Page last updated: 2024-11-05

thalidomide and Androgen-Independent Prostatic Cancer

thalidomide has been researched along with Androgen-Independent Prostatic Cancer in 10 studies

Thalidomide: A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, but withdrawn from the market due to teratogenic effects. It has been reintroduced and used for a number of immunological and inflammatory disorders. Thalidomide displays immunosuppressive and anti-angiogenic activity. It inhibits release of TUMOR NECROSIS FACTOR-ALPHA from monocytes, and modulates other cytokine action.
thalidomide : A racemate comprising equimolar amounts of R- and S-thalidomide.
2-(2,6-dioxopiperidin-3-yl)-1H-isoindole-1,3(2H)-dione : A dicarboximide that is isoindole-1,3(2H)-dione in which the hydrogen attached to the nitrogen is substituted by a 2,6-dioxopiperidin-3-yl group.

Research Excerpts

ExcerptRelevanceReference
" To establish safety, lenalidomide dosing in this combination was escalated in a conventional 3 + 3 design (15, 20 and 25 mg daily for 2 weeks followed by 1 week off)."2.82Phase II trial of docetaxel, bevacizumab, lenalidomide and prednisone in patients with metastatic castration-resistant prostate cancer. ( Adesunloye, BA; Arlen, PM; Beedie, SL; Chen, C; Chun, G; Cordes, L; Couvillon, A; Dahut, WL; Dawson, NA; Figg, WD; Gulley, JL; Harold, N; Huang, X; Karzai, FH; Lee, MJ; Lee, S; Madan, RA; McLeod, DG; Ning, YM; Rosner, I; Sissung, T; Steinberg, SM; Theoret, MR; Tomita, Y; Trepel, JB, 2016)
"Lenalidomide (Revlimid) is an immunomodulatory analog of thalidomide with significant T-cell stimulatory and antiangiogenic properties."2.79Sargramostim (GM-CSF) and lenalidomide in castration-resistant prostate cancer (CRPC): results from a phase I-II clinical trial. ( Dreicer, R; Elson, P; Garcia, JA; Triozzi, P; Tyler, A, 2014)

Research

Studies (10)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's10 (100.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Garcia, JA1
Elson, P1
Tyler, A1
Triozzi, P1
Dreicer, R1
Nabhan, C1
Patel, A1
Villines, D1
Tolzien, K1
Kelby, SK1
Lestingi, TM1
Wang, J1
McGuire, TR1
Britton, HC1
Schwarz, JK1
Loberiza, FR1
Meza, JL1
Talmadge, JE1
Boccardo, F1
Petrylak, DP3
Vogelzang, NJ3
Budnik, N2
Wiechno, PJ3
Sternberg, CN3
Doner, K3
Bellmunt, J3
Burke, JM3
de Olza, MO1
Choudhury, A2
Gschwend, JE2
Kopyltsov, E2
Flechon, A2
Van As, N2
Houede, N2
Barton, D3
Fandi, A3
Jungnelius, U3
Li, S2
de Wit, R3
Fizazi, K2
Liaw, BC1
Oh, WK1
Xing, DL1
Song, DK1
Zhang, LR1
Madan, RA1
Karzai, FH1
Ning, YM1
Adesunloye, BA1
Huang, X1
Harold, N1
Couvillon, A1
Chun, G1
Cordes, L1
Sissung, T1
Beedie, SL1
Dawson, NA1
Theoret, MR1
McLeod, DG1
Rosner, I1
Trepel, JB1
Lee, MJ1
Tomita, Y1
Lee, S1
Chen, C1
Steinberg, SM1
Arlen, PM1
Gulley, JL1
Figg, WD1
Dahut, WL1
Hutson, TE1
Crane, E1
Berry, WR1
Hainsworth, JD1
Liu, K1
Waldman, MF1
Gandhi, A1
de Morrée, ES1
Ochoa de Olza, M1
Li, JS1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase 3 Study to Evaluate the Efficacy and Safety of Docetaxel and Prednisone With or Without Lenalidomide in Subjects With Castrate-Resistant Prostate Cancer (CRPC)[NCT00988208]Phase 31,059 participants (Actual)Interventional2009-11-11Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Overall Survival (OS)

Overall survival (OS) was the time from the date of randomization to the date of death from any cause. If no death was reported for a participant before the cut-off date for OS analysis, OS was censored at the last date at which the participant was alive. The median OS was calculated based on Kaplan-Meier estimates and corresponding 95% confidence interval (CI) was calculated using the method provided by Brookmeyer and Crowley. (NCT00988208)
Timeframe: From randomization until death from any cause up to the cut-off date of 13 January 2012; up to approximately 26 months

