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Trial · Interventional

CompletedPhase 3Results postedRegistry data

A Study of Leuprolide to Treat Prostate Cancer

Overview

Status
Completed
Phase
Phase 3
Enrollment
310 participants (actual)
Sponsor
Abbott · Industry
Design
Not randomized · Open label (no masking)
Countries
1 country

United States

Start
Feb 2008
Primary completion
Aug 2009
Completion
Sept 2009
First posted
29 Feb 2008 (estimated)
Last update posted
19 Jul 2011 (estimated)
Conditions
Prostate Cancer

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
200820092010
  1. Ph 3

    A Study of Leuprolide to Treat Prostate Cancer

    NCT00626431

    Feb 2008 to Sept 2009

Registry summary

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

To assess the efficacy and safety of 2 new formulations of leuprolide acetate 45 mg 6-month depot, Formulation A or Formulation B, for the treatment of patients with prostate cancer. A formulation will be deemed successful if the percentage of subjects with suppression of testosterone to \<= 50 ng/dL from Week 4 to Week 48 is not less than 87%, (the lower bound of the 2-sided 90% confidence interval), a protocol-specified criterion.

Interventions

  • Leuprolide acetate - Formulation ADrug
  • Leuprolide acetate - Formulation BDrug

Arms2

  • Experimental

    Leuprolide acetate - Formulation A

    Leuprolide acetate 45 mg, 6-month depot

  • Experimental

    Leuprolide acetate - Formulation B

    Leuprolide acetate, 45 mg, 6-month depot

Primary outcomes3

Outcomes the sponsor listed as primary.

  1. Percentage of Subjects With Suppression of Serum Testosterone (<=50 ng/dL) From Week 4 to Week 48 for Formulation A: Intent-to-treat (ITT) Population for the Primary Endpoint.

    Time frame · Week 4 to Week 48

    Registry description

    The percentage of subjects with testosterone suppression (\<= 50 ng/dL) from Week 4 to Week 48 was calculated by the Kaplan-Meier method for right-censored observations. Subjects who failed testosterone suppression were considered failures on the first day of a testosterone measurement (\>50 ng/dL). Subjects who prematurely discontinued without escaping and those who were successfully suppressed through Week 48 were censored at their last measured testosterone value (Day 337 to Day 340 at Week 48). The 90% 2-sided confidence interval was calculated from Kaplan-Meier estimates.

  2. Adjusted Percentage of Subjects With Suppression of Serum Testosterone (<=50 ng/dL) From Week 4 to Week 48 for Formulation A: ITT Population for the Primary Endpoint Adjusted

    Time frame · Week 4 to Week 48

    Registry description

    The adjusted percentage of subjects with testosterone suppression (\<= 50 ng/dL) from Week 4 to Week 48 was calculated by the Kaplan-Meier method for right-censored observations. The primary efficacy analysis was adjusted to censor subjects who received an anti-androgen at the last testosterone measurement before use of the anti-androgen. One additional subject was censored because of a laboratory error, at the last measurement before the error. The adjusted 90% 2-sided confidence interval was calculated from Kaplan-Meier estimates.

  3. Percentage of Subjects With Suppression of Serum Testosterone (<=50 ng/dL) From Week 4 to Week 48 for Formulation B: ITT Population for the Primary Endpoint Preplanned

    Time frame · Week 4 to Week 48

    Registry description

    The percentage of subjects with testosterone suppression (\<= 50 ng/dL) from Week 4 to Week 48 was calculated by the Kaplan-Meier method for right-censored observations. Subjects who failed testosterone suppression were considered failures on the first day of a testosterone measurement (\>50 ng/dL). Subjects who prematurely discontinued without escaping and those who were successfully suppressed through Week 48 were censored at their last measured testosterone value (Day 337 to Day 340 at Week 48). The 90% 2-sided confidence interval was calculated from Kaplan-Meier estimates.

