Prostate Cancer MetastaticPhase 2NCT03646162
Study of VERU-944 to Ameliorate Hot Flashes in Men With Advanced Prostate Cancer
A Phase 2 study testing Veru-944 in people with Prostate Cancer Metastatic, run by Veru Inc. at 24 sites in United States.
Trial summary
Randomized, double-blind, placebo controlled, dose finding Phase 2 study comparing oral daily dosing of VERU-944 after a week of loading (daily dosing) with placebo to ameliorate the vasomotor symptoms resulting from androgen deprivation therapy in men with advanced 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 Metastatic
- What is being tested?
- Veru-944
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 93 participants
- Where
- 24 sitesUnited States
- Study dates
- 14 Sep 2018to 15 Oct 2020
- 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
- Be over 18 years of age;
- Be able to communicate effectively with the study personnel;
- Have histologically confirmed prostate cancer;
- Have been treated with an LHRH agonist or LHRH antagonist for at least the 3 months prior to randomization;
- Be continued on an LHRH agonist or LHRH antagonist throughout this study;
- Have experienced hot flashes for at least one month prior to study entry;
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- Have moderate or severe vasomotor symptoms (hot flashes) (defined as a minimum of 4 moderate to severe hot flashes per day or 12 per week at baseline);
- ECOG performance status of 0 to 2
- Be willing to uses electronic data capture for the relevant medical events
- Must be at least 80% compliant during the screening period
- Subjects must agree to use acceptable methods of contraception:
- If their female partners are pregnant or lactating, acceptable methods of contraception from the time of the first administration of study medication until 6 months following administration of the last dose of study medication must be used. Acceptable methods are: Condom used with spermicidal foam/gel/film/cream/suppository. If the subject has undergone surgical sterilization (vasectomy with documentation of azospermia), a condom with spermicidal foam/gel/film/cream/suppository should be used.
- If the male subject's partner could become pregnant, use acceptable methods of contraception from the time of the first administration of study medication until 6 months following administration of the last dose of study medication. Acceptable methods of contraception are as follows: Condom with spermicidal foam/gel/film/cream/suppository [i.e., barrier method of contraception], surgical sterilization (vasectomy with documentation of azospermia) and a barrier method {condom used with spermicidal foam/gel/film/cream/suppository}, the female partner uses oral contraceptives (combination estrogen/progesterone pills), injectable progesterone or subdermal implants and a barrier method (condom used with spermicidal foam/gel/film/cream/suppository).
- If the female partner has undergone documented tubal ligation (female sterilization), a barrier method (condom used with spermicidal foam/gel/film/cream/suppository) should also be used.
- If the female partner has undergone documented placement of an intrauterine device (IUD) or intrauterine system (IUS), a barrier method (condom with spermicidal foam/gel/film/cream/suppository) should also be used.
- Subject is willing to comply with the requirements of the protocol through the end of the study.
Who cannot join
- Have a serum total testosterone concentration > 50 ng/dL at screening;
- Known hypersensitivity or allergy to estrogen or estrogen like drugs;
- Any disease or condition (medical or surgical) which might compromise the hematologic, cardiovascular, endocrine, pulmonary, renal, gastrointestinal, hepatic, or central nervous system; or other conditions that may interfere with the absorption, distribution, metabolism or excretion of study drug, or would place the subject at increased risk;
- Subjects with a personal history of abnormal blood clotting or thrombotic disease, including venous or arterial thrombotic events such as a history of stroke, deep vein thrombosis (DVT), and/or pulmonary embolus (PE);
- Any subjects, as determined by a central laboratory, that have a:
- Factor V Leiden gene mutation
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- Prothrombin gene mutation
- Uncontrolled symptomatic congestive heart failure (NYHA Class III - IV), unstable angina pectoris, cardiac arrhythmia, or uncontrolled atrial fibrillation;
- History of MI
- The presence of consistently abnormal laboratory values which are considered clinically significant. In addition, any subject with liver enzymes (ALT or AST) above 2 times the upper limit of normal, total bilirubin above 2 times the upper limit of normal, or serum creatinine above 1.5 times the upper limit of normal will NOT be admitted to the study;
- Received an investigational drug within a period of 90 days prior to enrollment in the study;
- Received the study medication (VERU-944) previously;
- Have previously taken within 6 months prior to screening or are currently taking diethylstilbestrol, other estrogens;
- Currently taking gabapentin, estrogen, diethylstilbestrol, medroxyprogesterone acetate, clomiphene, selective serotonin reuptake inhibitors (SSRIs), other treatments for hot flashes
- Recent hospitalization for more than 24 hours (within 30 days of screening);
- Recent surgery (within 30 days of screening);
- Have been previously diagnosed or treated for active cancer (other than prostate cancer or non-melanoma skin cancer) within the previous five years;
- Have a BMI >40.
