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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT01309672
Other study ID # CDR0000696565
Secondary ID S1014U10CA032102
Status Active, not recruiting
Phase Phase 2
First received
Last updated
Start date August 9, 2011
Est. completion date October 2024

Study information

Verified date December 2023
Source SWOG Cancer Research Network
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

RATIONALE: Androgens can cause the growth of prostate cancer cells. Antiandrogen drugs, such as abiraterone acetate, may lessen the amount of androgens made by the body. It may also stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. PURPOSE: This phase II trial is studying the side effects and how well abiraterone acetate works in treating patients with prostate cancer who have undergone initial hormone therapy.


Description:

OBJECTIVES: Primary - To assess the rate of achieving a prostate-specific antigen (PSA) of ≤ 0.2 ng/mL with abiraterone acetate therapy in men with metastatic prostate cancer with a sub-optimal response to androgen-deprivation therapy (ADT). Secondary - To assess the overall survival and objective progression-free survival of this group of patients. - To assess PSA partial response. - To evaluate the qualitative and quantitative toxicity of abiraterone acetate. OUTLINE: This is a multicenter study. Patients receive abiraterone acetate orally daily on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients receive androgen blockade with GNRH agonist (goserelin acetate or leuprolide acetate) or a GNRH antagonist (degarelix) per the treating physician and this will be given continuously until evidence of disease progression. Bilateral surgical orchiectomy is also acceptable. After completion of study therapy, patients are followed up every 3 months for 1 year and then every 6 months for up to 3 years.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 41
Est. completion date October 2024
Est. primary completion date November 29, 2016
Accepts healthy volunteers No
Gender Male
Age group 18 Years to 120 Years
Eligibility DISEASE CHARACTERISTICS: - Histologically or cytologically proven diagnosis of adenocarcinoma of the prostate - Metastatic (M1) disease as evidenced by soft tissue and/or bony metastases at the time of initiation of androgen-deprivation therapy (ADT) - Must have at least one of the following: - Visceral disease (liver, lung, other viscera) - Bone metastases to sites in either the axial (spine, pelvis, ribs, or skull) and/or the appendicular (clavicle, humerus, or femur) skeleton - Distant lymph node disease (e.g., above the aortic bifurcation, etc.) - No small cell or neuroendocrine prostate cancer - Patients must be receiving ADT (e.g., gonadotropin-releasing hormone [GNRH] antagonist, with or without antiandrogen) prior to entering this study - Degarelix, a FDA-approved GNRH antagonist, is an acceptable form of ADT - Bilateral surgical orchiectomy is also acceptable - Suboptimal response to ADT induction as defined by the following criteria: - Declining PSA (current PSA is less than the PSA prior to starting ADT) that fails to reach 4 ng/mL or below despite continuous ADT - PSA of > 4 ng/mL must be observed between 6-12 months after the initiation of ADT - Documentation of failure to achieve this PSA of = 4 ng/mL must be within 28 days of registration - The PSA must be obtained after any applicable antiandrogen washout period - If the PSA is declining or stable (defined as a PSA rise = 0.1 ng/mL from nadir) and the patient is on an antiandrogen, they must remain on the antiandrogen - Patients with stable or declining PSA who have had previous antiandrogen exposure, but are not taking an antiandrogen at the time of registration, must wait at least 6 weeks from the last antiandrogen dose before registration and still demonstrate a stable or falling PSA which is > 4 ng/mL by month 12, in order to be eligible - If the PSA is rising and they are on an antiandrogen, formal antiandrogen washout must be performed (4 weeks for flutamide and 6 weeks for bicalutamide and