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An Expanded Access Study of Abiraterone Acetate in Patients With Advanced Prostate Cancer Who Have Completed Clinical Study COU-AA-001

Primary Purpose

Prostate Neoplasms

Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
Abiraterone acetate
Glucocorticoid
Sponsored by
Janssen Research & Development, LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Prostate Neoplasms focused on measuring Prostate neoplasms, Hormone refractory prostate cancer, Castration resistant prostate cancer, Castration refractory prostate cancer, Abiraterone acetate, CB7630

Eligibility Criteria

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

Inclusion Criteria:

  • Completed 12 cycles of abiraterone acetate under study COU-AA-001
  • Last dose of abiraterone acetate within 14 days prior to treatment in this study
  • Demonstrates potential to gain clinical benefit with continued abiraterone acetate treatment
  • Serum potassium level >=3.5 mmol/L
  • Eastern Cooperative Oncology Group Performance Status of <3 (Karnofsky Performance Status >=30%)
  • Agrees to protocol-defined use of effective contraception

Exclusion Criteria:

  • Serious or uncontrolled co-existent non-malignant disease, including active and uncontrolled infection
  • Uncontrolled hypertension
  • Abnormal liver function
  • Clinically significant heart disease as evidenced by a myocardial infarction in the past 12 months, severe or unstable angina, or New York Heart Association (NYHA) Class III or IV heart disease (patients with a history of atherosclerotic vascular disease requiring coronary or peripheral artery bypass surgery may be enrolled provided the surgery occurred at least 2 years prior to enrollment and after consultation with a cardiologist to insure that the disease is stable)
  • Condition or situation which, in the investigator's opinion, may put the patient at significant risk, may confound the study results, or may interfere significantly with patient's participation in the study

Sites / Locations

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Abiraterone acetate

Arm Description

Outcomes

Primary Outcome Measures

Number of participants with serum prostate specific antigen (PSA) decline according to PSA Working Group criteria
Overall survival

Secondary Outcome Measures

Number of participants with adverse events
Time to disease progression
Time to prostate specific antigen progression
Objective tumor response by Response Evaluation Criteria in Solid Tumors (RECIST)

Full Information

First Posted
August 10, 2012
Last Updated
April 18, 2013
Sponsor
Janssen Research & Development, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT01664728
Brief Title
An Expanded Access Study of Abiraterone Acetate in Patients With Advanced Prostate Cancer Who Have Completed Clinical Study COU-AA-001
Official Title
An Expanded Access Open Label Study of CB7630 (Abiraterone Acetate) in Patients With Advanced Prostate Cancer Who Have Completed CB7630 Clinical Study COU-AA-001
Study Type
Interventional

2. Study Status

Record Verification Date
April 2013
Overall Recruitment Status
Completed
Study Start Date
April 2007 (undefined)
Primary Completion Date
February 2009 (Actual)
Study Completion Date
September 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Janssen Research & Development, LLC

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to provide access to abiraterone acetate for patients who have completed 12 cycles of abiraterone acetate treatment in Clinical Study COU-AA-001 and continue to receive clinical benefit from this treatment.
Detailed Description
This is an open-label (identity of study drug will be known) extended access study to evaluate the safety and efficacy of continued administration of abiraterone acetate in patients who have completed 12 cycles of abiraterone acetate treatment in Clinical Study COU-AA-001 and continue to receive clinical benefit from this treatment. Patients will continue with the same dose regimen administered at the end of Study COU-AA-001 and will receive a low-dose glucocorticoid daily. Patients will be followed every 3 months for disease progression and survival for up to 3 years following study entry. Safety will be monitored throughout the study up to 30 days after the last dose of study medication.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Prostate Neoplasms
Keywords
Prostate neoplasms, Hormone refractory prostate cancer, Castration resistant prostate cancer, Castration refractory prostate cancer, Abiraterone acetate, CB7630

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
54 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Abiraterone acetate
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Abiraterone acetate
Intervention Description
Phase 2 maximum tolerated dose from Study COU-AA-001 taken orally once daily
Intervention Type
Drug
Intervention Name(s)
Glucocorticoid
Intervention Description
prednisolone/prednisone 5 mg taken orally twice daily or dexamethasone 0.5 mg taken orally once daily
Primary Outcome Measure Information:
Title
Number of participants with serum prostate specific antigen (PSA) decline according to PSA Working Group criteria
Time Frame
Screening, Cycle 1 Day 1 Pre-dose, every 3 months up to 3 years after study entry
Title
Overall survival
Time Frame
every 3 months up to 3 years after study entry
Secondary Outcome Measure Information:
Title
Number of participants with adverse events
Time Frame
up to 30 days after the last dose of study medication
Title
Time to disease progression
Time Frame
every 3 months up to 3 years after study entry
Title
Time to prostate specific antigen progression
Time Frame
every 3 months up to 3 years after study entry
Title
Objective tumor response by Response Evaluation Criteria in Solid Tumors (RECIST)
Time Frame
every 3 months up to 3 years after study entry

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Completed 12 cycles of abiraterone acetate under study COU-AA-001 Last dose of abiraterone acetate within 14 days prior to treatment in this study Demonstrates potential to gain clinical benefit with continued abiraterone acetate treatment Serum potassium level >=3.5 mmol/L Eastern Cooperative Oncology Group Performance Status of <3 (Karnofsky Performance Status >=30%) Agrees to protocol-defined use of effective contraception Exclusion Criteria: Serious or uncontrolled co-existent non-malignant disease, including active and uncontrolled infection Uncontrolled hypertension Abnormal liver function Clinically significant heart disease as evidenced by a myocardial infarction in the past 12 months, severe or unstable angina, or New York Heart Association (NYHA) Class III or IV heart disease (patients with a history of atherosclerotic vascular disease requiring coronary or peripheral artery bypass surgery may be enrolled provided the surgery occurred at least 2 years prior to enrollment and after consultation with a cardiologist to insure that the disease is stable) Condition or situation which, in the investigator's opinion, may put the patient at significant risk, may confound the study results, or may interfere significantly with patient's participation in the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Janssen Research & Development, LLC Clinical Trial
Organizational Affiliation
Janssen Research & Development, LLC
Official's Role
Study Director
Facility Information:
City
Sutton
Country
United Kingdom

12. IPD Sharing Statement

Links:
URL
http://filehosting.pharmacm.com/DownloadService.ashx?client=CTR_JNJ_6051&studyid=2388&filename=CR016912_CSR.pdf
Description
An Expanded Access Open Label Study of CB7630 (Abiraterone Acetate) in Patients with Advanced Prostate Cancer Who Have Completed CB7630 Clinical Study COU-AA-001

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An Expanded Access Study of Abiraterone Acetate in Patients With Advanced Prostate Cancer Who Have Completed Clinical Study COU-AA-001

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