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Prostate Cancer MetastaticPhase 2PERSEUSNCT01360840

EMD 525797 in Subjects With Asymptomatic or Mildly Symptomatic Metastatic Castrate-resistant Prostate Cancer

A Phase 2 study testing EMD 525797 in people with Prostate Cancer Metastatic, run by EMD Serono at 71 sites in 12 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 primary objective of the trial is to evaluate the clinical anti-tumor activity of EMD 525797 administered as 1-hour intravenous infusion every 3 weeks in terms of progression free survival (PFS) time in subjects with asymptomatic or mildly symptomatic metastatic castrate-resistant prostate cancer (mCRPC). Read more about this study

Who is it for?
Ages 18 years and older, men only
Conditions the study is for
Prostate Cancer Metastatic
What is being tested?
EMD 525797
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
180 participants
Where
71 sitesin 12 countries
Study dates
Apr 2011to Jul 2014
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

  • Histologically or cytologically confirmed adenocarcinoma of the prostate (Gleason score)
  • Bisphosphonate treatment
  • Stable, ongoing adequate testosterone suppression proven by hypogonadal levels of testosterone (less than or equal to) <= 50 nanogram per deciliter [ng/dL]) for subjects without surgical castration (luteinizing hormone-releasing hormone antagonists and agonists)
  • Other protocol defined inclusion criteria could apply

Who cannot join

  • Prior chemotherapy, biologic therapy (targeted therapy), or any experimental therapy for mCRPC
  • Chronic and ongoing treatment with opioids
  • Acute pathologic fracture, spinal cord compression, or hypercalcemia at Screening
  • Visceral metastasis, brain metastasis
  • Radiotherapy to bone lesions and/or orthopedic surgery for pathologic fractures. Any kinds of major elective surgery within 30 days prior to trial treatment
  • Other protocol defined exclusion criteria could apply

Trial locations and contacts

71 sites in 12 countries.

71 sites in 12 countries

United States12 sites
  • Research Site

    Ann Arbor, Michigan

  • Research Site

    Chicago, Illinois

  • Research Site

    Cleveland, Ohio

  • Research Site

    Dallas, Texas

  • Research Site

    Detroit, Michigan

  • Research Site

    Houston, Texas

  • Research Site

    New Brunswick, New Jersey

  • Research Site

    New Orleans, Louisiana

  • Research Site

    Pleasant Hill, California

  • Research Site

    Roanoke, Virginia

  • Research Site

    Spokane, Washington

  • Research Site

    Tyler, Texas

Other trials in United States

Australia10 sites
  • Research Site

    Bendigo

  • Research Site

    Coffs Harbour

  • Research Site

    Darlinghurst

  • Research Site

    Frankston

  • Research Site

    Gosford

  • Research Site

    Kurralta Park

  • Research Site

    Northmead

  • Research Site

    Port Macquarie

  • Research Site

    Randwick

  • Research Site

    Turnhout

Other trials in Australia

Germany10 sites
  • Research Site

    Aachen

  • Universitätsmedizin Charité, Campus Benjamin Franklin, Urologische Klinik and Poliklinik

    Berlin

  • Research Site

    Darmstadt

  • Universitätsklinikum Carl Gustav Carus an der Techischen Universität Dresden, Klinik und Poliklinik für Urologie

    Dresden

  • Research Site

    Esslingen am Neckar

  • Research Site

    Freiburg im Breisgau

  • Research Site

    Hanover

  • Research Site

    Nürtingen

  • Studienpraxis Urologie

    Reutlingen

  • Universitätsklinikum Tübinger, Klinik und Poliklinik für Urologie

    Tübingen

Other trials in Germany

Russia10 sites
  • Altay Regional Oncology Dispensary

    Barnaul

  • Research Site

    Barnaul

  • State Institution of Healthcare Ivanovo Regional Oncology Dispensary

    Ivanovo

  • Budzhet Clinical Oncology Center

    Izhevsk

  • Research Site

    Kazan'

  • Krasnoyarsk State Medical University Oncology and Radiotherapy Territorial Dispensary

    Krasnoyarsk

  • Research Site

    Omsk

  • City Hospital # 2

    Saint Petersburg

  • Research Site

    Stavropol

  • Research Site

    Yekaterinburg

Other trials in Russia

France7 sites
  • Research Site

    Angers

  • Center Alexis Vaurrin

    Bourgogne

  • Research Site

    Caen

  • Hôpitaux Civils de Colmar-CH Louis Pasteur

    Colmar

  • Research Site

    Paris

  • Research Site

    Reims

  • Institute Gustave Roussy

    Villejuif

Other trials in France

Canada6 sites
  • Exdeo Clinical Research Inc.

