Phase II Study of Adenovirus/PSA Vaccine in Men With Hormone - Refractory Prostate Cancer
Treatment Plan
Arm/Group Label
Arm/Group Type
Arm/Group Description
Arm A
Experimental
Not Provided
Intervention(s)
Adenovirus/PSA Vaccine,
Patient eligibility
Inclusion criteria:
- Men with prostate cancer who present with evidence of hormone refractory disease
(D3).
- Men with a positive bone scan or a positive CT scan (with obvious soft tissue
metastasis or lymph nodes >1 cm), a PSA doubling time of >/= 6 months, and a total
PSA of <10 ng/ml, and asymptomatic.
- Men with a negative bone scan with any PSA doubling time and asymptomatic.
- Scans must be obtained within 6 weeks of initiation of treatment.
- Written informed consent.
- Age >/= 18 years.
- Required laboratory values (obtained within 2 weeks of initiation of treatment)
- Serum creatinine = 2.0 mg/dL
- Adequate hematologic function: granulocytes >/= 1800 per mm3, platelets >/= 100,000
per mm3, WBC >/= 3700, and lymphocytes >590.
- Adequate hepatocellular function: AST <3x upper limit of normal and bilirubin <1.5
mg/dl.
- Castrate levels of testosterone of = 50 ng/ml.
Exclusion criteria:
- Active or unresolved clinically significant infection.
- Parenteral antibiotics <7 days prior to initiation of treatment.
- Evidence of prior or current CNS metastases. Specific imaging is not necessary in the
absence of signs or symptoms.
- Co-morbid medical conditions which would result in a life expectancy (participation)
of less than 1 year.
- Patients with compromised immune systems; congenital, acquired, or drug-induced
(immunosuppressive agents) will be excluded from the study. Use of prednisone at
doses higher than 10 mg daily (or equipotent steroid doses) for more than 7 days
within 3 months of initiation of treatment is not allowed.
- No pre-existing malignancies that required treatment within the past 5 years except
for basal or squamous cell cancers of the skin.
- Prior participation in any vaccine studies for non-infectious diseases.
- Prior chemotherapy, defined as prior cytotoxic chemotherapy for prostate cancer (or
any cancer unless more than 5 years have elapsed). Examples of cytotoxic chemotherapy
are mitoxantrone/prednisone and taxanes. Drugs such as Casodex or ketoconazole
treatment must have been completed at least 6 weeks prior to initiation of treatment.
- The inability to understand the language and the clinical protocol.
- Allergy or religious objection to pork products; Gelfoam is produced from pork.
For detailed patient eligibility criteria for this clinical trial, please click here to show/hide