Castration Resistent Prostate cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Histologically confirmed adenocarcinoma of the prostate 2. Progressive disease despite castration with an elevated PSA >5ng/ml (testosterone =65 years) yes F.1.3.1 Number of subjects for this age range 41
Exclusion criteria
Exclusion criteria: 1. Contraindication to intramuscular injections 2. Unable to titrate medication for type 2 diabetes if deterioration in control on triamcinolone 3. Absolute contraindication to corticosteroids 4. Previous use of corticosteroids in prostate cancer 5. Previous chemotherapy for prostate cancer 6. Current participation in any other investigational drug study 7. History of a malignancy within 5 years except those treated with curative intent for skin cancer (other than melanoma)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To assess whether patients with castration resistant prostate cancer survive without their cancer getting worse (progression free survival) for longer than standard treatment, when receiving triamcinolone whilst continuing GnRH analog treatment and following failure of hormone therapy. This will be assessed by measuring PSA levels. ;Secondary Objective: 1. Time to PSA progression 2. Time to symptomatic progression 3. CTC response at 28 days 4. To evaluate translational endpoints ;Primary end point(s): Progression free survival;Timepoint(s) of evaluation of this end point: Time from first administration of study drug to the first observation of disease progression or death. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Time to PSA progression, symptomatic progression, CTC response at 28 days Translational endpoints: Effect of T887A and AR ccr on response to treatment. Blood sample collection: SNP analysis for those involved in androgen synthesis and metabolism;Timepoint(s) of evaluation of this end point: Circulating tumour cell response evaluation at 28days | — |
Countries
United Kingdom
Contacts
Barts and The London NHS Trust