drugset / Trial / NCT03572387

A Pilot Study of 5-AZA and ATRA for Prostate Cancer With PSA-only Recurrence After Local Treatment

NCT03572387

Phase 2 Completed 14 enrolled Icahn School of Medicine at Mount Sinai
RandomizedParallel-groupOpen-labelTreatment

Summary

This is a prospective, open-label, randomized, cross-over, pilot study of reprogramming therapy in patients with recurrent PCa based on rising PSA only. The primary objectives are to compare the disease progression-free rate at the end of 12 weeks of treatment between 5-AZA+ATRA and no therapy and to assess safety of the 5-AZA and ATRA combination. All study enrollees will receive Lupron. After one month, they will be assigned in a 1:1 randomization to either the '5-AZA+ATRA' group or the 'no therapy' group. Patients in the '5-AZA + ATRA' group will receive treatment on a 28-day cycle, in the absence of prohibitive toxicities, for 3 cycles. In the 'no therapy' group, patients will initially be observed for 3 cycles and then receive treatment for 3 cycles, in the absence of prohibitive toxicities. After the treatment period, all patients will be followed for up to 24 months from the start of the study or until the events leading to discontinuation are observed.

Timeline

Start
2018-08-20
Primary completion
2022-06-19
Completion
2022-07-08

Drugs

EvaluationDrugModalityDoseRoute
Subject Azacitidine Other / unclassified 40 mg/m2 Subcutaneous
Subject Tretinoin Small molecule 45 mg/m2 Oral
Background Leuprolide Other / unclassified 7.5 mg

Indications