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A Study of Degarelix in Patients With Prostate Cancer

Primary Purpose

Prostate Cancer

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Degarelix
Degarelix
Leuprolide
Sponsored by
Ferring Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Prostate Cancer

Eligibility Criteria

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

Inclusion Criteria:

  • 18 years or older.
  • Raising PSA after prior treatment failure of localized prostate cancer.
  • Has a histological confirmed non-metastatic cancer of the prostate (Gleason graded) based on the most current biopsy.
  • Has a screening testosterone within normal range (≥1.5 ng/mL).
  • Has Eastern Cooperative Oncology Group score of ≤2.
  • Bone scan or CT scan report documenting no evidence of metastasis to the bone or internal organs.
  • Life expectancy of at least 15 months.

Exclusion Criteria:

  • Taken hormone therapy in the last 6 months prior to entering this study.
  • Being treated with 5-alpha reductase inhibitor at time of enrolment and remained on a stable dose throughout the trial.
  • Has a history of severe uncontrolled asthma, anaphylactic reactions, or severe urticaria and/or angioedema.
  • Has hypersensitivity towards any component of the study drug.
  • Has a previous history or presence of another malignancy other than prostate cancer or treated squamous/basal cell carcinoma of the skin within the last five years.
  • Has abnormal laboratory results which in the judgement of the Investigator would affect the patient's health or the outcome of the trial.
  • Has a clinically significant medical condition (other than prostate cancer) including but not limited to; renal, haematological, gastrointestinal, endocrine, cardiac, neurological or psychiatric disease and alcohol or drug abuse or any other condition which may affect the patient's health or the outcome of the trial as judged by the Investigator.
  • Has an intellectual incapacity or language barriers precluding adequate understanding or co-operation.
  • Has received an investigational drug within the last 28 days before the Screening visit or longer if considered to possibly influence the outcome of the current trial.
  • Has received ketoconazole or diflucan in the last 28 days preceding the Screening Visit.
  • Has previously participated in any Degarelix trial.
  • Is part of an ongoing trial.

Sites / Locations

  • Alabama Clinical Research, Inc
  • Urology Center of Alabama, PC
  • Advanced Urology Medical Center
  • Peninsula Urology Medical Center
  • Urology Associates of Central California
  • South Orange County Medical Research Center
  • Atlantic Urology Medical Group
  • San Bernardino Urological Associates
  • San Diego Uro-Research
  • Santa Barbara Clinical Research
  • University of Colorado Health Sciences Center
  • The Urology Center of Colorado
  • Urology Associates Research
  • Connecticut Clinical Research Center
  • Grove Hill Medical Center
  • Walter Reed Army Hospital Medical Center
  • South Florida Medical Research
  • Urology Health Solutions, Inc
  • Florida Urology Physicians
  • University of Florida
  • Winter Park Urology Associates
  • Southeastern Urology Center, PA
  • Tampa Bay Urology
  • Advanced Research Institute, Inc
  • Urology Enterprises
  • Midwest Urology/RMD Clinical Research Institute
  • Deaconess Clinic Inc
  • Northeast Indiana Research
  • Metropolitan Urology, PSC
  • Regional Urology, Lic
  • Chesapeake Urology Associates
  • Chesapeake Urology Research Associates
  • Chesapeake Urology Research Associates
  • Myron Murdock M.D. LLC
  • Chesapeake Urology Associates, PA
  • Urology Associates of Englewood
  • Hamilton Urology PA
  • Lawrenceville Urology
  • Nationsmed Clinical Research
  • Center for Urologic Care
  • Delaware Valley Urology LLC
  • The Urological Institute of NE NY, CCP
  • Medical & Clinical Research Associates
  • Brooklyn Heights Urology Associates, P.C.
  • University Urology Associates
  • Hudson Valley Urology P.C.
  • Northeast Urology Research
  • Alliance Urology Specialists
  • Urological Association of Lancaster
  • State College Urologic Association
  • Carolina Urologic Research Center
  • Lexington Urological Associates, PA
  • Urology Associates
  • Lackland Air Force base
  • Urology of Virginia
  • Virginal Urology
  • Virginia Urology Center
  • Seattle Urology Research Center
  • Roger D. Fincher, PS

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

DI (Degarelix Intermittent)

DC (Degarelix Continuous)

LC (Leuprolide Continuous)

Arm Description

Patients in this arm received degarelix with a starting dose of 240 mg at a concentration of 40 mg/mL on Day 0 administered subcutaneously (s.c.) into the anterior abdominal wall via two equivalent injections of 120 mg (3 mL) each. Six maintenance doses of degarelix 80 mg per month at a concentration of 20 mg/mL (4 mL) at Days 28 to 168 were administered. During Phase B of the trial, If a patient had Prostate Specific Antigen (PSA) ≥2 ng/mL at any visit, additional doses of degarelix 240 mg followed by 80 mg maintenance dose(s) were administered.

