Status:
TERMINATED
Radiation Therapy and Docetaxel in Treating Patients Who Are Undergoing Surgery for Localized Prostate Cancer
Lead Sponsor:
OHSU Knight Cancer Institute
Conditions:
Prostate Cancer
Eligibility:
MALE
18-100 years
Phase:
PHASE1
PHASE2
Brief Summary
RATIONALE: Radiation therapy uses high-energy x-rays to kill tumor cells. Drugs used in chemotherapy, such as docetaxel, work in different ways to stop the growth of tumor cells, either by killing the...
Detailed Description
OBJECTIVES: Primary * Determine the maximum tolerated dose (MTD) of neoadjuvant radiotherapy and docetaxel in patients who are undergoing prostatectomy for high-risk localized prostate cancer. * Det...
Eligibility Criteria
Inclusion
- INCLUSION CRITERIA; DISEASE CHARACTERISTICS:
- Histologically confirmed adenocarcinoma of the prostate
- Localized disease, meeting 1 of the following staging criteria:
- Clinical stage T2b (palpable bilateral movement) disease
- Surgically resectable T3 disease
- Meets any of the following high-risk\* features:
- PSA ≥ 15 ng/mL
- Gleason grade ≥ 4+3 (4+3, 4+4, or 5+any, but not 3+4) NOTE: \*High risk defined as \> 50% chance of failure with local therapy
- Plans to undergo prostatectomy as primary therapy
- No evidence of lymph nodes ≥ 2 cm in diameter by pelvic CT scan
- Scan only required in patients with a PSA ≥ 40 ng/mL
- No evidence of bone metastases by bone scan
- PATIENT CHARACTERISTICS:
- Life expectancy ≥ 10 years
- Eastern Cooperative Oncology Group (ECOG) performance status 0-2
- White blood cell (WBC) \> 3,000/mm\^3
- Neutrophil count \> 1,500/mm\^3
- Platelet count \> 100,000/mm\^3
- Direct bilirubin normal
- Alanine aminotransferase (ALT) \< 2.0 times upper limit of normal (ULN) (1.5 times ULN if alkaline phosphatase \[AP\] \> 2.5 times ULN)
- Alkaline phosphatase (AP) \< 4.0 times ULN
- No other serious medical condition that would preclude study treatment
- No other malignancy within the past 5 years except nonmelanoma skin cancer
- No peripheral neuropathy ≥ grade 2
- No hypersensitivity to drugs formulated with polysorbate 80
- No significant contraindications to corticosteroids
- No history of scleroderma
- No active inflammatory bowel disease (IBD) or IBD that is being medically treated
- Inclusion of patients with a remote history of IBD is at the discretion of radiotherapist
- EXCLUSION CRITERIA; PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
- No prior therapy for prostate cancer, including any of the following:
- Conventional hormonal therapy (e.g., orchiectomy, luteinizing hormone-releasing hormone therapy, antiandrogen therapy, or estrogen therapy)
- External-beam radiotherapy or brachytherapy
- Cryotherapy
- Cytotoxic chemotherapy
- No prior pelvic radiotherapy
Exclusion
Key Trial Info
Start Date :
April 21 2006
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
August 18 2023
Estimated Enrollment :
25 Patients enrolled
Trial Details
Trial ID
NCT00321698
Start Date
April 21 2006
End Date
August 18 2023
Last Update
August 29 2024
Active Locations (2)
Enter a location and click search to find clinical trials sorted by distance.
1
Veterans Affairs Medical Center - Portland
Portland, Oregon, United States, 97207
2
OHSU Knight Cancer Institute
Portland, Oregon, United States, 97239-3098