Prostatic NeoplasmsPhase 3READYNCT00744497
Randomized Study Comparing Docetaxel Plus Dasatinib to Docetaxel Plus Placebo in Castration-resistant Prostate Cancer
A Phase 3 study testing Dasatinib, Docetaxel and Prednisone in people with Prostatic Neoplasms, run by Bristol-Myers Squibb at 186 sites in 25 countries.
Trial summary
The purpose of this study is to determine whether survival can be prolonged in patients with castration-resistant prostate cancer who receive dasatinib with docetaxel and prednisone. Read more about this study
- Who is it for?
- Ages 18 years and older, men only
- Conditions the study is for
- Prostatic Neoplasms
- What is being tested?
- Dasatinib, Docetaxel and Prednisone
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,930 participants
- Where
- 186 sitesin 25 countries
- Study dates
- Oct 2008to Jul 2015
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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
- History of histologically diagnosed prostate cancer
- Evidence of metastatic disease by any 1 of the following: computed tomography scan, magnetic resonance imaging, bone scan, or skeletal survey
- Evidence of progression, as defined by 1 of the following: rising prostate specific antigen levels at least 1 week apart with the final value being >=2 ng/mL; progression of measurable nodal or visceral disease, with nodal lesions >=20 mm and visceral lesions measurable per response evaluation criteria for solid tumors (Response Evaluation in Solid Tumors, version 1); 2 or more lesions appearing on bone scan compared with previous scan; or local recurrence in the prostate or prostate bed
- Maintaining castrate status: Participants who have not undergone surgical orchiectomy should have received and continue on medical therapies, such as gonadotropin releasing hormone analogs, to maintain castrate levels of serum testosterone <=50 ng/dL
- Eastern Cooperative Oncology Group Performance Status of 0 to 2
- At least 4 weeks since an investigational agent prior to starting study therapy
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- At least 8 weeks since radioisotope therapy prior to starting study therapy
- Recovery from any local therapy including surgery or radiation/radiotherapy for a minimum of 7 days prior to starting study therapy
- Required initial laboratory values: white blood cell count >=3,000/mm^3; absolute neutrophil count >=1,500/mm^3; platelet count >=100,000/mm^3; creatinine level <=1.5*upper limit of normal (ULN); bilirubin <=ULN; aspartate aminotransferase <=2.5*ULN; alanine aminotransferase <=2.5*ULN.
Who cannot join
- Symptomatic brain metastases or leptomeningeal metastases
- Clinically significant cardiovascular disease, including myocardial infarction; ventricular tachyarrhythmia within 6 months; prolonged QTc >450 msec; ejection fraction <40%; or major conduction abnormality, unless a cardiac pacemaker is present
- Pleural or pericardial effusion of any Common Terminology Criteria (CTC) grade
- Peripheral neuropathy CTC Grade >=2
- Currently active second malignancy other than nonmelanoma skin cancers. Participants are not considered to have a currently active malignancy if they have completed therapy and are now considered (by their physician) to be at less than 30% risk for relapse
- Uncontrolled intercurrent illness including ongoing or active infection, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
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- HIV infection-positive patients receiving combination antiretroviral therapy
- History of allergic reactions attributed to compounds of similar chemical or biologic composition to the investigational agents
- Receipt of any other investigational agents for the treatment of prostate cancer
- Prior cytotoxic chemotherapy in the metastatic setting, with the exception of estramustine
- Patients may continue on a daily multivitamin but must discontinue all other herbal, alternative, and food supplements before enrollment
- Ketoconazole must be discontinued 4 weeks prior to starting study therapy
- Antiandrogens must be discontinued prior to starting study therapy. Patients with a history of response to an antiandrogen and subsequent progression while on that antiandrogen should be assessed for antiandrogen withdrawal response for 4 weeks. Observation for antiandrogen withdrawal response is not necessary for those who have never responded to antiandrogens
- Bisphosphonates must not be initiated within 28 days prior to starting study therapy
- QT prolonging agents strongly associated with torsade de pointes.
