Trial Outcomes & Findings for Phase II Trial of Transdermal Estradiol for Hormone Refractory Prostate Cancer (NCT NCT00176644)

NCT ID: NCT00176644

Last Updated: 2023-09-13

Results Overview

PSA Response is a critical outcome measure used to assess the efficacy of treatments for conditions such as prostate cancer. PSA, or Prostate-Specific Antigen. The PSA Response is a measure of the change in PSA levels before and after a specific treatment intervention.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

23 participants

Primary outcome timeframe

3 years

Results posted on

2023-09-13

Participant Flow

Subjects were recruited from the Cancer Institute of New Jersey (a comprehensive cancer center) and 4 community hospitals within the Cancer Institute of New Jersey Oncology Group from May 2005 through April 2008.

Participant milestones

Participant milestones
Measure
Transdermal Estradiol
Transdermal Estradiol : application of 4 transdermal estradiol patches, each patch releases a dose of 0.1 mg/day for a total dose of 0.4 mg/day. All four patches will be changed every 7 days. This continuous weekly schedule will be followed until the patient goes off-study. The patch will be applied to a clean, dry, intact area of the lower abdomen or the upper quadrant of the buttock. The sites should be rotated weekly. If a patch falls off during the 7 days, a new patch will be applied for the remainder of the 7 day period. At the end of the 7 days all four patches will be changed.
Overall Study
STARTED
23
Overall Study
COMPLETED
22
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Transdermal Estradiol
Transdermal Estradiol : application of 4 transdermal estradiol patches, each patch releases a dose of 0.1 mg/day for a total dose of 0.4 mg/day. All four patches will be changed every 7 days. This continuous weekly schedule will be followed until the patient goes off-study. The patch will be applied to a clean, dry, intact area of the lower abdomen or the upper quadrant of the buttock. The sites should be rotated weekly. If a patch falls off during the 7 days, a new patch will be applied for the remainder of the 7 day period. At the end of the 7 days all four patches will be changed.
Overall Study
Withdrawal by Subject
1

Baseline Characteristics

Phase II Trial of Transdermal Estradiol for Hormone Refractory Prostate Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Transdermal Estradiol
n=23 Participants
Transdermal Estradiol : application of 4 transdermal estradiol patches, each patch releases a dose of 0.1 mg/day for a total dose of 0.4 mg/day. All four patches will be changed every 7 days. This continuous weekly schedule will be followed until the patient goes off-study. The patch will be applied to a clean, dry, intact area of the lower abdomen or the upper quadrant of the buttock. The sites should be rotated weekly. If a patch falls off during the 7 days, a new patch will be applied for the remainder of the 7 day period. At the end of the 7 days all four patches will be changed.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=5 Participants
Age, Categorical
>=65 years
19 Participants
n=5 Participants
Age, Continuous
72.4 years
STANDARD_DEVIATION 8.2 • n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
Sex: Female, Male
Male
23 Participants
n=5 Participants
Region of Enrollment
United States
23 participants
n=5 Participants

PRIMARY outcome

Timeframe: 3 years

PSA Response is a critical outcome measure used to assess the efficacy of treatments for conditions such as prostate cancer. PSA, or Prostate-Specific Antigen. The PSA Response is a measure of the change in PSA levels before and after a specific treatment intervention.

Outcome measures

Outcome measures
Measure
Transdermal Estradiol
n=23 Participants
Transdermal Estradiol : application of 4 transdermal estradiol patches, each patch releases a dose of 0.1 mg/day for a total dose of 0.4 mg/day. All four patches will be changed every 7 days. This continuous weekly schedule will be followed until the patient goes off-study. The patch will be applied to a clean, dry, intact area of the lower abdomen or the upper quadrant of the buttock. The sites should be rotated weekly. If a patch falls off during the 7 days, a new patch will be applied for the remainder of the 7 day period. At the end of the 7 days all four patches will be changed.
Percentage of Patients With PSA Response
8.7 percentage of participants

SECONDARY outcome

Timeframe: 3 years

Population: Outcome Measure was pre-specified to be assessed based on achieving a certain pre-requisite response rate

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 4 years

Population: Outcome Measure was pre-specified to be assessed based on achieving a certain pre-requisite response rate

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 3 years

Population: Outcome Measure was pre-specified to be assessed based on achieving a certain pre-requisite response rate

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 3 years

Population: Outcome Measure was pre-specified to be assessed based on achieving a certain pre-requisite response rate

