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To determine the maximum tolerated dose (MTD) and dose-limiting toxicities (DLTs) of ABI-008 given every 3 weeks; to characterize the toxicities of ABI-008; and to determine the pharmacokinetic parameters for ABI-008 when given on an every-3-week schedule.
Detailed description not necessary.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ABI-008 | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ABI-008 | Drug | nab-docetaxel |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| DLT's and MTD's | 1 Year |
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy of ABI-008 in this patient population | Q12 weeks and End of Study (EOS) and Follow Up |
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Inclusion Criteria:
Each subject must meet the following criteria to be enrolled in this study.
Patients must have histologically or cytologically confirmed adenocarcinoma of the prostate that is clinically refractory to hormone therapy.
Zubrod Performance Status 0-1.
At the time of enrollment, patients must have evidence of progressive metastatic disease, either:
Measurable disease with any level of serum PSA
Non-measurable disease with PSA ≥ 5 ng/ml. Patients with PSA ≥ 5 ng/ml only and no other radiographic evidence of metastatic prostate cancer are not eligible.
Patients must have demonstrated evidence of progressive disease since the most recent change in therapy. Progressive disease is defined as any one of the following (measurable disease, bone scan, or PSA progression):
Serum testosterone ≤ 50 ng/ml, determined within two weeks prior to starting treatment.
Maintaining castrate status: Patients who have not undergone surgical orchiectomy should continue on medical therapies [e.g. gonadotropin releasing hormone analogs (GnRH analogs)] to maintain castrate levels of serum testosterone.
Megestrol acetate (MEGACE®) treatment may continue if patient has been on stable doses of the drug.
Age > 18 years of age.
Four weeks since major surgery.
The following restrictions on prior therapy for metastatic disease apply:
No limitation on prior hormonal therapy.
Patients should be off all therapy for at least 4 weeks prior to study drug administration.
Life expectancy should be ≥ 3 months.
Patients must have signed an informed consent document stating that they understand the investigational nature of the proposed treatment.
Required Initial Laboratory Data:
Men whose sexual partners are of child-bearing age must agree to use adequate contraception (hormonal or barrier method of birth control) for the duration of study participation.
If obese (weight > 20% of ideal body weight) patient must be treated with doses calculated using adjusted BSA.
Exclusion Criteria:
Subjects who meet any of the following criteria will be excluded from the study.
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| Name | Affiliation | Role |
|---|---|---|
| John C Araujo, MD | M.D. Anderson Cancer Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Michigan Comprehensive Cancer Center | Ann Arbor | Michigan | 48109 | United States | ||
| Washington University School of Medicine |
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| St Louis |
| Missouri |
| 63110 |
| United States |
| Nebraska Methodist Hospital | Omaha | Nebraska | 68114 | United States |
| University of Texas M.D. Anderson Cancer Center | Houston | Texas | 77030 | United States |