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Study of CP-751,871 in Combination With Docetaxel and Prednisone in Patients With Hormone Insensitive Prostate Cancer (HRPC)

A Phase 2, Randomized, Non-Comparative, Two-Arm Open Label, Multiple-Center Study Of CP-751,871 In Combination With Docetaxel/Prednisone In Chemotherapy- Naive (Arm A) And Docetaxel/Prednisone Refractory (Arm B) Patients With Hormone Insensitive Prostate Cancer

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00313781
Enrollment
204
Registered
2006-04-12
Start date
2006-05-31
Completion date
2011-12-31
Last updated
2013-04-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Prostatic Neoplasms

Keywords

randomized, non-comparative, efficacy

Brief summary

To test the efficacy of CP-751,871 combined with docetaxel and prednisone in the treatment of prostate cancer that is refractory to hormone therapy

Interventions

CP-750,871 is administered intravenously at a dose of 20 mg/kg on day 1 of each 21-day cycle (for patient convenience and logistical management, the dose of CP-751,871 may be deferred up to 7 days).

DRUGdocetaxel

Docetaxel is administered IV on day 1 of each 21-day cycle, at a dose of 75 mg/m2.

DRUGprednisone

Prednisone is administered at a dose of 5 mg twice daily.

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
MALE
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Diagnosis of metastatic, progressive hormone refractory prostate cancer * Adequate bone marrow, liver and kidney function

Exclusion criteria

* Previous treatment with chemotherapy

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Prostate Specific Antigen (PSA) Best ResponseBaseline, Day 1 and Day 15 of each cycle, end of treatment (up to 28 days post last dose) and follow-up (monthly, up to 150 days post last dose)Percentage of participants with PSA best response of either PSA normalization (PN) or partial PSA response (PR) relative to the total number of participants evaluable for response. PN was defined as PSA =\< 0.2 nanogram/milliliter (ng/ml) on 2 successive evaluations at least 3 weeks apart and no imaging or clinical evidence of disease progression. PP was defined as \>= 50% decrease in PSA from baseline on 2 successive evaluations at least 3 weeks apart and no imaging or clinical evidence of disease progression.

