search
Back to results

A Parallel Group Comparison of the Efficacy and Safety of Degarelix at Two Different Dosing Regimens in Patients With Prostate Cancer

Primary Purpose

Prostate Cancer

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
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: Each patient must meet the following inclusion criteria before entry into the study. Has given written consent prior to 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). Histologically confirmed 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 received radical prostatectomy (removal of the entire prostate and seminal vesicles) or radiotherapy with curative intention. Male patient aged 18 years or over. Has a baseline testosterone above the lower limit of normal range. Has an ECOG (Eastern Co-operative Oncology Group) score equal to or less than 2. Has a PSA value of greater than or equal to 2ng/mL. Exclusion Criteria: Any patient meeting one or more of the following exclusion criteria will not be entered into the study. Previous or present hormonal management of prostate cancer (surgical castration or other hormonal manipulation, e.g. GnRH agonists, GnRH antagonists, antiandrogens, estrogens). However, patients having undergone neoadjuvant hormonal therapy in conjunction with prostatectomy or radiotherapy with curative intention may be included so long as the hormonal therapy did not exceed a total duration of 6 months and was terminated at least 6 months prior to the Screening Visit. Currently or recently (within the last 12 weeks preceding the Screening Visit) under treatment with any other drug modifying testosterone level or function. Is considered to be a candidate for curative therapy, i.e., radical prostatectomy or radiotherapy within 6 months from Screening Visit. Has a history of severe asthma (defined as a need for daily treatment with oral or inhalation steroids to control the asthma), anaphylactic reactions, angioedema, angioneurotic edema or Quincke's Edema. Has hypersensitivity towards any component of the investigational products (degarelix or mannitol). Has history of other cancer within the last 5 years except for prostate cancer and surgically removed basal or squamous cell carcinoma of the skin. Has elevated serum ALT level more than three times above upper level of normal range or serum total bilirubin level above one and a half times above upper level of normal range as measured by the laboratory at the Screening Visit. Has known or suspect hepatic disease of any sort. Patients with liver disease are not to be enrolled in this study. Has other clinically significant laboratory abnormalities, which in the judgment of the investigator would interfere with the participation of the patient 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 trial 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 12 weeks preceding Screening Visit. Has previously participated in any degarelix study

Sites / Locations

  • Urology Centers of Alabama
  • Alaska Clinical Research Center, LLC
  • Advanced Urology Medical Center
  • South Orange County Medical Research Cnter
  • Pacific Clinical Research
  • West Coast Clinical Research
  • Western Clinical Research
  • Urology Associate PC
  • South Florida Medical Research
  • SW Florida Urological Associates
  • Florida Foundation for Healthcare Research
  • RMD Clinical Reseach Institution LLC
  • Northeast Indiana Research, LLC
  • Regional Urology
  • Nevada Urology Associates
  • Lawrenceville Urology
  • Hudson Valley Urology PC
  • The Urology Center
  • State College Urologic Association
  • Univeristy Urological Research Institute
  • Urology San Antonio Research
  • Scott & White Memorial Hospital
  • University of Vermont, Dept of Surgery
  • Virginia Urology Center
  • Office of Jeffrey Frankel
  • Wyoming Research Foundation
  • Southern Interior Medical Research Corporation
  • Dr. Cal Abdreau Research
  • Can-Med Clinical Research, Inc.
  • Dr. Gary Steinhoff Clinical Research
  • Valley Professional Center
  • The Male and Female Health and Research Centers
  • Brantford Urology Research
  • Burlington Professional Care
  • The Female/Male Health Centres

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Degarelix 60mg

Degarelix 80mg

Arm Description

Initial dose of 200 milligrams (40 milligrams per milliliter) of Degarelix on Day 0 (cycle 1) given by subcutaneous injection. Maintenance dose of 60 milligrams (20 milligrams per milliliter) of Degarelix given by subcutaneous injection every 28 days for cycles 2-13.

Initial dose of 200 milligrams (40 milligrams per milliliter) of Degarelix on Day 0 (cycle 1) given by subcutaneous injection. Maintenance dose of 80 milligrams (20 milligrams per milliliter) of Degarelix given by subcutaneous injection every 28 days for cycles 2 - 13.

Outcomes

Primary Outcome Measures

Number of Participants With Testosterone <=0.5 Nanogram/Milliliter From Day 28 to Day 364
Number of participants with all testosterone values <=0.5 nanogram/milliliter from Day 28 to Day 364
Number of Participants With Testosterone Level <= 0.5 Nanogram/Milliliter From Day 28 to Day 364 for Participants With Testosterone <= 0.5 Nanogram/Milliliter at Day 28
Number of participants who maintained a testosterone level of <=0.5 nanogram/milliliter from Day 28 to Day 364.

