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Brief Title: PROvenge Treatment and Early Cancer Treatment
Official Title: Autologous PAP-loaded Dendritic Cell Vaccine (Sipuleucel-T, APC8015, Provenge®) in Patients With Non-metastatic Prostate Cancer Who Experience PSA Elevation Following Radical Prostatectomy: a Randomized, Controlled, Double-blind Trial
Study ID: NCT00779402
Brief Summary: The PROTECT-PROvenge Treatment and Early Cancer Treatment trial was a Phase III trial for patients with hormone sensitive prostate cancer. The study was conducted at over 15 participating centers throughout the US. The purpose of the study was to determine if sipuleucel-T was effective for treatment of early stage, non-metastatic prostate cancer. The study compared the active vaccine to control to determine whether the product delayed the time until cancer progression.
Detailed Description: This was a prospective, double blind, controlled, randomized trial of immunotherapy with prostatic acid phosphatase (PAP)-loaded autologous antigen presenting cells (APCs), in subjects with non metastatic prostate cancer. Subjects that qualified for this study were men who had previously undergone a prostatectomy and whose only sign of disease recurrence was a rise in serum prostate specific antigen (PSA). The primary objectives were to compare the time to biochemical failure (BF, PSA greater than or equal to 3 ng/mL) between sipuleucel-T (treatment group) and control, and to study the safety of sipuleucel-T. Following short-term open-label treatment with a luteinizing hormone-releasing hormone-analogue (LHRH-a), Subjects completed a checklist designed to compare androgen suppression-related side effects during periods with and without androgen suppression. Subjects who achieved a PSA of \< 1 ng/ml were randomized to blinded treatment assignments of either sipuleucel-T or control in a 2:1 ratio. Following randomization, subjects underwent 3 leukapheresis procedures on alternate weeks (Weeks 0, 2, and 4). Approximately three days following each leukapheresis procedure, subjects received an infusion of either sipuleucel-T or control. At the time BF was confirmed, subjects were eligible for a booster infusion. The booster process consisted of 1 leukapheresis procedure followed by 1 infusion of sipuleucel-T. The booster process, in effect under protocol amendment 5, differed from the previous booster process that consisted of 1 infusion of the same treatment assigned at randomization (sipuleucel-T or control). Subjects continued to be observed until DF was confirmed by bone scan or computed tomography (CT) scan, or other imaging modalities as clinically indicated. After confirmed DF, subjects were followed by telephone every 6 months for safety and survival, treatment-related AEs, any CVEs, or new therapies for prostate cancer.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: MALE
Healthy Volunteers: No
Alta Bates Comprehensive Cancer Center, Berkeley, California, United States
South Orange County Medical Research, Laguna Hills, California, United States
University of Colorado Health Sciences Center, Aurora, Colorado, United States
Oncology Specialists, SC, Park Ridge, Illinois, United States
Mount Sinai School of Medicine, New York, New York, United States
University of Rochester Medical Center, Rochester, New York, United States
McKay Urology, Charlotte, North Carolina, United States
AKSM Clinical Research Group, Columbus, Ohio, United States
Providence Medical Center, Portland, Oregon, United States
Oregon Health and Sciences University, Portland, Oregon, United States
Oregon Urology Institute, Springfield, Oregon, United States
Urology Health Specialists - Bryn Mawr, Bryn Mawr, Pennsylvania, United States
Albert Einstein Medical Building, Philadelphia, Pennsylvania, United States
Bryn Mawr Urology Group, Rosemont, Pennsylvania, United States
University of Tennessee, Memphis, Tennessee, United States
Urology of Virginia, PC, Virginia Beach, Virginia, United States
Virginia Mason Medical Center, Seattle, Washington, United States
Swedish Medical Center, Seattle, Washington, United States
Name: Robert Israel, MD
Affiliation: Valeant Pharmaceuticals North America LLC
Role: STUDY_DIRECTOR