Effects of Triptorelin Pamoate 6-month When Given to Adult Chinese Participants With Advanced Cancer in the Prostate
Primary Purpose
Advanced Prostate Cancer, Metastatic Prostate Cancer, Locally Advanced Prostate Cancer
Status
Recruiting
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
Triptorelin pamoate (embonate) salt
Sponsored by
About this trial
This is an interventional treatment trial for Advanced Prostate Cancer
Eligibility Criteria
Inclusion Criteria :
- Participant is capable of giving signed informed consent
- Participant must be over 18 years of age, at the time of signing the informed consent.
- Has a histologically or cytologically confirmed adenocarcinoma, locally advanced or metastatic prostate cancer. Or participant has PSA recurrence after curative treatment and be a candidate for androgen deprivation therapy (ADT).
- Has serum testosterone level >150 ng/dL (> 5.2 nmol/L).
- Has expected survival time ≥12 months according to the investigator's assessment.
- Has Eastern Cooperative Oncology Group (ECOG) performance status score ≤1
Exclusion Criteria :
- Risk of a serious complication in the case of tumour flare
- Presence of another neoplastic lesion or brain metastases.
- Previous history of QT prolongation or concomitant use of medicinal products known to prolong the QT interval or with a known risk of torsades de pointes as per Pharmacovigilance Risk Assessment Committee (PRAC) recommendations.
- Metastatic hormone-sensitive prostate cancer with high tumour burden.
- Metastatic castration-resistant prostate cancer.
- Previous surgical castration.
- Previous hormone therapy (including abiraterone) for prostate cancer within 6 months prior to study start.
- Previous cytotoxic chemotherapy treatment within 6 months prior to study start.
- Use of finasteride or dutasteride within 2 months prior to study start
- Previous hypophysectomy or adrenalectomy
- Any current use or use within 6 months prior to treatment start of medications which are known to affect the metabolism and/or secretion of androgenic hormones: ketoconazole, aminoglutethimide, oestrogens and antiandrogens.
- Systemic or inhaled corticosteroids (topical application permitted).
- Any previous use of traditional Chinese medicine or herbal products within 1 month prior to study screening or planned use during the study of products, which are known to have cytotoxic effect or affect the metabolism and/or secretion of androgenic hormones
- Participation in another study with an investigational drug or treatment within 3 months prior to study entry or within 5 drug half-lives of the investigational drug (whichever is the longer).
- Severe kidney or liver impairment (creatinine >2 x upper limit of normal (ULN), aspartate aminotransferase (AST) and alanine aminotransferase (ALT) >3 x ULN).
- Any concomitant disorder or resulting therapy that is likely to interfere with participant compliance, the i.m. administration of the drug or with the study in the opinion of the investigator.
- Known hypersensitivity to triptorelin or any of its excipients, GnRH, other GnRH agonist/analogues.
- Known active use of recreational drug or alcohol dependence in the opinion of the investigator.
Sites / Locations
- Affiliated Hospital of Hebei University
- Beijing HospitalRecruiting
- Peking University First HospitalRecruiting
- Peking University People's Hospital
- Hunan Cancer Hospital
- West China Hospital of Sichuan UniversityRecruiting
- Chongqing University Cancer HospitalRecruiting
- The First Affiliated Hospital of Chongqing Medical UniversityRecruiting
- Deyang People's Hospital
- Sun Yat-Sen University Cancer CenterRecruiting
- Guizhou Provincial People's Hospital
- The Affiliated Hospital of Guizhou Medical University
- The First Affiliated Hospital, Zhejiang University School of MedicineRecruiting
- Qilu Hospital of Shandong UniversityRecruiting
- Shandong Provincial HospitalRecruiting
- Nanjing Drum Tower HospitalRecruiting
- Zhongda Hospital Southeast UniversityRecruiting
- Ningbo First HospitalRecruiting
- Fudan University Shang Hai Cancer CenterRecruiting
- Shanghai Fifth People's HospitalRecruiting
- Shanghai Tongji HospitalRecruiting
- Liaoning Cancer Hospital & Institute
- The First Hospital of China Medical UniversityRecruiting
- Peking University Shenzhen Hospital
- Suining Central Hospital
- The Second Affiliated Hospital of Soochow UniversityRecruiting
- Tianjin Cancer HospitalRecruiting
- The First Affiliated Hospital of Wenzhou Medical UniversityRecruiting
- The First Affiliated Hospital of Wannan Medical College
- The Second Affiliated Hospital of Wannan Medical College
- Wuxi People's HospitalRecruiting
- Subei People's Hospital
- Yantai Yuhuangding Hospital
- Henan Cancer HospitalRecruiting
- Zigong First People's Hospital
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Triptorelin pamoate 22.5 mg 6-month formulation
Arm Description
All enrolled participants will receive one intramuscular (i.m.) injection of containing 22.5 mg 6-month formulation triptorelin pamoate on Day 1.