Secondary Outcome Measures

Number of Participants With Testosterone <= 0.5 Nanogram/Milliliter at Day 3.
Testosterone levels checked at Day 3 to determine if the reduction in testosterone level occurs rapidly after dosing.
Days to 50 Percent and 90 Percent Reduction in Prostate-Specific Antigen
Median number of days after the first dose of Degarelix when the Prostate-Specific Antigen levels fell to 50 percent and 90 percent of the baseline value.
Days to Prostate-Specific Antigen Progression
Median days to prostate-specific antigen increase of >= 50 percent and >= 5 nanograms/milliliter compared to nadir on two consecutive visits at least 2 weeks apart.
Median Di-Hydrotestosterone Levels At Various Study Timepoints
Di-hydrotestosterone levels at baseline and days 1, 3, 7, 14
Median Prostate-Specific Antigen Values at Various Study Timepoints
Prostate-specific antigen levels at baseline and days 3, 14, 28, 84, and 364.
Median Luteinizing Hormone Levels at Various Study Timeframes
Luteinizing hormone levels at baseline, and days 1, 3, 7, and 14.
Median Testosterone Levels at Various Days During the Study
Testosterone levels at baseline and days 1, 3, 7, 14 and 364
Number of Participants With Abnormal Alanine Aminotransferase Values
Participants whose alanine aminotransferase values were at levels above the normal range.
Number of Participants With Abnormal Aspartate Aminotransferase Values
Participants with aspartate aminotransferase values that were above the normal range.
Number of Participants With Abnormal Total Bilirubin Values
Participants with abnormal total bilirubin values
Participants With Markedly Abnormal Changes in Vital Signs or Body Weight
Vital sign and body weight values at the end of the trial are compared to baseline values. The table represents the number of participants in each group with normal baseline values and markedly abnormal end-of-study values.

Full Information

First Posted
June 30, 2005
Last Updated
December 15, 2011
Sponsor
Ferring Pharmaceuticals
search

1. Study Identification

Unique Protocol Identification Number
NCT00116779
Brief Title
A Parallel Group Comparison of the Efficacy and Safety of Degarelix at Two Different Dosing Regimens in Patients With Prostate Cancer
Official Title
An Open-label, Randomized, Multi-center, Parallel Group Comparison of the Efficacy and Safety of Degarelix at Two Different Dosing Regimens in Patients With Prostate Cancer Dosed for Thirteen 28-day Cycles
Study Type
Interventional

2. Study Status

Record Verification Date
December 2011
Overall Recruitment Status
Completed
Study Start Date
February 2004 (undefined)
Primary Completion Date
August 2005 (Actual)
Study Completion Date
August 2005 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ferring Pharmaceuticals

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of the study was to contribute, along with other such dose-finding studies, to the identification of the most effective treatment regimen for a one month depot injection of degarelix in the treatment of prostate cancer by a rapid and sustained suppression of testosterone.

