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临床试验/EUCTR2007-001703-38-DE
EUCTR2007-001703-38-DE进行中(未招募)不适用

A Randomised, Double-Blind, Placebo-Controlled Trial Assessing the Efficacy and Safety of Dutasteride (AVODART™) 0.5 mg in Extending the Time to PSA Doubling in Men with Prostate Cancer and Biochemical Failure (PSA increase) after Radical Therapy with Curative Intent (ARTS – AVODART after Radical Therapy for prostate cancer Study) - ARTS

GlaxoSmithKline Research and Development Ltd0 个研究点目标入组 276 人开始时间: 2008年7月9日最近更新:
适应症
相关药物

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
入组人数
276

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

  • Demographic and baseline characteristics:
  • 1. Males <85 years of age
  • 2. No clinically relevant abnormal findings on the screening ECG
  • Disease characteristics:
  • 3. Patients with asymptomatic PSA failure following radical therapy with curative intent for clinically localised prostate cancer. PSA failure is defined as:
  • a. After primary radiotherapy:
  • i. 3 rises in PSA levels from nadir PSA, with each determination at least 4 weeks apart and a final PSA level =2 ng/mL above nadir PSA
  • ii. Time from radiotherapy should be at least 1 year from termination of radiotherapy treatment
  • b. After radical prostatectomy and salvage radiotherapy:
  • i. 3 rises in PSA level from nadir PSA, with each determination at least 4 weeks apart and each PSA level =0.2 ng/mL and a final PSA level =0.4 ng/mL (nadir PSA is defined as the lowest PSA value achieved after therapy)
  • 4. Serum PSA levels:
  • a. =2 ng/mL and =20ng/mL for primary radiotherapy patients
  • b. =0.4 ng/ml and =10 ng/ml for radical prostatectomy and salvage radiotherapy patients
  • 5. PSADT >3 months and =24 months
  • 6. Clinical stage T1-T3a N0 M0
  • 7. Non-metastatic prostate cancer, as confirmed on a negative bone scan performed within 6 months prior to the screening visit (Visit 1)
  • 8. No evidence of local recurrence in radical prostatectomy or salvage radiotherapy patients
  • 9. Expected survival =2 years
  • 10. Eastern Cooperative Oncology Group (ECOG) performance status 0, 1 or 2 Miscellaneous:
  • 11. Able to swallow and retain oral medication
  • 12. Able and willing to participate in the full 2 years of the study
  • 13. Able to read and write (the MAX-PC questionnaire is self-administered), understand instructions related to study procedures and give written informed consent
  • 14. In France, a patient will be eligible for inclusion in this study only if either affiliated to or a beneficiary of a social security category
  • 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
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range

排除标准

  • Demographic and baseline characteristics:
  • 1. Any unstable serious co-existing medical condition(s) including but not limited to myocardial infarction, coronary bypass surgery, unstable angina, cardiac arrhythmias, clinically evident congestive heart failure or cerebrovascular accident within 6 months prior to Visit 1, or uncontrolled diabetes or peptic ulcer disease which is uncontrolled by medical management
  • 2. Abnormal liver function tests (greater than 2 times the upper limit of normal [ULN] for alanine aminotransferase [ALT], aspartate aminotransferase [AST] or alkaline phosphatase [ALP] or >1.5 x ULN for bilirubin).
  • 3. Serum creatinine >1.5 x ULN
  • 4. History of another malignancy within 5 years that could affect the diagnosis of prostate cancer
  • 5. History or current evidence of drug or alcohol abuse within 12 months prior to Visit 1
  • 6. History of any illness (including psychiatric) that, in the opinion of the investigator, might confound the results of the study or pose additional risk to the patient
  • 7. Known hypersensitivity to any 5-AR inhibitor or to any drug chemically related to dutasteride
  • Disease characteristics:
  • 8. Serum PSA levels
  • a. >20 ng/mL in primary radiotherapy patients
  • b. >10 ng/mL in radical prostatectomy and salvage radiotherapy patients
  • 9. PSADT =3 months or >24 months
  • 10. Biochemical failures in post brachytherapy patients
  • 11. Clinical stage N+ or M+
  • 12. Patient has previously been treated for prostate cancer with any of the following:
  • a. Chemotherapy
  • b. Oestrogens (e.g. megestrol, medroxyprogesterone, cyproterone, Diethylstilbestrol [DES])
  • c. Drugs with anti-androgenic properties (e.g. spironolactone if >50mg/day, flutamide, bicalutamide, ketoconazole, progestational agents) [Note: the use of topical ketoconazole is permitted prior to and during the study and the use of cimetidine is permitted prior to study entry]
  • d. GnRH analogues (e.g., leuprolide, goserelin) except when used for radiotherapy adjuvancy or neoadjuvancy (in this case use should have been for no more than 6 months and should have finalised at least 1 year before Visit 1)
  • e. Orchiectomy
  • Concomitant medications:
  • 13. Glucocorticoids, except inhaled or topical, are not permitted within 3 months prior to Visit 1 or during the study
  • 14. Current and/or previous use of finasteride (Proscar, Propecia) or dutasteride (GI198745, AVODART™) exposure within 6 months prior to Visit 1
  • 15. Anabolic steroids within 6 months prior to Visit 1
  • 16. Participation in any other investigational or marketed drug trial within the 30 days prior to Visit 1 or any time during the study period

研究者

发起方
GlaxoSmithKline Research and Development Ltd

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