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Trial · Interventional

CompletedPhase 2Results postedRegistry data

Degarelix as Second-Line Hormonal Treatment After Prostate-specific Antigen (PSA)-Failure in GnRH Agonist Treated Patients With Prostate Cancer

NCTNCT00738673 (opens ClinicalTrials.gov in a new tab)Other idFE200486 CS27Other id2008-000585-22Other id2008

Overview

Status
Completed
Phase
Phase 2
Enrollment
37 participants (actual)
Sponsor
Ferring Pharmaceuticals · Industry
Design
Allocation not applicable · Open label (no masking)
Countries
1 country

Germany

Start
Jul 2008
Primary completion
Dec 2011
Completion
Dec 2011
First posted
20 Aug 2008 (estimated)
Last update posted
18 Jan 2013 (estimated)
Conditions
Prostate Cancer

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
20082009201020112012
  1. Ph 2

    Degarelix as Second-Line Hormonal Treatment After Prostate-specific Antigen (PSA)-Failure in GnRH Agonist Treated Patients With Prostate Cancer

    NCT00738673

    Jul 2008 to Dec 2011

Registry summary

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

This was an open-label, multi-centre, uncontrolled, exploratory trial with a duration of 12 months in two cohorts. The trial aimed to investigate Degarelix as a second-line hormonal treatment in Prostate Cancer patients who experienced PSA-Failure following gonadotropin-releasing hormone (GnRH) agonist treatment. The two cohorts differ in Testosterone levels at inclusion.

Interventions

  • degarelixDrug

Arms1

  • Experimental

    Degarelix

    Starting dose: 240 mg by subcutaneous (s.c.) injection in the abdomen on Day 0. Maintenance dose: a maximum of 11 doses of 80 mg degarelix were given 28 days apart via single s.c. injections.

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Participants' Response in Prostate-Specific Antigen (PSA) Level at Three Months As Compared to Baseline

    Time frame · Day 0 (baseline), 3 months

    Registry description

    Response to treatment was defined as: * Response (stabilisation or decrease): Difference ≤ +10% of Baseline level * No response (increase): Difference \> +10% of Baseline level

Secondary outcomes(11)
  1. Participants' Response in Prostate-Specific Antigen (PSA) Level at One Month As Compared to Baseline

    Time frame · Day 0 (baseline), 1 month

    Registry description

    Response to treatment was defined as: * Response (stabilisation or decrease): Difference ≤ +10% of Baseline level * No response (increase): Difference \> +10% of Baseline level. Per protocol, the one month timeframe was only analyzed for cohort 2.

  2. Participants' Response in Prostate-Specific Antigen (PSA) Level at Two Months As Compared to Baseline

    Time frame · Day 0 (baseline), 2 months

    Registry description

    Response to treatment was defined as: * Response (stabilisation or decrease): Difference ≤ +10% of Baseline level * No response (increase): Difference \> +10% of Baseline level. Per protocol, the two month timeframe was only analyzed for cohort 2.

  3. Participants at Testosterone Castrate Level Throughout the Study

    Time frame · up to month 12

    Registry description

    Participants who had no post-baseline serum testosterone level above castrate level which was \<=0.5 ng/mL.

  4. Change From Baseline in Serum Levels of Testosterone at the Last Visit

    Time frame · Day 0 (baseline), up to month 12 (last visit)

  5. Change From Baseline in Serum Levels of Prostate-Specific Antigen (PSA) at Last Visit

    Time frame · Day 0 (baseline), up to month 12 (last visit)

  6. Percent Change From Baseline in Serum Levels of Luteinising Hormone (LH) at the Last Visit

    Time frame · Day 0 (baseline), up to month 12 (last visit)

    Registry description

    LH is measured in IU/L

  7. Change From Baseline in Serum Levels of Follicle-Stimulating Hormone (FSH) at the Last Visit

    Time frame · Day 0 (baseline), up to month 12 (last visit)

  8. Participants at Testosterone Level <=0.2 ng/mL Throughout the Study

    Time frame · up to month 12

    Registry description

    Participants in Cohort 2 who had no post-baseline serum testosterone level above 0.2 ng/mL.

  9. Participants at Testosterone Level <=0.32 ng/mL Throughout the Study

    Time frame · up to month 12

    Registry description

    Participants in Cohort 2 who had no post-baseline serum testosterone level above 0.32 ng/mL

  10. Participants With Prostate-Specific Antigen (PSA) Progression Throughout the Study

    Time frame · up to month 12

    Registry description

    Counts of participants who had PSA progression during the study. PSA progression was defined as PSA \>+10% of baseline value.

  11. Kaplan-Meier Estimate for Overall Survival

    Time frame · up to month 12

    Registry description

    The overall survival time was defined as number of days from first treatment dose to date of death. If a patient did not die then the patient's data were censored at the date of last visit.

