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Phase 2 Completed N=30 Randomized Triple-blind Treatment

A Study of VEGF Tyrosine Kinase Inhibitor (Pazopanib) in Men With High-Risk Prostate Cancer Followed by Radical Prostatectomy and Pelvic Lymph Node Dissection

Source: ClinicalTrials.gov NCT01832259 ↗
Enrolled (actual)
30
Serious AEs
0.0%
Results posted
Jun 2018
Primary outcomePrimary: Number of Vascular Endothelial Growth Factor Receptor 1 (VEGFR1)-Positive Clusters — 0.251560; 0.269518 VEGFR1+ clusters per hpf — p=0.345

Summary

The area around a tumor ("pre-metastatic niche") may be an area to which cancer cells are attracted. The study doctor will take blood and tumor samples to look for certain features linked with response to treatment so that they can predict which future patients may benefit from this therapy. The purpose of this study is to see if the drug pazopanib can be used to reduce the amount of pre-metastatic niche in the patient's lymph nodes (a common site for prostate cancer to spread). Down the line, this may help to prevent prostate cancer from coming back after surgery.

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Vascular Endothelial Growth Factor Receptor 1 (VEGFR1)-Positive Clusters
0.251560; 0.269518 0.345
SECONDARY
Participants Experiencing Adverse Events
15; 15; 0; 4
SECONDARY
Biochemical Recurrence Progression Free Survival Rate
73.3; 92.3 0.46

Eligibility Criteria

Inclusion Criteria

  • Men ≥ 18 years of age
  • Histological documentation of adenocarcinoma of the prostate, with available biopsy pathology. Biopsy material must be available for pathologic review.
  • All patients must meet one or more of the following disease features: clinical stage greater than or equal to T3; Primary Gleason score of 4 OR Gleason score of 8, 9 or 10; serum prostate-specific antigen (PSA) ≥ 20 ng/mL; Prostate MRI findings consistent with T3 disease; Any clinical stage and PSA (prostate-specific antigen) >10 and Gleason score 7; A Kattan nomogram predicted probability of being free from biochemical progression at 5 years after surgery of 1, then a 24-hour urine protein must be assessed. Subjects must have a 24-hour urine protein value 480 msecs Note: Correction method should be reported
  • History of any one or more of the following cardiovascular conditions within the past 6 months:
  • Cardiac angioplasty or stenting
  • Myocardial infarction
  • Unstable angina
  • Coronary artery bypass graft surgery
  • Symptomatic peripheral vascular disease
  • Class III or IV congestive heart failure, as defined by the New York Heart Association (NYHA)
  • No evidence of preexisting uncontrolled hypertension. If the patient has a history of elevated blood pressure at baseline then they must have controlled hypertension documented and confirmed by 2 consecutive blood pressure readings taken within 1 hour. The baseline systolic blood pressure readings must be = ½ teaspoon of red blood within 8 weeks before first dose of study drug).
  • Any serious and/or unstable pre-existing medical, psychiatric, or other condition that could interfere with subject's safety, provision of informed consent, or compliance to study procedures.
  • Unable or unwilling to discontinue use of prohibited medications listed in the protocol for at least 14 days or five half-lives of a drug (whichever is longer) prior to the first dose of study drug and for the duration of the study.
  • Treatment with any of the following anti-cancer therapies:
  • radiation therapy, chemotherapy, immunotherapy, biologic therapy, investigational therapy
  • surgery or tumor embolization within 14 days prior to the first dose of pazopanib OR hormonal therapy within 14 days or five half-lives of a drug (whichever is longer) prior to the first dose of Pazopanib
  • Administration of any non-oncologic investigational drug within 30 days or 5 half lives whichever is longer prior to receiving the first
  • Any ongoing toxicity from prior hormonal therapy that is >Grade 1 and/or that is progressing in severity.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01832259). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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