A Phase 3 Study of Apalutamide Plus Androgen Deprivation Therapy(ADT) Versus ADT in Participants with mHSPC
- Conditions
- Metastatic Hormone-sensitive Prostate Cancer (mHSPC)MedDRA version: 21.1Level: PTClassification code 10036909Term: Prostate cancer metastaticSystem Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)Therapeutic area: Diseases [C] - Cancer [C04]
- Registration Number
- EUCTR2015-000735-32-IT
- Lead Sponsor
- JANSSEN CILAG INTERNATIONAL NV
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Recruiting
- Sex
- Male
- Target Recruitment
- 1000
- Diagnosis of prostate adenocarcinoma as confirmed by the investigator
- Metastatic disease documented by greater than or equal to (>=) 1
bone lesions on 99mTc bone scan. Participants with a single bone lesion
must have confirmation of bone metastasis by computed tomography
(CT) or magnetic resonance imaging (MRI)
- Eastern Cooperative Oncology Group Performance Status (ECOG PS)
grade of 0 or 1
- Participants who received docetaxel treatment must meet the following criteria:
a) Received a maximum of 6 cycles of docetaxel therapy for mHSPC;
b) Received the last dose of docetaxel <=2 months prior to
randomization;
c) Maintained a response to docetaxel of stable disease or better, by
investigator assessment of imaging and PSA, prior to randomization
- Other allowed prior treatment for mHSPC:
a) Maximum of 1 course of radiation or surgical intervention; radiation
therapy for metastatic lesions must be completed prior to
randomization;
b) Less than or equal to (<=) 6 months of ADT prior to randomization
- Allowed prior treatments for localized prostate cancer (all treatments
must have been completed >= 1 year prior to randomization)
a) <= 3 years total of ADT;
b) All other forms of prior therapies including radiation therapy,
prostatectomy, lymph node dissection and systemic therapies
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 600
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 400
- Pathological finding consistent with small cell, ductal or
neuroendocrine carcinoma of the prostate
- Known brain metastases
- Lymph nodes as only sites of metastases
- Visceral (ie, liver or lung) metastases as only sites of metastases
- Other prior malignancy within 5 years prior to randomization with the exception of squamous or basal cell skin carcinoma or non-invasive superficial bladder cancer
- Prior treatment with other next generation anti-androgens or other CYP17 inhibitors, immunotherapy or radiopharmaceutical agents for
prostate cancer
- History of seizures or medications known to lower seizure threshold
Study & Design
- Study Type
- Interventional clinical trial of medicinal product
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method