Patients in this arm received degarelix with a starting dose of 240 mg at a concentration of 40 mg/mL administered on Day 0 (Visit 1) s.c. into the anterior abdominal wall via two equivalent injections of 120 mg (3 mL) each. Thirteen maintenance doses of degarelix 80 mg per month at a concentration of 20 mg/mL (4 mL) at Days 28 to 364, administered s.c. into the anterior abdominal wall

Patients in this arm received leuprolide 7.5 mg one-month depot injection on Day 0, administered intramuscular (i.m.) into a large muscle, as per manufacturer's labeling directions. One injection of 22.5 mg leuprolide 3-month depot was administered i.m. as per manufacturer's labeling directions at Day 28 and every 3 months afterwards for 4 additional doses (i.e at Days 112, 196, 280, and 364, respectively). On Investigator's discretion, patients in the arm could take bicalutamide (Casodex®) for a maximum of 28 days to alleviate increased signs and symptoms due to initial upsurge in testosterone levels.

Outcomes

Primary Outcome Measures

Percentage of Patients With Serum PSA Levels ≤4.0 ng/mL
Percentage of patients with serum PSA levels ≤4.0 ng/mL at 14 month was presented.

Secondary Outcome Measures

Absolute Change From Baseline in Serum PSA Levels
Absolute change from Baseline in serum PSA levels during the study period was measured.
Percent Change From Baseline in Serum PSA Levels
Percent change from Baseline in serum PSA levels during the study period was measured.
Change From Baseline in Quality of Life as Assessed by the Functional Assessment of Cancer Therapy-Prostate (FACT-P) : Physical Well-being
The FACT-P is a multidimensional, self-report quality of life (QoL) instrument specifically designed for use with prostate cancer patients. It consists of 27 core items which assess patient function in four domains: Physical, Social/Family, Emotional, and Functional well-being, which is further supplemented by 12 site specific items to assess for prostate related symptoms. Each question is rated on a scale from 0 to 4, and then combined to produce sub-scale scores for each domain, as well as a global QoL score. Physical well-being consist of 7 items and scored on a scale of 0-4 (0=Not at all; 1=A little bit; 2=Somewhat; 3=Quite a bit; 4=Very much). Total score for the physical well-being sub scale ranges from 0 to 28. Higher scores represent better QoL.
Change From Baseline in Quality of Life as Assessed by the FACT-P : Emotional Well-being
The FACT-P is a multidimensional, self-report quality of life (QoL) instrument specifically designed for use with prostate cancer patients. It consists of 27 core items which assess patient function in four domains: Physical, Social/Family, Emotional, and Functional well-being, which is further supplemented by 12 site specific items to assess for prostate related symptoms. Each question is rated on a scale from 0 to 4, and then combined to produce sub-scale scores for each domain, as well as a global QoL score. Emotional well-being consist of 6 items and scored on a scale of 0-4 (0=Not at all; 1=A little bit; 2=Somewhat; 3=Quite a bit; 4=Very much). Total score for the emotional well-being sub scale ranges from 0 to 24. Higher scores represent better QoL.Higher scores represent better QoL.
Change From Baseline in Quality of Life as Assessed by the FACT-P : Social Well-being
The FACT-P is a multidimensional, self-report quality of life (QoL) instrument specifically designed for use with prostate cancer patients. It consists of 27 core items which assess patient function in four domains: Physical, Social/Family, Emotional, and Functional well-being, which is further supplemented by 12 site specific items to assess for prostate related symptoms. Each question is rated on a scale from 0 to 4, and then combined to produce sub-scale scores for each domain, as well as a global QoL score. Social well-being consist of 7 items and scored on a scale of 0-4 (0=Not at all; 1=A little bit; 2=Somewhat; 3=Quite a bit; 4=Very much). Total score for the social well-being sub scale ranges from 0 to 28. Higher scores represent better QoL.
Change From Baseline in Quality of Life as Assessed by the FACT-P : Functional Well-being
The FACT-P is a multidimensional, self-report quality of life (QoL) instrument specifically designed for use with prostate cancer patients. It consists of 27 core items which assess patient function in four domains: Physical, Social/Family, Emotional, and Functional well-being, which is further supplemented by 12 site specific items to assess for prostate related symptoms. Each question is rated on a scale from 0 to 4, and then combined to produce sub-scale scores for each domain, as well as a global QoL score. Functional well-being consist of 7 items and scored on a scale of 0-4 (0=Not at all; 1=A little bit; 2=Somewhat; 3=Quite a bit; 4=Very much). Total score for the functional well-being sub scale ranges from 0 to 28. Higher scores represent better QoL.
Change From Baseline in Quality of Life as Assessed by the FACT-P : Additional Concerns
The FACT-P is a multidimensional, self-report quality of life (QoL) instrument specifically designed for use with prostate cancer patients. It consists of 27 core items which assess patient function in four domains: Physical, Social/Family, Emotional, and Functional well-being, which is further supplemented by 12 site specific items to assess for prostate related symptoms. Each question is rated on a scale from 0 to 4, and then combined to produce sub-scale scores for each domain, as well as a global QoL score. Additional concerns consist of 12 items and scored on a scale of 0-4 (0=Not at all; 1=A little bit; 2=Somewhat; 3=Quite a bit; 4=Very much). Total score for the additional concerns ranges from 0 to 48. Higher scores represent better QoL.
