Prostate CancerPhase 2NCT01309672
S1014 Abiraterone Acetate in Treating Patients With Prostate Cancer Who Have Undergone Initial Hormone Therapy
A Phase 2 study testing abiraterone acetate and Prednisone in people with Prostate Cancer, run by SWOG Cancer Research Network at 205 sites in United States.
Trial summary
RATIONALE: Androgens can cause the growth of prostate cancer cells. Antiandrogen drugs, such as abiraterone acetate, may lessen the amount of androgens made by the body. It may also stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Read more about this study
- Who is it for?
- Ages 18 to 120 years, men only
- Conditions the study is for
- Prostate Cancer
- What is being tested?
- abiraterone acetate and Prednisone
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 41 participants
- Where
- 205 sitesUnited States
- Study dates
- 9 Aug 2011to 11 Apr 2024
- 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 to 120 years
- Men only
- No healthy volunteers
- Adult, Older adult
DISEASE CHARACTERISTICS:
- Histologically or cytologically proven diagnosis of adenocarcinoma of the prostate
- Metastatic (M1) disease as evidenced by soft tissue and/or bony metastases at the time of initiation of androgen-deprivation therapy (ADT)
- Must have at least one of the following:
- Visceral disease (liver, lung, other viscera)
- Bone metastases to sites in either the axial (spine, pelvis, ribs, or skull) and/or the appendicular (clavicle, humerus, or femur) skeleton
- Distant lymph node disease (e.g., above the aortic bifurcation, etc.)
- No small cell or neuroendocrine prostate cancer
- Patients must be receiving ADT (e.g., gonadotropin-releasing hormone [GNRH] antagonist, with or without antiandrogen) prior to entering this study
- Degarelix, a FDA-approved GNRH antagonist, is an acceptable form of ADT
- Bilateral surgical orchiectomy is also acceptable
- Suboptimal response to ADT induction as defined by the following criteria:
- Declining PSA (current PSA is less than the PSA prior to starting ADT) that fails to reach 4 ng/mL or below despite continuous ADT
- PSA of > 4 ng/mL must be observed between 6-12 months after the initiation of ADT
- Documentation of failure to achieve this PSA of ≤ 4 ng/mL must be within 28 days of registration
- The PSA must be obtained after any applicable antiandrogen washout period
- If the PSA is declining or stable (defined as a PSA rise ≤ 0.1 ng/mL from nadir) and the patient is on an antiandrogen, they must remain on the antiandrogen
- Patients with stable or declining PSA who have had previous antiandrogen exposure, but are not taking an antiandrogen at the time of registration, must wait at least 6 weeks from the last antiandrogen dose before registration and still demonstrate a stable or falling PSA which is > 4 ng/mL by month 12, in order to be eligible
- If the PSA is rising and they are on an antiandrogen, formal antiandrogen washout must be performed (4 weeks for flutamide and 6 weeks for bicalutamide and nilutamide with no evidence of a falling PSA after washout)
- No patients with radiographic progression when compared to available imaging studies performed prior to starting the GNRH agonist/antagonist therapy
- Patients who have measurable disease must have radiographic assessment (at least an abdominal/pelvic CT scan) within 28 days prior to registration
- Non-measurable disease must be assessed (i.e., bone scan) within 42 days prior to registration
- No patients with a history of brain metastases or who currently have treated or untreated brain metastases
