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NCT00321698

Radiation Therapy and Docetaxel in Treating Patients Who Are Undergoing Surgery for Localized Prostate Cancer

Terminated Phase 1, PHASE2 Results posted Last updated 29 August 2024
What this trial tests

Phase 1, PHASE2 trial testing Intensity-Modulated Radiation Therapy (IMRT) in Prostate Cancer in 25 participants. Terminated before completion.

Timeline
21 April 2006
Primary endpoint
1 October 2009
18 August 2023

Quick facts

Lead sponsorOHSU Knight Cancer Institute
PhasePhase 1, PHASE2
StatusTerminated
Study typeINTERVENTIONAL
Allocationnon randomized
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment25
Start date21 April 2006
Primary completion1 October 2009
Estimated completion18 August 2023
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

OHSU Knight Cancer Institute

Who can join

Adults 18 to 100, male only, with Prostate Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Maximum Tolerated Dose (MTD) Primary · 5 weeks

Maximal tolerated dose (MTD) of the combination radiation (45 Gy) and docetaxel. The dose of radiation will be fixed at 45 Gy while the dose of docetaxel will be escalated. The starting dose of docetaxel will be 10 mg/m2 and will be escalated in increments of 10 mg/m2 up to a dose of 30 mg/m2 the pre-planned ceiling). MTD will be the dose that is associated with no more than 1 dose limiting toxicity (DLT) up to 6 patients. The DLT will be defined as clinically significant grade 3 non-hematologic or grade 4 hematologic toxicity, attributable to the chemoirradiation. If 2 of 3 patients experie

GroupValue95% CI
Phase I Dose 1-430
Pathologic Response Rate at the Phase II Dose Primary · 4-6 weeks after study treatment

Pathologic response rate is determined post-prostatectomy by pathologist laboratory analyses. The TNM system is the most widely used cancer staging system. Most hospitals and medical centers use the TNM system as their main method for cancer reporting. In the TNM system: The T refers to the size and extent of the main/primary tumor. T1, T2, T3, T4: Refers to the size and/or extent of the main tumor. The higher the number after the T, the larger the tumor or the more it has grown into nearby tissues. T's may be further divided to provide more detail, such as T3a and T3b.

Pathologic Stage pT2c
GroupValue95% CI
Phase II MTD Dose7
Pathologic Stage pT3a
GroupValue95% CI
Phase II MTD Dose3
Pathologic Stage pT3b
GroupValue95% CI
Phase II MTD Dose3
Prostate-specific Antigen Short-term Response Rate Measured as a Percentage Change in PSA Secondary · Baseline (pre-treatment) and 1 month after surgery (post-treatment)

All participants were combined for this assessment as pre-specified in the protocol. The percentage change for patients were determined from pre- and post- treatment PSA values. The mean percentage change in PSA will be reported. PSA will be monitored every 3-6 months during the first 5 years, then annually after surgery for up to 10 years

GroupValue95% CI
All Research Participants-49.1-60.3 – -36.7
Long-term Safety Secondary · Regular intervals both study-related and clinical standard of care-related; assessed at end of study treatment. Average timeframe to follow safety was 1 year and includes all grade 3-4 adverse events

An adverse event is any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medical treatment or procedure that may or may not be considered related to the medical treatment or procedure.

GroupValue95% CI
Phase I Dose 1-49
Phase II MTD Dose8
Clinical Response to Treatment as Measured by Urologic Examination Secondary · Each participant was examined 3, 6, 9, 12 months, and annually for an average of 10 years after surgery.

Biochemical Recurrence is defined as a detectable or rising PSA value after surgery that is 0.2 ng/mL or greater with a second confirmatory level of 0.2 ng/mL or greater.

GroupValue95% CI
Phase I, Radiation Only1
Phase I, Dose 12
Phase I, Dose 20
Phase I, Dose 32
Phase II, MTD Dose5
Surgical Margin Status at Time of Prostatectomy (Count of Subjects With Negative Surgical Margins) Secondary · 5 weeks

Pathologic response rate is determined post-prostatectomy by pathologist laboratory analyses. The TNM system is the most widely used cancer staging system. Most hospitals and medical centers use the TNM system as their main method for cancer reporting. In the TNM system: The M refers to whether the cancer has metastasized. This means that the cancer has spread outside of the primary tumor to other parts of the body.

