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A Study to Assess the Benefit of Treatment Beyond Progression With Enzalutamide in Men Who Are Starting Treatment With Docetaxel After Worsening of Their Prostate Cancer When Taking Enzalutamide Alone (PRESIDE)

Primary Purpose

Metastatic Castration Resistant Prostate Cancer

Status
Active
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Enzalutamide
Docetaxel
Prednisolone
Placebo
Sponsored by
Astellas Pharma Europe Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Metastatic Castration Resistant Prostate Cancer focused on measuring Metastatic, Castration-resistant, Docetaxel, Chemotherapy- Naïve, Enzalutamide, Prostate Cancer, Chemotherapy Naïve Metastatic Castration Resistant Prostate Cancer, Prednisolone, Xtandi, Metastatic Castration Resistant Prostate Cancer

Eligibility Criteria

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

Inclusion Criteria:

  • Histologically confirmed adenocarcinoma of the prostate without neuroendocrine differentiation or small cell features;
  • Ongoing androgen deprivation therapy (ADT) with a luteinizing hormone-releasing hormone (LHRH) agonist or antagonist at a stable dose and schedule within 4 weeks of initiation of investigational medicinal product (IMP), or bilateral orchiectomy (i.e., surgical or medical castration);
  • Metastatic disease documented by at least 2 bone lesions on bone scan, or soft tissue disease documented by computed tomography (CT)/magnetic resonance imaging (MRI);
  • Progressive disease at study entry defined as the following occurring in the setting of castrate levels of testosterone: Prostate specific antigen (PSA) progression defined by a minimum of three rising PSA levels with an interval of ≥ 1 week between each determination.
  • Asymptomatic or minimally symptomatic prostate cancer (Brief Pain Inventory - Short Form (BPI-SF) question 3 score of < 4);
  • Eastern Cooperative Oncology Group (ECOG) performance score of 0-1;
  • Estimated life expectancy of ≥ 12 months;
  • Be suitable and willing to receive chemotherapy as part of the trial;
  • Able to swallow the IMP and comply with study requirements;
  • Subject agreed not to participate in another interventional study while on treatment.

Exclusion Criteria:

  • Prior treatment with the following agents for the treatment of prostate cancer: Aminoglutethimide; Ketoconazole; Abiraterone; Enzalutamide or participation in a clinical trial of enzalutamide; 223Ra, 89Sr, 153Sm, 186Re/188Re; Immunomodulatory therapies; Cytotoxic chemotherapy; Participation in a clinical trial of an investigational agent that inhibits the AR or androgen synthesis unless the treatment was placebo;
  • Current or prior treatment within 4 weeks prior to initiation of investigational medicinal product (IMP) with the following agents for the treatment of prostate cancer: Antiandrogens; 5-α reductase inhibitors; Estrogens; Anabolic steroids; Drugs with antiandrogenic properties; Progestational agents;
  • Subject had received investigational therapy within 28 days or 5 half-lives whichever was longer, prior to initiation of IMP;
  • Use of opiate analgesia for pain from prostate cancer within 4 weeks prior to initiation of IMP;
  • Radiation therapy to bone lesions or prostatic bed within 4 weeks prior to initiation of IMP;
  • Major surgery within 4 weeks prior to initiation of IMP;
  • History of seizure or any condition that may predispose to seizures at any time in the past. History of loss of consciousness or transient ischemic attack within 12 months prior to Screening;
  • Known or suspected brain metastasis or active leptomeningeal disease;
  • History of another malignancy within the previous 5 years other than non-melanoma skin cancer;
  • Clinically significant cardiovascular disease;
  • Gastrointestinal disorders affecting absorption;
  • Medical contraindications to the use of prednisolone or docetaxel;
  • Allergies to any of the active ingredients or excipients in the study drugs

