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Prostatic AdenomaPhase 2TEAChNCT04693507

Teverelix Evaluated in Advanced Prostate Cancer

A Phase 2 study testing teverelix TFA 120 mg and teverelix TFA 180 mg in people with Prostatic Adenoma, run by Antev Ltd. at 4 sites in Lithuania.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to assess the safety and efficacy of teverelix TFA in the treatment of advanced prostate cancer Read more about this study

Who is it for?
Ages 18 to 80 years, men only
Conditions the study is for
Prostatic Adenoma
What is being tested?
teverelix TFA 120 mg and teverelix TFA 180 mg
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
4 sitesLithuania
Study dates
4 Mar 2021to 6 Feb 2023
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 80 years
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Is male, aged ≤80 years (≥18 years) at the beginning of the treatment period (Day 0)
  • Has histologically proven advanced adenocarcinoma of the prostate (metastatic or non metastatic hormone-sensitive non curative), suitable for ADT
  • Is treatment naïve for any of the following: a. GnRH analogues b. Androgen receptor antagonists, or c. Androgen synthesis inhibitors (e.g. abiraterone)
  • Agrees to practice contraception during the entire study treatment period and for 3 months after the last dose of IMP is administered: a. Either by using double barrier contraception, b. or, is truly sexually abstinent, when this is in line with the preferred and usual lifestyle of the participant
  • Has provided written (personally signed and dated) informed consent before completing any study-related procedure, which means any assessment or evaluation that would not have formed a part of his normal medical care

Who cannot join

  • Has abnormal screening and/or baseline laboratory values that suggest a clinically significant underlying disease, or the following laboratory values: a. Liver function test (aspartate aminotransferase [ASAT/SGOT], alanine aminotransferase [ALAT/SGPT]), or total bilirubin exceeding twice the upper limit of the normal (ULN) range b. Creatinine twice the ULN range c. Uncontrolled diabetes (HbA1c >7.5%) or previously undiagnosed diabetes mellitus with HbA1c >6.5%
  • Has any contraindication to the use of teverelix TFA
  • Has life expectancy of less than 1 year
  • Has T levels <2.0 ng/mL at screening
  • Has a medical history of bilateral orchidectomy
  • Using any of the following prohibited treatments: a. Within 25 weeks prior to screening: dutasteride b. Within 12 weeks prior to screening: finasteride c. Current use of any of the following: i. Anti-androgen therapy, including T replacement therapy and 5α-reductase inhibitor treatment etc. ii. GnRH analogues, androgen receptor antagonists iii. Androgen synthesis inhibitors (e.g. abiraterone) iv. Any other medication or herbal product that may affect hormone levels and might, therefore, confound interpretation of the study results (e.g. St. John's wort)
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  • Has neurological disease, psychiatric disease, drug or alcohol abuse, which could interfere with the participant's proper compliance
  • Has a history of myocardial infarction, unstable symptomatic ischaemic heart disease, any ongoing cardiac arrhythmias of grade >2 (chronic stable atrial fibrillation on stable anticoagulant therapy is allowed), thromboembolic events (e.g. deep vein thrombosis, pulmonary embolism, or symptomatic cerebrovascular events), or any other significant cardiac condition (e.g. pericardial effusion, restrictive cardiomyopathy) within 6 months before screening
  • Has congenital long QT syndrome or ECG abnormalities at screening of: a. Q-wave infarction, unless identified ≥6 months before screening b. Fridericia corrected QT interval (QTcF interval) >480 msec. If QTcF is prolonged in a participant with a pacemaker, the participant may be enrolled in the study upon discussion with the project clinician c. If the QTcF interval is 450-480 msec, inclusive, in a participant with current use of medications with known effects on QT interval, the participant may be enrolled in the study following discussion with the Medical Lead
  • Has known or suspected severe renal impairment
  • Has a medical history of diagnosis of, or treatment for, another malignancy within 2 years before the first dose of IMP, or previous diagnosis of another malignancy with evidence of residual disease. Participants with nonmelanoma skin cancer or carcinoma in situ of any type are not excluded if they have undergone complete resection
  • Is currently using Class IA (e.g. quinidine, procainamide) or Class III (e.g. amiodarone, sotalol) antiarrhythmic medications
  • Has uncontrolled hypertension despite appropriate medical therapy (sitting BP of >180 millimetres of mercury [mmHg] systolic and >95 mmHg diastolic at 2 separate measurements taken no more than 60 minutes apart during the screening visit). Participants with isolated systolic BP measurements >180 mmHg may be rescreened. Participants with isolated systolic BP measurements 141 to 180 mmHg or isolated diastolic BP measurements ≥95 mmHg, although eligible, should be referred for further management of hypertension if indicated
  • Has known, previously diagnosed human immunodeficiency virus (HIV) infection, active chronic hepatitis B or C, life-threatening illness unrelated to prostate cancer, or any serious medical condition that could, in the investigator's opinion, potentially interfere with participation in this study. Specific screening for chronic viral illness is at the discretion of the site and/or local Institutional Review Board (IRB)
  • Has been exposed to another investigational drug within the 3 months prior to screening
  • Has anticipated non-availability for study visits/procedures
  • Plans to undergo surgery during the study period
  • Known presence of hepatic metastases