Interventionweeks (Median)
Docetaxel/Prednisone/Placebo (DP)NA
Docetaxel/Prednisone/Lenalidomide (DPL)77

Percentage of Participants Who Received Post-Study Therapies

Percentage of Participants Who Received Post-Study Therapies for advanced Prostate Cancer. (NCT00988208)
Timeframe: The date when the first consent form was signed to the last date of AE data collection;up to 5 years; up to the date of the final data analysis date of 20 April 2017

InterventionPercentage of Participants (Number)
Docetaxel/Prednisone/Placebo (DP)70.8
Docetaxel/Prednisone/Lenalidomide (DPL)69.0

Percentage of Participants With an Objective Response According to Response Evaluation Criteria in Solid Tumors - RECIST Version 1.1 Criteria

Objective response (OR) is defined as having complete response (CR) or partial response (PR) as best overall response based on RECIST Criteria 1.1 and defines a CR = Disappearance of all target lesions except lymph nodes (LN); LN must have a decrease in the short axis to <10mm; PR = 30% decrease in sum of diameters of target lesions taking as reference the baseline sum diameters; Progressed Disease (PD) = 20% increase in sum of diameters of target lesions taking as a reference the smallest sum of diameters and an absolute increase of ≥5 mm; the appearance of ≥1 new lesions; Stable Disease (SD)= Neither shrinkage to qualify for PR nor increase to qualify for PD taking the smallest sum diameters on study as reference. For non-target lesions a CR = Disappearance of all non-target lesions and all LN must be non-pathological in size <10 mm; Non-CR/Non PD: persistence of one or more non-target lesions; PD = unequivocal progression of existing non-target lesions or appearance of new ones (NCT00988208)
Timeframe: From day 1 to data cut-off 13 January 2012; maximum time on study was approximately 26 months

Interventionpercentage of participants (Number)
Docetaxel/Prednisone/Placebo (DP)24.3
Docetaxel/Prednisone/Lenalidomide (DPL)22.1

Progression-Free Survival (PFS)

PFS was the time from randomization to disease progression, or death, whatever occurred first. Progression criteria was met by analysis of target and non-target lesions as defined by Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 criteria. Progressive Disease (PD) is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum of the diameters while on study or the appearance of one or more new lesions; an increase of at least 5mm as a total sum. Lymph nodes identified as target lesions (≥ 15 mm diameter in short axis) will be followed and reported by changes in diameter of short axis; or the unequivocal progression of a non-target lesion defined as an increase in the overall disease burden based on the change in non-measurable disease that is comparable in scope to the increase required to declare PD for measurable disease; Two or more new bone lesions as detected by bone scan (NCT00988208)
Timeframe: From randomization until disease progression or death from any cause; up to the cut-off date of 13 Jan 2012; maximum time on study was approximately 26 months

InterventionWeeks (Median)
Docetaxel/Prednisone/Placebo (DP)46
Docetaxel/Prednisone/Lenalidomide (DPL)45

Time to Onset of Secondary Primary Malignancies

Time of Onset of Secondary Primary Malignancies was considered an event of interest (NCT00988208)
Timeframe: The date when the first consent form was signed to the last date of AE data collection; up to the date of the final data analysis date of 30 November 2016; 7 years and 19 days

Interventionmonths (Median)
Docetaxel/Prednisone/Placebo (DP)29.7
Docetaxel/Prednisone/Lenalidomide (DPL)19.7

Number of Participants With Treatment Emergent Adverse Events (AEs)

A TEAE is defined as any AE occurring or worsening on or after the first dose of study drug and within 28 days after the last dose of study drug. A TESAE is defined as any serious adverse event (SAE) occurring or worsening on or after the first dose of study drug and within 28 days after the last dose of study drug. Safety and severity was assessed according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 4.0; Severity of AEs were graded (including second primary malignancies) as Grade 1- Mild; Grade 2- Moderate; Grade 3- Severe; Grade 4- Life-threatening; Grade 5-Fatal; (NCT00988208)
Timeframe: From the time from of first dose of study drug administration to 28 days after the last dose of study drug and up to the data cut off date of 13 January 2012; the maximum duration of study drug was 93 weeks for DP and 90.6 weeks for DPL

