A Pilot Study of the Effects of Cabozantinib (XL184) on Bone Turnover and the Microenvironment in Men With Non-Metastatic and Metastatic Castration-Resistant Prostate Cancer
PRIMARY OBJECTIVES:
I. To assess the impact of cabozantinib on markers of bone turnover and microenvironment in
men with non-metastatic castration-resistant prostate cancer and to compare the findings in
men with metastatic castration-resistant prostate cancer.
SECONDARY OBJECTIVES:
I. To describe the associated changes in dynamic histomorphometry at baseline and after 6
weeks of cabozantinib therapy in men with non-metastatic castration-resistant prostate
cancer.
II. To characterize, describe, and compare the effects of cabozantinib in men with
non-metastatic and metastatic bone disease with respect to the following measurements at
baseline and on therapy: markers of bone metabolism in blood including bone specific
alkaline phosphatase, alkaline phosphatase, lactate dehydrogenase (LDH); changes in markers
of apoptosis, proliferation, and angiogenesis in biopsy specimens from both bone and soft
tissue during therapy with cabozantinib.
TERTIARY OBJECTIVES:
I. Radiographic disease responses and toxicities will be monitored for all patients.
OUTLINE:
Patients receive cabozantinib orally (PO) once daily (QD) in the absence of disease
progression or unacceptable toxicity.
After completion of study treatment, patients are followed up for 4 weeks.
Interventional
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Change in urinary N-telopeptide (uNTX)
Will be analyzed after log-transformation.
Baseline and 6 weeks
No
Celestia Higano
Principal Investigator
Fred Hutchinson Cancer Research Center/University of Washington Cancer Consortium
United States: Food and Drug Administration
7819
NCT01703065
June 2013
Name | Location |
---|---|
Seattle Cancer Care Alliance/University of Washington | Seattle, Washington 98109 |