Trial Outcomes & Findings for Docetaxel, Prednisone, and Pasireotide in Treating Patients With Metastatic Hormone-Resistant Prostate Cancer (NCT NCT01468532)

NCT ID: NCT01468532

Last Updated: 2021-03-25

Results Overview

To identify the maximum tolerated dose (MTD) of pasireotide, The occurrence rate of binary endpoints (eg, specific types of toxicity at a certain dose level and severity grade, response, etc) will be described by point estimates and exact 90% confidence intervals (CIs) for proportions using Wilson's method.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

18 participants

Primary outcome timeframe

Up to day 57

Results posted on

2021-03-25

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment (Chemotherapy, Receptor Agonist)
Patients receive pasireotide IM on day 1, docetaxel IV over 1 hour, and prednisone PO BID continuously. Courses with docetaxel repeat every 21 days and courses with pasireotide repeat every 28 days in the absence of disease progression or unacceptable toxicity. docetaxel: Given IV pasireotide: Given IM prednisone: Given PO
Overall Study
STARTED
18
Overall Study
COMPLETED
18
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Docetaxel, Prednisone, and Pasireotide in Treating Patients With Metastatic Hormone-Resistant Prostate Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (Chemotherapy, Receptor Agonist)
n=18 Participants
Patients receive pasireotide IM on day 1, docetaxel IV over 1 hour, and prednisone PO BID continuously. Courses with docetaxel repeat every 21 days and courses with pasireotide repeat every 28 days in the absence of disease progression or unacceptable toxicity. docetaxel: Given IV pasireotide: Given IM prednisone: Given PO
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=99 Participants
Age, Categorical
>=65 years
14 Participants
n=99 Participants
Age, Continuous
65 years
n=99 Participants
Sex: Female, Male
Female
0 Participants
n=99 Participants
Sex: Female, Male
Male
18 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
6 Participants
n=99 Participants
Race (NIH/OMB)
White
11 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=99 Participants
Region of Enrollment
United States
18 participants
n=99 Participants

PRIMARY outcome

Timeframe: Up to day 57

To identify the maximum tolerated dose (MTD) of pasireotide, The occurrence rate of binary endpoints (eg, specific types of toxicity at a certain dose level and severity grade, response, etc) will be described by point estimates and exact 90% confidence intervals (CIs) for proportions using Wilson's method.

Outcome measures

Outcome measures
Measure
Treatment (Chemotherapy, Receptor Agonist)
n=18 Participants
Patients receive pasireotide IM on day 1, docetaxel IV over 1 hour, and prednisone PO BID continuously. Courses with docetaxel repeat every 21 days and courses with pasireotide repeat every 28 days in the absence of disease progression or unacceptable toxicity. docetaxel: Given IV pasireotide: Given IM prednisone: Given PO
Maximum Tolerated Dose (MTD) of Pasireotide in Combination With Docetaxel and Prednisone by the Occurrence of Adverse Events and the Associated Grade Per NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
60 mg

SECONDARY outcome

Timeframe: On days 1, 8, 15, 22, 29, 36 43, 50 and 57

The count of patients who experience a given type and grade of toxicity as assessed via NCI CTCAE version 4.0

