search
Back to results

Study Investigating the Pharmacokinetics, Pharmacodynamics and Safety of FE200486

Primary Purpose

Prostate Cancer

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Degarelix
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: Each patient must meet the following inclusion criteria before entry into the study: 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.) Is a male patient with histologically proven adenocarcinoma of the prostate (all stages) in whom endocrine treatment is indicated, except for neoadjuvant hormonal therapy. For patients, prostate-specific antigen (PSA) increases on two consecutive determinations at least 2 weeks apart prior to Visit 1 must be documented. Is at least 18 years. Has an ECOG score of 2. Has a baseline testosterone level within the age specific normal range as measured by the central laboratory. Has a PSA value of 2 ng/mL as measured by the central laboratory. Has a life expectancy of at least 6 months. 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, PC-Spec) except for neoadjuvant hormonal therapy of < 6 months duration and completed > 6 months prior to Visit 1. Requires hormonal therapy for neoadjuvant purposes. Is recently (within the last 12 weeks preceding Visit 1) or presently treated with any other drug modifying the testosterone level or function. Is considered to be a candidate for curative therapy, i.e., radical prostatectomy or radiotherapy within 6 months after Visit 1. Has a history of severe asthma requiring daily treatment with inhalation steroids, angioedema or anaphylactic reactions. Has hypersensitivity towards any component of the investigational product. Has had a cancer disease within the last 10 years except for prostate cancer, and surgically removed basocellular or squamous cell carcinoma of the skin. Has a clinically significant neurologic, gastrointestinal, renal, hepatic, cardiovascular, psychological, pulmonary, metabolic, endocrine, hematological, dermatological or infectious disorder 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. Any 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 (liver transaminases must be within normal limits). Has a mental incapacity or language barrier precluding adequate understanding or co-operation. Has received an investigational drug within the last 12 weeks preceding Visit 1. Has previously participated in this study.

Sites / Locations

  • Advanced Urology Medical Center
  • South Orange County Medical Research Center
  • San Bernardino Urological Associates Medical Group
  • Western Clinical Research
  • Urology Associate PC'
  • SW Florida Urological Associates
  • Pinellas Urology, Inc.
  • Drs. Werner, Murdock & Francis, PA
  • Nevada Urology Associates
  • Urology Specialists of Oklahoma, Inc.
  • Urology Clinics of NorthTexas, PA
  • Urology San Antonio Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Degarelix 40 mg

Degarelix 80 mg

Degarelix 120 mg

Degarelix 160 mg

Arm Description

Degarelix 40 mg (10 mg/mL)

Degarelix 80 mg (20 mg/mL)

Degarelix 120 mg (30 mg/mL)

Degarelix 160 mg (40 mg/mL)

Outcomes

Primary Outcome Measures

Time to Meet Insufficient Testosterone Response
Figures in the table are Kaplan-Meier estimates of the time to meeting insufficient testosterone response. Insufficient testosterone response was defined as testosterone >1.0 ng/mL at one visit or testosterone 0.5-1.0 at two consecutive visits.
Number of Participants With Testostestone Serum Levels Below 0.5 ng/mL for at Least 28 Days
The number of participants suppressed for at least 28 days was defined as the estimated "survival probability" at time=Day 28.

Secondary Outcome Measures

Time to Testosterone Castration (Testosterone ≤0.5 ng/mL).
Time to testosterone castration was calculated as the number of days from dosing to the first scheduled visit when testosterone was less than 0.5 ng/mL. The figures in the table present the number of participants who were castrated after 1, 3, 7, 14, 21, 28, and 42 days.
Number of Participants With Sufficient Testosterone Suppression for at Least 84 Days
Sufficient testosterone suppression was defined as not meeting an insufficient testosterone response criterion. Insufficient testosterone response was defined as testosterone >1.0 ng/mL at one visit or testosterone 0.5-1.0 at two consecutive visits.
Time to 50% Reduction in Prostate-specific Antigen Levels
The time to 50% prostate-specific antigen (PSA) reduction from baseline was defined as the median number of days from dosing to the first visit where a 50% reduction in PSA level was reached.
Time to 90% Reduction in Prostate-specific Antigen Levels
The time to 90% prostate-specific antigen (PSA) reduction from baseline was defined as the median number of days from dosing to the first visit where a 90% reduction in PSA level was reached.
Liver Function Tests
The number of participants who had abnormal (defined as above upper limit of normal range (ULN)) alanine aminotransferase (ALT) levels, aspartate aminotransferas 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.