Change From Baseline in Quality of Life as Assessed by the FACT-P: Total FACT-P Score
The FACT-P is a multidimensional, self-report quality of life (QoL) instrument specifically designed for use with prostate cancer patients. It consists of 27 core items which assess patient function in four domains: Physical, Social/Family, Emotional, and Functional well-being, which is further supplemented by 12 site specific items to assess for prostate related symptoms. Each question is rated on a scale from 0 to 4, and then combined to produce sub-scale scores for each domain, as well as a global QoL score. Total FACT-P scores ranges from 0 to 156. Higher scores represent better QoL.
Change From Baseline in Sexual Function as Assessed by the Sexual Function Index (SFI): Sexual Drive
The SFI is a multidimensional, self-report instrument specifically designed to evaluate sexual function and satisfaction of men on treatment or with conditions that may affect sexual function. It consists of 11 questions which assess patient function in four domains: Sexual drive, Erection, Ejaculation, and Problem assessment, and a question in regards to overall assessment of sexual function. Sexual drive domain consist of 2 questions and are scored on a scale of 0-4 (0=minimum, 4=maximum). Total score for the sexual drive domain ranges from 0 to 8. A higher scores represent better sexual function.
Change From Baseline in Sexual Function as Assessed by the SFI: Erection
The SFI is a multidimensional, self-report instrument specifically designed to evaluate sexual function and satisfaction of men on treatment or with conditions that may affect sexual function. It consists of 11 questions which assess patient function in four domains: Sexual drive, Erection, Ejaculation, and Problem assessment, and a question in regards to overall assessment of sexual function. Erection domain consist of 3 questions and are scored on a scale of 0-4 (0=minimum, 4=maximum). Total score for the erection domain ranges from 0 to 12. A higher scores represent better sexual function.
Change From Baseline in Sexual Function as Assessed by the SFI: Ejaculation
The SFI is a multidimensional, self-report instrument specifically designed to evaluate sexual function and satisfaction of men on treatment or with conditions that may affect sexual function. It consists of 11 questions which assess patient function in four domains: Sexual drive, Erection, Ejaculation, and Problem assessment, and a question in regards to overall assessment of sexual function. Ejaculation domain consist of 2 questions and are scored on a scale of 0-4 (0=minimum, 4=maximum). Total score for the ejaculation domain ranges from 0 to 8. A higher scores represent better sexual function.
Change From Baseline in Sexual Function as Assessed by the SFI: Problem Assessment
The SFI is a multidimensional, self-report instrument specifically designed to evaluate sexual function and satisfaction of men on treatment or with conditions that may affect sexual function. It consists of 11 questions which assess patient function in four domains: Sexual drive, Erection, Ejaculation, and Problem assessment, and a question in regards to overall assessment of sexual function. Problem assessment domain consist of 2 questions and are scored on a scale of 0-4 (0=minimum, 4=maximum). Total score for the problem assessment domain ranges from 0 to 8. A higher scores represent better sexual function.
Change From Baseline in Sexual Function as Assessed by the SFI: Overall Satisfaction With Sex Life
The SFI is a multidimensional, self-report instrument specifically designed to evaluate sexual function and satisfaction of men on treatment or with conditions that may affect sexual function. It consists of 11 questions which assess patient function in four domains: Sexual drive, Erection, Ejaculation, and Problem assessment, and a question in regards to overall assessment of sexual function. Overall satisfaction domain consist of single question and is scored on a scale of 0-4 (0=minimum, 4=maximum). A higher score represent better sexual function.
Change From Baseline in Sexual Function as Assessed by the SFI: Total SFI Score
The SFI is a multidimensional, self-report instrument specifically designed to evaluate sexual function and satisfaction of men on treatment or with conditions that may affect sexual function. It consists of 11 questions which assess patient function in four domains: Sexual drive, Erection, Ejaculation, and Problem assessment, and a question in regards to overall assessment of sexual function. Total SFI score ranges from 0 to 44. A higher scores represent better sexual function.
Percentage of Subjects With a Serum PSA Level ≤4.0 ng/mL
Percentage of Subjects With a Serum PSA Level ≤4.0 ng/mL was measured during the study period.
Time to Return to Testosterone >0.5 ng/mL Level in the DI Treatment Group
The time to testosterone >0.5 ng/mL level in the DI group was counted from the start of Phase B at Day 196 (i.e. 28 days after last injection of degarelix)
Time to Return to Normal Range (≥1.5 ng/mL) or Baseline Testosterone Level
The time to return to normal range (≥1.5 ng/mL) or Baseline testosterone level in the DI group was counted from the start of Phase B at Day 196 (i.e. 28 days after last injection of degarelix).
Absolute Change From Baseline in Serum Testosterone Levels
Absolute Change From Baseline in Serum Testosterone Levels was measured.
Percent Change From Baseline in Serum Testosterone Levels
Percent change from Baseline in serum testosterone levels was measured.

