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Prostate CancerPhase 3NCT00833248

Neoadjuvant Study Investigating Degarelix in Patients Suffering From Prostate Cancer

A Phase 3 study testing Degarelix, Goserelin and Bicalutamide in people with Prostate Cancer, run by Ferring Pharmaceuticals at 66 sites in 7 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

The purpose of this phase 3B trial was to see how well a new trial drug (degarelix) works in terms of reducing the size of the prostate volume in prostate cancer patients who were scheduled to undergo subsequent radiotherapy for treatment of their prostate cancer. 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, Goserelin and Bicalutamide
Could I receive a placebo?
No, everyone receives an active treatment
How many people
246 participants
Where
66 sitesin 7 countries
Study dates
Apr 2009to Sep 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

  • Patient has given written informed consent before any trial-related activity is performed.
  • Has a confirmed prostate cancer in which this type of treatment is needed.

Who cannot join

  • Previous treatment for prostate cancer
  • Previous trans-urethral resection of the prostate
  • Patients who are lymph node positive or have other metastatic disease
  • Use of urethral catheter
  • Current treatment with a 5-alpha reductase inhibitor or α-adrenoceptor antagonist.
  • History of severe untreated asthma, anaphylactic reactions, or severe urticaria and/or angioedema.
Show all 10Show fewer
  • Hypersensitivity towards any component of the investigational product
  • Other previous cancers within the last five years with the exception of prostate cancer and some types of skin cancer.
  • Certain risk factors for abnormal heart rhythms/QT prolongation (corrected QT interval over 450 msec., Torsades de Pointes or use of certain medications with potential risk)
  • Clinical disorders other than prostate cancer including but not limited to renal, haematological, gastrointestinal, endocrine, cardiac, neurological, psychiatric disease, alcohol or drug abuse or other conditionals as judged by the investigator.

Trial locations and contacts

66 sites in 7 countries.

66 sites in 7 countries

United States19 sites
  • Urology Group of New Mexico

    Albuquerque, New Mexico, 87109

  • Alaska Urological Association

    Anchorage, Alaska, 99508

  • South Florida Medical Research

    Aventura, Florida, 33180

  • Premier Medical Group of Hudson

    Baldwinsville, New York, 12601

  • Alabama Research Center

    Birmingham, Alabama, 35209

  • Summit Research Institute

    Bloomington, Indiana, 47403

  • DCT -Celebration, LLC dba Discovery Clinical Trials

    Celebration, Florida, 34747

  • Urology Center Research Institute

    Englewood, New Jersey, 07631

  • Northeast Indiana Research

    Fort Wayne, Indiana, 46825

  • Urology Centers of Alabama

    Homewood, Alabama, 35209

  • Orange County Urology

    Lagua Hills, California, 92653

  • Connecticut Clinical Research Center

    Middlebury, Connecticut, 06762

  • Tri-Valley Urology Medical Group

    Murrieta, California, 92563

  • Urology Associates

    Nashville, Tennessee, 37209

  • University Urology Associates

    New York, New York, 10016

  • Urology of Virginia

    Norfolk, Virginia, 23502

  • Pinellas Urology Inc.

