MedPath

A Trial of Degarelix in Patients With Prostate Cancer

Phase 3
Completed
Conditions
Prostate Cancer
Interventions
Registration Number
NCT00946920
Lead Sponsor
Ferring Pharmaceuticals
Brief Summary

A phase 3, open-label, parallel group, one year trial comparing the efficacy and safety of degarelix 3-month depot with the established therapy goserelin acetate 3-month implant in patients with prostate cancer.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
859
Inclusion Criteria
  • 18 years or older.
  • Has a histological confirmed prostate cancer Gleason graded).
  • Has a screening testosterone above 2.2 ng/mL.
  • Rising prostate-specific antigen (PSA).
  • Has Eastern Cooperative Oncology Group (ECOG) score of ≤ 2.
  • Has a life expectancy of at least one year.
Exclusion Criteria
  • Current or previous hormone therapy.
  • Has received therapy with finasteride and dutasteride within 12 weeks and 25 weeks, respectively, prior to screening.
  • Has a history of severe untreated asthma, anaphylactic reactions, or severe urticaria and/or angioedema.
  • Has a heart insufficiency.
  • Has a previous history or presence of another malignancy, other than prostate cancer or treated squamous/basal cell carcinoma of the skin, within the last five years.
  • Has a clinically significant medical condition (other than prostate cancer) including, but not limited to, renal, haematological, gastrointestinal, endocrine, cardiac, neurological, or psychiatric disease and alcohol or drug abuse or any other condition which may affect the patient's health or the outcome of the trial as judged by the Investigator.
  • Has received an investigational drug within the last 28 days before the Screening Visit or longer if considered to possibly influencing the outcome of the current trial.
  • Is candidate for curative therapy, i.e. radical prostatectomy or radiotherapy.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Goserelin acetateGoserelin acetate-
Degarelix 240 mg/480 mgDegarelix-
Primary Outcome Measures
NameTimeMethod
Cumulative Probability of Testosterone at Castrate Level (≤0.5 ng/mL) With DegarelixFrom Day 28 to Day 364

This co-primary outcome measure was used to demonstrate that degarelix is effective with respect to achieving and maintaining testosterone suppression to castrate levels, evaluated as the proportion of patients with testosterone suppression ≤0.5 ng/mL from Day 28 to Day 364.

Difference in Cumulative Probability of Testosterone at Castrate Level (≤0.5 ng/mL) Between Degarelix and GoserelinDay 3 to Day 364

This co-primary outcome measure was used to establish non-inferiority of degarelix as compared to goserelin with regard to achieving and maintaining testosterone suppression at castrate levels (≤0.5 ng/mL) from Day 3 to Day 364, using a non-inferiority margin of 5 percentage points.

Secondary Outcome Measures
NameTimeMethod
Serum Levels of Testosterone Over TimeBaseline and after 1, 2, 3, 6 and 13 months

Median testosterone levels are presented as absolute values at Baseline (in Baseline measures) and after 1, 2, 3, 6 and 13 months (below). One treatment month equals 28 days.

Percent Change in Serum Levels of Prostate-specific Antigen (PSA) Over TimeBaseline and after 1, 2, 3, 6 and 13 months

Serum PSA levels are presented as mean percent change from Baseline (in Baseline measures) after 1, 2, 3, 6 and 13 months. One treatment month equals 28 days.

Change in Health-related Quality of Life (HRQoL), as Measured by Short Form-36 (SF-36) Score at Month 10 and Month 13 Compared to BaselineAt baseline, 10 months and 13 months

The SF-36 is a multi-purpose, short-form health survey with only 36 questions and with a minimum score of 0 and a maximum score of 100. The higher score the better health. It yields an 8-scale profile of functional health and well-being scores as well as psychometrically-based physical and mental health summary measures and a preference-based health utility index. The SF-36 has proven useful in surveys of general and specific populations, comparing the relative burden of diseases, and in differentiating the health benefits produced by a wide range of different treatments.

