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Completed

NCT Number: NCT01649635

Study of Cabazitaxel Combined With Prednisone and Prophylaxis of Neutropenia Complications in the Treatment of Patients With Metastatic Castration-resistant Prostate Cancer

Primary Objective:

- To assess effectiveness of prophylactic treatment of hematological complications (grade ≥ 3 neutropenia) resulting from cabazitaxel treatment for 21 days after treatment initiation.

Secondary Objectives:

* PSA response rate; * Descriptive assessment of CTC (circulating Tumor Cells); * Rates of grade ≥ 3 neutropenia and febrile neutropenia and grade ≥3 diarrhea over the treatment period; * Description of the Health Quality of Life of the patients; * Incidence of adverse events.

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Key information

Age range

18 year and older

Sex eligibility

Male

Study type

Interventional

Phase

Phase 4

Primary location

Investigational Site Number 007, Centro, Brazil

Loading trial locations.

About this study

Screening: 15 days Treatment: until disease progression Post-treatment Follow-up: 12 months

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Histologically proven Castration-Resistant Prostate Cancer (stage IV only);
  • Prior failure of treatment with docetaxel; o Documentation of metastasis by imaging.
  • Performance status 0 or 1;

Exclusion criteria

  • Previous treatment with chemotherapy, except for docetaxel;
  • Previous use of abiraterone;
  • Inability to maintain treatment with androgen deprivation if no previous history of orchiectomy;
  • Presence of any other active malignancy or history of any tumor diagnosed in the last 5 years, except basal cell or squamous cell carcinoma of the skin or in situ carcinoma of the skin, bladder or anal canal (these tumors do not prevent participation if they have been treated, even in the last 5 years);
  • Hypersensitivity or known allergy to any of the treatments under study, including history of severe hypersensitivity reaction (≥grade 3) to docetaxel and/or to polysorbate 80 containing drugs
  • History of congestive heart failure or myocardial infarction within the last 6 months, or uncontrolled cardiac arrhythmias, angina pectoris or uncontrolled hypertension;
  • Uncontrolled severe illness or medical condition (including uncontrolled diabetes mellitus)
  • Presence of severe comorbidity, which in the opinion of the investigator, puts the patient at risk or impairs compliance to the protocol;
  • Known seropositivity for HIV;
  • Presence of significant psychiatric or neurological disease, in the investigator's opinion;
  • Presence of uncontrolled hypercalcemia;
  • Refusal to use appropriate contraception during the study period;
  • Participation in any clinical trial in the last 12 months, unless there is benefit to the patient to be justified by the principal investigator
  • Concurrent or planned treatment with strong inhibitors or strong inducers of cytochrome P450 3A4/5
  • Inadequate organ and bone marrow function

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Treatment and study plan

Cabazitaxel (XRP6258)

Drug

Pharmaceutical form: solution Route of administration: intravenous

Prednisone

Drug

Pharmaceutical form: tablet Route of administration: oral

Ciprofloxacin

Drug

Pharmaceutical form: tablet Route of administration: oral

G-CSF (Granulocyte colony-stimulating factor)

Drug

Pharmaceutical form: solution Route of administration: subcutaneous

Primary outcomes

  1. Proportion of patients with some episode of neutropenia classified as grade ≥ 3

    Time frame: 21 days

Secondary outcomes

  1. Proportion of patients with episode of neutropenia grade ≥3

    Time frame: up to 24 months (every 21 days)

  2. Rate of febrile neutropenia

    Time frame: up to 24 months (every 21 days)

  3. Rate of diarrhea grade ≥3

    Time frame: up to 24 months (every 21 days)

  4. PSA response rate

    Time frame: up to 24 months (every 21 days)

  5. Circulating Tumor Cells Count (CTC) rate

    Time frame: Day 42, Day 84, Day 126 and End of Treatment

  6. Changes from baseline in score derived from the Functional assessment of cancer therapy-prostate (FACT-P) and the Trial Outcome Index (TOI)

    Time frame: up to 24 months (every 21 days)

  7. Number of patients with adverse events

    Time frame: up to 24 months (every 21 days)

Sponsors and collaborators

Lead sponsor

Sanofi

Industry

Registry information

Official study title

A Phase IV, Multicenter, National, Non-comparative, Open-label Study of Cabazitaxel, Combined With Prednisone and Prophylaxis of Neutropenia Complications in the Second-line Treatment of Patients With Metastatic Castration-resistant Prostate Cancer and After Failure of Docetaxel-based Chemotherapy. Descriptive Assessment of the Circulating Tumor Cells in This Context.

Acronym: PROSPECTA

Important dates

Study start
2012
Primary completion
2014
Study completion
2016
First posted
Jul 25, 2012
Registry last updated
Jul 6, 2016

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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