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Trial · Interventional

CompletedPhase 3Results postedRegistry data

Induction and Maintenance of Castration After Subcutaneous Injections of Triptorelin Pamoate in Patients With Prostate Cancer

Short name DKP 3M SC

NCTNCT01715129 (opens ClinicalTrials.gov in a new tab)Other id8-55-52014-200Other id2012-001279-35

Overview

Status
Completed
Phase
Phase 3
Enrollment
126 participants (actual)
Sponsor
Ipsen · Industry
Design
Allocation not applicable · Open label (no masking)
Countries
5 countries

Bulgaria, France, Latvia, Poland, Romania

Start
Jan 2013
Primary completion
Oct 2013
Completion
Oct 2013
First posted
26 Oct 2012 (estimated)
Last update posted
9 Dec 2019
Conditions
Prostate Cancer

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
20132014
  1. Ph 3

    DKP 3M SC

    NCT01715129

    Jan 2013 to Oct 2013

Registry summary

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

Assess the efficacy and safety of Triptorelin pamoate 3M formulation (11.25mg) when administered by subcutaneous route.

Interventions

  • Triptorelin Pamoate 11.25mgDrug

Arms1

  • Experimental

    11.25mg

    11.25mg, SC on Day 1 and Day 92

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Percentage of Subjects Demonstrating Castration at Day 29 and Maintaining Castration at Day 183

    Time frame · At Day 29 and 183

    Registry description

    Percentage of subjects castrated (i.e. with serum testosterone \<50 ng/dL or 1.735 nmol/L, using the LC-MS/MS method and missing data imputed by immunoassay method (at time points when LC-MS/MS data was planned to be available only) and the proportion with castration maintained at Day 183 (after receiving 2 S.C. administrations of triptorelin pamoate, three months apart); they were calculated along with their respective 95% confidence intervals (CI) using exact methods on the ITT population at Day 29 and on the initially castrated (IC) population at Day 183

Secondary outcomes(13)
  1. Percentage of Subjects Demonstrating Castration Before Administration of the Second Dose

    Time frame · At Day 92

    Registry description

    Percentage of subjects demonstrating castration at Day 92 (before administration of the second dose) were also assessed using the LC-MS/MS method and missing data imputed by immunoassay method (at time points when LC-MS/MS data was planned to be available only) and summarised using descriptive statistics on the ITT and IC populations.

  2. Probability of Testosterone <50 ng/dL

    Time frame · Day 29 through Day 183

    Registry description

    Probability of testosterone \<50 ng/dL from Day 29 to Day 183 was assessed as a secondary endpoint using the time to event from first administration date to first observed (and subsequently confirmed if assessment not performed at end of study or early withdrawal visits) serum testosterone level ≥50 ng/dL or ≥1.735 nmol/L at or after Day 29, assessed using the LC-MS/MS Method and Missing Data imputed by immunoassay method Kaplan-Meier Analysis. LC-MS/MS: Liquid Chromatography-Tandem Mass Spectrometry

  3. Percentage of Subjects Demonstrating Castration With Testosterone Level <50 ng/dL at Day 95

    Time frame · Day 95

    Registry description

    Percentage of subjects demonstrating castration at Day 95 (3-4 days after administration of the second dose to assess the suppression of acute-on-chronic effect following the second administration) were also assessed using the LC-MS/MS method and missing data imputed by immunoassay method (at time points when LC-MS/MS data was planned to be available only) and summarised using descriptive statistics on the ITT and IC populations.

  4. Time to Achieve Castration (Tcast)

    Time frame · Up to Day 36

    Registry description

    Time to castration (Tcast) from first administration date until first observed serum testosterone level \<50 ng/dL or \<1.735 nmol/L evaluated using the immunoassay method only (i.e. defined as the number of days between the injection time at Day 1 and castration achievement)

  5. Plasma Triptorelin Levels (Cmin)

    Time frame · At Day 92 and 183

    Registry description

    Minimal triptorelin plasma concentration at the end of each dosage interval just before the next dose injection (Cmin) for Days 92 and 183 were assessed.

  6. Percentage Change in Prostate Specific Antigen (PSA) Levels From Baseline in All Subjects

    Time frame · From Day 1 (Baseline) to Day 183 (End of study)

    Registry description

    Serum PSA level was presented throughout the study using descriptive statistics displaying raw values, change from Baseline and percentage change from Baseline at each visit in all subjects from the ITT population only. Additionally, the PSA level was described in subjects with elevated PSA levels (i.e. \>4 ng/mL) at study entry, and the proportion of subjects with normal PSA levels (i.e. \[0-4\] ng/mL) at Day 183 compared to Baseline was presented.

  7. Percentage of Subjects With Normal and Abnormal PSA Levels at Day 183 (End of Study Visit)

    Time frame · At Day 183

    Registry description

    0-4 ng/mL (normal PSA value) \>4 ng/mL (abnormal PSA levels)

  8. Clinically Apparent Tumor Progression

    Time frame · Day 92 and 183

    Registry description

    Tumour progression was recorded according to the Investigator's clinical judgement, considering the PSA levels and any other indications of disease; the clinical confirmation might be supplemented by radiological or other investigations or scans if required. The lack of clinically apparent tumour progression was assessed at Day 92 (prior to administration of the second dose) and Day 183 (end of study visit).

