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A Phase II Study of Docetaxel and Modulation of Autophagy With Hydroxychloroquine for Metastatic Hormone Refractory Prostate Cancer

Phase 2
18 Years
Not Enrolling
Prostate Cancer

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Trial Information

A Phase II Study of Docetaxel and Modulation of Autophagy With Hydroxychloroquine for Metastatic Hormone Refractory Prostate Cancer



- To assess the antitumor activity, in terms of tumor response rate, of docetaxel in
combination with hydroxychloroquine in patients with metastatic, hormone-refractory,
chemotherapy-naive prostate cancer.


- To measure time to disease progression and overall survival.

- To determine the feasibility and safety of this regimen in these patients.

OUTLINE: This is a multicenter study.

Patients receive oral hydroxychloroquine twice daily on days 1-21 and docetaxel IV over 1
hour on day 1. Treatment repeats every 21 days (up to 6 courses with docetaxel) in the
absence of disease progression or unacceptable toxicity.

Inclusion Criteria


- Histologically confirmed prostate cancer

- Metastatic disease, as demonstrated by bone scan and/or CT scan of the

- Must demonstrate disease progression after initial hormone therapy (including
bicalutamide and flutamide)

- No prior chemotherapy allowed

- No known brain metastases


- ECOG performance status 0-1

- Life expectancy ≥ 6 months

- ANC > 1,500/μL

- Hemoglobin > 10 g/dL

- Platelet count > 100,000/mm^3

- Serum creatinine < 2.0 mg/dL or creatinine clearance > 50 mL/min

- Total bilirubin normal

- SGOT and/or SGPT < 1.5 times upper limit of normal (ULN)

- Alkaline phosphatase < 2.5 times ULN

- Fertile patients must use effective contraception during and for 3 months after
completion of study therapy

- No second primary malignancy except for most in situ carcinomas (e.g., adequately
treated nonmelanoma carcinoma of the skin) or other malignancy treated ≥ 5 years ago
with no evidence of recurrence

- No history or symptoms of cardiovascular disease, including any of the following:

- NYHA class II-IV cardiovacular disease within the past 6 months

- Coronary artery disease

- Arrhythmias

- Conduction defects with risk of cardiovascular instability

- Uncontrolled hypertension

- Clinically significant pericardial effusion

- Congestive heart failure

- No uncontrolled intercurrent illness including ongoing active infection that would
limit compliance with study requirements

- No rheumatoid arthritis or systemic lupus erythematosus requiring treatment

- No psoriasis or porphyria

- No known HIV infection

- No hypersensitivity to 4-aminoquinoline compounds, including hydroxychloroquine
sulfate, chloroquine phosphate, and amodiaquine

- No retinal or vision changes from prior 4-aminoquinoline compound use

- No history of severe hypersensitivity reaction to docetaxel or other drugs formulated
with polysorbate 80

- No known G-6PDH deficiency

- Neurotoxicity ≤ grade 1


- See Disease Characteristics

- Recovered from all prior therapy

- No prior taxane

- At least 4 weeks since prior therapy (including surgery and radiotherapy)

- At least 1 week since prior herbal supplements

- At least 6 weeks since prior bicalutamide

- At least 4 weeks since prior flutamide

- No current hydroxychloroquine for treatment or prophylaxis

- Prior hydroxychloroquine allowed

- No other concurrent investigational or commercial agents or therapies, including
chemotherapy, immunotherapy, hormonal cancer therapy, radiotherapy, surgery for
cancer, or experimental therapy

- Concurrent luteinizing-hormone releasing-hormone agonists allowed

Type of Study:


Study Design:

Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Tumor response rate

Outcome Time Frame:

Treatment start date to date of best of response

Safety Issue:


Principal Investigator

Mark Stein, MD

Investigator Role:

Principal Investigator

Investigator Affiliation:

Cancer Institute of New Jersey


United States: Institutional Review Board

Study ID:




Start Date:

December 2008

Completion Date:

April 2012

Related Keywords:

  • Prostate Cancer
  • stage IV prostate cancer
  • recurrent prostate cancer
  • Prostatic Neoplasms



Overlook HospitalSummit, New Jersey  07902-0220
Carol G. Simon Cancer Center at Morristown Memorial HospitalMorristown, New Jersey  07962
Cancer Institute of New Jersey at HamiltonHamilton, New Jersey  08690
Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical SchoolNew Brunswick, New Jersey  08903
Mountainside HospitalMontclair, New Jersey  07042