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Evaluation of Safety and Efficacy of Estetrol in Healthy Men

Primary Purpose

Prostatic Neoplasms

Status
Completed
Phase
Phase 1
Locations
Netherlands
Study Type
Interventional
Intervention
estetrol
placebo
Sponsored by
Pantarhei Oncology B.V.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Prostatic Neoplasms focused on measuring safety, pharmacokinetics, pharmacodynamics, randomized

Eligibility Criteria

40 Years - 70 Years (Adult, Older Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Male, age between 40 and 70 years (both inclusive);
  • Good physical and mental health as judged by the Investigator determined by medical history, physical examination (including prostate palpation), clinical laboratory, vital signs and ECG recording;
  • Body mass index between ≥ 18.5 and ≤ 30.0 kg/m2;
  • Normal prostate-specific antigen (PSA) value (< 3.0 ng/mL);
  • Non-vasectomized men must agree to use a condom with spermicide or abstain from sexual intercourse during the study until 90 days beyond the last dose of study medication. Men who have been vasectomized less than 4 months prior to study start must follow the same restrictions as non-vasectomized men;
  • Men must agree not to donate sperm from the first dose until 90 days after the last dose;
  • Ability to communicate well with the Investigator and to comply with the requirements of the entire study;
  • Willing to give informed consent in writing.

Exclusion Criteria:

  • Any clinically significant abnormality following review of medical history, laboratory results, physical examination and ECG at screening as judged by the Investigator;
  • Conditions or disorders that might affect the absorption, distribution, metabolism or excretion of any of the study drugs;
  • Previous use of steroids within:

    • 8 weeks for oral preparations
    • 4 weeks for transdermal preparations
    • Any time for injections;
  • Contraindications for steroids or estetrol;
  • Prostate hyperplasia or micturition problems that suggest the presence of prostate hyperplasia;
  • Presence of an active acute or chronic infection, including syphilis, HIV or viral hepatitis B and/or C (or previously treated);
  • Treatment for any major psychiatric disorder in the previous 12 months or use of antidepressant medication before screening;
  • Hypersensitivity to the active substances or to any of the excipients of the investigational product or placebo therapy;
  • Use of probiotics (as present in dairy products, fortified foods etc.) during the 3 months before screening and during the clinical study;
  • Use of one or more of the following medications:

    • Antihypertensive drugs
    • Present use or use within 30 days before the start of the study drug of the following drugs: aprepitant, bosentan, armodafinil, phenytoin, barbiturates, primidone, carbamazepine, oxcarbazepine, glucocorticoids, topiramate, felbamate, rifampicin, clobazamechinacea; vemurafenib, non-nucleoside reverse transcriptase inhibitors, griseofulvin, ketoconazole, and herbal remedies containing Hypericum perforatum
    • Any medication (including over-the-counter products) within 14 days before first dosing except for occasional non-steroidal anti-inflammatory drugs (NSAIDs; e.g. ibuprofen); paracetamol is not permitted
    • Use of antibiotics;
  • Administration of any other investigational drug within 3 months before first dosing;
  • Loss of more than 400 mL blood during the 3 months before screening, e.g. as a blood donor, or intention to donate blood in the 3 months after completing the study;
  • Subjects with a history of (within 12 months) alcohol or drug abuse or with a positive result at screening, for tests of:

    • alcohol intake
    • drug abuse;
  • Currently smoking or smoked within the last 6 months before screening.

Sites / Locations

  • QPS Netherlands BV

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Placebo Comparator

Active Comparator

Active Comparator

Active Comparator

Arm Label

No added active

estetrol dose level 1

estetrol dose level 2

estetrol dose level 3

Arm Description

placebo without estetrol

estetrol given in dose level 1

estetrol given in dose level 2

estetrol given in dose level 3

Outcomes

Primary Outcome Measures

Number of participants with Adverse Events (AEs)
Changes from baseline measurements considered clinically significant by the Investigator will be reported as AEs.
Change from baseline in hormone levels
The serum concentrations of Follicle Stimulating Hormone (FSH), Luteinising Hormone (LH), Estradiol (E2), total testosterone and free testosterone levels (actual values as well as percentage change from pre-dose concentration) will be listed and summarized descriptively by treatment group.

