ClinicalTrials.gg
Status unknownNCT00003633Updated Dec 19, 2013

Combination Chemotherapy in Treating Patients With Advanced Prostate Cancer

A Phase 1 interventional study of docetaxel and estramustine phosphate sodium in Prostate Cancer, sponsored by Herbert Irving Comprehensive Cancer Center. Status unknown at 1 site in United States. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-12-19.

Sponsored by Herbert Irving Comprehensive Cancer Center · Phase 1, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Mar 2005), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Phase 1
Study type
Interventional
Enrollment
12
Ages
18 Years and older
Sex
Male
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Study summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells.

PURPOSE: This phase I trial is studying the side effects and best dose of combination chemotherapy in treating patients with advanced prostate cancer.

Read the detailed description

OBJECTIVES:

  • Determine the maximum tolerated doses of docetaxel and mitoxantrone in combination with a fixed dose of estramustine and prednisone, when given to patients with advanced prostate cancer.
  • Characterize the toxicity of this treatment regimen in these patients.

OUTLINE: This is a dose escalation study of mitoxantrone and docetaxel. Patients are stratified into one of two risk groups (good risk group or poor risk group) based on the number of prior chemotherapy regimen(s) and the occurrence and sites(s) of prior radiation.

All patients receive oral prednisone twice daily on days 0-3, oral estramustine three times daily on days 1-5, mitoxantrone IV bolus on day 2, and docetaxel IV over 1 hour on day 2. Courses repeat every 21 days in the absence of unacceptable toxicity and disease progression. Patients with stable disease may go off treatment after 6 courses.

Dose escalation proceeds independently for each risk group. Cohorts of 3 patients are entered into each risk group. If 1 of 3 patients at a dose level experiences dose limiting toxicity (DLT), then 3 additional patients are accrued into this level. If 2 of 6 patients at a dose level experience DLT, then dose escalation stops and the maximum tolerated dose (MTD) is defined at the previous dose level. At least 6 patients must be treated at the MTD.

Patients are followed every 3 months until death.

PROJECTED ACCRUAL: At least 12 patients (6 in each risk group) will be accrued into this study.

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Conditions studied

  • Prostate Cancer

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Keywords

  • adenocarcinoma of the prostate
  • stage IV prostate cancer
  • recurrent prostate cancer
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In context

Prostatic Neoplasms

6,484 studies on the registry are indexed under Prostatic Neoplasms; 1,415 are open to participants now.

This study's planned enrollment of 12 is below the median of 58 across 4,908 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

Herbert Irving Comprehensive Cancer Center is the lead sponsor of 33 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed adenocarcinoma of the prostate
  • Failure of complete androgen ablation (orchiectomy or LHRH and antiandrogen therapy) as manifested by at least 1 of the following criteria:

    • Rise in serum PSA greater than 50% of nadir confirmed on 2 measurements 1 week apart
    • Appearance of new lesions on bone scan
    • Appearance of new soft-tissue lesions
  • Measurable or evaluable disease
  • No brain or leptomeningeal involvement

PATIENT CHARACTERISTICS:

Age:

  • 18 and over

Performance status:

  • ECOG 0-2

Life expectancy:

  • Greater than 3 months

Hematopoietic:

  • WBC at least 3,500/mm3
  • Absolute neutrophil count at least 1,500/mm3
  • Platelet count at least 100,000/mm3

Hepatic:

  • Bilirubin no greater than upper limit of normal (ULN)
  • Alkaline phosphatase no greater than 5 times ULN
  • SGOT and SGPT no greater than 2 times ULN

Renal:

  • Creatinine no greater than 2 times ULN

Cardiovascular:

  • No history of coagulopathy
  • No myocardial infarction in the last 6 months
  • No history of cardiovascular accident
  • No history of congestive heart failure

Neurological:

  • No symptomatic peripheral neuropathy greater than grade 1
  • No history of significant neurologic or psychiatric disorders including psychotic disorders, dementia, or seizures

Pulmonary:

  • No history of pulmonary embolus

Other:

  • Testosterone no greater than 3.5 nmol/L
  • No contraindications to glucocorticoid therapy such as uncontrolled diabetes mellitus or active peptic ulcer disease
  • No active infection
  • No other serious illness or medical condition
  • No other concurrent or prior malignancy in the past 5 years except previously excised or curatively irradiated nonmelanoma skin cancer

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • Not specified

Chemotherapy:

  • At least 4 weeks since prior chemotherapy

Endocrine therapy:

  • See Disease Characteristics
  • At least 4 weeks since prior hormonal therapy (including nonsteroidal antiandrogens, but not LHRH agonists)

Radiotherapy:

  • No prior radiotherapy to greater than 30% of bone marrow
  • At least 6 weeks since isotope therapy
  • At least 4 weeks since prior radiotherapy

Surgery:

  • See Disease Characteristics

Other:

  • At least 4 weeks since prior investigational drugs
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Study design

Phase
Phase 1
Primary purpose
Treatment
Enrollment
12 participants (estimated)
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Study locations

1 site
  • Herbert Irving Comprehensive Cancer Center at Columbia University
    New York, New York 10032, United States
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 19, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00003633
Lead sponsor
Herbert Irving Comprehensive Cancer Center
First posted
Jan 27, 2003
Start date
Aug 1998
Last update
Dec 19, 2013

Study contacts

Daniel P. Petrylak, MD
study chair · Herbert Irving Comprehensive Cancer Center
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Mar 2005. You cannot join it, but the record below documents what was studied.

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Studies of the drugs tested here: Docetaxel · Estramustine · Mitoxantrone · Prednisone

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