Outcome measures

Outcome measures
Measure
Treatment (Chemotherapy, Receptor Agonist)
n=18 Participants
Patients receive pasireotide IM on day 1, docetaxel IV over 1 hour, and prednisone PO BID continuously. Courses with docetaxel repeat every 21 days and courses with pasireotide repeat every 28 days in the absence of disease progression or unacceptable toxicity. docetaxel: Given IV pasireotide: Given IM prednisone: Given PO
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Hypophosphatemia grade 3
3 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Hypotension grade 3
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Hypothyroidism grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Infusion related reaction grade 2
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Infusion site extravasation grade 2
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Injection site reaction grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Insomnia grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Localized edema grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Lymphedema grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Lymphocyte count decreased grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Lymphocyte count decreased grade 3
7 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Lymphocyte count decreased grade 4
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Mucositis oral grade 2
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Muscle weakness lower limb grade 1
2 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Musculoskeletal and connective tissue dis. grade 1
5 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Myalgia grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Nail discoloration grade 1
2 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Nail discoloration grade 2
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Nail loss grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Nail ridging grade 1
2 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Nasal congestion grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Nausea grade 1
10 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Nausea grade 2
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Nervous system disorders - Other grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Neutrophil count decreased grade 3
10 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Neutrophil count decreased grade 4
6 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Otitis externa grade 2
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Pain grade 1
2 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Pain in extremity grade 2
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Pelvic pain grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Penile infection grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Penile pain grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Peripheral sensory neuropathy grade 1
7 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Peripheral sensory neuropathy grade 2
4 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Platelet count decreased grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Rash acneiform grade 1
6 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Rash acneiform grade 2
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Rectal pain grade 1
2 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Renal and urinary disorders - Other grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Renal and urinary disorders - Other grade 2
2 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Respiratory, thoracic and mediastinal dis. grade 3
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Serum amylase increased grade 4
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Sinus disorder grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Sinusitis grade 2
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Skin and subcutaneous tissue disorders grade 1
9 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Skin and subcutaneous tissue disorders grade 2
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Skin infection grade 4
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Sore throat grade 1
3 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Thromboembolic event grade 3
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Toothache grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Tremor grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Upper respiratory infection grade 1
2 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Upper respiratory infection grade 2
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Upper respiratory infection grade 3
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Urinary frequency grade 1
4 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Urinary tract infection grade 2
4 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Urinary tract infection grade 3
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Urinary tract obstruction grade 2
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Vomiting grade 1
4 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Watering eyes grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Weight loss grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Weight loss grade 2
6 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Weight loss grade 3
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Wheezing grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
White blood cell decreased grade 3
11 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
White blood cell decreased grade 4
3 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Abdominal pain grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Agitation grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Alkaline phosphatase increased grade 3
3 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Allergic reaction grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Alopecia grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Alopecia grade 2
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Anemia grade 1
4 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Anemia grade 3
4 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Anorexia grade 1
6 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Anorexia grade 2
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Arthritis grade 1
2 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Aspartate aminotransferase increased grade 2
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Aspartate aminotransferase increased grade 3
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Back pain grade 1
3 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Back pain grade 2
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Bladder infection grade 2
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Blood and lymphatic system disorders-Other grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Bruising grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Cardiac disorders - Other, specify grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Cataract grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Chills grade 1
4 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Cholesterol high grade 1
5 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Conjunctivitis grade 2
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Constipation grade 1
4 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Cough grade 1
2 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Cough grade 2
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Creatinine increased grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Dehydration grade 2
2 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Dehydration grade 3
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Depression grade 1
2 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Diarrhea grade 1
10 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Diarrhea grade 2
2 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Diarrhea grade 3
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Dizziness grade 1
8 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Dry mouth grade 1
2 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Dry skin grade 1
2 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Dysgeusia grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Dysgeusia grade 2
4 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Dyspnea grade 1
6 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Ear and labyrinth disorders-Other, specify grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Edema limbs grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Edema limbs grade 2
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
EKG QT corrected interval prolong grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
EKG QT corrected interval prolong grade 2
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
EKG QT corrected interval prolong grade 3
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Eye disorders - Other, specify grade 1
2 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Fatigue grade 1
6 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Fatigue grade 2
7 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Fatigue grade 3
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Fever grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Flank pain grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Flu like symptoms grade 1
2 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Flushing grade 1
2 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Gastroesophageal reflux disease grade 1
3 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Gastroesophageal reflux disease grade 2
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Gastrointestinal disorders -Other, specify grade 1
7 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Generalized muscle weakness grade 1
5 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Generalized muscle weakness grade 2
2 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Headache grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Hearing impaired grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Heart failure grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Hematuria grade 1
2 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Hematuria grade 2
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Hoarseness grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Hot flashes grade 1
3 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Hyperglycemia grade 1
3 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Hyperglycemia grade 2
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Hyperglycemia grade 3
10 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Hyperkalemia grade 2
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Hypertension grade 2
5 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Hypertension grade 3
5 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Hypertriglyceridemia grade 1
3 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Hypertriglyceridemia grade 3
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Hypoalbuminemia grade 3
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Hypocalcemia grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Hypocalcemia grade 3
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Hypokalemia grade 2
2 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Hypomagnesemia grade 1
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Hypomagnesemia grade 2
1 Participants
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
Hyponatremia grade 3
4 Participants