  9. Percentage of Subjects With Adverse Events

    Time frame · Up to Day 183

  10. Time to Cmax (Tmax) of Triptorelin

    Time frame · At 1, 2, 3, 4, 5, 6, 7, 8 and 24 hours after first dose on Day 1

  11. Peak Plasma Concentration Value (Cmax) of Triptorelin

    Time frame · At 1, 2, 3, 4, 5, 6, 7, 8 and 24 hours after first dose on Day 1

  12. Area Under the Concentration Versus Time Curve Between 0 and 24 Hours (AUC0-24) of Triptorelin

    Time frame · At 1, 2, 3, 4, 5, 6, 7, 8 and 24 hours after first dose on Day 1

  13. Cmin of Triptorelin in Subset of 18 Subjects

    Time frame · At Day 92 and 183

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· At Day 29 and 183

Percentage of Subjects Demonstrating Castration at Day 29 and Maintaining Castration at Day 183

GroupValue (Percentage of subjects)
Triptorelin Pamoate97.6
Secondary and other outcome results(7)
Secondary outcomeNumber· At Day 92

Percentage of Subjects Demonstrating Castration Before Administration of the Second Dose

GroupValue (Percentage of subjects)
Triptorelin Pamoate99.2
Secondary outcomeNumber· Day 29 through Day 183

Probability of Testosterone <50 ng/dL

GroupValue (Proportion of subjects)
Triptorelin Pamoate0.96
Secondary outcomeNumber· Day 95

Percentage of Subjects Demonstrating Castration With Testosterone Level <50 ng/dL at Day 95

GroupValue (Percentage of subjects)
Triptorelin Pamoate98.3
Secondary outcomeMedian· Up to Day 36

Time to Achieve Castration (Tcast)

GroupValue (Day)
Triptorelin Pamoate22
Secondary outcomeMean· At Day 92 and 183

Plasma Triptorelin Levels (Cmin)

GroupValue (ng/mL)Spread
Triptorelin Pamoate0.0620.031
Secondary outcomeMean· From Day 1 (Baseline) to Day 183 (End of study)

Percentage Change in Prostate Specific Antigen (PSA) Levels From Baseline in All Subjects

GroupValue (Percentage Change)Spread
Triptorelin Pamoate-85.50342.410
Secondary outcomeNumber· At Day 183

Percentage of Subjects With Normal and Abnormal PSA Levels at Day 183 (End of Study Visit)

GroupValue (Percentage of subjects)
Triptorelin Pamoate84.6

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
Triptorelin Pamoate 11.25 mgTriptorelin Pamoate corresponding to 11.25 mg of triptorelin administered subcutaneously on Day 1 and 92–6 / 12645 / 126

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: * Histologically proven locally advanced or metastatic prostate cancer who are suitable for androgen deprivation therapy * Male aged ≥18 years old * Screening testosterone level of \>125 ng/dL * Life expectancy of greater than 12 months in the judgement of the Investigator * Eastern Cooperative Oncology Group (ECOG) performance status of 0-1 * Willing to give signed informed consent freely * Able to adhere to the study visit schedule and other protocol requirements. Exclusion Criteria: * Prior hormonal therapy for prostate cancer * Prior surgery or radiotherapy of prostate cancer with curative intent unless disease is verified by a rising prostate specific antigen (PSA) concentration on follow up (elevated PSA values on last two tests conducted at least a month apart) and the patient is eligible for androgen deprivation therapy * Presence or history of any other malignancy except for non melanoma skin cancer adequately treated at least 2 years before study entry * Painful local bone lesions or spinal lesions which may lead to compression * History of myocardial infarction, percutaneous coronary intervention, acute coronary syndrome, coronary artery bypass graft, Class III/IV congestive heart failure, cerebrovascular accident, transient ischaemic attack, or limb claudication at rest, within six months prior to start of study treatment and ongoing symptomatic dysrhythmias, unstable angina, uncontrolled hypertension, and untreated atrial or uncontrolled ventricular arrhythmias * Any condition in opinion of the Investigator, including other active or latent infections, medical or psychiatric conditions, or the presence of laboratory abnormalities, which could confound the ability to interpret data from the study, compromises the objective of the study or places the patient at unacceptable risk if he participates in the study * Abnormal haematological, hepatic or renal functions: * Haemoglobin \<9 g/dL, absolute neutrophil count ≤1.5 x 10\^9/L or platelets ≤100 x 10\^9/L * Serum creatinine ≥1.5 times the upper limit of normal (ULN) * Aspartate aminotransferase or alanine aminotransferase \>2.5 times the ULN * Known hypersensitivity to the study treatment, to any of its excipients * Known active use of recreational drug or alcohol dependence in the opinion of the Investigator * Any current use or use within six months prior to start of treatment, of medications which are known to affect the metabolism and/or secretion of androgenic hormones: e.g. ketoconazole, aminoglutethimide, oestrogens, and progesterone * Use of systemic corticosteroids (inhaled corticosteroids and topical application of corticosteroids are permitted) * Aged ≥90 years for the main study and ≥80 years for those included in the pharmacokinetic (PK) patient population * Participation in any other study or receipt of any investigational compound in the 30 days (or five times the elimination half life if this is longer) prior to study entry * Any skin or other condition that may preclude s.c. injection administration * Known brain or epidural metastases.

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