    St. Petersburg, Florida, 33710

  • Arizona Urologic Specialists

    Tuscon, Arizona, 85712

  • Palm Beach Urology Associates

    Wellington, Florida, 33449

Other trials in United States

France19 sites
  • Hopital Jean Minjoz

    Besançon, 25000

  • Institut Bergonié

    Bordeaux, 33076

  • Centre Francois Baclesse

    Caen, 14000

  • CHU Henri Mondor

    Créteil, 94000

  • Centre Oscar Lambret

    Lille, 59020

  • Centre Leon Berard

    Lyon, 69008

  • Hopital de la Timone

    Marseille, 13385

  • CRLC Val d'Aurelle Oncology Radiotherapy

    Montpellier, CX5 34298

  • Hôpital Tenon

    Paris, 75000

  • Hôpital Saint Louis, Radiotherapy Departement

    Paris, 75010

  • Clinique Francheville

    Périgueux, 24000

  • CHU La Milétrie, Oncology Radiotherapy

    Poitiers, 86000

  • Clinique Saint Brieuc

    Saint-Brieuc, 22015

  • Centre de Lutte Contre le Cancer Nantes-Atlantique Centre René Gauducheau

    Saint-Herblain

  • Institut de Cancérologie de la Loire

    Saint-Priest-en-Jarez, CX 42271

  • Centre Paul Strauss

    Strasbourg, 67085

  • Centre de radiologie Saint Louis

    Toulon, 83100

  • Clinique du Parc

    Toulouse, 31400

  • IGR

    Villejuif, 94805

Other trials in France

United Kingdom10 sites
  • Oncology Royal United Hospital Bath NHS Trust

    Bath, BA1 3NG

  • Addenbrooke's Hospital, Oncology Centre

    Cambridge, CB2 0QQ

  • St. James' University Hospital

    Leeds, LS9 7TF

  • The Royal Marsden NHS, Foundation Trust

    London, SW3 6JJ

  • Charing Cross Hospital

    London, W6 8FR

  • Kent Oncology Centre Maidstone Hospital

    Maidstone, Kent, ME16 9QQ

  • Northern Centre for Cancer Treatment, Newcastle General Hospital

    Newcastle upon Tyne, NE4 6BE

  • Mount Vernon Cancer Center

    Northwood, Middlesex, HA6 2RN

  • Southhampton General Hospital, Cancer Care Directorate, Southhampton Oncology Centre

    Southhampton, SO16 6YD

  • Velindre Hospital, Cardiff University

    Whitchurch, CF14 2TL

Other trials in United Kingdom

Netherlands6 sites
  • Albert Schweitzer Ziekenhuis, Ioc., Dordwijk

    Dordrecht, 3318 AT

  • Groene Hart Ziekenhuis, urology

    Gouda, 2803 HH

  • Franciscus Gasthuis, Dept. urology

    Rotterdam, 3045 PM

  • Maastad Ziekenhuis, Ioc. Clara

    Rotterdam, 3078HT

  • Vlietland Ziekenhuis, Dept. urology

    Schiedam, 3118 JH

  • St. Elisabeth Ziekenhuis Tilburg

    Tilburg, 5000 LC

Other trials in Netherlands

Germany4 sites
  • Charité-Universitätsmedizin, Campus Benjamin Franklin Klinik für Urologie

    Berlin, D-12203

  • Städtisches Klinikum Braunschweig

    Braunschweig, D-38126

  • Universitätsklinikum Dresden, Klinik und Poliklinik für Urologie

    Dresden, D-01307

  • Universitätsklinikum Ulm, Klinik für Strahlentherapie und Radioonkologie

    Ulm, D-89081

Other trials in Germany

Greece4 sites
  • General University Hospital of Alexandroupolis

    Alexandroupoli, 68100

  • General Hospital of Athens, "Sismanogleio", University of Athens, Marouse

    Athens, 15126

  • University General Hospital of Loannina, Medical School

    Loannina, 45110

  • University General Hospital of Patras

    Pátrai, 26504

Other trials in Greece

Spain4 sites
  • Hospital de la Santa Creu i Sant Pau

    Barcelona, 08025

  • Hospital Universitari Vall d´Hebron

    Barcelona, 08035

  • Hospital Universitario La Paz

    Madrid, 28046

  • Fundación IVO

    Valencia, 46009

Other trials in Spain

About this study

Official title: A Randomised, Parallel Arm, Open-label Trial Comparing Degarelix With Goserelin Plus Anti-androgen Flare Protection (Bicalutamide), in Terms of Prostate Size Reduction in Prostate Cancer Patients of Intermediate-to-high Risk, Who Require Neoadjuvant Hormone Therapy Prior to Radiotherapy (Curative Intent)