Trial locations and contacts
186 sites in 25 countries.
186 sites in 25 countries
United States43 sites
Summa Health System
Akron, Ohio, 44304
New York Oncology Hematology, Pc
Albany, New York, 12206
New York Oncology Hematology, Pc
Albany, New York, 12208
Samuel S. Stratton Vamc
Albany, New York, 12208
Alaska Clinical Research Center, Llc
Anchorage, Alaska, 99508
Tufts Medical Center
Boston, Massachusetts, 02111
Roswell Park Cancer Institute
Buffalo, New York, 14263
University Of Chicago
Chicago, Illinois, 60637
Mid Ohio Oncology/Hematology, Inc,Dba
Columbus, Ohio, 43219
Compassionate Cancer Care Medical Group, Inc.
Corona, California, 92879
Cancer Specialists Of South Texas, Pa
Corpus Christi, Texas, 78412
Duke University Medical Center
Durham, North Carolina, 27710
Highlands Oncology Group
Fayetteville, Arkansas, 72703
Fort Wayne Medical Oncology And Hematology Inc
Fort Wayne, Indiana, 46845
Cancer Centers Of The Carolinas
Greenville, South Carolina, 29615
The University Of Texas Md Anderson Cancer Center
Houston, Texas, 77030
Jackson Oncology Associates, Pllc
Jackson, Mississippi, 39202
Providence Regional Cancer System
Lacey, Washington, 98503
Regional Hemetology Oncology, Pc
Langhorne, Pennsylvania, 19047
Gwinnett Hospital System Inc.
Lawrenceville, Georgia, 30046
Dean Hematology And Oncology Clinic
Madison, Wisconsin, 53717
Boston Baskin Cancer Foundation
Memphis, Tennessee, 38120
Connecticut Oncology Group
Middletown, Connecticut, 06457
University Of South Alabama / Mitchell Cancer Institute
Mobile, Alabama, 36604
Southern Cancer Center
Mobile, Alabama, 36608
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
Upmc Cancer Pavilion
Pittsburgh, Pennsylvania, 15232
Va Pittsburgh Healthcare System
Pittsburgh, Pennsylvania, 15240
Providence Portland Med Ctr
Portland, Oregon, 97213
The Miriam Hospital
Providence, Rhode Island, 02906
Desert Hematology Oncology Medical Group
Rancho Mirage, California, 92270
Compassionate Cancer Care Medical Group Inc
Riverside, California, 92501
Sharp Clinical Oncology Research
San Diego, California, 92123
Va San Diego Healthcare System
San Diego, California, 92161
Edward Alexson, Md, Inc.
Santa Ana, California, 92705
Maine Center For Cancer Medicine
Scarborough, Maine, 04074
University Of Washington
Seattle, Washington, 98109
North Mississippi Hematology And Oncology Associates, Ltd
Tupelo, Mississippi, 38801
Associates In Hematology & Oncology, P.C.
