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A Comparative Study of Degarelix Three-month Depot in Three Different Dosing Regimens in Patients With Prostate Cancer

Primary Purpose

Prostate Cancer

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Degarelix
Degarelix
Degarelix
Sponsored by
Ferring Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Prostate Cancer focused on measuring Prostate Cancer, Androgen ablation therapy

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria: Has given written consent before any study-related activity is performed. A study-related activity is defined as any procedure that would not have been performed during the normal management of the patient. Has a histologically confirmed (Gleason graded) adenocarcinoma of the prostate (all stages) in whom endocrine treatment, except for neoadjuvant hormonal therapy, is indicated. This includes patients with rising PSA after having undergone prostatectomy or radiotherapy with curative intention. Is a male patient aged 18 years or over. Has a baseline serum testosterone level above the lower limit of normal range, globally defined as >2.2 ng/mL. Has an ECOG (Eastern Cooperative Oncology Group) score of 2. Has a PSA value of 2 ng/mL. Has a life expectancy of at least 13 months. Exclusion Criteria: Has had previous or is currently under hormonal management of prostate cancer (surgical castration or other hormonal manipulation, e.g. GnRH agonists, GnRH antagonists, antiandrogens, oestrogens). However, patients having undergone prostatectomy or radiotherapy with curative intention, neoadjuvant hormonal therapy is accepted for a maximal duration of 6 months. This treatment should have been terminated at least 6 months prior to the Screening Visit. Is considered to be a candidate for curative therapy, i.e. radical prostatectomy or radiotherapy within 13 months from Screening Visit. Has a history of, or predisposition to, severe hypersensitivity reactions such as severe asthma (defined as a need for daily treatment with inhalation steroids to control the asthma), anaphylactic reactions, or chronic or recurrent urticaria and/or angioedema. Has hypersensitivity towards any component of the investigational medicinal product. 5. Has had a cancer disease within the last five years except for prostate cancer and surgically removed basal or squamous cell carcinoma of the skin. Has a known or suspected hepatic or symptomatic biliary disease. Has elevated serum ALT level above upper level of normal range or serum total bilirubin level above upper level of normal range as measured by the laboratory at the Screening Visit. Has other clinically significant laboratory abnormalities, which in the judgment of the investigator would interfere with the patient's participation in this study or evaluation of study results. Has a clinically significant disorder (other than prostate cancer) or any other condition, including excessive alcohol or drug abuse, which may interfere with study participation or which may affect the conclusion of the study as judged by the investigator. Has a mental incapacity or language barriers precluding adequate understanding or cooperation. Has received an investigational drug within the last 28 days preceding Screening Visit or longer if considered by the investigator to possibly influence the outcome of the current study. Has previously participated in any degarelix study.

Sites / Locations

  • Urology Centers of Alabama
  • Medical Affiliationed Research Center
  • Alaska Clinical Research Center, LLC
  • Advanced Urology Medical Center
  • Center for Urological Research
  • South Orange County Medical Research Center
  • West Coast Clinical Research
  • Western Clinical Research
  • Urology Research Option
  • South Florida Medical Research
  • SW Florida Urological Associates
  • RT Services, Inc
  • Regional Urology
  • Mississippi Urology Clinic
  • University of Missouri, Urology, Deptof Surgery
  • Kansas City Urology Care
  • Northeast Urology Research
  • The Urology Center
  • State College Urologic Association
  • Grand Strand Urology
  • Urology Association of Northern Texas
  • Urology San Antonio Research
  • Seatle Urology Research Centre
  • UZ Gasthuisberg Leuven
  • Southern Interior Medical Research Corp
  • Andreou Researce
  • Can-Med Clinical Research Inc.
  • The Male/Female Health Centres and Research
  • Brantford Urology Research
  • North Bay Hospital
  • The Male/Female Health Centres and Research
  • The Male Health Center
  • Helsinki University Hospital, Maria Hospital, Dept Urology
  • Central Hospital, North Karelian, Dept. of Urology
  • Oulu University Hospital, Department of Surgery Division of Urology
  • Tampere University Hospital, Dept. of Urology
  • Clinical Center of Serbia Institute of Urology and Nephrology
  • Clinical Center Novi Sad, Clinic of Urology Hajduk
  • Centre Hospitalier Départemental des Oudairies, Chirurgie Urologie
  • Fédération d'Urologie et Néphrologie
  • Gemeinschaftspraxis Dres Effert und Benedic
  • Klinik fuer Urologie, Vivantes Klinikum Am Urban
  • Academic Medical Center, Urology
  • St. Elisabeth Hospital
  • Centrul Medical Privat
  • Clinical Hospital "Prof. Dr. Theodor Burghele", Urology Department
  • University CF Hospital No.2, Urology Clinic
  • Andros Clinic
  • City Hospital #15
  • City Hospital #26
  • Pavlov State Medical University, Outpatient Diagnostic Center affiliated with the Urology Department
  • Pavlov State Medical University, Urology Department
  • Ward 10, NHS Forth Valley Acute Operating Division, Falkirk and District Royal Infirmary
  • Mount Vernon Cancer Centre, Marie Curie Research Wing
  • Castle Hill Hospital, Dept. Urology
  • Level 7, Urology Research Unit, Derriford Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Active Comparator