Change in International Prostate Symptom Score (IPSS) Score at Months 1, 4, 7, and 13 Compared to BaselineAt baseline, 1 month, 4 months, 7 months and 13 months

IPSS is used to assess severity of lower urinary tract symptoms and to monitor the progress of symptoms once treatment has been initiated. It contains 7 questions regarding incomplete emptying, frequency, intermittency, urgency, weak stream, straining, and nocturia. Each question is assigned a score of 0-5 (i.e. the minimum total score is 0 and the maximum is 35). A score of "0" corresponds to a response of "not at all" for the first six symptoms and "none" for nocturia, and a score of 5 corresponds to a response of "almost always" for the first six symptoms and "5 times or more" for nocturia.

Trial Locations

Locations (124)

Arkansas Urology

🇺🇸

Little Rock, Arkansas, United States

Palm Beach Urology Associates, PA

🇺🇸

Wellington, Florida, United States

UZ Gent

🇧🇪

Gent, Belgium

Ivestigational site

🇨🇦

Scarborough, Ontario, Canada

Bloor West Professional Center

🇨🇦

Toronto, Ontario, Canada

Atrium MC

🇳🇱

Heerlen, Netherlands

Urocentrum Brno

🇨🇿

Brno, Czech Republic

Slezska nemocnice

🇨🇿

Opava, Czech Republic

Urologische Studienpraxis

🇩🇪

Nürtingen, Germany

Gabinet Lekarski

🇵🇱

Krakow, Poland

St. Petersburg State Medical University n.a. I.P. Pavlov

🇷🇺

St. Petersburg, Russian Federation

Dnipropetrovsk State Medical Academy

🇺🇦

Dnipropetrovsk, Ukraine

City Clinical Hospital #60

🇷🇺

Moscow, Russian Federation

Brasov Emergency Clinical County Hospital

🇷🇴

Brasov, Romania

St.Petersburg Multi-Field City Hospital #2

🇷🇺

St. Petersburg, Russian Federation

Donetsk Regional Clinical Territorial Medical Association

🇺🇦

Donetsk, Ukraine

Odesa Regional Clinical Hospital

🇺🇦

Odesa, Ukraine

Municipal Institution "Zaporizhzhia Regional Clinical Hospital"

🇺🇦

Zaporizhzhya, Ukraine

Atlantic Urology Medical Group

🇺🇸

Long Beach, California, United States

Regional Clinical Oncology Center

🇷🇺

Vladimir, Russian Federation

Kyiv City Clinical Hospital #3

🇺🇦

Kyiv, Ukraine

"Orkli" LLC

🇷🇺

St. Petersburg, Russian Federation

City Hospital # 26

🇷🇺

St. Petersburg, Russian Federation

Ivano-Frankivsk Regional Oncology Dispensary

🇺🇦

Ivano-Frankivsk, Ukraine

Ipswich Hospital

🇬🇧

Ipswich, United Kingdom

City Hospital #15

🇷🇺

St. Petersburg, Russian Federation

Municipal Institution "Cherkasy Regional Oncology Dispensary"

🇺🇦

Cherkassy, Ukraine

Regional Clinical Center of Urology and Nephrology n.a. V.I.Shapoval

🇺🇦

Kharkiv, Ukraine

Kansas City Urology Care, PA

🇺🇸

Overland Park, Kansas, United States

The Urology Center of Colorado

🇺🇸

Denver, Colorado, United States

Hospital Angeles Culiacan

🇲🇽

Culiacan, Sinaloa, Mexico

Anschutz Cancer Pavillion

🇺🇸

Aurora, Colorado, United States

Duke University Medical Center

🇺🇸

Durham, North Carolina, United States

Hospital Angeles Lindavista

🇲🇽

Mexico City, Mexico

Consultorio Medico

🇲🇽

Zapopan, Jalisco, Mexico

Urology Centers Of Alabama

🇺🇸

Homewood, Alabama, United States

Urology Associates of Central CA

🇺🇸

Fresno, California, United States

Urological Associates of Bridgeport, P.C.

