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临床试验/EUCTR2012-002940-26-NL
EUCTR2012-002940-26-NL进行中(未招募)1 期

A Randomized, Double-blind, Comparative Study of Abiraterone Acetate Plus Low-dose Prednisone Plus Androgen Deprivation Therapy (ADT) Versus ADT Alone in Newly Diagnosed Subjects With High-Risk, Metastatic Hormone-naive Prostate Cancer (mHNPC)

Janssen-Cilag International NV0 个研究点目标入组 1,270 人开始时间: 2013年7月17日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
1,270

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
Male

入选标准

  • 1. Newly diagnosed metastatic prostate cancer within 3 months prior to randomization with histologically or cytologically confirmed adenocarcinoma of the prostate without neuroendocrine differentiation or small cell histology
  • 2. Distant metastatic disease documented by positive bone scan or metastatic lesions on computed tomography or magnetic resonance imaging scan
  • 3. At least two of the following high-risk prognostic factors: Gleason score of >=8; presence of 3 or more lesions on bone scan; presence of measurable visceral (excluding lymph node disease) metastasis on CT or MRI scan based on RECIST 1.1
  • 4. Eastern Cooperative Oncology Group (ECOG) performance status grade of 0, 1 or 2
  • 5. Adequate hematologic, hepatic, and renal function
  • 6. Agrees to protocol-defined use of effective contraception
  • Treatment Criteria for Crossover to the Open-label Extension Phase:
  • 1. Subject is receiving study drug and is willing and able to provide written informed consent to crossover to open-label abiraterone acetate plus prednisone therapy
  • 2. Adequate hepatic and safety laboratory assessments below within 4 weeks of OLE Phase Cycle 1 Day 1:
  • total bilirubin =1.5X upper limit of normal (ULN) (except for subjects with documented Gilbert’s disease in which case total bilirubin not to exceed 10X ULN)
  • alanine (ALT) and aspartate (AST) aminotransferase =2.5X ULN
  • serum potassium =3.5 mM. If a subject has a serum potassium level <3.5 mM, he could be given adequate potassium supplement and retested. Once the serum potassium level is =3.5 mM after adequate treatment with a potassium supplement, the subject would be eligible for enrollment in the OLE Phase.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 320
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 950

排除标准

  • 1. Active infection or other medical condition that would make prednisone use contraindicated
  • 2. Any chronic medical condition requiring a higher systemic dose of corticosteroid than 5 mg prednisone per day
  • 3. Pathological finding consistent with small cell carcinoma of the prostate
  • 4. Known brain metastasis
  • 5. Any prior pharmacotherapy, radiation therapy, or surgery for metastatic prostate cancer; the following exceptions are permitted: up to 3 months of androgen deprivation therapy (ADT) with lutenizing hormone releasing hormone agonists or orchiectomy with or without concurrent anti-androgens prior to Cycle 1 Day 1; participants may have one course of palliative radiation or surgical therapy to treat symptoms resulting from metastatic disease if it was administered at least 28 days prior to Cycle 1 Day 1, all adverse events associated with these procedures must be resolved at least to Grade 1 by Cycle 1 Day 1.

研究者

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