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Trial · Interventional

CompletedPhase 2Results postedRegistry data

Explorative Study of Degarelix for Treatment of Benign Prostatic Hyperplasia.

NCTNCT00527488 (opens ClinicalTrials.gov in a new tab)Other idFE200486 CS25Other id2007-003578-24

Overview

Status
Completed
Phase
Phase 2
Enrollment
52 participants (actual)
Sponsor
Ferring Pharmaceuticals · Industry
Design
Randomized · Open label (no masking)
Countries
1 country

Germany

Start
Oct 2007
Primary completion
Mar 2009
Completion
May 2009
First posted
11 Sept 2007 (estimated)
Last update posted
4 May 2015 (estimated)
Conditions
BPH

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
2007200820092010
  1. Ph 2

    Explorative Study of Degarelix for Treatment of Benign Prostatic Hyperplasia.

    NCT00527488

    Oct 2007 to May 2009

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

This exploratory study will be conducted open label in a single investigational clinical unit. Altogether 52 patients with benign prostate hyperplasia (BPH) will be randomly assigned to receive 4 different treatments with degarelix.

Interventions

  • DegarelixDrug
  • DegarelixDrug
  • DegarelixDrug
  • DegarelixDrug

Arms4

  • Experimental

    Degarelix 16+16 mg

  • Experimental

    Degarelix 32 mg

  • Experimental

    Degarelix 32+32 mg

  • Experimental

    Degarelix 64 mg

Primary outcomes14

Outcomes the sponsor listed as primary.

  1. Testosterone Area Below Baseline Interval

    Time frame · 0-42 Days

    Registry description

    The area of the testosterone concentration (ng/mL) vs. time (days) curve that is below the baseline interval concentration( i.e. 0.75 x baseline concentration)

  2. Time of Testosterone Concentration Below Baseline Interval

    Time frame · Day 0-42

    Registry description

    The time from when the testosterone concentration falls below the baseline interval limit (i.e. 0.75 x baseline concentration) until it returns above this limit

  3. Minimal Value of Testosterone (Cnadir)

    Time frame · Day 0-42

    Registry description

    The lowest concentration of testosterone measured within the time frame

  4. Time of Minimal Value of Testosterone (Tnadir)

    Time frame · Day 0-42

    Registry description

    The time point when the lowest testosterone concentration was measured

  5. Duration of Testosterone Concentration Below 0.5 ng/mL

    Time frame · Day 0-42

    Registry description

    The time from when the testosterone concentration falls below 0.5 ng/mL until it returns above that level

  6. Number of Subjects With Testosterone Concentration ≤0.5 ng/mL

    Time frame · Day 0-42

  7. Number of Subjects With Testosterone Concentration at or Above the Baseline Interval Concentration

    Time frame · Day 0-42

    Registry description

    The baseline interval concentration is 0.75 x baseline concentration

  8. Prostate Specific Antigen (PSA) Concentration

    Time frame · Day 0-42

  9. Prostate Volume

    Time frame · Day 0-42

    Registry description

    The prostatic volume was measured by transrectal ultrasound. The prostatic gland was sonicated from two directions perpendicular to one another resulting in three cursor positions set by the urologist, and the volume automatically calculated.

  10. Maximal Urinary Flow

    Time frame · Day 0-42

    Registry description

    Urinary flow was determined by flowmetry using a device that fulfils the International Continence Society standards for maximum urinary flow.

  11. Post-void Residual Urine Volume

    Time frame · Day 0-42

    Registry description

    The post-void residual urine volume in the bladder was evaluated by transabdominal ultrasound. The urine bladder was sonicated from two directions perpendicular to one another, and the volume calculated automatically.

  12. International Prostate Specific Symptom (IPSS) Score

    Time frame · Day 0-42

    Registry description

    The IPSS is a patient-administered questionnaire containing seven items to evaluate symptoms of urinary obstruction (incomplete emptying, frequency, hesitancy, urgency, weak stream, straining, nocturia) over the preceding week. Each urinary symptom question is assigned points from 0 to 5 indicating increasing severity of the particular symptom. The total score can therefore range from 0 to 35 (0-7: mildly symptomatic; 8-19: moderately symptomatic; 20-35: severely symptomatic).

  13. IPSS Global Quality of Life

    Time frame · Day 0-42

    Registry description

    Patients were asked about how they would feel if they were to spend the rest of their lives with their prostate symptoms just as they are now. The answers choices range from "delighted" to "terrible" or 0 to 6.

  14. Interntional Iindes of Erectile Function (IIEF) Score: Overall Satisfaction

    Time frame · Day 0-42

    Registry description

    The IIEF contains 15 items in 5 domains: Erectile Function (6 items), Orgasmic Function (2 items), Sexual Desire (2 items), Intercourse Satisfaction (3 items), and Overall Satisfaction (2 items). Item are scored on a scale from 'No sexual activity' to 'Almost always to always'. For the Erectile Function domain, a score of 1-10 indicates severe erectile dysfunction and 26-30 no dysfunction, the minimum score being 1 and the maximum 30. For all other domains, a higher score indicates less dysfunction. The IIEF does not yield a total score.

