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Antiandrogen
Tivozanib + Enzalutamide for Prostate Cancer
Phase 2
Waitlist Available
Led By M. Dror Michaelson, MD, PhD
Research Sponsored by Massachusetts General Hospital
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Radiographic evidence of metastatic prostate cancer
Adenocarcinoma of the prostate that is metastatic or unresectable and for which standard curative options do not exist
Must not have
Prior treatment with enzalutamide, TOK-001, or ARN-509
Participants who have received more than two prior chemotherapy regimens for metastatic CRPC
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 2 years
Awards & highlights
All Individual Drugs Already Approved
No Placebo-Only Group
Summary
This trial is testing whether a combination of two drugs, one of which is already approved to treat prostate cancer, is more effective in delaying the progression of disease than the approved drug used alone. The drugs work in different ways to fight the cancer.
Who is the study for?
Men with metastatic prostate cancer that's resistant to hormone therapy and have had docetaxel-based chemotherapy in the past year can join. They must be able to swallow capsules, not have a major illness or surgery recently, no active infections or second cancers (except certain skin/breast cancers), and agree to use contraception.
What is being tested?
The trial is testing if combining tivozanib (a drug that cuts off blood supply to tumors) with enzalutamide (an FDA-approved drug for prostate cancer) is more effective than enzalutamide alone in slowing down cancer progression.
What are the potential side effects?
Possible side effects include those related to blocking male hormones like fatigue and hot flashes, as well as risks from preventing tumor blood supply such as high blood pressure, less wound healing, bleeding issues, and digestive problems.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
My prostate cancer has spread, as shown on scans.
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My prostate cancer has spread and cannot be surgically removed or cured with standard treatments.
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My prostate cancer is worsening despite hormone therapy.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have previously been treated with enzalutamide, TOK-001, or ARN-509.
Select...
I have had more than two chemotherapy treatments for advanced prostate cancer.
Select...
I have cancer that has spread to my brain.
Select...
I am allergic to medications similar to tivozanib or enzalutamide.
Select...
I haven't had major surgery in the last 4 weeks or minor surgery in the last 2 weeks.
Select...
I have a serious heart condition.
Select...
I cannot take pills properly due to my stomach or bowel issues.
Select...
I do not have a serious infection or one needing IV antibiotics.
Select...
I have a condition or take medication that weakens my immune system.
Select...
I haven't had any major bleeding issues in the last 6 months.
Select...
I have a wound, bone fracture, or skin ulcer that is not healing.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 2 years
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~2 years
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Progression Free Survival
Secondary study objectives
Overall Survival
PSA Response rate
Safety and Tolerability
+1 moreAwards & Highlights
All Individual Drugs Already Approved
Therapies where all constituent drugs have already been approved are likely to have better-understood side effect profiles.
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
1Treatment groups
Experimental Treatment
Group I: Experimental Treatment ArmExperimental Treatment2 Interventions
Tivozanib, taken daily for 21 days followed by a 7 day break Enzalutamide taken daily for 28 days
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Tivozanib
FDA approved
Enzalutamide
FDA approved
Find a Location
Who is running the clinical trial?
Massachusetts General HospitalLead Sponsor
3,026 Previous Clinical Trials
13,413,794 Total Patients Enrolled
35 Trials studying Prostate Cancer
3,673 Patients Enrolled for Prostate Cancer
National Comprehensive Cancer NetworkNETWORK
120 Previous Clinical Trials
7,395 Total Patients Enrolled
6 Trials studying Prostate Cancer
429 Patients Enrolled for Prostate Cancer
M. Dror Michaelson, MD, PhDPrincipal InvestigatorMassachusetts General Hospital
3 Previous Clinical Trials
311 Total Patients Enrolled
1 Trials studying Prostate Cancer
239 Patients Enrolled for Prostate Cancer
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have previously been treated with enzalutamide, TOK-001, or ARN-509.I have had more than two chemotherapy treatments for advanced prostate cancer.I have cancer that has spread to my brain.I am allergic to medications similar to tivozanib or enzalutamide.I haven't had major surgery in the last 4 weeks or minor surgery in the last 2 weeks.I have a history of seizures or a condition that could lead to seizures.I have a serious heart condition.I cannot take pills properly due to my stomach or bowel issues.My prostate cancer has spread, as shown on scans.I stopped any hormonal treatments like antiandrogens or ketoconazole 2 weeks ago.I do not have a serious infection or one needing IV antibiotics.I do not have active stomach ulcers, severe bowel conditions, or recent serious abdominal issues.I haven't had serious blood clots or vascular issues in the last 6 months.I have another active cancer besides non-melanoma skin cancer, in situ cervical cancer, or certain breast cancers.I have a condition or take medication that weakens my immune system.My prostate cancer has spread and cannot be surgically removed or cured with standard treatments.My prostate cancer is worsening despite hormone therapy.I had docetaxel chemotherapy for prostate cancer within the last year and stopped it at least 3 weeks ago.I haven't had any major bleeding issues in the last 6 months.I have a wound, bone fracture, or skin ulcer that is not healing.
Research Study Groups:
This trial has the following groups:- Group 1: Experimental Treatment Arm
Awards:
This trial has 2 awards, including:- All Individual Drugs Already Approved - Therapies where all constituent drugs have already been approved are likely to have better-understood side effect profiles.
- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.