Trial locations and contacts

4 sites in 1 country.

Lithuania4 sites
  • Hospital of Lithuanian University of Health Sciences Kaunas Clinics

    Kaunas, LT-50161

  • Klaipeda University Hospital

    Klaipėda, LT-92288

  • National Cancer Institute

    Vilnius, LT-08660

  • Vilnius University Hospital Santaros Clinic

    Vilnius, LT-08661

Other trials in Lithuania

About this study

Official title: An Adaptive Phase 2, Open-Label, Multicentre Study Investigating the Pharmacokinetics, Pharmacodynamics, Efficacy and Safety of Teverelix Trifluoroacetate, a GnRH Antagonist, in Participants With Advanced Prostate Cancer

The purpose of this study is to assess the safety and efficacy of teverelix TFA in the treatment of advanced prostate cancer

Read the detailed description

After being informed about the study and potential risks, all patients giving written informed consent will undergo an up to 7 day screening period to determine eligibility for study entry. On Day 0, patients who meet the eligibility requirements will be enrolled in an open-label manner and will receive a loading dose of teverelix TFA (one subcutaneous (SC) injection in the abdomen and one intramuscular (IM) injection in the buttock). Patients will then receive maintenance doses of teverelix TFA (one SC injection in the abdomen) at 4- or 6-weekly intervals up to week 24. The patients will return for a final assessment 4 weeks after their last maintenance dose injection.

The initial dosing regimen to be tested (Group 1) is:

Loading Dose = 120 mg teverelix TFA SC + 120 mg teverelix TFA IM Maintenance Dose = 120 mg teverelix TFA SC every 6 weeks

If this dosing regimen is unsuccessful (more than 2 (of 20) patients fail treatment) then recruitment to Group 1 will end and enrollment in Group 2 will open.

The dosing regimen that may be tested (Group 2) is:

Loading Dose = 180 mg teverelix TFA SC + 180 mg teverelix TFA IM Maintenance Dose = 180 mg teverelix TFA SC every 6 weeks

If this dosing regimen is unsuccessful (more than 6 (of 60) patients fail treatment) then recruitment to Group 2 will end and the study will be terminated.

Being tested
teverelix TFA 120 mg, teverelix TFA 180 mg
Medical subject headings
Prostatic Hyperplasia

What participants receive

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

  • teverelix TFA 120 mgDrug

    Teverelix TFA 240 mg Day 0 and 120 mg every 6 weeks from week 6 to week 24

  • teverelix TFA 180 mgDrug

    Teverelix TFA 360 mg Day 0 and 180 mg every 6 weeks from week 6 to week 24

Study groups in NCT04693507
Study groupRoleWhat they receive
Teverelix TFA 120 mg 6-weeklyExperimentalParticipants receive teverelix TFA loading dose on Day 0 (120 mg SC + 120 mg IM) and teverelix TFA maintenance doses of 120 mg SC at week 6 and 6-weekly thereafter up to week 24
Receives: Drug: teverelix TFA 120 mg
Teverelix TFA 180 mg 6-weeklyExperimentalParticipants receive teverelix TFA loading dose on Day 0 (180 mg SC + 180 mg IM) and teverelix TFA maintenance doses of 180 mg SC at week 6 and 6-weekly thereafter up to week 24
Receives: Drug: teverelix TFA 180 mg

What is being measured

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

  1. Testosterone (T) Levels (Castrate) at Week 4

    Proportion of participants achieving castration level with serum T <0.5 ng/mL at Day 28.

