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Last Modified: 6/9/2005     First Published: 11/20/2003  
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Phase II Study of Celecoxib in Patients With Prostate Cancer in Biochemical Relapse After Prior Definitive Radiotherapy or Radical Prostatectomy

Alternate Title
Basic Trial Information
Objectives
Entry Criteria
Expected Enrollment
Outline
Trial Contact Information
Registry Information

Alternate Title

Celecoxib in Treating Patients With Relapsed Prostate Cancer Following Radiation Therapy or Radical Prostatectomy

Basic Trial Information

Phase
Type
Status
Age
Sponsor
Protocol IDs

Phase II


Treatment


Closed


Not specified


NCI, Pharmaceutical / Industry


UNC-LCCC-0109
UNC-01-SURG-655-ORC, PFIZER-UNC-LCCC-0109, NCT00073970

Objectives

  1. Determine the effect of celecoxib on prostate-specific antigen (PSA) levels in patients with prostate cancer in biochemical relapse after prior definitive radiotherapy or radical prostatectomy.
  2. Compare the PSA doubling times in patients treated with this drug vs historical controls.
  3. Compare the PSA doubling times in patients treated with this drug vs pretreatment PSA values.
  4. Determine the time to clinical recurrence in patients treated with this drug.

Entry Criteria

Disease Characteristics:

  • Diagnosis of clinically localized adenocarcinoma of the prostate
    • T1 or T2 disease


  • Received prior primary treatment with definitive radiotherapy (at least 5,500 cGy) OR radical prostatectomy


  • Biochemical relapse within 5 years after prior primary therapy, defined as 1 of the following:
    • Detectable and rising prostate-specific antigen (PSA) after surgery (at least 2 values above the residual cancer detection limit of the assay)
    • PSA at least 2 values above 1 ng/mL OR at least 3 rising values at any level after radiotherapy


  • PSA no greater than 10 ng/mL


Prior/Concurrent Therapy:

Biologic therapy

  • Not specified

Chemotherapy

  • No prior chemotherapy

Endocrine therapy

  • More than 6 months since prior adjuvant or neoadjuvant hormonal therapy
    • Duration of prior adjuvant or neoadjuvant hormonal therapy must have been no more than 6 months

Radiotherapy

  • See Disease Characteristics
  • Prior salvage radiotherapy after prostatectomy allowed

Surgery

  • See Disease Characteristics

Patient Characteristics:

Age

  • Not specified

Performance status

  • ECOG 0-2

Life expectancy

  • Not specified

Hematopoietic

  • Not specified

Hepatic

  • ALT no greater than 2.5 times upper limit of normal

Renal

  • Creatinine normal

Other

  • No allergy to cyclooxygenase-2 inhibitors, aspirin, nonsteroidal anti-inflammatory drugs, or sulfa drugs
  • No untreated peptic ulcer disease

Expected Enrollment

A total of 100 patients will be accrued for this study.

Outline

Patients receive oral celecoxib twice daily. Treatment continues for 5 years in the absence of disease progression. Patients may continue treatment beyond 5 years at the discretion of the treating physician.

Trial Contact Information

Trial Lead Organizations

Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill

Raj Pruthi, MD, Protocol chair
Ph: 919-966-2754

Registry Information
Official Title A Trial Of COX-2 Inhibitors In PSA Recurrence After Definitive Radiation Or Radical Prostatectomy For Prostate Cancer
Trial Start Date 2003-04-03
Registered in ClinicalTrials.gov NCT00073970
Date Submitted to PDQ 2003-10-17
Information Last Verified 2005-06-09
NCI Grant/Contract Number P30-CA16520

Note: The purpose of most clinical trials listed in this database is to test new cancer treatments, or new methods of diagnosing, screening, or preventing cancer. Because all potentially harmful side effects are not known before a trial is conducted, dose and schedule modifications may be required for participants if they develop side effects from the treatment or test. The therapy or test described in this clinical trial is intended for use by clinical oncologists in carefully structured settings, and may not prove to be more effective than standard treatment. A responsible investigator associated with this clinical trial should be consulted before using this protocol.

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