Active Comparator

Arm Label

Degarelix 240@40/240@40 (1,3,6,9)

Degarelix 240@40/240@60(1,3,6,9)

Degarelix 240@40/240@60(1,4,7,10)

Arm Description

240 mg (40 mg/mL) initiation dose, maintenance dose 240 mg (40 mg/mL) at months 1, 3, 6 and 9.

240 mg (40 mg/mL) initiation dose, maintenance dose 240 mg (60 mg/mL) at months 1, 3, 6 and 9.

240 mg (40 mg/mL) initiation dose, maintenance dose 240 mg (60 mg/mL) at months 1, 4, 7 and 10.

Outcomes

Primary Outcome Measures

Number of Participants With Testosterone Level <=0.5 ng/mL From Day 28 Until the End of the Study
Figure in the table give the number of participants with all testosterone values <=0.5 ng/mL from Day 28 to the end of the study.

Secondary Outcome Measures

Number of Participants With Testosterone Level <=0.5 ng/mL After the Dose at Day 28 Until the End of the Study
Figures in the table give the number of participants with all testosterone values <=0.5 ng/mL after the dose at Day 28 to end of study. Thus, the testosterone response after the initial dose is not included in this outcome measure.
Number of Participants With Testosterone <=0.5 ng/mL at Day 28
Figures in the table give number of participants with testosterone <=0.5 ng/mL 28 days after the initial dose of trial medication.
Liver Function Tests
The figures present the number of participants who had abnormal (defined as above upper limit of normal range (ULN)) alanine aminotransferase (ALT) levels, aspartate aminotransferase levels, and bilirubin levels plus the number of participants who had ALT increases >3x ULN and ALT increases >3x ULN with concurrently increased bilirubin >1.5 ULN.
Number of Participants With Markedly Abnormal Change in Vital Signs and Body Weight as Compared to Baseline
This outcome measure included incidence of markedly abnormal changes in blood pressure (systolic and diastolic), pulse, and body weight. The table presents the number of participants with normal baseline and at least one post-baseline markedly abnormal value.

Full Information

First Posted
June 30, 2005
Last Updated
November 12, 2010
Sponsor
Ferring Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT00116753
Brief Title
A Comparative Study of Degarelix Three-month Depot in Three Different Dosing Regimens in Patients With Prostate Cancer
Official Title
An Open-label Multi-center, Randomized Parallel Group Comparison of Efficacy and Safety of Degarelix Three-Month Depot in Three Different Dosing Regimens in Patients With Prostate Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
November 2010
Overall Recruitment Status
Completed
Study Start Date
January 2005 (undefined)
Primary Completion Date
November 2006 (Actual)
Study Completion Date
November 2006 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Ferring Pharmaceuticals