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
127 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Degarelix 60mg
Arm Type
Experimental
Arm Description
Initial dose of 200 milligrams (40 milligrams per milliliter) of Degarelix on Day 0 (cycle 1) given by subcutaneous injection. Maintenance dose of 60 milligrams (20 milligrams per milliliter) of Degarelix given by subcutaneous injection every 28 days for cycles 2-13.
Arm Title
Degarelix 80mg
Arm Type
Experimental
Arm Description
Initial dose of 200 milligrams (40 milligrams per milliliter) of Degarelix on Day 0 (cycle 1) given by subcutaneous injection. Maintenance dose of 80 milligrams (20 milligrams per milliliter) of Degarelix given by subcutaneous injection every 28 days for cycles 2 - 13.
Intervention Type
Drug
Intervention Name(s)
Degarelix
Other Intervention Name(s)
FE200486
Intervention Description
Drug supplied as a powder to be dissolved in the solvent for solution for injection. Maintenance dose given in twelve 28-day cycles.
Primary Outcome Measure Information:
Title
Number of Participants With Testosterone <=0.5 Nanogram/Milliliter From Day 28 to Day 364
Description
Number of participants with all testosterone values <=0.5 nanogram/milliliter from Day 28 to Day 364
Time Frame
Day 28 to Day 364
Title
Number of Participants With Testosterone Level <= 0.5 Nanogram/Milliliter From Day 28 to Day 364 for Participants With Testosterone <= 0.5 Nanogram/Milliliter at Day 28
Description
Number of participants who maintained a testosterone level of <=0.5 nanogram/milliliter from Day 28 to Day 364.
Time Frame
Day 28 - Day 364
Secondary Outcome Measure Information:
Title
Number of Participants With Testosterone <= 0.5 Nanogram/Milliliter at Day 3.
Description
Testosterone levels checked at Day 3 to determine if the reduction in testosterone level occurs rapidly after dosing.
Time Frame
Day 3
Title
Days to 50 Percent and 90 Percent Reduction in Prostate-Specific Antigen
Description
Median number of days after the first dose of Degarelix when the Prostate-Specific Antigen levels fell to 50 percent and 90 percent of the baseline value.
Time Frame
Day 0 (post dose) to Day 364
Title
Days to Prostate-Specific Antigen Progression
Description
Median days to prostate-specific antigen increase of >= 50 percent and >= 5 nanograms/milliliter compared to nadir on two consecutive visits at least 2 weeks apart.
Time Frame
Day 0 (post dose) to Day 364
Title
Median Di-Hydrotestosterone Levels At Various Study Timepoints
Description
Di-hydrotestosterone levels at baseline and days 1, 3, 7, 14
Time Frame
Baseline, Days 1, 3, 7, 14
Title
Median Prostate-Specific Antigen Values at Various Study Timepoints
Description
Prostate-specific antigen levels at baseline and days 3, 14, 28, 84, and 364.
Time Frame
Baseline, Days 3, 14, 28, 84, 364
Title
Median Luteinizing Hormone Levels at Various Study Timeframes
Description
Luteinizing hormone levels at baseline, and days 1, 3, 7, and 14.
Time Frame
Baseline, Days 1, 3, 7, 14
Title
Median Testosterone Levels at Various Days During the Study
Description
Testosterone levels at baseline and days 1, 3, 7, 14 and 364
Time Frame
Baseline, Days 1,3,7,14,364
Title
Number of Participants With Abnormal Alanine Aminotransferase Values
Description
Participants whose alanine aminotransferase values were at levels above the normal range.
Time Frame
Day 1 through day 364
Title
Number of Participants With Abnormal Aspartate Aminotransferase Values
Description
Participants with aspartate aminotransferase values that were above the normal range.
Time Frame
Day 1 - 364
Title
Number of Participants With Abnormal Total Bilirubin Values
Description
Participants with abnormal total bilirubin values
Time Frame
Day 1 - 364
Title
Participants With Markedly Abnormal Changes in Vital Signs or Body Weight
Description
Vital sign and body weight values at the end of the trial are compared to baseline values. The table represents the number of participants in each group with normal baseline values and markedly abnormal end-of-study values.
Time Frame
Day 364