Secondary Outcome Measures

Change from baseline in haemostasis parameters
The relative change in Activated Protein C (APC)-resistance, prothrombin factor 1 + 2, D-dimer, free Tissue Factor Pathway Inhibitor (TFPI), antothrombin activity, protein S activity and angiotensinogen levels and the actual change from baseline will be calculated by treatment group.
Change from baseline in lipid parameters
The relative change in total cholesterol, triglycerides, High Density Lipoprotein (HDL) cholesterol, Low Density Lipoprotein (LDL) cholesterol, Lipoprotein A (Lp(A)) levels and the actual change from baseline will be calculated by treatment group.
Change from baseline in glucose levels
The relative change in glucose levels and the actual change from baseline will be calculated by treatment group.
Change from baseline in bone turnover markers
The relative change in osteocalcin, type I collagen telopeptide (CTX-1) and parathyroid hormone (PTH) and the actual change from baseline will be calculated by treatment group.
Change from baseline in sex-hormone binding globulin (SHBG) levels
The relative change in SHBG levels and the actual change from baseline will be calculated by treatment group.
Pharmacokinetic effect of estetrol
Area under the plasma concentration versus time curve (AUC)
Pharmacokinetic effect of estetrol
Terminal elimination half-life (t1/2)
Pharmacokinetic effect of estetrol
Time to reach Cmax (tmax)
Pharmacokinetic effect of estetrol
Peak plasma concentration (Cmax)

Full Information

First Posted
February 18, 2016
Last Updated
February 8, 2017
Sponsor
Pantarhei Oncology B.V.
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1. Study Identification

Unique Protocol Identification Number
NCT02718378
Brief Title
Evaluation of Safety and Efficacy of Estetrol in Healthy Men
Official Title
A Phase I, Double-blind, Randomised, Placebo-controlled, Multiple Dose Study to Evaluate the Safety, Pharmacokinetics and Pharmacodynamics of Multiple Dosages of Estetrol in Healthy Men
Study Type
Interventional

2. Study Status

Record Verification Date
February 2017
Overall Recruitment Status
Completed
Study Start Date
March 2016 (undefined)
Primary Completion Date
February 2017 (Actual)
Study Completion Date
February 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pantarhei Oncology B.V.

4. Oversight

5. Study Description

Brief Summary
The current study is designed as a phase Ib multiple dose study to evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics of E4 in healthy men after daily oral administration for 28 days.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Prostatic Neoplasms
Keywords
safety, pharmacokinetics, pharmacodynamics, randomized

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
45 (Actual)

8. Arms, Groups, and Interventions

Arm Title
No added active
Arm Type
Placebo Comparator
Arm Description
placebo without estetrol
Arm Title
estetrol dose level 1
Arm Type
Active Comparator
Arm Description
estetrol given in dose level 1
Arm Title
estetrol dose level 2
Arm Type
Active Comparator
Arm Description
estetrol given in dose level 2
Arm Title
estetrol dose level 3
Arm Type
Active Comparator
Arm Description
estetrol given in dose level 3
Intervention Type
Drug
Intervention Name(s)
estetrol
Intervention Type
Drug
Intervention Name(s)
placebo
Primary Outcome Measure Information:
Title
Number of participants with Adverse Events (AEs)
Description
Changes from baseline measurements considered clinically significant by the Investigator will be reported as AEs.
Time Frame
28 days
Title
Change from baseline in hormone levels
Description
The serum concentrations of Follicle Stimulating Hormone (FSH), Luteinising Hormone (LH), Estradiol (E2), total testosterone and free testosterone levels (actual values as well as percentage change from pre-dose concentration) will be listed and summarized descriptively by treatment group.
Time Frame
28 days
Secondary Outcome Measure Information:
Title
Change from baseline in haemostasis parameters
Description
The relative change in Activated Protein C (APC)-resistance, prothrombin factor 1 + 2, D-dimer, free Tissue Factor Pathway Inhibitor (TFPI), antothrombin activity, protein S activity and angiotensinogen levels and the actual change from baseline will be calculated by treatment group.
Time Frame
28 days
Title
Change from baseline in lipid parameters
Description
The relative change in total cholesterol, triglycerides, High Density Lipoprotein (HDL) cholesterol, Low Density Lipoprotein (LDL) cholesterol, Lipoprotein A (Lp(A)) levels and the actual change from baseline will be calculated by treatment group.
Time Frame
28 days
Title
Change from baseline in glucose levels
Description
The relative change in glucose levels and the actual change from baseline will be calculated by treatment group.
Time Frame
28 days
Title
Change from baseline in bone turnover markers
Description
The relative change in osteocalcin, type I collagen telopeptide (CTX-1) and parathyroid hormone (PTH) and the actual change from baseline will be calculated by treatment group.
Time Frame
28 days
Title
Change from baseline in sex-hormone binding globulin (SHBG) levels
Description
The relative change in SHBG levels and the actual change from baseline will be calculated by treatment group.
Time Frame
28 days
Title
Pharmacokinetic effect of estetrol
Description
Area under the plasma concentration versus time curve (AUC)
Time Frame
28 days
Title
Pharmacokinetic effect of estetrol
Description
Terminal elimination half-life (t1/2)
Time Frame
28 days
Title
Pharmacokinetic effect of estetrol
Description
Time to reach Cmax (tmax)
Time Frame
28 days
Title
Pharmacokinetic effect of estetrol
Description
Peak plasma concentration (Cmax)
Time Frame
28 days