Upland, Pennsylvania, 19013
Va Connecticut Healthcare System
West Haven, Connecticut, 06516
Cancer Center Of Kansas
Wichita, Kansas, 67214
Piedmont Hematology Oncology Associates, Pllc
Winston-Salem, North Carolina, 27103
Midwestern Regional Medical Center
Zion, Illinois, 60099
Argentina14 sites
Local Institution
Buenos Aires, Buenos Aires, C1181ACH
Local Institution
Buenos Aires, Buenos Aires, C1280AEB
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Buenos Aires, Buenos Aires, C1426ANZ
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Caba, Buenos Aires, 1417
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Capital Federal, Buenos Aires, 1425
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Capital Federal, Buenos Aires, 1426
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Capital Federal, Buenos Aires, C1405BCJ
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Cipolletti, Río Negro Province, R8324BEH
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Cordaba, 5000
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La Plata, Buenos Aires, 1900
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Ramos Mejía, Buenos Aires, 1234
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Rosario, Santa Fe Province, S2000CVD
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Rosario, Santa Fe Province, S2000DSK
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San Miguel de Tucumán, Tucumán Province, T4000IAK
Canada14 sites
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Abbottsford, British Columbia, V2S 3N5
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Edmonton, Alberta, T6G 1Z2
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Greater Sudbury, Ontario, P3E 5J1
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Greenfield Park, Quebec, J4V 2H1
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Moncton, New Brunswick, E1C 6Z8
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Montreal, Quebec, H2W 1S6
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Montreal, Quebec, H2W 1Y5
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Ottawa, Ontario, K1H 8L6
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Owen Sound, Ontario, N4K 2J1
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Regina, Saskatchewan, S4T 7T1
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Rimouski, Quebec, G5L 5T1
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Saskatoon, Saskatchewan, S7N 4H4
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Sherbrooke, Quebec, J1H 5N4
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Thunder Bay, Ontario, P7B 6V4
Australia11 sites
Local Institution
Coffs Harbour, New South Wales, 2450
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Douglas, Queensland, 4814
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Frankston, Victoria, 3199
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Fremantle, Western Australia, 6162
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Hobart, Tasmania, 7000
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Kurralta Park, South Australia, 5037
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Lismore, New South Wales, 2480
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Milton, Queensland, 4164
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Port Macquarie, New South Wales, 2444
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Ringwood, Victoria, 3135
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Sydney, New South Wales, 2076
Mexico11 sites
Local Institution
Df, Mexico City, 06720
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Guadalajara, Jalisco, 44280
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Huixquilucan, State of Mexico, 52763
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México, Querétaro, 76200
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Mexico City, Mexico City, 14050
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Monterrey, Nuevo León, 64460
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Tijuana, Estado de Baja California, 22010
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Tlalpan, Mexico City, 14000
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Tlalpan, Mexico City, 14080
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Toluca, State of Mexico, 50180
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Zapopan, Jalisco, 45150
Spain10 sites
Local Institution
Barcelona, 08003
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Barcelona, 08025
Local Institution
Barcelona, 08208
Local Institution
Gijón, 33394
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Madrid, 28007
Local Institution
Madrid, 28033
Local Institution
Madrid, 28050
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Santander, 39008
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Seville, 41013
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Valencia, 46009
Brazil8 sites
Local Institution
Barretos, São Paulo, 14784
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Campinas, São Paulo, 13083
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Jaú, São Paulo, 17210
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Porto Alegre, Rio Grande do Sul, 90610
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Rio de Janeiro, Rio de Janeiro, 20230
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Rio de Janeiro, Rio de Janeiro, 22551
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Salvador, Estado de Bahia, 41950
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Santo André, São Paulo, 09060
India8 sites
Local Institution
Ahmedabad, 380009
Local Institution
Jaipur, 302013
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Kolkata, 700 016
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Kolkata, 700 053
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Mumbai, Maharashtra, 400026
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Pune, Maharashtra, 411001
Local Institution
Pune, Maharashtra, 411004
Local Institution
Trivandrum, Kerala, 695011
France7 sites
Local Institution
Avignon, 84082
Local Institution
Besançon, 25030
