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| Name | Class |
|---|---|
| Ortho Biotech, Inc. | INDUSTRY |
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The primary objective of this study is to evaluate PSA response rates of the combination of Doxil and Thalidomide in patients with AIPC who have failed chemotherapy. Secondary objectives include: 1) To evaluate the clinical response rate of this combination on measurable disease 2) To evaluate overall survival for this combination.
This is an open label, Phase II trial of thalidomide and Doxil in patients with androgen independent prostate cancer whom have a rising PSA while on chemotherapy. The primary objective of this study is to evaluate PSA response rates of the combination of Doxil and Thalidomide in patients with AIPC who have failed chemotherapy. Secondary objectives include: 1) To evaluate the clinical response rate of this combination on measurable disease (If measurable soft tissue lesions are present on radiological or clinical exam) ; 2) To evaluate overall survival for this combination. There will be between 18 and 35 subjects at least 18 years of age enrolled on this single site study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| thalidomide and doxil | Experimental | Combination of Thalidomide and Doxil |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Thalidomide | Drug | 100 mg PO q day and escalation will occur bt 50 mg every 4 weeks to a maximum of 200mg |
|
| Measure | Description | Time Frame |
|---|---|---|
| Response Rate | The number of patients experiencing a response to treatment, per RECIST criteria / total number of patients evaluable for response. | 24 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Best Overall PSA Response | PSA response as stable disease or progressive disease, per Prostate-Specific Antigen Working Group criteria. | 4 weeks |
| Overall Survival | 36 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gurkamal S Chatta, MD | University of Pittsburgh | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hillman Cancer Center | Pittsburgh | Pennsylvania | 15232 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | Thalidomide and Doxil | Combination of Thalidomide and Doxil Thalidomide: 100 mg PO q day and escalation will occur bt 50 mg every 4 weeks to a maximum of 200mg Doxil: On day 1 of each cycle 40 mg/m2 IV over 1 hr every 28 days |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Thalidomide and Doxil | Combination of Thalidomide and Doxil Thalidomide: 100 mg PO q day and escalation will occur bt 50 mg every 4 weeks to a maximum of 200mg Doxil: On day 1 of each cycle 40 mg/m2 IV over 1 hr every 28 days |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Median |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Response Rate | The number of patients experiencing a response to treatment, per RECIST criteria / total number of patients evaluable for response. | Patients that received greater than one cycle of therapy. | Posted | Number | 95% Confidence Interval | percentage of participants | 24 weeks |
|
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Thalidomide and Doxil | Combination of Thalidomide and Doxil Thalidomide: 100 mg PO q day and escalation will occur bt 50 mg every 4 weeks to a maximum of 200mg Doxil: On day 1 of each cycle 40 mg/m2 IV over 1 hr every 28 days |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| INR (International Normalized Ratio of prothrombin time) | Investigations |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Allergic rhinitis (including sneezing, nasal stuffiness, postnasal drip) | Respiratory, thoracic and mediastinal disorders |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Rita Johnson RN BSN CCRC | University of Pittsburgh | 412-647-8571 | johnsonr1@upmc.edu |
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| ID | Term |
|---|---|
| D011471 | Prostatic Neoplasms |
| ID | Term |
|---|---|
| D005834 | Genital Neoplasms, Male |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D013792 | Thalidomide |
| C506643 | liposomal doxorubicin |
| D004317 | Doxorubicin |
| ID | Term |
|---|---|
| D010797 | Phthalimides |
| D010795 | Phthalic Acids |
| D000146 | Acids, Carbocyclic |
| D002264 | Carboxylic Acids |
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| Doxil | Drug | On day 1 of each cycle 40 mg/m2 IV over 1 hr every 28 days |
