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Effect of GTx-758 on Total and Free Testosterone Levels in Men With Prostate Cancer (GTx758)

Primary Purpose

Prostate Cancer

Status
Terminated
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
GTx-758 1000mg
Lupron Depot
GTx-758 2000mg
Sponsored by
GTx
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Prostate Cancer

Eligibility Criteria

45 Years - 80 Years (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  1. be between age 45 and 80 years of age
  2. be able to communicate effectively with study personnel
  3. ECOG is < or = 2
  4. screening serum total testosterone> or = 150ng/dL
  5. have prostate cancer, confirmed by pathology report
  6. have not been treated with androgen deprivation therapy(chemical or surgical
  7. have a clinical indication for the initiation of androgen deprivation therapy
  8. give written informed consent prior to any study specific procedures
  9. subject must agree to use acceptable methods of contraception

Exclusion Criteria:

  1. known hypersensitivity or allergy to estrogen or estrogen like drugs
  2. a clinically significant concurrent illness or psychological, familial, sociological, geographical or other concomitant condition that would not permit adequate follow-up and compliance with the study protocol
  3. history of abnormal blood clotting,Factor V Leiden clotting disorder, thrombotic disease
  4. have ALT or AST above 2 times the upper normal limit
  5. have alkaline phosphatase greater than 3 times UNL and/or bilirubin levels above 2mg/dL at baseline
  6. patients cannot have brain or spinal cord metastases
  7. patients cannot have or be at risk for spinal cord compression from bone metastases
  8. received an investigational drug within a period of 90 days prior to enrollment in the study
  9. received the study medication previously
  10. currently taking testosterone, testosterone-like agents, or antiandrogens including 5-alpha reductase inhibitors within 4 weeks of randomization
  11. currently taking Saw Palmetto or PC-SPES (the subject may be considered for randomization after a 4 week washout period prior to randomization)
  12. have taken diethylstilbestrol or other estrogen products within the previous 12 months prior to randomization
  13. have taken body building or fertility supplements within 4 weeks of admission into the study (steroids and steroid like supplements)
  14. have a history of cancer other than prostate cancer, superficial bladder cancer (with no recurrence in the last 5 years) and/or non-melanoma carcinoma of the skin
  15. QTcB>480 msec, If the first QTcB reading exceeds 480msec two additional ECGs are to be performed separated at least 5 min apart, then take the average of the three QTcB or readings to determine if the subject satisfies the above criteria. If the average QYcB reading is >480 msec then the subject is excluded.

Sites / Locations

  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site
  • GTx Investigative Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

GTx- 758 1000mg

GTx-758 2000mg

Lupron Depot

Arm Description

GTx-758/Experimental/ nonsteroidal selective ER alpha agonist

GTx-758/Experimental/ nonsteroidal selective ER alpha agonist

Luteinizing Hormone Releasing Hormone Agonist

Outcomes

Primary Outcome Measures

Number of Participants Who Are Castrate by Day 60

Secondary Outcome Measures

Number of Participants Who Are Castrate by Day 60 and Maintained Castrate Range From Day 60 to Day 360/End of Study.
Time to Castration in Participants With Prostate Cancer
Median time to castration was summarized using the Kaplan-Meier method.

Full Information

First Posted
March 25, 2011
Last Updated
June 20, 2023
Sponsor
GTx
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1. Study Identification

Unique Protocol Identification Number
NCT01326312
Brief Title
Effect of GTx-758 on Total and Free Testosterone Levels in Men With Prostate Cancer
Acronym
GTx758
Official Title
Phase II, Open Label, Dose Finding Study of the Effect of GTx-758 on Total and Free Testosterone Levels in Men With Prostate Cancer Compared to a Luteinizing Hormone Releasing Hormone Agonist
Study Type
Interventional

2. Study Status

Record Verification Date
February 2021
Overall Recruitment Status
Terminated
Why Stopped
FDA Clinical Hold
Study Start Date
June 2011 (undefined)
Primary Completion Date
December 2012 (Actual)
Study Completion Date
December 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GTx