    Measured: 4 weeks

Secondary outcomes (34)
  1. Testosterone (T) Levels (0.2 ng/mL) at Week 4

    Proportion of participants achieving castration level with serum T <0.2 ng/mL at Day 28

    Measured: 4 weeks

  2. Testosterone (T) Levels (Castrate) at Week 6

    Proportion of participants achieving castration level with serum T <0.5 ng/mL at Day 42

    Measured: 6 weeks

  3. Testosterone (T) Levels (0.2 ng/mL) at Week 6

    Proportion of participants achieving profound castration level (0.2 ng/mL) with serum T <0.5 ng/mL at Day 42

    Measured: 6 weeks

  4. Testosterone Levels (Castrate) at Week 24

    Proportion of participants achieving a T castration rate over 168 days of treatment period

    Measured: 24 weeks

  5. Testosterone Levels (0.2 ng/mL) at Week 24

    Proportion of participants achieving profound castration rate (<0.2 ng/mL) over 168 days of treatment period

    Measured: 24 weeks

  6. Time to Achieve Castrate Levels of Testosterone (T)

    Mean time to T levels falling below castration level (<0.5 ng/mL) for the first time

    Measured: 4 weeks

  7. Time to Escape Castrate Levels of Testosterone (T)

    Mean time to (first) overstep of T castration level after achieving castration

    Measured: Approximately 30 weeks

  8. Luteinizing Hormone (LH) Levels (Castrate) at Week 4

    Proportion of participants achieving castration level for LH (LH <1.1 U/L) at Day 28

    Measured: 4 weeks

  9. Luteinizing Hormone (LH) Levels (Castrate) at Week 24

    Proportion of participants with effective LH castration rate over 168 days of treatment period

    Measured: 24 weeks

  10. Time to Achieve Castrate Levels of Luteinizing Hormone (LH)

    Mean time to LH levels falling below castration level (LH <1.1 U/L) for the first time

    Measured: 4 weeks

  11. Time to Escape Castrate Levels of Luteinizing Hormone (LH)

    Mean time to (first) overstep of LH castration level after achieving castration

    Measured: 24 weeks

  12. Change in Testosterone Levels Over Time (Change From Baseline at Day 168)

    The change in testosterone levels over time (Change from Baseline at Day 168)

    Measured: 24 weeks

  13. Change in LH Levels Over Time

    The change in LH levels over time

    Measured: 24 weeks

  14. Change in FSH Levels Over Time

    The change in FSH levels over time

    Measured: 24 weeks

  15. Area Under the Concentration Time-curve From Time Zero up to the Last Quantifiable Concentration at Time Point t (AUC0-t)

    Area under the concentration time-curve from time zero up to the last quantifiable concentration at time point t (Ct), calculated using the linear up/log down trapezoidal rule.

    Measured: 24 weeks

  16. Area Under the Concentration Time-curve From Time Zero up to the Concentration at Time Point t1 After Which the Concentrations Start to Rise Again Towards a Second Peak (AUC0-t1)

    Area under the concentration time-curve from time zero up to the concentration at time point t1 after which the concentrations start to rise again towards a second peak, calculated using the linear up/log down trapezoidal rule. t1 will be determined after review of the concentration-time profiles (immediate release component of total observed AUC).