|
|
| Time to Progression | Time from start of treatment until the disease progression per RECIST criteria. | Up to 18 months |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
|
|
| Secondary | Best Overall PSA Response | PSA response as stable disease or progressive disease, per Prostate-Specific Antigen Working Group criteria. | Patients that received greater than one cycle of therapy and met criteria for stable or progressive disease according to Prostate-Specific Antigen Working Group criteria. | Posted | Number | 95% Confidence Interval | percentage of patients | 4 weeks |
|
|
|
| Secondary | Overall Survival | Posted | Median | 95% Confidence Interval | months | 36 months |
|
|
|
| Secondary | Time to Progression | Time from start of treatment until the disease progression per RECIST criteria. | Posted | Median | 95% Confidence Interval | months | Up to 18 months |
|
|
|
| 9 |
| 39 |
| 39 |
| 39 |
| Dehydration | Metabolism and nutrition disorders |
|
| Edema: limb | General disorders |
|
| Arthritis (non-septic) | Musculoskeletal and connective tissue disorders |
|
| Pain - Other | General disorders |
|
| Pain, Bone | Musculoskeletal and connective tissue disorders |
|
| Pain, Intestine | Gastrointestinal disorders |
|
| Pain, Pelvis | Gastrointestinal disorders |
|
| Atelectasis | Respiratory, thoracic and mediastinal disorders |
|
| Dyspnea (shortness of breath) | Respiratory, thoracic and mediastinal disorders |
|
| Auditory/Ear - Other | Ear and labyrinth disorders |
|
| Blood/Bone Marrow - Other | Blood and lymphatic system disorders |
|
| Hemoglobin | Blood and lymphatic system disorders |
|
| Leukocytes (total WBC) | Investigations |
|
| Lymphopenia | Investigations |
|
| Neutrophils/granulocytes (ANC/AGC) | Investigations |
|
| Platelets | Investigations |
|
| Cardiac Arrhythmia - Other | Cardiac disorders |
|
| Palpitations | Cardiac disorders |
|
| Supraventricular and nodal arrhythmia, Sinus bradycardia | Cardiac disorders |
|
| Supraventricular and nodal arrhythmia, Supraventricular tachycardia | Cardiac disorders |
|
| Hypotension | Vascular disorders |
|
| Constitutional Symptoms - Other | General disorders |
|
| Fatigue (asthenia, lethargy, malaise) | General disorders |
|
| Fever (in the absence of neutropenia, where neutropenia is defined as ANC <1.0 x 10e9/L) | General disorders |
|
| Insomnia | Psychiatric disorders |
|
| Rigors/chills | General disorders |
|
| Sweating (diaphoresis) | Skin and subcutaneous tissue disorders |
|
| Weight gain | Investigations |
|
| Weight loss | Investigations |
|
| Dermatology/Skin - Other | Skin and subcutaneous tissue disorders |
|
| Dry skin | Skin and subcutaneous tissue disorders |
|
| Hair loss/alopecia (scalp or body) | Skin and subcutaneous tissue disorders |
|
| Hyperpigmentation | Skin and subcutaneous tissue disorders |
|
| Pruritus/itching | Skin and subcutaneous tissue disorders |
|
| Rash/desquamation | Skin and subcutaneous tissue disorders |
|
| Rash: hand-foot skin reaction | Skin and subcutaneous tissue disorders |
|
| Urticaria (hives, welts, wheals) | Skin and subcutaneous tissue disorders |
|
| Hot flashes/flushes | Vascular disorders |
|
| Anorexia | Metabolism and nutrition disorders |
|
| Constipation | Gastrointestinal disorders |
|
| Dehydration | Metabolism and nutrition disorders |
|
| Diarrhea | Gastrointestinal disorders |
|
| Dry mouth/salivary gland (xerostomia) | Gastrointestinal disorders |
|
| Dysphagia (difficulty swallowing) | Gastrointestinal disorders |
|
| Gastrointestinal - Other | Gastrointestinal disorders |
|
| Mucositis/stomatitis (clinical exam), Oral cavity | Gastrointestinal disorders |
|
| Mucositis/stomatitis (functional/symptomatic), Oral cavity | Gastrointestinal disorders |
|
| Nausea | Gastrointestinal disorders |
|
| Taste alteration (dysgeusia) | Gastrointestinal disorders |
|
| Vomiting | Gastrointestinal disorders |
|
| Hemorrhage, GU, Urinary NOS | Renal and urinary disorders |
|
| Hemorrhage, pulmonary/upper respiratory, Nose | Respiratory, thoracic and mediastinal disorders |
|
| Hemorrhage/Bleeding - Other | Blood and lymphatic system disorders |
|
| Infection with Grade 3 or 4 neutrophils , Lung (pneumonia) | Infections and infestations |
|
| Infection - Other | Infections and infestations |
|
| Infection with normal ANC or Grade 1 or 2 neutrophils, Dental-tooth | Infections and infestations |