Full Information

First Posted
June 30, 2005
Last Updated
May 18, 2011
Sponsor
Ferring Pharmaceuticals
search

1. Study Identification

Unique Protocol Identification Number
NCT00117949
Brief Title
Study Investigating the Pharmacokinetics, Pharmacodynamics and Safety of FE200486
Official Title
An Open-Label, Multi-Center, Ascending, Single Dose Study Investigating the Pharmacokinetics, Pharmacodynamics and Safety of FE200486
Study Type
Interventional

2. Study Status

Record Verification Date
May 2011
Overall Recruitment Status
Completed
Study Start Date
April 2002 (undefined)
Primary Completion Date
January 2004 (Actual)
Study Completion Date
January 2004 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Ferring Pharmaceuticals

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Population pharmacokinetic and pharmacodynamic data from Study FE200486 CS06 and FE200486 CS02 provided further knowledge of the optimal dose regimens for FE200486 (degarelix). Both studies were to guide dose selection for phase III. In addition, safety and tolerance data were generated.

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
82 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Degarelix 40 mg
Arm Type
Experimental
Arm Description
Degarelix 40 mg (10 mg/mL)
Arm Title
Degarelix 80 mg
Arm Type
Experimental
Arm Description
Degarelix 80 mg (20 mg/mL)
Arm Title
Degarelix 120 mg
Arm Type
Experimental
Arm Description
Degarelix 120 mg (30 mg/mL)
Arm Title
Degarelix 160 mg
Arm Type
Experimental
Arm Description
Degarelix 160 mg (40 mg/mL)
Intervention Type
Drug
Intervention Name(s)
Degarelix
Other Intervention Name(s)
FE200486
Intervention Description
One dose (2 x 2 mL) of degarelix 40 mg (10 mg/mL), subcutaneous injection.
Intervention Type
Drug
Intervention Name(s)
Degarelix
Other Intervention Name(s)
FE200486
Intervention Description
One dose (2 x 2 mL) of degarelix 80 mg (20 mg/mL), subcutaneous injection.
Intervention Type
Drug
Intervention Name(s)
Degarelix
Other Intervention Name(s)
FE200486
Intervention Description
One dose (2 x 2 mL) of degarelix 120 mg (30 mg/mL), subcutaneous injection.
Intervention Type
Drug
Intervention Name(s)
Degarelix
Other Intervention Name(s)
FE200486
Intervention Description
One dose (2 x 2 mL) of degarelix 160 mg (40 mg/mL), subcutaneous injection.
Primary Outcome Measure Information:
Title
Time to Meet Insufficient Testosterone Response
Description
Figures in the table are Kaplan-Meier estimates of the time to meeting insufficient testosterone response. Insufficient testosterone response was defined as testosterone >1.0 ng/mL at one visit or testosterone 0.5-1.0 at two consecutive visits.
Time Frame
3 months
Title
Number of Participants With Testostestone Serum Levels Below 0.5 ng/mL for at Least 28 Days
Description
The number of participants suppressed for at least 28 days was defined as the estimated "survival probability" at time=Day 28.
Time Frame
28 days
Secondary Outcome Measure Information:
Title
Time to Testosterone Castration (Testosterone ≤0.5 ng/mL).
Description
Time to testosterone castration was calculated as the number of days from dosing to the first scheduled visit when testosterone was less than 0.5 ng/mL. The figures in the table present the number of participants who were castrated after 1, 3, 7, 14, 21, 28, and 42 days.
Time Frame
1, 3, 7, 14, 21, 28, 42 days
Title
Number of Participants With Sufficient Testosterone Suppression for at Least 84 Days
Description
Sufficient testosterone suppression was defined as not meeting an insufficient testosterone response criterion. Insufficient testosterone response was defined as testosterone >1.0 ng/mL at one visit or testosterone 0.5-1.0 at two consecutive visits.
Time Frame
3 months
Title
Time to 50% Reduction in Prostate-specific Antigen Levels
Description
The time to 50% prostate-specific antigen (PSA) reduction from baseline was defined as the median number of days from dosing to the first visit where a 50% reduction in PSA level was reached.
Time Frame
3 months
Title
Time to 90% Reduction in Prostate-specific Antigen Levels
Description
The time to 90% prostate-specific antigen (PSA) reduction from baseline was defined as the median number of days from dosing to the first visit where a 90% reduction in PSA level was reached.
Time Frame
3 months
Title
Liver Function Tests
Description
The number of participants who had abnormal (defined as above upper limit of normal range (ULN)) alanine aminotransferase (ALT) levels, aspartate aminotransferas 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
3 months