- Patients with clinical evidence of brain metastases must have a brain CT scan or MRI negative for metastatic disease within 56 days prior to registration
PATIENT CHARACTERISTICS:
- Zubrod performance status 0-2
- ANC ≥ 1,500/μL
- Platelet count ≥ 100,000/μL
- Hemoglobin ≥ 10 g/dL
- Serum creatinine ≤ 1.5 times the upper limit of normal (ULN) OR creatinine clearance ≥ 60 mL/min
- Bilirubin ≤ 1.5 times ULN (unless documented Gilbert disease)
- AST and ALT < 1.5 times ULN
- Potassium ≥ 3.5 mmol/L
- Patient must have a testosterone value of < 50 ng/dL obtained within 28 days prior to registration
- Patients must have controlled blood pressure defined as systolic blood pressure < 160 mm Hg and diastolic blood pressure < 95 mm Hg
- Patients with a history of hypertension are eligible provided blood pressure is controlled by anti-hypertensive treatment
- Patients who have partners of child-bearing potential must be willing to use a method of birth control with adequate barrier protection during the study and for 1 week after the last study drug administration
- Must be able to take oral medication without crushing, dissolving, or chewing tablets
- Patients must not have a history of gastrointestinal disorders (medical disorders or extensive surgery) that may interfere with the absorption of abiraterone acetate
- No other prior malignancy is allowed except for any of the following:
- Adequately treated basal cell or squamous cell skin cancer
- Adequately treated stage I or II cancer from which the patient is currently in complete remission
- Any other cancer from which the patient has been disease-free for 5 years
- No patients with active or symptomatic viral hepatitis or chronic liver disease
- No moderate (Child-Pugh B) or severe (Child-Pugh C) hepatic impairment
- No history of NYHA class III or IV heart failure
- Patients must have LVEF ≥ 50%
- No known allergies, hypersensitivity, or intolerance to abiraterone acetate, prednisone, or their excipients
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
- Patients with a history of prior neoadjuvant or adjuvant GNRH agonist/antagonist therapy (related to previous surgery or radiation) are eligible provided they finished this therapy at least two years prior to registration
- Prior enrollment to SWOG-S0925 (either arm) is not exclusionary
- At least 6 weeks since prior and no concurrent finasteride or dutasteride
- At least 28 days since prior radiotherapy or surgery and recovered
- At least 4 weeks since prior investigational products
- At least 4 weeks since prior flutamide (6 weeks for bicalutamide and nilutamide) with no evidence of a falling PSA
- No other concurrent oral antiandrogen
- No prior or concurrent cytotoxic chemotherapy or radiopharmaceuticals for prostate cancer
- No prior or concurrent ketoconazole for the treatment of prostate cancer
- Not requiring more than 10 mg a day of prednisone for another medical indication
- Not planning to receive any concurrent cytotoxic chemotherapy, immunotherapy, surgery, or radiotherapy during protocol treatment
- No concurrent hormonal-acting agents, including diethylstilbestrol/DES, aldosterone, PC-SPES, or spironolactone
- No concurrent antifungal medication (e.g., fluconazole or itraconazole)
- No medications that alter cardiac conduction
- No prior Provenge (sipuleucel-T)
Trial locations and contacts
205 sites in 1 country.
205 sites in 1 country
United States205 sites
Kapiolani Medical Center at Pali Momi
‘Aiea, Hawaii, 96701
Oncare Hawaii, Incorporated - Pali Momi
‘Aiea, Hawaii, 96701
San Luis Valley Regional Medical Center
Alamosa, Colorado, 81101