Secondary

MeasureTime frameDescription
Human Anti-human Antibody (HAHA) at Baseline (Day 1 of Cycle 1)Baseline (Day 1 of Cycle 1)Levels of HAHA in serum were detected at baseline.
Human Anti-human Antibody (HAHA) at the Last Follow-up VisitThe last follow-up visit (150 days post last dose)Levels of HAHA in serum were detected at the last follow-up visit.
Population PK Parameters of CP-751,871Days 1, 8 and 15 of each cycle and last follow-up visit (150 days post last dose)Population pharmacokinetic analysis involved mixed effects modeling using nonlinear mixed effects modeling (NONMEM) software. The intent of this analysis was to establish a basic population pharmacokinetic model for CP-751,871 and to determine inter-individual and residual variability in population clearance, and volume of distribution of drug. Relationship of demographic variables (gender, age, body weight, height and ethnicity), concomitant medications and measures of altered hepatic and renal function were examined by fitting measured CP-751,871 concentrations
Total Number of Circulation Tumor Cells (CTCs)Baseline, prior to dosing in odd numbered cycles (ie. Cycle 1, 3, 5, etc) and end of treatment (up to 28 days post last dose)Blood samples were collected and processed to enumerate the number of total CTCs via Veridex CellSearch technology in which CTCs were identified based on cell surface positive epithelial cell adhesion molecule (EpCAM) and cytokeratin staining.
Total Number of the Insulin Like Growth Factor Receptor Type 1 (IGF-1R) Positive CTCsBaseline, prior to dosing in odd numbered cycles (ie. Cycle 1, 3, 5, etc) and end of treatment (up to 28 days post last dose)Blood samples were collected to enumerate the number of total IGF-1R positive CTCs via Veridex CellSearch technology in which CTCs were identified based on cell surface positive EpCAM and cytokeratin staining. A separate CellSave tube of cells was also collected and processed with cell surface staining of IGF-1R to enumerate surfaces of IGF-1R-positive CTCs.
Progression Free Survival (PFS)Baseline, Day 15 of each cycle and follow-up (monthly, up to 150 days post last dose)PFS was defined as the time from randomization to first event of disease progression. Disease progression events were defined as the following: PSA progression,objective disease progression as per RECIST, death, and discontinuation of treatment due to symptomatic deterioration. PSA progression was defined as the time-point of PSA progression on 2 successive evaluations taken 1 week apart after dosing in cycle 3.
Pain Measured by the Modified Brief Pain Inventory-Short Form (mBPI-sf Modified Pfizer)Baseline, Cycle 1 to Cycle 10 before drug administration and end of treatment (up to 28 days post last dose)The mBPI-sf was a self administered questionnaire developed to assess pain severity and pain interference with functional activities during a 24-hour period prior to evaluation. For the worst pain item of the mBPI-sf scale (11 point Likert scale; range: 0 \[no pain\] to 10 \[pain as bad as you can imagine\]), participants were asked to rate their pain by marking an X in one of the 10 boxes that best described their pain at its worst in the last 24 hours post surgery and at least 12 hours after discontinuation of the peripheral nerve block or neuraxial block.
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUC0-t) for CP-751,871Days 1, 8 and 15 of each cycle and last follow-up visit (150 days post last dose)Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration.
Maximum Observed Plasma Concentration (Cmax) for CP-751,871Days 1, 8 and 15 of each cycle and last follow-up visit (150 days post last dose)
Minimum Observed Plasma Trough Concentration (Cmin) for CP-751,871Days 1, 8 and 15 of each cycle and last follow-up visit (150 days post last dose)
Area Under the Curve From Time Zero to End of Dosing Interval (AUC0-tau) for CP-751,871Days 1, 8 and 15 of each cycle and last follow-up visit (150 days post last dose)
Quality of Life Measured by the Functional Assessment of Cancer Treatment-Prostate (FACT-P)Baseline, Cycle 1 to Cycle 10 before drug administration and end of treatment (up to 28 days post last dose)The FACT-P was a 39-item participant questionnaire which assesses physical well-being (7 items), social/family well-being (7 items), emotional well-being (6 items), functional well-being (7 items), and additional prostate cancer specific concerns (12 items). All items were scored from 0 (not at all) to 4 (very much). The total FACT-P score ranged from 0-156, with higher scores representing a better QoL with fewer symptoms. A score of 156 represented the best outcome.

Countries

Canada, Germany, Spain, Switzerland, United Kingdom, United States

Participant flow

Participants by arm

ArmCount
CP-751,871+Docetaxel+Prednisone
Participants received docetaxel 75 milligram(mg)/square meter(m\^2) infusion IV over 1 hour on Day 1, followed by CP-751,871 20 mg/kilogram (kg) infusion IV on Day 1 along with prednisone 5 mg twice daily (BID) in a 21-days cycle, up to 17 cycles.
102
Docetaxel+Prednisone
Participants received docetaxel 75 mg/m\^2 infusion IV over 1 hour on Day 1 along with prednisone 5 mg BID in a 21 days cycle, up to 17 cycles.
102
Total204

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
After CrossoverDeath006
After CrossoverOther0018
After CrossoverWithdrawal by Subject003
Before CrossoverCrossover0370
Before CrossoverDeath2280
Before CrossoverLost to Follow-up030
Before CrossoverOther45300
Before CrossoverRandomized, not treated500
Before CrossoverWithdrawal by Subject310

Baseline characteristics

CharacteristicCP-751,871+Docetaxel+PrednisoneTotalDocetaxel+Prednisone
Age, Customized
18 to 44 years
0 Participants1 Participants1 Participants
Age, Customized
45 to 64 years
26 Participants58 Participants32 Participants
Age, Customized
Greater than or equal to (>=) 65 years
76 Participants145 Participants69 Participants
Age, Customized
Less than (<) 18 years
0 Participants0 Participants0 Participants
Sex: Female, Male
Female
0 Participants0 Participants0 Participants
Sex: Female, Male
Male
102 Participants204 Participants102 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
96 / 9753 / 10221 / 37
serious
Total, serious adverse events
64 / 9737 / 10220 / 37