Sites / Locations

  • Site AT43004
  • Site AT43001
  • Site BE32003
  • Site BE32002
  • Site BE32004
  • Site CZ42004
  • Site CZ42003
  • Site CZ42002
  • Site CZ42001
  • Site FR33012
  • Site FR33003
  • Site FR33002
  • Site FR33008
  • Site FR33014
  • Site FR33004
  • Site FR33013
  • Site FR33011
  • Site FR33005
  • Site DE49018
  • Site DE49008
  • Site DE49010
  • Site DE49001
  • Site DE49006
  • Site DE49003
  • Site DE49002
  • Site DE49015
  • Site DE49017
  • Site DE49004
  • Site GR30001
  • Site GR30004
  • Site GR30003
  • Site GR30006
  • Site GR30005
  • Site IT39001
  • Site IT39012
  • Site IT39003
  • Site IT39008
  • Site IT39010
  • Site IT39005
  • Site IT39004
  • Site IT39002
  • Site NL31002
  • Site NL31007
  • Site NL31004
  • Site NL31010
  • Site NL31003
  • Site NO47005
  • Site NO47001
  • Site NO47004
  • Site PL48004
  • Site PL48003
  • Site PL48002
  • Site PL48006
  • Site PL48005
  • Site RU70004
  • Site RU70002
  • Site RU70001
  • Site RU70003
  • Site RU70005
  • Site RU70006
  • Site ES34005
  • Site ES34003
  • Site ES34001
  • Site ES34002
  • Site ES34010
  • Site ES34007
  • Site ES34009
  • Site ES34008
  • Site ES34004
  • Site ES34006
  • Site SE46002
  • Site SE46005
  • Site SE46003
  • Site SE46004
  • Site CH41005
  • Site CH41009
  • Site TR90001
  • Site TR90003
  • Site TR90002
  • Site GB44010
  • Site GB44004
  • Site GB44018
  • Site GB44014
  • Site GB44003
  • Site GB44020
  • Site GB44015
  • Site GB44002
  • Site GB44017
  • Site GB44007

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Enzalutamide

Placebo

Arm Description

Participants received an OL treatment with enzalutamide 160 milligrams (mg) capsules, orally once daily from day 1 in period 1 until randomization to period 2, confirmation of ineligibility for period 2, intolerable toxicity, withdrawal, or death. Participants with confirmed disease progression on enzalutamide in period 1 and who continued to meet all eligibility criteria received enzalutamide 160 mg capsules, orally once daily in combination with docetaxel 75 milligrams per square meter (mg/m^2) in a one-hour infusion every 3 weeks and prednisolone 5 mg orally twice daily, DB period 2. Docetaxel and prednisolone were administered up to 10 cycles (3 weeks/cycle) or more as assessed by the investigator. Enzalutamide was administered until disease progression, intolerable toxicity, withdrawal or death. Participants could continue the extension period, until investigator or participant decided to stop or disease progression, intolerable toxicity, withdrawal or death.

Participants received an OL treatment with enzalutamide 160 mg capsules, orally once daily from day 1 in period 1 until randomization to period 2, confirmation of ineligibility for period 2, intolerable toxicity, withdrawal, or death. Participants with confirmed disease progression on enzalutamide in period 1 and who continued to meet all eligibility criteria received placebo matched to enzalutamide, orally once daily in combination with docetaxel 75 mg/m^2 in a one-hour infusion every 3 weeks and prednisolone 5 mg orally twice daily, in period 2. Docetaxel and prednisolone were administered up to 10 cycles (3 weeks/cyle) or more as assessed by the investigator. Enzalutamide was administered until disease progression, intolerable toxicity, withdrawal or death. Participants could continue the extension period, until investigator or participant decided to stop or disease progression, intolerable toxicity, withdrawal or death.

Outcomes

Primary Outcome Measures

Progression Free Survival (PFS)
PFS: time from randomization (Period 2 Week 1) to earliest progression event. Progression is defined as radiographic progression, unequivocal clinical progression, or death on study. Radiographic progression is defined for bone disease by appearance of ≥ 2 new lesions on whole-body radionuclide bone scan per Prostate Cancer Clinical Trials Working Group 2 (PCWG2) criteria (i.e., unconfirmed progressive disease) that needs to be confirmed in the next assessment (i.e., progressive disease in the next assessment) or for soft tissue disease by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1. Unequivocal clinical progression is defined as new onset cancer pain requiring chronic administration of opiate analgesia or deterioration from prostate cancer of Eastern Cooperative Oncology Group (ECOG) performance status score to ≥ 3, or initiation of subsequent lines of cytotoxic chemotherapy or radiation therapy or surgical intervention due to complications of tumor progression.