|
| Infection with normal ANC or Grade 1 or 2 neutrophils, Lung (pneumonia) | Infections and infestations |
|
| Infection with normal ANC or Grade 1 or 2 neutrophils, Oral cavity-gums (gingivitis) | Infections and infestations |
|
| Infection with normal ANC or Grade 1 or 2 neutrophils, Sinus | Infections and infestations |
|
| Infection with unknown ANC, Sinus | Infections and infestations |
|
| Edema: limb | General disorders |
|
| Lymphatics - Other | Blood and lymphatic system disorders |
|
| AST, SGOT(serum glutamic oxaloacetic transaminase) | Investigations |
|
| Albumin, serum-low (hypoalbuminemia) | Metabolism and nutrition disorders |
|
| Alkaline phosphatase | Investigations |
|
| Calcium, serum-high (hypercalcemia) | Metabolism and nutrition disorders |
|
| Calcium, serum-low (hypocalcemia) | Metabolism and nutrition disorders |
|
| Potassium, serum-high (hyperkalemia) | Metabolism and nutrition disorders |
|
| Sodium, serum-low (hyponatremia) | Metabolism and nutrition disorders |
|
| Muscle weakness, generalized or specific area (not due to neuropathy), Extraocular | Musculoskeletal and connective tissue disorders |
|
| Muscle weakness, generalized or specific area (not due to neuropathy), Extremity-lower | Musculoskeletal and connective tissue disorders |
|
| Musculoskeletal/Soft Tissue - Other | Musculoskeletal and connective tissue disorders |
|
| Dizziness | Nervous system disorders |
|
| Extrapyramidal/involuntary movement/restlessness | Nervous system disorders |
|
| Memory impairment | Nervous system disorders |
|
| Mood alteration, Anxiety | Psychiatric disorders |
|
| Mood alteration, Depression | Psychiatric disorders |
|
| Neurology - Other | Nervous system disorders |
|
| Neuropathy: motor | Nervous system disorders |
|
| Neuropathy: sensory | Nervous system disorders |
|
| Somnolence/depressed level of consciousness | Nervous system disorders |
|
| Tremor | Nervous system disorders |
|
| Ocular/Visual - Other | Eye disorders |
|
| Vision-blurred vision | Eye disorders |
|
| Watery eye (epiphora, tearing) | Eye disorders |
|
| Pain - Other | General disorders |
|
| Pain, Abdomen NOS | Gastrointestinal disorders |
|
| Pain, Back | Musculoskeletal and connective tissue disorders |
|
| Pain, Bone | Musculoskeletal and connective tissue disorders |
|
| Pain, Chest wall | Respiratory, thoracic and mediastinal disorders |
|
| Pain, Extremity-limb | Musculoskeletal and connective tissue disorders |
|
| Pain, Face | General disorders |
|
| Pain, Head/headache | Nervous system disorders |
|
| Pain, Joint | Musculoskeletal and connective tissue disorders |
|
| Pain, Oral cavity | Gastrointestinal disorders |
|
| Pain, Pelvis | Gastrointestinal disorders |
|
| Pain, Throat/pharynx/larynx | Respiratory, thoracic and mediastinal disorders |
|
| Atelectasis | Respiratory, thoracic and mediastinal disorders |
|
| Cough | Respiratory, thoracic and mediastinal disorders |
|
| Dyspnea (shortness of breath) | Respiratory, thoracic and mediastinal disorders |
|
| Edema, larynx | General disorders |
|
| Nasal cavity/paranasal sinus reactions | Respiratory, thoracic and mediastinal disorders |
|
| Pleural effusion (non-malignant) | Respiratory, thoracic and mediastinal disorders |
|
| Pulmonary/Upper Respiratory - Other | Respiratory, thoracic and mediastinal disorders |
|
| Incontinence, urinary | Renal and urinary disorders |
|
| Renal failure | Renal and urinary disorders |
|
| Renal/Genitourinary - Other | Renal and urinary disorders |
|
| Urinary frequency/urgency | Renal and urinary disorders |
|
| Urinary retention (including neurogenic bladder) | Renal and urinary disorders |
|
| Urine color change | Renal and urinary disorders |
|
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| D005832 |
| Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D011469 | Prostatic Diseases |
| D052801 | Male Urogenital Diseases |
| D009930 |
| Organic Chemicals |
| D010881 | Piperidones |
| D010880 | Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D054833 | Isoindoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D003630 | Daunorubicin |
| D018943 | Anthracyclines |
| D009279 | Naphthacenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D011083 | Polycyclic Compounds |
| D000617 | Aminoglycosides |
| D006027 | Glycosides |
| D002241 | Carbohydrates |