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Prostate CancerPhase 3ENTHUSE M1NCT00554229

A Phase III Trial of ZD4054 (Zibotentan) (Endothelin A Antagonist) in Hormone Resistant Prostate Cancer With Bone Metastases

A Phase 3 study testing ZD4054 in people with Prostate Cancer, run by AstraZeneca at 197 sites in 31 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Enthuse M1 is a large phase III clinical trial studying the safety and efficacy of ZD4054 (Zibotentan) in patients with hormone resistant prostate cancer and bone metastases. This clinical trial will test if the Endothelin A Receptor Antagonist ZD4054 (Zibotentan) can improve survival compared with placebo. 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?
ZD4054
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
896 participants
Where
197 sitesin 31 countries
Study dates
Nov 2007to Aug 2011
Phase
Phase 3
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

  • Patients who answer TRUE to the following criteria may be eligible to participate in this trial.
  • Confirmed diagnosis of prostate cancer (adenocarcinoma of the prostate) that has spread to the bone (bone metastases)
  • Increasing Prostate Specific Antigen (PSA) over a one month period
  • No pain, or mild pain from prostate cancer
  • Currently receiving treatment with surgical or medical castration

Who cannot join

  • Patients who answer TRUE to the following may NOT eligible to participate in this trial.
  • Currently using opiates based pain killers)
  • Previous treatment with chemotherapy (paclitaxel, docetaxel, and mitoxantrone)
  • Suffering from heart failure or had a myocardial infarction within last 6 months
  • A history of epilepsy or seizures

Trial locations and contacts

197 sites in 31 countries.