Secondary Outcome Measures

Time to Prostate-specific Antigen (PSA) Progression
Time to PSA progression, defined as the time from randomization (Period 2 Week 1) to the date of the first PSA value in Period 2 demonstrating progression (Period 2). The PSA progression date is defined as the date that a ≥ 25% increase and an absolute increase of ≥ 2 ng/mL above the nadir recorded in Period 2 is documented, which must be confirmed by a second consecutive value obtained at least 3 weeks later.
Prostate-specific Antigen (PSA) Response
PSA response, defined as a decrease in percentage change from randomization (Period 2 Week 1) of 50% or more. PSA response was derived at Week 13 and at any time after randomization in Period 2. PSA response at any time is defined as a decrease in percentage change from randomization (Period 2 Week 1) at any time after randomization of 50% or more. Percentage of participants with PSA response was reported.
Objective Response Rate (ORR)
ORR, defined as the best overall radiographic response after randomization (Period 2 Week 1) as per Investigator assessments of response for soft tissue disease per RECIST 1.1, in participants who had a measurable tumor. ORR was reported as the percentage of participants with complete response (CR) or partial response (PR). CR was defined as disappearance of all target and nontarget lesions. Any pathological lymph nodes (whether target or nontarget) must have reduction in short axis to < 10 mm from baseline measurement. PR was defined as at least a 30% decrease in the sum of diameters (longest for nonnodal lesions, short axis for nodal lesions) of target lesions taking as reference to the baseline sum of diameters.
Time to Pain Progression
The time to an increase of >=30% from randomization (Period 2 Week 1) in average BPI-SF item scores (items 3, 4, 5, 6) at two consecutive evaluations >=3 weeks apart without decrease in analgesic score according to the World health Organization (WHO). Only participants with an average pain intensity item score >=4 were considered. The BPI-SF was an instrument to document pain-related functional impairment and contains 7 questions which included pain intensity [(items 3, 4, 5 and 6): worst pain, least pain, average pain and current pain, with scales from 0 (no pain) to 10 (pain as bad as you can imagine)] and pain interference ](items 9A to 9G): general activity, mood, walking ability, normal work, relations with other people, sleep and enjoyment of life, with scales from 0 (does not interfere) to 10 (completely interferes)]. The BPI-SF total score for pain intensity was calculated as the mean of the 4 scores for the 4 items of pain intensity.
Time to Opiate Use for Cancer-related Pain
Time to opiate use for cancer-related pain, defined as the time from randomization (Period 2 Week 1) to initiation of chronic administration of opiate analgesia [parenteral opiate use for ≥7 days or use of WHO Analgesic Ladder Level 3 oral opiates for ≥3 weeks].
Time to First Skeletal-related Event (SRE)
Time to first SRE, defined as the time from randomization (Period 2 Week 1) to radiation therapy or surgery to bone, pathologic bone fracture, spinal cord compression, or change of antineoplastic therapy to treat bone pain.
Change From Baseline in Functional Assessment of Cancer Therapy - Prostate (FACT-P)
FACT-P quality of life questionnaire is a multi-dimensional, self-reported quality of life instrument specifically designed for use with prostate cancer participants. It consists of 27 core items which assess participant function in four domains rated on 0 to 4 Likert-type scale: physical well-being (PWB) (7 items; 0 [worst] to 4 [better], score range 0-28), social/family well-being (SWB) (7 items; 0 [worst] to 4 [better], score range 0-28), emotional well-being (EWB) (6 items; 0 [worst] to 4 [better], score range 0-24), and functional well-being (FWB) (7 items; 0 [worst] to 4 [better], score range 0-28), which is further supplemented by 12 site-specific items to assess for prostate-related symptoms (Prostate Cancer Subscale [PCS] 12 items rated on Likert-type scale 0 [worst] to 4 [better], score range 0-48). The total domain scores and PCS subscale score are then combined to a global quality of life score ranging between 0 to 156; higher scores representing better quality of life.
Change From Baseline in EuroQOL 5-dimension 5-level Questionnaire [EQ-5D-5L] Visual Analog Scale (VAS)
The EQ-5D-5L VAS records the participant's self-rated health on a vertical visual analogue scale, where the endpoints are labelled from 0 (worst health imaginable) to 100 (best health imaginable).