    Abbotsford British Columbia

  • Brandord Urology Research

    Brantford, Ontario

  • Can-Med Clinical Research Inc.

    Province of British Columbia

  • Sunnybrook Health Sciences Centre

    Toronto

  • Research Site

    Victoria

  • Research Site

    Windsor

Other trials in Canada

South Africa4 sites
  • Research Site

    Gauteng

  • Research Site

    Kwa-Zulu Natal

  • Research Site

    Pretoria Gauteng

  • Research Site

    Western Cape

Other trials in South Africa

Spain4 sites
  • Research Site

    Barcelona

  • Research Site

    Madrid

  • Research Site

    Pamplona

  • Research Site

    Sabadell, Barcelone

Other trials in Spain

Netherlands3 sites
  • Research Site

    Blaricum

  • Research Site

    Groningen

  • Research Site

    Haarlem

Other trials in Netherlands

Poland3 sites
  • Research Site

    Gdansk

  • Research Site

    Lodz

  • Research Site

    Lublin

Other trials in Poland

Belgium1 site
  • ZNA Middelheim Oncologie

    Antwerp

Other trials in Belgium

Slovakia1 site
  • Research Site

    Prešov

Other trials in Slovakia

About this study

Official title: A Randomized, Double-blind, Placebo-controlled, Multicenter Phase II Trial Investigating Two Doses of EMD 525797 in Subjects With Asymptomatic or Mildly Symptomatic Metastatic Castrate-resistant Prostate Cancer (mCRPC)

The primary objective of the trial is to evaluate the clinical anti-tumor activity of EMD 525797 administered as 1-hour intravenous infusion every 3 weeks in terms of progression free survival (PFS) time in subjects with asymptomatic or mildly symptomatic metastatic castrate-resistant prostate cancer (mCRPC).

Being tested
EMD 525797, Placebo, Standard of Care (SoC)
Keywords
Asymptomatic, mildly symptomatic, metastatic castrate-resistant prostate cancer, mCRPC

What participants receive

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

  • EMD 525797Drug

    Subjects will be administered with EMD 525797 at a dose of 1500 milligram (mg) (diluted with 0.9 percent [%] sodium chloride) as a 1-hour intravenous infusion every 3 Weeks until disease progression or unacceptable toxicity, whichever comes first, unless the subject stopped the trial treatment for other reasons.

  • EMD 525797Drug

    Subjects will be administered with EMD 525797 at a dose of 750 mg (diluted with 0.9% sodium chloride) as a 1-hour intravenous infusion every 3 Weeks until disease progression or unacceptable toxicity, whichever comes first, unless the subject stopped the trial treatment for other reasons.

  • PlaceboOther

    Subjects will be administered with placebo (as 0.9% sodium chloride) as a 1-hour intravenous infusion every 3 Weeks until disease progression or unacceptable toxicity, whichever comes first, unless the subject stopped the trial treatment for other reasons.

  • Standard of Care (SoC)Other

    All the subjects followed the SoC consisting of the continued treatment with luteinizing-hormone releasing hormone agonists (or antagonists).