Secondary outcomes(8)
  1. Mean Testosterone Concentration (+/- Standard Error) at Each Visit for Formulation A: ITT Population

    Time frame · Baseline, Days 2 and 8, Weeks 2, 4, 8, 14, 20, 24, 26, 30, 34, 40, 46, 48, and Final Visit

    Registry description

    Baseline was the last measurement before the first dose of Formulation A. The mean +/- standard error was calculated at each visit. The final visit occurred at Week 48 unless the subject prematurely discontinued the study.

  2. Mean Testosterone Concentration (+/- Standard Error) at Each Visit for Formulation B: ITT Population

    Time frame · Baseline, Days 2 and 8, Weeks 2, 4, 8, 14, 20, 24, 26, 30, 34, 40, 46, 48, and Final Visit

    Registry description

    Baseline was the last measurement before the first dose of Formulation B. The mean +/- standard error was calculated at each visit. The final visit occurred at Week 48 unless the subject prematurely discontinued the study.

  3. Mean (+/- Standard Error) Acute-on-chronic Changes in Testosterone From Pre-injection Levels for Formulation A: ITT Population

    Time frame · Week 24 before the second injection until 2 weeks after Week 24 (2 hours [h], 4 h, 8 h, 1 day [d], 2 d, 3-10 d, and 11-17 d postdose)

    Registry description

    The acute-on-chronic effect is an agonistic stimulation of serum testosterone after the second depot injection of Formulation A. The mean +/- standard error changes were measured to assess this effect from just before to 2 weeks after the second injection.

  4. Mean (+/- Standard Error) Acute-on-chronic Changes in Testosterone From Pre-injection Levels for Formulation B: ITT Population

    Time frame · Week 24 before the second injection until 2 weeks after Week 24 (2 h, 4 h, 8 h, 1 d, 2 d, 3-10 d, and 11-17 d postdose)

    Registry description

    The acute-on-chronic effect is an agonistic stimulation of serum testosterone after the second depot injection of Formulation B. The mean +/- standard error changes were measured to assess this effect from just before to 2 weeks after the second injection.

  5. Mean (+/- Standard Error) Acute-on-chronic Changes in Luteinizing Hormone From Pre-injection Levels for Formulation A: ITT Population

    Time frame · Week 24 before the second injection until 2 weeks after Week 24 (2 h, 4 h, 8 h, 1 d, 2 d, 3-10 d, and 11-17 d postdose)

    Registry description

    The acute-on-chronic effect is an agonistic stimulation of luteinizing hormone after the second depot injection of Formulation A. The mean +/- standard error changes were measured to assess this effect from just before to 2 weeks after the second injection.

  6. Mean (+/- Standard Error) Acute-on-chronic Changes in Luteinizing Hormone From Pre-injection Levels for Formulation B: ITT Population

    Time frame · Week 24 before the second injection until 2 weeks after Week 24 (2 h, 4 h, 8 h, 1 d, 2 d, 3-10 d, and 11-17 d postdose)

    Registry description

    The acute-on-chronic effect is an agonistic stimulation of luteinizing hormone after the second depot injection of Formulation B. The mean +/- standard error changes were measured to assess this effect from just before to 2 weeks after the second injection.

  7. Mean (+/- Standard Error) Prostate Specific Antigen (PSA) at Baseline, Visits Throughout the Study, and at Final Visit for Formulation A: ITT Population

    Time frame · Baseline, Day 8, Week 14, Week 24, Week 30, Week 40, Week 48, and the Final Visit

    Registry description

    PSA levels were measured at baseline and each treatment visit for Formulation A. The mean (+/- standard error) was calculated at each visit. The final visit occurred at Week 48 unless the subject prematurely discontinued the study.

  8. Mean (+/- Standard Error) Prostate Specific Antigen (PSA) at Baseline, Visits Throughout the Study, and at Final Visit for Formulation B: ITT Population

    Time frame · Baseline, Day 8, Week 14, Week 24, Week 30, Week 40, Week 48, and the Final Visit

    Registry description

    PSA levels were measured at baseline and each treatment visit for Formulation B. The mean (+/- standard error) was calculated at each visit. The final visit occurred at Week 48 unless the subject prematurely discontinued the study.

