A Phase II Study of SB-715992 (NSC-727990, IND-70273) in Taxane-Resistant Androgen-Independent Metastatic Prostate Cancer
Inclusion Criteria:
- Histologically confirmed adenocarcinoma of the prostate
- Metastatic disease (N1 and/or M1)
- Unresponsive or refractory to androgen-deprivation therapy
- Must have received one, and only one, prior taxane-containing (docetaxel or
paclitaxel) chemotherapy regimen for metastatic disease that was discontinued due to
disease progression, intolerance, or patient request
- Evidence of disease progression as defined by ≥ 1 of the following:
- Progression of measurable disease
- Progression of evaluable disease
- Rising prostate-specific antigen (PSA)
- At least 2 consecutive rises in PSA levels, each taken ≥ 7 days apart
- PSA ≥ 5 ng/mL
- Must have pre-study PSA > 5 ng/mL
- Measurable or evaluable disease
- Soft tissue disease that has been irradiated within the past 2 months is not
considered measurable disease
- Soft tissue disease that has been irradiated ≥ 2 months prior to study entry is
considered measurable disease provided the lesion progressed after radiation
- Surgical or medical castration required
- If luteinizing hormone-releasing hormone (LHRH) agonists (leuprolide or
goserelin) or LHRH antagonists (abarelix) were used, then must continue use
during study therapy
- No prior or concurrent brain metastases (treated or untreated)
- If clinical suspicion of brain metastases, must meet the following criteria:
- Brain CT scan or MRI negative for metastatic disease within the past 56
days
- No new symptoms since radiographic evaluation
- Performance status - Zubrod 0-2
- Absolute granulocyte count ≥ 1,500/mm^3
- Platelet count ≥ 100,000/mm^3
- Hemoglobin ≥ 9 g/dL
- Bilirubin normal
- SGOT and SGPT ≤ 2.5 times upper limit of normal (ULN)
- Creatinine ≤ 1.5 times ULN
- Creatinine clearance ≥ 40 mL/min
- No symptomatic congestive heart failure
- No unstable angina pectoris
- No cardiac arrhythmia
- Fertile patients must use effective contraception
- No peripheral neuropathy ≥ grade 2
- No prior allergic reaction attributed to compounds of similar chemical or biological
composition to SB-715992
- No ongoing or active infection
- No psychiatric illness or social situation that would preclude study participation
- No other uncontrolled illness
- No other malignancy within the past 5 years except adequately treated basal cell or
squamous cell skin cancer or adequately treated stage I or II cancer in complete
remission
- No colony-stimulating factors during the first course of study therapy
- No concurrent anticancer biologic therapy
- See Disease Characteristics
- At least 4 weeks since prior chemotherapy and recovered
- See Disease Characteristics
- At least 4 weeks since prior flutamide or ketoconazole
- At least 6 weeks since prior bicalutamide or nilutamide
- No concurrent anticancer hormonal therapy except LHRH agonist or antagonist for
patients who have not undergone orchiectomy
- See Disease Characteristics
- At least 4 weeks since prior radiotherapy and recovered
- Prior samarium Sm 153 lexidronam pentasodium allowed
- No prior strontium chloride Sr 89
- No prior radiotherapy to ≥ 30% of bone marrow
- No concurrent anticancer radiotherapy
- See Disease Characteristics
- At least 3 weeks since prior surgery and recovered
- At least 2 weeks since prior and no concurrent use of any of the following CYP3A4
inhibitors or inducers:
- Clarithromycin
- Erythromycin
- Troleandomycin
- Rifampin
- Rifabutin
- Rifapentine
- Itraconazole
- Ketoconazole
- Fluconazole (dose > 200 mg/day)
- Voriconazole
- Nefazodone
- Fluvoxamine
- Verapamil
- Diltiazem
- Grapefruit juice
- Bitter orange
- Phenytoin
- Carbamazepine
- Phenobarbital
- Oxcarbazepine
- Hypericum perforatum (St. John's wort)
- Modafinil
- At least 6 months since prior and no concurrent amiodarone
- No other investigational drugs for 4 weeks before, during, and for 2 weeks after
study therapy
- No other concurrent anticancer cytotoxic therapy
- No other concurrent anticancer therapy
- No concurrent combination antiretroviral therapy for HIV-positive patients
- Concurrent enrollment on SWOG-9205 (central prostate cancer serum repository
protocol) allowed