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Caen, 14076
Local Institution
Créteil, 94010
Local Institution
Paris, 75908
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Saint-Genis-Laval, 69230
Local Institution
Strasbourg, 67085
Italy7 sites
Local Institution
Arezzo, 52100
Local Institution
Genova, 16132
Local Institution
Lecce, 73100
Local Institution
Milan, 20141
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Naples, 80131
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Perugia, 06132
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Roma, 00161
Germany6 sites
Local Institution
Aachen, 52074
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Berlin, 12200
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Erlangen, 91054
Local Institution
Essen, 45122
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Kirchheim, 73230
Local Institution
Markkleeberg, 04416
Peru6 sites
Local Institution
Callao, Provincia Constitucional del Callao, CALLAO 2
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Lima, Lima Province, 11
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Lima, Lima Province, 34
Local Institution
Lima, Lima Province, 41
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Lima, Lima Province, LIMA 11
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Lima, Lima Province, LIMA 29
United Kingdom5 sites
Local Institution
Cardiff, Glamorgan, CF14 2TL
Local Institution
Essex, Essex, CO3 3NB
Local Institution
Leeds, West Yorkshire, LS8 7TF
Local Institution
London, Middlesex, W12 0NN
Local Institution
Sutton, Surrey, SM2 5PT
Czechia4 sites
Local Institution
Brno, 656 53
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Hradec Králové, 500 05
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Prague, 128 08
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Prague, 180 81
Ireland4 sites
Local Institution
Cork, Cork
Local Institution
Dublin, Dublin, 7
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Dublin, Dublin
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Tallaght, Dublin, DUBLIN 24
Russia4 sites
Local Institution
Moscow, 115478
Local Institution
Moscow, 117997
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Saint Petersburg, 197022
Local Institution
Saint Petersburg, 197758
South Korea4 sites
Local Institution
Seoul, 120-752
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Seoul, 135-710
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Seoul, 135-720
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Seoul, 138-736
Sweden4 sites
Local Institution
Kungälv, 442 83
Local Institution
Sundsvall, 851 86
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Uppsala, 751 85
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Vaxjo, 351 85
Hungary3 sites
Local Institution
Budapest, 1122
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Kecskemét, 6000
Local Institution
Zalaegerszeg, 8900
Poland3 sites
Local Institution
Bialystok, 15-027
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Lodz, 93-509
Local Institution
Warsaw, 02-781
Romania3 sites
Local Institution
Baia Mare, 430031
Local Institution
Cluj-Napoca, 400015
Local Institution
Timisoara, Timis, 300239
South Africa3 sites
Local Institution
Bloemfontein, Free State, 9301
Local Institution
Pretoria, Gauteng, 0181
Local Institution
Saxonwold, Gauteng, 2199
About this study
Official title: A Randomized Double-Blind Phase 3 Trial Comparing Docetaxel Combined With Dasatinib to Docetaxel Combined With Placebo in Castration-Resistant Prostate Cancer
The purpose of this study is to determine whether survival can be prolonged in patients with castration-resistant prostate cancer who receive dasatinib with docetaxel and prednisone.
- Conditions
- Prostatic Neoplasms
- Being tested
- Placebo, Dasatinib, Docetaxel, Prednisone
- Medical subject headings
- Prostatic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PlaceboDrug
DasatinibDrug
Also called Sprycel, BMS-354825
DocetaxelDrug
PrednisoneDrug
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Participants received placebo, given orally once daily, plus docetaxel, 75 mg/m^2, given intravenously every 3 weeks as a 1-hour infusion, plus prednisone, 5 mg, given orally twice daily Receives: Drug: Placebo; Drug: Docetaxel; Drug: Prednisone |
| Dasatinib | Active comparator | Participants received dasatinib, 100 mg, orally once daily plus docetaxel, 75 mg/m^2, given intravenously every 3 weeks as a 1-hour infusion, plus prednisone, 5 mg, given orally twice daily Receives: Drug: Dasatinib; Drug: Docetaxel; Drug: Prednisone |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival: Time From Randomization to Date of Death
Overall survival is defined as time in months from the randomization date to the date of death due to any cause (in the randomized population). If the patient did not die, survival was censored on the last date he or she was known to be alive.
Measured: From randomization to death or date of last contact (maximum reached: 45 months)
Secondary outcomes (6)
Percentage of Participants With an Objective Tumor Response by Modified Response Evaluation Criteria in Solid Tumors (RECIST)
Objective tumor response rate=the percentage of randomized participants with a best tumor response of partial (PR) or complete response (CR), within 42 days of end of dosing, divided by total number of patients who were evaluable (with at least 1 target lesion at baseline). By RECIST: CR=disappearance of clinical and radiologic evidence of target and nontarget lesions confirmed by another evaluation at least 6 weeks later. PR=a >30% or greater decrease in the sum of longest diameter (LD) of target lesions in reference to the baseline sum LD confirmed by another evaluation at least 6 weeks later. Stable disease=neither sufficient increase to qualify for PD nor shrinkage to qualify for PR, and at least 8 weeks since start of study therapy. Progressive disease=a 20% or greater increase in sum of LD of all target lesions, taking as reference the smallest sum of LD at or following baseline, or unequivocal progression on existing nontarget lesions, or new lesions are present.