197 sites in 31 countries

Japan28 sites
  • Research Site

    Asahi, Chiba

  • Research Site

    Bunkyo-ku, Tokyo

  • Research Site

    Chiba, Chiba

  • Research Site

    Fuchu_city, Tokyo

  • Research Site

    Fukuoka, Fukuoka

  • Research Site

    Hamamatsu, Shizuoka

  • Research Site

    Kita-gun, Kagawa-ken

  • Research Site

    Kobe, Hyōgo

  • Research Site

    Kyoto, Kyoto

  • Research Site

    Maebashi, Gunma

  • Research Site

    Matsuyama, Ehime

  • Research Site

    Meguro-ku, Tokyo

  • Research Site

    Mitaka, Tokyo

  • Research Site

    Nagasaki, Nagasaki

  • Research Site

    Narashino, Chiba

  • Research Site

    Ōita, Oita Prefecture

  • Research Site

    Osaka, Osaka

  • Research Site

    Ōsaka-sayama, Osaka

  • Research Site

    Ōtake, Hiroshima

  • Research Site

    Sagamihara, Kanagawa

  • Research Site

    Sapporo, Hokkaido

  • Research Site

    Sendai, Miyagi

  • Research Site

    Shinjuku-ku, Tokyo

  • Research Site

    Suita, Osaka

  • Research Site

    Sunto-gun, Shizuoka

  • Research Site

    tabashi City, Tokyo

  • Research Site

    Tsukuba, Ibaraki

  • Research Site

    Wako, Saitama

Other trials in Japan

United States19 sites
  • Research Site

    Burlington, Vermont

  • Research Site

    Canton, Ohio

  • Research Site

    Des Moines, Iowa

  • Research Site

    Gainsville, Florida

  • Research Site

    Greenbrae, California

  • Research Site

    Los Angeles, California

  • Research Site

    Milwaukee, Wisconsin

  • Research Site

    Nashville, Tennessee

  • Research Site

    Norfolk, Virginia

  • Research Site

    Norwich, Connecticut

  • Research Site

    Palm Springs, California

  • Research Site

    Pittsburgh, Pennsylvania

  • Research Site

    Port St.Lucie, Florida

  • Research Site

    Salt Lake City, Utah

  • Research Site

    San Mateo, California

  • Research Site

    Seattle, Washington

  • Research Site

    Tucson, Arizona

  • Research Site

    Washington D.C., District of Columbia

  • Research Site

    Wheeling, West Virginia

Other trials in United States

Canada19 sites
  • Research Site

    Barrie, Ontario

  • Research Site

    Burlington, Ontario

  • Research Site

    Calgary, Alberta

  • Research Site

    Edmonton, Alberta

  • Research Site

    Granby, Quebec

  • Research Site

    Hamilton, Ontario

  • Research Site

    Kentville, Nova Scotia

  • Research Site

    Kitchener, Ontario

  • Research Site

    Laval, Quebec

  • Research Site

    London, Ontario

  • Research Site

    Mississauga, Ontario

  • Research Site

    Montreal, Quebec

  • Research Site

    North York, Ontario

  • Research Site

    Oakville, Ontario

  • Research Site

    Ottawa, Ontario

  • Research Site

    Point-Claire, Quebec

  • Research Site

    Québec, Quebec

  • Research Site

    Toronto, Ontario

  • Research Site

    Vancouver, British Columbia

Other trials in Canada

Germany11 sites
  • Research Site

    Augsburg, Augsburg

  • Research Site

    Bad Gegeberg, Bad Gegeberg

  • Research Site

    Berlin, State of Berlin

  • Research Site

    Emmendingen, Emmendingen

  • Research Site

    Kirchheim, Teck

  • Research Site

    Leipzig, Leipzig

  • Research Site

    Lübeck, Luebeck

  • Research Site

    Mannheim, Mannheim

  • Research Site

    München, Muenchen

  • Research Site

    Planegg, Muenchen

  • Research Site

    Reutlingen, Reutlingen

Other trials in Germany

India11 sites
  • Research Site

    Bhopal, Madhya Pradesh

  • Research Site

    Bikaner, Rajasthan

  • Research Site

    Chandigarh, Punjab

  • Research Site

    Gujarat, Gujarat

  • Research Site

    Jaipur, Rajasthan

  • Research Site

    Kolkota, West Bengal

  • Research Site

    Ludhiana, Punjab

  • Research Site

    Mumbai, Maharashtra

  • Research Site

    New Delhi, New Delhi

  • Research Site

    Rohini, National Capital Territory of Delhi

  • Research Site

    Trivandrum, Kerala

Other trials in India

China9 sites
  • Research Site

    Haidian District, Beijing Municipality

  • Research Site

    Nanjing, Jiangsu

  • Research Site

    Pudong New Area, Shanghai Municipality

  • Research Site

    Shanghai, Shanghai Municipality

  • Research Site

    Wuhan, Hubei

  • Research Site

    XI Cheng District, Beijing Municipality

  • Research Site

    Xi’an, Shanxi

  • Research Site

    Xicheng District, Beijing Municipality

  • Research Site

    Xuhui District, Shanghai Municipality

Other trials in China

Brazil8 sites
  • Research Site

    Belo Horizonte, Minas Gerais

  • Research Site

    Curitiba, Paraná

  • Research Site

    Fortaleza, Ceará

  • Research Site

    Goiânia, Goiás

  • Research Site

    Porto Alegre, Rio Grande do Sul

  • Research Site

    Ribeirão Preto, São Paulo

  • Research Site

    Santo André, São Paulo

  • Research Site

    São Paulo, São Paulo

Other trials in Brazil

Russia8 sites
  • Research Site

    Barnaul, Barnaul

  • Research Site

    Izhevsk, Izhevsk

  • Research Site

    Kursk, Kursk Oblast

  • Research Site

    Moscow, Moscow

  • Research Site

    Saint Petersgurg, Saint Petersgurg

  • Research Site

    Sochi, Sochi

  • Research Site

