| Eligibility |
Inclusion Criteria:
- Be over age 18 years
- Be able to Communicate effectively with the study personnel
- Have histologically confirmed prostate cancer
- Have castration resistant prostate cancer patients with radiographic evidence of
metastatic disease (T any - N any - MI)
- ECOG performance status of 0 to 2
- Have been treated with ADT (chemical or surgical) for at least 6 months
- Have a castrate level of serum total testosterone (< 50ng/dL)
- Have a history of serum PSA response on ADT. A serum PSA response is an undetectable
level of serum PSA (= 0.2/mL) or at least a 90% reduction in serum PSA from the serum
PSA value prior to the initiation of treatment to < 10ng/mL
- Have a rising serum PSA on two successive assessments at least 2 weeks apart and serum
PSA levels = 2ng/mL or > 2 ng/mL and a 25% increase above the nadir from the ADT.
- Be continued on ADT throughout this study
- give written informed consent prior to any study specific procedures
- subjects must agree, if not already on anticoagulation therapy or aspirin, to take 81
mg aspirin daily throughout the duration of their participation in this study and for
30 days after completion of dosing with GTx-758.
- Subjects must agree to use acceptable methods of contraception:
- If their female partners are pregnant or lactating, acceptable methods of
contraception from the time of the first administration of study medication until 3
months following administration of the last dose of study medication must be used.
Acceptable methods are: condom used with spermicidal foam/gel/film/cream/suppository.
If the subject has undergone surgical sterilization (vasectomy with documentation of
azospermia), a condom with spermicidal foam/gel/film/cream/suppository should be used.
- If the male subject's partner could become pregnant, use acceptable methods of
contraception from the time of the first administration of study medication until 3
months following administration of the last dose of study medication.Acceptable
methods of contraception are as follows: condom with spermicidal
foam/gel/film/cream/suppository [i.e., barrier method of contraception], surgical
sterilization (vasectomy with documentation of azospermia) and a barrier method
{condom used with spermicidal foam/gel/fil/cream/suppository}, the female partner uses
oral contraceptives (combination estrogen/progesterone pills), injectable progesterone
or subdermal implants and a barrier method {condom used with spermicidal
foam/gel/film/cream/suppository}.
- If the female partner has undergone documented tubal ligation (female sterilization),
a barrier method {condom used with spermicidal foam/gel/film/cream/suppository} should
be used
- If the female partner has undergone documented placement of an intrauterine device
(IUD) or intrauterine system (IUS), a barrier method {condom with spermicidal
foam/gel/film/cream/suppository} should also be used.
Exclusion Criteria:
- Known hypersensitivity or allergy to estrogen or estrogen like drugs
- Need for urgent chemotherapy, radiation therapy or surgical intervention for prostate
cancer in the opinion of the investigator;
- Any disease or condition (medical or surgical) which might compromise the hematologic,
cardiovascular, endocrine, pulmonary, renal, gastrointestinal, hepatic, or central
nervous system; or other conditions that may interfere with the absorption,
distribution, metabolism or excretion of study drug, or would place the subject at
increased risk
- Subjects with a personal history of abnormal blood clotting or thrombotic disease
(venous or arterial thrombotic events such as history of stroke, deep vein thrombosis
(DVT), and or pulmonary embolus (PE)).
- Any subjects, as determined by a central laboratory, with
1. a modified activated protein C reaction ratio = 2.5 and a Factor V Leiden gene
mutation,
2. an antithrombin level below the lower limit of the normal range,
3. an antiphospholipid antibody level that is indeterminate, positive, or outside
the normal range,
4. or a prothrombin gene mutation
- Symptomatic congestive heart failure (NYHA Class III - IV), unstable angina pectoris,
cardiac arrhythmia, or history of atrial fibrillation
- The presence of consistently abnormal laboratory values which are considered
clinically significant. In addition, any subject with liver enzymes (ALT or AST) above
2 times the upper limit of normal, total bilirubin above 2 times the upper limit of
normal, or serum creatinine above 1.5 times the upper limit of normal will NOT be
admitted to the study.
- Received an investigational drug within a period of 90 days prior to the enrollment in
the study.
- Received the study medication GTx-758 previously;
- Currently taking testosterone, testosterone like agents, 5a-reductase inhibitor
(finasteride, dutasteride),or antiandrogens (bicalutamide, flutamide or nilutamide).
Subjects taking a 5a-reductase inhibitor or one of these antiandrogens may be eligible
if the subject undergoes a 6 week washout period after stopping therapy. The subject
must have at least two rising serum PSA levels at least 2 weeks apart after therapy
with these 5a-reductase inhibitor or these antiandrogens have been stopped
(antiandrogen withdrawal)and complete the 6-week washout period to be eligible;
- Have previously taken or are currently taking diethylstilbestrol, other estrogens,
abiraterone or ketoconazole or any other inhibitor of CYP17
(17a-hydroxylase/C17,20-lyase);
- Currently having radiation therapy to prostate for cancer control (radiation to bone
to relieve pain is acceptable)
- Have previously taken or are currently taking enzalutamide;
- Have previously received cytotoxic chemotherapy for prostate cancer;
- Recent hospitalization (within 30 days of screening);
- Recent surgery (within 30 days of screening);
- Have taken body building or fertility supplements within 4 weeks of admission into the
study;
- Have been previously diagnosed or treated for active cancer (other than prostate
cancer or non-melanoma skin cancer)within the previous five years;
- Have a BMI > 35.
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