Measured: At baseline and every 12 weeks thereafter to end of treatment, at end of treatment, and at follow-up (within 42 days of end of dosing)
Time to First Skeletal-related Event (SRE)
Time to first SRE is defined as the time in months from the date of randomization to the date of first SRE (unless SRE occurred while the patient was undergoing subsequent cancer therapy). Participants with a first SRE while on subsequent cancer therapy, those who died without a reported SRE, and those who did not have an SRE were censored on the date of their last SRE assessment prior to start of subsequent cancer therapy, if any. Participants who had no SRE assessments were censored on the day they were randomized.
Measured: From day of randomization to date of first SRE or to last SRE assessment, if subsequent cancer therapy begun or no SRE (maximum reached: 42 months)
Percentage of Participants With A Reduction in Urinary N-telopeptide (uNTx) Level From Baseline
The percentage of participants who had an on-study uNTx value confirmed (at least 3 weeks later) within normal limits (or ≥3 and <60 nmol/mmol creatinine, if normal limits were missing) or an on-study uNTx level reduction from baseline of ≥35%, even when on-study uNTx value remained abnormal.
Measured: At baseline, prior to each docetaxel infusion (every 3 weeks) to end of treatment, at end of treatment, and at follow-up (within 14 days of end of dosing)
Progression-free Survival (PFS)
PFS is defined as the time from the randomization date until the date of earliest evidence of disease progression or death, for participants who progressed or died before subsequent cancer therapy. Those who progressed or died while on subsequent cancer therapy and those who did not die or progress were censored at their last radiologic bone scan/imaging, skeletal related-event, or tumor assessment or at measurement of prostate specific antigen levels, whichever occurred last prior to start of subsequent cancer therapy ,if any. Participants with no assessments were censored on the day of randomization.
Measured: From day of randomization to disease progression or death (or to last clinical assessment, if subsequent cancer therapy started or no progression or death) (maximum reached: approximately 43 months)
Time to Prostate Specific Antigen (PSA) Progression
PSA progression is defined as the time from randomization to the date of the first PSA level measurement that led to confirmed PSA progression, for participants who had not started subsequent cancer therapy. For participants who did not progress or who progressed on cancer therapy, PSA progression is defined as the time from randomization to the date of the last PSA level measurement before the start of cancer therapy, if any. Participants who had no on-study PSA level measurements were censored on the day they were randomized.
Measured: From randomization to date of first PSA measurement leading to confirmed PSA progression (or to last bone scan assessment, if no progression or if cancer therapy started) (maximum reached: 30 months)
Percentage of Participants With a Reduction in Pain Intensity From Baseline
The percentage of participants with a reduction in pain intensity from baseline was defined as the number of participants who achieved a 30% or more decrease in pain intensity from baseline for at least 2 consecutive pain assessments (at least 14 days apart) within 14 days of end of dosing divided by the number of randomized participants who had a baseline pain intensity of at least 2. Pain intensity was assessed based on question 3 of the brief pain inventory questionnaire.
Measured: At baseline, prior to each docetaxel infusion (every 3 weeks), at end of treatment, and at follow-up (within 14 days of end of dosing)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Sep 2008 (estimated)
- Study startOct 2008
- Primary completionAug 2012
- Study completionJul 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Prostatic NeoplasmsStudies of the same condition, open and under way.
- More trials run by Bristol-Myers SquibbThe sponsor's other registered studies.