🇺🇸

Trumbull, Connecticut, United States

Urology Associates of Dover, PA

🇺🇸

Dover, Delaware, United States

Walter Reed Army Medical Center

🇺🇸

Washington, District of Columbia, United States

South Florida Medical Research

🇺🇸

Aventura, Florida, United States

Florida Foundation for Healthcare Research

🇺🇸

Ocala, Florida, United States

Georgis Patsias, MD, PA

🇺🇸

Wellington, Florida, United States

Indiana University Department of Urology

🇺🇸

Indianapolis, Indiana, United States

Urological Associates of Englewood

🇺🇸

Englewood, New Jersey, United States

Lawrenceville Urology

🇺🇸

Lawrenceville, New Jersey, United States

Hamilton Urology PA

🇺🇸

Hamilton, New Jersey, United States

Urology Group of New Mexico, PC

🇺🇸

Albuquerque, New Mexico, United States

Metrolina Urology Clinic

🇺🇸

Charlotte, North Carolina, United States

Urologic Consultants of SEPA

🇺🇸

Bala Cynwyd, Pennsylvania, United States

Alliance Urology Specialists

🇺🇸

Greensboro, North Carolina, United States

Northeast Urology Research

🇺🇸

Concord, North Carolina, United States

State College Urologic Association

🇺🇸

State College, Pennsylvania, United States

Urology Clinics of North Texas, PA

🇺🇸

Dallas, Texas, United States

Grand Strand Urology

🇺🇸

Myrtle Beach, South Carolina, United States

Seattle Urology Research Center

🇺🇸

Burien, Washington, United States

Cliniques Universitaires Saint-Luc

🇧🇪

Bruxelles, Belgium

UZ Antwerpen

🇧🇪

Edegem, Belgium

Dr. Cal Andreou Research

🇨🇦

Surrey, British Columbia, Canada

AZ Groeninge - Campus Sint-Maarten

🇧🇪

Kortrijk, Belgium

Southern Interior Medical Research Inc.

🇨🇦

Kelowna, British Columbia, Canada

Can-Med Clinical Research Inc.

🇨🇦

Victoria, British Columbia, Canada

Dr Gary Steinhoff Clinical Research

🇨🇦

Victoria, British Columbia, Canada

Urology Associates / Urologic Medical Research

🇨🇦

Kitchener, Ontario, Canada

The Health Institute for Men

🇨🇦

Toronto, Ontario, Canada

Anthony Skehan Medicine Professionals Corporation

🇨🇦

Thunder Bay, Ontario, Canada

Mor Urology, Inc.

🇨🇦

Newmarket, Ontario, Canada

Uro Laval

🇨🇦

Laval, Quebec, Canada

Notre Dame Hopital

🇨🇦

Montreal, Canada

Nemocnice Jindrichuv Hradec, a.s.

🇨🇿

Jindrichuv Hradec, Czech Republic

Fakultni nemocnice v Motole, Praha 5

🇨🇿

Prague, Czech Republic

Kromerizska nemocnice a.s.

🇨🇿

Kromeriz, Czech Republic

Vseobecna fakultni nemocnice v Praze, Praha 2

🇨🇿

Prague, Czech Republic

Fakultni Thomayerova nemocnice s poliklinikou, Praha 4

🇨🇿

Prague, Czech Republic

Pohjois-Karjalan keskussairaala

🇫🇮

Joensuu, Finland

Krajska nemocnice T. Bati a.s.

🇨🇿

Zlin, Czech Republic

ODL Terveys Oy

🇫🇮

Oulu, Finland

Pécsi Tudományegyetem

🇭🇺

Pécs, Hungary

Investigational site

🇩🇪

Kirchheim, Germany

Pietarsaaren sairaala/ Malmin terveydenhuoltoalue

🇫🇮

Pietarsaari, Finland

Tampereen yliopistollinen sairaala

🇫🇮

Tampere, Finland

Klinikum Mannheim Universitätsklinikum GmbH

🇩🇪

Mannheim, Germany

Fövárosi Önkormányzat uzsoki utcai Kórház

🇭🇺

Budapest, Hungary

Semmelweis Egyetem

🇭🇺

Budapest, Hungary

Fövárosi Önkormányzat Bajcsy-Zsilinszky Kórház

🇭🇺

Budapest, Hungary

Dombóvári Szent Lukács Egészségügyi Kht.

