A trial evaluating cabazitaxel versus docetaxel rechallenge for the treatment of metastatic castrate refractory prostate cancer, previously treated with docetaxel at inception of primary hormone therapy

ISRCTN ISRCTN16465571
DOI https://doi.org/10.1186/ISRCTN16465571
Clinical Trials Information System (CTIS) 2012-003835-40
Protocol serial number 13741
Sponsor University of Birmingham (UK)
Funders Aventis Pharma Ltd T/A Sanofi-Aventis, Cancer Research UK (UK)
Submission date
26/03/2013
Registration date
26/03/2013
Last edited
21/06/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

http://www.cancerresearchuk.org/cancer-help/trials/trials-search/a-trial-looking-at-cabazitaxel-for-prostate-cancer-that-has-started-to-get-worse-after-having-hormone-therapy-and-docetaxel-cantata

Contact information

Mr Nick Martin
Scientific

Cancer Research UK Clinical Trials Unit
Institute for Cancer Studies
Edgbaston
Birmingham
B15 2TT
United Kingdom

Email CANTATA@trials.bham.ac.uk

Study information

Primary study designInterventional
Study designRandomised; Interventional; Design type: Treatment
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleA multicentre, phase II randomised controlled trial evaluating cabazitaxel versus docetaxel rechallenge for the treatment of metastatic castrate refractory prostate cancer, previously treated with docetaxel at inception of primary hormone therapy
Study acronymCANTATA
Study objectivesThis study compares the safety and levels of activity of cabazitaxel versus docetaxel re-challenge in patients with metastatic castrate refractory prostate cancer who have been previously exposed to combined docetaxel and androgen deprivation as first-line treatment for advanced prostate cancer.

The difference between treatment arms in terms of the number of patients who have a clinical event (clinical progression or death) will provide the evidence whether the levels of activity of cabazitaxel warrant further investigation in a phase III trial.
Ethics approval(s)Liverpool Central -– North West NRES Committee, 10/12/2012, ref: 12/NW/0792
Health condition(s) or problem(s) studiedProstate cancer
InterventionPatients will be randomised to one of the following two treatments (plus 10mg prednisolone daily in either regimen):
1. Cabazitaxel 25mg/m2 3 weekly plus prednisolone for up to 10 cycles
2. Docetaxel 75mg/m2 3 weekly plus prednisolone for up to 10 cycles

Follow Up Length: 24 month(s)
Intervention typeDrug
PhasePhase II
Drug / device / biological / vaccine name(s)Cabazitaxel, docetaxel
Primary outcome measure(s)

Clinical progression-free survival (CPFS)

Key secondary outcome measure(s)

No secondary outcome measures

Completion date29/04/2016

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexMale
Target sample size at registration138
Total final enrolment15
Key inclusion criteria1. Diagnosis of histologically proven prostate adenocarcinoma, that is castrate refractory
2. Previously treated with up to 6 cycles of Docetaxel at the same time (defined as commencing within 3 months) as instigation of primary hormone therapy.
3. Confirmed biochemical, radiological or clinical progression.
4. Metastatic disease
5. Male and female, aged 18 or over
6. WHO performance status grade 0 to 2
7. Adequate organ function as evidenced by:
7.1. ANC >1.5 x109/L
7.2. WBC >3.0 x109/L
7.3. Haemoglobin >10g/dL
7.4. Platelet count > 100 x10^9L
7.5. Total bilirubin <1.0 xULN
7.6. AST/ ALT <1.5 xULN
7.7. GFR >30ml/min (calculated by EDTA clearance, 24h urine collection, or Cockcroft-Gault)
8. Available for long-term follow up
9. Patient’s written informed consent
Key exclusion criteria1. Prior systemic therapy with other chemotherapy drugs
2. Metastatic brain disease or leptomeningeal disease
3. Patients with bilirubin equal to or greater than 1.0 xULN
4. Previous extensive palliative radiotherapy to bone marrow, e.g. hemibody radiotherapy
5. Active grade >=2 peripheral neuropathy (NCI CTC v 4)
6. Active infection requiring systemic antibiotic or antifungal medication
7. Patients with reproductive potential not implementing accepted and effective method of contraception
Date of first enrolment07/03/2013
Date of final enrolment12/01/2016

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

The Queen Elizabeth Hospital
Edgbaston
Birmingham
B15 2TH
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summary
IPD sharing planThe datasets generated during and/or analysed during the current study will be stored in a publically available repository in 2017. Repository : European Medicines Agency (EMA)’s European Clinical Trial Database, EudraCT V10. URL : http://eudract.ema.europa.eu

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Basic results 21/06/2019 No No
HRA research summary 28/06/2023 No No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes

Editorial Notes

21/06/2019: Added clinicaltrialsregister.eu link to basic results (scientific). Added total final enrollment.
20/02/2017: The overall trial end date was changed from 12/02/2016 to 29/04/2016.
14/11/2016: The overall trial end date was changed from 30/06/2015 to 12/02/2016.