A Phase 2 interventional study of Docetaxel and Laboratory Biomarker Analysis in Hormone-Resistant Prostate Cancer, Prostate Adenocarcinoma and Recurrent Prostate Carcinoma, sponsored by National Cancer Institute (NCI). Terminated at 14 sites in United States. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-09-19.
Sponsored by National Cancer Institute (NCI) · Phase 2, Interventional, and Treatment
This randomized phase II trial studies how well docetaxel and prednisone with or without vaccine therapy works in treating patients with hormone-resistant prostate cancer that has spread to other parts of the body. Drugs used in chemotherapy, such as docetaxel and prednisone, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Vaccines made from an antigen may help the body build an effective immune response to kill tumor cells. It is not yet known whether docetaxel and prednisone are more effective with or without vaccine therapy in treating prostate cancer.
PRIMARY OBJECTIVES:
I. To evaluate the overall survival in patients treated with PSA-TRICOM (fowlpox-PSA-TRICOM vaccine and rilimogene-galvacirepvec) and docetaxel chemotherapy versus docetaxel chemotherapy only.
SECONDARY OBJECTIVES:
I. To evaluate the time to radiographic progression after beginning docetaxel chemotherapy in patients previously treated with PSA-TRICOM vaccine versus those not treated with this vaccine.
II. To compare objective responses (according to Response Evaluation Criteria in Solid Tumors [RECIST]) between the two treatment groups in those patients with measurable disease.
III. To evaluate prostate-specific antigen (PSA) response rates (decline >= 50%) in patients treated with PSA-TRICOM and docetaxel chemotherapy versus docetaxel chemotherapy only.
IV. To evaluate immune responses elicited in patients treated before and after docetaxel chemotherapy.
V. To evaluate the association between development of prostate antigen-specific immune responses and time to progression and overall survival.
VI. To evaluate the association of predicted survival (by Halabi nomogram) with actual survival in patients treated with PSA-TRICOM vaccine versus those not treated with this vaccine.
OUTLINE: Patients are randomized to 1 of 2 treatment arms.
ARM A (vaccine and chemotherapy): Patients receive rilimogene-galvacirepvec subcutaneously (SC) on day 1 of course 1 and fowlpox-PSA-TRICOM vaccine SC on days 15, 29, 43, and 57 of course 1. Beginning on day 85 (day 1 of course 2), patients receive docetaxel intravenously (IV) over 1 hour on day 1 and prednisone orally (PO) twice daily (BID) on days 1-21. Treatment with docetaxel and prednisone repeats every 21 days for up to 12 courses in the absence of disease progression or unacceptable toxicity.
ARM B (chemotherapy): Patients receive docetaxel IV over 1 hour on day 1 and prednisone PO BID on days 1-21. Treatment repeats every 21 days for up to 12 courses in the absence of disease progression or unacceptable toxicity.
After completion of study therapy, patients are followed up every 3 months for 2 years and then every 6 months for 3 years.
6,370 studies on the registry are indexed under Prostatic Neoplasms; 1,400 are open to participants now.
This study's enrollment of 10 is below the median of 58 across 4,822 interventional studies indexed under Prostatic Neoplasms.
Browse Prostatic Neoplasms studies →National Cancer Institute (NCI) is the lead sponsor of 3,506 studies on the registry; 334 are open to participants now.
Of its 402 completed or terminated interventional studies of FDA-regulated products, 365 (91%) have results posted.
Counted across the registry records on this site, refreshed daily.
Inclusion Criteria:
Patient must have castrate-resistant disease, defined as follows:
Patient must have progressive disease while receiving ADT as defined by any one of the following as per the Prostate Cancer Clinical Trials Working Group 2 (PCWG2) criteria:
Patient must not have poor prognosis features suggested by the following required information:
Patient must not have received treatment with any of the following medications within 4 weeks of randomization or while on study:
Patient or close household contacts of patient (those who share housing or have close physical contact with the patient) cannot have close physical contact to persons with the following conditions within 3 weeks after potential vaccinia immunization:
Patients receive rilimogene-galvacirepvec SC on day 1 of course 1 and fowlpox-PSA-TRICOM vaccine SC on days 15, 29, 43, and 57 of course 1. Beginning on day 85 (day 1 of course 2), patients receive docetaxel IV over 1 hour on day 1 and prednisone PO BID on days 1-21. Treatment with docetaxel and prednisone repeats every 21 days for up to 12 courses in the absence of disease progression or unacceptable toxicity.
Drug: Docetaxel · Other: Laboratory Biomarker Analysis · Drug: Prednisone · Biological: Recombinant Fowlpox-PSA(L155)/TRICOM Vaccine · Biological: Rilimogene Galvacirepvec
Patients receive docetaxel IV over 1 hour on day 1 and prednisone PO BID on days 1-21. Treatment repeats every 21 days for up to 12 courses in the absence of disease progression or unacceptable toxicity.