Outcome results

Primary

Percentage of Participants With Prostate Specific Antigen (PSA) Best Response

Percentage of participants with PSA best response of either PSA normalization (PN) or partial PSA response (PR) relative to the total number of participants evaluable for response. PN was defined as PSA =\< 0.2 nanogram/milliliter (ng/ml) on 2 successive evaluations at least 3 weeks apart and no imaging or clinical evidence of disease progression. PP was defined as \>= 50% decrease in PSA from baseline on 2 successive evaluations at least 3 weeks apart and no imaging or clinical evidence of disease progression.

Time frame: Baseline, Day 1 and Day 15 of each cycle, end of treatment (up to 28 days post last dose) and follow-up (monthly, up to 150 days post last dose)

Population: Response-evaluable population: All enrolled participants who had a baseline PSA reference value and received at least one dose of assigned treatment with the exception of those participants without symptomatic or objective progression (participants with PSA progression only) who withdraw consent prior to Cycle 3.

ArmMeasureValue (MEAN)
CP-751,871+Docetaxel+PrednisonePercentage of Participants With Prostate Specific Antigen (PSA) Best Response51.7 Percentage of participants
Docetaxel+PrednisonePercentage of Participants With Prostate Specific Antigen (PSA) Best Response60.2 Percentage of participants
Docetaxel+Prednisone+CP-751,871 CrossoverPercentage of Participants With Prostate Specific Antigen (PSA) Best Response28.1 Percentage of participants
Secondary

Area Under the Curve From Time Zero to End of Dosing Interval (AUC0-tau) for CP-751,871

Time frame: Days 1, 8 and 15 of each cycle and last follow-up visit (150 days post last dose)

Population: The summary table of this outcome measure was not provided based on lack of resources as the program was terminated.

Secondary

Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUC0-t) for CP-751,871

Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration.

Time frame: Days 1, 8 and 15 of each cycle and last follow-up visit (150 days post last dose)

Population: The summary table of this outcome measure was not provided based on lack of resources as the program was terminated.

Secondary

Human Anti-human Antibody (HAHA) at Baseline (Day 1 of Cycle 1)

Levels of HAHA in serum were detected at baseline.

Time frame: Baseline (Day 1 of Cycle 1)

Population: All participants who were enrolled in the study, received at least one assigned treatment and had available HAHA assessment.

ArmMeasureValue (MEAN)Dispersion
CP-751,871+Docetaxel+PrednisoneHuman Anti-human Antibody (HAHA) at Baseline (Day 1 of Cycle 1)1130.3 mg/deciliter (dl)Standard Deviation 406.49
Docetaxel+PrednisoneHuman Anti-human Antibody (HAHA) at Baseline (Day 1 of Cycle 1)1338.1 mg/deciliter (dl)Standard Deviation 804.3
Secondary

Human Anti-human Antibody (HAHA) at the Last Follow-up Visit

Levels of HAHA in serum were detected at the last follow-up visit.

Time frame: The last follow-up visit (150 days post last dose)

Population: All participants who were enrolled in the study, received at least one assigned treatment and had HAHA available assessment.

ArmMeasureValue (MEAN)Dispersion
CP-751,871+Docetaxel+PrednisoneHuman Anti-human Antibody (HAHA) at the Last Follow-up Visit944.81 mg/dlStandard Deviation 946.42
Docetaxel+PrednisoneHuman Anti-human Antibody (HAHA) at the Last Follow-up Visit819.00 mg/dlStandard Deviation 487.94
Docetaxel+Prednisone+CP-751,871 CrossoverHuman Anti-human Antibody (HAHA) at the Last Follow-up Visit970.86 mg/dlStandard Deviation 295.28
Secondary

Maximum Observed Plasma Concentration (Cmax) for CP-751,871

Time frame: Days 1, 8 and 15 of each cycle and last follow-up visit (150 days post last dose)

Population: The summary table of this outcome measure was not provided based on lack of resources as the program was terminated.

