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Investigation of a New Trial Drug (FE200486) in Prostate Cancer Patients

Phase 2
Completed
Conditions
Prostate Cancer
Interventions
Registration Number
NCT00818623
Lead Sponsor
Ferring Pharmaceuticals
Brief Summary

The purpose of this trial was to find an optimal dose for a new trial drug - degarelix (FE200486) - in the treatment of prostate cancer. Furthermore the safety of the drug was studied. Patients participating were treated with FE200486 on one occasion. Thereafter they came in for visits following a specific schedule until blood samples showed that there was no further effect.

Detailed Description

Degarelix was not FDA regulated at the time of the trial. After completion of the trial degarelix has been approved by the FDA and is thus an FDA regulated intervention.

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
172
Inclusion Criteria
  • Written informed consent obtained before any trial related procedures
  • Male patient with proven prostate cancer in need for endocrine treatment, except for neoadjuvant hormonal therapy
  • ECOG score to be equal to or above 2
  • Testosterone level within age-specific normal range
  • PSA value equal to or above 2 ng/ml
  • Life expectancy of at least 6 months
Exclusion Criteria
  • Previous or current hormonal treatment of prostate cancer
  • Recent or current treatment with any drugs modifying the testosterone level
  • Candidate for curative treatment such as prostatectomy or radiotherapy
  • History of severe asthma, anaphylactic reactions or Quincke's Oedema
  • Hypersensitivity towards any component of FE200486
  • Cancer disease within the last ten years except for prostate cancer and some skin cancers
  • Signs of liver impairment shown as elevated serum ALT or serum bilirubin
  • Other laboratory abnormalities that judged by the investigator would interfere with the patients participation in the trial or the evaluation of the trial results
  • Presenting with significant neurological, gastrointestinal, renal, hepatic, cardiovascular, psychological, pulmonary, metabolic, endocrine, haematological, dermatological or infectious disorder. In addition any other condition such as excessive alcohol or drug abuse that may interfere with trial participation or influence the conclusion of the trial as judged by the investigator
  • Mental incapacity or language barrier
  • Having received an investigational product within the last 12 weeks preceding the trial
  • Previous participation in this trial

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Degarelix 320 mg (60 mg/mL)DegarelixDegarelix 320 mg (60 mg/mL)
Degarelix 120 mg (20 mg/mL)DegarelixDegarelix 120 mg (20 mg/mL)
Degarelix 120 mg (40 mg/mL)DegarelixDegarelix 120 mg (40 mg/mL)
Degarelix 160 mg (40 mg/mL)DegarelixDegarelix 160 mg (40 mg/mL)
Degarelix 200 mg (40 mg/mL)DegarelixDegarelix 200 mg (40 mg/mL)
Degarelix 200 mg (60 mg/mL)DegarelixDegarelix 200 mg (60 mg/mL)
Degarelix 240 mg (60 mg/mL)DegarelixDegarelix 240 mg (60 mg/mL)
Degarelix 240 mg (40 mg/mL)DegarelixDegarelix 240 mg (40 mg/mL)
Primary Outcome Measures
NameTimeMethod
Time From Dosing Until Testosterone Levels >0.5 ng/mL3 months

Intent-to-treat (ITT) population. This outcome measure is based on one testosterone value \>0.5 ng/mL at Day 28 onwards.

Secondary Outcome Measures
NameTimeMethod
Number of Participants With Testosterone Level ≤0.5 ng/mL for at Least 28 DaysTwo - six months

The table shows the number of participants with testosterone level ≤0.5 ng/mL for at least 28 days.

Number of Participants With Testosterone Level ≤0.5 ng/mL for at Least 84 Days3 months

The table shows the number of participants with testosterone level ≤0.5 ng/mL for at least 84 days.

Time to Testosterone Castration (Testosterone ≤0.5 ng/mL)3 months

Time to testosterone castration was calculated as the number of days from dosing to the first scheduled visit when testosterone was less than 0.5 ng/mL.

Time to 50% Reduction in Prostate-specific Antigen Levels3 months

The time to 50% prostate-specific antigen (PSA) reduction from baseline was defined as the number of days from dosing to the first visit where a 50% reduction in PSA level was reached.

Time to 90% Reduction in Prostate-specific Antigen Levels3 months

The time to 90% prostate-specific antigen (PSA) reduction from baseline was defined as the number of days from dosing to the first visit where a 90% reduction in PSA level was reached.

Evaluation of Liver Function Tests3 months

The figures presents the number of participants who had abnormal (defined as above upper limit of normal range (ULN)) alanine aminotransferase (ALT) levels, aspartate aminotransferase levels, and bilirubin levels plus the number of participants who had ALT increases \>3x ULN and ALT increases \>3x ULN with concurrently increased bilirubin \>1.5 ULN.

Participants With Markedly Abnormal Change in Vital Signs and Body Weight3 months

Vital signs and body weight included incidence of markedly abnormal changes in blood pressure (systolic and diastolic), pulse, and body weight at the end of trial as compared to baseline. The table presents the number of participants in each group with normal baseline and markedly abnormal value post-baseline.

Trial Locations

Locations (30)

KAS Herlev

🇩🇰

Herlev, Denmark

Sahlgrenska Universitetssjukehuset

🇸🇪

Göteborg, Sweden

TAYS

🇫🇮

Tampere, Finland

KAS Glostrup

🇩🇰

Glostrup, Denmark

Marian Sairaala

🇫🇮

Helsinki, Finland

OYS

🇫🇮

Oulu, Finland

Vuorikadun lääkäriasema

🇫🇮

Kuopio, Finland

Kirugikeskus

🇫🇮

Seinäjoki, Finland

Hospital of Local Gov. Szeged, Urology

🇭🇺

Szeged, Hungary

MÁV Hospital, Urology

🇭🇺

Szolnok, Hungary

P-K Keskussairaala

🇫🇮

Joensuu, Finland

Bajcsy-Zsilinszky Hospital, Urology

🇭🇺

Budapest, Hungary

Jahn Ferenc Dél Pesti Hospital, Urology

🇭🇺

Budapest, Hungary

Bács-Kiskun County Hospital, Urology

🇭🇺

Kecskemét, Hungary

Péterfy Hospital, Urology

🇭🇺

Budapest, Hungary

CF2 Hospital - Bucharest, Urology

🇷🇴

Bucharest, Romania

Sentralsykehuset i Rogland

🇳🇴

Stavanger, Norway

City Hospital #1, State Med Univ/Urology

🇷🇺

Moscow, Russian Federation

Moscow City Hospital #60, Urology

🇷🇺

Moscow, Russian Federation

City Hospital #15, Urology Department

🇷🇺

St. Petersburg, Russian Federation

City Hospital #26, Urology Department

🇷🇺

St. Petersburg, Russian Federation

Helsingborgs Lasaret

🇸🇪

Helsingborg, Sweden

Universitetssjukehuset, MAS

🇸🇪

Malmö, Sweden

Akademiska Sjukhuset Uppsala

🇸🇪

Uppsala, Sweden

Rigshospitalet

🇩🇰

Copenhagen, Denmark

University Hospital, Örebro

🇸🇪

Örebro, Sweden

Fundeni Hospital - Bucharest, Urology

🇷🇴

Bucharest, Romania

County Hospital - Timisoara, Urology

🇷🇴

Timisoara, Romania

Dr. Th Burghele Hospital

🇷🇴

Bucharest, Romania

Institute of Urology of MoH

🇷🇺

Moscow, Russian Federation

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