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· Day 0 (baseline), 3 months

Participants' Response in Prostate-Specific Antigen (PSA) Level at Three Months As Compared to Baseline

GroupValue (percentage of participants)
Degarelix - Cohort 116.67
Degarelix - Cohort 233.33
Secondary and other outcome results(7)
Secondary outcomeNumber· Day 0 (baseline), 1 month

Participants' Response in Prostate-Specific Antigen (PSA) Level at One Month As Compared to Baseline

GroupValue (percentage of participants)
Degarelix - Cohort 1not posted
Degarelix - Cohort 266.67
Secondary outcomeNumber· Day 0 (baseline), 2 months

Participants' Response in Prostate-Specific Antigen (PSA) Level at Two Months As Compared to Baseline

GroupValue (percentage of participants)
Degarelix - Cohort 1not posted
Degarelix - Cohort 240.00
Secondary outcomeNumber· up to month 12

Participants at Testosterone Castrate Level Throughout the Study

GroupValue (participants)
Degarelix - Cohort 124
Degarelix - Cohort 211
Secondary outcomeMean· Day 0 (baseline), up to month 12 (last visit)

Change From Baseline in Serum Levels of Testosterone at the Last Visit

GroupValue (ng/mL)Spread
Degarelix - Cohort 1-0.0390.175
Degarelix - Cohort 2-0.0380.631
Secondary outcomeMean· Day 0 (baseline), up to month 12 (last visit)

Change From Baseline in Serum Levels of Prostate-Specific Antigen (PSA) at Last Visit

GroupValue (ng/mL)Spread
Degarelix - Cohort 11829
Degarelix - Cohort 254116
Secondary outcomeMean· Day 0 (baseline), up to month 12 (last visit)

Percent Change From Baseline in Serum Levels of Luteinising Hormone (LH) at the Last Visit

GroupValue (percentage of baseline)Spread
Degarelix - Cohort 158286
Degarelix - Cohort 2123277
Secondary outcomeMean· Day 0 (baseline), up to month 12 (last visit)

Change From Baseline in Serum Levels of Follicle-Stimulating Hormone (FSH) at the Last Visit

GroupValue (IU/L)Spread
Degarelix - Cohort 1-1.643.01
Degarelix - Cohort 2-2.011.72

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
Degarelix - Cohort 1Participants with baseline testosterone at castrate level. Starting dose: 240 mg by subcutaneous (s.c.) injection in the abdomen on Day 0. Maintenance dose: a maximum of 11 doses of 80 mg degarelix were given 28 days apart via single s.c. injections.–3 / 2518 / 25
Degarelix - Cohort 2Participants with baseline testosterone above castrate level (≥0.32 ng/mL ). Starting dose: 240 mg by subcutaneous (s.c.) injection in the abdomen on Day 0. Maintenance dose: a maximum of 11 doses of 80 mg degarelix were given 28 days apart via single s.c. injections.–1 / 1210 / 12

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 18 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Patient has given written informed consent before any trial-related activity is performed. * Patient is 18 years or older. * Histologically confirmed prostate cancer. * Patient has received GnRH receptor agonist therapy for a duration of at least 12 months (the first dose of GnRH-antagonist is to be administered when the next dose of the GnRH-agonist would have been due). * Patient has experienced rising PSA levels although receiving GnRH agonist therapy, defined as two consecutive rises of PSA at least two weeks apart in two 50% increases over the nadir, and at least one PSA value of \>2.5 ng/mL within the last six months. * Testosterone on castrate level (defined as ≤ 0.5 ng/mL) (cohort 1); Testosterone ≥0.2 ng/mL at inclusion (cohort 2) * Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2. * Estimated life expectancy at least 12 months. Exclusion Criteria: * Previous history or presence of another malignancy, other than prostate cancer or treated squamous / basal cell carcinoma of the skin, within the last five years. * Ongoing GnRH agonist therapy (last dose of previous GnRH agonist must have been received before Visit 1). * Any pre-trial secondary hormonal manipulation (including antiandrogens) after PSA increase as described as above and before trial entry. Antiandrogens as part of complete androgen blockade must have been discontinued at least three months before first dose of trial medication. * Previous or current treatment with chemotherapy (e.g. estramustine) for prostate cancer. * Known hypersensitivity towards any component of the investigational medical product. * History of severe uncontrolled asthma, anaphylactic reactions, or severe urticaria and/or angioedema. * Known or suspected clinically significant liver and/or biliary disease. * Any clinically significant laboratory abnormalities, disorders, or other condition, including alcohol or drug abuse, which may affect the patient's health or the outcome of the trial as judged by the Investigator. * Patient has a clinically significant disorder (other than prostate cancer) including, but not limited to, renal, hematological, gastrointestinal, endocrine, cardiac, neurological, or psychiatric disease, and alcohol or drug abuse or any other condition, which may affect the patient's health or the outcome of the trial as judged by the Investigator. * Patient has a mental incapacity or language barriers precluding adequate understanding or co-operation. * Patient has received an investigational drug within the last 28 days preceding screening visit. Or longer if considered to possibly influencing the outcome of the current trial. * Previous participation in any degarelix trial.

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