Full Information

First Posted
November 7, 2014
Last Updated
October 2, 2023
Sponsor
Astellas Pharma Europe Ltd.
Collaborators
Medivation LLC, a wholly owned subsidiary of Pfizer Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02288247
Brief Title
A Study to Assess the Benefit of Treatment Beyond Progression With Enzalutamide in Men Who Are Starting Treatment With Docetaxel After Worsening of Their Prostate Cancer When Taking Enzalutamide Alone
Acronym
PRESIDE
Official Title
A Randomized, Double Blind, Placebo-Controlled, Phase IIIb Study of the Efficacy and Safety of Continuing Enzalutamide in Chemotherapy Naïve Metastatic Castration Resistant Prostate Cancer Patients Treated With Docetaxel Plus Prednisolone Who Have Progressed on Enzalutamide Alone
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
December 1, 2014 (Actual)
Primary Completion Date
April 30, 2020 (Actual)
Study Completion Date
October 31, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Astellas Pharma Europe Ltd.
Collaborators
Medivation LLC, a wholly owned subsidiary of Pfizer Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of the study was to understand if there was benefit in continued treatment with a medicine called enzalutamide, when starting treatment with docetaxel and prednisolone (a standard chemotherapy for prostate cancer), after the prostate cancer had gotten worse when treated with enzalutamide alone.
Detailed Description
The study was conducted in consecutive periods of open label treatment with enzalutamide followed by randomized double-blind treatment with continued enzalutamide or placebo, in combination with docetaxel and prednisolone. Open Label (Period 1) Participants received open label treatment (OL) with enzalutamide. At week 13, all participants were assessed by prostate-specific antigen (PSA) and imaging. Participants with no confirmed PSA response or evidence of radiographic progression were ineligible for participation in Period 2 and typically had safety follow up; however, Period 1 treatment continued for some participants as long as the investigator considered it to be of clinical benefit (stopping on initiation of any new antineoplastic therapy). Participants with confirmed PSA response continued Period 1 until disease progression. Enrollment to Period 2 ceased after approximately 274 participants had been enrolled or 182 primary endpoint events had been reached, whichever occurred first. Participants who were not randomized into period 2 at this time continued to receive open label treatment in an extension period. Randomization (Double Blind [DB]) (Period 2) Participants with confirmed disease progression on enzalutamide alone who continued to meet all eligibility criteria proceeded to randomization. Treatment allocation was in a 1:1 ratio, stratified by disease progression in Period 1 to the following treatments: Enzalutamide with docetaxel and prednisolone Placebo with docetaxel and prednisolone Any ongoing participants in Period 2 at the point of unblinding in the enzalutamide+docetaxel arm that were still receiving and benefitting from enzalutamide treatment, had the option to continue treatment via an extension period.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Metastatic Castration Resistant Prostate Cancer
Keywords
Metastatic, Castration-resistant, Docetaxel, Chemotherapy- Naïve, Enzalutamide, Prostate Cancer, Chemotherapy Naïve Metastatic Castration Resistant Prostate Cancer, Prednisolone, Xtandi, Metastatic Castration Resistant Prostate Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
688 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Enzalutamide
Arm Type
Experimental
Arm Description
Participants received an OL treatment with enzalutamide 160 milligrams (mg) capsules, orally once daily from day 1 in period 1 until randomization to period 2, confirmation of ineligibility for period 2, intolerable toxicity, withdrawal, or death. Participants with confirmed disease progression on enzalutamide in period 1 and who continued to meet all eligibility criteria received enzalutamide 160 mg capsules, orally once daily in combination with docetaxel 75 milligrams per square meter (mg/m^2) in a one-hour infusion every 3 weeks and prednisolone 5 mg orally twice daily, DB period 2. Docetaxel and prednisolone were administered up to 10 cycles (3 weeks/cycle) or more as assessed by the investigator. Enzalutamide was administered until disease progression, intolerable toxicity, withdrawal or death. Participants could continue the extension period, until investigator or participant decided to stop or disease progression, intolerable toxicity, withdrawal or death.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Participants received an OL treatment with enzalutamide 160 mg capsules, orally once daily from day 1 in period 1 until randomization to period 2, confirmation of ineligibility for period 2, intolerable toxicity, withdrawal, or death. Participants with confirmed disease progression on enzalutamide in period 1 and who continued to meet all eligibility criteria received placebo matched to enzalutamide, orally once daily in combination with docetaxel 75 mg/m^2 in a one-hour infusion every 3 weeks and prednisolone 5 mg orally twice daily, in period 2. Docetaxel and prednisolone were administered up to 10 cycles (3 weeks/cyle) or more as assessed by the investigator. Enzalutamide was administered until disease progression, intolerable toxicity, withdrawal or death. Participants could continue the extension period, until investigator or participant decided to stop or disease progression, intolerable toxicity, withdrawal or death.
Intervention Type
Drug
Intervention Name(s)
Enzalutamide
Other Intervention Name(s)
Xtandi, ASP9785
Intervention Description
Oral
Intervention Type
Drug
Intervention Name(s)
Docetaxel
Intervention Description
intravenous infusion
Intervention Type
Drug
Intervention Name(s)
Prednisolone
Intervention Description
Oral
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Oral
Primary Outcome Measure Information:
Title
Progression Free Survival (PFS)
Description