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to determine whether GTx 758 is effective in achieving and maintaining castrate testosterone levels in men with advanced prostate cancer.
Detailed Description
Prostate cancer is one of the most frequently diagnosed noncutaneous cancers among men in the US and is the second most common cause of cancer deaths. Patients with advanced prostate cancer undergo androgen deprivation therapy (ADT), by either LHRH agonists, LHRH antagonists, DES and other nonselective estrogens, or by bilateral orchiectomy. ADT by LHRH agonists, LHRH antagonists, or bilateral orchiectomy not only reduces testosterone, but also substantially lowers estrogen levels as estrogen is derived from the aromatization of testosterone. ADT-induced estrogen deficiency causes significant side effects which include hot flushes, gynecomastia, bone loss, decreases in bone quality and strength, osteoporosis and life-threatening fractures, adverse lipid changes, increase in body fat composition, and higher cardiovascular disease and myocardial infarction, and depression and other mood changes. GTx-758 is a nonsteroidal selective ER agonist that suppresses LH secretion by the pituitary by feedback inhibition of the hypothalamic-pituitary-gonadal axis to induce castrate levels of testosterone. However, because it is a selective ER agonist, GTx-758 may maintain bone, does not induce hot flushes, avoids adverse lipid changes and body fat composition changes, and does not have the acute testosterone surge that are associated with other forms of ADT.

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 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
159 (Actual)

8. Arms, Groups, and Interventions

Arm Title
GTx- 758 1000mg
Arm Type
Experimental
Arm Description
GTx-758/Experimental/ nonsteroidal selective ER alpha agonist
Arm Title
GTx-758 2000mg
Arm Type
Experimental
Arm Description
GTx-758/Experimental/ nonsteroidal selective ER alpha agonist
Arm Title
Lupron Depot
Arm Type
Active Comparator
Arm Description
Luteinizing Hormone Releasing Hormone Agonist
Intervention Type
Drug
Intervention Name(s)
GTx-758 1000mg
Intervention Description
comparison of different dosages of GTx-758 with leuprolide acetate for depot suspension
Intervention Type
Drug
Intervention Name(s)
Lupron Depot
Intervention Description
comparison of different dosages of GTx-758 with leuprolide acetate for depot suspension
Intervention Type
Drug
Intervention Name(s)
GTx-758 2000mg
Intervention Description
comparison of different dosages of GTx-758 with leuprolide acetate for depot suspension
Primary Outcome Measure Information:
Title
Number of Participants Who Are Castrate by Day 60
Time Frame
60 days
Secondary Outcome Measure Information:
Title
Number of Participants Who Are Castrate by Day 60 and Maintained Castrate Range From Day 60 to Day 360/End of Study.
Time Frame
12 months
Title
Time to Castration in Participants With Prostate Cancer
Description
Median time to castration was summarized using the Kaplan-Meier method.
Time Frame
60 days

