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GP Extended Action Triptorelin (GREAT)

Primary Purpose

Prostate Cancer

Status
Terminated
Phase
Phase 4
Locations
United Kingdom
Study Type
Interventional
Intervention
Decapeptyl® SR 22.5mg
Decapeptyl® SR 11.25mg; Prostap® 3 DCS 11.25mg; Zoladex® LA 10.8mg
Sponsored by
Ipsen
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:

  • Patients must give written (personally signed and dated) informed consent before completing any study related procedure.
  • Patients must be 18 years old or over.
  • Patients must have a documented diagnosis of locally advanced or metastatic prostate cancer suitable for hormonal treatment
  • Patients must be medically castrated with serum testosterone ≤ 0.5ng/mL
  • Patients must have received at least two injections of a 3- monthly LHRH agonist by the time of the screening tests
  • Patients must be stable on a 3-monthly LHRH agonist injection with stable PSA levels between screening and baseline (i.e. the baseline value must either be lower or less than 25% higher than the Screening value or if ≥25% higher, ≤0.5ng/mL higher than the screening value).

In addition:

  • For patients with locally advanced prostate cancer (M0), LHRH agonist injection (any formulation) must have been initiated within the last 3 years from Baseline,
  • For patients with metastatic prostate cancer (M+) and a Gleason score

    ≤ 7, LHRH agonist injection (any formulation) must have been initiated within the last 2 years from Baseline,

  • For patients with metastatic prostate cancer (M+) and a Gleason score > 7, LHRH agonist injection (any formulation) must have been initiated within the last 12 months from Baseline.
  • Patients must have an estimated life expectancy of at least twelve months according to the investigator's assessment.

Exclusion Criteria:

  • Patients have had previous surgical castration or present any concomitant condition which could compromise the objectives of the study and/or preclude the protocol-defined procedures (e.g. severe medical conditions, brain metastases, psychiatric disorders, active or uncontrolled infection, known pituitary disease).
  • Patients are, in the opinion of the investigator, unable to comply fully with the protocol and the study instructions.
  • Patients have received investigational drug(s) or treatment(s) within 30 days prior to study entry or will require a concurrent treatment with any other experimental drugs or treatments or present any concomitant condition which could compromise the objectives of the study and/or preclude the protocol-defined procedures (e.g. severe medical conditions, brain metastases, psychiatric disorders, active or uncontrolled infection, known pituitary disease).
  • Patients have had a diagnosis of any other cancer without a history of stability/remission within five years of screening, with the exception of non-metastatic basal cell carcinoma.
  • Patients currently taking additional anti-androgen therapy as part of an active hormonal control therapy.
  • Patients scheduled to receive palliative radiotherapy during the course of the study.
  • Patients receiving an LHRH agonist as neo-adjuvant to radiotherapy or adjuvant to radiotherapy.
  • Patients receiving LHRH agonist as adjuvant to surgery.
  • Patients scheduled to undergo radical prostatectomy during the course of the study.
  • Patients with known hypersensitivity to LHRH agonists, their analogues or any or any other component of the products to be administered.

Sites / Locations

  • The Crouch Oak Family Practice
  • Dr Carter & Partners
  • Westongrove Research Centre, Aston Clinton Surgery
  • Clinical Research Unit, Oldfield Surgery
  • Clinical Research Unit, The Pulteney Practice
  • St James' Surgery
  • Waterloo Medical Centre
  • Woolpit Health Centre
  • Cossington House Surgery
  • Research Office, Avondale Surgery
  • Clinical Research Dept., Rowden Surgery
  • Clinical Research Unit, Hathaway Medical Centre
  • The Porch Surgery
  • Pound Hill Surgery
  • The Medical Centre
  • Burbage Surgery
  • The Portmill Surgery
  • Townhead Surgery
  • Sherbourne Medical Centre
  • Mortimer Surgery
  • Kiltearn Medical Centre
  • Danes Camp Surgery
  • Kingsthorpe Medical Centre
  • Cape Cornwall Surgery
  • The Alverton Practice
  • Wansford & Kings Cliffe Practice, Wansford Surgery
  • Knowle House Surgery
  • The Rame Group Practice
  • Ashfields Primary Care Centre
  • Brannel Surgery
  • Sunbury Health Centre Group Practice
  • Adcroft Surgery
  • Sheepcot Medical Centre
  • Albany House Medical Centre
  • Woosehill Medical Centre

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Decapeptyl® SR 22.5mg (Triptorelin)

Current 3-monthly LHRH agonist

Arm Description

One of the following: Decapeptyl® SR 11.25mg (Triptorelin), Prostap® 3 DCS 11.25mg, Zoladex® LA 10.8mg

Outcomes

Primary Outcome Measures

Percentage of Participants Maintaining Biochemical Castration
Patients with serum total testosterone (STT) level lower than 0.5 ng/mL after 6 months of treatment.