Outcomes
Primary Outcome Measures
Percentage of participants achieving castrate levels of serum testosterone (<50 ng/dL or 1.735 nmol/L)
Percentage of participants maintaining the castrate levels
Secondary Outcome Measures
Incidence of treatment emergent adverse event (TEAEs) (including local tolerability)
Actual values and changes from baseline in clinical laboratory tests
Percentage of participants with clinically significant change in laboratory parameters (blood chemistry, hematology and coagulation) will be reported. The clinical significance will be decided by the investigator.
Actual values and changes from baseline in physical examination
Percentage of participants with clinically significant changes in physical examination findings will be reported. The clinical significance will be decided by the investigator.
Percentages of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Readings
Percentage of participants with clinically significant changes in ECG readings will be reported. The clinical significance will be decided by the investigator.
Change from baseline in vital signs measurements
Percentage of participants with clinically significant changes in Vital Signs will be reported. The clinical significance will be decided by the investigator.
Percent change in prostate specific antigen (PSA) from baseline (prior to injection)
Percent change in PSA is defined as the absolute value of difference between the PSA values and the baseline value divided by the baseline value
Pharmacokinetics (PK) of Triptorelin: Time to Maximum Observed Drug Concentration (Tmax)
Tmax will be recorded from the PK blood samples collected.
PK of Triptorelin: Maximum Observed Plasma (peak) Drug Concentration (Cmax)
Cmax will be recorded from the PK blood samples collected.
PK of Triptorelin: Area under the Plasma Concentration Time Curve From Zero to the Time 0 to the Visit on Day 169 (AUC0-169)
AUC0-169 will be recorded from the PK blood samples collected.
PK of Triptorelin: Area under the Plasma Concentration Time Curve From Zero to the Time 0 to the Last Quantifiable Concentration (AUClast)
AUClast will be recorded from the PK blood samples collected.
Pharmacodynamics (PD) of Testosterone: Maximum Observed Plasma (peak) Drug Concentration (Cmax)
Cmax will be recorded from the PD blood samples collected.
PD of Testosterone: Time to Maximum Observed Drug Concentration (Tmax)
Tmax will be recorded from the PD blood samples collected.
PD of Testosterone: Time to Castration(Tcast)
Tcast will be recorded from the PD blood samples collected.
Sparse plasma concentrations of triptorelin
Sparse serum concentrations of testosterone
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05590793
Brief Title
Effects of Triptorelin Pamoate 6-month When Given to Adult Chinese Participants With Advanced Cancer in the Prostate
Official Title
A Multicentre, Open-label, Single-arm Study to Investigate the Efficacy and Safety of Triptorelin Pamoate 22.5 mg 6-month Formulation in Chinese Patients With Locally Advanced or Metastatic Prostate Cancer
Study Type
Interventional
2. Study Status
Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
November 17, 2022 (Actual)
Primary Completion Date
July 15, 2024 (Anticipated)
Study Completion Date
July 15, 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ipsen
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The main aim of this study is to assess the effectiveness and safety of the 6-month formulation of triptorelin pamoate in Chinese participants with locally advanced or metastatic cancer of the prostate. Participants will receive 1 injection of triptorelin pamoate 6-month formulation.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Prostate Cancer, Metastatic Prostate Cancer, Locally Advanced Prostate Cancer
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
195 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Triptorelin pamoate 22.5 mg 6-month formulation
Arm Type
Experimental
Arm Description
All enrolled participants will receive one intramuscular (i.m.) injection of containing 22.5 mg 6-month formulation triptorelin pamoate on Day 1.