Trial locations and contacts
24 sites in 1 country.
24 sites in 1 country
United States24 sites
Urologic Consultants
Bala-Cynwyd, Pennsylvania, 19004
Coastal Urology
Brick, New Jersey, 08724
North Idaho Urology
Coeur d'Alene, Idaho, 83814
Mary Crowley Cancer Research
Dallas, Texas, 75230
Urology Clinics of North Texas
Dallas, Texas, 75231
The Urology Center of Colorado
Denver, Colorado, 80211
Universal Axon Clinical Research
Doral, Florida, 33166
Premier Urology Group
Edison, New Jersey, 08837
Advance Urology
Elmont, New York, 11003
AccuMed Research
Garden City, New York, 11530
Gen1 Research
Glendale, Arizona, 85308
Foothills Urology
Golden, Colorado, 80401
Houston Urology Partners
Houston, Texas, 77091
First Urology
Jeffersonville, Indiana, 47130
Tower Urology
Los Angeles, California, 90048
Medical Research Center
Miami, Florida, 33144
Clinical Research Solutions
Middleburg Heights, Ohio, 44130
Premier Medical Group of the Hudson Valley
Poughkeepsie, New York, 12601
Urology San Antonio
San Antonio, Texas, 78229
Urology of San Bernardino
San Bernardino, California, 92404
Regional Urology LLC
Shreveport, Louisiana, 71101
Associated Medical Professionals
Syracuse, New York, 13210
Chesapeake Urology
Towson, Maryland, 21204
Urology of Virginia
Virginia Beach, Virginia, 23462
About this study
Official title: Randomized, Double-blind, Placebo Controlled, Dose Finding Phase 2 Study Comparing Oral Daily Dosing of VERU-944 to Ameliorate the Vasomotor Symptoms Resulting From ADT in Men With Advanced Prostate Cancer
Randomized, double-blind, placebo controlled, dose finding Phase 2 study comparing oral daily dosing of VERU-944 after a week of loading (daily dosing) with placebo to ameliorate the vasomotor symptoms resulting from androgen deprivation therapy in men with advanced prostate cancer
Read the detailed description
This study is a multicenter, randomized, double-blind, placebo controlled, dose finding study of VERU-944 to treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT. The study will have four arms with 30 subjects per arm. The subjects participating in the study will have advanced prostate cancer and will be undergoing androgen deprivation therapy (ADT) with a luteinizing hormone releasing hormone (LHRH) therapy (agonist or antagonist) for at least the three months prior to randomization and be experiencing regular moderate to severe hot flashes while on ADT. Subjects will all continue to receive ADT and will be randomized to receive, for the first four days, a loading dose followed by daily doses of placebo or VERU-944 (10 mg, 50 mg or 100 mg) orally for a total period of 12 weeks.
- Conditions
- Prostate Cancer Metastatic
- Being tested
- Veru-944, Placebo
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Veru-944Drug
Also called Zuclomiphene citrate
Treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT
PlaceboDrug
Placebo
| Study group | Role | What they receive |
|---|---|---|
| Veru-944 10 mg | Experimental | Veru-944 10 mg daily Receives: Drug: Veru-944 |
| Veru-944 50 mg | Experimental | Veru-944 50 mg daily Receives: Drug: Veru-944 |
| Placebo | Placebo comparator | Placebo daily Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Frequency of Moderate to Severe Hot Flashes at 6 Weeks
Percentage of change in frequency of moderate to severe hot flashes at 6 weeks
Measured: 6 weeks
Secondary outcomes (5)
Percentage Change in Severity of Moderate to Severe Hot Flashes at 6 Weeks
Change in severity of moderate to severe hot flashes compared to baseline at 6 weeks
Measured: 6 weeks
Change of Frequency of Moderate to Severe Hot Flashes at Week 12
Mean change in frequency of moderate to severe hot flashes compared to baseline at weeks 12
Measured: Weeks 12
Change in Severity of Moderate to Severe Hot Flashes at Week 12
Mean change in severity of moderate to severe hot flashes compared to baseline at week 12
Measured: Week 12
Change in Bone Turnover Markers C-telopeptide (CTX)
Change in C-telopeptide concentration at day 84 compared to baseline
Measured: 84 days
Change in Bone Turnover Markers Alkaline Phosphatase
Change in bone specific alkaline phosphatase at day 84 compared to baseline
Measured: 84 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Aug 2018
- Study start14 Sep 2018
- Primary completion30 Apr 2020
- Study completion15 Oct 2020
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 Cancer MetastaticStudies of the same condition, open and under way.