Secondary

Minimum Observed Plasma Trough Concentration (Cmin) for CP-751,871

Time frame: Days 1, 8 and 15 of each cycle and last follow-up visit (150 days post last dose)

Population: The summary table of this outcome measure was not provided based on lack of resources as the program was terminated.

Secondary

Pain Measured by the Modified Brief Pain Inventory-Short Form (mBPI-sf Modified Pfizer)

The mBPI-sf was a self administered questionnaire developed to assess pain severity and pain interference with functional activities during a 24-hour period prior to evaluation. For the worst pain item of the mBPI-sf scale (11 point Likert scale; range: 0 \[no pain\] to 10 \[pain as bad as you can imagine\]), participants were asked to rate their pain by marking an X in one of the 10 boxes that best described their pain at its worst in the last 24 hours post surgery and at least 12 hours after discontinuation of the peripheral nerve block or neuraxial block.

Time frame: Baseline, Cycle 1 to Cycle 10 before drug administration and end of treatment (up to 28 days post last dose)

Population: The summary table was not provided based on 1) the negative primary finding of the study that CP-751,871 did not improve response in CP-751,871+Docetaxel + Prednisone and had significantly worse PFS than Docetaxel +Prednisone, which rendered the PRO summary irrelevant 2) lack of resources as the program was terminated.

Secondary

Population PK Parameters of CP-751,871

Population pharmacokinetic analysis involved mixed effects modeling using nonlinear mixed effects modeling (NONMEM) software. The intent of this analysis was to establish a basic population pharmacokinetic model for CP-751,871 and to determine inter-individual and residual variability in population clearance, and volume of distribution of drug. Relationship of demographic variables (gender, age, body weight, height and ethnicity), concomitant medications and measures of altered hepatic and renal function were examined by fitting measured CP-751,871 concentrations

Time frame: Days 1, 8 and 15 of each cycle and last follow-up visit (150 days post last dose)

Secondary

Progression Free Survival (PFS)

PFS was defined as the time from randomization to first event of disease progression. Disease progression events were defined as the following: PSA progression,objective disease progression as per RECIST, death, and discontinuation of treatment due to symptomatic deterioration. PSA progression was defined as the time-point of PSA progression on 2 successive evaluations taken 1 week apart after dosing in cycle 3.

Time frame: Baseline, Day 15 of each cycle and follow-up (monthly, up to 150 days post last dose)

Population: Full analysis set included all participants who were enrolled into the study and received at least one assigned treatment.

ArmMeasureValue (MEDIAN)
CP-751,871+Docetaxel+PrednisoneProgression Free Survival (PFS)4.9 Months
Docetaxel+PrednisoneProgression Free Survival (PFS)7.7 Months
Docetaxel+Prednisone+CP-751,871 CrossoverProgression Free Survival (PFS)4.0 Months
Secondary

Quality of Life Measured by the Functional Assessment of Cancer Treatment-Prostate (FACT-P)

The FACT-P was a 39-item participant questionnaire which assesses physical well-being (7 items), social/family well-being (7 items), emotional well-being (6 items), functional well-being (7 items), and additional prostate cancer specific concerns (12 items). All items were scored from 0 (not at all) to 4 (very much). The total FACT-P score ranged from 0-156, with higher scores representing a better QoL with fewer symptoms. A score of 156 represented the best outcome.

Time frame: Baseline, Cycle 1 to Cycle 10 before drug administration and end of treatment (up to 28 days post last dose)

Population: The summary table was not provided based on 1) the negative primary finding of the study that CP-751,871 did not improve response in CP-751,871+Docetaxel + Prednisone and had significantly worse PFS than Docetaxel +Prednisone, which rendered the patient reported outcome (PRO) summary irrelevant 2) lack of resources as the program was terminated.

Secondary

Total Number of Circulation Tumor Cells (CTCs)

Blood samples were collected and processed to enumerate the number of total CTCs via Veridex CellSearch technology in which CTCs were identified based on cell surface positive epithelial cell adhesion molecule (EpCAM) and cytokeratin staining.

Time frame: Baseline, prior to dosing in odd numbered cycles (ie. Cycle 1, 3, 5, etc) and end of treatment (up to 28 days post last dose)

Population: Participants who were enrolled to the study were included in the analysis. n = number of participants with evaluable data at each timeframe.