The purpose of this phase 3B trial was to see how well a new trial drug (degarelix) works in terms of reducing the size of the prostate volume in prostate cancer patients who were scheduled to undergo subsequent radiotherapy for treatment of their prostate cancer. Prior to receiving radiotherapy, it is recommended that patients with intermediate to high risk prostate cancer are pre-treated with hormone therapy (so-called neoadjuvant therapy) which is known to reduce the size of the prostate and thereby decrease the required radiation field and enable a more safe and effective treatment. In this trial, participants were randomly selected (like flipping a coin) to receive either degarelix given alone or a standard hormone therapy (combination of goserelin and bicalutamide. The treatment was given for three months and the prostate size was measured by ultra sound at the beginning and at the end of the trial. The participants were required to come to the clinic for 5 or 6 visits during the three months.

Conditions
Prostate Cancer
Being tested
Degarelix, Goserelin, Bicalutamide
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, Firmagon

    The degarelix doses were administered into the abdominal wall every 28 days. A starting dose of 240 mg (40 mg/mL) degarelix was administered on Day 0 as two 3 mL subcutaneous (s.c.) injections. The second and third doses of 80 mg (20 mg/mL) degarelix were administered as single 4 mL s.c. injections on Days 28 and 56, respectively.

  • GoserelinDrug

    Also called Zoladex

    Goserelin implants (3.6 mg) were inserted s.c. into the abdominal wall every 28 days. The first dose was administered on Day 3. The second and third doses of goserelin were administered on Days 31 and 59, respectively.

  • BicalutamideDrug

    Also called Casodex

    On Day 0, participants began once-daily per-oral (p.o.) treatment with bicalutamide (50 mg) as anti-androgen flare protection; this treatment continued for 14 days after the first dose of goserelin.

Study groups in NCT00833248
Study groupRoleWhat they receive
Degarelix 240 mg/80 mgExperimentalThe degarelix doses were administered into the abdominal wall every 28 days. A starting dose of 240 mg (40 mg/mL) degarelix was administered on Day 0 as two 3 mL subcutaneous (s.c.) injections. The second and third doses of 80 mg (20 mg/mL) degarelix were administered as single 4 mL s.c. injections on Days 28 and 56, respectively.
Receives: Drug: Degarelix
Goserelin (3.6 mg) + bicalutamide (50 mg)Active comparatorOn Day 0, the participants began once-daily oral (p.o.) treatment with bicalutamide as anti-androgen flare protection. This treatment continued for 2 weeks after the first dose of goserelin (i.e. 17 days in total). On Day 3, the first goserelin implant was inserted s.c. into the abdominal wall. The second and third doses of goserelin were administered on Days 31 and 59, respectively.
Receives: Drug: Goserelin; Drug: Bicalutamide

What is being measured

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

  1. Change From Baseline in Prostate Size Based on Trans Rectal Ultra Sound (TRUS) at Week 12 (Full Analysis Set)

    TRUS is a method of measuring the size of the prostate.

    Measured: After treatment of 12 weeks compared to Baseline

  2. Change From Baseline in Prostate Size Based on Trans Rectal Ultra Sound (TRUS) at Week 12 (Per Protocol Analysis Set)

    TRUS is a method of measuring the size of the prostate.

    Measured: After treatment of 12 weeks compared to Baseline

Secondary outcomes (7)
  1. Change From Baseline in Total International Prostate Symptom Score (IPSS) at Week 4, 8, and 12

    The IPSS is a tool commonly used to assess the severity of lower urinary tract symptoms (LUTS), and to monitor the progress of the disease once treatment has been initiated. The participant completes a questionnaire containing 7 questions regarding incomplete emptying, frequency, intermittency, urgency, weak stream, straining, and nocturia. Each question is assigned a score of 0-5. The total score is then classified according to the following scale: 0 to 7 = mildly symptomatic; 8 to 19 = moderately symptomatic; and 20 to 35 = severely symptomatic.

