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Australian New Zealand Clinical Trials Registry

Trial Details
indicate updates made to monitored data item(s) since trial registration. These data item(s) are monitored to ensure they comply with the WHO / journal editors standards.
 
Request Number: 001352
ACTR Number: ACTRN12606000372583
Trial Status: Registered
Date Submitted: 28/07/2004
Date Registered: 28/07/2004

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Public title: A study evaluating the role of docetaxel (Taxotere) in combination with thalidomide in men with hormone refractory prostate cancer
ANZCTR registration title: A feasibility and efficacy study, evaluating the prostate specific antigen (PSA) response, of taxotere/prednisone in combination with thalidomide in hormone refractory prostate cancer
Secondary ID 1:National Clinical Trials Registry: NCTR588 
Secondary ID 2:Therapeutic Goods Administration (TGA): TGA 2004/172 
UTN:
Trial acronym: ProTat

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Health condition(s) or problem(s) studied:
Prostate cancer 
Condition category: Condition code:
Cancer Prostate 

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Description of intervention(s) / exposure: All patients will receive treatment with docetaxel 75 mg/msquared intravenously every 3 weeks (1 cycle). On day 1 patients will commence a daily dose of prednisone 10 mg orally and a 200 mg oral dose of thalidomide given daily. Prophylactic enoxaparin at a dose of 40 mg subcutaneous will be administered daily. Patients will continue to receive treatment until disease progression, patient intolerance or withdraw of consent. Maximum number of cycles is 10. After study treatment discontinuation, patients will be treated by their physicians as determined by usual practice and followed for survival.
Intervention code:Treatment: drugs 
Comparator / control treatment:
Control group: Historical

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Primary outcome 1:1. PSA prostate specific antigen. 
Timepoint:Measured at baseline and 3 weekly intervals 
Primary outcome 2:2. Tumour lesion assessment. 
Timepoint:Measured after every second cycle for those patients with measurable disease 
Primary outcome 3:3. Progression free survival. 
Timepoint:Measured form registration to documented evidence of progression 
Primary outcome 4:4. Overall survival. 
Timepoint:Measured from registration to date of death 
Secondary outcome 1:1. Toxicity 
Timepoint:Measured at commencement of each cycle. 
Secondary outcome 2:2. Quality of life 
Timepoint:Measured at each cycle. 

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Key inclusion criteria: 1. Histologically/cytologically proven prostate adenocarcinoma2. ALl patients are males, aged 18 years or more and must have prostate adenocarcinoma that is responsive or refractory to hormone therpay.3. Prior treatment with crticosteroids is allowed.4. life expectancy greater or equal to 3 months.5. prior surgery is allowed. At least 4 weeks must have elapsed since the completion of surgery.6. ECOG 0-27. Informed consent signed
Minimum Age: 18 Years
Maximum Age: Not stated
Gender: Males
Healthy volunteers? No
Key exclusion criteria: 1. Prior cytotoxic chemotherapy (except monotherapy with estramustine)2. prior isotope therapy3. prior radiotherapy to >25% of bone marrow (whole pelvic radiation is not allowed)4. known brain leptomeningeal involvement.5. Other malignancy6. Uncontrolled medical condition7. Prior Deep venous thrombosis or pulmonary embolism

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Study type: Interventional
Purpose of the study: Educational / counselling / training
Allocation to intervention: Nonrandomised trial
Describe the procedure for enrolling a subject and allocating the treatment (allocation concealment procedures):
Describe the methods used to generate the sequence in which subjects will be randomised (sequence generation):
Masking / blinding: Open (masking not used)
Assignment: Single group
Other design features (specify):
Type of endpoint(s): Safety/efficacy

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Phase Phase 2
Anticipated or actual date of first participant enrolement: 1/02/2004
Target sample size: 35
Recruitment status: Closed: follow-up continuing

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Funding source 1:Commercial sector/Industry 
Name:Educational grant from Sanofi Aventis 
Address: 
Country:Australia 
Funding source 2:Commercial sector/Industry 
Name:Educational grant from Pharmion 
Address: 
Country: 
Funding source 3:Charities/Societies/Foundations 
Name:Cancer Trials NSW 
Address: 
Country:Australia 
Primary sponsor: Hospital
Name: Royal North Shore Hospital
Address:
Country: Australia
Secondary sponsor:None 
Name:Nil 
Address: 
Country: 
Other collaborator: 

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Has the study received approval from at least one ethics committee? Yes
Ethics Committee name 1:Royal North Shore Hospital 
Address: 
Country:Australia 
Date of approval:15/03/2004 
HREC Number:0402-042M 
Ethics Committee name 2:Sydney Haematology Oncology Clinics 
Address: 
Country:Australia 
Date of approval: 
HREC Number: 
Ethics Committee name 3:Border Medical Oncology 
Address: 
Country:Australia 
Date of approval: 
HREC Number: 
Ethics Committee name 4:Lismore Base Hospital 
Address: 
Country:Australia 
Date of approval: 
HREC Number: 
Ethics Committee name 5:Port Macquarie Base Hospital 
Address: 
Country:Australia 
Date of approval: 
HREC Number: 
Countries of recruitment:Australia 
Brief summary: The ProTaT trial is a phase II trial evaluating the safety and activity of the combination of docetaxel (Taxotere), prednisone and Thalidomide in men with metastatic hormone refractory prostae cancer. The hypothesis is that the combination of a standard systemic therapy, docetaxel, with and antiangiogenic agent may improve the response rate in patients with this disease.
Trial website:
Presentations / publication list:

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Contact person for public queries
Name: Sally McCowatt
Address: Oncology Clinical Trials Unit Royal North Shore Hospital St Leonards Sydney NSW
Country: Australia
Tel: +61 2 99265049
Fax: +61 2 94821341
Email: smccowatt@nsccahs.gov.au

Contact person for scientific queries
Name: Dr Gavin Marx
Address: 11/49 Plamerston rd Hornsby NSW 2077
Country: Australia
Tel: + 61 2 94765844
Fax: + 61 2 94821341
Email: gmarx@shoc.com.au

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