Full Information

First Posted
June 25, 2009
Last Updated
October 21, 2016
Sponsor
Ferring Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT00928434
Brief Title
A Study of Degarelix in Patients With Prostate Cancer
Official Title
A Randomized, Controlled, Open-Label Study Investigating the Safety and Efficacy of Degarelix Given Intermittently vs Continuous Androgen Deprivation Therapy With Lupron or Degarelix in Patients With Prostate Cancer With Prior Treatment Failure After Localized Treatment
Study Type
Interventional

2. Study Status

Record Verification Date
October 2016
Overall Recruitment Status
Completed
Study Start Date
May 2009 (undefined)
Primary Completion Date
August 2012 (Actual)
Study Completion Date
August 2012 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study was to see if giving Degarelix every month for 7 months then stop treatment for 7 months (intermittent therapy) would show a reduction of negative effects of androgen deprivation therapy by increasing the quality of life while keeping prostate specific antigen (PSA) levels suppressed.
Detailed Description
This was an open-label, randomized, parallel-arm, multicenter study to determine if degarelix intermittent therapy was non-inferior to continuous androgen deprivation therapy (combination of treatment groups receiving continuous degarelix and leuprolide therapy, respectively) in maintaining PSA levels at ≤ 4.0 ng/mL at 14 months. The study consisted of two phases, Phase A and B. During Phase A, patients in the degarelix intermittent and degarelix continuous arms received 7 months of therapy with degarelix one-month depot formulation and patients in the leuprolide continuous arm received leuprolide one-month depot injection (7.5 mg) followed by two 3-month depot (22.5 mg) injections. After 7 months of treatment, patients with a PSA ≤2 ng/mL continued into Phase B. During Phase B, patients in the degarelix intermittent arm had a 7-month off-treatment period. Patients randomized to the degarelix continuous arm and the leuprolide continuous arm continued to receive degarelix or leuprolide depot as in Phase A for the remainder of the 14 months.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Prostate Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
409 (Actual)