nilutamide with no evidence of a falling PSA after washout) - No patients with radiographic progression when compared to available imaging studies performed prior to starting the GNRH agonist/antagonist therapy - Patients who have measurable disease must have radiographic assessment (at least an abdominal/pelvic CT scan) within 28 days prior to registration - Non-measurable disease must be assessed (i.e., bone scan) within 42 days prior to registration - No patients with a history of brain metastases or who currently have treated or untreated brain metastases - Patients with clinical evidence of brain metastases must have a brain CT scan or MRI negative for metastatic disease within 56 days prior to registration PATIENT CHARACTERISTICS: - Zubrod performance status 0-2 - ANC = 1,500/µL - Platelet count = 100,000/µL - Hemoglobin = 10 g/dL - Serum creatinine = 1.5 times the upper limit of normal (ULN) OR creatinine clearance = 60 mL/min - Bilirubin = 1.5 times ULN (unless documented Gilbert disease) - AST and ALT < 1.5 times ULN - Potassium = 3.5 mmol/L - Patient must have a testosterone value of < 50 ng/dL obtained within 28 days prior to registration - Patients must have controlled blood pressure defined as systolic blood pressure < 160 mm Hg and diastolic blood pressure < 95 mm Hg - Patients with a history of hypertension are eligible provided blood pressure is controlled by anti-hypertensive treatment - Patients who have partners of child-bearing potential must be willing to use a method of birth control with adequate barrier protection during the study and for 1 week after the last study drug administration - Must be able to take oral medication without crushing, dissolving, or chewing tablets - Patients must not have a history of gastrointestinal disorders (medical disorders or extensive surgery) that may interfere with the absorption of abiraterone acetate - No other prior malignancy is allowed except for any of the following: - Adequately treated basal cell or squamous cell skin cancer - Adequately treated stage I or II cancer from which the patient is currently in complete remission - Any other cancer from which the patient has been disease-free for 5 years - No patients with active or symptomatic viral hepatitis or chronic liver disease - No moderate (Child-Pugh B) or severe (Child-Pugh C) hepatic impairment - No history of NYHA class III or IV heart failure - Patients must have LVEF = 50% - No known allergies, hypersensitivity, or intolerance to abiraterone acetate, prednisone, or their excipients PRIOR CONCURRENT THERAPY: - See Disease Characteristics - Patients with a history of prior neoadjuvant or adjuvant GNRH agonist/antagonist therapy (related to previous surgery or radiation) are eligible provided they finished this therapy at least two years prior to registration - Prior enrollment to SWOG-S0925 (either arm) is not exclusionary - At least 6 weeks since prior and no concurrent finasteride or dutasteride - At least 28 days since prior radiotherapy or surgery and recovered - At least 4 weeks since prior investigational products - At least 4 weeks since prior flutamide (6 weeks for bicalutamide and nilutamide) with no evidence of a falling PSA - No other concurrent oral antiandrogen - No prior or concurrent cytotoxic chemotherapy or radiopharmaceuticals for prostate cancer - No prior or concurrent ketoconazole for the treatment of prostate cancer - Not requiring more than 10 mg a day of prednisone for another medical indication - Not planning to receive any concurrent cytotoxic chemotherapy, immunotherapy, surgery, or radiotherapy during protocol treatment - No concurrent hormonal-acting agents, including diethylstilbestrol/DES, aldosterone, PC-SPES, or spironolactone - No concurrent antifungal medication (e.g., fluconazole or itraconazole) - No medications that alter cardiac conduction - No prior Provenge (sipuleucel-T)

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
abiraterone acetate
1,000 mg, oral (on an empty stomach at least 2 hours after or 1 hour before eating); taken daily
Prednisone
5 mg, oral, 5 mg twice daily