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male, age between 40 and 70 years (both inclusive); Good physical and mental health as judged by the Investigator determined by medical history, physical examination (including prostate palpation), clinical laboratory, vital signs and ECG recording; Body mass index between ≥ 18.5 and ≤ 30.0 kg/m2; Normal prostate-specific antigen (PSA) value (< 3.0 ng/mL); Non-vasectomized men must agree to use a condom with spermicide or abstain from sexual intercourse during the study until 90 days beyond the last dose of study medication. Men who have been vasectomized less than 4 months prior to study start must follow the same restrictions as non-vasectomized men; Men must agree not to donate sperm from the first dose until 90 days after the last dose; Ability to communicate well with the Investigator and to comply with the requirements of the entire study; Willing to give informed consent in writing. Exclusion Criteria: Any clinically significant abnormality following review of medical history, laboratory results, physical examination and ECG at screening as judged by the Investigator; Conditions or disorders that might affect the absorption, distribution, metabolism or excretion of any of the study drugs; Previous use of steroids within: 8 weeks for oral preparations 4 weeks for transdermal preparations Any time for injections; Contraindications for steroids or estetrol; Prostate hyperplasia or micturition problems that suggest the presence of prostate hyperplasia; Presence of an active acute or chronic infection, including syphilis, HIV or viral hepatitis B and/or C (or previously treated); Treatment for any major psychiatric disorder in the previous 12 months or use of antidepressant medication before screening; Hypersensitivity to the active substances or to any of the excipients of the investigational product or placebo therapy; Use of probiotics (as present in dairy products, fortified foods etc.) during the 3 months before screening and during the clinical study; Use of one or more of the following medications: Antihypertensive drugs Present use or use within 30 days before the start of the study drug of the following drugs: aprepitant, bosentan, armodafinil, phenytoin, barbiturates, primidone, carbamazepine, oxcarbazepine, glucocorticoids, topiramate, felbamate, rifampicin, clobazamechinacea; vemurafenib, non-nucleoside reverse transcriptase inhibitors, griseofulvin, ketoconazole, and herbal remedies containing Hypericum perforatum Any medication (including over-the-counter products) within 14 days before first dosing except for occasional non-steroidal anti-inflammatory drugs (NSAIDs; e.g. ibuprofen); paracetamol is not permitted Use of antibiotics; Administration of any other investigational drug within 3 months before first dosing; Loss of more than 400 mL blood during the 3 months before screening, e.g. as a blood donor, or intention to donate blood in the 3 months after completing the study; Subjects with a history of (within 12 months) alcohol or drug abuse or with a positive result at screening, for tests of: alcohol intake drug abuse; Currently smoking or smoked within the last 6 months before screening.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Tjeert Mensinga, MD, PhD
Organizational Affiliation
QPS Netherlands BV
Official's Role
Principal Investigator
Facility Information:
Facility Name
QPS Netherlands BV
City
Groningen
ZIP/Postal Code
9713 AG
Country
Netherlands

12. IPD Sharing Statement

Citations:
PubMed Identifier
24932461
Citation
Phillips I, Shah SI, Duong T, Abel P, Langley RE. Androgen Deprivation Therapy and the Re-emergence of Parenteral Estrogen in Prostate Cancer. Oncol Hematol Rev. 2014 Spring;10(1):42-47. doi: 10.17925/ohr.2014.10.1.42.
Results Reference
result
PubMed Identifier
18464023
Citation
Coelingh Bennink HJ, Holinka CF, Diczfalusy E. Estetrol review: profile and potential clinical applications. Climacteric. 2008;11 Suppl 1:47-58. doi: 10.1080/13697130802073425.
Results Reference
result
PubMed Identifier
29931320
Citation
Coelingh Bennink HJT, Zimmerman Y, Verhoeven C, Dutman AE, Mensinga T, Kluft C, Reisman Y, Debruyne FMJ. A Dose-Escalating Study With the Fetal Estrogen Estetrol in Healthy Men. J Clin Endocrinol Metab. 2018 Sep 1;103(9):3239-3249. doi: 10.1210/jc.2018-00147.
Results Reference
derived

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Evaluation of Safety and Efficacy of Estetrol in Healthy Men

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