8. Arms, Groups, and Interventions

Arm Title
DI (Degarelix Intermittent)
Arm Type
Experimental
Arm Description
Patients in this arm received degarelix with a starting dose of 240 mg at a concentration of 40 mg/mL on Day 0 administered subcutaneously (s.c.) into the anterior abdominal wall via two equivalent injections of 120 mg (3 mL) each. Six maintenance doses of degarelix 80 mg per month at a concentration of 20 mg/mL (4 mL) at Days 28 to 168 were administered. During Phase B of the trial, If a patient had Prostate Specific Antigen (PSA) ≥2 ng/mL at any visit, additional doses of degarelix 240 mg followed by 80 mg maintenance dose(s) were administered.
Arm Title
DC (Degarelix Continuous)
Arm Type
Experimental
Arm Description
Patients in this arm received degarelix with a starting dose of 240 mg at a concentration of 40 mg/mL administered on Day 0 (Visit 1) s.c. into the anterior abdominal wall via two equivalent injections of 120 mg (3 mL) each. Thirteen maintenance doses of degarelix 80 mg per month at a concentration of 20 mg/mL (4 mL) at Days 28 to 364, administered s.c. into the anterior abdominal wall
Arm Title
LC (Leuprolide Continuous)
Arm Type
Active Comparator
Arm Description
Patients in this arm received leuprolide 7.5 mg one-month depot injection on Day 0, administered intramuscular (i.m.) into a large muscle, as per manufacturer's labeling directions. One injection of 22.5 mg leuprolide 3-month depot was administered i.m. as per manufacturer's labeling directions at Day 28 and every 3 months afterwards for 4 additional doses (i.e at Days 112, 196, 280, and 364, respectively). On Investigator's discretion, patients in the arm could take bicalutamide (Casodex®) for a maximum of 28 days to alleviate increased signs and symptoms due to initial upsurge in testosterone levels.
Intervention Type
Drug
Intervention Name(s)
Degarelix
Intervention Description
Degarelix treatment provided for first seven months (one starting dose and six maintenance doses) followed by no treatment for next seven months period.
Intervention Type
Drug
Intervention Name(s)
Degarelix
Intervention Description
Degarelix treatment provided for complete study period (one starting dose and 13 maintenance doses).
Intervention Type
Drug
Intervention Name(s)
Leuprolide
Intervention Description
Leuprolide treatment for complete study period (one starting dose and 5 maintenance doses of 3-month depot each)
Primary Outcome Measure Information:
Title
Percentage of Patients With Serum PSA Levels ≤4.0 ng/mL
Description
Percentage of patients with serum PSA levels ≤4.0 ng/mL at 14 month was presented.
Time Frame
At 14 month
Secondary Outcome Measure Information:
Title
Absolute Change From Baseline in Serum PSA Levels
Description
Absolute change from Baseline in serum PSA levels during the study period was measured.
Time Frame
Phase A Visit 1-8 and Phase B Visit 9-15.
Title
Percent Change From Baseline in Serum PSA Levels
Description
Percent change from Baseline in serum PSA levels during the study period was measured.
Time Frame
Phase A Visit 1-8 and Phase B Visit 9-15.
Title
Change From Baseline in Quality of Life as Assessed by the Functional Assessment of Cancer Therapy-Prostate (FACT-P) : Physical Well-being
Description
The FACT-P is a multidimensional, self-report quality of life (QoL) instrument specifically designed for use with prostate cancer patients. It consists of 27 core items which assess patient function in four domains: Physical, Social/Family, Emotional, and Functional well-being, which is further supplemented by 12 site specific items to assess for prostate related symptoms. Each question is rated on a scale from 0 to 4, and then combined to produce sub-scale scores for each domain, as well as a global QoL score. Physical well-being consist of 7 items and scored on a scale of 0-4 (0=Not at all; 1=A little bit; 2=Somewhat; 3=Quite a bit; 4=Very much). Total score for the physical well-being sub scale ranges from 0 to 28. Higher scores represent better QoL.
Time Frame
During 14 months
Title
Change From Baseline in Quality of Life as Assessed by the FACT-P : Emotional Well-being
Description
The FACT-P is a multidimensional, self-report quality of life (QoL) instrument specifically designed for use with prostate cancer patients. It consists of 27 core items which assess patient function in four domains: Physical, Social/Family, Emotional, and Functional well-being, which is further supplemented by 12 site specific items to assess for prostate related symptoms. Each question is rated on a scale from 0 to 4, and then combined to produce sub-scale scores for each domain, as well as a global QoL score. Emotional well-being consist of 6 items and scored on a scale of 0-4 (0=Not at all; 1=A little bit; 2=Somewhat; 3=Quite a bit; 4=Very much). Total score for the emotional well-being sub scale ranges from 0 to 24. Higher scores represent better QoL.Higher scores represent better QoL.
Time Frame
During 14 months
Title
Change From Baseline in Quality of Life as Assessed by the FACT-P : Social Well-being
Description
The FACT-P is a multidimensional, self-report quality of life (QoL) instrument specifically designed for use with prostate cancer patients. It consists of 27 core items which assess patient function in four domains: Physical, Social/Family, Emotional, and Functional well-being, which is further supplemented by 12 site specific items to assess for prostate related symptoms. Each question is rated on a scale from 0 to 4, and then combined to produce sub-scale scores for each domain, as well as a global QoL score. Social well-being consist of 7 items and scored on a scale of 0-4 (0=Not at all; 1=A little bit; 2=Somewhat; 3=Quite a bit; 4=Very much). Total score for the social well-being sub scale ranges from 0 to 28. Higher scores represent better QoL.
Time Frame
During 14 months
Title
Change From Baseline in Quality of Life as Assessed by the FACT-P : Functional Well-being
Description
The FACT-P is a multidimensional, self-report quality of life (QoL) instrument specifically designed for use with prostate cancer patients. It consists of 27 core items which assess patient function in four domains: Physical, Social/Family, Emotional, and Functional well-being, which is further supplemented by 12 site specific items to assess for prostate related symptoms. Each question is rated on a scale from 0 to 4, and then combined to produce sub-scale scores for each domain, as well as a global QoL score. Functional well-being consist of 7 items and scored on a scale of 0-4 (0=Not at all; 1=A little bit; 2=Somewhat; 3=Quite a bit; 4=Very much). Total score for the functional well-being sub scale ranges from 0 to 28. Higher scores represent better QoL.
Time Frame
During 14 months
Title
Change From Baseline in Quality of Life as Assessed by the FACT-P : Additional Concerns
Description