Locations

Country Name City State
United States Kapiolani Medical Center at Pali Momi 'Aiea Hawaii
United States Oncare Hawaii, Incorporated - Pali Momi 'Aiea Hawaii
United States San Luis Valley Regional Medical Center Alamosa Colorado
United States Hematology Oncology Associates, PC Albuquerque New Mexico
United States University of New Mexico Cancer Center Albuquerque New Mexico
United States Tulane Cancer Center Office of Clinical Research Alexandria Louisiana
United States CCOP - Michigan Cancer Research Consortium Ann Arbor Michigan
United States Saint Joseph Mercy Cancer Center Ann Arbor Michigan
United States University of Michigan Comprehensive Cancer Center Ann Arbor Michigan
United States Kaiser Permanente - Deer Valley Antioch California
United States University of Colorado Cancer Center at UC Health Sciences Center Aurora Colorado
United States Hematology-Oncology Clinic Baton Rouge Louisiana
United States Battle Creek Health System Cancer Care Center Battle Creek Michigan
United States Bay Regional Medical Center Bay City Michigan
United States Mecosta County Medical Center Big Rapids Michigan
United States Billings Clinic - Downtown Billings Montana
United States CCOP - Montana Cancer Consortium Billings Montana
United States Hematology-Oncology Centers of the Northern Rockies - Billings Billings Montana
United States St. Vincent Healthcare Cancer Care Services Billings Montana
United States Mountain States Tumor Institute at St. Luke's Regional Medical Center Boise Idaho
United States Saint Alphonsus Cancer Care Center at Saint Alphonsus Regional Medical Center Boise Idaho
United States Bozeman Deaconess Cancer Center Bozeman Montana
United States Saint Francis Medical Center Cape Girardeau Missouri
United States Rocky Mountain Oncology Casper Wyoming
United States Providence Centralia Hospital Centralia Washington
United States Cancer Center of Kansas, PA - Chanute Chanute Kansas
United States Hollings Cancer Center at Medical University of South Carolina Charleston South Carolina
United States Presbyterian Cancer Center at Presbyterian Hospital Charlotte North Carolina
United States Adena Regional Medical Center Chillicothe Ohio
United States Charles M. Barrett Cancer Center at University Hospital Cincinnati Ohio
United States Memorial Hospital Cancer Center - Colorado Springs Colorado Springs Colorado
United States CCOP - Columbus Columbus Ohio
United States Doctors Hospital at Ohio Health Columbus Ohio
United States Grant Medical Center Cancer Care Columbus Ohio
United States Mount Carmel Health - West Hospital Columbus Ohio
United States Riverside Methodist Hospital Cancer Care Columbus Ohio
United States Genesis Regional Cancer Center at Genesis Medical Center Davenport Iowa
United States Oakwood Cancer Center at Oakwood Hospital and Medical Center Dearborn Michigan
United States Decatur Memorial Hospital Cancer Care Institute Decatur Illinois
United States Grady Memorial Hospital Delaware Ohio
United States Barbara Ann Karmanos Cancer Institute Detroit Michigan
United States Josephine Ford Cancer Center at Henry Ford Hospital Detroit Michigan
United States Cancer Center of Kansas, PA - Dodge City Dodge City Kansas
United States Shaw Regional Cancer Center Edwards Colorado
United States Falck Cancer Center at Arnot Ogden Medical Center Elmira New York
United States Providence Regional Cancer Partnership Everett Washington
United States St. Francis Hospital Federal Way Washington
United States Genesys Hurley Cancer Institute Flint Michigan
United States Hurley Medical Center Flint Michigan
United States McLaren Cancer Institute Flint Michigan
United States Singh and Arora Hematology Oncology, PC Flint Michigan
United States McLeod Regional Medical Center Florence South Carolina
United States Front Range Cancer Specialists Fort Collins Colorado
United States Poudre Valley Hospital Fort Collins Colorado
United States Cancer Center of Kansas - Fort Scott Fort Scott Kansas
United States Kaiser Permanente - Fremont Fremont California
