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CompletedNCT00415779ZANTEUpdated Feb 24, 2010

ZANTE: Zometa and Taxotere in Hormone Refractory Prostate Cancer

A Phase 1 interventional study of docetaxel and zoledronic acid in Metastatic Prostate Cancer, sponsored by National Cancer Institute, Naples. Completed at 2 sites in Italy. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2010-02-24.

Sponsored by National Cancer Institute, Naples · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
36
Allocation
Non-randomized
Ages
18 Years and older
Sex
Male
01

Study summary

This phase I trial is studying the side effects and best dose of docetaxel when given with zoledronic acid in patients with bone metastasis from prostate cancer that has not responded to hormone therapy.

Read the detailed description

Docetaxel has been used alone and in combination with other anti-cancer therapies in the treatment of hormone refractory metastatic prostate cancer. Zoledronic acid has been used in the treatment of bone metastasis from prostate cancer. This is a study of the combination of these two agents. The Zante study will test a dose escalation of docetaxel in association with a predetermined dose of zoledronic acid (2 mg), given every 14 days for a minimum of 6 and maximum of 12 cycles.

Sequence A: Docetaxel on day 1 and zoledronic acid on day 2

Sequence B: Zoledronic acid on day 1 and docetaxel on day 2

Patients are enrolled sequentially in cohorts of 3 for each dose level, and a maximum of 36 patients will be enrolled.

02

Conditions studied

  • Metastatic Prostate Cancer

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Keywords

  • hormone refractory
  • bone metastasis
  • chemotherapy
  • biphosphonates
03

In context

Prostatic Neoplasms

6,370 studies on the registry are indexed under Prostatic Neoplasms; 1,400 are open to participants now.

This study's planned enrollment of 36 is below the median of 58 across 4,822 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

National Cancer Institute, Naples is the lead sponsor of 112 studies on the registry; 39 are open to participants now.

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

04

Who can participate

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

Inclusion criteria

  • Written informed consent
  • Hormone refractory prostate cancer
  • Stage IV disease with bone metastasis
  • No immunotherapy, hormonal therapy or radiotherapy within the previous month
  • Performance status \< or = 2 (ECOG)
  • Serum creatinine \< 1.5 mg/100ml
  • Serum bilirubin \< or = 1.25 x UNL (upper normal limit) (or \< or = 1.5 x UNL in the presence of hepatic metastases); SGOT e SGPT \< or = 1.5 x UNL (or \< or = 2.5 x UNL in presence of hepatic metastases)
  • Left ventricular ejection fraction > or = 50% (measured by cardiac ultrasound or MUGA scan)
  • Neutrophils > 1500/mm3; platelets >100000/mm3; hemoglobin >10 g/100 ml· Life expectancy of at least 3 months

Exclusion criteria

Exclusion Criteria:

  • Previous malignancies with the exception of radically treated epithelioma
  • Previous chemotherapy
  • Comorbidities that would, in the Investigator's opinion, contraindicate the use of the drugs in the study
  • Uncontrolled Diabetes
  • Severe cardiac arrhythmias, severe uncontrolled congestive heart failure, severe ischemic cardiac disease or myocardial infarction within the previous 6 months
  • severe infection
  • cerebral metastasis
  • Pre-existing motor or sensory neurotoxicity > or = grade 2 according to CTC (Common Toxicity Criteria).
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
36 participants (estimated)

Interventions

  • Drugdocetaxel

    given IV in subsequent cohorts of patients at 30, 40, or 50mg/m2

  • Drugzoledronic acid

    2 mg IV every 2 weeks

06

What researchers measure

Primary outcomes

  1. to determine the maximum tolerated dose and dose limiting toxicity of docetaxel in the two treatment schedules

    Time frame: every 2 weeks for up to 3 cycles

Secondary outcomes

  1. to determine the recommended docetaxel dose when combined with zoledronic acid for phase II studies

    Time frame: every 2 weeks for 6 cycles

  2. to determine which administration sequence of the combination permits a higher dosage of docetaxel

    Time frame: every 2 weeks for 6 weeks

  3. to describe the toxicity of the combination of the two drugs

    Time frame: every 2 weeks

  4. to describe the effects of the combination of the two drugs on biologic parameters: angiogenetic factors, cytokines, differential neuroendocrine markers, serum markers of osteolysis

    Time frame: every 12 weeks

  5. to describe the antitumor activity of the two drug association

    Time frame: every 12 weeks

07

Study locations

2 sites
  • Istituto Nazionale dei Tumori
    Napoli, 80131, Italy
  • Ospedale Oncologico Regionale C.R.O.B. - Basilicata
    Rionero in Vulture, Italy
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 24, 2010, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00415779
Lead sponsor
National Cancer Institute, Naples
First posted
Dec 25, 2006
Start date
Jul 2006
Primary completion
Dec 2008
Completion
Jul 2009
Last update
Feb 24, 2010

Study contacts

Michele Caraglia, M.D.
principal investigator · Experimental Pharmacology, National Cancer Institute Naples
Alfredo Budillon, M.D.
principal investigator · Experimental Pharmacology, National Cancer Institute Naples
Francesco Perrone, M.D., Ph.D
principal investigator · National Cancer Institute Naples, Italy; Director Clinical Trials Unit
R. Vincenzo Iaffaioli, M.D
principal investigator · Medical Oncology B, National Cancer Institute Naples
Gaetano Facchini, M.D.
principal investigator · Medical Oncology B, National Cancer Institute Naples
Alessandro Morabito, M.D.
principal investigator · Clinical Trials Unit, National Cancer Institute Naples

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2010. You cannot join it, but the record below documents what was studied.

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