INCLUSION CRITERIA
1. Confirmed diagnosis of or clinical history consistent with adenocarcinoma of the prostate
2. Males greater than 18 years of age
3. Patients taking any Level 3 pain medication at any dose with any frequency. Patients taking Level 2 pain medication for cancer related pain, confirmed by investigator assessment.
4. Metastatic prostate cancer deemed to be unresponsive or refractory to hormone therapy (after discontinuation of anti-androgen therapy) as determined by one of the following:
· Progressive measurable disease on CT scan or MRI as
assessed using un-modified RECIST guidelines
· Progressive non-measurable disease as defined by the
appearance of one or more new lesions on bone scan
· PSA progression, as defined by two consecutive rising PSA
values obtained at least 2 weeks apart, and both obtained at
least 4 weeks after discontinuation of any other anti-
androgen therapy. The second PSA value must be 5.0
ng/mL.
5. Detectable metastases by bone scan, CT scan or MRI.
EXCLUSION CRITERIA
- Transitional cell, small cell, neuroendocrine, or squamous cell prostate cancer
- Clinical evidence of brain metastases or history of brain metastases
- Third space fluid accumulation, such as ascites or symptomatic pleural effusion
- Clinically significant active infection or uncontrolled medical condition considered high-risk for docetaxel, corticosteroids or investigational new drug treatment
- Prior gene therapy or cancer vaccine for prostate cancer
- More than one prior systemic chemotherapy regimen, or any taxane chemotherapy. Patients must have completed chemotherapy at least 4 weeks prior to randomization and have recovered from all side effects.
- Radiation therapy within 4 weeks of randomization. Prior radiation must have been to less than 30% of the bone marrow and patient has recovered from all side effects. Prior use of samarium is acceptable; patients cannot have received strontium
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