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Alternate Title Phase II Randomized Study of Docetaxel and Prednisolone With or Without Zoledronic Acid and/or Strontium Chloride Sr 89 in Patients With Hormone-Refractory Prostate Cancer Metastatic to Bone
Trial Description Drugs used in chemotherapy, such as docetaxel and prednisolone, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Zoledronic acid may help relieve some of the symptoms caused by bone metastases. Radioactive substances, such as strontium chloride Sr 89, may help relieve bone pain caused by prostate cancer. Giving docetaxel together with prednisolone with or without zoledronic acid and/or strontium chloride Sr 89 may kill more tumor cells. This randomized phase II trial is studying the side effects and how well giving docetaxel together with prednisolone works with or without zoledronic acid and/or strontium chloride Sr 89 in treating patients with prostate cancer metastatic to bone that has not responded to hormone therapy. Eligibility criteria include the following:
Final eligibility for a clinical trial is determined by the health professionals conducting the trial. Patients will be randomly assigned (have an equal chance of being placed) to one of four treatment groups. Patients in group one will receive an infusion of docetaxel on day 1 and prednisolone by mouth once a day. Patients in group two will receive an infusion of docetaxel on day 1, prednisolone by mouth once a day, and an infusion of zoledronic acid on day 1. Patients in group three will receive an infusion of docetaxel on day 1, prednisolone by mouth once a day, and a single infusion of strontium chloride Sr 89 on day 7 of course two. Patients in group four will receive an infusion of docetaxel on day 1, prednisolone by mouth once a day, an infusion of zoledronic acid on day 1, and a single infusion of strontium chloride Sr 89 on day 7 of course two. Treatment with docetaxel, prednisolone, and zoledronic acid may repeat every 3 weeks for up to six courses. Strontium chloride Sr 89 will be given only once. Patients will fill out quality-of-life questionnaires at the beginning of the study and every 3 months during follow-up. After finishing treatment, patients will be evaluated every 3 months. Important: For more details about this trial, refer to the Health Professional version of the trial summary. If you are interested in participating in a clinical trial, contact your doctor for a referral or call a trial contact person listed below. You may see the same contact person listed at more than one site, however, if you call the number listed you can ask to speak to the study coordinator or person involved with the specific trial you are interested in. If you have questions about cancer or clinical trials, call the Cancer Information Service at 1-800-4-CANCER (1-800-422-6237). General information about clinical trials, including risks, benefits, and costs, can be found on NCI's Web site. Trial Lead Organizations Queen Elizabeth Hospital at University Hospital of Birmingham NHS Trust
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