Prostate CancerPhase 3NCT00376792
Docetaxel Compared With Observation in Treating Patients Who Have Undergone Radical Prostatectomy for Prostate Cancer
A Phase 3 study testing docetaxel, active surveillance and adjuvant therapy in people with Prostate Cancer, run by Scandinavian Prostate Cancer Group at 8 sites in 5 countries.
Trial summary
RATIONALE: Drugs used in chemotherapy, such as docetaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving docetaxel after surgery may kill any tumor cells that remain after surgery. Read more about this study
- Who is it for?
- Ages 18 to 70 years, men only
- Conditions the study is for
- Prostate Cancer
- What is being tested?
- docetaxel, active surveillance and adjuvant therapy
- Type of treatment
- Surgery or procedure
- How many people
- 396 participants
- Where
- 8 sitesin 5 countries
- Study dates
- Oct 2005to Dec 2012
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 70 years
- Men only
- No healthy volunteers
- Adult, Older adult
DISEASE CHARACTERISTICS:
- Histologically confirmed adenocarcinoma of the prostate meeting one of the following criteria after undergoing radical prostatectomy:
- pT2 with Gleason score 4+3 or 8-10 and positive margins in the radical prostatectomy specimen
- Any pT3a tumor with Gleason score ≥ 4+3
- pT3b tumor with Gleason score ≥ 7
- Negative lymph nodes at histological examination (N0)
- Patients with a preoperative prostate-specific antigen (PSA) ≥ 10.0 ng/mL should have undergone a lymph node dissection
- Postoperative PSA must be < 0.5 ng/mL
- Considered at high risk for recurrent disease
- No metastatic (M0) disease
- Negative bone scan
PATIENT CHARACTERISTICS:
- WHO/ECOG performance status 0-1
- Hemoglobin ≥ 11.0 g/dL
- Neutrophil count ≥ 1,500/mm³
- Platelet count ≥ 150,000/mm³
- Creatinine ≤ 1.5 times upper limit of normal (ULN)
- Bilirubin normal
- AST and ALT ≤ 1.5 times ULN
- Alkaline phosphatase < 1.5 times ULN
- No active untreated infectious disease (e.g., tuberculosis or methicillin-resistant Staphylococcus aureus)
- No active gastric ulcer
- No known hypersensitivity to polysorbate 80
- No symptomatic peripheral neuropathy ≥ grade 2
- No myocardial infarction within the past 6 months
- No other unstable cardiovascular disease within the past 6 months
- No other serious illness or medical condition
- No altered psychological or physical state that would preclude study compliance
- No other malignancy within the past 5 years except basal cell or squamous cell skin cancer
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
- No prior hormonal therapy (e.g., luteinizing hormone-releasing hormone analogues and/or antiandrogens) affecting prostate cancer cells
- No prior radiotherapy to the pelvis
- No prior chemotherapy
- More than 6 months since prior systemic corticosteroids
- No other concurrent anticancer therapy or investigational drugs
Trial locations and contacts
8 sites in 5 countries.
8 sites in 5 countries
Denmark2 sites, 2 recruiting
- Recruiting
Aarhus Universitetshospital - Aarhus Sygehus
Aarhus, DK 8200
Michael Borre, MD, PhD, DMsci, 45-89-495-566
- Recruiting
Copenhagen County Herlev University Hospital
Copenhagen, DK-2730
Lisa Sengelov, MD, PhD, 45-44-884-488, lise@herlevhosp.kbhamt.dk
Norway2 sites, 2 recruiting
- Recruiting
Ullevaal University Hospital
Oslo, 0407
Jon R. Iversen, MD, 47-22-119-310, joiv@uus.no
- Recruiting
Norwegian University of Science and Technology
Trondheim, N-7005
Anders Angelsen, MD, PhD, 47-73-868-000
Sweden2 sites, 2 recruiting
- Recruiting
Lund University Hospital
Lund, SE-22185
Per Flodgren, MD, PhD, 46-46-177-520
- Recruiting
Malmo University Hospital
Malmö, S-20502
Goran Ahlgren, MD, PhD, 46-40-33-3754, goran.ahlgren@skane.se
Finland1 site, 1 recruiting
- Recruiting
Tampere University Hospital
Tampere, 33521
Pirkko Kellokumpu-Lehtinen, 358-3-247-3227, pirkko-liisa.kellokumpu-lehtinen@uta.fi
Iceland1 site, 1 recruiting
- Recruiting
Landspitalinn University Hospital
Reykjavik, 125
Asgerdur Sverrisdottir, MD, 354-543-1000, asgerds@landspitali.is
About this study
Official title: An Open Randomized Phase III Trial of Six Cycles of Docetaxel Versus Surveillance After Radical Prostatectomy in High Grade Prostate Cancer Patients With Margin Positive T2 or T3 Tumours
RATIONALE: Drugs used in chemotherapy, such as docetaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving docetaxel after surgery may kill any tumor cells that remain after surgery. Sometimes, after surgery, the tumor may not need more treatment until it progresses. In this case, observation may be sufficient. It is not yet known whether giving docetaxel after surgery is more effective than observation in treating prostate cancer.
PURPOSE: This randomized phase III trial is studying docetaxel to see how well it works compared with observation in treating patients who have undergone radical prostatectomy for prostate cancer.
Read the detailed description
OBJECTIVES:
Primary
- Compare time to prostate-specific antigen (PSA) progression in patients with margin-positive tumors after undergoing radical prostatectomy for high-grade prostate cancer treated with docetaxel versus observation.
Secondary
- Compare PSA doubling time in patients treated with these regimens.
- Compare quality of life of these patients.