    Stary Oskol, Belgorod Oblast

  • Research Site

    Voronezh, Voronezh Oblast

Other trials in Russia

France6 sites
  • Research Site

    Montpellier, Montpellier

  • Research Site

    Paris, Paris

  • Research Site

    Poitiers, Poitiers Cedex

  • Research Site

    Suresnes, Suresnes

  • Research Site

    Toulouse, Toulouse

  • Research Site

    Villejuif, Villejuif

Other trials in France

Poland6 sites
  • Research Site

    Bialystok, Bialystok

  • Research Site

    Kościerzyna, Koscierzyna

  • Research Site

    Krakow, Krakow

  • Research Site

    Rzeszów, Rzeszow

  • Research Site

    Warsaw, Warszawa

  • Research Site

    Wroclaw, Wroclaw

Other trials in Poland

Australia5 sites
  • Research Site

    Ashford, South Australia

  • Research Site

    Hornsby, New South Wales

  • Research Site

    Redcliffe, Queensland

  • Research Site

    St Leonards, New South Wales

  • Research Site

    Subiaco, Western Australia

Other trials in Australia

Hungary5 sites
  • Research Site

    Budapest, Budapest

  • Research Site

    Debrecen, Debrecen

  • Research Site

    Miskolc, Miskolc

  • Research Site

    Nyíregyháza, Nyiregyhaza

  • Research Site

    Szeged, Szeged

Other trials in Hungary

South Korea5 sites
  • Research Site

    Gangnam-gu, Seoul

  • Research Site

    Heungduk-gu Cheongju, North Chungcheong

  • Research Site

    Seo-gu, Busan

  • Research Site

    Seongnam-si, Gyeonggi-do

  • Research Site

    Songpa-gu, Seoul

Other trials in South Korea

United Kingdom5 sites
  • Research Site

    Cambridge, Cambridgeshire

  • Research Site

    Huddersfield, Yorkshire

  • Research Site

    London, London

  • Research Site

    Maidstone, Kent

  • Research Site

    Reading, Berkshire

Other trials in United Kingdom

Belgium4 sites
  • Research Site

    Brussels, Brussels Capital

  • Research Site

    Ghent, Gent

  • Research Site

    Kortrijk, Kortrijk

  • Research Site

    Leuven, Leuven

Other trials in Belgium

Czechia4 sites
  • Research Site

    Brno, Brno

  • Research Site

    Olomouc, Olomouc

  • Research Site

    Prague, Prague

  • Research Site

    Ústí nad Labem, Usti nad Labem

Other trials in Czechia

Denmark4 sites
  • Research Site

    Aalborg, Aalborg

  • Research Site

    Aarhus, Aarhus

  • Research Site

    Copenhagen, Kobenhavn

  • Research Site

    Herlev, Herlev

Other trials in Denmark

Netherlands4 sites
  • Research Site

    Amsterdam, Amsterdam

  • Research Site

    Eindhoven, Eindhoven

  • Research Site

    Groningen, Provincie Groningen

  • Research Site

    Nijmegen, Nijmegen

Other trials in Netherlands

South Africa4 sites
  • Research Site

    Bloemfontein, Bloemfontein

  • Research Site

    Pietermaritzburg, Pietermaritzburg

  • Research Site

    Port Elizabeth, Port Elizabeth

  • Research Site

    Tygerberg, Cape Town

Other trials in South Africa

Switzerland4 sites
  • Research Site

    Basel, Basel

  • Research Site

    Bern, Canton of Bern

  • Research Site

    Locarno, Locarno

  • Research Site

    Sursee, Sursee

Other trials in Switzerland

Finland3 sites
  • Research Site

    Joensuu, Joensuu

  • Research Site

    Kajaanintie, Kajaanintie

  • Research Site

    Tampere, Pirkanmaa

Other trials in Finland

Hong Kong3 sites
  • Research Site

    Hong Kong, Hong Kong

  • Research Site

    Shatin, Shatin

  • Research Site

    Tuenmen, Hong Kong

Other trials in Hong Kong

Mexico3 sites
  • Research Site

    Distrito Federal Ciudad, Mexico

  • Research Site

    Metepec, State of Mexico

  • Research Site

    Mexico City, Mexico City

Other trials in Mexico

Portugal3 sites
  • Research Site

    Coimbra, Coimbra District

  • Research Site

    Lisbon, Lisbon District

  • Research Site

    Porto, Porto District

Other trials in Portugal

Serbia3 sites
  • Research Site

    Belgrade, Belgrade

  • Research Site

    Niš, Nis

  • Research Site

    Novi Sad, Novi Sad

Other trials in Serbia

Sweden3 sites
  • Research Site

    Gothenburg, Goteborg

  • Research Site

    Gothenburg, Gothenburg

  • Research Site

    Stockholm, Stockholm County

Other trials in Sweden

Taiwan3 sites
  • Research Site

    Kaohsiung City, Kaohsiung

  • Research Site

    Taipei, Taipei

  • Research Site

    Taoyuan, Taiwan

Other trials in Taiwan

Argentina2 sites
  • Research Site

    Buenos Aires, Buenos Aires

  • Research Site

    Santa Fe, Santa Fe Province

Other trials in Argentina

Austria2 sites
  • Research Site

    Graz, Graz

  • Research Site

    Wels, Wels

Other trials in Austria

Italy2 sites
  • Research Site

    Milan, Milan

  • Research Site

    Rome, Rome

Other trials in Italy

Singapore1 site
  • Research Site

    Singapore, Singapore

Other trials in Singapore

About this study

Official title: A Phase III Trial to Test the Efficacy of ZD4054(Zibotentan), an Endothelin A Receptor Antagonist, Versus Placebo in Patients With Hormone Resistant Prostate Cancer (HRPC) and Bone Metastasis Who Are Pain Free and Mildly Symptomatic.

Enthuse M1 is a large phase III clinical trial studying the safety and efficacy of ZD4054 (Zibotentan) in patients with hormone resistant prostate cancer and bone metastases.

