Status:
COMPLETED
Cabazitaxel in Patients With Urothelial Carcinoma Who Have Disease Progression Following Platinum-Based Chemotherapy
Lead Sponsor:
Sidney Kimmel Cancer Center at Thomas Jefferson University
Collaborating Sponsors:
Sanofi
Conditions:
Urothelial Carcinoma
Eligibility:
All Genders
18+ years
Phase:
PHASE2
Brief Summary
There is no accepted standard chemotherapy approved for use in the second line for patients with advanced urothelial carcinoma whose cancer has progressed on combination chemotherapy including either ...
Detailed Description
This is a single-arm, open-label study, meaning all patients will be treated in the same fashion with the investigational agent. Scans will be performed every 3 cycles of treatment, and patients will ...
Eligibility Criteria
Inclusion
- Patients must have histologically confirmed urothelial carcinoma
- Patients must have measurable disease
- Patients must have been previously treated with a platinum-based regimen, either in the neoadjuvant, adjuvant or first line setting
- Patients can have had disease progression while on platinum chemotherapy, or progression within 12 months of completion of therapy
- At least 4 weeks must have passed since the last dose of previous chemotherapy
- Age \> 18 years
- ECOG performance status \< 2 (Karnofsky \> 60%)
- Life expectancy of greater than 6 months
- Patients must have adequate organ and marrow function as defined below:
- absolute neutrophil count \> 1,500/mcL
- hemoglobin \> 9.0 g/dl
- platelets \> 100,000/mm3
- total bilirubin \< normal institutional limits (ULN)
- AST(SGOT)/ALT(SGPT) \< 1.5 X institutional upper limit of normal
- creatinine \<1.5 x ULN OR creatinine clearance measured \> 50 mL/min/1.73 m2for patients with creatinine levels above institutional normal or calculated clearance \< 60 by 24 hour urine
- Peripheral neuropathy: must be \< grade 1
- Women of childbearing potential must have a negative pregnancy test, and patients must use adequate contraception during study and for 3 months thereafter
- Ability to understand and the willingness to sign a written informed consent document.
Exclusion
- Patients with any component of small cell carcinoma
- Patients who have had chemotherapy or radiotherapy within 4 weeks (6 weeks for nitrosoureas or mitomycin C) prior to entering the study or those who have not recovered from adverse events due to agents administered more than 4 weeks earlier
- Patients who are receiving any other investigational agents
- Patients with known brain metastases
- History of allergic reactions attributed to compounds of similar chemical or biologic composition to taxane chemotherapy
- Patients with a history of severe hypersensitivity reaction to Cabazitaxel or other drugs formulated with polysorbate 80
- Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
- Pregnant and breastfeeding women
- HIV-positive patients on combination antiretroviral therapy
- Patients who have previously been treated with taxane regimens for bladder cancer or other malignancies
- Patients who have had more than one platinum based chemotherapy regimen
- Patients whose cancer has progressed more than 12 months following abstinence from platinum based chemotherapy can be included on study at the discretion of the investigator, however should first be considered for platinum re-challenge
Key Trial Info
Start Date :
February 16 2012
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
March 30 2017
Estimated Enrollment :
14 Patients enrolled
Trial Details
Trial ID
NCT01437488
Start Date
February 16 2012
End Date
March 30 2017
Last Update
May 4 2025
Active Locations (3)
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1
National Cancer Institute
Bethesda, Maryland, United States, 20892
2
University of Pennsylvania
Philadelphia, Pennsylvania, United States, 19104
3
Thomas Jefferson University
Philadelphia, Pennsylvania, United States, 19107