- 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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 93 participants (actual)
Sponsor and investigators
- Lead sponsor
- Veru Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Barnette, Study chair, Veru Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03646162
- Sponsor's protocol ID
- V72203
- Status last verified
- Dec 2021
- First submitted
- 17 Aug 2018
- Last updated
- 3 Dec 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 3 Dec 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomized, Double-blind, Placebo Controlled, Dose Finding Phase 2 Study Comparing Oral Daily Dosing of VERU-944 to Ameliorate the Vasomotor Symptoms Resulting From ADT in Men With Advanced Prostate Cancer
- ClinicalTrials.gov ID
- NCT03646162
- Acronym / sponsor ID
- V72203
- Conditions
- Prostate Cancer Metastatic
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 93 participants (actual)
- Lead sponsor
- Veru Inc.Industry (pharma, biotech, devices)
- Study start
- 14 Sep 2018 (actual)
- Primary completion
- 30 Apr 2020 (actual)
- Study completion
- 15 Oct 2020 (actual)
- First posted
- 24 Aug 2018 (actual)
- Results
- Posted 18 Jun 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Randomized, double-blind, placebo controlled, dose finding Phase 2 study comparing oral daily dosing of VERU-944 after a week of loading (daily dosing) with placebo to ameliorate the vasomotor symptoms resulting from androgen deprivation therapy in men with advanced prostate cancer
Detailed description
This study is a multicenter, randomized, double-blind, placebo controlled, dose finding study of VERU-944 to treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT. The study will have four arms with 30 subjects per arm. The subjects participating in the study will have advanced prostate cancer and will be undergoing androgen deprivation therapy (ADT) with a luteinizing hormone releasing hormone (LHRH) therapy (agonist or antagonist) for at least the three months prior to randomization and be experiencing regular moderate to severe hot flashes while on ADT. Subjects will all continue to receive ADT and will be randomized to receive, for the first four days, a loading dose followed by daily doses of placebo or VERU-944 (10 mg, 50 mg or 100 mg) orally for a total period of 12 weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Veru-944 10 mg | Experimental | Drug: Veru-944Veru-944 10 mg daily |
| Veru-944 50 mg | Experimental | Drug: Veru-944Veru-944 50 mg daily |
| Placebo | Placebo comparator | Drug: PlaceboPlacebo daily |
Who may qualify
- Ages
- 18 years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (16 listed)
- Be over 18 years of age;
- Be able to communicate effectively with the study personnel;
- Have histologically confirmed prostate cancer;
- Have been treated with an LHRH agonist or LHRH antagonist for at least the 3 months prior to randomization;
- Be continued on an LHRH agonist or LHRH antagonist throughout this study;
Key exclusion criteria (18 listed)
- Have a serum total testosterone concentration > 50 ng/dL at screening;
- Known hypersensitivity or allergy to estrogen or estrogen like drugs;
- Any disease or condition (medical or surgical) which might compromise the hematologic, cardiovascular, endocrine, pulmonary, renal, gastrointestinal, hepatic, or central nervous system; or other conditions that may interfere with the absorption, distribution, metabolism or excretion of study drug, or would place the subject at increased risk;
- Subjects with a personal history of abnormal blood clotting or thrombotic disease, including venous or arterial thrombotic events such as a history of stroke, deep vein thrombosis (DVT), and/or pulmonary embolus (PE);
- Any subjects, as determined by a central laboratory, that have a:
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 |
|---|---|---|
| Veru-944Also: Zuclomiphene citrateTreat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT | Drug | Veru-944 10 mg, Veru-944 50 mg |
| PlaceboPlacebo | Drug | Placebo |
Primary outcome
Change in Frequency of Moderate to Severe Hot Flashes at 6 Weeks
Time frame: 6 weeks
Percentage of change in frequency of moderate to severe hot flashes at 6 weeks
5 secondary outcomes
Percentage Change in Severity of Moderate to Severe Hot Flashes at 6 Weeks
Time frame: 6 weeks
Change of Frequency of Moderate to Severe Hot Flashes at Week 12
Time frame: Weeks 12
Change in Severity of Moderate to Severe Hot Flashes at Week 12
Time frame: Week 12
Change in Bone Turnover Markers C-telopeptide (CTX)
Time frame: 84 days
Change in Bone Turnover Markers Alkaline Phosphatase
Time frame: 84 days
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Dec 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.
Barnette study chair
Veru Inc.
24 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 Veru-944 in people with Prostate Cancer Metastatic, run by Veru Inc. at 24 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 16 inclusion and 18 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 3 Dec 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 24 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. 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 18 Jun 2021). 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 in Frequency of Moderate to Severe Hot Flashes at 6 Weeks (time frame: 6 weeks). 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 3 Dec 2021.