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A Study to Evaluate the Safety and Efficacy of Enzalutamide in Chemotherapy-Naïve, Symptomatic Patients With Metastatic Castration-Resistant Prostate Cancer

Primary Purpose

Metastatic Castration-Resistant Prostate Cancer

Status
Withdrawn
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Enzalutamide
Sponsored by
Astellas Pharma Global Development, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Metastatic Castration-Resistant Prostate Cancer focused on measuring MDV3100, prostate, cancer, enzalutamide

Eligibility Criteria

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

Inclusion Criteria:

  • Progressive prostate cancer while on androgen deprivation therapy
  • Castrate testosterone level
  • Maintenance of surgical or medical castration for duration of study
  • Radiographically visible metastatic disease
  • Symptomatic from prostate cancer
  • Eastern Cooperative Oncology Group (ECOG) 0-2
  • Life expectancy >=6 months

Exclusion Criteria:

  • Brain metastases or leptomeningeal disease
  • Prior cytotoxic chemotherapy for prostate cancer
  • Prior use of ketoconazole or abiraterone acetate or other investigational agent that blocks androgen synthesis or targets androgen receptor
  • History of seizure or condition that may predispose to seizure
  • History of loss of consciousness or transient ischemic attack within 12 months
  • Clinically significant cardiovascular disease

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Enzalutamide

    Arm Description

    Outcomes

    Primary Outcome Measures

    Radiographic progression free survival (PFS)
    Time from first dose on Day 1 to the first objective evidence of radiographic progression or death due to any cause (whichever occurs first). Radiographic disease progression is defined by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 and Prostate Cancer Clinical Trials Working Group 2 (PCWG2).

    Secondary Outcome Measures

    Overall survival
    Time from first dose on Day 1 to death due to any cause
    Time to PSA progression
    Time from first dose on Day 1 to first observation of PSA progression
    Change from baseline to last post baseline measurement Quality of life score using Functional Assessment of Cancer Therapy-Prostate (FACT-P)
    The FACT-P quality of life questionnaire is a multi-dimensional, self-reported quality of life instrument specifically designed for use with prostate cancer patients
    Change from baseline to last post baseline measurement Quality of Life score using European Quality of Life 5-Domain Scale (EQ-5D)
    EQ-5D is a standardized instrument for use as a measure of health outcome. It provides a simple descriptive profile and a single index value for health status and is designed for self-completion by respondents
    Change from baseline to last post baseline measurement Pain Assessments (Brief Pain Inventory - Short Form)
    Brief Pain Inventory is a validated instrument that is a subject self-rating scale assessing level of pain, effect of the pain on activities of daily living, and analgesic use
    Safety assessed by recording of adverse events, safety laboratory evaluations, vital signs and electrocardiograms (ECGs)

    Full Information

    First Posted
    August 9, 2012
    Last Updated
    September 14, 2012
    Sponsor
    Astellas Pharma Global Development, Inc.
    Collaborators
    Medivation, Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01663415
    Brief Title
    A Study to Evaluate the Safety and Efficacy of Enzalutamide in Chemotherapy-Naïve, Symptomatic Patients With Metastatic Castration-Resistant Prostate Cancer
    Official Title
    A Phase 2, Multicenter, Single-arm Study to Evaluate the Safety and Efficacy of Enzalutamide in Chemotherapy-Naïve, Symptomatic Patients With Metastatic Castration-Resistant Prostate Cancer
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2012
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    A business decision was made to not initiate this study.
    Study Start Date
    August 2012 (undefined)
    Primary Completion Date
    October 2014 (Anticipated)
    Study Completion Date
    October 2014 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Astellas Pharma Global Development, Inc.
    Collaborators
    Medivation, Inc.

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The purpose of this study is to investigate radiographic progression-free survival (PFS) of enzalutamide in chemotherapy-naïve patients with progressive metastatic castration-resistant prostate cancer who have symptomatic disease.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Metastatic Castration-Resistant Prostate Cancer
    Keywords
    MDV3100, prostate, cancer, enzalutamide

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Enzalutamide
    Arm Type
    Experimental
    Intervention Type
    Drug
    Intervention Name(s)
    Enzalutamide
    Other Intervention Name(s)
    MDV3100
    Intervention Description
    oral
    Primary Outcome Measure Information:
    Title
    Radiographic progression free survival (PFS)
    Description
    Time from first dose on Day 1 to the first objective evidence of radiographic progression or death due to any cause (whichever occurs first). Radiographic disease progression is defined by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 and Prostate Cancer Clinical Trials Working Group 2 (PCWG2).
    Time Frame
    26 months
    Secondary Outcome Measure Information:
    Title
    Overall survival
    Description
    Time from first dose on Day 1 to death due to any cause
    Time Frame
    26 months
    Title
    Time to PSA progression
    Description
    Time from first dose on Day 1 to first observation of PSA progression
    Time Frame
    26 months
    Title
    Change from baseline to last post baseline measurement Quality of life score using Functional Assessment of Cancer Therapy-Prostate (FACT-P)
    Description
    The FACT-P quality of life questionnaire is a multi-dimensional, self-reported quality of life instrument specifically designed for use with prostate cancer patients
    Time Frame
    Baseline and 26 months
    Title
    Change from baseline to last post baseline measurement Quality of Life score using European Quality of Life 5-Domain Scale (EQ-5D)
    Description
    EQ-5D is a standardized instrument for use as a measure of health outcome. It provides a simple descriptive profile and a single index value for health status and is designed for self-completion by respondents
    Time Frame
    Baseline and 26 months
    Title
    Change from baseline to last post baseline measurement Pain Assessments (Brief Pain Inventory - Short Form)
    Description
    Brief Pain Inventory is a validated instrument that is a subject self-rating scale assessing level of pain, effect of the pain on activities of daily living, and analgesic use
    Time Frame
    Baseline and 26 months
    Title
    Safety assessed by recording of adverse events, safety laboratory evaluations, vital signs and electrocardiograms (ECGs)
    Time Frame
    26 months

    10. Eligibility

    Sex
    Male
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Progressive prostate cancer while on androgen deprivation therapy Castrate testosterone level Maintenance of surgical or medical castration for duration of study Radiographically visible metastatic disease Symptomatic from prostate cancer Eastern Cooperative Oncology Group (ECOG) 0-2 Life expectancy >=6 months Exclusion Criteria: Brain metastases or leptomeningeal disease Prior cytotoxic chemotherapy for prostate cancer Prior use of ketoconazole or abiraterone acetate or other investigational agent that blocks androgen synthesis or targets androgen receptor History of seizure or condition that may predispose to seizure History of loss of consciousness or transient ischemic attack within 12 months Clinically significant cardiovascular disease
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Senior Medical Director
    Organizational Affiliation
    Astellas Pharma Global Development
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    A Study to Evaluate the Safety and Efficacy of Enzalutamide in Chemotherapy-Naïve, Symptomatic Patients With Metastatic Castration-Resistant Prostate Cancer

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