The FACT-P is a multidimensional, self-report quality of life (QoL) instrument specifically designed for use with prostate cancer patients. It consists of 27 core items which assess patient function in four domains: Physical, Social/Family, Emotional, and Functional well-being, which is further supplemented by 12 site specific items to assess for prostate related symptoms. Each question is rated on a scale from 0 to 4, and then combined to produce sub-scale scores for each domain, as well as a global QoL score. Additional concerns consist of 12 items and scored on a scale of 0-4 (0=Not at all; 1=A little bit; 2=Somewhat; 3=Quite a bit; 4=Very much). Total score for the additional concerns ranges from 0 to 48. Higher scores represent better QoL.
Time Frame
During 14 months
Title
Change From Baseline in Quality of Life as Assessed by the FACT-P: Total FACT-P Score
Description
The FACT-P is a multidimensional, self-report quality of life (QoL) instrument specifically designed for use with prostate cancer patients. It consists of 27 core items which assess patient function in four domains: Physical, Social/Family, Emotional, and Functional well-being, which is further supplemented by 12 site specific items to assess for prostate related symptoms. Each question is rated on a scale from 0 to 4, and then combined to produce sub-scale scores for each domain, as well as a global QoL score. Total FACT-P scores ranges from 0 to 156. Higher scores represent better QoL.
Time Frame
During 14 months
Title
Change From Baseline in Sexual Function as Assessed by the Sexual Function Index (SFI): Sexual Drive
Description
The SFI is a multidimensional, self-report instrument specifically designed to evaluate sexual function and satisfaction of men on treatment or with conditions that may affect sexual function. It consists of 11 questions which assess patient function in four domains: Sexual drive, Erection, Ejaculation, and Problem assessment, and a question in regards to overall assessment of sexual function. Sexual drive domain consist of 2 questions and are scored on a scale of 0-4 (0=minimum, 4=maximum). Total score for the sexual drive domain ranges from 0 to 8. A higher scores represent better sexual function.
Time Frame
During 14 months
Title
Change From Baseline in Sexual Function as Assessed by the SFI: Erection
Description
The SFI is a multidimensional, self-report instrument specifically designed to evaluate sexual function and satisfaction of men on treatment or with conditions that may affect sexual function. It consists of 11 questions which assess patient function in four domains: Sexual drive, Erection, Ejaculation, and Problem assessment, and a question in regards to overall assessment of sexual function. Erection domain consist of 3 questions and are scored on a scale of 0-4 (0=minimum, 4=maximum). Total score for the erection domain ranges from 0 to 12. A higher scores represent better sexual function.
Time Frame
During 14 months
Title
Change From Baseline in Sexual Function as Assessed by the SFI: Ejaculation
Description
The SFI is a multidimensional, self-report instrument specifically designed to evaluate sexual function and satisfaction of men on treatment or with conditions that may affect sexual function. It consists of 11 questions which assess patient function in four domains: Sexual drive, Erection, Ejaculation, and Problem assessment, and a question in regards to overall assessment of sexual function. Ejaculation domain consist of 2 questions and are scored on a scale of 0-4 (0=minimum, 4=maximum). Total score for the ejaculation domain ranges from 0 to 8. A higher scores represent better sexual function.
Time Frame
During 14 months
Title
Change From Baseline in Sexual Function as Assessed by the SFI: Problem Assessment
Description
The SFI is a multidimensional, self-report instrument specifically designed to evaluate sexual function and satisfaction of men on treatment or with conditions that may affect sexual function. It consists of 11 questions which assess patient function in four domains: Sexual drive, Erection, Ejaculation, and Problem assessment, and a question in regards to overall assessment of sexual function. Problem assessment domain consist of 2 questions and are scored on a scale of 0-4 (0=minimum, 4=maximum). Total score for the problem assessment domain ranges from 0 to 8. A higher scores represent better sexual function.
Time Frame
During 14 months
Title
Change From Baseline in Sexual Function as Assessed by the SFI: Overall Satisfaction With Sex Life
Description
The SFI is a multidimensional, self-report instrument specifically designed to evaluate sexual function and satisfaction of men on treatment or with conditions that may affect sexual function. It consists of 11 questions which assess patient function in four domains: Sexual drive, Erection, Ejaculation, and Problem assessment, and a question in regards to overall assessment of sexual function. Overall satisfaction domain consist of single question and is scored on a scale of 0-4 (0=minimum, 4=maximum). A higher score represent better sexual function.
Time Frame
During 14 months
Title
Change From Baseline in Sexual Function as Assessed by the SFI: Total SFI Score
Description
The SFI is a multidimensional, self-report instrument specifically designed to evaluate sexual function and satisfaction of men on treatment or with conditions that may affect sexual function. It consists of 11 questions which assess patient function in four domains: Sexual drive, Erection, Ejaculation, and Problem assessment, and a question in regards to overall assessment of sexual function. Total SFI score ranges from 0 to 44. A higher scores represent better sexual function.
Time Frame
During 14 months
Title
Percentage of Subjects With a Serum PSA Level ≤4.0 ng/mL
Description
Percentage of Subjects With a Serum PSA Level ≤4.0 ng/mL was measured during the study period.
Time Frame
At 14 months
Title
Time to Return to Testosterone >0.5 ng/mL Level in the DI Treatment Group
Description
The time to testosterone >0.5 ng/mL level in the DI group was counted from the start of Phase B at Day 196 (i.e. 28 days after last injection of degarelix)
Time Frame
During Phase B
Title
Time to Return to Normal Range (≥1.5 ng/mL) or Baseline Testosterone Level
Description
The time to return to normal range (≥1.5 ng/mL) or Baseline testosterone level in the DI group was counted from the start of Phase B at Day 196 (i.e. 28 days after last injection of degarelix).
Time Frame
During Phase B
Title
Absolute Change From Baseline in Serum Testosterone Levels
Description
Absolute Change From Baseline in Serum Testosterone Levels was measured.
Time Frame
Phase A Visit 1-8 and Phase B Visit 9-15.
Title
Percent Change From Baseline in Serum Testosterone Levels
Description
Percent change from Baseline in serum testosterone levels was measured.
Time Frame
Phase A Visit 1-8 and Phase B Visit 9-15.

