Adenocarcinoma of the Prostate Clinical Trial
Official title:
A Pilot Study of the Effects of Cabozantinib (XL184) on Bone Turnover and the Microenvironment in Men With Non-Metastatic and Metastatic Castration-Resistant Prostate Cancer
This pilot clinical trial studies cabozantinib in treating men with castration-resistant prostate cancer. Cabozantinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
Primary Outcome Measure:
1. Change in urinary N-telopeptide (uNTX) from baseline to after 6 weeks of treatment with
cabozantinib in men with non-metastatic CRPC.
Secondary Outcome Measures:
2. Changes in serum markers of bone metabolism from baseline to after 6 weeks of treatment
with cabozantinib. Markers of bone metabolism in blood include bone specific alkaline
phosphatase, alkaline phosphatase, LDH.
3. Changes in biomarker expression in bone biopsy samples. To include MET, AKT, FASN and
VEGFR2 expression and phosphorylation status (activation) in osteoblasts/osteoclasts and
prostate cancer cells. Will also include changes in markers of apoptosis, proliferation,
and angiogenesis.
OUTLINE:
Patients receive cabozantinib orally (PO) once daily (QD) in the absence of disease
progression or unacceptable toxicity. After completion of study treatment, patients are
followed up for 4 weeks.
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