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A Phase IIIb Study of Intermittent Versus Continuous Hormone Deprivation Treatment With ELIGARD (ICELAND)

Primary Purpose

Prostate Cancer

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
leuprorelin acetate
Sponsored by
Astellas Pharma Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Prostate Cancer focused on measuring Prostate Cancer, Prostate Specific Antigen

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

At study entry (visit 1):

  • Written informed consent
  • Male subjects aged >=18 and <80 years old
  • Locally advanced (stage T3 or T4) prostate cancer or Relapsing prostate cancer following radical prostatectomy or,Relapsing prostate cancer following radiotherapy
  • Gleason score of >=6
  • ECOG performance status of 0-2.
  • Life expectancy at least 5 years

At randomization (visit 4):

  • Two successive decreasing serum PSA levels <=1 ng/ml

Exclusion Criteria:

At study entry (visit 1):

  • Any suspected second primary tumors
  • Evidence of metastatic disease
  • Other malignancy within the last 5 years except
  • Acute spinal cord compression, uni- or bilateral ureteric obstruction
  • Any concurrent biological response modifier therapy
  • Concurrent chemotherapy
  • Less than 1 year since any prior neoadjuvant or adjuvant hormonal therapy
  • Less than 6 months since prior 5-alpha reductase inhibitor treatment
  • Other concurrent hormonal therapy
  • Any concurrent radiotherapy
  • Testosterone at screening <= 1.7 mM or 50 ng/dL
  • Clinically significant elevation of serum creatinine or liver enzymes
  • Hypersensitivity to GnRH or other GnRH analogues or leuprorelin acetate
  • Hypersensitivity to CASODEXâ 50 mg.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Continuous Androgen Deprivation (CAD)

Intermittent Androgen Deprivation (IAD)

Arm Description

Outcomes

Primary Outcome Measures

Time to PSA progression

Secondary Outcome Measures

Overall survival
World Health Organization/Eastern Cooperative Oncology Group (WHO/ECOG) performance status
European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ)-C30 and QLQ-PR25
Time to serum testosterone > 50 ng/dL
Change in progression biomarkers (some sites)

Full Information

First Posted
September 19, 2006
Last Updated
June 2, 2014
Sponsor
Astellas Pharma Inc
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1. Study Identification

Unique Protocol Identification Number
NCT00378690
Brief Title
A Phase IIIb Study of Intermittent Versus Continuous Hormone Deprivation Treatment With ELIGARD
Acronym
ICELAND
Official Title
A Phase IIIb Randomized Study of Intermittent Versus Continuous Androgen Deprivation Therapy Using ELIGARD 22.5 mg 3-month Depot in Subjects With Relapsing and Locally Advanced Prostate Cancer Who Are Responsive to Such Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
June 2014
Overall Recruitment Status
Completed
Study Start Date
March 2006 (undefined)
Primary Completion Date
June 2011 (Actual)
Study Completion Date
December 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Astellas Pharma Inc

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Phase IIIb, Open-label, randomized, controlled multi-centre study. Induction therapy phase for 6 months where all subjects receive 2 ELIGARD depot injections. Those subjects with hormone responsive prostate cancer will be randomized and will receive either intermittent or continuous ELIGARD treatment for 36 months. Following this treatment period, subjects will enter a long-term follow-up period for 48 months.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Prostate Cancer
Keywords
Prostate Cancer, Prostate Specific Antigen

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
706 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Continuous Androgen Deprivation (CAD)
Arm Type
Active Comparator
Arm Title
Intermittent Androgen Deprivation (IAD)
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
leuprorelin acetate
Other Intervention Name(s)
ELIGARD 22.5 mg
Intervention Description
LHRH antagonist
Primary Outcome Measure Information:
Title
Time to PSA progression
Time Frame
3 Years
Secondary Outcome Measure Information:
Title
Overall survival
Time Frame
5 Years
Title
World Health Organization/Eastern Cooperative Oncology Group (WHO/ECOG) performance status
Time Frame
3 Years
Title
European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ)-C30 and QLQ-PR25
Time Frame
3 Years
Title
Time to serum testosterone > 50 ng/dL
Time Frame
3 Years
Title
Change in progression biomarkers (some sites)
Time Frame
3 Years

