Study on the Safety of Olaparib and Radium-223 for Men with Advanced Prostate Cancer with Bone Metastasis
Sponsor: National Cancer Institute (NCI)
ClinicalTrials ID:NCT03317392
This clinical trial is exploring the best dose and side effects of combining olaparib with radium-223 to treat men with advanced prostate cancer that has spread to the bones. The study aims to see if this combination can effectively stop cancer growth by preventing tumor cells from repairing themselves.
Patient Parameters
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Program Overview
This study is testing a combination of two treatments for men with advanced prostate cancer that has spread to the bones. Olaparib is a drug that blocks proteins called PARPs, which help repair DNA in cancer cells. By blocking these proteins, olaparib may stop cancer cells from fixing themselves, potentially slowing or stopping their growth. Radium-223 is a radioactive drug that targets cancer cells in the bones, delivering radiation directly to them while sparing normal cells. The study aims to find the best dose of olaparib when used with radium-223 and to evaluate how well this combination works in controlling cancer progression.
Description
The study is divided into two phases. In Phase I, researchers will determine the safest dose of olaparib when combined with radium-223. In Phase II, they will evaluate how well this combination works in stopping cancer from progressing.
Participants will receive radium-223 through an IV once every 28 days for up to 6 cycles, as long as the cancer does not worsen and side effects are manageable. They will also take olaparib pills twice daily during each 28-day cycle. Throughout the study, participants will undergo scans and provide blood and tissue samples to monitor their response to treatment.
The study will also assess various outcomes, such as how long patients live without cancer progression, changes in prostate-specific antigen (PSA) levels, and overall survival. Researchers will explore the impact of treatment on quality of life and investigate genetic factors that may influence treatment response.
After completing the study treatment, participants will have follow-up visits every 6 months for 2 years to monitor their health and any long-term effects of the treatment.
Eligibility Criteria
Inclusion Criteria
- Men aged 18 years or older.
- Diagnosed with prostate cancer that has spread to the bones.
- Low testosterone levels due to previous treatments.
- Cancer that continues to grow despite hormone therapy.
- At least two bone metastases visible on scans.
- Willing to provide a tumor sample for research.
- Good overall health with specific blood counts and organ function within normal limits.
- Agree to use contraception during the study and for three months after treatment ends.
- HIV-positive individuals with controlled viral loads and CD4 counts over 250 are eligible.
- Able to understand and sign a consent form.
Exclusion Criteria
- Prostate cancer with small cell features.
- Cancer that has spread to organs like the liver or lungs.
- Previous treatment with radium-223 or olaparib.
- Recent use of certain prostate cancer treatments or chemotherapy.
- Uncontrolled health conditions, such as heart problems or infections.
- Recent major surgery or gastrointestinal issues affecting medication absorption.
- Allergies to study drugs or similar compounds.
- Use of certain medications that interact with olaparib.
- Active hepatitis B or C infection.
- History of blood disorders like myelodysplastic syndrome or leukemia.
- Previous bone marrow or cord blood transplant.
- History of other cancers unless disease-free for at least 3 years or low risk of recurrence.
Locations
| FACILITY | ZIP | CITY | STATE |
|---|---|---|---|
| UC San Diego Moores Cancer Center | 92093 | La Jolla | California |
| University of California Davis Comprehensive Cancer Center | 95817 | Sacramento | California |
| Smilow Cancer Center/Yale-New Haven Hospital | 06510 | New Haven | Connecticut |
| Yale University | 06520 | New Haven | Connecticut |
| University of Kansas Clinical Research Center | 66205 | Fairway | Kansas |
| University of Kansas Cancer Center | 66160 | Kansas City | Kansas |
| University of Kansas Cancer Center-Overland Park | 66210 | Overland Park | Kansas |
| University of Kansas Hospital-Westwood Cancer Center | 66205 | Westwood | Kansas |
| University of Maryland/Greenebaum Cancer Center | 21201 | Baltimore | Maryland |
| Wayne State University/Karmanos Cancer Institute | 48201 | Detroit | Michigan |
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