Secondary Outcome Measures

Percentage of Participants Maintaining Biochemical Castration After 12 Months of Treatment.
Patients with serum total testosterone (STT) level lower than 0.5 ng/mL, 12 months after randomisation..
Percentage of Participants Demonstrating Stable Prostate-specific Antigen (PSA) Levels
Stable PSA level was noted as value either lower or less than 25% higher than the baseline value, or PSA value ≤0.5 ng/mL higher than the baseline value, if value ≥25% higher than the baseline value.
Change From Baseline in Quality of Life Using EuroQol 5 Dimensions 5 Levels [EQ-5D-5L] Questionnaire.
The EQ-5D-5L questionnaire consisted of a description of raw data which comprised of five dimensions (mobility, self-care, usual activities, pain/discomfort and anxiety/depression). Each dimension had five levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. The visual analogical scale of the EQ-5D-5L questionnaire was numbered from 0 to 100 (0 meaning the worst health the patient can imagine and 100 the best health the patient can imagine).
Change From Baseline in Patient Satisfaction With Medication Using Treatment Satisfaction Questionnaire for Medication (TSQM Version II)
TSQM comprised of four dimensions: effectiveness, side effects, convenience and overall global satisfaction. Each score ranged from 0 to 100. For effectiveness, convenience and overall global satisfaction scores, 0 indicated an extreme dissatisfaction and 100 indicated an extreme satisfaction. For side effects score, 0 indicated an extreme dissatisfaction and 100 indicated no dissatisfaction at all.
Patient Satisfaction With Treatment.
Using a non-validated study-specific descriptive Likert-type scale (with no units) comprising a simple six-question patient questionnaire.
Percentage of Participants Who Changed Injection Frequency After Completion of the Study

Full Information

First Posted
August 23, 2012
Last Updated
November 4, 2020
Sponsor
Ipsen
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1. Study Identification

Unique Protocol Identification Number
NCT01673984
Brief Title
GP Extended Action Triptorelin
Acronym
GREAT
Official Title
A Phase IV, Randomised, Open-label, Multi-centre Study to Assess the Impact on Disease Control, Safety, Patient and Clinician Experience of Changing Patients With Advanced Prostate Cancer From a 3-monthly LHRH Agonist to 6-monthly Injections of Decapeptyl® SR 22.5 MG
Study Type
Interventional