    Measured: 24 weeks

  17. Maximum Observed Plasma Teverelix Concentration After Administration (Cmax)

    The maximum observed plasma teverelix concentration after administration (Cmax)

    Measured: 24 weeks

  18. Maximum Observed Concentration After Administration From Zero up to Time Point t1 (Cmax,0-t1)

    The maximum observed concentration after administration from zero up to time point t1 (Cmax,0-t1)

    Measured: 24 weeks

  19. Maximum Observed Concentration After Administration From Time Point t1 up to Time Point t (Cmax,t1-t)

    The maximum observed concentration after administration from time point t1 up to time point t (Cmax,t1-t)

    Measured: 24 weeks

  20. Time to Reach Cmax After Dosing (Tmax)

    The time to reach Cmax after dosing (tmax)

    Measured: 24 weeks

  21. Time to Reach Cmax,0-t1 After Dosing (Tmax,0-t1)

    The time to reach Cmax,0-t1 after dosing (tmax,0-t1)

    Measured: 24 weeks

  22. Time to Reach Cmax,t1-t After Dosing (Tmax,t1-t)

    The time to reach Cmax,t1-t after dosing (tmax,t1-t)

    Measured: 24 weeks

  23. Apparent Terminal Elimination Rate Constant (Lambda-z)

    The apparent terminal elimination rate constant (lambda-z)

    Measured: 24 weeks

  24. Apparent Terminal Plasma Half-life (t½)

    Apparent terminal plasma half-life, calculated as: ln 2 / lambda-z

    Measured: 24 weeks

  25. Area Under the Concentration Time-curve From Time Zero up to Infinity (∞)(AUC0-∞)

    Area under the concentration time-curve from time zero up to infinity (∞),calculated using the linear up/log down trapezoidal rule.

    Measured: 24 weeks

  26. Prostate Specific Antigen (PSA) Reduction (≥50 Percent)

    Number of participants with a PSA response of ≥50 percent reduction at the Day 168 visit

    Measured: 24 weeks

  27. PSA Response Rate at Day 28

    PSA response is defined as >50% decline in PSA at Day 28. PSA response rate is the number of subjects with a PSA response.

    Measured: 24 weeks

  28. PSA Response ≥50% at Day 168

    The number of subjects with a PSA response ≥50% at Day 168

    Measured: 24 weeks

  29. Luteinizing Hormone (LH) Mean % Reduction at Day 168

    Luteinizing Hormone (LH) - the mean % reduction at Day 168

    Measured: 24 weeks

  30. Testosterone (T) Mean % Reduction at Day 168

    Testosterone (T) - the mean % reduction at Day 168

    Measured: 24 weeks

  31. Follicle Stimulating Hormone (FSH) Mean % Reduction at Day 168

    Follicle Stimulating Hormone (FSH) - the mean % reduction at Day 168

    Measured: 24 weeks

  32. Treatment-emergent Adverse Events (AEs)

    Number of participants with treatment-emergent AEs

    Measured: 24 weeks

  33. ECG QTcF Interval Prolongation >450 Msec at Day 28

    ECG QTcF Interval prolongation >450 msec at Day 28 study visit

    Measured: 24 weeks

  34. Injection Site Reactions (ISRs)

    Number of participants with ISRs at each visit during the 168 days treatment period

    Measured: 24 weeks

Timeline

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

  1. First posted5 Jan 2021
  2. Study start4 Mar 2021
  3. Primary completion5 Dec 2022
  4. Study completion6 Feb 2023

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
Non-randomised
Intervention model
Single group
Model description
Adaptive design - enrollment will open in Group 1 (6-weekly dosing regimen). Only if Group 1 dosing regimen is unsuccessful will enrollment open in Group 2 (4-weekly dosing regimen)
Masking
None (open label)
Enrolment
50 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04693507
Sponsor's protocol ID
ANT-1111-02
Acronym
TEACh
Status last verified
Jan 2024
First submitted
29 Dec 2020
Last updated
23 Jul 2024
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Ulys A, Jankevicus F, Jievaltas M, Venckus R, Auskalnis S, Kardelis Z, Barisiene M, MacLean CM, van Os S, Larsen F. Efficacy, tolerability, and safety of teverelix DP in patients with advanced prostate cancer: A multicenter, open-label, phase 2 trial. Prostate. 2024 May;84(6):584-598. doi: 10.1002/pros.24674. Epub 2024 Feb 4.

    PubMed 38311868

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing teverelix TFA 120 mg and teverelix TFA 180 mg in people with Prostatic Adenoma, run by Antev Ltd. at 4 sites in Lithuania.

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 5 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 23 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in Lithuania. 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 23 Jul 2024). 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 (T) Levels (Castrate) at Week 4 (time frame: 4 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04693507, which also lists 1 linked publication.

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 23 Jul 2024.

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