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 18 years or older. Raising PSA after prior treatment failure of localized prostate cancer. Has a histological confirmed non-metastatic cancer of the prostate (Gleason graded) based on the most current biopsy. Has a screening testosterone within normal range (≥1.5 ng/mL). Has Eastern Cooperative Oncology Group score of ≤2. Bone scan or CT scan report documenting no evidence of metastasis to the bone or internal organs. Life expectancy of at least 15 months. Exclusion Criteria: Taken hormone therapy in the last 6 months prior to entering this study. Being treated with 5-alpha reductase inhibitor at time of enrolment and remained on a stable dose throughout the trial. Has a history of severe uncontrolled asthma, anaphylactic reactions, or severe urticaria and/or angioedema. Has hypersensitivity towards any component of the study drug. Has a previous history or presence of another malignancy other than prostate cancer or treated squamous/basal cell carcinoma of the skin within the last five years. Has abnormal laboratory results which in the judgement of the Investigator would affect the patient's health or the outcome of the trial. Has a clinically significant medical condition (other than prostate cancer) including but not limited to; renal, haematological, gastrointestinal, endocrine, cardiac, neurological or psychiatric disease and alcohol or drug abuse or any other condition which may affect the patient's health or the outcome of the trial as judged by the Investigator. Has an intellectual incapacity or language barriers precluding adequate understanding or co-operation. Has received an investigational drug within the last 28 days before the Screening visit or longer if considered to possibly influence the outcome of the current trial. Has received ketoconazole or diflucan in the last 28 days preceding the Screening Visit. Has previously participated in any Degarelix trial. Is part of an ongoing trial.
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
Alabama Clinical Research, Inc
City
Alexander City
State/Province
Alabama
Country
United States
Facility Name
Urology Center of Alabama, PC
City
Homewood
State/Province
Alabama
Country
United States
Facility Name
Advanced Urology Medical Center
City
Anaheim
State/Province
California
Country
United States
Facility Name
Peninsula Urology Medical Center
City
Atherton
State/Province
California
Country
United States
Facility Name
Urology Associates of Central California
City
Fresno
State/Province
California
Country
United States
Facility Name
South Orange County Medical Research Center
City
Laguna Hills
State/Province
California
Country
United States
Facility Name
Atlantic Urology Medical Group
City
Long Beach
State/Province
California
Country
United States
Facility Name
San Bernardino Urological Associates
City
San Bernardino
State/Province
California
Country
United States
Facility Name
San Diego Uro-Research
City
San Diego
State/Province
California
Country
United States
Facility Name
Santa Barbara Clinical Research
City
Santa Barbara
State/Province
California
Country
United States
Facility Name
University of Colorado Health Sciences Center
City
Aurora
State/Province
Colorado
Country
United States
Facility Name
The Urology Center of Colorado
City
Denver
State/Province
Colorado
Country
United States
Facility Name
Urology Associates Research
City
Englewood
State/Province
Colorado
Country
United States
Facility Name
Connecticut Clinical Research Center
City
Middlebury
State/Province
Connecticut
Country
United States
Facility Name
Grove Hill Medical Center
City
New Britain
State/Province
Connecticut
Country
United States
Facility Name
Walter Reed Army Hospital Medical Center
City
Washington
State/Province
District of Columbia
Country
United States
Facility Name
South Florida Medical Research
City
Aventura
State/Province
Florida
Country
United States
Facility Name
Urology Health Solutions, Inc
City
Celebration
State/Province
Florida
Country
United States
Facility Name
Florida Urology Physicians
City
Fort Myers
State/Province
Florida
Country
United States
Facility Name
University of Florida
City
Gainesville
State/Province
Florida
Country
United States
Facility Name
Winter Park Urology Associates
City
Orlando
State/Province
Florida
Country
United States
Facility Name
Southeastern Urology Center, PA
City
Tallahassee