Drug: Docetaxel · Other: Laboratory Biomarker Analysis · Drug: Prednisone
Given IV
Also known as: Docecad, RP56976, Taxotere, Taxotere Injection Concentrate
Correlative studies
Given PO
Also known as: .delta.1-Cortisone, 1, 2-Dehydrocortisone, Adasone, Cortancyl, Dacortin, DeCortin, Decortisyl, Decorton, Delta 1-Cortisone, Delta-Dome, Deltacortene, Deltacortisone, Deltadehydrocortisone, Deltasone, Deltison, Deltra, Econosone, Lisacort, Meprosona-F, Metacortandracin, Meticorten, Ofisolona, Orasone, Panafcort, Panasol-S, Paracort, PRED, Predicor, Predicorten, Prednicen-M, Prednicort, Prednidib, Prednilonga, Predniment, Prednisonum, Prednitone, Promifen, Servisone, SK-Prednisone
Given SC
Also known as: PROSTVAC-F, rFowlpox-PSA(L155)/TRICOM Vaccine
Given SC
Also known as: PROSTVAC, Prostvac-V, Recombinant Vaccinia-PSA(L155)-TRICOM Vaccine, Recombinant Vaccinia-PSA(L155)/TRICOM, Recombinant Vaccinia-PSA(L155)/TRICOM Vaccine, rVaccinia-Prostate-Specific Antigen/TRICOM Vaccine, rVaccinia-PSA(L155)-TRICOM Vaccine
Overall Survival
Overall survival is defined as the time from randomization to death or the date of last known alive.
Time frame: Assessed every 3 months for 2 years, and then every 6 months for 3 years
Participants were recruited from Eastern Cooperative Oncology Group (ECOG) member institutions between December 29, 2010 and March 26, 2012.
| Milestone | Arm A (Vaccine and Chemotherapy) | Arm B (Chemotherapy) |
|---|---|---|
| Started | 7 | 3 |
| Treated | 6 | 2 |
| Completed | 2 | 1 |
| Not completed | 5 | 2 |
| Withdrew: Adverse event | 1 | 0 |
| Withdrew: Death | 1 | 0 |
| Withdrew: Physician decision | 2 | 1 |
| Withdrew: Never started treatment | 1 | 1 |
Overall survival is defined as the time from randomization to death or the date of last known alive.
| Months | Arm A (Vaccine and Chemotherapy) | Arm B (Chemotherapy) |
|---|---|---|
| Overall Survival | 20.8 (3.4 to NA) | NA (14.8 to NA) |
Collected over Assessed every 3 weeks while on treatment and for 30 days after the end of treatment. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Arm A (Vaccine and Chemotherapy) | — | 5/6 (83.3%) | 5/6 (83.3%) |
| Arm B (Chemotherapy) | — | 2/2 (100%) | 2/2 (100%) |
| Event | Arm A (Vaccine and Chemotherapy) | Arm B (Chemotherapy) |
|---|---|---|
| Neutrophil count decreasedInvestigations | 4/6 | 2/2 |
| Febrile neutropeniaBlood and lymphatic system disorders | 1/6 | 1/2 |
| White blood cell decreasedInvestigations | 3/6 | 1/2 |
| FatigueGeneral disorders | 1/6 | 0/2 |
| SepsisInfections and infestations | 1/6 | 0/2 |
| Lymphocyte count decreasedInvestigations | 1/6 | 0/2 |
| DehydrationMetabolism and nutrition disorders | 1/6 | 0/2 |
| SyncopeNervous system disorders | 1/6 | 0/2 |
| Thromboembolic eventVascular disorders | 1/6 | 0/2 |
| Event | Arm A (Vaccine and Chemotherapy) | Arm B (Chemotherapy) |
|---|---|---|
| FatigueGeneral disorders | 5/6 | 2/2 |
| AlopeciaSkin and subcutaneous tissue disorders | 4/6 | 2/2 |
| DysgeusiaNervous system disorders | 3/6 | 2/2 |
| DiarrheaGastrointestinal disorders | 4/6 | 1/2 |
| NauseaGastrointestinal disorders | 4/6 | 0/2 |
| Peripheral sensory neuropathyNervous system disorders | 4/6 | 1/2 |
| AnemiaBlood and lymphatic system disorders | 2/6 | 1/2 |
| Edema limbsGeneral disorders | 3/6 | 1/2 |
| Injection site reactionGeneral disorders | 1/6 | 1/2 |
| Nail ridgingSkin and subcutaneous tissue disorders | 1/6 | 1/2 |
All randomized patients are included in this analysis.
| Age, Continuous(years) | Arm A (Vaccine and Chemotherapy) | Arm B (Chemotherapy) | Total |
|---|---|---|---|
| Median | 63 (56 to 72) | 65 (65 to 73) | 64 (56 to 73) |
| Sex: Female, Male(Participants) | Arm A (Vaccine and Chemotherapy) | Arm B (Chemotherapy) | Total |
|---|---|---|---|
| Female | 0 | 0 | 0 |
| Male | 7 | 3 | 10 |
| Region of Enrollment(participants) | Arm A (Vaccine and Chemotherapy) | Arm B (Chemotherapy) | Total |
|---|---|---|---|
| United States | 7 | 3 | 10 |
This study is terminated, as verified in Aug 2017. You cannot join it, but the record below documents what was studied.
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