- Compare overall and metastasis-free survival of patients treated with these regimens.
OUTLINE: This is a prospective, open-label, randomized, multicenter study. Patients are stratified according to participating center and tumor stage (pT2 vs pT3). Patients are randomized to 1 of 2 treatment arms.
- Arm I: Patients receive docetaxel IV over 1 hour on day 1. Treatment repeats every 21 days for up to 6 courses in the absence of disease progression or unacceptable toxicity.
Quality of life is assessed at baseline, directly after and 6 months after completing study treatment, and then annually thereafter.
- Arm II: Patients undergo observation until PSA progression (defined as PSA ≥ 0.5 ng/mL) Quality of life is assessed at baseline, week 19, and annually thereafter.
After completion of study treatment, patients are followed periodically for 5 years.
PROJECTED ACCRUAL: A total of 396 patients will be accrued for this study.
- Conditions
- Prostate Cancer
- Being tested
- docetaxel, active surveillance, adjuvant therapy
- Keywords
- stage IIB prostate cancer, stage IIA prostate cancer, stage III prostate cancer, adenocarcinoma of the prostate
- Medical subject headings
- Prostatic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
docetaxelDrug
active surveillanceOther
adjuvant therapyProcedure or surgery
What is being measured
The primary outcome is the main question the study is designed to answer.
Prostate-specific antigen (PSA) progression
Secondary outcomes (4)
PSA doubling time
Quality of Life
Metastasis-free survival
Overall survival
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Sep 2006 (estimated)
- Study startOct 2005
- Primary completionDec 2012 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Prostate CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Masking
- None (open label)
- Enrolment
- 396 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Scandinavian Prostate Cancer Group
- Sponsor type
- Research network
- Investigators
- Goran Ahlgren, MD, PhD, Study chair, Skane University HospitalPer Flodgren, MD, PhD, Lund University Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00376792
- Sponsor's protocol ID
- CDR0000456773
- Other IDs
- SPCG-12, EUDRACT-2005-002355-40, EU-20638, SANOFI-AVENTIS-SPCG-12, SPCG-ADPRO
- Status last verified
- Jun 2009
- First submitted
- 13 Sep 2006
- Last updated
- 26 Aug 2013
- Results posted
- No
Study at a glance
From the registry record, last updated by the sponsor on 26 Aug 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open Randomized Phase III Trial of Six Cycles of Docetaxel Versus Surveillance After Radical Prostatectomy in High Grade Prostate Cancer Patients With Margin Positive T2 or T3 Tumours
- ClinicalTrials.gov ID
- NCT00376792
- Acronym / sponsor ID
- CDR0000456773
- Conditions
- Prostate Cancer
- Keywords
- stage IIB prostate cancer, stage IIA prostate cancer, stage III prostate cancer, adenocarcinoma of the prostate
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 396 participants (estimated)
- Lead sponsor
- Scandinavian Prostate Cancer GroupResearch network
- Study start
- Oct 2005
- Primary completion
- Dec 2012 (estimated)
- First posted
- 15 Sep 2006 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
RATIONALE: Drugs used in chemotherapy, such as docetaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving docetaxel after surgery may kill any tumor cells that remain after surgery. Sometimes, after surgery, the tumor may not need more treatment until it progresses. In this case, observation may be sufficient. It is not yet known whether giving docetaxel after surgery is more effective than observation in treating prostate cancer.
PURPOSE: This randomized phase III trial is studying docetaxel to see how well it works compared with observation in treating patients who have undergone radical prostatectomy for prostate cancer.
Detailed description
OBJECTIVES:
Primary
- Compare time to prostate-specific antigen (PSA) progression in patients with margin-positive tumors after undergoing radical prostatectomy for high-grade prostate cancer treated with docetaxel versus observation.
Secondary
- Compare PSA doubling time in patients treated with these regimens.
- Compare quality of life of these patients.
- Compare overall and metastasis-free survival of patients treated with these regimens.
OUTLINE: This is a prospective, open-label, randomized, multicenter study. Patients are stratified according to participating center and tumor stage (pT2 vs pT3). Patients are randomized to 1 of 2 treatment arms.
- Arm I: Patients receive docetaxel IV over 1 hour on day 1. Treatment repeats every 21 days for up to 6 courses in the absence of disease progression or unacceptable toxicity.
Quality of life is assessed at baseline, directly after and 6 months after completing study treatment, and then annually thereafter.
- Arm II: Patients undergo observation until PSA progression (defined as PSA ≥ 0.5 ng/mL) Quality of life is assessed at baseline, week 19, and annually thereafter.
After completion of study treatment, patients are followed periodically for 5 years.
PROJECTED ACCRUAL: A total of 396 patients will be accrued for this study.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Masking
- None (open label)
Who may qualify
- Ages
- 18 to 70 years
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| docetaxel | Drug | – |
| active surveillance | Other | – |
| adjuvant therapy | Procedure or surgery | – |
Primary outcome
Prostate-specific antigen (PSA) progression
4 secondary outcomes
PSA doubling time
Quality of Life
Metastasis-free survival
Overall survival
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Aug 2013.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Copenhagen County Herlev University Hospital
Copenhagen, Denmark
Goran Ahlgren, MD, PhD study chair
Skane University Hospital
Per Flodgren, MD, PhD
Lund University Hospital
8 sites in 5 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing docetaxel, active surveillance and adjuvant therapy in people with Prostate Cancer, run by Scandinavian Prostate Cancer Group at 8 sites in 5 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 26 Aug 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 8 sites in Denmark, Norway, Sweden, Finland, Iceland. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Prostate-specific antigen (PSA) progression. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Aug 2013.