Hematology Oncology Associates, PC
Albuquerque, New Mexico, 87106
University of New Mexico Cancer Center
Albuquerque, New Mexico, 87131-5636
Tulane Cancer Center Office of Clinical Research
Alexandria, Louisiana, 71315-3198
Saint Joseph Mercy Cancer Center
Ann Arbor, Michigan, 48106-0995
CCOP - Michigan Cancer Research Consortium
Ann Arbor, Michigan, 48106
University of Michigan Comprehensive Cancer Center
Ann Arbor, Michigan, 48109-0942
Kaiser Permanente - Deer Valley
Antioch, California, 94531
University of Colorado Cancer Center at UC Health Sciences Center
Aurora, Colorado, 80045
Hematology-Oncology Clinic
Baton Rouge, Louisiana, 70809
Battle Creek Health System Cancer Care Center
Battle Creek, Michigan, 49017
Bay Regional Medical Center
Bay City, Michigan, 48708
Mecosta County Medical Center
Big Rapids, Michigan, 49307
CCOP - Montana Cancer Consortium
Billings, Montana, 59101
St. Vincent Healthcare Cancer Care Services
Billings, Montana, 59101
Hematology-Oncology Centers of the Northern Rockies - Billings
Billings, Montana, 59102
Billings Clinic - Downtown
Billings, Montana, 59107-7000
Saint Alphonsus Cancer Care Center at Saint Alphonsus Regional Medical Center
Boise, Idaho, 83706
Mountain States Tumor Institute at St. Luke's Regional Medical Center
Boise, Idaho, 83712
Bozeman Deaconess Cancer Center
Bozeman, Montana, 59715
Saint Francis Medical Center
Cape Girardeau, Missouri, 63703
Rocky Mountain Oncology
Casper, Wyoming, 82609
Providence Centralia Hospital
Centralia, Washington, 98531-9027
Cancer Center of Kansas, PA - Chanute
Chanute, Kansas, 66720
Hollings Cancer Center at Medical University of South Carolina
Charleston, South Carolina, 29425
Presbyterian Cancer Center at Presbyterian Hospital
Charlotte, North Carolina, 28233-3549
Adena Regional Medical Center
Chillicothe, Ohio, 45601
Charles M. Barrett Cancer Center at University Hospital
Cincinnati, Ohio, 45267
Memorial Hospital Cancer Center - Colorado Springs
Colorado Springs, Colorado, 80909
Riverside Methodist Hospital Cancer Care
Columbus, Ohio, 43214-3998
CCOP - Columbus
Columbus, Ohio, 43215
Grant Medical Center Cancer Care
Columbus, Ohio, 43215
Mount Carmel Health - West Hospital
Columbus, Ohio, 43222
Doctors Hospital at Ohio Health
Columbus, Ohio, 43228
Genesis Regional Cancer Center at Genesis Medical Center
Davenport, Iowa, 52803
Oakwood Cancer Center at Oakwood Hospital and Medical Center
Dearborn, Michigan, 48123-2500
Decatur Memorial Hospital Cancer Care Institute
Decatur, Illinois, 62526
Grady Memorial Hospital
Delaware, Ohio, 43015
Barbara Ann Karmanos Cancer Institute
Detroit, Michigan, 48201-1379
Josephine Ford Cancer Center at Henry Ford Hospital
Detroit, Michigan, 48202
Cancer Center of Kansas, PA - Dodge City
Dodge City, Kansas, 67801
Shaw Regional Cancer Center
Edwards, Colorado, 81632
Falck Cancer Center at Arnot Ogden Medical Center
Elmira, New York, 14905
Providence Regional Cancer Partnership
Everett, Washington, 98201
St. Francis Hospital
Federal Way, Washington, 98003
Genesys Hurley Cancer Institute
Flint, Michigan, 48503
Hurley Medical Center
Flint, Michigan, 48503
McLaren Cancer Institute
Flint, Michigan, 48532
Singh and Arora Hematology Oncology, PC
Flint, Michigan, 48532
McLeod Regional Medical Center
Florence, South Carolina, 29501
Poudre Valley Hospital
Fort Collins, Colorado, 80524
Front Range Cancer Specialists
Fort Collins, Colorado, 80528
Cancer Center of Kansas - Fort Scott
Fort Scott, Kansas, 66701
Kaiser Permanente - Fremont
Fremont, California, 94538
Kaiser Permanente Fresno Medical Center
Fresno, California, 93720