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
45 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: be between age 45 and 80 years of age be able to communicate effectively with study personnel ECOG is < or = 2 screening serum total testosterone> or = 150ng/dL have prostate cancer, confirmed by pathology report have not been treated with androgen deprivation therapy(chemical or surgical have a clinical indication for the initiation of androgen deprivation therapy give written informed consent prior to any study specific procedures subject must agree to use acceptable methods of contraception Exclusion Criteria: known hypersensitivity or allergy to estrogen or estrogen like drugs a clinically significant concurrent illness or psychological, familial, sociological, geographical or other concomitant condition that would not permit adequate follow-up and compliance with the study protocol history of abnormal blood clotting,Factor V Leiden clotting disorder, thrombotic disease have ALT or AST above 2 times the upper normal limit have alkaline phosphatase greater than 3 times UNL and/or bilirubin levels above 2mg/dL at baseline patients cannot have brain or spinal cord metastases patients cannot have or be at risk for spinal cord compression from bone metastases received an investigational drug within a period of 90 days prior to enrollment in the study received the study medication previously currently taking testosterone, testosterone-like agents, or antiandrogens including 5-alpha reductase inhibitors within 4 weeks of randomization currently taking Saw Palmetto or PC-SPES (the subject may be considered for randomization after a 4 week washout period prior to randomization) have taken diethylstilbestrol or other estrogen products within the previous 12 months prior to randomization have taken body building or fertility supplements within 4 weeks of admission into the study (steroids and steroid like supplements) have a history of cancer other than prostate cancer, superficial bladder cancer (with no recurrence in the last 5 years) and/or non-melanoma carcinoma of the skin QTcB>480 msec, If the first QTcB reading exceeds 480msec two additional ECGs are to be performed separated at least 5 min apart, then take the average of the three QTcB or readings to determine if the subject satisfies the above criteria. If the average QYcB reading is >480 msec then the subject is excluded.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mitchell Steiner, MD
Organizational Affiliation
GTx
Official's Role
Study Director
Facility Information:
Facility Name
GTx Investigative Site
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85032
Country
United States
Facility Name
GTx Investigative Site
City
La Mesa
State/Province
California
ZIP/Postal Code
91942
Country
United States
Facility Name
GTx Investigative Site
City
Los Angeles
State/Province
California
ZIP/Postal Code
90048
Country
United States
Facility Name
GTx Investigative Site
City
San Bernardino
State/Province
California
ZIP/Postal Code
92404
Country
United States
Facility Name
GTx Investigative Site
City
Middlebury
State/Province
Connecticut
ZIP/Postal Code
06762
Country
United States
Facility Name
GTx Investigative Site
City
Aventura
State/Province
Florida
ZIP/Postal Code
33180
Country
United States
Facility Name
GTx Investigative Site
City
Daytona Beach
State/Province
Florida
ZIP/Postal Code
32114
Country
United States
Facility Name
GTx Investigative Site
City
Wellington
State/Province
Florida
ZIP/Postal Code
33449
Country
United States
Facility Name
GTx Investigative Site
City
Marietta
State/Province
Georgia
ZIP/Postal Code
30060
Country
United States
Facility Name
GTx Investigative Site
City
Springfield
State/Province
Illinois
ZIP/Postal Code
62703
Country
United States
Facility Name
GTx Investigative Site
City
Fort Wayne
State/Province
Indiana
ZIP/Postal Code
46825
Country
United States
Facility Name
GTx Investigative Site
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46260
Country
United States
Facility Name
GTx Investigative Site
City
Jeffersonville
State/Province
Indiana
ZIP/Postal Code
47130
Country
United States
Facility Name
GTx Investigative Site
City
Annapolis
State/Province
Maryland
ZIP/Postal Code
21401
Country
United States
Facility Name
GTx Investigative Site
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21204
Country
United States
Facility Name
GTx Investigative Site
City
Brick
State/Province
New Jersey
ZIP/Postal Code
08724
Country
United States
Facility Name
GTx Investigative Site
City
Lawrenceville
State/Province
New Jersey
ZIP/Postal Code
08648
Country
United States
Facility Name
GTx Investigative Site
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87109
Country
United States
Facility Name
GTx Investigative Site
City
Albany
State/Province
New York
ZIP/Postal Code
12208
Country
United States
Facility Name
GTx Investigative Site
City
Garden City
State/Province
New York
ZIP/Postal Code
11530
Country
United States
Facility Name
GTx Investigative Site
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Facility Name
GTx Investigative Site
City
Oneida
State/Province
New York
ZIP/Postal Code
13421
Country
United States
Facility Name
GTx Investigative Site
City
Syracuse
State/Province
New York
ZIP/Postal Code
13210
Country
United States
Facility Name
GTx Investigative Site
City
Chapel Hill
State/Province
North Carolina
ZIP/Postal Code
27514
Country
United States
Facility Name
GTx Investigative Site
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27607
Country
United States
Facility Name
GTx Investigative Site
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45212
Country
United States
Facility Name
GTx Investigative Site
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43220
Country
United States
Facility Name
GTx Investigative Site
City
Bala-Cynwyd
State/Province
Pennsylvania
ZIP/Postal Code
19004
Country
United States
Facility Name
GTx Investigative Site
City
Lancaster
State/Province
Pennsylvania
ZIP/Postal Code
17606
Country
United States
Facility Name
GTx Investigative Site
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15232
Country
United States
Facility Name
GTx Investigative Site
City
Myrtle Beach
State/Province
South Carolina
ZIP/Postal Code
29572
Country
United States
Facility Name
GTx Investigative Site
City
Memphis
State/Province
Tennessee
ZIP/Postal Code
38117
Country
United States
Facility Name
GTx Investigative Site
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37209
Country
United States
Facility Name
GTx Investigative Site
City
Arlington
State/Province
Texas
ZIP/Postal Code
76017
Country
United States
Facility Name
GTx Investigative Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
GTx Investigative Site
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Effect of GTx-758 on Total and Free Testosterone Levels in Men With Prostate Cancer

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