Prostate CancerPhase 2STAARNCT02737332
A Study to Evaluate Serum Testosterone Levels in Patients With Metastatic Castration-Resistant Prostate Cancer
A Phase 2 study testing Zytiga® (Abiraterone Acetate) and SoluMatrix™ (Abiraterone Acetate) in people with Prostate Cancer, run by Sun Pharmaceutical Industries Limited at 17 sites in United States.
Trial summary
The purpose of this study is to evaluate the serum testosterone levels in patients with Metastatic Castration-Resistant Prostate Cancer on SoluMatrix™ Abiraterone Acetate as Compared to Abiraterone Acetate 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?
- Zytiga® (Abiraterone Acetate) and SoluMatrix™ (Abiraterone Acetate)
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 53 participants
- Where
- 17 sitesUnited States
- Study dates
- 21 Mar 2016to 27 Feb 2017
- 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
- Written informed consent obtained prior to any study-related procedure being performed
- Male subjects at least 18 years of age or older at time of consent
- Pathologically confirmed adenocarcinoma of the prostate
- Ongoing therapy with a GnRH agonist or antagonist AND serum testosterone level <50 ng/dL at screening
- Metastatic disease documented by computed tomography (CT)/ magnetic resonance imaging (MRI) or bone scan. Imaging obtained within 42 days prior to the start of study medication will be accepted.
- Meeting disease progression according to the recommendations of the prostate cancer working group 2 by one of the following criteria:
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- Two rises of PSA (taken a minimum of 1 week apart) from a baseline measurement of at least 2 ng/mL,
- Imaging progression (CT/MRI) by RECIST criteria
- Nuclear scan progression by new lesion.
- Discontinuation of flutamide or nilutamide, and other anti-androgens at least 4 weeks prior to the start of study medication; discontinuation of bicalutamide at least 6 weeks prior to start of study medication.
- Discontinuation of Radiotherapy > 4 weeks prior to start of study medication.
- ECOG performance status of 0-1 at screening
- Screening blood counts of the following:
- Absolute neutrophil count > 1500/µL
- Platelets > 100,000/µL
- Hemoglobin > 9 g/dL
- Screening chemistry values of the following:
- ALT and AST < 2.5 x ULN
- Total bilirubin < 1.5 x ULN
- Creatinine< 1.5 x ULN
- Albumin > 3.0 g/dL
- Potassium > 3.5 mmol/L
- Life expectancy of at least 6 months at screening
- Subject is willing and able to comply with all protocol requirements assessments
- Agrees to protocol-defined use of effective contraception.
Who cannot join
- History of impaired pituitary or adrenal gland function
- Prior therapy with abiraterone acetate, orteronel, ketoconazole or any other CYP17 inhibitor
- Prior therapy with enzalutamide
- Prior use of experimental androgen receptor antagonist
- Previous exposure to Ra-223:Xofigo
- Previous chemotherapy
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- Initiation of bisphosphonate or denosumab therapy within 30 days prior to the start of study medication. Patients who are on a stable dose of these medications for at least 30 days at the time of starting study drug are eligible.
- Therapy with estrogen within 30 days prior to the start of study medication
- Use of systemic glucocorticoids equivalent to > 10 mg of prednisone daily; patients who have discontinued or have reduced dose to < 10 mg prednisone within 14 days prior to the start of study medication will be eligible
- Prior use of any herbal products that may decrease PSA levels (eg., saw palmetto) within 30 days of start of study medication
- Known metastases to the brain or CNS involvement
- History of other malignancy within the previous 2 years
- Major surgery within 30 days prior to the start of study medication
- Blood transfusion within 30 days of screening
- Serious, persistent infection within 14 days of the start of study medication
- Persistent pain that requires the use of a narcotic analgesic
- Known gastrointestinal disease or condition that may impair absorption
- Treatment with any investigational drug within 4 weeks prior to Day -1 of the study.
- Known history of human immunodeficiency virus (HIV) or seropositive test for hepatitis C virus or hepatitis B virus
- Have poorly controlled diabetes.
- Uncontrolled hypertension
- History of New York Heart Association (NYHA) class III or IV heart failure
- Serious concurrent illness, including psychiatric illness, that would interfere with study participation
- Inability to swallow tablets whole
- Known hypersensitivity to any excipients in study medications
- Moderate to severe hepatic impairment (Child-Pugh Classes B and C)
Trial locations and contacts
17 sites in 1 country.
17 sites in 1 country
United States17 sites
Manatee Medical Research
Bradenton, Florida, 34205
Brooklyn Urology Research Group
Brooklyn, New York, 11215
North Idaho Urology
Coeur d'Alene, Idaho, 83814
Urology Clinics of North Texas
Dallas, Texas, 75231
Urology Associates, P.C.