PFS: time from randomization (Period 2 Week 1) to earliest progression event. Progression is defined as radiographic progression, unequivocal clinical progression, or death on study. Radiographic progression is defined for bone disease by appearance of ≥ 2 new lesions on whole-body radionuclide bone scan per Prostate Cancer Clinical Trials Working Group 2 (PCWG2) criteria (i.e., unconfirmed progressive disease) that needs to be confirmed in the next assessment (i.e., progressive disease in the next assessment) or for soft tissue disease by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1. Unequivocal clinical progression is defined as new onset cancer pain requiring chronic administration of opiate analgesia or deterioration from prostate cancer of Eastern Cooperative Oncology Group (ECOG) performance status score to ≥ 3, or initiation of subsequent lines of cytotoxic chemotherapy or radiation therapy or surgical intervention due to complications of tumor progression.
Time Frame
From date of randomization to the earliest of either documented disease progression (median duration: 35 weeks)
Secondary Outcome Measure Information:
Title
Time to Prostate-specific Antigen (PSA) Progression
Description
Time to PSA progression, defined as the time from randomization (Period 2 Week 1) to the date of the first PSA value in Period 2 demonstrating progression (Period 2). The PSA progression date is defined as the date that a ≥ 25% increase and an absolute increase of ≥ 2 ng/mL above the nadir recorded in Period 2 is documented, which must be confirmed by a second consecutive value obtained at least 3 weeks later.
Time Frame
From date of randomization to the first PSA value (median duration: 35 weeks)
Title
Prostate-specific Antigen (PSA) Response
Description
PSA response, defined as a decrease in percentage change from randomization (Period 2 Week 1) of 50% or more. PSA response was derived at Week 13 and at any time after randomization in Period 2. PSA response at any time is defined as a decrease in percentage change from randomization (Period 2 Week 1) at any time after randomization of 50% or more. Percentage of participants with PSA response was reported.
Time Frame
Randomization, Week 13, any time after randomization in Period 2 (median of 35 weeks)
Title
Objective Response Rate (ORR)
Description
ORR, defined as the best overall radiographic response after randomization (Period 2 Week 1) as per Investigator assessments of response for soft tissue disease per RECIST 1.1, in participants who had a measurable tumor. ORR was reported as the percentage of participants with complete response (CR) or partial response (PR). CR was defined as disappearance of all target and nontarget lesions. Any pathological lymph nodes (whether target or nontarget) must have reduction in short axis to < 10 mm from baseline measurement. PR was defined as at least a 30% decrease in the sum of diameters (longest for nonnodal lesions, short axis for nodal lesions) of target lesions taking as reference to the baseline sum of diameters.
Time Frame
From date of randomization up to median duration of 35 weeks
Title
Time to Pain Progression
Description
The time to an increase of >=30% from randomization (Period 2 Week 1) in average BPI-SF item scores (items 3, 4, 5, 6) at two consecutive evaluations >=3 weeks apart without decrease in analgesic score according to the World health Organization (WHO). Only participants with an average pain intensity item score >=4 were considered. The BPI-SF was an instrument to document pain-related functional impairment and contains 7 questions which included pain intensity [(items 3, 4, 5 and 6): worst pain, least pain, average pain and current pain, with scales from 0 (no pain) to 10 (pain as bad as you can imagine)] and pain interference ](items 9A to 9G): general activity, mood, walking ability, normal work, relations with other people, sleep and enjoyment of life, with scales from 0 (does not interfere) to 10 (completely interferes)]. The BPI-SF total score for pain intensity was calculated as the mean of the 4 scores for the 4 items of pain intensity.
Time Frame
From date of randomization up to median duration of 35 weeks
Title
Time to Opiate Use for Cancer-related Pain
Description
Time to opiate use for cancer-related pain, defined as the time from randomization (Period 2 Week 1) to initiation of chronic administration of opiate analgesia [parenteral opiate use for ≥7 days or use of WHO Analgesic Ladder Level 3 oral opiates for ≥3 weeks].
Time Frame
From date of randomization up to median duration of 35 weeks
Title
Time to First Skeletal-related Event (SRE)
Description
Time to first SRE, defined as the time from randomization (Period 2 Week 1) to radiation therapy or surgery to bone, pathologic bone fracture, spinal cord compression, or change of antineoplastic therapy to treat bone pain.
Time Frame
From date of randomization up to median duration of 35 weeks
Title
Change From Baseline in Functional Assessment of Cancer Therapy - Prostate (FACT-P)
Description
FACT-P quality of life questionnaire is a multi-dimensional, self-reported quality of life instrument specifically designed for use with prostate cancer participants. It consists of 27 core items which assess participant function in four domains rated on 0 to 4 Likert-type scale: physical well-being (PWB) (7 items; 0 [worst] to 4 [better], score range 0-28), social/family well-being (SWB) (7 items; 0 [worst] to 4 [better], score range 0-28), emotional well-being (EWB) (6 items; 0 [worst] to 4 [better], score range 0-24), and functional well-being (FWB) (7 items; 0 [worst] to 4 [better], score range 0-28), which is further supplemented by 12 site-specific items to assess for prostate-related symptoms (Prostate Cancer Subscale [PCS] 12 items rated on Likert-type scale 0 [worst] to 4 [better], score range 0-48). The total domain scores and PCS subscale score are then combined to a global quality of life score ranging between 0 to 156; higher scores representing better quality of life.
Time Frame
Period 2: Baseline, weeks 1, 13, 25, 37, 49, 61, 73, 85, 97, 109, 121, 133, 145, 157, 169, 181
Title
Change From Baseline in EuroQOL 5-dimension 5-level Questionnaire [EQ-5D-5L] Visual Analog Scale (VAS)
Description
The EQ-5D-5L VAS records the participant's self-rated health on a vertical visual analogue scale, where the endpoints are labelled from 0 (worst health imaginable) to 100 (best health imaginable).
Time Frame
Period 2: Baseline, weeks 1, 13, 25, 37, 49, 61, 73, 85, 97, 109, 121, 133, 145, 157, 169, 181