SECONDARY outcome

Timeframe: Every 12 weeks for the first 36 weeks and then every 16 weeks thereafter up to 100 weeks

Percentage of participants responding to treatment by measurements of tumor using Response Evaluation Criteria In Solid Tumors (RECISTv1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR, before and after treatment with the combination of pasireotide in combination with docetaxel

Outcome measures

Outcome measures
Measure
Treatment (Chemotherapy, Receptor Agonist)
n=18 Participants
Patients receive pasireotide IM on day 1, docetaxel IV over 1 hour, and prednisone PO BID continuously. Courses with docetaxel repeat every 21 days and courses with pasireotide repeat every 28 days in the absence of disease progression or unacceptable toxicity. docetaxel: Given IV pasireotide: Given IM prednisone: Given PO
Measurements of Tumor Using Response Evaluation Criteria In Solid Tumors (RECIST) Criteria Before and After Treatment With the Combination of Pasireotide in Combination With Docetaxel
44.4 percentage of participants
Interval 27.2 to 63.1

SECONDARY outcome

Timeframe: On days 1, 22, 43

Percentage change of prostate-specific antigen (PSA) decline or increase noted

Outcome measures

Outcome measures
Measure
Treatment (Chemotherapy, Receptor Agonist)
n=18 Participants
Patients receive pasireotide IM on day 1, docetaxel IV over 1 hour, and prednisone PO BID continuously. Courses with docetaxel repeat every 21 days and courses with pasireotide repeat every 28 days in the absence of disease progression or unacceptable toxicity. docetaxel: Given IV pasireotide: Given IM prednisone: Given PO
Percentage Prostate-specific Antigen (PSA) Change Noted
from day 1 to day 22
-18.52 percentage change of PSA from day 1
Interval -70.97 to 147.4
Percentage Prostate-specific Antigen (PSA) Change Noted
from day 1 to day 43
-31.49 percentage change of PSA from day 1
Interval -88.14 to 88.89

SECONDARY outcome

Timeframe: Every 3 months for the first 9 months on study then every 4 months after the first 9 months on study, up to 2 years

Time from Treatment start date to Progression (TTP) Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions

Outcome measures

Outcome measures
Measure
Treatment (Chemotherapy, Receptor Agonist)
n=18 Participants
Patients receive pasireotide IM on day 1, docetaxel IV over 1 hour, and prednisone PO BID continuously. Courses with docetaxel repeat every 21 days and courses with pasireotide repeat every 28 days in the absence of disease progression or unacceptable toxicity. docetaxel: Given IV pasireotide: Given IM prednisone: Given PO
Time to Progression (TTP)
7.2 months
Interval 3.8 to 8.2

SECONDARY outcome

Timeframe: Every 3 months for the first 9 months on study then every 4 months after the first 9 months on study

Time from Treatment start date to date of death or last follow-up.

Outcome measures

Outcome measures
Measure
Treatment (Chemotherapy, Receptor Agonist)
n=18 Participants
Patients receive pasireotide IM on day 1, docetaxel IV over 1 hour, and prednisone PO BID continuously. Courses with docetaxel repeat every 21 days and courses with pasireotide repeat every 28 days in the absence of disease progression or unacceptable toxicity. docetaxel: Given IV pasireotide: Given IM prednisone: Given PO
Overall Survival (OS)
18.3 months
Interval 15.0 to 29.7

SECONDARY outcome

Timeframe: Predosing/end of infusion/2, 3, 4 ,7, 24 and 48 hours after start of docetaxel; Day 43; predosing for docetaxel and pasireotide/end of infusion/2, 3, 4, 7, 24 hours day 44/48 hours day 45 after start of infusion; days 29, 57, and 85 prior to pasireotide

Pharmacokinetics (PK) of SOM230 measured in the bloodstream (in ng/ml) at days 29, 57, and 85.

