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临床试验/EUCTR2015-003007-38-CZ
EUCTR2015-003007-38-CZ进行中(未招募)1 期

A Randomized, Double-blind, Placebo-controlled Phase 3 Study of JNJ56021927 in Subjects with High-risk, Localized or Locally Advanced Prostate Cancer Receiving Treatment with Primary Radiation Therapy - ATLAS

Janssen-Cilag International NV0 个研究点目标入组 1,500 人开始时间: 2015年10月30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
1,500

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

  • - Age >= 18 years
  • - Indicated and planned to receive primary radiation therapy for prostate cancer
  • - Histologically confirmed adenocarcinoma of an intact prostate, and 1 of the following at diagnosis:
  • 1) Gleason score >=8 and >=cT2c stage per AJCC 8th Edition
  • 2) Gleason score 7, PSA >=20 nanogram per mililiters (ng/mL), and >=cT2c stage per AJCC 8th Edition
  • - Charlson comorbidity index (CCI) <=3
  • - An Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) grade of 0 or 1
  • - Adequate organ function determined by the following central laboratory values:
  • 1) aspartate aminotransferase (AST), alanine aminotransferase (ALT) within normal limits (WNL)
  • 2) total bilirubin (WNL)
  • 3) Serum creatinine <1.5 mg/dL (<133 µmol/L)
  • 4) Platelets =140,000/µL, independent of transfusion and/or growth factors within 3 months prior to randomization
  • 5) Hemoglobin = 12.0 g/dL (7.4 mmol), independent of transfusion and/or growth factors within 3 months prior to randomization
  • - Participants who are sexually active (even men with vasectomies) and willing to use a condom and agree not to donate sperm during the trial
  • - Signed, written, informed consent
  • - Be able to swallow whole study drug tablets
  • 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 1470
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 30

排除标准

  • - Presence of distant metastasis (clinical stage M1). Isolated pelvic nodal disease below the iliac bifurcation (clinical stage N1) is not an exclusion. Diagnosis of distant metastasis (clinical M stage; M0 versus M1a, M1b, M1c) and pelvic nodal disease (clinical N stage; N1 versus N0) will be assessed by central radiological review. Patients are considered eligible only if the central radiological review confirms clinical stage M0.
  • - Prior treatment with GnRH analogue or antiandrogen or both for >3 months prior to randomization
  • - Bilateral orchiectomy
  • - History of pelvic radiation
  • - Prior systemic (eg, chemotherapy) or local (eg, radical prostatectomy, cryotherapy) treatment for prostate cancer
  • - History of seizure or any condition that may predispose to seizure (including, but not limited to prior stroke, transient ischemic attack or loss of consciousness <= 1 year prior to randomization; brain arteriovenous malformation; or intracranial masses such as
  • schwannomas and meningiomas that are causing edema or mass effect)
  • - Prior treatment with enzalutamide, abiraterone acetate, orteronel, galeterone, ketoconazole, aminoglutethimide, estrogens, megestrol acetate, and progestational agents (including cyproterone acetate) for prostate cancer
  • - Prior treatment with radiopharmaceutical agents (eg, strontium 89) or immunotherapy (eg, sipuleucel-T) for prostate cancer
  • - Prior treatment with systemic glucocorticoids =4 weeks prior to randomization or subject is expected to require long-term use of corticosteroids during the study
  • - Use of 5-alpha reductase inhibitors (eg, dutasteride, finasteride) <=4 weeks prior to randomization
  • - Use of any investigational agent <=4 weeks prior to randomization
  • - Current chronic use of opioid analgesics for >=3 weeks for oral or >7 days for non-oral
  • formulations
  • - Major surgery <=4 weeks prior to randomization
  • - Current or prior treatment with antiepileptic medications for the treatment of seizures
  • - Gastrointestinal conditions affecting absorption
  • - Known or suspected contraindications or hypersensitivity to apalutamide, bicalutamide or GnRH agonists or any of the components of the formulations
  • - Any condition for which, in the opinion of the investigator, participation would not be in the best interest of the subject

研究者

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