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The rationale of the study was to evaluate different degarelix dosing regimens for a three-month interval that was to produce and maintain castration in prostate cancer patients through immediate and prolonged testosterone suppression, and to provide confirmatory evidence of the safety of degarelix.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Prostate Cancer
Keywords
Prostate Cancer, Androgen ablation therapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
460 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Degarelix 240@40/240@40 (1,3,6,9)
Arm Type
Active Comparator
Arm Description
240 mg (40 mg/mL) initiation dose, maintenance dose 240 mg (40 mg/mL) at months 1, 3, 6 and 9.
Arm Title
Degarelix 240@40/240@60(1,3,6,9)
Arm Type
Active Comparator
Arm Description
240 mg (40 mg/mL) initiation dose, maintenance dose 240 mg (60 mg/mL) at months 1, 3, 6 and 9.
Arm Title
Degarelix 240@40/240@60(1,4,7,10)
Arm Type
Active Comparator
Arm Description
240 mg (40 mg/mL) initiation dose, maintenance dose 240 mg (60 mg/mL) at months 1, 4, 7 and 10.
Intervention Type
Drug
Intervention Name(s)
Degarelix
Other Intervention Name(s)
FE200486
Intervention Description
Drug: Degarelix subcutaneous 240 mg (40 mg/mL) initiation dose, maintenance dose 240 mg (40 mg/mL) at months 1, 3, 6 and 9
Intervention Type
Drug
Intervention Name(s)
Degarelix
Other Intervention Name(s)
FE200486
Intervention Description
Drug: Degarelix subcutaneous 240 mg (40 mg/mL) initiation dose, maintenance dose 240 mg (60 mg/mL) at months 1, 3, 6 and 9
Intervention Type
Drug
Intervention Name(s)
Degarelix
Other Intervention Name(s)
FE200486
Intervention Description
Drug: Degarelix subcutaneous 240 mg (40 mg/mL) initiation dose, maintenance dose 240 mg (60 mg/mL) at months 1, 4, 7 and 10
Primary Outcome Measure Information:
Title
Number of Participants With Testosterone Level <=0.5 ng/mL From Day 28 Until the End of the Study
Description
Figure in the table give the number of participants with all testosterone values <=0.5 ng/mL from Day 28 to the end of the study.
Time Frame
From Day 28 to 12 or 13 months
Secondary Outcome Measure Information:
Title
Number of Participants With Testosterone Level <=0.5 ng/mL After the Dose at Day 28 Until the End of the Study
Description
Figures in the table give the number of participants with all testosterone values <=0.5 ng/mL after the dose at Day 28 to end of study. Thus, the testosterone response after the initial dose is not included in this outcome measure.
Time Frame
From after Day 28 to 12 or 13 months
Title
Number of Participants With Testosterone <=0.5 ng/mL at Day 28
Description
Figures in the table give number of participants with testosterone <=0.5 ng/mL 28 days after the initial dose of trial medication.
Time Frame
28 Days
Title
Liver Function Tests
Description
The figures present the number of participants who had abnormal (defined as above upper limit of normal range (ULN)) alanine aminotransferase (ALT) levels, aspartate aminotransferase levels, and bilirubin levels plus the number of participants who had ALT increases >3x ULN and ALT increases >3x ULN with concurrently increased bilirubin >1.5 ULN.
Time Frame
12 or 13 months
Title
Number of Participants With Markedly Abnormal Change in Vital Signs and Body Weight as Compared to Baseline
Description
This outcome measure included incidence of markedly abnormal changes in blood pressure (systolic and diastolic), pulse, and body weight. The table presents the number of participants with normal baseline and at least one post-baseline markedly abnormal value.
Time Frame
12 or 13 months

