Status:

COMPLETED

Dutasteride in Treating Patients With Recurrent Prostate Cancer That Did Not Respond to Androgen-Deprivation Therapy

Lead Sponsor:

Roswell Park Cancer Institute

Conditions:

Prostate Cancer

Eligibility:

MALE

18+ years

Phase:

PHASE2

Brief Summary

RATIONALE: Dutasteride may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. PURPOSE: This phase II trial is studying how well dutasteride works in treating patie...

Detailed Description

OBJECTIVES: Primary * Evaluate the time to disease progression in patients with recurrent prostate cancer that progressed during androgen-deprivation therapy who are treated with dutasteride. * Eval...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Diagnosis of prostate cancer
  • Asymptomatic progressive disease despite androgen-deprivation therapy
  • Progression must occur during androgen-deprivation therapy comprising orchiectomy or luteinizing hormone-releasing hormone (LHRH) analogue with or without antiandrogen AND after antiandrogen withdrawal
  • Concurrent LHRH monotherapy (i.e., LHRH analogs, such as leuprolide acetate or goserelin) required in patients who did not undergo prior bilateral orchiectomy to assure testicular androgen suppression
  • Recurrent disease, as indicated by at least 1 of the following:
  • Prostate-specific antigen (PSA) at baseline ≥ 2.0 ng/mL
  • Biopsy-confirmed local recurrence
  • Increase in size of measurable lesions on radiographic study
  • New lesion on a nuclear bone scan
  • Two successive increases in serum PSA measured at least 1 week apart
  • PATIENT CHARACTERISTICS:
  • ECOG performance status 0-2
  • Life expectancy ≥ 12 weeks
  • Platelet count ≥ 100,000/mm\^3
  • Hemoglobin ≥ 9.0 g/dL
  • Bilirubin ≤ 2.0 mg/dL
  • SGOT ≤ 4 times upper limit of normal
  • Creatinine ≤ 2.0 mg/dL
  • Fertile patients must use effective contraception during and for 3 months after completion of study therapy
  • PRIOR CONCURRENT THERAPY:
  • See Disease Characteristics
  • At least 28 days since prior radiotherapy and recovered
  • At least 28 days since prior flutamide OR at least 42 days since prior bicalutamide or nilutamide
  • Patients who have previously progressed despite antiandrogen withdrawal and who have started antiandrogens without reduction of serum PSA are eligible without requiring a 28- or 42-day washout interval after antiandrogen withdrawal
  • No other prior systemic therapies, except androgen-deprivation therapy (i.e., orchiectomy or LHRH analogues only) or antiandrogens
  • Surgery, brachytherapy, external-beam radiotherapy, and cryotherapy are not considered systemic therapies
  • No other concurrent anticancer therapy
  • No concurrent use of any of the following:
  • Finasteride
  • Other investigational 5α-reductase inhibitors
  • Anabolic steroids
  • Alpha-receptor blockers (e.g., indoramin, tamsulosin hydrochloride, prazosin, terazosin, alfuzosin hydrochloride, and doxazosin)
  • Drugs with antiandrogenic properties (e.g., spironolactone, flutamide, bicalutamide, cimetidine, ketoconazole, metronidazole, and progestational agents)
  • Products containing selenium ≥ 75 mcg or vitamin E ≥ 100 IU
  • Saw palmetto
  • EG6761
  • No concurrent radiotherapy, including palliative radiotherapy for pain control

Exclusion

    Key Trial Info

    Start Date :

    December 1 2004

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    April 1 2013

    Estimated Enrollment :

    27 Patients enrolled

    Trial Details

    Trial ID

    NCT00403000

    Start Date

    December 1 2004

    End Date

    April 1 2013

    Last Update

    May 1 2013

    Active Locations (1)

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    Roswell Park Cancer Institute

    Buffalo, New York, United States, 14263-0001

    Dutasteride in Treating Patients With Recurrent Prostate Cancer That Did Not Respond to Androgen-Deprivation Therapy | DecenTrialz