Intervention Type
Drug
Intervention Name(s)
Triptorelin pamoate (embonate) salt
Other Intervention Name(s)
Dipherelin
Intervention Description
Triptorelin pamoate 22.5 mg (6-month formulation), i.m. injection, single dose on Day 1.
Primary Outcome Measure Information:
Title
Percentage of participants achieving castrate levels of serum testosterone (<50 ng/dL or 1.735 nmol/L)
Time Frame
Day 29
Title
Percentage of participants maintaining the castrate levels
Time Frame
From Week 8 to Week 24
Secondary Outcome Measure Information:
Title
Incidence of treatment emergent adverse event (TEAEs) (including local tolerability)
Time Frame
From baseline up to Week 24
Title
Actual values and changes from baseline in clinical laboratory tests
Description
Percentage of participants with clinically significant change in laboratory parameters (blood chemistry, hematology and coagulation) will be reported. The clinical significance will be decided by the investigator.
Time Frame
At Week 24
Title
Actual values and changes from baseline in physical examination
Description
Percentage of participants with clinically significant changes in physical examination findings will be reported. The clinical significance will be decided by the investigator.
Time Frame
At Day 1, Week 12 and Week 24
Title
Percentages of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Readings
Description
Percentage of participants with clinically significant changes in ECG readings will be reported. The clinical significance will be decided by the investigator.
Time Frame
At Week 4 and Week 24
Title
Change from baseline in vital signs measurements
Description
Percentage of participants with clinically significant changes in Vital Signs will be reported. The clinical significance will be decided by the investigator.
Time Frame
At each visit up to Week 24
Title
Percent change in prostate specific antigen (PSA) from baseline (prior to injection)
Description
Percent change in PSA is defined as the absolute value of difference between the PSA values and the baseline value divided by the baseline value
Time Frame
At Week 12 and Week 24
Title
Pharmacokinetics (PK) of Triptorelin: Time to Maximum Observed Drug Concentration (Tmax)
Description
Tmax will be recorded from the PK blood samples collected.
Time Frame
Up to 24 weeks
Title
PK of Triptorelin: Maximum Observed Plasma (peak) Drug Concentration (Cmax)
Description
Cmax will be recorded from the PK blood samples collected.
Time Frame
Up to 24 weeks
Title
PK of Triptorelin: Area under the Plasma Concentration Time Curve From Zero to the Time 0 to the Visit on Day 169 (AUC0-169)
Description
AUC0-169 will be recorded from the PK blood samples collected.
Time Frame
up to Day 169
Title
PK of Triptorelin: Area under the Plasma Concentration Time Curve From Zero to the Time 0 to the Last Quantifiable Concentration (AUClast)
Description
AUClast will be recorded from the PK blood samples collected.
Time Frame
Up to 24 weeks
Title
Pharmacodynamics (PD) of Testosterone: Maximum Observed Plasma (peak) Drug Concentration (Cmax)
Description
Cmax will be recorded from the PD blood samples collected.
Time Frame
Up to 24 weeks
Title
PD of Testosterone: Time to Maximum Observed Drug Concentration (Tmax)
Description
Tmax will be recorded from the PD blood samples collected.
Time Frame
Up to 24 weeks
Title
PD of Testosterone: Time to Castration(Tcast)
Description
Tcast will be recorded from the PD blood samples collected.