- 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
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 1,930 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bristol-Myers Squibb
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00744497
- Sponsor's protocol ID
- CA180-227
- Other IDs
- 2008-000701-11, 2008
- Acronym
- READY
- Status last verified
- Aug 2016
- First submitted
- 29 Aug 2008
- Last updated
- 17 Oct 2016
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
de Liano AG, Reig O, Mellado B, Martin C, Rull EU, Maroto JP. Prognostic and predictive value of plasma testosterone levels in patients receiving first-line chemotherapy for metastatic castrate-resistant prostate cancer. Br J Cancer. 2014 Apr 29;110(9):2201-8. doi: 10.1038/bjc.2014.189. Epub 2014 Apr 10.
PubMed 24722180Araujo JC, Trudel GC, Saad F, Armstrong AJ, Yu EY, Bellmunt J, Wilding G, McCaffrey J, Serrano SV, Matveev VB, Efstathiou E, Oudard S, Morris MJ, Sizer B, Goebell PJ, Heidenreich A, de Bono JS, Begbie S, Hong JH, Richardet E, Gallardo E, Paliwal P, Durham S, Cheng S, Logothetis CJ. Docetaxel and dasatinib or placebo in men with metastatic castration-resistant prostate cancer (READY): a randomised, double-blind phase 3 trial. Lancet Oncol. 2013 Dec;14(13):1307-16. doi: 10.1016/S1470-2045(13)70479-0. Epub 2013 Nov 8.
PubMed 24211163
Study at a glance
From the registry record, last updated by the sponsor on 17 Oct 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized Double-Blind Phase 3 Trial Comparing Docetaxel Combined With Dasatinib to Docetaxel Combined With Placebo in Castration-Resistant Prostate Cancer
- ClinicalTrials.gov ID
- NCT00744497
- Acronym / sponsor ID
- READY / CA180-227
- Conditions
- Prostatic Neoplasms
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,930 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Study start
- Oct 2008
- Primary completion
- Aug 2012 (actual)
- Study completion
- Jul 2015 (actual)
- First posted
- 1 Sep 2008 (estimated)
- Results
- Posted 6 Feb 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine whether survival can be prolonged in patients with castration-resistant prostate cancer who receive dasatinib with docetaxel and prednisone.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: Placebo, Drug: Docetaxel, Drug: PrednisoneParticipants received placebo, given orally once daily, plus docetaxel, 75 mg/m^2, given intravenously every 3 weeks as a 1-hour infusion, plus prednisone, 5 mg, given orally twice daily |
| Dasatinib | Active comparator | Drug: Dasatinib, Drug: Docetaxel, Drug: PrednisoneParticipants received dasatinib, 100 mg, orally once daily plus docetaxel, 75 mg/m^2, given intravenously every 3 weeks as a 1-hour infusion, plus prednisone, 5 mg, given orally twice daily |
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)
- History of histologically diagnosed prostate cancer
- Evidence of metastatic disease by any 1 of the following: computed tomography scan, magnetic resonance imaging, bone scan, or skeletal survey
- Evidence of progression, as defined by 1 of the following: rising prostate specific antigen levels at least 1 week apart with the final value being >=2 ng/mL; progression of measurable nodal or visceral disease, with nodal lesions >=20 mm and visceral lesions measurable per response evaluation criteria for solid tumors (Response Evaluation in Solid Tumors, version 1); 2 or more lesions appearing on bone scan compared with previous scan; or local recurrence in the prostate or prostate bed
- Maintaining castrate status: Participants who have not undergone surgical orchiectomy should have received and continue on medical therapies, such as gonadotropin releasing hormone analogs, to maintain castrate levels of serum testosterone <=50 ng/dL
- Eastern Cooperative Oncology Group Performance Status of 0 to 2
Key exclusion criteria (15 listed)
- Symptomatic brain metastases or leptomeningeal metastases
- Clinically significant cardiovascular disease, including myocardial infarction; ventricular tachyarrhythmia within 6 months; prolonged QTc >450 msec; ejection fraction <40%; or major conduction abnormality, unless a cardiac pacemaker is present
- Pleural or pericardial effusion of any Common Terminology Criteria (CTC) grade
- Peripheral neuropathy CTC Grade >=2
- Currently active second malignancy other than nonmelanoma skin cancers. Participants are not considered to have a currently active malignancy if they have completed therapy and are now considered (by their physician) to be at less than 30% risk for relapse
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 |
|---|---|---|
| Placebo | Drug | Placebo |
| DasatinibAlso: Sprycel, BMS-354825 | Drug | Dasatinib |
| Docetaxel | Drug | Dasatinib, Placebo |
| Prednisone | Drug | Dasatinib, Placebo |
Primary outcome
Overall Survival: Time From Randomization to Date of Death
Time frame: From randomization to death or date of last contact (maximum reached: 45 months)
Overall survival is defined as time in months from the randomization date to the date of death due to any cause (in the randomized population). If the patient did not die, survival was censored on the last date he or she was known to be alive.
