Metastatic Prostate Cancer Clinical Trial
Official title:
Mitoxantrone, Prednisone Plus Sorafenib in Taxane-Refractory Metastatic Hormone Refractory Prostate Cancer (HRPC)
The purpose of this research study is to determine if the combination of mitoxantrone, prednisone and sorafenib will improve the time to progression of advanced stage metastatic hormone-refractory prostate cancer.
The primary objective of this study is to test the hypothesis that the combination of
Mitoxantrone, Prednisone and Sorafenib in taxane-refractory patients with metastatic hormone
refractory prostate cancer (mHRPC) will result in an improvement of the median time to
progression (TTP). Since the median (i.e 50% of patients) TTP for Mitoxantrone/Prednisone is
3 months, our hypothesis is that 70% will have not progressed at 3 months with this
investigational combination. Progression will be assessed by radiologic imaging criteria.
The early stopping point is 21 subjects. If 10 or fewer subjects with tumor favorable
response are observed when 21 subjects are accrued then the null hypothesis is accepted and
the trial is terminated. If 16 or more subjects with tumor favorable response are observed
when 21 subjects are accrued then the alternative hypothesis is accepted and the trial is
terminated. The probability of early stopping under the null is 0.51, and under the
alternative is 0.39. If the trial progresses until 42 subjects are evaluated and 24 or more
subjects with favorable response are observed then the null hypothesis is rejected. This
design minimizes the average sample number under the null, which is 31.2.
;
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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