Time Frame
Up to 24 weeks
Title
Sparse plasma concentrations of triptorelin
Time Frame
At pre-dose and at Week 4, 8, 12, 16, 20 and 24
Title
Sparse serum concentrations of testosterone
Time Frame
At pre-dose and at Week 4, 8, 12, 16, 20 and 24
10. Eligibility
Sex
Male
Gender Based
Yes
Gender Eligibility Description
Only Male is enrolled
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria :
Participant is capable of giving signed informed consent
Participant must be over 18 years of age, at the time of signing the informed consent.
Has a histologically or cytologically confirmed adenocarcinoma, locally advanced or metastatic prostate cancer. Or participant has PSA recurrence after curative treatment and be a candidate for androgen deprivation therapy (ADT).
Has serum testosterone level >150 ng/dL (> 5.2 nmol/L).
Has expected survival time ≥12 months according to the investigator's assessment.
Has Eastern Cooperative Oncology Group (ECOG) performance status score ≤1
Exclusion Criteria :
Risk of a serious complication in the case of tumour flare
Presence of another neoplastic lesion or brain metastases.
Previous history of QT prolongation or concomitant use of medicinal products known to prolong the QT interval or with a known risk of torsades de pointes as per Pharmacovigilance Risk Assessment Committee (PRAC) recommendations.
Metastatic hormone-sensitive prostate cancer with high tumour burden.
Metastatic castration-resistant prostate cancer.
Previous surgical castration.
Previous hormone therapy (including abiraterone) for prostate cancer within 6 months prior to study start.
Previous cytotoxic chemotherapy treatment within 6 months prior to study start.
Use of finasteride or dutasteride within 2 months prior to study start
Previous hypophysectomy or adrenalectomy
Any current use or use within 6 months prior to treatment start of medications which are known to affect the metabolism and/or secretion of androgenic hormones: ketoconazole, aminoglutethimide, oestrogens and antiandrogens.
Systemic or inhaled corticosteroids (topical application permitted).
Any previous use of traditional Chinese medicine or herbal products within 1 month prior to study screening or planned use during the study of products, which are known to have cytotoxic effect or affect the metabolism and/or secretion of androgenic hormones
Participation in another study with an investigational drug or treatment within 3 months prior to study entry or within 5 drug half-lives of the investigational drug (whichever is the longer).
Severe kidney or liver impairment (creatinine >2 x upper limit of normal (ULN), aspartate aminotransferase (AST) and alanine aminotransferase (ALT) >3 x ULN).
Any concomitant disorder or resulting therapy that is likely to interfere with participant compliance, the i.m. administration of the drug or with the study in the opinion of the investigator.
Known hypersensitivity to triptorelin or any of its excipients, GnRH, other GnRH agonist/analogues.
Known active use of recreational drug or alcohol dependence in the opinion of the investigator.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Ipsen Recruitment Enquiries
Phone
see email
Email
clinical.trials@ipsen.com
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
Affiliated Hospital of Hebei University
City
Baoding
Country
China
Individual Site Status
Not yet recruiting
Facility Name
Beijing Hospital
City
Beijing
Country
China
Individual Site Status
Recruiting
Facility Name
Peking University First Hospital
City
Beijing
Country
China
Individual Site Status
Recruiting
Facility Name
Peking University People's Hospital
City
Beijing
Country
China
Individual Site Status
Not yet recruiting
Facility Name
Hunan Cancer Hospital
City
Changsha
Country
China
Individual Site Status
Not yet recruiting
Facility Name
West China Hospital of Sichuan University
City
Chengdu
Country
China
Individual Site Status
Recruiting
Facility Name
Chongqing University Cancer Hospital
City
Chongqing
Country
China
Individual Site Status
Recruiting
Facility Name
The First Affiliated Hospital of Chongqing Medical University
