E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated | |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial | to assess the duration of action of an initial “loading” dose regimen of Teverelix LA in terms of suppression of testosterone to below castrate level (0.5 ng/ml – 2 nmol/l) | |
E.2.2 | Secondary objectives of the trial | • to assess the pharmacodynamics of teverelix in terms of ability to suppress and to maintain plasma testosterone levels below castration level (< 0.5ng/ml = 2nmol/l) until (after week 3) 2 consecutive, increasing T levels above castration level with the latter one above 2 ng / ml have been recorded. • to assess the effects on Luteinizing Hormone (LH) • to assess the effects on Prostate Specific Antigen (PSA) • to assess the safety of Teverelix LA in terms of : o local tolerability and o systemic tolerability (adverse events and changes in laboratory parameters) | |
E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
E.3 | Principal inclusion criteria | • histologically proven adenocarcinoma of the prostate • androgen deprivation therapy suitable (advanced prostate cancer i.e. with local invasion or/and metastasis) • signed written informed consent | |
E.4 | Principal exclusion criteria | • liver or renal function tests (ASAT/SGOT, ALAT/SGPT, total bilirubin, creatinine) exceeding twice the upper limit of the normal range, unless the elevation is attributed to hepatic metastasis • any contraindication to the use of teverelix • life expectancy of less than 1 year • baseline testosterone value below 8 nmol/l • bilateral orchidectomy • pre-existing hormone therapy or planned concomitant use of androgen deprivation therapy with any agent other than the investigational drug • neurological, psychiatric disease, drug or alcohol abuse which could interfere with the subject’s proper compliance • evidence of concurrent malignancy • exposure to another investigational agent within the last month • lack of ability or willingness to give informed consent • anticipated non-availability for study visits/ procedures | |
E.5 End points |
E.5.1 | Primary end point(s) | |
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Information not present in EudraCT |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Information not present in EudraCT |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Information not present in EudraCT |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 | The trial involves single site in the Member State concerned | No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
E.8.8 | Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial | Follow-up until the treatment has ceased to be effective. Patients will be closely followed-up with a weekly determination of testosterone and withdrawn from the study in case of escape. Subjects will not be withdrawn before week 3 if their testosterone levels are seen to exceed 2 ng/ml. Only after Week 3 will the definition of “escape” apply and subjects will be withdrawn if two consecutive weekly testosterone levels above castrate are observed with the latter measurement > 2ng/ml. | |
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 0 |
E.8.9.1 | In the Member State concerned months | 8 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 0 |
E.8.9.2 | In all countries concerned by the trial months | 8 |