State/Province
Florida
Country
United States
Facility Name
Tampa Bay Urology
City
Tampa
State/Province
Florida
Country
United States
Facility Name
Advanced Research Institute, Inc
City
Trinity
State/Province
Florida
Country
United States
Facility Name
Urology Enterprises
City
Marietta
State/Province
Georgia
Country
United States
Facility Name
Midwest Urology/RMD Clinical Research Institute
City
Melrose Park
State/Province
Illinois
Country
United States
Facility Name
Deaconess Clinic Inc
City
Evansville
State/Province
Indiana
Country
United States
Facility Name
Northeast Indiana Research
City
Fort Wayne
State/Province
Indiana
Country
United States
Facility Name
Metropolitan Urology, PSC
City
Jeffersonville
State/Province
Indiana
Country
United States
Facility Name
Regional Urology, Lic
City
Shreveport
State/Province
Louisiana
Country
United States
Facility Name
Chesapeake Urology Associates
City
Baltimore
State/Province
Maryland
Country
United States
Facility Name
Chesapeake Urology Research Associates
City
Baltimore
State/Province
Maryland
Country
United States
Facility Name
Chesapeake Urology Research Associates
City
Glen Burnie
State/Province
Maryland
Country
United States
Facility Name
Myron Murdock M.D. LLC
City
Greenbelt
State/Province
Maryland
Country
United States
Facility Name
Chesapeake Urology Associates, PA
City
Towson
State/Province
Maryland
Country
United States
Facility Name
Urology Associates of Englewood
City
Englewood
State/Province
New Jersey
Country
United States
Facility Name
Hamilton Urology PA
City
Hamilton
State/Province
New Jersey
Country
United States
Facility Name
Lawrenceville Urology
City
Lawrenceville
State/Province
New Jersey
Country
United States
Facility Name
Nationsmed Clinical Research
City
Perth Amboy
State/Province
New Jersey
Country
United States
Facility Name
Center for Urologic Care
City
Voorhees
State/Province
New Jersey
Country
United States
Facility Name
Delaware Valley Urology LLC
City
Westampton
State/Province
New Jersey
Country
United States
Facility Name
The Urological Institute of NE NY, CCP
City
Albany
State/Province
New York
Country
United States
Facility Name
Medical & Clinical Research Associates
City
Bay Shore
State/Province
New York
Country
United States
Facility Name
Brooklyn Heights Urology Associates, P.C.
City
Brooklyn
State/Province
New York
Country
United States
Facility Name
University Urology Associates
City
New York
State/Province
New York
Country
United States
Facility Name
Hudson Valley Urology P.C.
City
Poughkeepsie
State/Province
New York
Country
United States
Facility Name
Northeast Urology Research
City
Concord
State/Province
North Carolina
Country
United States
Facility Name
Alliance Urology Specialists
City
Greensboro
State/Province
North Carolina
Country
United States
Facility Name
Urological Association of Lancaster
City
Lancaster
State/Province
Pennsylvania
Country
United States
Facility Name
State College Urologic Association
City
State College
State/Province
Pennsylvania
Country
United States
Facility Name
Carolina Urologic Research Center
City
Myrtle Beach
State/Province
South Carolina
Country
United States
Facility Name
Lexington Urological Associates, PA
City
West Columbia
State/Province
South Carolina
Country
United States
Facility Name
Urology Associates
City
Nashville
State/Province
Tennessee
Country
United States
Facility Name
Lackland Air Force base
City
San Antonio
State/Province
Texas
Country
United States
Facility Name
Urology of Virginia
City
Norfolk
State/Province
Virginia
Country
United States
Facility Name
Virginal Urology
City
Richmond
State/Province
Virginia
Country
United States
Facility Name
Virginia Urology Center
City
Richmond
State/Province
Virginia
Country
United States
Facility Name
Seattle Urology Research Center
City
Seattle
State/Province
Washington
Country
United States
Facility Name
Roger D. Fincher, PS
City
Spokane
State/Province
Washington
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
34350976
Citation
Zengerling F, Jakob JJ, Schmidt S, Meerpohl JJ, Blumle A, Schmucker C, Mayer B, Kunath F. Degarelix for treating advanced hormone-sensitive prostate cancer. Cochrane Database Syst Rev. 2021 Aug 5;8(8):CD012548. doi: 10.1002/14651858.CD012548.pub2.
Results Reference
derived

Learn more about this trial

A Study of Degarelix in Patients With Prostate Cancer

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