United States Kaiser Permanente Fresno Medical Center Fresno California
United States Saint Luke's Mountain States Tumor Institute - Fruitland Fruitland Idaho
United States Valley View Hospital Cancer Center Glenwood Springs Colorado
United States Wayne Memorial Hospital, Incorporated Goldsboro North Carolina
United States St. Mary's Regional Cancer Center at St. Mary's Hospital and Medical Center Grand Junction Colorado
United States Butterworth Hospital at Spectrum Health Grand Rapids Michigan
United States CCOP - Grand Rapids Grand Rapids Michigan
United States Lacks Cancer Center at Saint Mary's Health Care Grand Rapids Michigan
United States St. Rose Ambulatory and Surgery Center Great Bend Kansas
United States Great Falls Clinic - Main Facility Great Falls Montana
United States Sletten Cancer Institute at Benefis Healthcare Great Falls Montana
United States Van Elslander Cancer Center at St. John Hospital and Medical Center Grosse Pointe Woods Michigan
United States Saint Francis/Mount Sinai Regional Cancer Center at Saint Francis Hospital and Medical Center Hartford Connecticut
United States Hays Medical Center Hays Kansas
United States Kaiser Permanente Medical Center - Hayward Hayward California
United States St. Peter's Hospital Helena Montana
United States Cancer Research Center of Hawaii Honolulu Hawaii
United States Kaiser Permanente - Moanalua Medical Center and Clinic Honolulu Hawaii
United States Kapiolani Medical Center for Women and Children Honolulu Hawaii
United States Kuakini Medical Center Honolulu Hawaii
United States OnCare Hawaii, Incorporated - Kuakini Honolulu Hawaii
United States OnCare Hawaii, Incorporated - Lusitana Honolulu Hawaii
United States Queen's Cancer Institute at Queen's Medical Center Honolulu Hawaii
United States Straub Clinic and Hospital, Incorporated Honolulu Hawaii
United States Tripler Army Medical Center Honolulu Hawaii
United States Baylor University Medical Center - Houston Houston Texas
United States Ben Taub General Hospital Houston Texas
United States St. Luke's Texas Cancer Institute at St. Luke's Episcopal Hospital Houston Texas
United States Veterans Affairs Medical Center - Houston Houston Texas
United States Hutchinson Hospital Corporation Hutchinson Kansas
United States Cancer Center of Kansas-Independence Independence Kansas
United States Foote Memorial Hospital Jackson Michigan
United States University of Mississippi Cancer Clinic Jackson Mississippi
United States NEA Medical Clinic - East Matthews Jonesboro Arkansas
United States Castle Medical Center Kailua Hawaii
United States Glacier Oncology, PLLC Kalispell Montana
United States Kalispell Regional Medical Center Kalispell Montana
United States Kansas City Cancer Centers - North Kansas City Missouri
United States Kansas City Cancer Centers - South Kansas City Missouri
United States Kansas City Cancer Centers - West Kansas City Kansas
United States Kansas Masonic Cancer Research Institute at the University of Kansas Medical Center Kansas City Kansas
United States Truman Medical Center - Hospital Hill Kansas City Missouri
United States Cancer Center of Kansas, PA - Kingman Kingman Kansas
United States Christine LaGuardia Phillips Cancer Center at Wellmont Holston Valley Medical Center Kingsport Tennessee
United States Thompson Cancer Survival Center Knoxville Tennessee
United States Cancer Center of Acadiana at Lafayette General Medical Center Lafayette Louisiana
United States Fairfield Medical Center Lancaster Ohio
United States Sparrow Regional Cancer Center Lansing Michigan
United States Great Lakes Cancer Institute - Lapeer Campus Lapeer Michigan
United States CCOP - Nevada Cancer Research Foundation Las Vegas Nevada
United States University Medical Center of Southern Nevada Las Vegas Nevada
United States Lawrence Memorial Hospital Lawrence Kansas
United States Kansas City Cancer Centers - East Lee's Summit Missouri
United States St. Joseph Regional Medical Center Lewiston Idaho
United States Central Baptist Hospital Lexington Kentucky