Outcome measures

Outcome measures
Measure
Treatment (Chemotherapy, Receptor Agonist)
n=18 Participants
Patients receive pasireotide IM on day 1, docetaxel IV over 1 hour, and prednisone PO BID continuously. Courses with docetaxel repeat every 21 days and courses with pasireotide repeat every 28 days in the absence of disease progression or unacceptable toxicity. docetaxel: Given IV pasireotide: Given IM prednisone: Given PO
Pharmacokinetics (PK) of SOM230
Level at day 29
15.4 ng/ml
Interval 4.75 to 46.1
Pharmacokinetics (PK) of SOM230
Level at day 57
14.9 ng/ml
Interval 5.15 to 34.2
Pharmacokinetics (PK) of SOM230
Level at day 85
14.5 ng/ml
Interval 3.38 to 35.2

SECONDARY outcome

Timeframe: Baseline and days 22 and 43

Measurement of levels of IGF-1, serum chromogranin A (SCA), and neuron specific enolase (NSE), the change between time points (day 22 and day 43) from day 1 as measured in percent change.

Outcome measures

Outcome measures
Measure
Treatment (Chemotherapy, Receptor Agonist)
n=18 Participants
Patients receive pasireotide IM on day 1, docetaxel IV over 1 hour, and prednisone PO BID continuously. Courses with docetaxel repeat every 21 days and courses with pasireotide repeat every 28 days in the absence of disease progression or unacceptable toxicity. docetaxel: Given IV pasireotide: Given IM prednisone: Given PO
Measurement of Levels of IGF-1, Serum Chromogranin A (SCA), and Neuron Specific Enolase (NSE), the Change Between Time Points Pre-therapy, Post-therapy
IGF-1 day 1 to day 22
-47.74 percent change of biomarker from day 1
Interval -81.67 to 420.0
Measurement of Levels of IGF-1, Serum Chromogranin A (SCA), and Neuron Specific Enolase (NSE), the Change Between Time Points Pre-therapy, Post-therapy
IGF-1 day 1 to day 43
-65.64 percent change of biomarker from day 1
Interval -76.85 to 9200.0
Measurement of Levels of IGF-1, Serum Chromogranin A (SCA), and Neuron Specific Enolase (NSE), the Change Between Time Points Pre-therapy, Post-therapy
SCA day 1 to day 22
-25.36 percent change of biomarker from day 1
Interval -82.17 to 76.09
Measurement of Levels of IGF-1, Serum Chromogranin A (SCA), and Neuron Specific Enolase (NSE), the Change Between Time Points Pre-therapy, Post-therapy
SCA day 1 to day 43
-21.43 percent change of biomarker from day 1
Interval -92.21 to 173.91
Measurement of Levels of IGF-1, Serum Chromogranin A (SCA), and Neuron Specific Enolase (NSE), the Change Between Time Points Pre-therapy, Post-therapy
NSE day 1 to day 22
-17.00 percent change of biomarker from day 1
Interval -82.32 to 294.44
Measurement of Levels of IGF-1, Serum Chromogranin A (SCA), and Neuron Specific Enolase (NSE), the Change Between Time Points Pre-therapy, Post-therapy
NSE day 1 to day 43
8.00 percent change of biomarker from day 1
Interval -70.12 to 61.11

SECONDARY outcome

Timeframe: Baseline and days 22 and 43

Measurements of CTC counts, the change between time-points (day 22 and day 43) from day 1 as measured in percent change.