Saint Luke's Mountain States Tumor Institute - Fruitland
Fruitland, Idaho, 83619
Valley View Hospital Cancer Center
Glenwood Springs, Colorado, 81601
Wayne Memorial Hospital, Incorporated
Goldsboro, North Carolina, 27534
St. Mary's Regional Cancer Center at St. Mary's Hospital and Medical Center
Grand Junction, Colorado, 81502
Butterworth Hospital at Spectrum Health
Grand Rapids, Michigan, 49503
CCOP - Grand Rapids
Grand Rapids, Michigan, 49503
Lacks Cancer Center at Saint Mary's Health Care
Grand Rapids, Michigan, 49503
St. Rose Ambulatory and Surgery Center
Great Bend, Kansas, 67530
Great Falls Clinic - Main Facility
Great Falls, Montana, 59405
Sletten Cancer Institute at Benefis Healthcare
Great Falls, Montana, 59405
Van Elslander Cancer Center at St. John Hospital and Medical Center
Grosse Pointe Woods, Michigan, 48236
Saint Francis/Mount Sinai Regional Cancer Center at Saint Francis Hospital and Medical Center
Hartford, Connecticut, 06105
Hays Medical Center
Hays, Kansas, 67601
Kaiser Permanente Medical Center - Hayward
Hayward, California, 94545
St. Peter's Hospital
Helena, Montana, 59601
Cancer Research Center of Hawaii
Honolulu, Hawaii, 96813
OnCare Hawaii, Incorporated - Lusitana
Honolulu, Hawaii, 96813
Queen's Cancer Institute at Queen's Medical Center
Honolulu, Hawaii, 96813
Straub Clinic and Hospital, Incorporated
Honolulu, Hawaii, 96813
OnCare Hawaii, Incorporated - Kuakini
Honolulu, Hawaii, 96817-3169
Kuakini Medical Center
Honolulu, Hawaii, 96817
Kaiser Permanente - Moanalua Medical Center and Clinic
Honolulu, Hawaii, 96819
Kapiolani Medical Center for Women and Children
Honolulu, Hawaii, 96826
Tripler Army Medical Center
Honolulu, Hawaii, 96859
Baylor University Medical Center - Houston
Houston, Texas, 77030
Ben Taub General Hospital
Houston, Texas, 77030
St. Luke's Texas Cancer Institute at St. Luke's Episcopal Hospital
Houston, Texas, 77030
Veterans Affairs Medical Center - Houston
Houston, Texas, 77030
Hutchinson Hospital Corporation
Hutchinson, Kansas, 67502
Cancer Center of Kansas-Independence
Independence, Kansas, 67301
Foote Memorial Hospital
Jackson, Michigan, 49201
University of Mississippi Cancer Clinic
Jackson, Mississippi, 39216
NEA Medical Clinic - East Matthews
Jonesboro, Arkansas, 72401
Castle Medical Center
Kailua, Hawaii, 96734
Glacier Oncology, PLLC
Kalispell, Montana, 59901
Kalispell Regional Medical Center
Kalispell, Montana, 59901
Kansas City Cancer Centers - West
Kansas City, Kansas, 66112
Kansas Masonic Cancer Research Institute at the University of Kansas Medical Center
Kansas City, Kansas, 66160-7357
Truman Medical Center - Hospital Hill
Kansas City, Missouri, 64108
Kansas City Cancer Centers - South
Kansas City, Missouri, 64131
Kansas City Cancer Centers - North
Kansas City, Missouri, 64154
Cancer Center of Kansas, PA - Kingman
Kingman, Kansas, 67068
Christine LaGuardia Phillips Cancer Center at Wellmont Holston Valley Medical Center
Kingsport, Tennessee, 37662
Thompson Cancer Survival Center
Knoxville, Tennessee, 37916
Cancer Center of Acadiana at Lafayette General Medical Center
Lafayette, Louisiana, 70503
Fairfield Medical Center
Lancaster, Ohio, 43130
Sparrow Regional Cancer Center
Lansing, Michigan, 48912-1811
Great Lakes Cancer Institute - Lapeer Campus
Lapeer, Michigan, 48446
University Medical Center of Southern Nevada
Las Vegas, Nevada, 89102
CCOP - Nevada Cancer Research Foundation
Las Vegas, Nevada, 89106
Lawrence Memorial Hospital
Lawrence, Kansas, 66044
Kansas City Cancer Centers - East
Lee's Summit, Missouri, 64064
St. Joseph Regional Medical Center
Lewiston, Idaho, 83501