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically confirmed adenocarcinoma of the prostate without neuroendocrine differentiation or small cell features; Ongoing androgen deprivation therapy (ADT) with a luteinizing hormone-releasing hormone (LHRH) agonist or antagonist at a stable dose and schedule within 4 weeks of initiation of investigational medicinal product (IMP), or bilateral orchiectomy (i.e., surgical or medical castration); Metastatic disease documented by at least 2 bone lesions on bone scan, or soft tissue disease documented by computed tomography (CT)/magnetic resonance imaging (MRI); Progressive disease at study entry defined as the following occurring in the setting of castrate levels of testosterone: Prostate specific antigen (PSA) progression defined by a minimum of three rising PSA levels with an interval of ≥ 1 week between each determination. Asymptomatic or minimally symptomatic prostate cancer (Brief Pain Inventory - Short Form (BPI-SF) question 3 score of < 4); Eastern Cooperative Oncology Group (ECOG) performance score of 0-1; Estimated life expectancy of ≥ 12 months; Be suitable and willing to receive chemotherapy as part of the trial; Able to swallow the IMP and comply with study requirements; Subject agreed not to participate in another interventional study while on treatment. Exclusion Criteria: Prior treatment with the following agents for the treatment of prostate cancer: Aminoglutethimide; Ketoconazole; Abiraterone; Enzalutamide or participation in a clinical trial of enzalutamide; 223Ra, 89Sr, 153Sm, 186Re/188Re; Immunomodulatory therapies; Cytotoxic chemotherapy; Participation in a clinical trial of an investigational agent that inhibits the AR or androgen synthesis unless the treatment was placebo; Current or prior treatment within 4 weeks prior to initiation of investigational medicinal product (IMP) with the following agents for the treatment of prostate cancer: Antiandrogens; 5-α reductase inhibitors; Estrogens; Anabolic steroids; Drugs with antiandrogenic properties; Progestational agents; Subject had received investigational therapy within 28 days or 5 half-lives whichever was longer, prior to initiation of IMP; Use of opiate analgesia for pain from prostate cancer within 4 weeks prior to initiation of IMP; Radiation therapy to bone lesions or prostatic bed within 4 weeks prior to initiation of IMP; Major surgery within 4 weeks prior to initiation of IMP; History of seizure or any condition that may predispose to seizures at any time in the past. History of loss of consciousness or transient ischemic attack within 12 months prior to Screening; Known or suspected brain metastasis or active leptomeningeal disease; History of another malignancy within the previous 5 years other than non-melanoma skin cancer; Clinically significant cardiovascular disease; Gastrointestinal disorders affecting absorption; Medical contraindications to the use of prednisolone or docetaxel; Allergies to any of the active ingredients or excipients in the study drugs
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Astellas Pharma Europe Ltd.
Official's Role
Study Director
Facility Information:
Facility Name
Site AT43004
City
Linz
ZIP/Postal Code
4010
Country
Austria
Facility Name
Site AT43001
City
Vienna
ZIP/Postal Code
1090
Country
Austria
Facility Name
Site BE32003
City
Bonheiden
ZIP/Postal Code
2820
Country
Belgium
Facility Name
Site BE32002
City
Liege
ZIP/Postal Code
4000
Country
Belgium
Facility Name
Site BE32004
City
Ottignies
ZIP/Postal Code
1340
Country
Belgium
Facility Name
Site CZ42004
City
Brno
ZIP/Postal Code
656 91
Country
Czechia
Facility Name
Site CZ42003
City
Olomouc
ZIP/Postal Code
77520
Country
Czechia
Facility Name
Site CZ42002
City
Plzeň -Lochotín
ZIP/Postal Code
30460
Country
Czechia
Facility Name
Site CZ42001
City
Praha 2
ZIP/Postal Code
12808
Country
Czechia
Facility Name
Site FR33012
City
Albi
ZIP/Postal Code
81000
Country
France
Facility Name
Site FR33003
City
Montpellier
ZIP/Postal Code
34298 cedex 5
Country
France
Facility Name
Site FR33002
City
Nîmes
ZIP/Postal Code
30907 cedex 2
Country
France
Facility Name