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: At study entry (visit 1): Written informed consent Male subjects aged >=18 and <80 years old Locally advanced (stage T3 or T4) prostate cancer or Relapsing prostate cancer following radical prostatectomy or,Relapsing prostate cancer following radiotherapy Gleason score of >=6 ECOG performance status of 0-2. Life expectancy at least 5 years At randomization (visit 4): Two successive decreasing serum PSA levels <=1 ng/ml Exclusion Criteria: At study entry (visit 1): Any suspected second primary tumors Evidence of metastatic disease Other malignancy within the last 5 years except Acute spinal cord compression, uni- or bilateral ureteric obstruction Any concurrent biological response modifier therapy Concurrent chemotherapy Less than 1 year since any prior neoadjuvant or adjuvant hormonal therapy Less than 6 months since prior 5-alpha reductase inhibitor treatment Other concurrent hormonal therapy Any concurrent radiotherapy Testosterone at screening <= 1.7 mM or 50 ng/dL Clinically significant elevation of serum creatinine or liver enzymes Hypersensitivity to GnRH or other GnRH analogues or leuprorelin acetate Hypersensitivity to CASODEXâ 50 mg.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Central Contact
Organizational Affiliation
Medical Affairs Europe, Astellas Pharma Europe Limited Hillswood Drive
Official's Role
Study Director
Facility Information:
City
Brussel
Country
Belgium
City
Bruxelles
ZIP/Postal Code
1070
Country
Belgium
City
Bruxelles
ZIP/Postal Code
1200
Country
Belgium
City
Leuven
ZIP/Postal Code
B-3000
Country
Belgium
City
Liege
ZIP/Postal Code
4000
Country
Belgium
City
Bmo
ZIP/Postal Code
65691
Country
Czech Republic
City
Jablonec nad Nisou
ZIP/Postal Code
46660
Country
Czech Republic
City
Olomouc
ZIP/Postal Code
7521
Country
Czech Republic
City
Usti nad Labem
ZIP/Postal Code
40113
Country
Czech Republic
City
Joensuu
ZIP/Postal Code
FIN-80210
Country
Finland
City
Tampere
ZIP/Postal Code
FIN-33521
Country
Finland
City
Avignon
ZIP/Postal Code
84000
Country
France
City
Bordeaux
ZIP/Postal Code
33073
Country
France
City
Brest
ZIP/Postal Code
29609
Country
France
City
Caen-Cedex
ZIP/Postal Code
14033
Country
France
City
Cergy-Pontoise
ZIP/Postal Code
95301
Country
France
City
Grenoble
ZIP/Postal Code
38043
Country
France
City
Marseille
ZIP/Postal Code
13915
Country
France
City
Nantes
ZIP/Postal Code
44093
Country
France
City
Paris
ZIP/Postal Code
75007
Country
France
City
Paris
ZIP/Postal Code
75014
Country
France
City
Paris
ZIP/Postal Code
94275
Country
France
City
Pierre-Benite
ZIP/Postal Code
69310
Country
France
City
Ploemeur
ZIP/Postal Code
53275
Country
France
City
Rouen
ZIP/Postal Code
76031
Country
France
City
Suresnes
ZIP/Postal Code
92151
Country
France
City
Toulon
ZIP/Postal Code
83000
Country
France
City
Toulouse
ZIP/Postal Code
31054
Country
France
City
Bad Neuenaher
ZIP/Postal Code
53474
Country
Germany
City
Bautzen
ZIP/Postal Code
02625
Country
Germany
City
Dresden
ZIP/Postal Code
01307
Country
Germany
City
Dresden
ZIP/Postal Code
01324
Country
Germany
City
Hagenow
ZIP/Postal Code
19230
Country
Germany
City
Halle/Saale
ZIP/Postal Code
06132
Country
Germany
City
Hettstedt
ZIP/Postal Code
06333
Country
Germany
City
Leipzig
ZIP/Postal Code
04105
Country
Germany
City
Neustadt i. Sachsen
ZIP/Postal Code
01844
Country
Germany
City
Trier
ZIP/Postal Code
54290
Country
Germany
City
Budapest
ZIP/Postal Code
1106
Country
Hungary
City
Kaposvar
ZIP/Postal Code
7400
Country
Hungary
City
Nyiregyhaza
ZIP/Postal Code
4400
Country
Hungary
City
Szolnok
ZIP/Postal Code
5000
Country
Hungary
City
Tatabanya
ZIP/Postal Code
2800
Country
Hungary
City
Veszprem
ZIP/Postal Code
8200
Country
Hungary
City
Desio
State/Province
Milano
ZIP/Postal Code
20033
Country
Italy
City
Ancona
Country
Italy
City
Bari
Country
Italy
City
Bergamo
ZIP/Postal Code
24128
Country
Italy
City
Bologna
ZIP/Postal Code
40138
Country
Italy
City
Chieti
Country
Italy
City
Messina
Country
Italy
City
Milano
Country
Italy
City
Parma
ZIP/Postal Code
43100
Country
Italy
City
Roma
ZIP/Postal Code
00189
Country
Italy
City
Moscow
ZIP/Postal Code
115478
Country
Russian Federation
City
Moscow
ZIP/Postal Code
125101
Country
Russian Federation
City
Moscow
ZIP/Postal Code
125284
Country
Russian Federation
City
St. Petersburg
ZIP/Postal Code
198013
Country
Russian Federation
City
St. Petersburg
ZIP/Postal Code
198255
Country
Russian Federation
City
Martin
ZIP/Postal Code
03659
Country
Slovakia
City
Skalica
ZIP/Postal Code
90982
Country
Slovakia
City
Trencin
ZIP/Postal Code
91101
Country
Slovakia
City
Alcorcon
State/Province
Madrid
ZIP/Postal Code
28922
Country
Spain
City
Barcelona
ZIP/Postal Code
8003
Country
Spain
City
Barcelona
ZIP/Postal Code
8035
Country
Spain
City
Barcelona
ZIP/Postal Code
8036
Country
Spain
City
Granada
Country
Spain
City
La Coruna
Country
Spain
City
Madrid
ZIP/Postal Code
28041
Country
Spain
City
Madrid
Country
Spain
City
Valencia
ZIP/Postal Code
46009
Country
Spain