6 secondary outcomes
Percentage of Participants With an Objective Tumor Response by Modified Response Evaluation Criteria in Solid Tumors (RECIST)
Time frame: At baseline and every 12 weeks thereafter to end of treatment, at end of treatment, and at follow-up (within 42 days of end of dosing)
Time to First Skeletal-related Event (SRE)
Time frame: From day of randomization to date of first SRE or to last SRE assessment, if subsequent cancer therapy begun or no SRE (maximum reached: 42 months)
Percentage of Participants With A Reduction in Urinary N-telopeptide (uNTx) Level From Baseline
Time frame: At baseline, prior to each docetaxel infusion (every 3 weeks) to end of treatment, at end of treatment, and at follow-up (within 14 days of end of dosing)
Progression-free Survival (PFS)
Time frame: From day of randomization to disease progression or death (or to last clinical assessment, if subsequent cancer therapy started or no progression or death) (maximum reached: approximately 43 months)
Time to Prostate Specific Antigen (PSA) Progression
Time frame: From randomization to date of first PSA measurement leading to confirmed PSA progression (or to last bone scan assessment, if no progression or if cancer therapy started) (maximum reached: 30 months)
Percentage of Participants With a Reduction in Pain Intensity From Baseline
Time frame: At baseline, prior to each docetaxel infusion (every 3 weeks), at end of treatment, and at follow-up (within 14 days of end of dosing)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Oct 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 24722180de Liano AG, Reig O, Mellado B, Martin C, Rull EU, Maroto JP. Prognostic and predictive value of plasma testosterone levels in patients receiving first-line chemotherapy for metastatic castrate-resistant prostate cancer. Br J Cancer. 2014 Apr 29;110(9):2201-8. doi: 10.1038/bjc.2014.189. Epub 2014 Apr 10.
- Derived from this study: PubMed 24211163Araujo JC, Trudel GC, Saad F, Armstrong AJ, Yu EY, Bellmunt J, Wilding G, McCaffrey J, Serrano SV, Matveev VB, Efstathiou E, Oudard S, Morris MJ, Sizer B, Goebell PJ, Heidenreich A, de Bono JS, Begbie S, Hong JH, Richardet E, Gallardo E, Paliwal P, Durham S, Cheng S, Logothetis CJ. Docetaxel and dasatinib or placebo in men with metastatic castration-resistant prostate cancer (READY): a randomised, double-blind phase 3 trial. Lancet Oncol. 2013 Dec;14(13):1307-16. doi: 10.1016/S1470-2045(13)70479-0. Epub 2013 Nov 8.
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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.
Bristol-Myers Squibb study director
Bristol-Myers Squibb
186 sites in 25 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Dasatinib, Docetaxel and Prednisone in people with Prostatic Neoplasms, run by Bristol-Myers Squibb at 186 sites in 25 countries.
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 15 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 17 Oct 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 186 sites in United States, Argentina, Canada, Australia, Mexico and 20 more countries. 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. Some participants in this study may receive a placebo. 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?
Yes. Results are posted in the registry (first posted 6 Feb 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
Overall Survival: Time From Randomization to Date of Death (time frame: From randomization to death or date of last contact (maximum reached: 45 months)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00744497, which also lists 2 linked publications.
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 17 Oct 2016.