Englewood, Colorado, 80113
Alliance Research
Laguna Hills, California, 92653
Lincoln Urology, PC
Lincoln, Nebraska, 68516
Tower Urology
Los Angeles, California, 90048
Urology Cancer Center
Omaha, Nebraska, 68130
Associated Urologist of North Carolina
Raleigh, North Carolina, 27612
San Bernardino Urological
San Bernardino, California, 92404
Skyline Urology
Torrance, California, 90505
Chesapeake Urology Research Associates
Towson, Maryland, 21204
Urology of Virginia
Virginia Beach, Virginia, 23462
The Iowa Clinic
West Des Moines, Iowa, 50266
Innovative Clinical Research Institute
Whittier, California, 90603
Wichita Urology Group
Wichita, Kansas, 67226
About this study
Official title: A Randomized, Open-Label, Active-Controlled, Multi-Center Study to Evaluate Serum Testosterone Levels in Patients With Metastatic Castration-Resistant Prostate Cancer: The STAAR STUDY
The purpose of this study is to evaluate the serum testosterone levels in patients with Metastatic Castration-Resistant Prostate Cancer on SoluMatrix™ Abiraterone Acetate as Compared to Abiraterone Acetate
Read the detailed description
This was a 12-week, open-label study of abiraterone acetate in at least 50 patients with metastatic castration-resistant prostate cancer.
- Conditions
- Prostate Cancer
- Being tested
- Zytiga® (Abiraterone Acetate), SoluMatrix™ (Abiraterone Acetate)
- Medical subject headings
- Prostatic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Zytiga® (Abiraterone Acetate)Drug
Also called Zytiga®
Zytiga® 1,000 mg (4 x 250 mg qd) tablets plus one 5 mg prednisone tablet to be taken bid, spaced approximately 12 hours apart
SoluMatrix™ (Abiraterone Acetate)Drug
Also called SoluMatrix™
SoluMatrix™ 500 mg (4 x 125 mg qd) tablets plus one 4 mg methylprednisolone tablet bid, spaced approximately 12 hours apart
| Study group | Role | What they receive |
|---|---|---|
| Zytiga® (Abiraterone Acetate) | Active comparator | 1,000 MG (4 x 250 mg qd) Receives: Drug: Zytiga® (Abiraterone Acetate) |
| SoluMatrix™ (Abiraterone Acetate) | Experimental | 500 mg (4 x 125 mg qd) Receives: Drug: SoluMatrix™ (Abiraterone Acetate) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Testosterone Levels
Blood Sample tested for Serum Testosterone Levels
Measured: Average of Day 9 and 10
Secondary outcomes (8)
PSA Levels
All patients randomized to one of the two treatment groups, round about level of PSA.
These were assessed only at the said Outcome Measure Time Frame. No additional time points to the said endpoint
Measured: Day 28, Day 56, and Day 84
Percent of Subjects With PSA-50 Response
Proportion of patients with complete suppression of PSA-50 were reported by treatment and compared for between-group differences.
These were assessed only at the said Outcome Measure Time Frame. No additional time points to the said endpoint.
Measured: Day 28, Day 56, and Day 84
Serum Testosterone Levels
These were assessed only at the said Outcome Measure Time Frame. No additional time points to the said endpoint.
Measured: Day 28, Day 56, and Day 84
Steady State Trough Concentration of Arbiraterone
These were assessed only at the said Outcome Measure Time Frame. No additional time points to the said endpoint.
Measured: Day 09, Day 28, Day 56, and Day 84
AUC (0-inf)
Steady state systemic exposure parameters
Measured: 60 to 30 minutes prior to dosing and over 24 Hours post-dose
AUC (0-24 hr)
Blood samples for pre-dose PK profiling were to be collected approximately 45 minutes before dosing, i.e., within 60 to 30 minutes prior to dosing. Post-dose blood samples were to be collected throughout the day at the times (15 mins, 30 mins, 1 hr, 1.5 hr, 2.0 hr 3 hr, 4 hr, 6 hr, 8 hr, 9 hr, 24 hr).
Measured: 60 to 30 minutes prior to dosing and over 24 Hours post-dose
AUC (0-t)
Blood samples for pre-dose PK profiling were to be collected approximately 45 minutes before dosing, i.e., within 60 to 30 minutes prior to dosing. Post-dose blood samples were to be collected throughout the day at the times (15 mins, 30 mins, 1 hr, 1.5 hr, 2.0 hr 3 hr, 4 hr, 6 hr, 8 hr, 9 hr, 24 hr).
Measured: 60 to 30 minutes prior to dosing and over 24 Hours post-dose
Cmax
Blood samples for pre-dose PK profiling were to be collected approximately 45 minutes before dosing, i.e., within 60 to 30 minutes prior to dosing. Post-dose blood samples were to be collected throughout the day at the times (15 mins, 30 mins, 1 hr, 1.5 hr, 2.0 hr 3 hr, 4 hr, 6 hr, 8 hr, 9 hr, 24 hr).
