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Study Summary
No. 2007-0844:.......Prostate......Christopher Logothetis......Genitourinary Medical Oncology
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Study Summary Title
Study Summary
Number:
2007-0844
Study Title:A Phase 1, Open-Label, Dose-Escalation Safety and Pharmacokinetic
Study of MDV3100 in Patients with Castration-Resistant Prostate Cancer
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Physician New Patient Referral
Name:Christopher LogothetisPatients Call:800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Dept:Genitourinary Medical OncologyReferring MD
Call:
800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Phone:713-792-2830
Contact us about clinical trials
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General Information
Disease Group:ProstateSupported By:Medivation, Inc.
US Department of Defense
Phase of Study:Phase IReturn
Visit:
During Part 1 of this study, patients will return every day (Days 1-6). During
Part 2, patients will return to clinic on Days 1, 3, 7, 21, 28, 42, 56, 84 and
85. During Part 3 of this study, patients will return to the clinic about every
4 weeks.
Treatment
Agents:
MDV3100Home Care:Patient is responsible for administering oral medication.
Treatment Loc:Both at MDACC & outside MDACC at one or more Collaborating Sites or Institutions
Estimated
Length of Stay
in Houston:
N/A
Description/
Intervention:
The goal of this clinical research study is to find the highest safe dose of
MDV3100 that can be given to patients with prostate cancer. This is the first
time MDV3100 has been given to humans.
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Study Objectives / Outcomes
Primary Objective:
  • The primary objective of this study is to determine the safety and tolerability profile of MDV3100, including the dose-limiting toxicities (DLTs), and the maximum tolerated dose (MTD) (if possible) when administered orally to subjects with castration-resistant prostate cancer.

Secondary Objectives:
  • To define a dose or doses to be further studied;
  • To assess the pharmacokinetics (PK) of MDV3100 following single-dose and
    multiple-dose administration;
  • To collect preliminary data on the effect of MDV3100 on serum prostate-specific antigen (PSA) levels, PSA response, and PSA response duration;
  • To collect preliminary data on the effect of MDV3100 on circulating tumor cells;
  • To collect preliminary data on the effect of MDV3100 on bone turnover markers (serum bone-specific alkaline phosphatase and urinary N-telopeptide).
  • To collect preliminary data on disease progression during MDV3100 treatment.
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Study Status Information
Study Activation / Registration Date:02/13/2008
IRB Review and Approval Date:02/13/2008
Study Type:Phase I
Recruitment Status:Closed
Projected Accrual:186
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Enrollment Eligibility
If you do not meet the enrollment eligibility, there may be other treatment options for you. Please Contact the Referral Office for more information.

Inclusion Criteria:1) Histologically or cytologically confirmed adenocarcinoma of the prostate;

2) Ongoing androgen deprivation therapy with a gonadotropin releasing hormone (GnRH) analogue or inhibitor, or orchiectomy (i.e., surgical or medical castration);

3) For patients who have not had an orchiectomy, there must be a plan to maintain effective GnRH-analogue therapy for the duration of the trial;

4) Serum testosterone level < 50 ng/dL at Screening;

5) Patients receiving bisphosphonate therapy must have been on stable doses for at least 4 weeks;

6) Progressive disease after medical or surgical castration with or without a trial of anti-androgen therapy and withdrawal, if appropriate. Disease progression is defined as one or more of the following 3 criteria:a) Progression as defined by the RECIST; b) Progression as defined by a minimum of three rising PSA levels with an interval of >/= 1 week between each determination. The screening PSA value should be >/= 2 ng/mL. The PSA values should, in the judgment of the investigator, be consistent with prostate cancer progression; c) Progression as defined by two or more new lesions on bone scan.

7) Eastern Cooperative Oncology Group (ECOG) performance status of 0 - 1 (2 is allowed only if due to bone pain)

8) Patients with documented metastatic disease may be included if chemotherapy is not currently planned, if they are ineligible for, intolerant of, or have declined chemotherapy, or if they have documented progressive disease despite chemotherapy. Patients previously treated with chemotherapy must have no more than 2 prior chemotherapy regimens with at least one regimen containing docetaxel.

9) Have provided a signed Informed Consent Form (ICF) and Health Insurance Portability and Accountability Act (HIPAA) form and, in the opinion of the Investigator, are able to comply with the study assessments and follow-up.

Exclusion Criteria:1) Metastases in the brain or active epidural disease. (Note: patients with treated epidural disease are allowed);

2) Absolute granulocyte count < 1.5 K/microliters at Screening;

3) Platelet count < 100 K/microliters at Screening;

4) Hemoglobin < 9 g/dL at Screening. (Note: patients whose anemia has been corrected to a hemoglobin value >/= 9 g/dL with blood transfusion or erythrocyte stimulating products are allowed);

5) Bilirubin, alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 2 x the upper limit of normal at Screening. Patients with a history of Gilbert's syndrome who have a total bilirubin > 2 x the upper limiit of normal may be enrolled if the total bilirubin is < 3 mg/dL;

6) Creatinine > 2 mg/dL or an estimated creatinine clearance (CrCL) < 50 ml/min (based on the Cockcroft-Gault formula) at Screening;

7) History of another malignancy within the previous 5 years (other than curatively treated nonmelanomatous skin cancer);

8) Androgen receptor antagonists (i.e. bicalutamide, flutamide, nilutamide) or 5-α reductase inhibitors (finasteride, aminoglutethamide) or ketoconazole within 6 half-lives of the start of Study Drug treatment; Half-lives are as follows: bicalutamide 6 days; flutamide 6 hours; nilutamide 4 days; finasteride 8 hours; aminoglutethamide 15 hours; Ketoconazole 8 hours.

9) Use of estrogens within 3 weeks of the start of Study Drug treatment;

10) Use of herbal products that may decrease PSA levels (i.e., saw palmetto) or systemic corticosterioid greater than the equivalent of 10 mg of prednisone per day during the 4 weeks prior to screening or plans to initiate treatment with the above during the entire duration of the study;

11) Anticipated use of estrogens, 5-alpha reductase inhibitors, ketoconazole or androgen receptor antagonists during the duration of the trial;

12) Use of an investigational agent within the 4 weeks prior to the start of Study Drug treatment;

13) Radiation therapy within 12 weeks of the start of Study Drug treatment; Any condition that, in the opinion of the Investigator, would impair the patient's ability to comply with study procedures;

14) Any condition that, in the opinion of the Investigator, would impair the patient's ability to comply with study procedures;

15) Evidence of severe or uncontrolled systemic disease other than castration-resistant prostate cancer;

16) History of seizure, including any febrile seizure, loss of consciousness, or transient ischemic attack within 12 months of enrollment, or any condition that may predispose to seizure (e.g., prior stroke, brain arteriovenous malformation, head trauma with loss of consciousness requiring hospitalization).

17) Have used or plan to use from 30 days prior to enrollment through the end of the study the following medications known to lower the seizure threshold: Aminophylline/theophylline; Atypical antipsychotics (e.g., clozapine, olanzapine, risperidone, ziprasidone); Bupropion; Insulin; Lithium; Pethidine; Phenothiazine antipsychotics (e.g., chlorpromazine, mesoridazine, thioridazine); Tricyclic and tetracyclic antidepressants (e.g., amitriptyline, desipramine, doxepin, imipramine, maprotiline, mirtazapine).

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Links
Registration Number: NCT00510718
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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