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 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.) Is a male patient with histologically proven adenocarcinoma of the prostate (all stages) in whom endocrine treatment is indicated, except for neoadjuvant hormonal therapy. For patients, prostate-specific antigen (PSA) increases on two consecutive determinations at least 2 weeks apart prior to Visit 1 must be documented. Is at least 18 years. Has an ECOG score of 2. Has a baseline testosterone level within the age specific normal range as measured by the central laboratory. Has a PSA value of 2 ng/mL as measured by the central laboratory. Has a life expectancy of at least 6 months. 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, PC-Spec) except for neoadjuvant hormonal therapy of < 6 months duration and completed > 6 months prior to Visit 1. Requires hormonal therapy for neoadjuvant purposes. Is recently (within the last 12 weeks preceding Visit 1) or presently treated with any other drug modifying the testosterone level or function. Is considered to be a candidate for curative therapy, i.e., radical prostatectomy or radiotherapy within 6 months after Visit 1. Has a history of severe asthma requiring daily treatment with inhalation steroids, angioedema or anaphylactic reactions. Has hypersensitivity towards any component of the investigational product. Has had a cancer disease within the last 10 years except for prostate cancer, and surgically removed basocellular or squamous cell carcinoma of the skin. Has a clinically significant neurologic, gastrointestinal, renal, hepatic, cardiovascular, psychological, pulmonary, metabolic, endocrine, hematological, dermatological or infectious disorder 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. Any 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 (liver transaminases must be within normal limits). Has a mental incapacity or language barrier precluding adequate understanding or co-operation. Has received an investigational drug within the last 12 weeks preceding Visit 1. Has previously participated in this 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
Advanced Urology Medical Center
City
Anaheim
State/Province
California
ZIP/Postal Code
92801
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
San Bernardino Urological Associates Medical Group
City
San Bernardino
State/Province
California
ZIP/Postal Code
92404
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
SW Florida Urological Associates
City
Fort Myers
State/Province
Florida
ZIP/Postal Code
33907
Country
United States
Facility Name
Pinellas Urology, Inc.
City
St. Petersburg
State/Province
Florida
ZIP/Postal Code
33710
Country
United States
Facility Name
Drs. Werner, Murdock & Francis, PA
City
Greenbelt
State/Province
Maryland
ZIP/Postal Code
20770
Country
United States
Facility Name
Nevada Urology Associates
City
Reno
State/Province
Nevada
ZIP/Postal Code
89511
Country
United States
Facility Name
Urology Specialists of Oklahoma, Inc.
City
Tulsa
State/Province
Oklahoma
ZIP/Postal Code
74104
Country
United States
Facility Name
Urology Clinics of NorthTexas, PA
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States
Facility Name
Urology San Antonio Research
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Study Investigating the Pharmacokinetics, Pharmacodynamics and Safety of FE200486

We'll reach out to this number within 24 hrs