Central Baptist Hospital
Lexington, Kentucky, 40503-9985
Cancer Center of Kansas, PA - Liberal
Liberal, Kansas, 67901
Kauai Medical Clinic
Lihue, Hawaii, 96766
Arkansas Cancer Research Center at University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205
St. Mary Mercy Hospital
Livonia, Michigan, 48154
UMC Southwest Cancer and Research Center
Lubbock, Texas, 79415-3364
Strecker Cancer Center at Marietta Memorial Hospital
Marietta, Ohio, 45750
Tibotec Therapeutics - Division of Ortho Biotech Products, LP
Marysville, California, 95901
Cardinal Bernardin Cancer Center at Loyola University Medical Center
Maywood, Illinois, 60153
Mountain States Tumor Institute - Meridian
Meridian, Idaho, 83642
Caritas Holy Family Hospital
Methuen, Massachusetts, 01844
Tucker Center for Cancer Care at Orange Regional Medical Center
Middletown, New York, 10940-4199
Winthrop University Hospital
Mineola, New York, 11501
Montana Cancer Specialists at Montana Cancer Center
Missoula, Montana, 59807-7877
Montana Cancer Center at St. Patrick Hospital and Health Sciences Center
Missoula, Montana, 59807
Montrose Memorial Hospital Cancer Center
Montrose, Colorado, 81401
Clemens Regional Medical Center
Mount Clemens, Michigan, 48043
Good Samaritan Regional Health Center
Mount Vernon, Illinois, 62864
Knox Community Hospital
Mount Vernon, Ohio, 43050
Mercy General Health Partners
Muskegon, Michigan, 49444
Saint Luke's Mountain States Tumor Institute
Nampa, Idaho, 83686
St. Luke's - Roosevelt Hospital Center - St.Luke's Division
New York, New York, 10025
Licking Memorial Cancer Care Program at Licking Memorial Hospital
Newark, Ohio, 43055
Cancer Center of Kansas, PA - Newton
Newton, Kansas, 67114
Mid-Illinois Hematology-Oncology Associates at Community Cancer Center
Normal, Illinois, 61761
Kaiser Permanente Medical Center - Oakland
Oakland, California, 94611
Providence St. Peter Hospital Regional Cancer Center
Olympia, Washington, 98506-5166
M.D. Anderson Cancer Center at Orlando
Orlando, Florida, 32806
Kansas City Cancer Centers - Southwest
Overland Park, Kansas, 66210
Cancer Center of Kansas, PA - Parsons
Parsons, Kansas, 67357
Northern Michigan Hospital
Petoskey, Michigan, 49770
Mount Carmel Regional Cancer Center
Pittsburg, Kansas, 66762
St. Joseph Mercy Oakland
Pontiac, Michigan, 48341-2985
Mercy Regional Cancer Center at Mercy Hospital
Port Huron, Michigan, 48060
Southern Ohio Medical Center Cancer Center
Portsmouth, Ohio, 45662
Cancer Center of Kansas, PA - Pratt
Pratt, Kansas, 67124
Good Samaritan Cancer Center
Puyallup, Washington, 98372
Kaiser Permanente Medical Center - Redwood City
Redwood City, California, 94063
Spectrum Health Reed City Hospital
Reed City, Michigan, 49677
Kaiser Permanente Medical Center - Richmond
Richmond, California, 94801
Valley Hospital - Ridgewood
Ridgewood, New Jersey, 07450
James P. Wilmot Cancer Center at University of Rochester Medical Center
Rochester, New York, 14642
Highlands Oncology Group - Springdale
Rogers, Arkansas, 72758
Kaiser Permanente Medical Center - Roseville
Roseville, California, 95661
University of California Davis Cancer Center
Sacramento, California, 95817
South Sacramento Kaiser-Permanente Medical Center
Sacramento, California, 95823
Kaiser Permanente Medical Center - Sacramento
Sacramento, California, 95825
Seton Cancer Institute at Saint Mary's - Saginaw
Saginaw, Michigan, 48601
Cancer Center of Kansas, PA - Salina
Salina, Kansas, 67401
Tammy Walker Cancer Center at Salina Regional Health Center
Salina, Kansas, 67401
Huntsman Cancer Institute at University of Utah
Salt Lake City, Utah, 84112
