Adenocarcinoma of the Prostate Clinical Trial
Official title:
Phase 2 Trial of Phenelzine in Non-metastatic Recurrent Prostate Cancer
Verified date | December 2022 |
Source | University of Southern California |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This phase II trial studies phenelzine sulfate in treating patients with prostate cancer that has not spread to other parts of the body and has come back. Phenelzine sulfate is a type of antidepressant that works by decreasing the amount of a protein called monoamine oxidase (MAO). MAO drugs may have an anticancer effect in prostate cancer.
Status | Completed |
Enrollment | 26 |
Est. completion date | June 29, 2020 |
Est. primary completion date | June 29, 2020 |
Accepts healthy volunteers | No |
Gender | Male |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Histologically confirmed adenocarcinoma of the prostate - Recurrent prostate cancer following primary therapy as defined by: - Post-radical prostatectomy: Any PSA >= 0.4 ng/ml - Post-primary radiotherapy: PSA >= 2 ng/ml above a post-radiotherapy nadir - Post-primary androgen-deprivation therapy: A confirmed rise of PSA >= 2 ng/ml above a post-therapy nadir - For patients with non-castrate levels of circulating androgen levels (testosterone >= 50 g/dl) - PSA levels should be increasing on at least two occasions >= 1 week apart - Patients should not be considered candidates for radiation therapy - For patients with castrate levels of circulating androgen levels (testosterone < 50 ng/dl): - PSA levels must be >= 0.4 ng/ml (if history of radical prostatectomy) or >= 2 ng/ml (if history of non-surgical primary treatment) and found to be increasing on at least two occasions >= 1 week apart - At least 4 weeks must have elapsed since any changes to hormonal therapy, including at least 4 weeks since flutamide and at least 6 weeks since bicalutamide, nilutamide, or enzalutamide - No evidence of metastatic cancer on imaging including a bone scan and computed tomography (CT) scan of chest/abdomen/pelvis - Able to understand and adhere to dietary and medication restrictions as recommended for the safe use of phenelzine - Men with child bearing potential are required to use an effective means of contraception - Leukocytes >= 3,000/mcL - Absolute neutrophil count >= 1,500/mcL - Platelets >= 100,000/mcL - Total bilirubin =< 1.5 x upper limit of normal (ULN) except in cases of benign isolated hyperbilirubinemia such as Gilbert's syndrome. - Aspartate aminotransferase (AST) (serum glutamic oxaloacetic transaminase [SGOT])/alanine aminotransferase (ALT) (serum glutamate pyruvate transaminase [SPGT]) =< 2.5 x ULN - Creatinine =< 1.5 x ULN Exclusion Criteria: - Uncontrolled hypertension despite appropriate medical therapy (blood pressure [BP] greater than 160 mmHg systolic and 90 mmHg diastolic at 2 separate measurements no more than 60 minutes apart during the screening visit); Note: patients may be rescreened after adjustment of antihypertensive medications - Known prior history of mania or major psychiatric illness (schizophrenia, bipolar disorder, severe major depression requiring hospitalization, etc.) - Concurrent use of medications contra-indicated due to potential interactions with phenelzine - Inability to comply with dietary restrictions for foods, supplements, and medications with potential for adverse interactions with phenelzine or to otherwise cooperate fully with the investigator and study personnel - History of allergic reactions attributed to compounds of similar chemical or biologic composition to phenelzine or other monoamine oxidase inhibitors - Patients may not be receiving any other investigational agents - Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements |
Country | Name | City | State |
---|---|---|---|
United States | USC Norris Westside Cancer Center | Beverly Hills | California |
United States | Los Angeles County-USC Medical Center | Los Angeles | California |
United States | USC Norris Comprehensive Cancer Center | Los Angeles | California |
United States | Keck Medical Center of USC Pasadena | Pasadena | California |
Lead Sponsor | Collaborator |
---|---|
University of Southern California | National Cancer Institute (NCI) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Occurrence of PSA decline to >= 50% from baseline following at least 12 weeks of treatment with phenelzine sulfate | Assessed independently in two groups of patients defined according to circulating androgen levels as: non-castrate and castrate. | Baseline to up to 12 months |
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