    Measured: After treatment of 4, 8, and 12 weeks compared to Baseline

  2. Change From Baseline in Serum Testosterone Levels During the Study

    Measured: After treatment of 4, 8, and 12 weeks compared to Baseline

  3. Change From Baseline in Serum Prostate-Specific Antigen (PSA) Levels During the Study

    Measured: After treatment of 4, 8, and 12 weeks compared to Baseline

  4. Change From Baseline in Serum Oestradiol Levels During the Study

    Measured: After treatment of 4, 8, and 12 weeks compared to Baseline

  5. Change From Baseline in Quality of Life (QoL) Related to Urinary Symptoms at Each Visit

    The IPSS questionnaire included an additional single question to assess the participant's QoL in relation to his urinary symptoms. The question was: 'If you were to spend the rest of your life with your urinary condition the way it is now, how would you feel about that?' The possible answers to this question ranged from 'delighted' (a score of '0') to 'terrible' (a score of '6').

    Measured: After treatment of 4, 8, and 12 weeks compared to Baseline

  6. Number of Participants With Markedly Abnormal Values in Vital Signs and Body Weight

    This outcome measure included incidence of markedly abnormal changes in blood pressure (systolic and diastolic), pulse, and body weight. The table presents the number of participants with normal baseline and at least one post-baseline markedly abnormal value.

    Measured: Baseline to 12 weeks of treatment

  7. Number of Participants With Markedly Abnormal Values in Safety Laboratory Variables

    The figures present the number of participants who had abnormal (defined as above upper limit of normal range (ULN)) levels of safety laboratory variables. Only the laboratory variables that had at least one percentage of participants in either group with abnormal value are presented, more variables were included in the study.

    Measured: Baseline to 12 weeks of treatment

Timeline

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

  1. First posted2 Feb 2009 (estimated)
  2. Study startApr 2009
  3. Primary completionSep 2011
  4. Study completionSep 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
None (open label)
Enrolment
246 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00833248
Sponsor's protocol ID
FE200486 CS30
Other IDs
2008-005232-33, 2008
Status last verified
Sep 2012
First submitted
30 Jan 2009
Last updated
4 Oct 2012
Data monitoring committee
No

Publications

  • Zengerling F, Jakob JJ, Schmidt S, Meerpohl JJ, Blumle A, Schmucker C, Mayer B, Kunath F. Degarelix for treating advanced hormone-sensitive prostate cancer. Cochrane Database Syst Rev. 2021 Aug 5;8(8):CD012548. doi: 10.1002/14651858.CD012548.pub2.

    PubMed 34350976
  • Mason M, Maldonado Pijoan X, Steidle C, Guerif S, Wiegel T, van der Meulen E, Bergqvist PB, Khoo V. Neoadjuvant androgen deprivation therapy for prostate volume reduction, lower urinary tract symptom relief and quality of life improvement in men with intermediate- to high-risk prostate cancer: a randomised non-inferiority trial of degarelix versus goserelin plus bicalutamide. Clin Oncol (R Coll Radiol). 2013 Mar;25(3):190-6. doi: 10.1016/j.clon.2012.09.010. Epub 2012 Dec 17.

    PubMed 23257248

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Degarelix, Goserelin and Bicalutamide in people with Prostate Cancer, run by Ferring Pharmaceuticals at 66 sites in 7 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 2 inclusion and 10 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 4 Oct 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 66 sites in United States, France, United Kingdom, Netherlands, Germany and 2 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. 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 27 Sep 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?

Change From Baseline in Prostate Size Based on Trans Rectal Ultra Sound (TRUS) at Week 12 (Full Analysis Set) (time frame: After treatment of 12 weeks compared to Baseline). 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 NCT00833248, which also lists 2 linked publications.

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 4 Oct 2012.

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