Kaiser Permanente Medical Center - San Francisco Geary Campus
San Francisco, California, 94115
Kaiser Permanente Medical Center - Santa Teresa
San Jose, California, 95119
Kaiser Foundation Hospital - San Rafael
San Rafael, California, 94903
Kaiser Permanente Medical Center - Santa Clara Kiely Campus
Santa Clara, California, 95051
New Mexico Cancer Care Associates
Santa Fe, New Mexico, 87505
Kaiser Permanente Medical Center - Santa Rosa
Santa Rosa, California, 95403
Kansas City Cancer Center - Shawnee Mission
Shawnee Mission, Kansas, 66204
Highland Clinic
Shreveport, Louisiana, 71105
Feist-Weiller Cancer Center at Louisiana State University Health Sciences
Shreveport, Louisiana, 71130-3932
Kaiser Permanente Medical Center - South San Francisco
South San Francisco, California, 94080
Regional Cancer Center at Memorial Medical Center
Springfield, Illinois, 62781-0001
CCOP - Cancer Research for the Ozarks
Springfield, Missouri, 65802
St. John's Regional Health Center
Springfield, Missouri, 65804
Hulston Cancer Center at Cox Medical Center South
Springfield, Missouri, 65807
Community Hospital of Springfield and Clark County
Springfield, Ohio, 45505
Midwest Hematology Oncology Group, Incorporated
St Louis, Missouri, 63109
CCOP - St. Louis-Cape Girardeau
St Louis, Missouri, 63141
David C. Pratt Cancer Center at St. John's Mercy
St Louis, Missouri, 63141
Iredell Memorial Hospital
Statesville, North Carolina, 28677
Kaiser Permanente Medical Facility - Stockton
Stockton, California, 95210
Franciscan Cancer Center at St. Joseph Medical Center
Tacoma, Washington, 98405-3004
Allenmore Hospital
Tacoma, Washington, 98405
CCOP - Northwest
Tacoma, Washington, 98405
MultiCare Regional Cancer Center at Tacoma General Hospital
Tacoma, Washington, 98405
St. Clare Hospital
Tacoma, Washington, 98499
CCOP - Scott and White Hospital
Temple, Texas, 76508
Cotton-O'Neil Cancer Center
Topeka, Kansas, 66606
St. Francis Comprehensive Cancer Center
Topeka, Kansas, 66606
Munson Medical Center
Traverse City, Michigan, 49684
Tahoe Forest Cancer Center
Truckee, California, 96161
Mountain States Tumor Institute at St. Luke's
Twin Falls, Idaho, 83301
Kaiser Permanente Medical Center - Vacaville
Vacaville, California, 95688
Kaiser Permanente Medical Center - Vallejo
Vallejo, California, 94589
Kaiser Permanente Medical Center - Walnut Creek
Walnut Creek, California, 94596
St. John Macomb Hospital
Warren, Michigan, 48093
Cancer Center of Kansas, PA - Wellington
Wellington, Kansas, 67152
Mount Carmel St. Ann's Cancer Center
Westerville, Ohio, 43081
Associates in Womens Health, PA - North Review
Wichita, Kansas, 67208
Cancer Center of Kansas, PA - Medical Arts Tower
Wichita, Kansas, 67208
Cancer Center of Kansas, PA - Wichita
Wichita, Kansas, 67214
CCOP - Wichita
Wichita, Kansas, 67214
Via Christi Cancer Center at Via Christi Regional Medical Center
Wichita, Kansas, 67214
Cancer Center of Kansas, PA - Winfield
Winfield, Kansas, 67156
Genesis - Good Samaritan Hospital
Zanesville, Ohio, 43701
About this study
Official title: Abiraterone Acetate Treatment for Prostate Cancer Patients With a PSA of More Than Four Following Initial Androgen Deprivation Therapy Phase II
RATIONALE: Androgens can cause the growth of prostate cancer cells. Antiandrogen drugs, such as abiraterone acetate, may lessen the amount of androgens made by the body. It may also stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
PURPOSE: This phase II trial is studying the side effects and how well abiraterone acetate works in treating patients with prostate cancer who have undergone initial hormone therapy.