ArmMeasureGroupValue (MEAN)Dispersion
CP-751,871+Docetaxel+PrednisoneTotal Number of Circulation Tumor Cells (CTCs)Baseline (Cycle 1 Day 1) (n=46, 39)105.17 Number of CTCs/7.5 mLStandard Deviation 259.6
CP-751,871+Docetaxel+PrednisoneTotal Number of Circulation Tumor Cells (CTCs)Cycle 3 Day1 (n=28, 29)6.39 Number of CTCs/7.5 mLStandard Deviation 11.39
CP-751,871+Docetaxel+PrednisoneTotal Number of Circulation Tumor Cells (CTCs)Cycle 5 Day 1 (n=25, 23)15.20 Number of CTCs/7.5 mLStandard Deviation 46.4
Docetaxel+PrednisoneTotal Number of Circulation Tumor Cells (CTCs)Baseline (Cycle 1 Day 1) (n=46, 39)213.23 Number of CTCs/7.5 mLStandard Deviation 555.82
Docetaxel+PrednisoneTotal Number of Circulation Tumor Cells (CTCs)Cycle 3 Day1 (n=28, 29)12.21 Number of CTCs/7.5 mLStandard Deviation 27.52
Docetaxel+PrednisoneTotal Number of Circulation Tumor Cells (CTCs)Cycle 5 Day 1 (n=25, 23)17.78 Number of CTCs/7.5 mLStandard Deviation 28.11
Secondary

Total Number of the Insulin Like Growth Factor Receptor Type 1 (IGF-1R) Positive CTCs

Blood samples were collected to enumerate the number of total IGF-1R positive CTCs via Veridex CellSearch technology in which CTCs were identified based on cell surface positive EpCAM and cytokeratin staining. A separate CellSave tube of cells was also collected and processed with cell surface staining of IGF-1R to enumerate surfaces of IGF-1R-positive CTCs.

Time frame: Baseline, prior to dosing in odd numbered cycles (ie. Cycle 1, 3, 5, etc) and end of treatment (up to 28 days post last dose)

Population: Participants who were enrolled to the study were included in the analysis. n = number of participants with evaluable data at each timeframe.

ArmMeasureGroupValue (MEAN)Dispersion
CP-751,871+Docetaxel+PrednisoneTotal Number of the Insulin Like Growth Factor Receptor Type 1 (IGF-1R) Positive CTCsBaseline (Cycle 1 Day 1) (n=22, 18)24.73 Number of IGF-1R positive CTCs/7.5 mLStandard Deviation 25.32
CP-751,871+Docetaxel+PrednisoneTotal Number of the Insulin Like Growth Factor Receptor Type 1 (IGF-1R) Positive CTCsCycle 3 Day1 (n=12, 15)2.33 Number of IGF-1R positive CTCs/7.5 mLStandard Deviation 4.48
CP-751,871+Docetaxel+PrednisoneTotal Number of the Insulin Like Growth Factor Receptor Type 1 (IGF-1R) Positive CTCsCycle 5 Day 1 (n=11, 10)2.00 Number of IGF-1R positive CTCs/7.5 mLStandard Deviation 4.49
Docetaxel+PrednisoneTotal Number of the Insulin Like Growth Factor Receptor Type 1 (IGF-1R) Positive CTCsBaseline (Cycle 1 Day 1) (n=22, 18)54.94 Number of IGF-1R positive CTCs/7.5 mLStandard Deviation 55.52
Docetaxel+PrednisoneTotal Number of the Insulin Like Growth Factor Receptor Type 1 (IGF-1R) Positive CTCsCycle 3 Day1 (n=12, 15)4.93 Number of IGF-1R positive CTCs/7.5 mLStandard Deviation 7.74
Docetaxel+PrednisoneTotal Number of the Insulin Like Growth Factor Receptor Type 1 (IGF-1R) Positive CTCsCycle 5 Day 1 (n=11, 10)3.90 Number of IGF-1R positive CTCs/7.5 mLStandard Deviation 6.03

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026