Intramuscular Injections of Degarelix Administered in 1-Month Dosing Regimens in Patients With Prostate Cancer (IM1)
Open-label, Multi-centre, Parallel Group Dose-Escalation Trial Assessing the Pharmacokinetics, Pharmacodynamics, Efficacy and Safety of Intramuscular Injections of Degarelix Administered in 1-Month Dosing Regimens in Patients With Prostate Cancer
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiesteder
-
-
British Columbia
-
Victoria, British Columbia, Canada
- Pacific Urologic Research
-
-
Ontario
-
Barrie, Ontario, Canada
- Euroscope Inc
-
Brampton, Ontario, Canada
- Bramalea Medical Centre
-
Kitchener, Ontario, Canada
- Urology Associates/Urologic Medical Research
-
North Bay, Ontario, Canada
- Office of Dr. Bernard Goldfarb
-
-
Quebec
-
Greenfield Park, Quebec, Canada
- Urology South Shore Research
-
-
-
-
Alabama
-
Homewood, Alabama, Forenede Stater
- Urology Centers of Alabama
-
-
California
-
Laguna Hills, California, Forenede Stater
- South Orange County Urology Research
-
San Bernadino, California, Forenede Stater
- San Bernadino Urological Association
-
-
Florida
-
Aventura, Florida, Forenede Stater
- South Florida Medical Research
-
-
New York
-
Poughkeepsie, New York, Forenede Stater
- Premier Medical Group of the Hudson Valley
-
-
North Carolina
-
Concord, North Carolina, Forenede Stater
- Carolina Clinical Trials
-
-
South Carolina
-
Myrtle Beach, South Carolina, Forenede Stater
- Carolina Urologic Research Center
-
-
Texas
-
Dallas, Texas, Forenede Stater
- Urology Clinic of North Texas
-
San Antonio, Texas, Forenede Stater
- Urology San Antonio Research, PA
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Has a histologically confirmed adenocarcinoma of the prostate, for which endocrine therapy is indicated
- Has a current tumour, nodule and metastasis (TNM) staging within 12 weeks prior to treatment start and, if clinically indicated a bone scan
Has a PSA level meeting one of these criteria:
- For treatment-naïve patients: Screening PSA level should be ≥2 ng/mL.
- For patients with recurrence after radical prostatectomy: Patients should have a serum PSA increase of ≥0.2 ng/mL from the previous test on two consecutive measurements
- For patients with recurrence after radiotherapy or cryotherapy: Patients should have a serum PSA (two measurements) to be >2 ng/mL higher than a previously confirmed PSA nadir
- Has a screening serum testosterone level above the lower limit of normal range in an elderly male population, globally defined as >150 ng/dL
- Has an Eastern Cooperative Oncology Group score of ≤2
- Has a life expectancy of at least one year
Exclusion Criteria:
- Has had previous or is currently under hormonal management of prostate cancer
- Is considered to be a candidate for curative therapy i.e. radical prostatectomy or radiotherapy during the trial period
- Has a history of bilateral orchiectomy, adrenalectomy, or hypophysectomy
- Has a marked baseline prolongation of QT/QTcF interval (e.g. repeated demonstration of a QTcF interval >450 ms)
- Has a history of risk factors for Torsade de Pointes ventricular arrhythmias (e.g. heart failure, hypokalemia, or family history of Long QT Syndrome)
- Has a previous history or presence of another malignancy, other than prostate
- Currently receiving chronic treatment with intramuscular medication injected into the ventrogluteal or dorsogluteal muscle
- Has received an investigational drug within the last 28 days preceding the Screening Visit or longer if considered to possibly influence the outcome of the current trial
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Degarelix - Cohort 1
(gonadotrophin-releasing hormone (GnRH) receptor blocker)
|
|
|
Eksperimentel: Degarelix - Cohort 2
(gonadotrophin-releasing hormone (GnRH) receptor blocker)
|
|
|
Eksperimentel: Degarelix - Cohort 3
(gonadotrophin-releasing hormone (GnRH) receptor blocker)
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Plasma degarelix PK profile (blood sample analysis): measured by (Cmax, AUC, Tmax)
Tidsramme: Day 0-28 and at Day 112-140
|
Day 0-28 and at Day 112-140
|
|
|
Trough plasma levels (blood sample analysis)
Tidsramme: Day 28, 56, 84, 112, 140, 168 and 196
|
Actual levels prior to dosing
|
Day 28, 56, 84, 112, 140, 168 and 196
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Proportion of patients with testosterone ≤0.5 ng/mL
Tidsramme: From baseline to Day 196
|
From baseline to Day 196
|
|
|
Serum levels of testosterone and PSA
Tidsramme: From baseline to Day 196
|
From baseline to Day 196
|
|
|
Percentage change in PSA levels
Tidsramme: From baseline to Day 196
|
From baseline to Day 196
|
|
|
Changes in patient-reported injection site pain (VAS scores over time)
Tidsramme: At 5 minutes and at 60 minutes after each injection
|
Will compare starting dose to maintenance doses
|
At 5 minutes and at 60 minutes after each injection
|
|
Proportion of patients without clinically significant pain (VAS score of ≤10 mm)
Tidsramme: 60 minutes after each dosing injection
|
60 minutes after each dosing injection
|
|
|
Incidence and severity of investigator-evaluated injection site reactions
Tidsramme: From baseline to Day 196
|
From baseline to Day 196
|
|
|
Cumulative probabilities of suppressing testosterone to castrate level (≤0.5 ng/mL) by visit
Tidsramme: From Day 28 onwards (up to Day 196)
|
From Day 28 onwards (up to Day 196)
|
|
|
Predictive one-year suppression rate and 95% CI: The cumulative probability of suppressing testosterone to castrate levels (≤0.5 ng/mL)
Tidsramme: From Day 28 to Day 364
|
From Day 28 to Day 364
|
|
|
Incidence of adverse events (AEs) examined by frequency, severity, seriousness and discontinuation from study due to AEs
Tidsramme: From baseline to Day 196
|
From baseline to Day 196
|
|
|
Clinically significant changes in laboratory values
Tidsramme: From baseline to Day 196
|
From baseline to Day 196
|
|
|
Clinically significant changes in ECGs, vital signs, physical examinations, and body weight
Tidsramme: From baseline to Day 196
|
From baseline to Day 196
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 000008
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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produkt fremstillet i og eksporteret fra U.S.A.
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