Read the detailed description
OBJECTIVES:
Primary
- To assess the rate of achieving a prostate-specific antigen (PSA) of ≤ 0.2 ng/mL with abiraterone acetate therapy in men with metastatic prostate cancer with a sub-optimal response to androgen-deprivation therapy (ADT).
Secondary
- To assess the overall survival and objective progression-free survival of this group of patients.
- To assess PSA partial response.
- To evaluate the qualitative and quantitative toxicity of abiraterone acetate.
OUTLINE: This is a multicenter study.
Patients receive abiraterone acetate orally daily on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Patients receive androgen blockade with GNRH agonist (goserelin acetate or leuprolide acetate) or a GNRH antagonist (degarelix) per the treating physician and this will be given continuously until evidence of disease progression. Bilateral surgical orchiectomy is also acceptable.
After completion of study therapy, patients are followed up every 3 months for 1 year and then every 6 months for up to 3 years.
- Conditions
- Prostate Cancer
- Being tested
- abiraterone acetate, Prednisone
- Keywords
- adenocarcinoma of the prostate, hormone-resistant prostate cancer, stage IV prostate cancer, recurrent prostate cancer
- Medical subject headings
- Prostatic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
abiraterone acetateDrug
1,000 mg, oral (on an empty stomach at least 2 hours after or 1 hour before eating); taken daily
PrednisoneDrug
5 mg, oral, 5 mg twice daily
| Study group | Role | What they receive |
|---|---|---|
| Abiraterone acetate + prednisone | Experimental | Abiraterone, 1,000 mg, oral (on an empty stomach at least 2 hours after or 1 hour before eating); to be taken daily
Prednisone, 5 mg, oral, 5 mg twice daily Receives: Drug: abiraterone acetate; Drug: Prednisone |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Patients With Undetectable PSA
undetectable PSA defined as <= 0.2 ng/mL. Patients not responding in the first year were deemed non-responders.
Measured: 12 months
Secondary outcomes (4)
Number of Patients With PSA Partial Response
PSA reduction to < 4 ng/ml, but >0.2 ng/ml
Measured: 12 months
Objective Progression-free Survival
Progression defined as unequivocal progression of disease, progressive disease as defined by Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), progressive disease as defined by the Prostate Cancer Clinical Trials Working Group bone scan progression criteria, or death due to disease.
Measured: 3 years
Overall Survival
Measured: 3 years
Number of Patients With Toxicity of Abiraterone Acetate
Only adverse events that are possibly, probably or definitely related to study drug are reported.
Measured: Up to 3 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Mar 2011 (estimated)
- Study start9 Aug 2011
- Primary completion29 Nov 2016
- Study completion11 Apr 2024
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.
- Other trials for Prostate CancerStudies of the same condition, open and under way.
- More trials run by SWOG Cancer Research NetworkThe sponsor's other registered studies.