GroupValue95% CI
Phase I Dose 1-49
Phase II MTD Dose13
Efficacy Assessed Using Health-Related Quality of Life by Expanded Prostate Cancer Index Composite and Urinary Symptom Scores by American Urological Association's Measures Secondary · Baseline and 12 Months Post-Prostatectomy

Mean change in score from Baseline to 12-months pot-op. A single outcome, Health Related Quality of Life (QOL), was specified in the protocol. All 6 score means and confidence intervals are reported here as a single outcome; a separate row for each score. AUA Symptom Score is designed to measure lower urinary tract symptoms (LUTS) resulting from benign prostatic hyperplasia or other causes in men. Higher scores indicate more LUTS (scale 0-35). 1-7, mild; 8-19, moderate; 20-35, severe. EPIC quality of life instruments is a 32-item self-report questionnaire that measures the QOL of prostate ca

AUA Symptom Score
GroupValue95% CI
All Research Participants0.67-2.96 – 4.29
EPIC Urinary Incontinence Score
GroupValue95% CI
All Research Participants-36.52-51.38 – -21.67
EPIC Urinary Obstructive/Irritative Score
GroupValue95% CI
All Research Participants3.41-5.55 – 12.37
EPIC Bowel
GroupValue95% CI
All Research Participants1.45-6.42 – 9.33
EPIC Hormonal
GroupValue95% CI
All Research Participants0.00-6.42 – 6.42
EPIC Sexual
GroupValue95% CI
All Research Participants-36.26-48.84 – -23.68
Clinical Progression-free Rate as Determined by <0.1ng PSA Results Secondary · 3, 6, 9, 12 months and annually, up to 5 years

The estimated percentage of participants who were progression-free at 5 years per analyses of PSA results post-study treatment.

GroupValue95% CI
All Research Participants62.841.9 – 83.6

Adverse events — posted to ClinicalTrials.gov

Time frame: Timeframe to follow safety was up to 1 year, for an average of 133.84 days per subject.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Phase I, Radiation Only
Serious: 0/3 (0%)
Deaths:
Phase I, Dose 1
Serious: 3/3 (100%)
Deaths:
Phase I, Dose 2
Serious: 3/3 (100%)
Deaths:
Phase I, Dose 3
Serious: 3/3 (100%)
Deaths:
Phase II, MTD Dose
Serious: 8/13 (62%)
Deaths:

Serious adverse events (8 terms)

ReactionSystemPhase I, Radiation OnlyPhase I, Dose 1Phase I, Dose 2Phase I, Dose 3Phase II, MTD Dose
LymphapeniaBlood and lymphatic system disorders
HyperglycemiaMetabolism and nutrition disorders
HypophosphatemiaMetabolism and nutrition disorders
Difficulty with ADLsGeneral disorders
Hemoglobin (L)Blood and lymphatic system disorders
PainSurgical and medical procedures
HypokalemiaBlood and lymphatic system disorders
HyponatremiaBlood and lymphatic system disorders

Most-reported serious reactions: Lymphapenia, Hyperglycemia, Hypophosphatemia, Difficulty with ADLs, Hemoglobin (L), Pain, Hypokalemia, Hyponatremia.

Data from ClinicalTrials.gov NCT00321698 adverse events section.

Sponsor's own description

RATIONALE: Radiation therapy uses high-energy x-rays to kill tumor cells. Drugs used in chemotherapy, such as docetaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving radiation therapy together with chemotherapy before surgery may make the tumor smaller and reduce the amount of normal tissue that needs to be removed. PURPOSE: This phase I/II trial is studying the side effects and best dose of docetaxel when given together with radiation therapy and to see how well they work in treating patients who are undergoing surgery for high-risk localized prostate cancer.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Safety and Efficacy of Neoadjuvant Docetaxel and Radiotherapy in Localized High-Risk Prostate Cancer: Results From a Prospective Pilot Study.
    Ohaegbulam KC, Post CM, Farris PE, Garzotto M, et al · · 2025 · PMID 39473059 · DOI 10.1097/coc.0000000000001151

Verify or expand the search:

Other trials of Intensity-Modulated Radiation Therapy (IMRT)

Trials testing the same drug.

Other recruiting trials for Prostate Cancer

Currently open trials in the same condition.

Other OHSU Knight Cancer Institute trials

Trials by the same sponsor.

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