Site FR33008
City
Paris
ZIP/Postal Code
75014
Country
France
Facility Name
Site FR33014
City
Paris
ZIP/Postal Code
75014
Country
France
Facility Name
Site FR33004
City
Plerin
ZIP/Postal Code
22190
Country
France
Facility Name
Site FR33013
City
Quimper
ZIP/Postal Code
29000
Country
France
Facility Name
Site FR33011
City
Reims
ZIP/Postal Code
51056
Country
France
Facility Name
Site FR33005
City
Suresnes
ZIP/Postal Code
92151
Country
France
Facility Name
Site DE49018
City
Nürtingen
State/Province
Baden-Württemberg
ZIP/Postal Code
72622
Country
Germany
Facility Name
Site DE49008
City
Aachen
ZIP/Postal Code
52074
Country
Germany
Facility Name
Site DE49010
City
Bergisch Gladbach
ZIP/Postal Code
51465
Country
Germany
Facility Name
Site DE49001
City
Hannover
ZIP/Postal Code
30625
Country
Germany
Facility Name
Site DE49006
City
Heidelberg
ZIP/Postal Code
69120
Country
Germany
Facility Name
Site DE49003
City
Mannheim
ZIP/Postal Code
68167
Country
Germany
Facility Name
Site DE49002
City
Munster
ZIP/Postal Code
48149
Country
Germany
Facility Name
Site DE49015
City
Tübingen
ZIP/Postal Code
72076
Country
Germany
Facility Name
Site DE49017
City
Ulm
ZIP/Postal Code
89075
Country
Germany
Facility Name
Site DE49004
City
Wuppertal
ZIP/Postal Code
42103
Country
Germany
Facility Name
Site GR30001
City
Heraklion
State/Province
Crete
ZIP/Postal Code
70013
Country
Greece
Facility Name
Site GR30004
City
Heraklion
State/Province
Crete
ZIP/Postal Code
71403
Country
Greece
Facility Name
Site GR30003
City
Athens
ZIP/Postal Code
14564
Country
Greece
Facility Name
Site GR30006
City
Athens
ZIP/Postal Code
155 62
Country
Greece
Facility Name
Site GR30005
City
Thessaloniki
ZIP/Postal Code
54007
Country
Greece
Facility Name
Site IT39001
City
Arezzo
ZIP/Postal Code
52100
Country
Italy
Facility Name
Site IT39012
City
Brescia
ZIP/Postal Code
25126
Country
Italy
Facility Name
Site IT39003
City
Milano
ZIP/Postal Code
20100
Country
Italy
Facility Name
Site IT39008
City
Naples
ZIP/Postal Code
80131
Country
Italy
Facility Name
Site IT39010
City
Pavia
ZIP/Postal Code
27100
Country
Italy
Facility Name
Site IT39005
City
Roma
ZIP/Postal Code
00128
Country
Italy
Facility Name
Site IT39004
City
Rome
ZIP/Postal Code
161
Country
Italy
Facility Name
Site IT39002
City
Terni
ZIP/Postal Code
05100
Country
Italy
Facility Name
Site NL31002
City
Amsterdam
ZIP/Postal Code
1066 CX
Country
Netherlands
Facility Name
Site NL31007
City
Blaricum
ZIP/Postal Code
1261 AN
Country
Netherlands
Facility Name
Site NL31004
City
Hoofddorp
ZIP/Postal Code
2134 TM
Country
Netherlands
Facility Name
Site NL31010
City
Nieuwegein
ZIP/Postal Code
3435 CM
Country
Netherlands
Facility Name
Site NL31003
City
Rotterdam
ZIP/Postal Code
3045 PM
Country
Netherlands
Facility Name
Site NO47005
City
Drammen
ZIP/Postal Code
3004
Country
Norway
Facility Name
Site NO47001
City
Kristiansand
ZIP/Postal Code
4615
Country
Norway
Facility Name
Site NO47004
City
Stavanger
ZIP/Postal Code
4011
Country
Norway
Facility Name
Site PL48004
City
Gdańsk
ZIP/Postal Code
80-952
Country
Poland
Facility Name
Site PL48003
City
Krakow
ZIP/Postal Code
31-501
Country
Poland
Facility Name
Site PL48002
City
Lodz
ZIP/Postal Code
93-513
Country
Poland
Facility Name
Site PL48006
City
Warszawa
ZIP/Postal Code
02-507
Country
Poland
Facility Name
Site PL48005
City
Warszawa
ZIP/Postal Code
04-141
Country
Poland
Facility Name
Site RU70004
City
Obninsk
State/Province
Kaluga
ZIP/Postal Code
24903
Country
Russian Federation
Facility Name
Site RU70002
City
Moscow
ZIP/Postal Code
105077
Country
Russian Federation
Facility Name
Site RU70001
City
Moscow
ZIP/Postal Code
115478
Country
Russian Federation
Facility Name
Site RU70003
City
Moscow
ZIP/Postal Code
125284
Country
Russian Federation
Facility Name
Site RU70005
City
St. Petersburg
ZIP/Postal Code
197022
Country
Russian Federation
Facility Name
Site RU70006
City
St. Petersburg
ZIP/Postal Code
197758
Country
Russian Federation
Facility Name
Site ES34005
City
Lugo
ZIP/Postal Code
27003
Country
Spain
Facility Name
Site ES34003
City
Madrid
ZIP/Postal Code
28007
Country
Spain
Facility Name
Site ES34001
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Facility Name