12. IPD Sharing Statement

Citations:
PubMed Identifier
28552710
Citation
Tombal B, Cornel EB, Persad R, Stari A, Gomez Veiga F, Schulman C. Clinical Outcomes and Testosterone Levels Following Continuous Androgen Deprivation in Patients with Relapsing or Locally Advanced Prostate Cancer: A Post Hoc Analysis of the ICELAND Study. J Urol. 2017 Nov;198(5):1054-1060. doi: 10.1016/j.juro.2017.05.072. Epub 2017 May 25.
Results Reference
derived
PubMed Identifier
26520703
Citation
Schulman C, Cornel E, Matveev V, Tammela TL, Schraml J, Bensadoun H, Warnack W, Persad R, Salagierski M, Gomez Veiga F, Baskin-Bey E, Lopez B, Tombal B. Intermittent Versus Continuous Androgen Deprivation Therapy in Patients with Relapsing or Locally Advanced Prostate Cancer: A Phase 3b Randomised Study (ICELAND). Eur Urol. 2016 Apr;69(4):720-727. doi: 10.1016/j.eururo.2015.10.007. Epub 2015 Oct 29.
Results Reference
derived
Links:
URL
http://www.clinicaltrials.jp/user/ctrDetail_e.jsp?resultId=1065
Description
Link to Results on JAPIC

Learn more about this trial

A Phase IIIb Study of Intermittent Versus Continuous Hormone Deprivation Treatment With ELIGARD

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