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 outcomeNumber· Week 4 to Week 48

Percentage of Subjects With Suppression of Serum Testosterone (<=50 ng/dL) From Week 4 to Week 48 for Formulation A: Intent-to-treat (ITT) Population for the Primary Endpoint.

GroupValue (Percent Suppressed)Spread
Leuprolide Acetate - Formulation A93.62.05
Primary outcomeNumber· Week 4 to Week 48

Adjusted Percentage of Subjects With Suppression of Serum Testosterone (<=50 ng/dL) From Week 4 to Week 48 for Formulation A: ITT Population for the Primary Endpoint Adjusted

GroupValue (Percent Suppressed)
Leuprolide Acetate - Formulation A93.4
Secondary and other outcome results(6)
Secondary outcomeMean· Baseline, Days 2 and 8, Weeks 2, 4, 8, 14, 20, 24, 26, 30, 34, 40, 46, 48, and Final Visit

Mean Testosterone Concentration (+/- Standard Error) at Each Visit for Formulation A: ITT Population

GroupValue (ng/dL)Spread
Leuprolide Acetate - Formulation A432.914.35
Secondary outcomeMean· Baseline, Days 2 and 8, Weeks 2, 4, 8, 14, 20, 24, 26, 30, 34, 40, 46, 48, and Final Visit

Mean Testosterone Concentration (+/- Standard Error) at Each Visit for Formulation B: ITT Population

GroupValue (ng/dL)Spread
Leuprolide Acetate - Formulation B414.014.15
Secondary outcomeMean· Week 24 before the second injection until 2 weeks after Week 24 (2 hours [h], 4 h, 8 h, 1 day [d], 2 d, 3-10 d, and 11-17 d postdose)

Mean (+/- Standard Error) Acute-on-chronic Changes in Testosterone From Pre-injection Levels for Formulation A: ITT Population

GroupValue (ng/dL)Spread
Leuprolide Acetate - Formulation A-1.90.85
Secondary outcomeMean· Week 24 before the second injection until 2 weeks after Week 24 (2 h, 4 h, 8 h, 1 d, 2 d, 3-10 d, and 11-17 d postdose)

Mean (+/- Standard Error) Acute-on-chronic Changes in Testosterone From Pre-injection Levels for Formulation B: ITT Population

GroupValue (ng/dL)Spread
Leuprolide Acetate - Formulation B-0.70.66
Secondary outcomeMean· Week 24 before the second injection until 2 weeks after Week 24 (2 h, 4 h, 8 h, 1 d, 2 d, 3-10 d, and 11-17 d postdose)

Mean (+/- Standard Error) Acute-on-chronic Changes in Luteinizing Hormone From Pre-injection Levels for Formulation A: ITT Population

GroupValue (ng/dL)Spread
Leuprolide Acetate - Formulation A0.20.03
Secondary outcomeMean· Week 24 before the second injection until 2 weeks after Week 24 (2 h, 4 h, 8 h, 1 d, 2 d, 3-10 d, and 11-17 d postdose)

Mean (+/- Standard Error) Acute-on-chronic Changes in Luteinizing Hormone From Pre-injection Levels for Formulation B: ITT Population

GroupValue (ng/dL)Spread
Leuprolide Acetate - Formulation B0.40.07

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
Leuprolide Acetate - Formulation ALeuprolide acetate 45 mg, 6-month depot administered as 2 intramuscular (IM) injections of Formulation A, 24 weeks apart. Injections were administered on Day 1 and Day 169. The first 150 subjects were to receive Formulation A and then the next 150 subjects were to receive Formulation B in a sequential manner.–31 / 151133 / 151
Leuprolide Acetate - Formulation BLeuprolide acetate 45 mg, 6-month depot administered as 2 intramuscular injections of Formulation B, 24 weeks apart. Injections were administered on Day 1 and Day 169. The first 150 subjects were to receive Formulation A and then the next 150 subjects were to receive Formulation B in a sequential manner.–41 / 159127 / 159

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

Studies1

Studies that cite this trial.

