Liposomal Doxorubicin and Thermal Therapy in Treating Patients With Prostate Cancer
This study is currently recruiting patients.
Sponsored by: |
Celsion |
Information provided by: |
National Cancer Institute (NCI) |
Purpose
RATIONALE: Drugs used in chemotherapy, such as liposomal doxorubicin, use different ways to stop tumor cells from dividing
so they stop growing or die. Microwave thermotherapy kills tumor cells by heating them to several degrees above body temperature.
Combining liposomal doxorubicin with microwave thermotherapy may kill more tumor cells.
PURPOSE: Phase I trial to study the effectiveness of combining liposomal doxorubicin with microwave thermotherapy in treating
patients who have prostate cancer.
Condition
|
Treatment or Intervention |
Phase |
adenocarcinoma of the prostate stage III prostate cancer stage IV prostate cancer
|
Drug: doxorubicin HCl liposome Procedure: chemotherapy Procedure: hyperthermia
|
Phase I
|
MedlinePlus related topics: Prostate Cancer
Study Type: Interventional
Study Design: Treatment
Official Title: Phase I Study of Doxorubicin HCl Liposome and Thermal Therapy in Patients With Adenocarcinoma of the Prostate
Further Study Details:
OBJECTIVES:
- Determine the maximum tolerated dose of doxorubicin HCl liposome released through thermal microwave therapy in patients with
adenocarcinoma of the prostate.
- Determine the pharmacokinetics and biodistribution profile of this drug in these patients.
- Determine the safety profile and dose-limiting toxicity of this drug in these patients.
- Determine the clinical response in patients treated with this regimen.
OUTLINE: This is an open-label, dose-escalation, multicenter study.
Patients receive doxorubicin HCl liposome IV over 30 minutes. Patients then undergo a 60-minute course of prostate thermotherapy.
Treatment may repeat every 28-42 days for up to 6 courses, at the discretion of the physician.
Cohorts of 3-6 patients receive escalating doses of doxorubicin HCl liposome until the maximum tolerated dose (MTD) is determined.
The MTD is defined as the dose preceding that at which at least 2 of 3 or 2 of 6 patients experience dose-limiting toxicity.
Patients are followed at 8, 15, 30, and 90 days.
PROJECTED ACCRUAL: Approximately 50 patients will be accrued for this study.
Eligibility
Ages Eligible for Study:
40 Years and above,
Genders Eligible for Study:
Both
DISEASE CHARACTERISTICS:
- Histologically confirmed adenocarcinoma of the prostate
- Rising prostate-specific antigen AND radiographic evidence of extraprostatic prostate cancer by bone scan, CT scan, prostascint
scan, or MRI
PATIENT CHARACTERISTICS: Age
Performance status
Life expectancy
Hematopoietic
- WBC greater than 4,000/mm^3
- Platelet count greater than 100,000/mm^3
- Hemoglobin greater than 10.0 g/dL
Hepatic
- Bilirubin normal
- AST normal
- Alkaline phosphatase normal
- No acute or chronic liver disease
Renal
- Creatinine less than 1.5 times upper limit of normal
Cardiovascular
- Ejection fraction at least 50% by MUGA
- EKG normal
- No myocardial infarction or cerebral vascular accident within the past 6 months
- No life threatening cardiac arrhythmias
- No congestive heart failure
- No cardiac pacemaker
- No peripheral arterial disease with intermittent claudication or Leriches syndrome (i.e., claudication of the buttocks or
perineum)
Other
- Fertile patients must use effective barrier contraception during and for 3 months after study participation
- No sperm donation during and for 3 months after study participation
- Not febrile
- No interest in future fertility or fathering children
- No significantly decreased pain response
- No severe urethral stricture
- No protruding median lobe resulting in a "ball-valve" type of obstruction at the bladder neck
- No major psychiatric illness that would prevent informed consent
- No major psychiatric illness that required inpatient treatment within the past 3 months
- No psychological, family, sociological, or geographic condition that would preclude study compliance
- No allergy to eggs or egg products
- No urinary or prostatic infection
- No full urinary retention
- No penile or urinary sphincter implant
- No metallic implants in the pelvic or femoral area
- No other serious medical illness that would preclude study participation
PRIOR CONCURRENT THERAPY: Biologic therapy
- No concurrent live vaccines
Chemotherapy
- No prior anthracycline
- No concurrent streptozocin
Endocrine therapy
- No concurrent hormonal therapy (except luteinizing hormone-releasing hormone analog)
- No concurrent glucocorticoids administered at more than physiologic replacement doses (other than as an antiemetic)
Radiotherapy
Surgery
- More than 3 months since prior major surgery
Other
- No prior therapy that resulted in permanent reduction of pain response (e.g., prior surgery, regional or local anesthetic)
- No concurrent PC-SPES
- No concurrent cyclosporine, phenobarbital, or phenytoin
Location
and Contact
Information
Louisiana Regional Urology, L.L.C., Shreveport,
Louisiana,
71106,
United States; Recruiting
David Price, MD
318-683-0411
South Carolina Grand Strand Urology LLP, Myrtle Beach,
South Carolina,
29572,
United States; Recruiting
Neal D. Shore, MD
843-449-1010 ext. 268
Study chairs or principal investigators
William E. Gannon, MD, Study Chair, Celsion
More Information
Clinical trial summary from the National Cancer Institute's PDQ® database
Study ID Numbers:
CDR0000301761; CELSION-10302101; RPCI-DS-0228
Record last reviewed:
July 2004
Record first received:
June 5, 2003
ClinicalTrials.gov Identifier:
NCT00061867Health Authority: Unspecified
ClinicalTrials.gov processed this record on 2004-11-16