United States Cancer Center of Kansas, PA - Liberal Liberal Kansas
United States Kauai Medical Clinic Lihue Hawaii
United States Arkansas Cancer Research Center at University of Arkansas for Medical Sciences Little Rock Arkansas
United States St. Mary Mercy Hospital Livonia Michigan
United States UMC Southwest Cancer and Research Center Lubbock Texas
United States Strecker Cancer Center at Marietta Memorial Hospital Marietta Ohio
United States Tibotec Therapeutics - Division of Ortho Biotech Products, LP Marysville California
United States Cardinal Bernardin Cancer Center at Loyola University Medical Center Maywood Illinois
United States Mountain States Tumor Institute - Meridian Meridian Idaho
United States Caritas Holy Family Hospital Methuen Massachusetts
United States Tucker Center for Cancer Care at Orange Regional Medical Center Middletown New York
United States Winthrop University Hospital Mineola New York
United States Montana Cancer Center at St. Patrick Hospital and Health Sciences Center Missoula Montana
United States Montana Cancer Specialists at Montana Cancer Center Missoula Montana
United States Montrose Memorial Hospital Cancer Center Montrose Colorado
United States Clemens Regional Medical Center Mount Clemens Michigan
United States Good Samaritan Regional Health Center Mount Vernon Illinois
United States Knox Community Hospital Mount Vernon Ohio
United States Mercy General Health Partners Muskegon Michigan
United States Saint Luke's Mountain States Tumor Institute Nampa Idaho
United States St. Luke's - Roosevelt Hospital Center - St.Luke's Division New York New York
United States Licking Memorial Cancer Care Program at Licking Memorial Hospital Newark Ohio
United States Cancer Center of Kansas, PA - Newton Newton Kansas
United States Mid-Illinois Hematology-Oncology Associates at Community Cancer Center Normal Illinois
United States Kaiser Permanente Medical Center - Oakland Oakland California
United States Providence St. Peter Hospital Regional Cancer Center Olympia Washington
United States M.D. Anderson Cancer Center at Orlando Orlando Florida
United States Kansas City Cancer Centers - Southwest Overland Park Kansas
United States Cancer Center of Kansas, PA - Parsons Parsons Kansas
United States Northern Michigan Hospital Petoskey Michigan
United States Mount Carmel Regional Cancer Center Pittsburg Kansas
United States St. Joseph Mercy Oakland Pontiac Michigan
United States Mercy Regional Cancer Center at Mercy Hospital Port Huron Michigan
United States Southern Ohio Medical Center Cancer Center Portsmouth Ohio
United States Cancer Center of Kansas, PA - Pratt Pratt Kansas
United States Good Samaritan Cancer Center Puyallup Washington
United States Kaiser Permanente Medical Center - Redwood City Redwood City California
United States Spectrum Health Reed City Hospital Reed City Michigan
United States Kaiser Permanente Medical Center - Richmond Richmond California
United States Valley Hospital - Ridgewood Ridgewood New Jersey
United States James P. Wilmot Cancer Center at University of Rochester Medical Center Rochester New York
United States Highlands Oncology Group - Springdale Rogers Arkansas
United States Kaiser Permanente Medical Center - Roseville Roseville California
United States Kaiser Permanente Medical Center - Sacramento Sacramento California
United States South Sacramento Kaiser-Permanente Medical Center Sacramento California
United States University of California Davis Cancer Center Sacramento California
United States Seton Cancer Institute at Saint Mary's - Saginaw Saginaw Michigan
United States CCOP - St. Louis-Cape Girardeau Saint Louis Missouri
United States David C. Pratt Cancer Center at St. John's Mercy Saint Louis Missouri
United States Midwest Hematology Oncology Group, Incorporated Saint Louis Missouri
United States Cancer Center of Kansas, PA - Salina Salina Kansas
United States Tammy Walker Cancer Center at Salina Regional Health Center Salina Kansas
United States Huntsman Cancer Institute at University of Utah Salt Lake City Utah
