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Prostate Cancer Study In Men Who Have Failed First-Line Androgen Deprivation Therapy

Phase 4
Completed
Conditions
Neoplasms, Prostate
Interventions
Registration Number
NCT00470834
Lead Sponsor
GlaxoSmithKline
Brief Summary

Dutasteride inhibits the conversion of testosterone to dihydrotestosterone (DHT) the male hormone that leads to benign prostate growth. By blocking the conversion of testosterone to DHT, dutasteride could allow bicalutamide to be a more effective anti-androgen thus prolonging bicalutamide's efficacy.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
127
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm 1dutasteride50 mg bicalutamide and 3.5 mg Dutasteride (IP)
Arm 1bicalutamide50 mg bicalutamide and 3.5 mg Dutasteride (IP)
Arm 2placebo50 mg bicalutamide and placebo
Arm 2bicalutamide50 mg bicalutamide and placebo
Primary Outcome Measures
NameTimeMethod
Time to Disease ProgressionInterval of time between the date of the start of treatment and the date of disease progression (up to Study Month 42)

Time to disease progression (PD) is defined as the interval of time between the date of the start of treatment and the date of PD. PD is defined as prostate specific antigen (PSA) progression from Baseline (PSA value is 25% and at least 2 nanograms per milliliter \[ng/mL\] above Baseline, confirmed by a second PSA value); PSA progression from nadir, without a 50% decrease from Baseline (PSA value is 25% and at least 2 ng/mL above nadir, confirmed by a second PSA value); PSA progression from nadir, with a 50% or more decrease from Baseline (PSA value is 50% and at least 2 ng/mL above nadir, confirmed by a second PSA value); metastatic disease (radiographic evidence of metastatic disease); death due to prostate cancer; or the receipt of post-Baseline rescue medication. PSA confirmation was not required if no subsequent PSA values were available. Participants who did not experience an event were censored at the date of the latest follow-up information.

Secondary Outcome Measures
NameTimeMethod
Time to Treatment FailureInterval of time between the date of the start of treatment and the date of treatment failure (up to Study Month 42)

Time to treatment failure is defined as the interval of time between the date of the start of treatment and the date of treatment failure. Treatment failure is defined as PSA progression from Baseline (PSA value is 25% and at least 2 ng/mL above Baseline, confirmed by a second PSA value); metastatic disease (radiographic evidence of metastatic disease); death due to prostate cancer; or receipt of post-baseline rescue medications. PSA confirmation was not required if no subsequent PSA values were available. Participants who did not experience an event were censored at the date of the latest follow-up information.

Number of Participants With PSA ResponseTime from Baseline PSA measurement until the first PSA measurement with a 50% or greater reduction in PSA values (up to Study Month 42)

PSA response is defined as a 50% or greater decrease in PSA from Baseline, confirmed by a second PSA measurement. The time of this response was the date of the first PSA measurement that showed a 50% or greater decrease from the Baseline PSA measurement. PSA confirmation was not required if no subsequent PSA values were available.

Change From Baseline in Total PSA at Months 6, 12, 18, 21, and 42Baseline and Months 6, 12, 18, 21, and 42

Change from Baseline in total PSA was measured at each scheduled post-baseline visit using a general linear model with effects for treatment and Baseline total PSA. Analysis was done using the last observation carried forward (LOCF) approach, in which missing post-Baseline values were imputed with earlier non-missing values. Change from Baseline was calculated as the post-Baseline value minus the Baseline value.

Number of Participants With Metastatic DiseaseInterval of time between the date of the start of treatment and the date of radiographic evidence of metastatic disease (up to Study Month 42)

Metastatic disease is that evidenced by a radiographic assessment. The time of metastatic disease was the date of radiographic evidence.

Trial Locations

Locations (1)

GSK Investigational Site

🇨🇦

Quebec, Canada

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