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Has given written consent before any study-related activity is performed. A study-related activity is defined as any procedure that would not have been performed during the normal management of the patient. Has a histologically confirmed (Gleason graded) adenocarcinoma of the prostate (all stages) in whom endocrine treatment, except for neoadjuvant hormonal therapy, is indicated. This includes patients with rising PSA after having undergone prostatectomy or radiotherapy with curative intention. Is a male patient aged 18 years or over. Has a baseline serum testosterone level above the lower limit of normal range, globally defined as >2.2 ng/mL. Has an ECOG (Eastern Cooperative Oncology Group) score of 2. Has a PSA value of 2 ng/mL. Has a life expectancy of at least 13 months. Exclusion Criteria: Has had previous or is currently under hormonal management of prostate cancer (surgical castration or other hormonal manipulation, e.g. GnRH agonists, GnRH antagonists, antiandrogens, oestrogens). However, patients having undergone prostatectomy or radiotherapy with curative intention, neoadjuvant hormonal therapy is accepted for a maximal duration of 6 months. This treatment should have been terminated at least 6 months prior to the Screening Visit. Is considered to be a candidate for curative therapy, i.e. radical prostatectomy or radiotherapy within 13 months from Screening Visit. Has a history of, or predisposition to, severe hypersensitivity reactions such as severe asthma (defined as a need for daily treatment with inhalation steroids to control the asthma), anaphylactic reactions, or chronic or recurrent urticaria and/or angioedema. Has hypersensitivity towards any component of the investigational medicinal product. 5. Has had a cancer disease within the last five years except for prostate cancer and surgically removed basal or squamous cell carcinoma of the skin. Has a known or suspected hepatic or symptomatic biliary disease. Has elevated serum ALT level above upper level of normal range or serum total bilirubin level above upper level of normal range as measured by the laboratory at the Screening Visit. Has other clinically significant laboratory abnormalities, which in the judgment of the investigator would interfere with the patient's participation in this study or evaluation of study results. Has a clinically significant disorder (other than prostate cancer) or any other condition, including excessive alcohol or drug abuse, which may interfere with study participation or which may affect the conclusion of the study as judged by the investigator. Has a mental incapacity or language barriers precluding adequate understanding or cooperation. Has received an investigational drug within the last 28 days preceding Screening Visit or longer if considered by the investigator to possibly influence the outcome of the current study. Has previously participated in any degarelix study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Development Support
Organizational Affiliation
Ferring Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Urology Centers of Alabama
City
Homewood
State/Province
Alabama
ZIP/Postal Code
35209
Country
United States
Facility Name
Medical Affiliationed Research Center
City
Huntsville
State/Province
Alabama
ZIP/Postal Code
35801
Country
United States
Facility Name
Alaska Clinical Research Center, LLC
City
Anchorage
State/Province
Alaska
ZIP/Postal Code
99508
Country
United States
Facility Name
Advanced Urology Medical Center
City
Anaheim
State/Province
California
ZIP/Postal Code
92801
Country
United States
Facility Name
Center for Urological Research
City
La Mesa
State/Province
California
ZIP/Postal Code
91942
Country
United States
Facility Name
South Orange County Medical Research Center
City
Laguna Woods,
State/Province
California
ZIP/Postal Code
92653
Country
United States
Facility Name
West Coast Clinical Research
City
Tarzana
State/Province
California
ZIP/Postal Code
91356
Country
United States
Facility Name
Western Clinical Research
City
Torrance
State/Province
California
ZIP/Postal Code
90505
Country
United States
Facility Name
Urology Research Option
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80012
Country
United States
Facility Name
South Florida Medical Research
City
Aventura
State/Province
Florida
ZIP/Postal Code
33180
Country
United States
Facility Name
SW Florida Urological Associates
City
Fort Myers
State/Province
Florida
ZIP/Postal Code
33907
Country
United States
Facility Name
RT Services, Inc
City
Ft Myers
State/Province
Florida
ZIP/Postal Code
33901
Country
United States
Facility Name
Regional Urology
City
Shreveport
State/Province
Louisiana
