Status:

TERMINATED

Biomarker-driven Intermittent Docetaxel in Metastatic Castration-resistant Prostate Cancer

Lead Sponsor:

Australian and New Zealand Urogenital and Prostate Cancer Trials Group

Collaborating Sponsors:

Peter MacCallum Cancer Centre, Australia

Conditions:

Castration Resistant Prostatic Cancer

Eligibility:

MALE

18+ years

Phase:

PHASE2

Brief Summary

The purpose of this study is to see if a prostate cancer marker in the blood (mGSTP1) can be used to guide chemotherapy treatment. Based on the level of this blood marker, some people may be able to h...

Eligibility Criteria

Inclusion

  • PRESCREENING INCLUSION CRITERIA
  • Patient has provided written informed consent using the GUIDE pre-screening PICF
  • Age ≥ 18 years at the time of pre-screening consent
  • Males with metastatic castration-resistant prostate cancer (as per PCWG3) AND are planned to commence docetaxel chemotherapy
  • WHO Eastern Cooperative Oncology Group (ECOG) performance status 0-2 (Appendix 1)
  • Histological confirmation of prostate cancer
  • Patients must have adequate bone marrow and hepatic function within 14 days prior Cycle 1 day 1:
  • Haemoglobin ≥ 90 g/L independent of transfusions (no red blood cell transfusion in last 4 weeks)
  • Platelets ≥ 100 x 109/L
  • Absolute neutrophil count (ANC) ≥ 1.5 x 109/L
  • Serum total bilirubin ≤ 1.5 x upper limit of normal (ULN)
  • Alanine aminotransferase (ALT)/Aspartate aminotransferase (AST) ≤ 2.5 x ULN
  • Willing and able to comply with all pre-screening study requirements, including blood tests for mGSTP1 analysis before and during docetaxel treatment
  • PRESCREENING EXCLUSION CRITERIA
  • Prior docetaxel or cabazitaxel chemotherapy for castration-resistant prostate cancer
  • Prior docetaxel in the castration sensitive prostate cancer setting within the previous 2 years
  • Known hypersensitivity to docetaxel or its excipients
  • Concurrent illness, including severe infection that may jeopardise the ability of the patient to undergo the procedures outlined in this protocol with reasonable safety
  • Serious medical or psychiatric conditions that might limit the ability of the patient to comply with the protocol
  • MAIN SCREENING INCLUSION CRITERIA
  • Patient has provided written informed consent for the main GUIDE study PICF
  • Patient has a detectable plasma mGSTP1 deoxyribonucleic acid (DNA) as measured by central laboratory at prescreening prior to commencing first cycle of docetaxel chemotherapy
  • Patient has commenced 3 cycles of docetaxel
  • Patient has undetectable plasma mGSTP1 DNA as measured by central laboratory from blood taken prior to the third cycle of docetaxel
  • Patient is willing and able to comply with all study requirements, including treatment, timing and/or nature of required assessments.
  • MAIN SCREENING EXCCLUSION CRITERIA
  • Known hypersensitivity to docetaxel or its excipients
  • Concurrent illness, including severe infection that may jeopardise the ability of the patient to undergo the procedures outlined in this protocol with reasonable safety
  • Serious medical or psychiatric conditions that might limit the ability of the patient to comply with the protocol
  • Progressive disease by RECIST 1.1 within the first 3 cycles of docetaxel

Exclusion

    Key Trial Info

    Start Date :

    July 29 2022

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    November 1 2024

    Estimated Enrollment :

    6 Patients enrolled

    Trial Details

    Trial ID

    NCT04918810

    Start Date

    July 29 2022

    End Date

    November 1 2024

    Last Update

    November 22 2024

    Active Locations (8)

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    Page 1 of 2 (8 locations)

    1

    Border Medical Oncology Research Unit / The Border Cancer Hospital

    Albury, New South Wales, Australia, 2460

    2

    Chris O'Brien Lifehouse

    Camperdown, New South Wales, Australia, 2050

    3

    St Vincent's Hospital

    Darlinghurst, New South Wales, Australia, 2021

    4

    Dubbo Base Hospital

    Dubbo, New South Wales, Australia, 2830