2. Study Status

Record Verification Date
November 2020
Overall Recruitment Status
Terminated
Why Stopped
The study was discontinued prematurely by the sponsor due to non-medical reasons
Study Start Date
August 2012 (undefined)
Primary Completion Date
February 2014 (Actual)
Study Completion Date
February 2014 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to demonstrate that treatment with a 6-monthly injection of hormone therapy is as good and as well tolerated as the standard 3-monthly hormone therapy injections available for treating prostate cancer. The study will also aim to answer whether both doctors and patients would prefer treatment with a 6-monthly injection rather than injections every 3 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 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
27 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Decapeptyl® SR 22.5mg (Triptorelin)
Arm Type
Experimental
Arm Title
Current 3-monthly LHRH agonist
Arm Type
Active Comparator
Arm Description
One of the following: Decapeptyl® SR 11.25mg (Triptorelin), Prostap® 3 DCS 11.25mg, Zoladex® LA 10.8mg
Intervention Type
Drug
Intervention Name(s)
Decapeptyl® SR 22.5mg
Other Intervention Name(s)
Triptorelin
Intervention Description
22.5mg, intramuscular injection, given on day 1 / month 0 & month 6 (+/- 7 days).
Intervention Type
Drug
Intervention Name(s)
Decapeptyl® SR 11.25mg; Prostap® 3 DCS 11.25mg; Zoladex® LA 10.8mg
Other Intervention Name(s)
Triptorelin
Intervention Description
For Decapeptyl® SR 11.25mg: 11.25 mg, intramuscular injection For Prostap® 3 DCS 11.25mg: 11.25mg, depot injected subcutaneously For Zoladex® LA 10.8mg: 10.8mg, depot injected subcutaneously into anterior abdominal wall
Primary Outcome Measure Information:
Title
Percentage of Participants Maintaining Biochemical Castration
Description
Patients with serum total testosterone (STT) level lower than 0.5 ng/mL after 6 months of treatment.
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Percentage of Participants Maintaining Biochemical Castration After 12 Months of Treatment.
Description
Patients with serum total testosterone (STT) level lower than 0.5 ng/mL, 12 months after randomisation..
Time Frame
12 months
Title
Percentage of Participants Demonstrating Stable Prostate-specific Antigen (PSA) Levels
Description
Stable PSA level was noted as value either lower or less than 25% higher than the baseline value, or PSA value ≤0.5 ng/mL higher than the baseline value, if value ≥25% higher than the baseline value.
Time Frame
6 and 12 months
Title
Change From Baseline in Quality of Life Using EuroQol 5 Dimensions 5 Levels [EQ-5D-5L] Questionnaire.
Description
The EQ-5D-5L questionnaire consisted of a description of raw data which comprised of five dimensions (mobility, self-care, usual activities, pain/discomfort and anxiety/depression). Each dimension had five levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. The visual analogical scale of the EQ-5D-5L questionnaire was numbered from 0 to 100 (0 meaning the worst health the patient can imagine and 100 the best health the patient can imagine).
Time Frame
Baseline and Month 12
Title
Change From Baseline in Patient Satisfaction With Medication Using Treatment Satisfaction Questionnaire for Medication (TSQM Version II)
Description
TSQM comprised of four dimensions: effectiveness, side effects, convenience and overall global satisfaction. Each score ranged from 0 to 100. For effectiveness, convenience and overall global satisfaction scores, 0 indicated an extreme dissatisfaction and 100 indicated an extreme satisfaction. For side effects score, 0 indicated an extreme dissatisfaction and 100 indicated no dissatisfaction at all.
Time Frame
6 and 12 month
Title
Patient Satisfaction With Treatment.
Description
Using a non-validated study-specific descriptive Likert-type scale (with no units) comprising a simple six-question patient questionnaire.
Time Frame
Month 12
Title
Percentage of Participants Who Changed Injection Frequency After Completion of the Study
Time Frame
Month 12

