Prostate CancerPhase 2NCT00116779
A Parallel Group Comparison of the Efficacy and Safety of Degarelix at Two Different Dosing Regimens in Patients With Prostate Cancer
A Phase 2 study testing Degarelix in people with Prostate Cancer, run by Ferring Pharmaceuticals at 35 sites in 2 countries.
Trial summary
The purpose of the study was to contribute, along with other such dose-finding studies, to the identification of the most effective treatment regimen for a one month depot injection of degarelix in the treatment of prostate cancer by a rapid and sustained suppression of testosterone. Read more about this study
- Who is it for?
- Ages 18 years and older, men only
- Conditions the study is for
- Prostate Cancer
- What is being tested?
- Degarelix
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 127 participants
- Where
- 35 sitesin 2 countries
- Study dates
- Feb 2004to Aug 2005
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Men only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Each patient must meet the following inclusion criteria before entry into the study.
- Has given written consent prior to any study-related activity is performed (a study-related activity is defined as any procedure that would not have been performed during the normal management of the patient).
- Histologically confirmed adenocarcinoma of the prostate (all stages), in whom endocrine treatment (except for neoadjuvant hormonal therapy) is indicated. This includes patients with rising PSA after having received radical prostatectomy (removal of the entire prostate and seminal vesicles) or radiotherapy with curative intention.
- Male patient aged 18 years or over.
- Has a baseline testosterone above the lower limit of normal range.
- Has an ECOG (Eastern Co-operative Oncology Group) score equal to or less than 2.
- Has a PSA value of greater than or equal to 2ng/mL.
Who cannot join
- Any patient meeting one or more of the following exclusion criteria will not be entered into the study.
- Previous or present hormonal management of prostate cancer (surgical castration or other hormonal manipulation, e.g. GnRH agonists, GnRH antagonists, antiandrogens, estrogens). However, patients having undergone neoadjuvant hormonal therapy in conjunction with prostatectomy or radiotherapy with curative intention may be included so long as the hormonal therapy did not exceed a total duration of 6 months and was terminated at least 6 months prior to the Screening Visit.
- Currently or recently (within the last 12 weeks preceding the Screening Visit) under treatment with any other drug modifying testosterone level or function.
- Is considered to be a candidate for curative therapy, i.e., radical prostatectomy or radiotherapy within 6 months from Screening Visit.
- Has a history of severe asthma (defined as a need for daily treatment with oral or inhalation steroids to control the asthma), anaphylactic reactions, angioedema, angioneurotic edema or Quincke's Edema.
- Has hypersensitivity towards any component of the investigational products (degarelix or mannitol).
Show all 14Show fewer
- Has history of other cancer within the last 5 years except for prostate cancer and surgically removed basal or squamous cell carcinoma of the skin.
- Has elevated serum ALT level more than three times above upper level of normal range or serum total bilirubin level above one and a half times above upper level of normal range as measured by the laboratory at the Screening Visit.
- Has known or suspect hepatic disease of any sort. Patients with liver disease are not to be enrolled in this study.
- Has other clinically significant laboratory abnormalities, which in the judgment of the investigator would interfere with the participation of the patient in this study or evaluation of study results.
- Has a clinically significant disorder (other than prostate cancer) or any other condition, including excessive alcohol or drug abuse, which may interfere with trial participation or which may affect the conclusion of the study as judged by the investigator.
- Has a mental incapacity or language barriers precluding adequate understanding or cooperation.
- Has received an investigational drug within the last 12 weeks preceding Screening Visit.
- Has previously participated in any degarelix study
Trial locations and contacts
35 sites in 2 countries.
