E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To assess the safety, tolerance, efficacy, and response to Taxotere 75mg/m2 given every 3 weeks as a monotherapy for Patients With High Risk Metastatic Prostate Cancer. |
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E.2.2 | Secondary objectives of the trial |
a) Time to Progression b) Overall Survival c) Quality of Life d) Tumour Profiling
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E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
E.3 | Principal inclusion criteria |
Patients will be included in the study if they fulfill the following criteria:
1. Age 18.
2. Men with female partners of child bearing potential must be willing to take adequate contraception.
3. Histologic proven prostate adenocarcinoma presenting with metastatic disease.
4. Karnofsky Performance status 70% (see Appendix C).
5. Life expectancy > 12 months.
6. Gleason Score of 8-10 or Gleason ≥ 7 with proven site of metastasis Or Gleason score 7 with evidence of either 3 or more hot spots on bone scan or evidence of soft tissue metastasis Or Prostate Specific Antigen > 50
7. Adequate renal function as indicated by: Serum Creatinine < 1.5 x the upper limit of normal.
8. Adequate liver function as indicated by: Bilirubin < the upper limit of normal, AST or ALT < 1.5 times upper limit of normal.
9. Adequate bone marrow function as indicated by: Platelets 100,000/mm3 ( 100 x 109/L) Hemoglobin > 9 g/dL ( 6.0mmol/L) Neutrophils 1.5 x 103/mm3 WBC 4.0 x 109/L
12. Written Informed Consent from the patient.
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E.4 | Principal exclusion criteria |
1. Prior Cytotoxic therapy
2. Prior radiotherapy to greater than 25% of bone marrow.
3. Prior malignancy except adaquately treated basal cell or sqamous cell skin cancer.
4. Brain or leptomeningeal involvement.
5. Symptomatic peripheral neuropathy equal to or greater than grade 2 NCI Common Toxicity Criteria
6. Other serious illness or medical condition a) Congestive heart failure even if uncontrolled. Previous history of myocardial infarction or angina pectoris within 1 year from study entry, uncontrolled hypertension or arrythmias. b) Active uncontrolled infection. c) Peptic ulcer, unstable diabetes mellitus or other contraindications against the use of steroids. d) Auto-immune disease (Lupus, sclerodermia, rheumatoid polyarthritis).
7. Any condition (medical, social, psychological) which would prevent adequate follow-up.
8. The use of any investigational agent 30 days before enrolment in the study.
9. Treatment with systemic cortico-steroids used for other reasons than specified by this protocol.
10. Treatment with bisphosphonates must be stopped prior to randomisation.?? For how long
11. Patient is unable to give informed consent.
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E.5 End points |
E.5.1 | Primary end point(s) |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
Standard care observation |
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E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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End of the trial will be when 30 patients have received up to 6 cycles of taxotere and tumour profiling completed or less than 6 cycles if they are with drawn from therapy. Withdrawal will follow the definitions in: Section 5. DISCONTINUATION OF THERAPY/WITHDRAWAL FROM STUDY |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 1 |
E.8.9.2 | In all countries concerned by the trial months | 6 |