- 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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 41 participants (actual)
Sponsor and investigators
- Lead sponsor
- SWOG Cancer Research Network
- Sponsor type
- Research network
- Collaborators
- National Cancer Institute (NCI)
- Responsible party
- Sponsor
- Investigators
- Thomas W. Flaig, MD, Principal investigator, University of Colorado, Denver
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01309672
- Sponsor's protocol ID
- CDR0000696565
- Other IDs
- S1014, U10CA032102
- Status last verified
- Feb 2025
- First submitted
- 4 Mar 2011
- Last updated
- 26 Feb 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: http://swog.org/Visitors/Download/Policies/Policy43.pdf
Study at a glance
From the registry record, last updated by the sponsor on 26 Feb 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Abiraterone Acetate Treatment for Prostate Cancer Patients With a PSA of More Than Four Following Initial Androgen Deprivation Therapy Phase II
- ClinicalTrials.gov ID
- NCT01309672
- Acronym / sponsor ID
- CDR0000696565
- Conditions
- Prostate Cancer
- Keywords
- adenocarcinoma of the prostate, hormone-resistant prostate cancer, stage IV prostate cancer, recurrent prostate cancer
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 41 participants (actual)
- Lead sponsor
- SWOG Cancer Research NetworkResearch network
- Collaborators
- National Cancer Institute (NCI)
- Study start
- 9 Aug 2011
- Primary completion
- 29 Nov 2016 (actual)
- Study completion
- 11 Apr 2024 (actual)
- First posted
- 7 Mar 2011 (estimated)
- Results
- Posted 5 May 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
RATIONALE: Androgens can cause the growth of prostate cancer cells. Antiandrogen drugs, such as abiraterone acetate, may lessen the amount of androgens made by the body. It may also stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
PURPOSE: This phase II trial is studying the side effects and how well abiraterone acetate works in treating patients with prostate cancer who have undergone initial hormone therapy.
Detailed description
OBJECTIVES:
Primary
- To assess the rate of achieving a prostate-specific antigen (PSA) of ≤ 0.2 ng/mL with abiraterone acetate therapy in men with metastatic prostate cancer with a sub-optimal response to androgen-deprivation therapy (ADT).
Secondary
- To assess the overall survival and objective progression-free survival of this group of patients.
- To assess PSA partial response.
- To evaluate the qualitative and quantitative toxicity of abiraterone acetate.
OUTLINE: This is a multicenter study.
Patients receive abiraterone acetate orally daily on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Patients receive androgen blockade with GNRH agonist (goserelin acetate or leuprolide acetate) or a GNRH antagonist (degarelix) per the treating physician and this will be given continuously until evidence of disease progression. Bilateral surgical orchiectomy is also acceptable.
After completion of study therapy, patients are followed up every 3 months for 1 year and then every 6 months for up to 3 years.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Abiraterone acetate + prednisone | Experimental | Drug: abiraterone acetate, Drug: PrednisoneAbiraterone, 1,000 mg, oral (on an empty stomach at least 2 hours after or 1 hour before eating); to be taken daily Prednisone, 5 mg, oral, 5 mg twice daily |
Who may qualify
- Ages
- 18 to 120 years
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
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 |
|---|---|---|
| abiraterone acetate1,000 mg, oral (on an empty stomach at least 2 hours after or 1 hour before eating); taken daily | Drug | Abiraterone acetate + prednisone |
| Prednisone5 mg, oral, 5 mg twice daily | Drug | Abiraterone acetate + prednisone |
Primary outcome
Number of Patients With Undetectable PSA
Time frame: 12 months
undetectable PSA defined as <= 0.2 ng/mL. Patients not responding in the first year were deemed non-responders.
4 secondary outcomes
Number of Patients With PSA Partial Response
Time frame: 12 months
Objective Progression-free Survival
Time frame: 3 years
Overall Survival
Time frame: 3 years
Number of Patients With Toxicity of Abiraterone Acetate
Time frame: Up to 3 years
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Feb 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: Yes. http://swog.org/Visitors/Download/Policies/Policy43.pdf
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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.
Thomas W. Flaig, MD principal investigator
University of Colorado, Denver
205 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing abiraterone acetate and Prednisone in people with Prostate Cancer, run by SWOG Cancer Research Network at 205 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
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 26 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 205 sites in United States. 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 5 May 2017). 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 Patients With Undetectable PSA (time frame: 12 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 26 Feb 2025.