🇭🇺

Dombovar, Hungary

Borsod-Abaúj-Zemplén Megyei Kórház és Egyetemi Oktató Kórház

🇭🇺

Miskolc, Hungary

Miskolci Semmelweis Ignác Egészségügyi Központ és Egyetemi Oktató Kórház Nonprofit Kft

🇭🇺

Miskolc, Hungary

Szegedi Tudományegyetem Szent-Györgyi Albert Klinikai Központ

🇭🇺

Szeged, Hungary

Jávorszky Ödön Kórház

🇭🇺

Vác, Hungary

Centro Medico Dalinde

🇲🇽

Mexico City, Mexico

Hospital Aranda de la Parra , S.A. de C.V.

🇲🇽

Leon, GTO, Mexico

Hospital Christus Muguerza del Parque

🇲🇽

Chihuahua, Mexico

Consultorio de Especialidad en Urologia Privado, Durango

🇲🇽

Durango, Mexico

AMC

🇳🇱

Amsterdam, Netherlands

Operadora MSB, S.A. de C.V. (Medica Sur CIF-BIOTEC)

🇲🇽

Mexico City, Mexico

MC Haaglanden

🇳🇱

Den Haag, Netherlands

Catharina-ziekenhuis

🇳🇱

Eindhoven, Netherlands

Centrum Medyczne Medur Sp. z o.o.

🇵🇱

Bielsko-Biala, Poland

SPZOZ Wojewodzki Szpital Zespolony im. J.Sniadeckiego

🇵🇱

Bialystok, Poland

"Fundeni" Clinical Institute

🇷🇴

Bucharest, Romania

Private Medical Center

🇷🇴

Arad, Romania

Wojewodzki Szpital Specjalistyczny im. Janusza Korczaka w Slupsku

🇵🇱

Slupsk, Poland

LexMedica

🇵🇱

Wroclaw, Poland

"Sfantul Ioan" Emergency Clinical Hospital

🇷🇴

Bucharest, Romania

Dinu Uromedica

🇷🇴

Bucharest, Romania

Emergency County Clinical Hospital Sibiu

🇷🇴

Sibiu, Romania

Prof. Dr. Th. Burghele Clinical Urology Hospital

🇷🇴

Bucharest, Romania

PROVITA 2000 Medical Center

🇷🇴

Constanta, Romania

Vita Care Flav Medical Center

🇷🇴

Pitesti, Romania

"Dr. C.I. Parhon" Clinical Hospital

🇷🇴

Lasi, Romania

Moscow State University of Medicine and Dentistry

🇷🇺

Moscow, Russian Federation

"Clinic Andros" LLC

🇷🇺

St. Petersburg, Russian Federation

The Royal Marsden NHS Foundation Trust

🇬🇧

Sutton, United Kingdom

Hudson Valley Urology P.C.

🇺🇸

Poughkeepsie, New York, United States

Virginia Urology Center

🇺🇸

Richmond, Virginia, United States

Capital Region Urological Surgeons and Research Associates

🇺🇸

Albany, New York, United States

Medresearch

🇺🇸

La Mesa, California, United States

Urology San Antonio Research

🇺🇸

San Antonio, Texas, United States

Urology of Virginia

🇺🇸

Virginia Beach, Virginia, United States

Bramalea Medical Centre

🇨🇦

Brampton, Ontario, Canada

South Orange County Medical Research Center

🇺🇸

Laguna Hills, California, United States

Castle Hill Hospital

🇬🇧

Cottingham, United Kingdom

Royal Liverpool University Hospital

🇬🇧

Liverpool, United Kingdom

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