,
Interventionparticipants (Number)
Any TEAEAny TEAE related to lenalidomide or placeboAny TEAE related to docetaxel/prednisoneAny severity grade 3-4 TEAEAny serious AE (SAE)Any SAE related to lenalidomide or placeboAny SAE related to docetaxel/prednisoneAny AE causing discontinuation of lenalidomide/PBOAny AE causing withdrawal of docetaxel/prednisoneAny TEAE leading to death
Docetaxel/Prednisone/Lenalidomide (DPL)51741248138127916718215016924
Docetaxel/Prednisone/Placebo (DP)51237947530317162868212716

Percentage of Participants With Secondary Primary Malignancies During the Course of the Trial

Second primary malignancies were monitored as events of interest and reported as serious adverse events throughout the course of the trial. (NCT00988208)
Timeframe: The date when the first consent form was signed to the last date of AE data collection; up to the date of the final data analysis date of 30 November 2016; 7 years and 19 days

,
Interventionpercentage of participants (Number)
Invasive Secondary Primary MalignanciesNon-invasive Secondary Primary Malignancies
Docetaxel/Prednisone/Lenalidomide (DPL)1.71.0
Docetaxel/Prednisone/Placebo (DP)1.30.4

Trials

7 trials available for thalidomide and Androgen-Independent Prostatic Cancer

ArticleYear
Sargramostim (GM-CSF) and lenalidomide in castration-resistant prostate cancer (CRPC): results from a phase I-II clinical trial.
    Urologic oncology, 2014, Volume: 32, Issue:1

    Topics: Aged; Antineoplastic Combined Chemotherapy Protocols; Cytokines; Dendritic Cells; Drug Administratio

2014
Lenalidomide monotherapy in chemotherapy-naive, castration-resistant prostate cancer patients: final results of a phase II study.
    Clinical genitourinary cancer, 2014, Volume: 12, Issue:1

    Topics: Aged; Aged, 80 and over; Angiogenesis Inhibitors; Disease Progression; Disease-Free Survival; Humans

2014
Lenalidomide and cyclophosphamide immunoregulation in patients with metastatic, castration-resistant prostate cancer.
    Clinical & experimental metastasis, 2015, Volume: 32, Issue:2

    Topics: Aged; Aged, 80 and over; Antineoplastic Agents; Cyclophosphamide; Cytokines; Dose-Response Relations

2015
Docetaxel and prednisone with or without lenalidomide in chemotherapy-naive patients with metastatic castration-resistant prostate cancer (MAINSAIL): a randomised, double-blind, placebo-controlled phase 3 trial.
    The Lancet. Oncology, 2015, Volume: 16, Issue:4

    Topics: Adult; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols; Docetaxel; Double-Bl

2015
Phase II trial of docetaxel, bevacizumab, lenalidomide and prednisone in patients with metastatic castration-resistant prostate cancer.
    BJU international, 2016, Volume: 118, Issue:4

    Topics: Aged; Aged, 80 and over; Angiogenesis Inhibitors; Antineoplastic Agents, Hormonal; Bevacizumab; Huma

2016
Circulating Tumor Cells in a Phase 3 Study of Docetaxel and Prednisone with or without Lenalidomide in Metastatic Castration-resistant Prostate Cancer.
    European urology, 2017, Volume: 71, Issue:2

    Topics: Aged; Antineoplastic Combined Chemotherapy Protocols; Docetaxel; Humans; Lenalidomide; Male; Neoplas

2017
Association of Survival Benefit With Docetaxel in Prostate Cancer and Total Number of Cycles Administered: A Post Hoc Analysis of the Mainsail Study.
    JAMA oncology, 2017, Jan-01, Volume: 3, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols; Disease-Free Surviva

2017

Other Studies

3 other studies available for thalidomide and Androgen-Independent Prostatic Cancer

ArticleYear
The MAINSAIL trial: an expected failure.
    The Lancet. Oncology, 2015, Volume: 16, Issue:4

    Topics: Antineoplastic Combined Chemotherapy Protocols; Humans; Male; Prednisone; Prostatic Neoplasms, Castr

2015
Urological cancer: Is docetaxel the 'black widow' of mCRPC drugs?
    Nature reviews. Clinical oncology, 2015, Volume: 12, Issue:6

    Topics: Antineoplastic Combined Chemotherapy Protocols; Humans; Male; Prednisone; Prostatic Neoplasms, Castr

2015
Lenalidomide in treating patients with castration-resistant prostate cancer.
    Asian Pacific journal of cancer prevention : APJCP, 2015, Volume: 16, Issue:9

    Topics: Antineoplastic Combined Chemotherapy Protocols; Cisplatin; Doxorubicin; Follow-Up Studies; Granulocy

2015