35 sites in 2 countries
United States26 sites
Advanced Urology Medical Center
Anaheim, California, 92801
Alaska Clinical Research Center, LLC
Anchorage, Alaska, 99508
South Florida Medical Research
Aventura, Florida, 33180
Wyoming Research Foundation
Cheyenne, Wyoming, 82001
Urology Associate PC
Denver, Colorado, 80210
SW Florida Urological Associates
Fort Myers, Florida, 33907
Northeast Indiana Research, LLC
Fort Wayne, Indiana, 46825
The Urology Center
Greensboro, North Carolina, 27401
Urology Centers of Alabama
Homewood, Alabama, 35209
South Orange County Medical Research Cnter
Laguna Woods, California, 92653
Lawrenceville Urology
Lawrenceville, New Jersey, 08648
RMD Clinical Reseach Institution LLC
Melrose Park, Illinois, 60160
Florida Foundation for Healthcare Research
Ocala, Florida, 34474
Hudson Valley Urology PC
Poughkeepsie, New York, 12601
Univeristy Urological Research Institute
Providence, Rhode Island, 02904
Nevada Urology Associates
Reno, Nevada, 89511
Virginia Urology Center
Richmond, Virginia, 23235
Urology San Antonio Research
San Antonio, Texas, 78229
Pacific Clinical Research
Santa Monica, California, 90404
Office of Jeffrey Frankel
Seattle, Washington, 98166
Regional Urology
Shreveport, Louisiana, 71106
University of Vermont, Dept of Surgery
South Burlington, Vermont, 05403
State College Urologic Association
State College, Pennsylvania, 16801
West Coast Clinical Research
Tarzana, California, 91356
Scott & White Memorial Hospital
Temple, Texas, 76508
Western Clinical Research
Torrance, California, 90505
Canada9 sites
The Male and Female Health and Research Centers
Barrie, Ontario, L4M7G1
Brantford Urology Research
Brantford, Ontario, N3R4N3
Burlington Professional Care
Burlington, Ontario, L7N3V2
Southern Interior Medical Research Corporation
Kelowna, British Columbia, V1Y2H4
Valley Professional Center
Kentville, Nova Scotia, B4N4K9
The Female/Male Health Centres
Oakville, Ontario, L6H3P1
Dr. Cal Abdreau Research
Surrey, British Columbia, V3V1N1
Can-Med Clinical Research, Inc.
Victoria, British Columbia, V8T5G1
Dr. Gary Steinhoff Clinical Research
Victoria, British Columbia, V8V3N1
About this study
Official title: An Open-label, Randomized, Multi-center, Parallel Group Comparison of the Efficacy and Safety of Degarelix at Two Different Dosing Regimens in Patients With Prostate Cancer Dosed for Thirteen 28-day Cycles
The purpose of the study was to contribute, along with other such dose-finding studies, to the identification of the most effective treatment regimen for a one month depot injection of degarelix in the treatment of prostate cancer by a rapid and sustained suppression of testosterone.
- Conditions
- Prostate Cancer
- Being tested
- Degarelix
- Keywords
- Prostate Cancer, Androgen ablation therapy
- Medical subject headings
- Prostatic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
DegarelixDrug
Also called FE200486
Drug supplied as a powder to be dissolved in the solvent for solution for injection. Maintenance dose given in twelve 28-day cycles.
| Study group | Role | What they receive |
|---|---|---|
| Degarelix 60mg | Experimental | Initial dose of 200 milligrams (40 milligrams per milliliter) of Degarelix on Day 0 (cycle 1) given by subcutaneous injection. Maintenance dose of 60 milligrams (20 milligrams per milliliter) of Degarelix given by subcutaneous injection every 28 days for cycles 2-13. Receives: Drug: Degarelix |
| Degarelix 80mg | Experimental | Initial dose of 200 milligrams (40 milligrams per milliliter) of Degarelix on Day 0 (cycle 1) given by subcutaneous injection. Maintenance dose of 80 milligrams (20 milligrams per milliliter) of Degarelix given by subcutaneous injection every 28 days for cycles 2 - 13. Receives: Drug: Degarelix |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Testosterone <=0.5 Nanogram/Milliliter From Day 28 to Day 364
Number of participants with all testosterone values <=0.5 nanogram/milliliter from Day 28 to Day 364
Measured: Day 28 to Day 364
Number of Participants With Testosterone Level <= 0.5 Nanogram/Milliliter From Day 28 to Day 364 for Participants With Testosterone <= 0.5 Nanogram/Milliliter at Day 28
Number of participants who maintained a testosterone level of <=0.5 nanogram/milliliter from Day 28 to Day 364.
Measured: Day 28 - Day 364
Secondary outcomes (11)
Number of Participants With Testosterone <= 0.5 Nanogram/Milliliter at Day 3.
Testosterone levels checked at Day 3 to determine if the reduction in testosterone level occurs rapidly after dosing.
Measured: Day 3
Days to 50 Percent and 90 Percent Reduction in Prostate-Specific Antigen
Median number of days after the first dose of Degarelix when the Prostate-Specific Antigen levels fell to 50 percent and 90 percent of the baseline value.