More studies

1 study on this page

Indexing hint: Clinical trial · 2012

Efficacy and safety of leuprolide acetate 6-month depot for suppression of testosterone in patients with prostate cancer.

Spitz et al. 2012Prostate cancer and prostatic diseasescited by 34

PMID 22025196PMC3278745DOI 10.1038/pcan.2011.50PUB-22025196

Free to read · publisher termsCC BY-NC-ND
Read at source

Eligibility

Who could join, as posted.

Sex
Male
Age
from 18 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Voluntarily sign an IRB-approved informed consent form and any required privacy statement/authorization form. * Pre-trial serum testosterone level \>150 ng/dL. * Histologically-confirmed prostatic adenocarcinoma in Jewett Clinical Stage A2, B, C or D and TNM\* classification cT1b-4, N: any, M: any. \*Tumor/Nodes/Metastases * Subjects with a rising PSA following radical prostatectomy defined as an increase of 0.2 ng/mL from the previous test on two consecutive testings or rising PSA following prostate irradiation using Phoenix Definition of a rise of greater than or equal to 2.0 ng/mL above the nadir. * Prostate cancer and general clinical status is sufficient to warrant at least 48 weeks of continuous androgen deprivation treatment, without concomitant antiandrogen treatment. * Eastern Cooperative Oncology Group (ECOG) Performance status grades 0,1,or 2 at the time of pre-trial screening. * Life expectancy of at least 18 months. * Subjects with serum creatinine ≤1.9 mg/dL, bilirubin ≤2.0 mg/dL (unless Gilbert's syndrome with normal AST, ALT); AST and ALT ≤2.5 times the upper limit of normal. Exclusion Criteria: * Requires additional treatment including radical prostatectomy, radiotherapy or cryotherapy of local disease. * Historical, clinical, or radiographic evidence of central nervous system metastases, including spinal cord metastasis. * Clinical evidence of urinary tract obstruction. * History of bilateral orchiectomy, adrenalectomy, or hypophysectomy. * History of clinical hypogonadism. * Current malignancy or history of malignancy except for prostate cancer or basal or squamous cell carcinoma of the skin. * Clinical or laboratory evidence of any severe underlying disease state (excluding prostate cancer) that would place subjects in additional jeopardy by participating in this trial. * Hypersensitivity to leuprolide, polylactic acid, or any excipient of the drug. * Incomplete recovery from the effects of any major surgery. * History of receiving of the following prostate cancer therapies within 8 weeks prior to the Screening Visit: chemotherapy, immunotherapy, antiandrogen, radiation therapy, cryotherapy, strontium, or biological response modifiers. * History of prostatic surgery within 4 weeks prior to the Screening Visit. * Received hormonal therapy, including GnRH analogs (less than or equal to 6 month depot administration), estrogen, Megace and phytotherapy, within 32 weeks prior to the Screening Visit and during the trial. * Alternative medical therapies which have an estrogenic, androgenic, or antiandrogenic effect (including phyto-estrogens and phyto-androgens) within 12 weeks prior to the Screening Visit and during the trial. * Requires the chronic use of systemic corticosteroids and anticonvulsants that may affect bone loss such as carbamazepine, phenobarbital, phenytoin, valproic acid or primidone. * May require antiandrogen, immuno-, or surgical therapy for prostate cancer during the trial. * History of alcoholism or consumes \>14 alcoholic beverages per week or illicit drug abuse within 12 months prior to screening. * Received therapy with a GnRH analog (1 year implant) within 60 weeks prior to the Screening Visit. * Received therapy with finasteride or ketoconazole within 1 week prior to the Screening Visit; dutasteride within 25 weeks prior to the Screening Visit.

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