Outcome measures

Outcome data not reported

Adverse Events

Transdermal Estradiol

Serious events: 5 serious events
Other events: 18 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Transdermal Estradiol
n=23 participants at risk
Transdermal Estradiol : application of 4 transdermal estradiol patches, each patch releases a dose of 0.1 mg/day for a total dose of 0.4 mg/day. All four patches will be changed every 7 days. This continuous weekly schedule will be followed until the patient goes off-study. The patch will be applied to a clean, dry, intact area of the lower abdomen or the upper quadrant of the buttock. The sites should be rotated weekly. If a patch falls off during the 7 days, a new patch will be applied for the remainder of the 7 day period. At the end of the 7 days all four patches will be changed.
Blood and lymphatic system disorders
Hemoglobin
8.7%
2/23 • Number of events 2 • 3 years and 6 months
Blood and lymphatic system disorders
Platelets
4.3%
1/23 • Number of events 1 • 3 years and 6 months
Gastrointestinal disorders
Constipation
4.3%
1/23 • Number of events 1 • 3 years and 6 months
Investigations
AST, SGOT(serum glutamic oxaloacetic transaminase)
4.3%
1/23 • Number of events 1 • 3 years and 6 months
Investigations
Alkaline phosphatase
4.3%
1/23 • Number of events 1 • 3 years and 6 months
Nervous system disorders
Neuropathy: sensory
4.3%
1/23 • Number of events 1 • 3 years and 6 months
General disorders
Pain - Bone
4.3%
1/23 • Number of events 1 • 3 years and 6 months
Respiratory, thoracic and mediastinal disorders
Pneumothorax
4.3%
1/23 • Number of events 1 • 3 years and 6 months
Renal and urinary disorders
Obstruction, GU - Urethra
4.3%
1/23 • Number of events 1 • 3 years and 6 months

Other adverse events

Other adverse events
Measure
Transdermal Estradiol
n=23 participants at risk
Transdermal Estradiol : application of 4 transdermal estradiol patches, each patch releases a dose of 0.1 mg/day for a total dose of 0.4 mg/day. All four patches will be changed every 7 days. This continuous weekly schedule will be followed until the patient goes off-study. The patch will be applied to a clean, dry, intact area of the lower abdomen or the upper quadrant of the buttock. The sites should be rotated weekly. If a patch falls off during the 7 days, a new patch will be applied for the remainder of the 7 day period. At the end of the 7 days all four patches will be changed.
General disorders
Pain - Bone
13.0%
3/23 • Number of events 3 • 3 years and 6 months
General disorders
Pain - Breast
13.0%
3/23 • Number of events 3 • 3 years and 6 months
General disorders
Pain - Extremity-limb
13.0%
3/23 • Number of events 3 • 3 years and 6 months
General disorders
Pain - Back
13.0%
3/23 • Number of events 3 • 3 years and 6 months
General disorders
Pain - Neck
8.7%
2/23 • Number of events 2 • 3 years and 6 months
General disorders
Pain - Other (Specify, __)
8.7%
2/23 • Number of events 2 • 3 years and 6 months
General disorders
Fatigue (asthenia, lethargy, malaise)
21.7%
5/23 • Number of events 5 • 3 years and 6 months
General disorders
Sweating (diaphoresis)
8.7%
2/23 • Number of events 2 • 3 years and 6 months
Gastrointestinal disorders
Nausea
13.0%
3/23 • Number of events 3 • 3 years and 6 months
Gastrointestinal disorders
Constipation
8.7%
2/23 • Number of events 2 • 3 years and 6 months
Investigations
Albumin, serum-low (hypoalbuminemia)
8.7%
2/23 • Number of events 2 • 3 years and 6 months
Investigations
Calcium, serum-low (hypocalcemia)
8.7%
2/23 • Number of events 2 • 3 years and 6 months
Blood and lymphatic system disorders
Hemoglobin
8.7%
2/23 • Number of events 5 • 3 years and 6 months
Blood and lymphatic system disorders
Edema: limb
13.0%
3/23 • Number of events 5 • 3 years and 6 months
Nervous system disorders
Neuropathy: sensory
8.7%
2/23 • Number of events 2 • 3 years and 6 months
Reproductive system and breast disorders
Gynecomastia
8.7%
2/23 • Number of events 2 • 3 years and 6 months
Skin and subcutaneous tissue disorders
Pruritus/itching
8.7%
2/23 • Number of events 2 • 3 years and 6 months

Additional Information

Dr. Mark Stein

Cancer Institute of New Jersey

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place