Study groups in NCT01360840
Study groupRoleWhat they receive
Placebo + Standard of care (SoC)Placebo comparatorNot described
Receives: Other: Placebo; Other: Standard of Care (SoC)
EMD 525797 750 mg + SoCExperimentalNot described
Receives: Drug: EMD 525797; Other: Standard of Care (SoC)
EMD 525797 1500 mg + SoCExperimentalNot described
Receives: Drug: EMD 525797; Other: Standard of Care (SoC)

What is being measured

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

  1. Progression Free Survival (PFS) Time

    PFS was defined as time from randomization until the first documented sign of objective radiographic disease progression (ORDP) or death from any cause. Death was considered as an event only if it was reported within 12 weeks after last tumor assessment without progression. ORDP was defined as: Bone lesion progression (2 or more new bone lesions compared to baseline) assessed with bone scintigraphy. Assessment was based on Response Evaluation Criteria in Solid Tumors version 1.0 (RECIST v1.0) modified as per Prostate Cancer Working Group 2 (PCWG-2); Soft-tissue lesion progression assessed with CT scans according to RECIST v1.0 modified as per PCWG-2; Presence of skeletal events defined as cord compression/fracture documented via a scheduled or unscheduled radiographic assessment triggered by increased pain or other signs and/or symptoms, based on the investigator's discretion; Non-radiological events, including emergency bone irradiation and surgery, were not investigated.

    Measured: Time from randomization until data cut-off date (30 April 2013), assessed up to 2 years

Secondary outcomes (14)
  1. Overall Survival

    Overall Survival was defined as the time from the date of randomization to the date of death from any cause.

    Measured: Time from randomization until data cut-off date (30 April 2013), assessed up to 2 years

  2. Time to Tumor Progression

    Time to tumor progression was defined as the time from the date of randomization to the date of ORDP. ORDP was defined as: Bone lesion progression (2 or more new bone lesions compared to baseline) assessed with bone scintigraphy, which had to be confirmed by bone scintigraphy 6 weeks later if subjects remained asymptomatic or mildly symptomatic. Assessments were to be based on RECIST v1.0 modified according to PCWG-2; Soft-tissue lesion progression assessed with CT scans according to RECIST v1.0 modified as per PCWG-2; Presence of skeletal events defined as cord compression or fracture documented via a scheduled or unscheduled radiographic assessment triggered by increased pain or other signs and/or symptoms, based on the investigator's discretion; Non-radiological events, including emergency bone irradiation and surgery, were not investigated.

    Measured: Time from randomization until data cut-off date (30 April 2013), assessed up to 2 years

  3. Number of Subjects With Presence of Tumor Response and Disease Control (DC) in Soft Tissue Lesions

    Presence of tumor response in soft tissue lesions was defined as the presence of at least 1 confirmed complete response (CR) or confirmed partial response (PR) in soft tissue lesions, documented by computed tomography (CT) scans. Presence of DC in soft tissue lesions was defined as the presence of at least 1 confirmed CR or confirmed PR or stable disease (SD) lasting at least 12 weeks after randomization. Tumor response assessments were based on RECIST v1.0 modified according to the PCWG-2. The response was evaluated for subjects with measurable disease at baseline. According to RECIST v1.0, CR=disappearance of all target and non-target lesions; PR=at least 30% decrease in the sum of the longest diameter of target lesions and non-complete response/non-progressive disease in non-target lesions.

    Measured: Time from randomization until data cut-off date (30 April 2013), assessed up to 2 years

  4. Number of Subjects With New Bone Lesions Compared to Baseline

    New bone lesions were evaluated by bone scintigraphy for subjects with bone lesions at baseline.

    Measured: Time from randomization until data cut-off date (30 April 2013), assessed up to 2 years

  5. Number of Subjects With Presence of DC in Bone Lesions

    Presence of DC in bone lesions was defined as the appearance of less than 2 new bone lesions, documented by bone scintigraphy.

    Measured: At Weeks 13, 19 and 25

  6. Bone and Soft Tissue Lesions Composite Tumor Response

    Bone and soft tissue lesions composite tumor response was defined as the presence of both a confirmed CR or PR, documented by CT scans, and a DC in bone lesions, documented by bone scintigraphy. CR was defined as disappearance of all target and non-target lesions and PR was defined as at least 30% decrease in the sum of the longest diameter of target lesions and non-complete response/non-progressive disease in non-target lesions. Presence of DC in bone lesions was defined as the appearance of less than 2 new bone lesions.