Secondary outcomes(3)
  1. Pharmacokinetic Parameters of Degarelix: AUCt

    Time frame · 0-42 Days

    Registry description

    Area under the time-concentration curve (AUCt) was calculated by non-compartmental methods based on data up to Day 42

  2. Pharmacokinetic Parameters of Degarelix: Cmax

    Time frame · Day 0-42

    Registry description

    Cmax was determined for concentration measurements up to Day 42

  3. Pharmacokinetic Parameters of Degarelix: Tmax

    Time frame · Day 0-42

    Registry description

    The time for maximal concentration (tmax) was determined for data up to Day 42

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeMean· 0-42 Days

Testosterone Area Below Baseline Interval

GroupValue (ng*days/mL)Spread
Degarelix 16+16 mg21.019.1
Degarelix 32 mg16.011.6
Degarelix 32+32 mg54.625.7
Degarelix 64 mg70.653.9
Primary outcomeMean· Day 0-42

Time of Testosterone Concentration Below Baseline Interval

GroupValue (Days)Spread
Degarelix 16+16 mg21.212.8
Degarelix 32 mg13.29.3
Degarelix 32+32 mg34.310.8
Degarelix 64 mg34.011.7
Primary outcomeMean· Day 0-42

Minimal Value of Testosterone (Cnadir)

GroupValue (ng/mL)Spread
Degarelix 16+16 mg1.40.5
Degarelix 32 mg0.90.5
Degarelix 32+32 mg0.40.3
Degarelix 64 mg0.40.2
Primary outcomeMean· Day 0-42

Time of Minimal Value of Testosterone (Tnadir)

GroupValue (Days)Spread
Degarelix 16+16 mg1.10.6
Degarelix 32 mg1.30.8
Degarelix 32+32 mg4.35.3
Degarelix 64 mg8.89.9
Primary outcomeMedian· Day 0-42

Duration of Testosterone Concentration Below 0.5 ng/mL

GroupValue (Days)
Degarelix 16+16 mg0.0
Degarelix 32 mg0.0
Degarelix 32+32 mg1.4
Degarelix 64 mg2.0
Primary outcomeNumber· Day 0-42

Number of Subjects With Testosterone Concentration ≤0.5 ng/mL

GroupValue (participants)
Degarelix 16+16 mg0
Degarelix 32 mg2
Degarelix 32+32 mg5
Degarelix 64 mg8
Primary outcomeNumber· Day 0-42

Number of Subjects With Testosterone Concentration at or Above the Baseline Interval Concentration

GroupValue (participants)
Degarelix 16+16 mg0
Degarelix 32 mg0
Degarelix 32+32 mg0
Degarelix 64 mg0
Secondary and other outcome results(1)
Secondary outcomeMean· 0-42 Days

Pharmacokinetic Parameters of Degarelix: AUCt

GroupValue (ng*day/mL)Spread
Degarelix 16+16 mg70.720.6
Degarelix 32 mg86.926.9
Degarelix 32+32 mg15843.7
Degarelix 64 mg17647.2

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
Degarelix 16+16 mgTwo doses of Degarelix 16 mg on Day 0 and Day 14–0 / 1313 / 13
Degarelix 32 mgA single dose of Degarelix 32 mg on Day 0–0 / 1211 / 12
Degarelix 32+32 mgTwo doses of Degarelix 32 mg on Day 0 and Day 14–1 / 1212 / 12
Degarelix 64 mgA single dose of Degarelix 64 mg on Day 0–1 / 1313 / 13

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies0

Studies that cite this trial.

No study cites this trial.

Eligibility

Who could join, as posted.

Sex
Male
Age
from 55 Years up to 75 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: Each patient must comply with all of the following inclusion criteria to be allowed to be randomised into the study: 1. Man, 55 to 75 years of age. 2. Clinical diagnose of BPH with a prostate volume more than 30 mL, a maximal uroflow of 12 mL/sec or less and an international prostate sympton score (IPSS) of 13 or more at screening. 3. A prostate specific antigen (PSA) value less than 10 ng/mL and no clinical evidence of adenocarcinoma of the prostate at screening. If a biopsy of the prostate is performed, a period of 6 weeks should be allowed after the biopsy before the patient is enrolled into the study. 4. Has a baseline testosterone level above 3 ng/mL at screening. Exclusion Criteria: Any patient meeting one or more of the following exclusion criteria will not be included into the study: 1. Previous surgery of the prostate. 2. Previous treatment with GnRH agonists or GnRH antagonists. 3. Treatment with 5-alpha reductase inhibitors, e.g., finasteride (Prosca®)or dutasteride (Avodart®) within the past 12 months before the study. 4. Treatment with alpha-adrenergic antagonists, e.g., terazosin, doxazosin, tamsulosin, alfuzosin within 2 weeks prior to Screening part II (or Part I, if IPSS is performed at Screening part I). 5. Treatment with any drug modifying the testosterone level or function within 12 weeks before Screening visit part II (or Part I, if IPSS is performed at Screening part I).

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