To Evaluate Progression-free Survival on the Combination of Docetaxel Plus Apalutamide
| Group | Value (months) |
|---|---|
| Apalutamide Combined With Docetaxel | 5.6 |
Trial · Interventional
TerminatedPhase 2Results postedRegistry dataThis trial was stopped early.
Reason given at the registry: Safety concerns
Results were posted for this trial.
United States
1 trial · 1 stopped early · 1 with posted results
A Study of Docetaxel + ARN-509 in Castration-Resistant Prostate Cancer
NCT0309327223 Jun 2017 to 31 Dec 2019
Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.
This research study is studying a combination of drugs as a possible treatment for castration-resistant prostate cancer. The interventions involved in this study are: * Docetaxel (a type of chemotherapy) * Apalutamide (the study medication, also known as ARN-509) * Prednisone (a corticosteroid given to prevent reactions to docetaxel). * Leuprolide acetate (also known as Lupron, a GnRH agonist or similar drug which is standard of care, causes chemical castration which greatly lowers the level of testosterone in the body)
Experimental
ARN-509 Combined With Docetaxel
* Apalutamide (ARN-509) will be taken orally at home daily * Docetaxel will be administered every 3 weeks intravenously * Prednisone will be taken orally twice daily * Leuprolide Acetate will be administered at the specification of the physician
Outcomes the sponsor listed as primary.
To Evaluate Progression-free Survival on the Combination of Docetaxel Plus Apalutamide
Time frame · Disease was evaluated radiologically at baseline and every 12 weeks on treatment; PFS follow up was up to 9.4 months
Progression free survival (PFS) is defined as the time from treatment initiation until the occurrence of one of the following: 1. A participant was considered to have progressed by bone scan if 1. the first bone scan with greater than or equal to (≥) 2 new lesions compared to baseline was observed in less than (\<) 12 weeks from study drug initiation and was confirmed by a second bone scan taken ≥6 weeks later showing ≥2 additional new lesions (a total of ≥4 new lesions compared to baseline); 2. the first bone scan with ≥2 new lesions compared to baseline was observed in ≥12 weeks from study drug initiation and the new lesions were verified on the next bone scan ≥6 weeks later (a total of ≥2 new lesions compared to baseline); 2. Progression of soft tissue lesions measured by computerized tomography (CT) or magnetic resonance imaging (MRI) by RECIST v. 1.1; or 3. Death from any cause.
Number of Participants With Dose-Limiting Toxicities in the Safety Lead-in Group (First 6 Patients)
Time frame · First 3 weeks of treatment
Specific adverse events will be recorded during the safety lead-in phase of 6 patients. Any toxicities considered unacceptable during this time will be considered a dose-limiting toxicity and will be summarized among all patients evaluable for a dose-limiting toxicity (DLT).
Maximum Blood Concentration (Cmax) for Docetaxel Pharmacokinetic Analysis
Time frame · Cycle 1, 2: During infusion at pre-dose, 15 minutes and 30 minutes post-dose, end of dose, and 0.5, 1, 1.5, 2, 4, 6, 8, 24 hours post dose.
The pharmacokinetic (PK) parameters of the first 9 patients enrolled at Dana-Farber Cancer Institute will be determined using noncompartmental methods with WinNonLin version 5.2. Maximum blood concentration (Cmax) will be determined by visual inspection. Due to the premature termination of the study, only 9 patients were evaluated. The PK samples were collected on Days 1 and 2 of the first two treatment cycles.
Area Under the Curve (AUC) for Docetaxel Pharmacokinetic Analysis
Time frame · Cycle 1, 2: During infusion at pre-dose, 15 minutes and 30 minutes post-dose, end of dose, and 0.5, 1, 1.5, 2, 4, 6, 8, 24 hours post dose.
The area under the blood concentration-time curve (linear trapezoidal rule) will be determined between 0-24 hours (AUC0-24). The PK samples were collected during the first two days of cycles 1 and 2.
Serum PSA Change From Baseline to 12 Weeks on Treatment
Time frame · PSA was measured on Cycle 1 Day 1 (Baseline) and at 12 weeks on treatment.
The maximum percent PSA change (rise or fall) from baseline to after 12 weeks on study. For patients who discontinue on or before the 12 week assessment or for whom the 12 week assessment is missing, the last observation prior to the week 12 assessment will be utilized. Patients with no post-baseline PSA data will be excluded from the summary.
Overall Survival
Time frame · Measured from end of study treatment to death due to any cause; OS measured as 22.4 months
Overall Survival (OS) is defined as the time from trial treatment start to death due to any cause, or censored at date last known alive.
Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.
| Group | Value (months) |
|---|---|
| Apalutamide Combined With Docetaxel | 5.6 |
| Group | Value (Participants) |
|---|---|
| Apalutamide Combined With Docetaxel | 0 |
| Group | Value (ng/mL) | Spread |
|---|---|---|
| Apalutamide Combined With Docetaxel | 2415 | 970 |
| Group | Value (ng•h/mL) | Spread |
|---|---|---|
| Apalutamide Combined With Docetaxel | 3406 | 1426 |
| Group | Value (percent) |
|---|---|
| Apalutamide Combined With Docetaxel | 13.0 |
| Group | Value (months) |
|---|---|
| Apalutamide Combined With Docetaxel | 22.4 |
| Group | Deaths | Serious events | Other events |
|---|---|---|---|
| Apalutamide Combined With Docetaxel* Apalutamide (ARN-509): 240mg (four 60mg tablets), oral, once daily * Docetaxel: 75mg/m2 in 250cc Normal Saline, IV, every 21 days (3 weeks) * Prednisone: 5mg, oral, twice daily | 1 / 9 | 4 / 9 | 9 / 9 |
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