MedPath

Effect of Triptorelin (Decapeptyl®) 22.5 mg on Two Biomarkers in Patients With Advanced Prostate Cancer

Phase 3
Completed
Conditions
Prostate Cancer
Interventions
Registration Number
NCT01020448
Lead Sponsor
Ipsen
Brief Summary

The purpose of this study is to evaluate the effect of an initial hormonal treatment gonadotrophin-releasing hormone (GnRH Agonist) on 2 biomarkers (PCA3 and TMPRSS2-ERG), in patients with histologically confirmed and advanced stages of prostate cancer. Their characteristics, according to risk factors such as PSA and Gleason score will be determined at baseline and 1, 3 and 6 month post-treatment.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
339
Inclusion Criteria
  • A histologically confirmed, locally advanced or metastatic prostate cancer, and naïve to androgen deprivation therapy, and a candidate for hormonal treatment.
  • An estimated survival time of at least twelve months according to the investigator's assessment.
  • A performance status score ≤ 2 according to the World Health Organisation (WHO) criteria.
Exclusion Criteria
  • Previous surgical castration.
  • Previous or has planned curative prostate cancer therapy (radiation/surgery)
  • Previous hormone therapy (GnRH analogues, estrogens or anti-androgens)
  • Patients with risk of a serious complication in the case of tumour flare (vertebral metastases threatening spinal cord compression or significant obstructive uropathy)

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Triptorelin (Decapeptyl®) 22.5 mgTriptorelin (Decapeptyl®)-
Primary Outcome Measures
NameTimeMethod
PCA3 Score Expressed as a Ratio of PCA3 mRNA (Messenger Ribonucleic Acid) Over PSA (Prostate Specific Antigen) mRNAAt month 6 post-treatment

PCA-3 score = (mRNA PCA3/mRNA PSA)x1000

* Non-assessable = Associated PSA mRNA \<7500 copies/mL

* ≤BLQ = PCA-3 mRNA is below the concentration of the calibrator and associated PSA mRNA \>7500 copies/mL

* \<35 = PCA-3 mRNA above BLQ and less than 35

* ≥35 = PCA-3 mRNA greater or equal to 35

Secondary Outcome Measures
NameTimeMethod
PCA3 Score Expressed as a Ratio of PCA3 mRNA Over PSA mRNAAt month 1 and 3 post-treatment

PCA-3 score = (mRNA PCA3/mRNA PSA)x1000

* Non-assessable = Associated PSA mRNA \<7500 copies/mL

* ≤BLQ = PCA-3 mRNA is below the concentration of the calibrator and associated PSA mRNA \>7500 copies/mL

* \<35 = PCA-3 mRNA above BLQ and less than 35

* ≥35 = PCA-3 mRNA greater or equal to 35

TMPRSS2-ERG Score (Expressed as a Ratio of T2-ERG mRNA Over PSA mRNA)At baseline, month 1, 3 and 6 post-treatment

TMPRSS2-ERG = (TMPRSS2-ERG mRNA / PSA mRNA) x 100000

A TMPRSS2-ERG score \<35 was described as 'negative' and a TMPRSS2-ERG score ≥35 as 'positive.'

PSA LevelAt baseline, month 1, 3 and 6 post-treatment
Proportion of Patients Medically Castrated (i.e. With Serum Testosterone Levels of <50 ng/dL)At month 1, 3 and 6 post-treatment
Safety, Assessed Through the Collection of Adverse Events (AEs)For the duration of the study (up to month 6)

Trial Locations

Locations (59)

Hospital Juan Canalejo

🇪🇸

Coruña, Spain

Lister Hospital

🇬🇧

Stevenage, United Kingdom

Hôpital Pellegrin

🇫🇷

Bordeaux, France

CHU Nantes

🇫🇷

Nantes, France

University Hospital Wales

🇬🇧

Cardiff, United Kingdom

Hospital de Basurto

🇪🇸

Bilbao, Spain

IRCCS Fondazione S. Raffaele del Monte Tabor

🇮🇹

Milano, Italy

Clinique Rhône Durance

🇫🇷

Avignon, France

CHU Henri Mondor

🇫🇷

Créteil, France

CHU Michalon

🇫🇷

Grenoble, France

Hospital 12 de Octubre

🇪🇸

Madrid, Spain

Hôpital Val de Grâce

🇫🇷

Paris, France

Institut Mutualiste Monsouris

🇫🇷

Paris, France

Hospital Valle Hebrón

🇪🇸

Barcelona, Spain

AOU San Luigi Gonzaga

🇮🇹

Torino, Italy

Private practice

🇫🇷

Nancy, France

Hôpital Foch

🇫🇷

Suresnes, France

Bristol Royal Infirmary

🇬🇧

Bristol, United Kingdom

Freeman Hospital

🇬🇧

Newcastle upon Tyne, United Kingdom

Hospital Infanta Sofía

🇪🇸

Madrid, Spain

Hospital Clinic

🇪🇸

Barcelona, Spain

UCL Saint-Luc

🇧🇪

Brussels, Belgium

Center of Oncology

🇱🇻

Riga, Latvia

Chru Lille

🇫🇷

Lille, France

Hôpital Nord

🇫🇷

Marseille, France

Clinique Beau Soleil

🇫🇷

Montpellier, France

Addenbrookes Hospital

🇬🇧

Cambridge, United Kingdom

UZ Brussels

🇧🇪

Brussels, Belgium

UZ Antwerpen

🇧🇪

Edegem, Belgium

Frederiksbergs Hospital

🇩🇰

Frederiksberg, Denmark

Odense Universitets hospital

🇩🇰

Odense, Denmark

CHU Pasteur

🇫🇷

Nice, France

Hospital General Universitario

🇪🇸

Madrid, Spain

Instituto de Oncología

🇪🇸

Valencia, Spain

University Hospital Coventry

🇬🇧

Coventry, United Kingdom

Fredericia Sygehus

🇩🇰

Fredericia, Denmark

Herlev University Hospital

🇩🇰

Herlev, Denmark

Derby City Hosptial

🇬🇧

Derby, United Kingdom

Leicester General Hospital

🇬🇧

Leicester, United Kingdom

Nottingham City Hospital

🇬🇧

Nottingham, United Kingdom

CHU Toulouse

🇫🇷

Toulouse, France

Hôpital Henry Gabrielle

🇫🇷

Saint Genis Laval, France

Royal Devon and Exeter Hospital

🇬🇧

Exeter, United Kingdom

Falkirk & District Royal Infirmary

🇬🇧

Falkirk, United Kingdom

Hôpital Erasme

🇧🇪

Brussels, Belgium

UZ Leuven

🇧🇪

Leuven, Belgium

P.Stradins Clinical University Hospital

🇱🇻

Riga, Latvia

Ziekenhuis Amstelland

🇳🇱

Amstelveen, Netherlands

Academisch Medisch Centrum

🇳🇱

Amsterdam, Netherlands

CHU de Liège

🇧🇪

Liège, Belgium

Antonius Ziekenhuis

🇳🇱

Sneek, Netherlands

Sc E-Uro Srl

🇷🇴

Cluj Napoca, Romania

Medical University Clinics

🇱🇹

Kaunas, Lithuania

University Oncological Institute

🇱🇹

Vilnius, Lithuania

Medical Center

🇷🇴

Arad, Romania

University Hospital

🇱🇹

Klaipeda, Lithuania

Oncology Institute

🇷🇴

Bucharest, Romania

Oncomed

🇷🇴

Timisoara, Romania

Diaconessenhuis

🇳🇱

Leiden, Netherlands

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