United States Kaiser Permanente Medical Center - San Francisco Geary Campus San Francisco California
United States Kaiser Permanente Medical Center - Santa Teresa San Jose California
United States Kaiser Foundation Hospital - San Rafael San Rafael California
United States Kaiser Permanente Medical Center - Santa Clara Kiely Campus Santa Clara California
United States New Mexico Cancer Care Associates Santa Fe New Mexico
United States Kaiser Permanente Medical Center - Santa Rosa Santa Rosa California
United States Kansas City Cancer Center - Shawnee Mission Shawnee Mission Kansas
United States Feist-Weiller Cancer Center at Louisiana State University Health Sciences Shreveport Louisiana
United States Highland Clinic Shreveport Louisiana
United States Kaiser Permanente Medical Center - South San Francisco South San Francisco California
United States CCOP - Cancer Research for the Ozarks Springfield Missouri
United States Community Hospital of Springfield and Clark County Springfield Ohio
United States Hulston Cancer Center at Cox Medical Center South Springfield Missouri
United States Regional Cancer Center at Memorial Medical Center Springfield Illinois
United States St. John's Regional Health Center Springfield Missouri
United States Iredell Memorial Hospital Statesville North Carolina
United States Kaiser Permanente Medical Facility - Stockton Stockton California
United States Allenmore Hospital Tacoma Washington
United States CCOP - Northwest Tacoma Washington
United States Franciscan Cancer Center at St. Joseph Medical Center Tacoma Washington
United States MultiCare Regional Cancer Center at Tacoma General Hospital Tacoma Washington
United States St. Clare Hospital Tacoma Washington
United States CCOP - Scott and White Hospital Temple Texas
United States Cotton-O'Neil Cancer Center Topeka Kansas
United States St. Francis Comprehensive Cancer Center Topeka Kansas
United States Munson Medical Center Traverse City Michigan
United States Tahoe Forest Cancer Center Truckee California
United States Mountain States Tumor Institute at St. Luke's Twin Falls Idaho
United States Kaiser Permanente Medical Center - Vacaville Vacaville California
United States Kaiser Permanente Medical Center - Vallejo Vallejo California
United States Kaiser Permanente Medical Center - Walnut Creek Walnut Creek California
United States St. John Macomb Hospital Warren Michigan
United States Cancer Center of Kansas, PA - Wellington Wellington Kansas
United States Mount Carmel St. Ann's Cancer Center Westerville Ohio
United States Associates in Womens Health, PA - North Review Wichita Kansas
United States Cancer Center of Kansas, PA - Medical Arts Tower Wichita Kansas
United States Cancer Center of Kansas, PA - Wichita Wichita Kansas
United States CCOP - Wichita Wichita Kansas
United States Via Christi Cancer Center at Via Christi Regional Medical Center Wichita Kansas
United States Cancer Center of Kansas, PA - Winfield Winfield Kansas
United States Genesis - Good Samaritan Hospital Zanesville Ohio

Sponsors (2)

Lead Sponsor Collaborator
SWOG Cancer Research Network National Cancer Institute (NCI)

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Number of Patients With Undetectable PSA undetectable PSA defined as <= 0.2 ng/mL. Patients not responding in the first year were deemed non-responders. 12 months
Secondary Number of Patients With PSA Partial Response PSA reduction to < 4 ng/ml, but >0.2 ng/ml 12 months
Secondary Objective Progression-free Survival Progression defined as unequivocal progression of disease, progressive disease as defined by Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), progressive disease as defined by the Prostate Cancer Clinical Trials Working Group bone scan progression criteria, or death due to disease. 3 years
Secondary Overall Survival 3 years
Secondary Number of Patients With Toxicity of Abiraterone Acetate Only adverse events that are possibly, probably or definitely related to study drug are reported. Up to 3 years
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