Measured: 60 to 30 minutes prior to dosing and over 24 Hours post-dose
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Apr 2016 (estimated)
- Study start21 Mar 2016
- Primary completion27 Feb 2017
- Study completion27 Feb 2017
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 Sun Pharmaceutical Industries LimitedThe 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
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 53 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sun Pharmaceutical Industries Limited
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Paul Nemeth, PhD, Study director
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02737332
- Sponsor's protocol ID
- CHL-AA-201
- Acronym
- STAAR
- Status last verified
- Nov 2021
- First submitted
- 25 Mar 2016
- Last updated
- 22 Nov 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 22 Nov 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Open-Label, Active-Controlled, Multi-Center Study to Evaluate Serum Testosterone Levels in Patients With Metastatic Castration-Resistant Prostate Cancer: The STAAR STUDY
- ClinicalTrials.gov ID
- NCT02737332
- Acronym / sponsor ID
- STAAR / CHL-AA-201
- Conditions
- Prostate Cancer
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 53 participants (actual)
- Lead sponsor
- Sun Pharmaceutical Industries LimitedIndustry (pharma, biotech, devices)
- Study start
- 21 Mar 2016 (actual)
- Primary completion
- 27 Feb 2017 (actual)
- Study completion
- 27 Feb 2017 (actual)
- First posted
- 13 Apr 2016 (estimated)
- Results
- Posted 12 Aug 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the serum testosterone levels in patients with Metastatic Castration-Resistant Prostate Cancer on SoluMatrix™ Abiraterone Acetate as Compared to Abiraterone Acetate
Detailed description
This was a 12-week, open-label study of abiraterone acetate in at least 50 patients with metastatic castration-resistant prostate cancer.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Zytiga® (Abiraterone Acetate) | Active comparator | Drug: Zytiga® (Abiraterone Acetate)1,000 MG (4 x 250 mg qd) |
| SoluMatrix™ (Abiraterone Acetate) | Experimental | Drug: SoluMatrix™ (Abiraterone Acetate)500 mg (4 x 125 mg qd) |
Who may qualify
- Ages
- 18 years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (25 listed)
- Written informed consent obtained prior to any study-related procedure being performed
- Male subjects at least 18 years of age or older at time of consent
- Pathologically confirmed adenocarcinoma of the prostate
- Ongoing therapy with a GnRH agonist or antagonist AND serum testosterone level <50 ng/dL at screening
- Metastatic disease documented by computed tomography (CT)/ magnetic resonance imaging (MRI) or bone scan. Imaging obtained within 42 days prior to the start of study medication will be accepted.
Key exclusion criteria (26 listed)
- History of impaired pituitary or adrenal gland function
- Prior therapy with abiraterone acetate, orteronel, ketoconazole or any other CYP17 inhibitor
- Prior therapy with enzalutamide
- Prior use of experimental androgen receptor antagonist
- Previous exposure to Ra-223:Xofigo
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 |
|---|---|---|
| Zytiga® (Abiraterone Acetate)Also: Zytiga®Zytiga® 1,000 mg (4 x 250 mg qd) tablets plus one 5 mg prednisone tablet to be taken bid, spaced approximately 12 hours apart | Drug | Zytiga® (Abiraterone Acetate) |
| SoluMatrix™ (Abiraterone Acetate)Also: SoluMatrix™SoluMatrix™ 500 mg (4 x 125 mg qd) tablets plus one 4 mg methylprednisolone tablet bid, spaced approximately 12 hours apart | Drug | SoluMatrix™ (Abiraterone Acetate) |
Primary outcome
Testosterone Levels
Time frame: Average of Day 9 and 10
Blood Sample tested for Serum Testosterone Levels
8 secondary outcomes
PSA Levels
Time frame: Day 28, Day 56, and Day 84
Percent of Subjects With PSA-50 Response
Time frame: Day 28, Day 56, and Day 84
Serum Testosterone Levels
Time frame: Day 28, Day 56, and Day 84
Steady State Trough Concentration of Arbiraterone
Time frame: Day 09, Day 28, Day 56, and Day 84
AUC (0-inf)
Time frame: 60 to 30 minutes prior to dosing and over 24 Hours post-dose
AUC (0-24 hr)
Time frame: 60 to 30 minutes prior to dosing and over 24 Hours post-dose
AUC (0-t)
Time frame: 60 to 30 minutes prior to dosing and over 24 Hours post-dose
Cmax
Time frame: 60 to 30 minutes prior to dosing and over 24 Hours post-dose
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Nov 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: No
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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.
Paul Nemeth, PhD study director
17 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 Zytiga® (Abiraterone Acetate) and SoluMatrix™ (Abiraterone Acetate) in people with Prostate Cancer, run by Sun Pharmaceutical Industries Limited at 17 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?
The sponsor lists 25 inclusion and 26 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 22 Nov 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 17 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 12 Aug 2020). 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?
Testosterone Levels (time frame: Average of Day 9 and 10). 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 22 Nov 2021.