ZIP/Postal Code
71106
Country
United States
Facility Name
Mississippi Urology Clinic
City
Jackson
State/Province
Mississippi
ZIP/Postal Code
39202
Country
United States
Facility Name
University of Missouri, Urology, Deptof Surgery
City
Columbia
State/Province
Missouri
ZIP/Postal Code
65212
Country
United States
Facility Name
Kansas City Urology Care
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64131
Country
United States
Facility Name
Northeast Urology Research
City
Concord
State/Province
North Carolina
ZIP/Postal Code
28025
Country
United States
Facility Name
The Urology Center
City
Greensboro
State/Province
North Carolina
ZIP/Postal Code
27401
Country
United States
Facility Name
State College Urologic Association
City
State College
State/Province
Pennsylvania
ZIP/Postal Code
16801
Country
United States
Facility Name
Grand Strand Urology
City
Myrtle Beach
State/Province
South Carolina
ZIP/Postal Code
29572
Country
United States
Facility Name
Urology Association of Northern Texas
City
Fort Worth
State/Province
Texas
ZIP/Postal Code
76104
Country
United States
Facility Name
Urology San Antonio Research
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Seatle Urology Research Centre
City
Seattle
State/Province
Washington
ZIP/Postal Code
98166
Country
United States
Facility Name
UZ Gasthuisberg Leuven
City
Leuven
Country
Belgium
Facility Name
Southern Interior Medical Research Corp
City
Kelowna
State/Province
British Columbia
Country
Canada
Facility Name
Andreou Researce
City
Surrey
State/Province
British Columbia
Country
Canada
Facility Name
Can-Med Clinical Research Inc.
City
Victoria
State/Province
British Columbia
Country
Canada
Facility Name
The Male/Female Health Centres and Research
City
Barrie
State/Province
Ontario
Country
Canada
Facility Name
Brantford Urology Research
City
Brantford
State/Province
Ontario
Country
Canada
Facility Name
North Bay Hospital
City
North Bay
State/Province
Ontario
Country
Canada
Facility Name
The Male/Female Health Centres and Research
City
Oakville
State/Province
Ontario
Country
Canada
Facility Name
The Male Health Center
City
Toronto
State/Province
Ontario
Country
Canada
Facility Name
Helsinki University Hospital, Maria Hospital, Dept Urology
City
Helsinki
Country
Finland
Facility Name
Central Hospital, North Karelian, Dept. of Urology
City
Joensuu
Country
Finland
Facility Name
Oulu University Hospital, Department of Surgery Division of Urology
City
Oys
Country
Finland
Facility Name
Tampere University Hospital, Dept. of Urology
City
Tampere
Country
Finland
Facility Name
Clinical Center of Serbia Institute of Urology and Nephrology
City
Belgrade
Country
Former Serbia and Montenegro
Facility Name
Clinical Center Novi Sad, Clinic of Urology Hajduk
City
Novi Sad
Country
Former Serbia and Montenegro
Facility Name
Centre Hospitalier Départemental des Oudairies, Chirurgie Urologie
City
La Roche-sur-Yon
Country
France
Facility Name
Fédération d'Urologie et Néphrologie
City
Nice
Country
France
Facility Name
Gemeinschaftspraxis Dres Effert und Benedic
City
Aachen
Country
Germany
Facility Name
Klinik fuer Urologie, Vivantes Klinikum Am Urban
City
Berlin
Country
Germany
Facility Name
Academic Medical Center, Urology
City
Amsterdam
Country
Netherlands
Facility Name
St. Elisabeth Hospital
City
Tilburg
Country
Netherlands
Facility Name
Centrul Medical Privat
City
Arad
Country
Romania
Facility Name
Clinical Hospital "Prof. Dr. Theodor Burghele", Urology Department
City
Bucharest
Country
Romania
Facility Name
University CF Hospital No.2, Urology Clinic
City
Bucharest
Country
Romania
Facility Name
Andros Clinic
City
Saint Petersburg
Country
Russian Federation
Facility Name
City Hospital #15
City
Saint Petersburg
Country
Russian Federation
Facility Name
City Hospital #26
City
Saint Petersburg
Country
Russian Federation
Facility Name
Pavlov State Medical University, Outpatient Diagnostic Center affiliated with the Urology Department
City
Saint Petersburg
Country
Russian Federation
Facility Name
Pavlov State Medical University, Urology Department
City
Saint Petersburg
Country
Russian Federation
Facility Name
Ward 10, NHS Forth Valley Acute Operating Division, Falkirk and District Royal Infirmary
City
Falkirk
Country
United Kingdom
Facility Name
Mount Vernon Cancer Centre, Marie Curie Research Wing
City
Middlesex
Country
United Kingdom
Facility Name
Castle Hill Hospital, Dept. Urology
City
North Humberside
Country
United Kingdom
Facility Name
Level 7, Urology Research Unit, Derriford Hospital
City
Plymouth
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

A Comparative Study of Degarelix Three-month Depot in Three Different Dosing Regimens in Patients With Prostate Cancer

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