Study of CP-751,871 in Combination With Docetaxel and Prednisone in Patients With Hormone Insensitive Prostate Cancer (HRPC)

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Pfizer
ClinicalTrials.gov Identifier:
NCT00313781
First received: April 10, 2006
Last updated: March 5, 2013
Last verified: March 2013
Results First Received: January 18, 2013  
Study Type: Interventional
Study Design: Allocation: Randomized;   Endpoint Classification: Efficacy Study;   Intervention Model: Parallel Assignment;   Masking: Open Label;   Primary Purpose: Treatment
Condition: Prostatic Neoplasms
Interventions: Drug: CP-751,871
Drug: docetaxel
Drug: prednisone

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
No text entered.

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
No text entered.

Reporting Groups
  Description
CP-751,871+Docetaxel+Prednisone Participants received docetaxel 75 milligram(mg)/square meter(m^2) infusion intravenously (IV) over 1 hour on Day 1, followed by CP-751,871 20 mg/kilogram (kg) infusion IV on Day 1 along with prednisone 5 mg twice daily (BID) in a 21 days cycle, up to 17 cycles.
Docetaxel+Prednisone Participants received docetaxel 75 mg/m^2 infusion IV over 1 hour on Day 1 along with prednisone 5 mg BID in a 21 days cycle, up to 17 cycles.
Docetaxel+Prednisone+CP-751,871 Crossover Participants from the “Docetaxel+Prednisone” group who, after disease progression while receiving docetaxel and prednisone alone, opted to receive CP-751,871 20 mg/kg infusion IV on Day 1 of a 21 days cycle, along with docetaxel 75 mg/m^2 infusion IV over 1 hour on Day 1 and prednisone 5 mg BID, up to 17 cycles.

Participant Flow for 2 periods

Period 1:   Before Crossover
    CP-751,871+Docetaxel+Prednisone     Docetaxel+Prednisone     Docetaxel+Prednisone+CP-751,871 Crossover  
STARTED     102     102     0  
Treated     97     102     0  
COMPLETED     27     23     0  
NOT COMPLETED     75     79     0  
Death                 22                 8                 0  
Lost to Follow-up                 0                 3                 0  
Withdrawal by Subject                 3                 1                 0  
Unspecified                 45                 30                 0  
Crossover                 0                 37                 0  
Randomized, not treated                 5                 0                 0  

Period 2:   After Crossover
    CP-751,871+Docetaxel+Prednisone     Docetaxel+Prednisone     Docetaxel+Prednisone+CP-751,871 Crossover  
STARTED     0     0     37  
COMPLETED     0     0     10  
NOT COMPLETED     0     0     27  
Death                 0                 0                 6  
Withdrawal by Subject                 0                 0                 3  
Unspecified                 0                 0                 18  



  Baseline Characteristics
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Reporting Groups
  Description
CP-751,871+Docetaxel+Prednisone Participants received docetaxel 75 milligram(mg)/square meter(m^2) infusion IV over 1 hour on Day 1, followed by CP-751,871 20 mg/kilogram (kg) infusion IV on Day 1 along with prednisone 5 mg twice daily (BID) in a 21-days cycle, up to 17 cycles.
Docetaxel+Prednisone Participants received docetaxel 75 mg/m^2 infusion IV over 1 hour on Day 1 along with prednisone 5 mg BID in a 21 days cycle, up to 17 cycles.
Total Total of all reporting groups

Baseline Measures
    CP-751,871+Docetaxel+Prednisone     Docetaxel+Prednisone     Total  
Number of Participants  
[units: participants]
  102     102     204  
Age, Customized  
[units: Participants]
     
Less than (<) 18 years     0     0     0  
18 to 44 years     0     1     1  
45 to 64 years     26     32     58  
Greater than or equal to (>=) 65 years     76     69     145  
Gender  
[units: Participants]
     
Female     0     0     0  
Male     102     102     204  



  Outcome Measures
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1.  Primary:   Percentage of Participants With Prostate Specific Antigen (PSA) Best Response   [ Time Frame: Baseline, Day 1 and Day 15 of each cycle, end of treatment (up to 28 days post last dose) and follow-up (monthly, up to 150 days post last dose) ]

2.  Secondary:   Progression Free Survival (PFS)   [ Time Frame: Baseline, Day 15 of each cycle and follow-up (monthly, up to 150 days post last dose) ]

3.  Secondary:   Human Anti-human Antibody (HAHA) at Baseline (Day 1 of Cycle 1)   [ Time Frame: Baseline (Day 1 of Cycle 1) ]

4.  Secondary:   Human Anti-human Antibody (HAHA) at the Last Follow-up Visit   [ Time Frame: The last follow-up visit (150 days post last dose) ]

5.  Secondary:   Total Number of Circulation Tumor Cells (CTCs)   [ Time Frame: Baseline, prior to dosing in odd numbered cycles (ie. Cycle 1, 3, 5, etc) and end of treatment (up to 28 days post last dose) ]

6.  Secondary:   Total Number of the Insulin Like Growth Factor Receptor Type 1 (IGF-1R) Positive CTCs   [ Time Frame: Baseline, prior to dosing in odd numbered cycles (ie. Cycle 1, 3, 5, etc) and end of treatment (up to 28 days post last dose) ]

7.  Secondary:   Quality of Life Measured by the Functional Assessment of Cancer Treatment‑Prostate (FACT‑P)   [ Time Frame: Baseline, Cycle 1 to Cycle 10 before drug administration and end of treatment (up to 28 days post last dose) ]

8.  Secondary:   Pain Measured by the Modified Brief Pain Inventory‑Short Form (mBPI‑sf Modified Pfizer)   [ Time Frame: Baseline, Cycle 1 to Cycle 10 before drug administration and end of treatment (up to 28 days post last dose) ]

9.  Secondary:   Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUC0-t) for CP-751,871   [ Time Frame: Days 1, 8 and 15 of each cycle and last follow-up visit (150 days post last dose) ]

10.  Secondary:   Maximum Observed Plasma Concentration (Cmax) for CP-751,871   [ Time Frame: Days 1, 8 and 15 of each cycle and last follow-up visit (150 days post last dose) ]

11.  Secondary:   Minimum Observed Plasma Trough Concentration (Cmin) for CP-751,871   [ Time Frame: Days 1, 8 and 15 of each cycle and last follow-up visit (150 days post last dose) ]

12.  Secondary:   Area Under the Curve From Time Zero to End of Dosing Interval (AUC0-tau) for CP-751,871   [ Time Frame: Days 1, 8 and 15 of each cycle and last follow-up visit (150 days post last dose) ]

13.  Secondary:   Population PK Parameters of CP-751,871   [ Time Frame: Days 1, 8 and 15 of each cycle and last follow-up visit (150 days post last dose) ]
Results not yet posted.   Anticipated Posting Date:   No text entered.   Safety Issue:   No


  Serious Adverse Events


  Other Adverse Events


  More Information
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Certain Agreements:  
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
The agreement is:
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.


Limitations and Caveats
Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
No text entered.  


Results Point of Contact:  
Name/Title: Pfizer ClinicalTrials.gov Call Center
Organization: Pfizer, Inc.
phone: 1-800-718-1021
e-mail: ClinicalTrials.gov_Inquiries@pfizer.com


No publications provided


Responsible Party: Pfizer
ClinicalTrials.gov Identifier: NCT00313781     History of Changes
Other Study ID Numbers: A4021011
Study First Received: April 10, 2006
Results First Received: January 18, 2013
Last Updated: March 5, 2013
Health Authority: United States: Food and Drug Administration