City
Chongqing
Country
China
Individual Site Status
Recruiting
Facility Name
Deyang People's Hospital
City
Deyang
Country
China
Individual Site Status
Not yet recruiting
Facility Name
Sun Yat-Sen University Cancer Center
City
Guangzhou
Country
China
Individual Site Status
Recruiting
Facility Name
Guizhou Provincial People's Hospital
City
Guiyang
Country
China
Individual Site Status
Not yet recruiting
Facility Name
The Affiliated Hospital of Guizhou Medical University
City
Guiyang
Country
China
Individual Site Status
Not yet recruiting
Facility Name
The First Affiliated Hospital, Zhejiang University School of Medicine
City
Hangzhou
Country
China
Individual Site Status
Recruiting
Facility Name
Qilu Hospital of Shandong University
City
Jinan
Country
China
Individual Site Status
Recruiting
Facility Name
Shandong Provincial Hospital
City
Jinan
Country
China
Individual Site Status
Recruiting
Facility Name
Nanjing Drum Tower Hospital
City
Nanjing
Country
China
Individual Site Status
Recruiting
Facility Name
Zhongda Hospital Southeast University
City
Nanjing
Country
China
Individual Site Status
Recruiting
Facility Name
Ningbo First Hospital
City
Ningbo
Country
China
Individual Site Status
Recruiting
Facility Name
Fudan University Shang Hai Cancer Center
City
Shanghai
Country
China
Individual Site Status
Recruiting
Facility Name
Shanghai Fifth People's Hospital
City
Shanghai
Country
China
Individual Site Status
Recruiting
Facility Name
Shanghai Tongji Hospital
City
Shanghai
Country
China
Individual Site Status
Recruiting
Facility Name
Liaoning Cancer Hospital & Institute
City
Shenyang
Country
China
Individual Site Status
Terminated
Facility Name
The First Hospital of China Medical University
City
Shenyang
Country
China
Individual Site Status
Recruiting
Facility Name
Peking University Shenzhen Hospital
City
Shenzhen
Country
China
Individual Site Status
Terminated
Facility Name
Suining Central Hospital
City
Suining
Country
China
Individual Site Status
Not yet recruiting
Facility Name
The Second Affiliated Hospital of Soochow University
City
Suzhou
Country
China
Individual Site Status
Recruiting
Facility Name
Tianjin Cancer Hospital
City
Tianjin
Country
China
Individual Site Status
Recruiting
Facility Name
The First Affiliated Hospital of Wenzhou Medical University
City
Wenzhou
Country
China
Individual Site Status
Recruiting
Facility Name
The First Affiliated Hospital of Wannan Medical College
City
Wuhu
Country
China
Individual Site Status
Not yet recruiting
Facility Name
The Second Affiliated Hospital of Wannan Medical College
City
Wuhu
Country
China
Individual Site Status
Not yet recruiting
Facility Name
Wuxi People's Hospital
City
Wuxi
Country
China
Individual Site Status
Recruiting
Facility Name
Subei People's Hospital
City
Yangzhou
Country
China
Individual Site Status
Not yet recruiting
Facility Name
Yantai Yuhuangding Hospital
City
Yantai
Country
China
Individual Site Status
Not yet recruiting
Facility Name
Henan Cancer Hospital
City
Zhengzhou
Country
China
Individual Site Status
Recruiting
Facility Name
Zigong First People's Hospital
City
Zigong
Country
China
Individual Site Status
Not yet recruiting
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, annotated case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of study participants.
Any requests should be submitted to www.vivli.org for assessment by an independent scientific review board.
IPD Sharing Time Frame
Where applicable, data from eligible studies are available 6 months after the studied medicine and indication have been approved in the US and EU or after the primary manuscript describing the results has been accepted for publication, whichever is later.
IPD Sharing Access Criteria
Further details on Ipsen's sharing criteria, eligible studies and process for sharing are available here (https://vivli.org/members/ourmembers/).
IPD Sharing URL
https://vivli.org/members/ourmembers
Learn more about this trial
Effects of Triptorelin Pamoate 6-month When Given to Adult Chinese Participants With Advanced Cancer in the Prostate
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