Measured: Day 0 (post dose) to Day 364
Days to Prostate-Specific Antigen Progression
Median days to prostate-specific antigen increase of >= 50 percent and >= 5 nanograms/milliliter compared to nadir on two consecutive visits at least 2 weeks apart.
Measured: Day 0 (post dose) to Day 364
Median Di-Hydrotestosterone Levels At Various Study Timepoints
Di-hydrotestosterone levels at baseline and days 1, 3, 7, 14
Measured: Baseline, Days 1, 3, 7, 14
Median Prostate-Specific Antigen Values at Various Study Timepoints
Prostate-specific antigen levels at baseline and days 3, 14, 28, 84, and 364.
Measured: Baseline, Days 3, 14, 28, 84, 364
Median Luteinizing Hormone Levels at Various Study Timeframes
Luteinizing hormone levels at baseline, and days 1, 3, 7, and 14.
Measured: Baseline, Days 1, 3, 7, 14
Median Testosterone Levels at Various Days During the Study
Testosterone levels at baseline and days 1, 3, 7, 14 and 364
Measured: Baseline, Days 1,3,7,14,364
Number of Participants With Abnormal Alanine Aminotransferase Values
Participants whose alanine aminotransferase values were at levels above the normal range.
Measured: Day 1 through day 364
Number of Participants With Abnormal Aspartate Aminotransferase Values
Participants with aspartate aminotransferase values that were above the normal range.
Measured: Day 1 - 364
Number of Participants With Abnormal Total Bilirubin Values
Participants with abnormal total bilirubin values
Measured: Day 1 - 364
Participants With Markedly Abnormal Changes in Vital Signs or Body Weight
Vital sign and body weight values at the end of the trial are compared to baseline values. The table represents the number of participants in each group with normal baseline values and markedly abnormal end-of-study values.
Measured: Day 364
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Jul 2005 (estimated)
- Study startFeb 2004
- Primary completionAug 2005
- Study completionAug 2005
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Prostate CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 127 participants (actual)
Sponsor and investigators
- Lead sponsor
- Ferring Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Development Support, Study director, Ferring Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00116779
- Sponsor's protocol ID
- FE200486 CS14
- Status last verified
- Dec 2011
- First submitted
- 30 Jun 2005
- Last updated
- 19 Dec 2011
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Gittelman M, Pommerville PJ, Persson BE, Jensen JK, Olesen TK; Degarelix Study Group. A 1-year, open label, randomized phase II dose finding study of degarelix for the treatment of prostate cancer in North America. J Urol. 2008 Nov;180(5):1986-92. doi: 10.1016/j.juro.2008.07.033. Epub 2008 Sep 17.
PubMed 18801505
Study at a glance
From the registry record, last updated by the sponsor on 19 Dec 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-label, Randomized, Multi-center, Parallel Group Comparison of the Efficacy and Safety of Degarelix at Two Different Dosing Regimens in Patients With Prostate Cancer Dosed for Thirteen 28-day Cycles
- ClinicalTrials.gov ID
- NCT00116779
- Acronym / sponsor ID
- FE200486 CS14
- Conditions
- Prostate Cancer
- Keywords
- Prostate Cancer, Androgen ablation therapy
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 127 participants (actual)
- Lead sponsor
- Ferring PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- Feb 2004
- Primary completion
- Aug 2005 (actual)
- Study completion
- Aug 2005 (actual)
- First posted
- 1 Jul 2005 (estimated)
- Results
- Posted 20 Mar 2009
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the study was to contribute, along with other such dose-finding studies, to the identification of the most effective treatment regimen for a one month depot injection of degarelix in the treatment of prostate cancer by a rapid and sustained suppression of testosterone.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Degarelix 60mg | Experimental | Drug: DegarelixInitial dose of 200 milligrams (40 milligrams per milliliter) of Degarelix on Day 0 (cycle 1) given by subcutaneous injection. Maintenance dose of 60 milligrams (20 milligrams per milliliter) of Degarelix given by subcutaneous injection every 28 days for cycles 2-13. |
| Degarelix 80mg | Experimental | Drug: DegarelixInitial dose of 200 milligrams (40 milligrams per milliliter) of Degarelix on Day 0 (cycle 1) given by subcutaneous injection. Maintenance dose of 80 milligrams (20 milligrams per milliliter) of Degarelix given by subcutaneous injection every 28 days for cycles 2 - 13. |
Who may qualify
- Ages
- 18 years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Each patient must meet the following inclusion criteria before entry into the study.