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients must give written (personally signed and dated) informed consent before completing any study related procedure. Patients must be 18 years old or over. Patients must have a documented diagnosis of locally advanced or metastatic prostate cancer suitable for hormonal treatment Patients must be medically castrated with serum testosterone ≤ 0.5ng/mL Patients must have received at least two injections of a 3- monthly LHRH agonist by the time of the screening tests Patients must be stable on a 3-monthly LHRH agonist injection with stable PSA levels between screening and baseline (i.e. the baseline value must either be lower or less than 25% higher than the Screening value or if ≥25% higher, ≤0.5ng/mL higher than the screening value). In addition: For patients with locally advanced prostate cancer (M0), LHRH agonist injection (any formulation) must have been initiated within the last 3 years from Baseline, For patients with metastatic prostate cancer (M+) and a Gleason score ≤ 7, LHRH agonist injection (any formulation) must have been initiated within the last 2 years from Baseline, For patients with metastatic prostate cancer (M+) and a Gleason score > 7, LHRH agonist injection (any formulation) must have been initiated within the last 12 months from Baseline. Patients must have an estimated life expectancy of at least twelve months according to the investigator's assessment. Exclusion Criteria: Patients have had previous surgical castration or present any concomitant condition which could compromise the objectives of the study and/or preclude the protocol-defined procedures (e.g. severe medical conditions, brain metastases, psychiatric disorders, active or uncontrolled infection, known pituitary disease). Patients are, in the opinion of the investigator, unable to comply fully with the protocol and the study instructions. Patients have received investigational drug(s) or treatment(s) within 30 days prior to study entry or will require a concurrent treatment with any other experimental drugs or treatments or present any concomitant condition which could compromise the objectives of the study and/or preclude the protocol-defined procedures (e.g. severe medical conditions, brain metastases, psychiatric disorders, active or uncontrolled infection, known pituitary disease). Patients have had a diagnosis of any other cancer without a history of stability/remission within five years of screening, with the exception of non-metastatic basal cell carcinoma. Patients currently taking additional anti-androgen therapy as part of an active hormonal control therapy. Patients scheduled to receive palliative radiotherapy during the course of the study. Patients receiving an LHRH agonist as neo-adjuvant to radiotherapy or adjuvant to radiotherapy. Patients receiving LHRH agonist as adjuvant to surgery. Patients scheduled to undergo radical prostatectomy during the course of the study. Patients with known hypersensitivity to LHRH agonists, their analogues or any or any other component of the products to be administered.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ipsen Medical Director
Organizational Affiliation
Ipsen
Official's Role
Study Director
Facility Information:
Facility Name
The Crouch Oak Family Practice
City
Addlestone
Country
United Kingdom
Facility Name
Dr Carter & Partners
City
Ashford
Country
United Kingdom
Facility Name
Westongrove Research Centre, Aston Clinton Surgery
City
Aylesbury
Country
United Kingdom
Facility Name
Clinical Research Unit, Oldfield Surgery
City
Bath
Country
United Kingdom
Facility Name
Clinical Research Unit, The Pulteney Practice
City
Bath
Country
United Kingdom
Facility Name
St James' Surgery
City
Bath
Country
United Kingdom
Facility Name
Waterloo Medical Centre
City
Blackpool
Country
United Kingdom
Facility Name
Woolpit Health Centre
City
Bury St. Edmunds
Country
United Kingdom
Facility Name
Cossington House Surgery
City
Canterbury
Country
United Kingdom
Facility Name
Research Office, Avondale Surgery
City
Chesterfield
Country
United Kingdom
Facility Name
Clinical Research Dept., Rowden Surgery
City
Chippenham
Country
United Kingdom
Facility Name
Clinical Research Unit, Hathaway Medical Centre
City
Chippenham
Country
United Kingdom
Facility Name
The Porch Surgery
City
Corsham
Country
United Kingdom
Facility Name
Pound Hill Surgery
City
Crawley
Country
United Kingdom
Facility Name
The Medical Centre
City
East Horsley
Country
United Kingdom
Facility Name
Burbage Surgery
City
Hinckley
Country
United Kingdom
Facility Name
The Portmill Surgery
City
Hitchin
Country
United Kingdom
Facility Name
Townhead Surgery
City
Irvine
Country
United Kingdom
Facility Name
Sherbourne Medical Centre
City
Leamington Spa
Country
United Kingdom
Facility Name
Mortimer Surgery
City
Mortimer Common
Country
United Kingdom
Facility Name
Kiltearn Medical Centre
City
Nantwich
Country
United Kingdom
Facility Name
Danes Camp Surgery
City
Northampton
Country
United Kingdom
Facility Name
Kingsthorpe Medical Centre
City
Northampton
Country
United Kingdom
Facility Name
Cape Cornwall Surgery
City
Penzance
Country
United Kingdom
Facility Name
The Alverton Practice
City
Penzance
Country
United Kingdom
Facility Name
Wansford & Kings Cliffe Practice, Wansford Surgery
City
Peterborough
Country
United Kingdom
Facility Name
Knowle House Surgery
City
Plymouth
Country
United Kingdom
Facility Name
The Rame Group Practice
City
Plymouth
Country
United Kingdom
Facility Name
Ashfields Primary Care Centre
City
Sandbach
Country
United Kingdom
Facility Name
Brannel Surgery
City
St Austell
Country
United Kingdom
Facility Name
Sunbury Health Centre Group Practice
City
Sunbury-on-Thames
Country
United Kingdom
Facility Name
Adcroft Surgery
City
Trowbridge
Country
United Kingdom
Facility Name
Sheepcot Medical Centre
City
Watford
Country
United Kingdom
Facility Name
Albany House Medical Centre
City
Wellingborough
Country
United Kingdom
Facility Name
Woosehill Medical Centre
City
Wokingham
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

GP Extended Action Triptorelin

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