Metastatic Prostate CancerPhase 1ZANTENCT00415779
ZANTE: Zometa and Taxotere in Hormone Refractory Prostate Cancer
A Phase 1 study testing docetaxel and zoledronic acid in people with Metastatic Prostate Cancer, run by National Cancer Institute, Naples at 2 sites in Italy.
Trial summary
This phase I trial is studying the side effects and best dose of docetaxel when given with zoledronic acid in patients with bone metastasis from prostate cancer that has not responded to hormone therapy. Read more about this study
- Who is it for?
- Ages 18 years and older, men only
- Conditions the study is for
- Metastatic Prostate Cancer
- What is being tested?
- docetaxel and zoledronic acid
- Type of treatment
- Injection or infusion
- How many people
- 36 participants
- Where
- 2 sitesItaly
- Study dates
- Jul 2006to Jul 2009
- Phase
- Phase 1
- 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 years and older
- Men only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Written informed consent
- Hormone refractory prostate cancer
- Stage IV disease with bone metastasis
- No immunotherapy, hormonal therapy or radiotherapy within the previous month
- Performance status < or = 2 (ECOG)
- Serum creatinine < 1.5 mg/100ml
Show all 9Show fewer
- Serum bilirubin < or = 1.25 x UNL (upper normal limit) (or < or = 1.5 x UNL in the presence of hepatic metastases); SGOT e SGPT < or = 1.5 x UNL (or < or = 2.5 x UNL in presence of hepatic metastases)
- Left ventricular ejection fraction > or = 50% (measured by cardiac ultrasound or MUGA scan)
- Neutrophils > 1500/mm3; platelets >100000/mm3; hemoglobin >10 g/100 ml· Life expectancy of at least 3 months
Who cannot join
- Previous malignancies with the exception of radically treated epithelioma
- Previous chemotherapy
- Comorbidities that would, in the Investigator's opinion, contraindicate the use of the drugs in the study
- Uncontrolled Diabetes
- Severe cardiac arrhythmias, severe uncontrolled congestive heart failure, severe ischemic cardiac disease or myocardial infarction within the previous 6 months
- severe infection
- cerebral metastasis
- Pre-existing motor or sensory neurotoxicity > or = grade 2 according to CTC (Common Toxicity Criteria).
Trial locations and contacts
2 sites in 1 country.
Italy2 sites
Istituto Nazionale dei Tumori
Naples, 80131
Ospedale Oncologico Regionale C.R.O.B. - Basilicata
Rionero in Vulture
About this study
Official title: Phase I Study of the Combination of Zoledronic Acid and Docetaxel in Patients With Hormone Refractory Metastatic Prostate Cancer
This phase I trial is studying the side effects and best dose of docetaxel when given with zoledronic acid in patients with bone metastasis from prostate cancer that has not responded to hormone therapy.
Read the detailed description
Docetaxel has been used alone and in combination with other anti-cancer therapies in the treatment of hormone refractory metastatic prostate cancer. Zoledronic acid has been used in the treatment of bone metastasis from prostate cancer. This is a study of the combination of these two agents. The Zante study will test a dose escalation of docetaxel in association with a predetermined dose of zoledronic acid (2 mg), given every 14 days for a minimum of 6 and maximum of 12 cycles.
Sequence A: Docetaxel on day 1 and zoledronic acid on day 2
Sequence B: Zoledronic acid on day 1 and docetaxel on day 2
Patients are enrolled sequentially in cohorts of 3 for each dose level, and a maximum of 36 patients will be enrolled.
- Conditions
- Metastatic Prostate Cancer
- Being tested
- docetaxel, zoledronic acid
- Keywords
- hormone refractory, bone metastasis, chemotherapy, biphosphonates
- 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
given IV in subsequent cohorts of patients at 30, 40, or 50mg/m2
zoledronic acidDrug
2 mg IV every 2 weeks
What is being measured
The primary outcome is the main question the study is designed to answer.
