Description

OBJECTIVES: Primary * Determine the activity of fenretinide, in terms of the prostate-specific antigen (PSA) response rate, in patients with advanced or metastatic hormone-refractory prostate cancer...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Histologically or cytologically confirmed adenocarcinoma of the prostate
  • Measurable or non-measurable disease
  • Metastatic disease allowed
  • Castrate levels of serum testosterone (either after orchiectomy or maintained on a luteinizing hormone-releasing hormone agonist or antagonist)
  • Prostate-specific antigen (PSA) greater than 10 ng/mL at baseline and rising, with 2 consecutive increases measured at least 1 week apart\*
  • No known brain metastases NOTE: \*If the third PSA value has not risen above the second PSA value, a fourth measurement must be obtained that is higher than the second value
  • PATIENT CHARACTERISTICS:
  • Age
  • Over 18
  • Performance status
  • ECOG 0-1
  • Life expectancy
  • More than 12 weeks
  • Hematopoietic
  • Absolute neutrophil count greater than 1,500/mm\^3
  • WBC greater than 3,000/mm\^3
  • Platelet count greater than 100,000/mm\^3
  • Hepatic
  • AST and ALT no greater than 2.5 times upper limit of normal
  • Bilirubin normal
  • Renal
  • Creatinine normal OR
  • Creatinine clearance greater than 60 mL/min
  • Cardiovascular
  • No symptomatic congestive heart failure
  • No unstable angina pectoris
  • No cardiac arrhythmia
  • Other
  • Able to tolerate oral medication
  • Fertile patients must use effective contraception
  • No prior allergic reaction to compounds of similar chemical or biological composition to fenretinide
  • No other concurrent uncontrolled illness
  • No ongoing or active infection
  • No psychiatric illness or social situation that would preclude study compliance
  • PRIOR CONCURRENT THERAPY:
  • Biologic therapy
  • Not specified
  • Chemotherapy
  • No prior cytotoxic chemotherapy
  • Endocrine therapy
  • See Disease Characteristics
  • At least 6 weeks since prior antiandrogen therapy with any of the following:
  • Cyproterone
  • Flutamide
  • Bicalutamide
  • Nilutamide
  • Concurrent corticosteroids allowed provided therapy was initiated before study entry
  • Radiotherapy
  • At least 4 weeks since prior radiotherapy and recovered
  • No concurrent radiotherapy, including for pain
  • No concurrent radioisotopes (e.g., strontium chloride Sr 89 or samarium Sm 153 lexidronam pentasodium)
  • Other
  • More than 4 weeks since prior investigational agents
  • No concurrent antioxidants (e.g., ascorbic acid or vitamin E), vitamin A, or beta carotene supplements
  • No concurrent combination antiretroviral therapy for HIV-positive patients
  • No other concurrent investigational or commercial anticancer agents or therapies

Exclusion

    Key Trial Info

    Start Date :

    November 1 2003

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    February 1 2011

    Estimated Enrollment :

    50 Patients enrolled

    Trial Details

    Trial ID

    NCT00077402

    Start Date

    November 1 2003

    End Date

    February 1 2011

    Last Update

    May 15 2013

    Active Locations (6)

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    Page 1 of 2 (6 locations)

    1

    Sydney Cancer Centre at Royal Prince Alfred Hospital

    Sydney, New South Wales, Australia, 2050

    2

    Sir Charles Gairdner Hospital - Perth

    Perth, Western Australia, Australia, 6009

    3

    Prince of Wales Hospital

    Shatin, New Territories, Hong Kong

    4

    Cancer Institute at National University Hospital

    Singapore, Singapore, 119074