  • This clinical trial will test if the Endothelin A Receptor Antagonist ZD4054 (Zibotentan) can improve survival compared with placebo.
  • ZD4054(Zibotentan) is a new type of agent, which is thought to slow tumour growth and spread by blocking Endothelin A receptor activity. This trial will look at the effects of ZD4054 (Zibotentan) in hormone resistant prostate cancer patients with bone metastases.
  • All patients participating in this clinical trial will receive existing standard prostate cancer treatments in addition to trial therapy.
  • Half the patients will receive ZD4054 (Zibotentan), and half the patients will receive placebo in addition to standard prostate cancer therapy. By participating in this trial there is a 50% chance that patients will receive an agent that may slow the progression of the tumour.
  • No patients will be deprived of standard prostate cancer therapy.
Conditions
Prostate Cancer
Being tested
ZD4054, Placebo
Keywords
Hormone Resistant Prostate Cancer, Endothelin A Receptor Antagonist, Endothelin A, Endothelin A antagonist
Medical subject headings
Prostatic Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ZD4054Drug

    Also called Zibotentan

    ZD4054 10 mg oral tablet once daily

  • PlaceboDrug

    Matching placebo oral tablet once daily

Study groups in NCT00554229
Study groupRoleWhat they receive
ZD4054ExperimentalZD4054 10 mg oral tablet once daily
Receives: Drug: ZD4054
PlaceboPlacebo comparatorMatching Placebo, oral tablets once daily
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Overall Survival

    Median time (in months) from randomisation until death using the Kaplan-Meier method

    Measured: From date of randomization until date of death, assessed up to 32 months

Secondary outcomes (9)
  1. Progression Free Survival

    Median time (in months) from randomisation until clinical progression of disease, where progression is defined, using RECIST, as a measurable increase in the smallest dimension of any target or non-target lesion, or the appearance of new lesions, since baseline, using the Kaplan-Meier method

    Measured: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 31 months

  2. Time to Use of Opiates

    Median time (in months) from randomisation until use of opiates for disease-related symptoms for a duration ≥1 week using the Kaplan-Meier method

    Measured: From date of randomization until use of opiates for disease-related symptoms for a duration ≥1 week, assessed up to 31 months

  3. Incidence of Skeletal Related Events

    Median time (in months) from randomisation until occurrence of a skeletal related event, where skeletal related event is defined as the first occurrence of a pathological fracture, a vertebral compression fracture not related to trauma, prophylactic surgery or radiation for impending fracture or spinal cord compression, or a spinal cord compression, using the Kaplan-Meier method.

    Measured: From date of randomization until occurrence of a skeletal related event, assessed up to 31 months

  4. Bone Metastases Formation

    Median time (in months) from randomisation to appearance of ≥4 new bone lesions using the Kaplan-Meier method

    Measured: Patients were assessed every 12 weeks

  5. Health Related Quality of Life

    Median time (in months) from randomisation until deterioration of Health related Quality of Life using the Kaplan-Meier method, where deterioration is defined as a change from baseline of less than or equal to -6 points in Total FACT-P score maintained for 2 consecutive visits.

    Measured: Patients were assessed at every visit

  6. Time to Prostate-specific Antigen (PSA) Progression

    Median time (in months) from randomisation to first PSA value >50% higher than baseline of at least 5ng/ml seen in at least 2 consecutive PSA values at least 2 weeks apart using the Kaplan-Meier method.

    Measured: Patients were assessed every 12 weeks

  7. Time to Pain Progression

    Median time (in months) from randomisation to first assessment of an increased pain event, where increased pain event is defined as the first of a patient requiring opiate medication for duration of ≥1 week for pain due to prostate cancer metastasis, pain due to metastasis that has an increase in the worst pain item of the Brief Pain Inventory (BPI) from baseline to a minimum score of 5 with no decrease in analgesic use, or pain due to metastasis requiring radionuclide therapy, radiation therapy or surgery.

    Measured: Patients were assessed every 12 weeks

  8. Time to Initiation of Chemotherapy

    Median time (in months) from randomisation to first administration of any chemotherapy using the Kaplan-Meier method

    Measured: Patients were assessed every 12 weeks

  9. Pharmacokinetic Characteristics of ZD4054

    Measured: PK samples were performed at randomisation, Week 4, Week 8 and Week 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Nov 2007 (estimated)
  2. Study startNov 2007
  3. Primary completionJul 2010
  4. Study completionAug 2011

Resources

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
896 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00554229
Sponsor's protocol ID
D4320C00014
Other IDs
2007-003227-20
Acronym
ENTHUSE M1
Status last verified
Apr 2012
First submitted
2 Nov 2007
Last updated
8 Feb 2016
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing ZD4054 in people with Prostate Cancer, run by AstraZeneca at 197 sites in 31 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 5 inclusion and 5 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 8 Feb 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 197 sites in Japan, United States, Canada, Germany, India and 26 more countries. 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. Some participants in this study may receive a placebo. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 31 May 2012). 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?

Overall Survival (time frame: From date of randomization until date of death, assessed up to 32 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 8 Feb 2016.

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