Health Condition 1: C61- Malignant neoplasm of prostate
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age>=18 years 2. Castration-resistant prostate cancer patients (CRPC): Disease progression despite androgen-deprivation therapy (ADT) and may present as one or any combination of a continuous rise in serum levels of prostate-specific antigen (PSA), progression of pre-existing disease, or appearance of new metastases (Ga-68-PSMA PET/CT Scan) and characterized by low levels of testosterone (
Exclusion criteria
Exclusion criteria: 1. Patients who are not willing to participate 2. Active psychiatric illnesses that would limit compliance with protocol requirements 3. Patients taking tricyclic/tetracyclic antidepressants or selective serotonin reuptake inhibitors, or serotonin norepinephrine reuptake inhibitors or conventional monoamine oxidase inhibitors or thioridazine or dextromethorphan or bupropion or triptans or tramadol or meperidine or selegiline or any antipsychotic drugs or sympathomimetic drugs or linezolid 4. Patients with connective tissue disorders like systemic lupus erythematosus, rheumatoid arthritis, systemic sclerosis and other autoimmune disorders 5. Patients with hepatic dysfunction that is those in whom serum bilirubin will be more than 1.5 and, AST and ALT will be more than 2.5 fold higher than the upper limit of normal 6. Patients in whom serum creatinine will be more than 1.5 fold higher than the upper limit of normal 7. Patients with congestive cardiac failure, severe or unstable angina or thyrotoxicosis 8. Atrial Fibrillation, or other cardiac arrhythmia requiring medical therapy 9. Administration of any other investigational therapeutic agent within 30 days of screening 10. Prior radiation therapy completed 11. Any "currently active" second malignancy 12. Patients in whom urgent chemotherapy, in the opinion of the treating physician, is indicated 13. Patients taking strong CYP2D6, CYP2C19 and CYP3A4 inducer or inhibitor, available from Metabolism and Transport Drug Interaction Database (http://www.druginteractioninfo.org) 14. Pheochromocytoma 15. Carcinoid Syndrome 16. Angle-closure glaucoma
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| 1. Radiological progression-free survival 2. CTCs count (decrease from baseline)Timepoint: Ga-68-PSMA PET/CT scan and CTCs titre (at baseline and at 12 months of follow-up) | — |
Primary
| Measure | Time frame |
|---|---|
| Tumor response rate measured using serum PSA levelsTimepoint: Tumor response rate will be determined by monitoring PSA levels (at baseline, 3, 6, 9 and 12 month) | — |
Countries
India
Contacts
AIIMS New Delhi