Prostate Cancer Clinical Trial
Official title:
A Phase1/2 Trial of ABT-751 in Patients With Advanced, Androgen-Independent Prostate Cancer
RATIONALE: Drugs used in chemotherapy, such as ABT-751, work in different ways to stop the
growth of tumor cells, either by killing the cells or by stopping them from dividing.
PURPOSE: This phase I/II trial is studying the side effects and best dose of ABT-751 and to
see how well it works in treating patients with metastatic prostate cancer that did not
respond to hormone therapy.
OBJECTIVES:
Primary
- Evaluate the safety and efficacy of ABT-751 in patients with androgen-independent,
hormone-refractory metastatic prostate cancer and determine the maximum tolerated dose
(MTD) and optimal phase II dose of this drug in these patients.
Secondary
- Determine the objective response rate (partial and complete response) in patients with
measurable disease treated with this drug.
- Evaluate the effect of this drug on prostate-specific antigen (PSA) response in
patients with nonmeasurable disease.
- Determine the time to tumor progression in patients treated with this drug.
- Determine survival of patients treated with this drug.
- Determine the toxicity of this drug in these patients.
OUTLINE: This is a phase I, dose-escalation study followed by a phase II study.
- Phase I: Patients receive oral ABT-751 twice daily on days 1-7 and 15-21. Treatment
repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Cohorts of 3-6 patients receive escalating doses of ABT-751 until the maximum tolerated dose
(MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6
patients experience dose-limiting toxicity. Up to 50 additional patients may be treated at
the recommended phase II dose (RPTD) which is the dose level at the maximally administered
dose.
- Phase II: Patients receive ABT-751 at the MTD determined in phase I. After completion
of study treatment, patients are followed every 3 months for 2 years.
PROJECTED ACCRUAL: A total of 53 patients will be accrued for this study.
;
Allocation: Non-Randomized, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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