Saves the questions and what to expect into your notes, next to the visit they belong to.
Keep this study
Lead
Celgene
Age
18–any
Sex
MALE
Healthy volunteers
Not accepted
You may be eligible if
Males ≥18 years;
Written informed consent/authorization;
Histological or cytological confirmation of metastatic prostate cancer with documented progression on hormonal therapy (objective progressive disease \[PD\], new bone lesions, or stable soft tissue or bone lesions with PSA increase);
Patients must have either measurable disease or bone metastasis. Patients with measurable disease are preferred;
Rising PSA, with a minimum study entry PSA of ≥5 ng/mL;
Karnofsky performance status of ≥80%;
Life expectancy of \>12 weeks;
For patients treated with anti-androgens, elevation of PSA must be demonstrated after cessation of anti-androgen treatment;
Three lines of hormonal therapy are permitted prior to study entry (anti-androgen withdrawal is not considered as a second hormonal treatment);
Serum testosterone level of \<50 ng/mL in patients without surgical castration;
Patients must have serum potassium levels \>4.0 mEq/L and serum magnesium levels \>2.0 mg/dL.
You may not be if
Concomitant use of any anti-cancer therapy, except for continued use of luteinizing hormone-releasing hormone (LHRH) agonists or antiandrogens, or bisphosphonates or steroids initiated at least 4 weeks prior to study entry;
Concomitant use of any investigational agent, including PC-SPES;
Use of any investigational agent within 4 weeks of study entry;
Concomitant use of warfarin (due to a potential drug-to-drug interaction with depsipeptide);
Major surgery within 2 weeks of study entry;
Prior treatment with chemotherapy;
Patients with known cardiac abnormalities such as:
Congenital long QT syndrome;
QTc interval \> 480 milliseconds;
Patients who have had a myocardial infarction within 12 months of study entry;
Patients who have a history of coronary artery disease (CAD) e.g., angina Canadian Class II IV (see Appendix K). In any patient in whom there is doubt, the patient should have a stress imaging study and, if abnormal, angiography to define whether or not CAD is present;
Patients with an ECG recorded at screening showing evidence of cardiac ischemia (ST depression of ≥2 mm). If in any doubt, the patient should have a stress imaging study and, if abnormal, angiography to define whether or not CAD is present;
Patients with congestive heart failure that meets NYHA Class II to IV (see Appendix J) definitions and/or ejection fraction \<40% by MUGA scan or \<50% by echocardiogram and/or magnetic resonance imaging (MRI);
Patients with a history of sustained VT, VF, Torsade de Pointes, or cardiac arrest unless currently addressed with an automatic implantable cardioverter defibrillator (AICD);
Patients with hypertrophic cardiomegaly or restrictive cardiomyopathy from prior treatment or other causes (in doubt, see ejection fraction criteria above);
Patients with uncontrolled hypertension i.e., ≥160/95;
Patients with any cardiac arrhythmia requiring anti-arrhythmic medication;
Concomitant use of medications which may cause a prolongation of QT/QTc (see Appendix D) interval;
Concomitant use of medications that are inhibitors of the cytochrome P-450 isoenzyme CYP 3A4 (see Appendix E);
Clinically significant active infection;
Known infection with human immunodeficiency virus (HIV), hepatitis B, or hepatitis C;
Previous extensive radiotherapy involving 30% of bone marrow (e.g., whole of pelvis, half of spine);
Clinical or radiological imaging evidence of brain metastasis (computed tomography \[CT\] or MRI scans are required only if brain metastasis is suspected clinically);
Inadequate bone marrow or other organ function, as evidenced by:
* hemoglobin \<9.0 g/dL (transfusions and/or erythropoietin are permitted);
* absolute neutrophil count (ANC) ≤1.5 x 109 cells/L;
* platelet count \<100 x 109 cells/L;
* total bilirubin \>1.25 x upper limit of normal (ULN) for institution or \>2.0 x ULN in the presence of demonstrable liver metastases;
* aspartate transaminase/serum glutamic oxaloacetic transaminase (AST/SGOT) and alanine transaminase/serum glutamic pyruvic transaminase (ALT/SGPT) \>2.0 x ULN or \>5.0 x ULN in the presence of demonstrable liver metastases;
Coexistent second malignancy or history of prior malignancy within previous 5 years (excluding basal or squamous cell carcinoma of the skin that has been treated curatively); or
Any significant medical or psychiatric condition that might prevent the patient from complying with all study procedures.
Clareo Health | A Research Study for Patients With Prostate Cancer