    Measured: Time from randomization until data cut-off date (30 April 2013), assessed up to 2 years

  7. Number of Subjects With Presence of Skeletal Related Events

    Presence of skeletal related events was defined as cord compression or fracture documented via a scheduled or unscheduled radiographic assessment triggered by increased pain or other signs and/or symptoms at the investigator discretion. Non-radiological events, including emergency bone irradiation and surgery, were not investigated.

    Measured: Time from randomization until data cut-off date (30 April 2013), assessed up to 2 years

  8. Number of Subjects With Presence of Prostate Specific Antigen (PSA) Response

    PSA response was defined as a decrease greater than 50 percent (%) in PSA value from baseline for 2 consecutive evaluations greater than or equal to (>=) 3 Weeks apart.

    Measured: Time from randomization until data cut-off date (30 April 2013), assessed up to 2 years

  9. Minimum Percentage Change From Baseline in PSA Serum Concentration

    Measured: Baseline, up to data cut-off date (30 April 2013), assessed up to 2 years

  10. Minimum Percentage Change From Baseline in the Number of Circulating Tumor Cells (CTCs)

    Measured: Time from randomization until data cut-off date (30 April 2013), assessed up to 2 years

  11. Overall Minimum Percentage Change From Previous Time Point in Circulating Tumor Cells (CTC)

    Measured: Cycle 1, Day 1 (Week 1): pre-dose, Cycle 3, Day 1 (Week 7): pre-dose, and Cycle 5, Day 1 (Week 13): pre-dose

  12. Number of Subjects With Any Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs Leading to Death, and TEAEs Leading to Discontinuation

    An AE was defined as any new untoward medical occurrences/worsening of pre-existing medical condition without regard to possibility of causal relationship. A serious adverse event was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect. TEAEs were defined as those AEs that started between first dose of study drug and up to 50 days after last dose.

    Measured: From the first dose of study drug administration until 50 days after the last dose of study drug administration or until cut-off date (30 April 2013), assessed up to 2 years

  13. Pharmacokinetic Parameter: Clearance of Intravenously Administered EMD 525797 After First Dose (CL) and Clearance in Steady State of EMD52597 After Fifth Dose (CLss)

    The apparent total body clearance of drug following intravenous administration (CL); The apparent total body clearance of drug at steady state following intravenous administration (CLss).

    Measured: Cycle 1 (Week 1) and cycle 5 (Week 13): Day 1: pre-dose, End of Infusion (EOI), 4, 8, 24, 48, 96, 168, 336, and 504 hours after start of infusion; Cycles 3 and 4 (Weeks 7 and 10), Day 1: pre-dose; Cycle 7 (Week 19), Day 1: pre-dose and EOI

  14. Pharmacokinetic Parameter: Volume of Distribution of EMD 525797 After the First Dose (V) and in Steady State After the Fifth Dose (Vss) of Intravenous Infusion

    The apparent volume of distribution during the terminal phase following intravenous administration (V). The estimate of the apparent volume of distribution at steady state following intravenous administration (Vss).

    Measured: Cycle 1 (Week 1) and cycle 5 (Week 13): Day 1: pre-dose, End of Infusion (EOI), 4, 8, 24, 48, 96, 168, 336, and 504 hours after start of infusion; Cycles 3 and 4 (Weeks 7 and 10), Day 1: pre-dose; Cycle 7 (Week 19), Day 1: pre-dose and EOI

Timeline

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

  1. First posted26 May 2011 (estimated)
  2. Study startApr 2011
  3. Primary completionApr 2013
  4. Study completionJul 2014

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
180 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01360840
Sponsor's protocol ID
EMR 62242-006
Acronym
PERSEUS
Status last verified
Nov 2015
First submitted
15 Apr 2011
Last updated
14 Dec 2015
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing EMD 525797 in people with Prostate Cancer Metastatic, run by EMD Serono at 71 sites in 12 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 4 inclusion and 6 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 14 Dec 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 71 sites in United States, Australia, Germany, Russia, France and 7 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 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 14 Dec 2015). 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?

Progression Free Survival (PFS) Time (time frame: Time from randomization until data cut-off date (30 April 2013), assessed up to 2 years). 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 14 Dec 2015.

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