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Each patient must meet the following inclusion criteria before entry into the study. Has given written consent prior to 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). Histologically confirmed 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 received radical prostatectomy (removal of the entire prostate and seminal vesicles) or radiotherapy with curative intention. Male patient aged 18 years or over. Has a baseline testosterone above the lower limit of normal range. Has an ECOG (Eastern Co-operative Oncology Group) score equal to or less than 2. Has a PSA value of greater than or equal to 2ng/mL. Exclusion Criteria: Any patient meeting one or more of the following exclusion criteria will not be entered into the study. Previous or present hormonal management of prostate cancer (surgical castration or other hormonal manipulation, e.g. GnRH agonists, GnRH antagonists, antiandrogens, estrogens). However, patients having undergone neoadjuvant hormonal therapy in conjunction with prostatectomy or radiotherapy with curative intention may be included so long as the hormonal therapy did not exceed a total duration of 6 months and was terminated at least 6 months prior to the Screening Visit. Currently or recently (within the last 12 weeks preceding the Screening Visit) under treatment with any other drug modifying testosterone level or function. Is considered to be a candidate for curative therapy, i.e., radical prostatectomy or radiotherapy within 6 months from Screening Visit. Has a history of severe asthma (defined as a need for daily treatment with oral or inhalation steroids to control the asthma), anaphylactic reactions, angioedema, angioneurotic edema or Quincke's Edema. Has hypersensitivity towards any component of the investigational products (degarelix or mannitol). Has history of other cancer within the last 5 years except for prostate cancer and surgically removed basal or squamous cell carcinoma of the skin. Has elevated serum ALT level more than three times above upper level of normal range or serum total bilirubin level above one and a half times above upper level of normal range as measured by the laboratory at the Screening Visit. Has known or suspect hepatic disease of any sort. Patients with liver disease are not to be enrolled in this study. Has other clinically significant laboratory abnormalities, which in the judgment of the investigator would interfere with the participation of the patient 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 trial 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 12 weeks preceding Screening Visit. 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
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
South Orange County Medical Research Cnter
City
Laguna Woods,
State/Province
California
ZIP/Postal Code
92653
Country
United States
Facility Name
Pacific Clinical Research
City
Santa Monica
State/Province
California
ZIP/Postal Code
90404
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 Associate PC
City
Denver
State/Province
Colorado
ZIP/Postal Code
80210
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
Florida Foundation for Healthcare Research
City
Ocala
State/Province
Florida
ZIP/Postal Code
34474
Country
United States
Facility Name
RMD Clinical Reseach Institution LLC
City
Melrose Park
State/Province
Illinois
ZIP/Postal Code
60160
Country
United States
Facility Name
Northeast Indiana Research, LLC
City
Fort Wayne
State/Province
Indiana
ZIP/Postal Code
46825
Country
United States
Facility Name
Regional Urology
City
Shreveport
State/Province
Louisiana
ZIP/Postal Code
71106
Country
United States
Facility Name
Nevada Urology Associates
City
Reno
State/Province
Nevada
ZIP/Postal Code
89511
Country
United States
Facility Name
Lawrenceville Urology
City
Lawrenceville
State/Province
New Jersey
ZIP/Postal Code
08648
Country
United States
Facility Name
Hudson Valley Urology PC
City
Poughkeepsie
State/Province
New York
ZIP/Postal Code
12601
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
Univeristy Urological Research Institute
City
Providence
State/Province
Rhode Island
ZIP/Postal Code
02904
Country
United States
Facility Name
Urology San Antonio Research
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Scott & White Memorial Hospital
City
Temple
State/Province
Texas
ZIP/Postal Code
76508
Country
United States
Facility Name
University of Vermont, Dept of Surgery
City
South Burlington
State/Province
Vermont
ZIP/Postal Code
05403
Country
United States
Facility Name
Virginia Urology Center
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23235
Country
United States
Facility Name
Office of Jeffrey Frankel
City
Seattle
State/Province
Washington
ZIP/Postal Code
98166
Country
United States
Facility Name
Wyoming Research Foundation
City
Cheyenne
State/Province
Wyoming
ZIP/Postal Code
82001
Country
United States
Facility Name
Southern Interior Medical Research Corporation
City
Kelowna
State/Province
British Columbia
ZIP/Postal Code
V1Y2H4
Country
Canada
Facility Name
Dr. Cal Abdreau Research
City
Surrey
State/Province
British Columbia
ZIP/Postal Code
V3V1N1
Country
Canada
Facility Name
Can-Med Clinical Research, Inc.
City
Victoria
State/Province
British Columbia
ZIP/Postal Code
V8T5G1
Country
Canada
Facility Name
Dr. Gary Steinhoff Clinical Research
City
Victoria
State/Province
British Columbia
ZIP/Postal Code
V8V3N1
Country
Canada
Facility Name
Valley Professional Center
City
Kentville
State/Province
Nova Scotia
ZIP/Postal Code
B4N4K9
Country
Canada
Facility Name
The Male and Female Health and Research Centers
City
Barrie
State/Province
Ontario
ZIP/Postal Code
L4M7G1
Country
Canada
Facility Name
Brantford Urology Research
City
Brantford
State/Province
Ontario
ZIP/Postal Code
N3R4N3
Country
Canada
Facility Name
Burlington Professional Care
City
Burlington
State/Province
Ontario
ZIP/Postal Code
L7N3V2
Country
Canada
Facility Name
The Female/Male Health Centres
City
Oakville
State/Province
Ontario
ZIP/Postal Code
L6H3P1
Country
Canada

12. IPD Sharing Statement

Citations:
PubMed Identifier
18801505
Citation
Gittelman M, Pommerville PJ, Persson BE, Jensen JK, Olesen TK; Degarelix Study Group. A 1-year, open label, randomized phase II dose finding study of degarelix for the treatment of prostate cancer in North America. J Urol. 2008 Nov;180(5):1986-92. doi: 10.1016/j.juro.2008.07.033. Epub 2008 Sep 17.
Results Reference
result

Learn more about this trial

A Parallel Group Comparison of the Efficacy and Safety of Degarelix at Two Different Dosing Regimens in Patients With Prostate Cancer

We'll reach out to this number within 24 hrs