- Has given written consent prior to any study-related activity is performed (a study-related activity is defined as any procedure that would not have been performed during the normal management of the patient).
- Histologically confirmed adenocarcinoma of the prostate (all stages), in whom endocrine treatment (except for neoadjuvant hormonal therapy) is indicated. This includes patients with rising PSA after having received radical prostatectomy (removal of the entire prostate and seminal vesicles) or radiotherapy with curative intention.
- Male patient aged 18 years or over.
- Has a baseline testosterone above the lower limit of normal range.
Key exclusion criteria (14 listed)
- Any patient meeting one or more of the following exclusion criteria will not be entered into the study.
- Previous or present hormonal management of prostate cancer (surgical castration or other hormonal manipulation, e.g. GnRH agonists, GnRH antagonists, antiandrogens, estrogens). However, patients having undergone neoadjuvant hormonal therapy in conjunction with prostatectomy or radiotherapy with curative intention may be included so long as the hormonal therapy did not exceed a total duration of 6 months and was terminated at least 6 months prior to the Screening Visit.
- Currently or recently (within the last 12 weeks preceding the Screening Visit) under treatment with any other drug modifying testosterone level or function.
- Is considered to be a candidate for curative therapy, i.e., radical prostatectomy or radiotherapy within 6 months from Screening Visit.
- Has a history of severe asthma (defined as a need for daily treatment with oral or inhalation steroids to control the asthma), anaphylactic reactions, angioedema, angioneurotic edema or Quincke's Edema.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| DegarelixAlso: FE200486Drug supplied as a powder to be dissolved in the solvent for solution for injection. Maintenance dose given in twelve 28-day cycles. | Drug | Degarelix 60mg, Degarelix 80mg |
Primary outcome
Number of Participants With Testosterone <=0.5 Nanogram/Milliliter From Day 28 to Day 364
Time frame: Day 28 to Day 364
Number of participants with all testosterone values <=0.5 nanogram/milliliter from Day 28 to Day 364
Number of Participants With Testosterone Level <= 0.5 Nanogram/Milliliter From Day 28 to Day 364 for Participants With Testosterone <= 0.5 Nanogram/Milliliter at Day 28
Time frame: Day 28 - Day 364
Number of participants who maintained a testosterone level of <=0.5 nanogram/milliliter from Day 28 to Day 364.
11 secondary outcomes
Number of Participants With Testosterone <= 0.5 Nanogram/Milliliter at Day 3.
Time frame: Day 3
Days to 50 Percent and 90 Percent Reduction in Prostate-Specific Antigen
Time frame: Day 0 (post dose) to Day 364
Days to Prostate-Specific Antigen Progression
Time frame: Day 0 (post dose) to Day 364
Median Di-Hydrotestosterone Levels At Various Study Timepoints
Time frame: Baseline, Days 1, 3, 7, 14
Median Prostate-Specific Antigen Values at Various Study Timepoints
Time frame: Baseline, Days 3, 14, 28, 84, 364
Median Luteinizing Hormone Levels at Various Study Timeframes
Time frame: Baseline, Days 1, 3, 7, 14
Median Testosterone Levels at Various Days During the Study
Time frame: Baseline, Days 1,3,7,14,364
Number of Participants With Abnormal Alanine Aminotransferase Values
Time frame: Day 1 through day 364
Number of Participants With Abnormal Aspartate Aminotransferase Values
Time frame: Day 1 - 364
Number of Participants With Abnormal Total Bilirubin Values
Time frame: Day 1 - 364
Participants With Markedly Abnormal Changes in Vital Signs or Body Weight
Time frame: Day 364
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Dec 2011.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 18801505Gittelman M, Pommerville PJ, Persson BE, Jensen JK, Olesen TK; Degarelix Study Group. A 1-year, open label, randomized phase II dose finding study of degarelix for the treatment of prostate cancer in North America. J Urol. 2008 Nov;180(5):1986-92. doi: 10.1016/j.juro.2008.07.033. Epub 2008 Sep 17.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Development Support study director
Ferring Pharmaceuticals
35 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Degarelix in people with Prostate Cancer, run by Ferring Pharmaceuticals at 35 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 19 Dec 2011. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 35 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 20 Mar 2009). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Participants With Testosterone <=0.5 Nanogram/Milliliter From Day 28 to Day 364 (time frame: Day 28 to Day 364). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00116779, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Dec 2011.