Outcome measures

Outcome measures
Measure
Treatment (Chemotherapy, Receptor Agonist)
n=18 Participants
Patients receive pasireotide IM on day 1, docetaxel IV over 1 hour, and prednisone PO BID continuously. Courses with docetaxel repeat every 21 days and courses with pasireotide repeat every 28 days in the absence of disease progression or unacceptable toxicity. docetaxel: Given IV pasireotide: Given IM prednisone: Given PO
Measurements of CTC Counts, the Change Between Time-points Pre-therapy, Post-therapy
CTC from day 1 to day 22
-5.50 percent change of CTC from day 1
Interval -1424.0 to 93.0
Measurements of CTC Counts, the Change Between Time-points Pre-therapy, Post-therapy
CTC from day 1 to day 43
-29.50 percent change of CTC from day 1
Interval -1446.0 to 19.0

Adverse Events

Treatment (Chemotherapy, Receptor Agonist)

Serious events: 14 serious events
Other events: 18 other events
Deaths: 13 deaths

Serious adverse events

Serious adverse events
Measure
Treatment (Chemotherapy, Receptor Agonist)
n=18 participants at risk
Patients receive pasireotide IM on day 1, docetaxel IV over 1 hour, and prednisone PO BID continuously. Courses with docetaxel repeat every 21 days and courses with pasireotide repeat every 28 days in the absence of disease progression or unacceptable toxicity. docetaxel: Given IV pasireotide: Given IM prednisone: Given PO
Blood and lymphatic system disorders
Anemia
5.6%
1/18 • Number of events 1 • Any All-Cause Mortality, Serious, or Other (Not Including Serious) adverse event occurring after the patient has provided informed consent and until 4 weeks after the patient has stopped study participation must be reported, an average of 2 years.
These will be followed per IND requirements (if applicable) as well as per sponsor requirements and WSU IRB requirements.
Gastrointestinal disorders
Anorexia
5.6%
1/18 • Number of events 1 • Any All-Cause Mortality, Serious, or Other (Not Including Serious) adverse event occurring after the patient has provided informed consent and until 4 weeks after the patient has stopped study participation must be reported, an average of 2 years.
These will be followed per IND requirements (if applicable) as well as per sponsor requirements and WSU IRB requirements.
Respiratory, thoracic and mediastinal disorders
Dyspnea
5.6%
1/18 • Number of events 1 • Any All-Cause Mortality, Serious, or Other (Not Including Serious) adverse event occurring after the patient has provided informed consent and until 4 weeks after the patient has stopped study participation must be reported, an average of 2 years.
These will be followed per IND requirements (if applicable) as well as per sponsor requirements and WSU IRB requirements.
Blood and lymphatic system disorders
Edema limbs
5.6%
1/18 • Number of events 1 • Any All-Cause Mortality, Serious, or Other (Not Including Serious) adverse event occurring after the patient has provided informed consent and until 4 weeks after the patient has stopped study participation must be reported, an average of 2 years.
These will be followed per IND requirements (if applicable) as well as per sponsor requirements and WSU IRB requirements.
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
5.6%
1/18 • Number of events 1 • Any All-Cause Mortality, Serious, or Other (Not Including Serious) adverse event occurring after the patient has provided informed consent and until 4 weeks after the patient has stopped study participation must be reported, an average of 2 years.
These will be followed per IND requirements (if applicable) as well as per sponsor requirements and WSU IRB requirements.
Blood and lymphatic system disorders
Hematoma
5.6%
1/18 • Number of events 1 • Any All-Cause Mortality, Serious, or Other (Not Including Serious) adverse event occurring after the patient has provided informed consent and until 4 weeks after the patient has stopped study participation must be reported, an average of 2 years.
These will be followed per IND requirements (if applicable) as well as per sponsor requirements and WSU IRB requirements.
Metabolism and nutrition disorders
Hyperglycemia
5.6%
1/18 • Number of events 1 • Any All-Cause Mortality, Serious, or Other (Not Including Serious) adverse event occurring after the patient has provided informed consent and until 4 weeks after the patient has stopped study participation must be reported, an average of 2 years.
These will be followed per IND requirements (if applicable) as well as per sponsor requirements and WSU IRB requirements.
Metabolism and nutrition disorders
Hyponatremia
5.6%
1/18 • Number of events 1 • Any All-Cause Mortality, Serious, or Other (Not Including Serious) adverse event occurring after the patient has provided informed consent and until 4 weeks after the patient has stopped study participation must be reported, an average of 2 years.
These will be followed per IND requirements (if applicable) as well as per sponsor requirements and WSU IRB requirements.
Vascular disorders
Hypotension
5.6%
1/18 • Number of events 1 • Any All-Cause Mortality, Serious, or Other (Not Including Serious) adverse event occurring after the patient has provided informed consent and until 4 weeks after the patient has stopped study participation must be reported, an average of 2 years.
These will be followed per IND requirements (if applicable) as well as per sponsor requirements and WSU IRB requirements.
Respiratory, thoracic and mediastinal disorders
Pneumonitis
5.6%
1/18 • Number of events 1 • Any All-Cause Mortality, Serious, or Other (Not Including Serious) adverse event occurring after the patient has provided informed consent and until 4 weeks after the patient has stopped study participation must be reported, an average of 2 years.
These will be followed per IND requirements (if applicable) as well as per sponsor requirements and WSU IRB requirements.
Respiratory, thoracic and mediastinal disorders
Respiratory failure
5.6%
1/18 • Number of events 1 • Any All-Cause Mortality, Serious, or Other (Not Including Serious) adverse event occurring after the patient has provided informed consent and until 4 weeks after the patient has stopped study participation must be reported, an average of 2 years.
These will be followed per IND requirements (if applicable) as well as per sponsor requirements and WSU IRB requirements.
Skin and subcutaneous tissue disorders
Skin infection
5.6%
1/18 • Number of events 1 • Any All-Cause Mortality, Serious, or Other (Not Including Serious) adverse event occurring after the patient has provided informed consent and until 4 weeks after the patient has stopped study participation must be reported, an average of 2 years.
These will be followed per IND requirements (if applicable) as well as per sponsor requirements and WSU IRB requirements.
General disorders
Syncope
5.6%
1/18 • Number of events 1 • Any All-Cause Mortality, Serious, or Other (Not Including Serious) adverse event occurring after the patient has provided informed consent and until 4 weeks after the patient has stopped study participation must be reported, an average of 2 years.
These will be followed per IND requirements (if applicable) as well as per sponsor requirements and WSU IRB requirements.
Renal and urinary disorders
Urinary tract infection
5.6%
1/18 • Number of events 1 • Any All-Cause Mortality, Serious, or Other (Not Including Serious) adverse event occurring after the patient has provided informed consent and until 4 weeks after the patient has stopped study participation must be reported, an average of 2 years.
These will be followed per IND requirements (if applicable) as well as per sponsor requirements and WSU IRB requirements.