Site ES34002
City
Madrid
ZIP/Postal Code
28041
Country
Spain
Facility Name
Site ES34010
City
Madrid
Country
Spain
Facility Name
Site ES34007
City
Malaga
ZIP/Postal Code
29010
Country
Spain
Facility Name
Site ES34009
City
Murcia
ZIP/Postal Code
30008
Country
Spain
Facility Name
Site ES34008
City
Santander
ZIP/Postal Code
39008
Country
Spain
Facility Name
Site ES34004
City
Sevilla
ZIP/Postal Code
41013
Country
Spain
Facility Name
Site ES34006
City
Valencia
ZIP/Postal Code
46009
Country
Spain
Facility Name
Site SE46002
City
Göteborg
ZIP/Postal Code
413 45
Country
Sweden
Facility Name
Site SE46005
City
Kalmar
ZIP/Postal Code
39185
Country
Sweden
Facility Name
Site SE46003
City
Solna
ZIP/Postal Code
171 76
Country
Sweden
Facility Name
Site SE46004
City
Uppsala
ZIP/Postal Code
751 85
Country
Sweden
Facility Name
Site CH41005
City
Locarno
State/Province
Tessin
ZIP/Postal Code
6600
Country
Switzerland
Facility Name
Site CH41009
City
Zurich
ZIP/Postal Code
CH-8038
Country
Switzerland
Facility Name
Site TR90001
City
Ankara
ZIP/Postal Code
06500
Country
Turkey
Facility Name
Site TR90003
City
Istanbul
ZIP/Postal Code
34722
Country
Turkey
Facility Name
Site TR90002
City
Izmir
ZIP/Postal Code
35340
Country
Turkey
Facility Name
Site GB44010
City
Aberdeen
ZIP/Postal Code
AB25 2ZN
Country
United Kingdom
Facility Name
Site GB44004
City
Cambridge
ZIP/Postal Code
CB2 0QQ
Country
United Kingdom
Facility Name
Site GB44018
City
Cardiff
ZIP/Postal Code
CF4 7XL
Country
United Kingdom
Facility Name
Site GB44014
City
Exeter
Country
United Kingdom
Facility Name
Site GB44003
City
London
ZIP/Postal Code
SE1 9RT
Country
United Kingdom
Facility Name
Site GB44020
City
Northwood
ZIP/Postal Code
HA62RN
Country
United Kingdom
Facility Name
Site GB44015
City
Norwich
ZIP/Postal Code
NR4 7UY
Country
United Kingdom
Facility Name
Site GB44002
City
Nottingham
ZIP/Postal Code
NG5 1PB
Country
United Kingdom
Facility Name
Site GB44017
City
Swansea
ZIP/Postal Code
SA2 8QA
Country
United Kingdom
Facility Name
Site GB44007
City
Wirral
ZIP/Postal Code
CH63 4JY
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Access to anonymized individual participant level data collected during the study, in addition to study-related supporting documentation, is planned for studies conducted with approved product indications and formulations, as well as compounds terminated during development. Studies conducted with product indications or formulations that remain active in development are assessed after study completion to determine if Individual Participant Data can be shared. Conditions and exceptions are described under the Sponsor Specific Details for Astellas on www.clinicalstudydatarequest.com.
IPD Sharing Time Frame
Access to participant level data is offered to researchers after publication of the primary manuscript (if applicable) and is available as long as Astellas has legal authority to provide the data.
IPD Sharing Access Criteria
Researchers must submit a proposal to conduct a scientifically relevant analysis of the study data. The research proposal is reviewed by an Independent Research Panel. If the proposal is approved, access to the study data is provided in a secure data sharing environment after receipt of a signed Data Sharing Agreement.
IPD Sharing URL
https://www.clinicalstudydatarequest.com
Citations:
PubMed Identifier
36265504
Citation
Merseburger AS, Attard G, Astrom L, Matveev VB, Bracarda S, Esen A, Feyerabend S, Senkus E, Lopez-Brea Piqueras M, Boysen G, Gourgioti G, Martins K, Chowdhury S. Continuous enzalutamide after progression of metastatic castration-resistant prostate cancer treated with docetaxel (PRESIDE): an international, randomised, phase 3b study. Lancet Oncol. 2022 Nov;23(11):1398-1408. doi: 10.1016/S1470-2045(22)00560-5. Epub 2022 Oct 18.
Results Reference
derived

Learn more about this trial

A Study to Assess the Benefit of Treatment Beyond Progression With Enzalutamide in Men Who Are Starting Treatment With Docetaxel After Worsening of Their Prostate Cancer When Taking Enzalutamide Alone

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