to determine the maximum tolerated dose and dose limiting toxicity of docetaxel in the two treatment schedules
Measured: every 2 weeks for up to 3 cycles
Secondary outcomes (5)
to determine the recommended docetaxel dose when combined with zoledronic acid for phase II studies
Measured: every 2 weeks for 6 cycles
to determine which administration sequence of the combination permits a higher dosage of docetaxel
Measured: every 2 weeks for 6 weeks
to describe the toxicity of the combination of the two drugs
Measured: every 2 weeks
to describe the effects of the combination of the two drugs on biologic parameters: angiogenetic factors, cytokines, differential neuroendocrine markers, serum markers of osteolysis
Measured: every 12 weeks
to describe the antitumor activity of the two drug association
Measured: every 12 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Dec 2006 (estimated)
- Study startJul 2006
- Primary completionDec 2008
- Study completionJul 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Metastatic 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 1
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 36 participants (estimated)
Sponsor and investigators
- Lead sponsor
- National Cancer Institute, Naples
- Sponsor type
- University, hospital or other
- Investigators
- Michele Caraglia, M.D., Principal investigator, Experimental Pharmacology, National Cancer Institute NaplesAlfredo Budillon, M.D., Principal investigator, Experimental Pharmacology, National Cancer Institute NaplesFrancesco Perrone, M.D., Ph.D, Principal investigator, National Cancer Institute Naples, Italy; Director Clinical Trials UnitR. Vincenzo Iaffaioli, M.D, Principal investigator, Medical Oncology B, National Cancer Institute NaplesGaetano Facchini, M.D., Principal investigator, Medical Oncology B, National Cancer Institute NaplesAlessandro Morabito, M.D., Principal investigator, Clinical Trials Unit, National Cancer Institute Naples
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00415779
- Sponsor's protocol ID
- ZANTE
- Other IDs
- EUDRACT 2006-000426-31
- Acronym
- ZANTE
- Status last verified
- Feb 2010
- First submitted
- 22 Dec 2006
- Last updated
- 24 Feb 2010
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 24 Feb 2010. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase I Study of the Combination of Zoledronic Acid and Docetaxel in Patients With Hormone Refractory Metastatic Prostate Cancer
- ClinicalTrials.gov ID
- NCT00415779
- Acronym / sponsor ID
- ZANTE / ZANTE
- Conditions
- Metastatic Prostate Cancer
- Keywords
- hormone refractory, bone metastasis, chemotherapy, biphosphonates
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 36 participants (estimated)
- Lead sponsor
- National Cancer Institute, NaplesUniversity, hospital or other
- Study start
- Jul 2006
- Primary completion
- Dec 2008 (actual)
- Study completion
- Jul 2009 (actual)
- First posted
- 25 Dec 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.
This phase I trial is studying the side effects and best dose of docetaxel when given with zoledronic acid in patients with bone metastasis from prostate cancer that has not responded to hormone therapy.
Detailed description
Docetaxel has been used alone and in combination with other anti-cancer therapies in the treatment of hormone refractory metastatic prostate cancer. Zoledronic acid has been used in the treatment of bone metastasis from prostate cancer. This is a study of the combination of these two agents. The Zante study will test a dose escalation of docetaxel in association with a predetermined dose of zoledronic acid (2 mg), given every 14 days for a minimum of 6 and maximum of 12 cycles.
Sequence A: Docetaxel on day 1 and zoledronic acid on day 2
Sequence B: Zoledronic acid on day 1 and docetaxel on day 2
Patients are enrolled sequentially in cohorts of 3 for each dose level, and a maximum of 36 patients will be enrolled.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
Who may qualify
- Ages
- 18 years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Written informed consent
- Hormone refractory prostate cancer
- Stage IV disease with bone metastasis
- No immunotherapy, hormonal therapy or radiotherapy within the previous month
- Performance status < or = 2 (ECOG)
Key exclusion criteria (8 listed)
- Previous malignancies with the exception of radically treated epithelioma
- Previous chemotherapy
- Comorbidities that would, in the Investigator's opinion, contraindicate the use of the drugs in the study
- Uncontrolled Diabetes
- Severe cardiac arrhythmias, severe uncontrolled congestive heart failure, severe ischemic cardiac disease or myocardial infarction within the previous 6 months
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 |
|---|---|---|
| docetaxelgiven IV in subsequent cohorts of patients at 30, 40, or 50mg/m2 | Drug | – |
| zoledronic acid2 mg IV every 2 weeks | Drug | – |
Primary outcome
to determine the maximum tolerated dose and dose limiting toxicity of docetaxel in the two treatment schedules
Time frame: every 2 weeks for up to 3 cycles
5 secondary outcomes
to determine the recommended docetaxel dose when combined with zoledronic acid for phase II studies
Time frame: every 2 weeks for 6 cycles
to determine which administration sequence of the combination permits a higher dosage of docetaxel
Time frame: every 2 weeks for 6 weeks
to describe the toxicity of the combination of the two drugs
Time frame: every 2 weeks
to describe the effects of the combination of the two drugs on biologic parameters: angiogenetic factors, cytokines, differential neuroendocrine markers, serum markers of osteolysis
Time frame: every 12 weeks
to describe the antitumor activity of the two drug association
Time frame: every 12 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Feb 2010.
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RecruitingPhase 2
A Study to Test Inavolisib Treatment in Participants With Metastatic Castration-Resistant Prostate Cancer
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ARCTIC: Liquid Biomarkers in the Prospective Androgen Receptor Signaling Inhibitors (ARSI) Resistance Clinical Trials
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Active, not recruitingPhase 2
FPI-2265 (225Ac-PSMA-I&T) and Olaparib for Patients With Metastatic Castration-Resistant Prostate Cancer (mCRPC)
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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.
Michele Caraglia, M.D. principal investigator
Experimental Pharmacology, National Cancer Institute Naples
Alfredo Budillon, M.D. principal investigator
Experimental Pharmacology, National Cancer Institute Naples
Francesco Perrone, M.D., Ph.D principal investigator
National Cancer Institute Naples, Italy; Director Clinical Trials Unit
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing docetaxel and zoledronic acid in people with Metastatic Prostate Cancer, run by National Cancer Institute, Naples at 2 sites in Italy.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 8 exclusion criteria. 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: finished, as of the sponsor's last update on 24 Feb 2010. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Italy. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
to determine the maximum tolerated dose and dose limiting toxicity of docetaxel in the two treatment schedules (time frame: every 2 weeks for up to 3 cycles). 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 24 Feb 2010.