Other adverse events

Other adverse events
Measure
Treatment (Chemotherapy, Receptor Agonist)
n=18 participants at risk
Patients receive pasireotide IM on day 1, docetaxel IV over 1 hour, and prednisone PO BID continuously. Courses with docetaxel repeat every 21 days and courses with pasireotide repeat every 28 days in the absence of disease progression or unacceptable toxicity. docetaxel: Given IV pasireotide: Given IM prednisone: Given PO
General disorders
Fatigue
94.4%
17/18 • Number of events 35 • Any All-Cause Mortality, Serious, or Other (Not Including Serious) adverse event occurring after the patient has provided informed consent and until 4 weeks after the patient has stopped study participation must be reported, an average of 2 years.
These will be followed per IND requirements (if applicable) as well as per sponsor requirements and WSU IRB requirements.
Gastrointestinal disorders
Diarrhea
72.2%
13/18 • Number of events 17 • Any All-Cause Mortality, Serious, or Other (Not Including Serious) adverse event occurring after the patient has provided informed consent and until 4 weeks after the patient has stopped study participation must be reported, an average of 2 years.
These will be followed per IND requirements (if applicable) as well as per sponsor requirements and WSU IRB requirements.
Metabolism and nutrition disorders
Hyperglycemia
77.8%
14/18 • Number of events 40 • Any All-Cause Mortality, Serious, or Other (Not Including Serious) adverse event occurring after the patient has provided informed consent and until 4 weeks after the patient has stopped study participation must be reported, an average of 2 years.
These will be followed per IND requirements (if applicable) as well as per sponsor requirements and WSU IRB requirements.

Additional Information

Ulka N. Vaishampayan

Barbara Ann Karmanos Cancer Institute

Phone: 313-576-8718

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place