Safety, Biodistribution, Radiation Dosimetry and Pharmacokinetics Study of BAY88-8223 in Japanese Patients
Uncontrolled, Open-label, Non-randomized Phase I Study to Investigate Safety, Biodistribution, Radiation Dosimetry and Pharmacokinetics of a Single Dose of BAY88-8223 in Japanese Patients With Castration-resistant Prostate Cancer and Bone Metastases
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
Chiba
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Kashiwa, Chiba, Japan, 277-8577
-
-
Kanagawa
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Yokohama, Kanagawa, Japan, 236-0004
-
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Osaka
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Osakasayama, Osaka, Japan, 589-8511
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male ≥ 20 years of age
- Histologically or cytologically confirmed adenocarcinoma of the prostate
- Presents with at least 2 bone metastases, confirmed by scintigraphic imaging within the previous 4 weeks
- Patients who has failed initial hormonal therapy using either an orchiectomy or a Gonadotropin releasing hormone (GnRH) agonist in combination with an antiandrogen must first progress through antiandrogen withdrawal prior to being eligible. The minimum timeframe to document failure of anti-androgen withdrawal will be four weeks
- Progressive castration resistant metastatic disease
- Castrate level of testosterone (<50 ng/dL), treatment to maintain castrate levels of testosterone must be continued
Exclusion Criteria:
- Has received an investigational drug in the 4 weeks before or is scheduled to receiving one during or in the 8 weeks after study drug administration.
- Has received chemo-, immuno-, or radiotherapy within the last 4 weeks prior to entry in the study, or has not recovered from acute adverse events as a result of such therapy
- Has received prior hemibody external radiotherapy
- Has a need for immediate external radiotherapy
- Has received systemic radiotherapy with radium-223, strontium-89, samarium-153, rhenium-186 or rhenium-188 for the treatment of bony metastases within the last 24 weeks prior to administration of study drug
- When receiving bisphosphonates, has changed the dose within 4 weeks before administration of study drug
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Radium-223 dichloride [50 kBq/kg]
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Radium-223 dichloride (Xofigo, BAY88-8223) 50 kBq/kg
Radium-223 dichloride (Xofigo, BAY88-8223) 100 kBq/kg
Expansion arm: Radium-223 dichloride (Xofigo, BAY88-8223) 50 kBq/kg
|
|
Experimental: Radium-223 dichloride [100 kBq/kg]
|
Radium-223 dichloride (Xofigo, BAY88-8223) 50 kBq/kg
Radium-223 dichloride (Xofigo, BAY88-8223) 100 kBq/kg
Expansion arm: Radium-223 dichloride (Xofigo, BAY88-8223) 50 kBq/kg
|
|
Experimental: Radium-223 dichloride [expansion]
|
Radium-223 dichloride (Xofigo, BAY88-8223) 50 kBq/kg
Radium-223 dichloride (Xofigo, BAY88-8223) 100 kBq/kg
Expansion arm: Radium-223 dichloride (Xofigo, BAY88-8223) 50 kBq/kg
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of participants with Critical toxicities
Time Frame: Up to day 28
|
Critical toxicities (using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 4.0) will be defined as the occurrence of one or more of the following drug-related toxicities: 1) ≥Grade 3 non-hematologic toxicity, 2) Grade 3 neutropenia with fever, 3) Grade 4 neutropenia that failed to recover to grade 2 or less after treatment with Granulocyte colony-stimulating factor (GCSF) within 2 weeks, 4) Grade 4 thrombocytopenia
|
Up to day 28
|
|
Maximum drug concentration in blood after single dose administration (Cmax) of BAY88-8223 for blood samples
Time Frame: up to 72 hours
|
up to 72 hours
|
|
|
Area under the concentration - time curve (AUC) of BAY88-8223 for blood samples
Time Frame: up to 72 hours
|
up to 72 hours
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Changes in prostate specific antigen (PSA)
Time Frame: baseline, up to 12 weeks
|
baseline, up to 12 weeks
|
|
Overall Survival
Time Frame: Up to 36 months
|
Up to 36 months
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Yoshida K, Kaneta T, Takano S, Sugiura M, Kawano T, Hino A, Yamamoto T, Shizukuishi K, Kaneko M, Zurth C, Inoue T. Pharmacokinetics of single dose radium-223 dichloride (BAY 88-8223) in Japanese patients with castration-resistant prostate cancer and bone metastases. Ann Nucl Med. 2016 Aug;30(7):453-60. doi: 10.1007/s12149-016-1093-8. Epub 2016 Jun 7.
- Uemura H, Uemura H, Matsubara N, Kinuya S, Hosono M, Yajima Y, Doi T. Safety and efficacy of radium-223 dichloride in Japanese patients with castration-resistant prostate cancer and bone metastases. Int J Clin Oncol. 2017 Oct;22(5):954-963. doi: 10.1007/s10147-017-1130-1. Epub 2017 May 6.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 15354
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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