Trial Outcomes & Findings for An Observational Study of Continuous Oral Dosing of Abiraterone Acetate in Castration-Resistant Prostate Cancer Patients Evaluating Androgens and Steroid Metabolites in Bone Marrow Plasma (NCT NCT00544440)

NCT ID: NCT00544440

Last Updated: 2014-07-17

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

57 participants

Primary outcome timeframe

Baseline (predose Week 1 Day 1) and Week 8

Results posted on

2014-07-17

Participant Flow

Participant milestones

Participant milestones
Measure
Abiraterone Acetate
Patients were treated orally with abiraterone acetate 1000 mg daily and prednisone 5 mg twice a day until clinical disease progression.
Overall Study
STARTED
57
Overall Study
COMPLETED
0
Overall Study
NOT COMPLETED
57

Reasons for withdrawal

Reasons for withdrawal
Measure
Abiraterone Acetate
Patients were treated orally with abiraterone acetate 1000 mg daily and prednisone 5 mg twice a day until clinical disease progression.
Overall Study
Other
5
Overall Study
Adverse Event
1
Overall Study
Withdrawal by Subject
2
Overall Study
Subject Non-compliance
1
Overall Study
Progressive Disease
47

Baseline Characteristics

An Observational Study of Continuous Oral Dosing of Abiraterone Acetate in Castration-Resistant Prostate Cancer Patients Evaluating Androgens and Steroid Metabolites in Bone Marrow Plasma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Abiraterone Acetate
n=57 Participants
Patients were treated orally with abiraterone acetate 1000 mg daily and prednisone 5 mg twice a day until clinical disease progression.
Age, Continuous
69.1 years
STANDARD_DEVIATION 8.93 • n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
Sex: Female, Male
Male
57 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline (predose Week 1 Day 1) and Week 8

Population: Bone marrow aspirates were collected at baseline (predose Week 1 Day 1) in 49 participants and in 44 participants at Week 8.

Outcome measures

Outcome measures
Measure
Abiraterone Acetate
n=49 Participants
Participants were treated orally with abiraterone acetate 1000 mg daily and prednisone 5 mg twice a day until clinical disease progression.
Number of Participants With Detectable Bone Marrow Testosterone Level (>1 Picograms/Mililiter)
Baseline (predose Week 1 Day 1) (n=49)
0 Number of Participants
Number of Participants With Detectable Bone Marrow Testosterone Level (>1 Picograms/Mililiter)
Week 8 (n=44)
0 Number of Participants

PRIMARY outcome

Timeframe: Baseline (predose Week 1 Day 1) and Week 8

Population: Bone marrow aspirates were collected at baseline (predose Week 1 Day 1) in 49 participants and in 44 participants at Week 8.

Outcome measures

Outcome measures
Measure
Abiraterone Acetate
n=49 Participants
Participants were treated orally with abiraterone acetate 1000 mg daily and prednisone 5 mg twice a day until clinical disease progression.
Number of Participants With Detectable Bone Marrow Dihydrotestosterone (DHT) Level (>9 Picograms/Mililiter)
Baseline (predose Week 1 Day 1) (n=49)
2 Number of Participants
Number of Participants With Detectable Bone Marrow Dihydrotestosterone (DHT) Level (>9 Picograms/Mililiter)
Week 8 (n=44)
2 Number of Participants

PRIMARY outcome

Timeframe: Week 8

Population: Since there were too few participants with any detectable bone marrow testosterone, this analysis was not performed.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Week 8

Population: Data was reported in individual participant listings but not summarized due to statistical constraints.

Outcome measures

Outcome data not reported

Adverse Events

Abiraterone Acetate

Serious events: 29 serious events
Other events: 56 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Abiraterone Acetate
n=57 participants at risk
Patients were treated orally with abiraterone acetate 1000 mg daily and prednisone 5 mg twice a day until clinical disease progression.
Blood and lymphatic system disorders
Anaemia
5.3%
3/57
Blood and lymphatic system disorders
Coagulopathy
1.8%
1/57
Blood and lymphatic system disorders
Thrombocytopenia
3.5%
2/57
Cardiac disorders
Acute myocardial infarction
1.8%
1/57
Cardiac disorders
Atrial fibrillation
3.5%
2/57
Cardiac disorders
Myocardial infarction
1.8%
1/57
Cardiac disorders
Myocardial ischaemia
1.8%
1/57
Gastrointestinal disorders
Abdominal pain
7.0%
4/57
Gastrointestinal disorders
Abdominal pain upper
1.8%
1/57
Gastrointestinal disorders
Constipation
1.8%
1/57
Gastrointestinal disorders
Gastrointestinal haemorrhage
3.5%
2/57
Gastrointestinal disorders
Gastrointestinal obstruction
1.8%
1/57
Gastrointestinal disorders
Nausea
3.5%
2/57
Gastrointestinal disorders
Small intestinal obstruction
1.8%
1/57
Gastrointestinal disorders
Vomiting
1.8%
1/57
General disorders
Asthenia
1.8%
1/57
General disorders
Disease progression
5.3%
3/57
General disorders
Fatigue
5.3%
3/57
General disorders
Pyrexia
1.8%
1/57
Infections and infestations
Catheter related infection
1.8%
1/57
Infections and infestations
Infection
3.5%
2/57
Infections and infestations
Pneumonia
8.8%
5/57
Infections and infestations
Urinary tract infection
3.5%
2/57
Injury, poisoning and procedural complications
Femur fracture
1.8%
1/57
Investigations
Alanine aminotransferase increased
1.8%
1/57
Investigations
Aspartate aminotransferase increased
3.5%
2/57
Investigations
Blood bicarbonate decreased
1.8%
1/57
Investigations
Platelet count decreased
1.8%
1/57
Investigations
Weight decreased
1.8%
1/57
Metabolism and nutrition disorders
Anorexia
5.3%
3/57
Metabolism and nutrition disorders
Dehydration
3.5%
2/57
Metabolism and nutrition disorders
Hypokalaemia
1.8%
1/57
Musculoskeletal and connective tissue disorders
Arthralgia
5.3%
3/57
Musculoskeletal and connective tissue disorders
Back pain
12.3%
7/57
Musculoskeletal and connective tissue disorders
Bone pain
3.5%
2/57
Musculoskeletal and connective tissue disorders
Groin pain
1.8%
1/57
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
1.8%
1/57
Musculoskeletal and connective tissue disorders
Pain in extremity
1.8%
1/57
Nervous system disorders
Cerebral ischaemia
1.8%
1/57
Nervous system disorders
Cognitive disorder
1.8%
1/57
Nervous system disorders
Dizziness
1.8%
1/57
Nervous system disorders
Paraplegia
1.8%
1/57
Nervous system disorders
Peripheral motor neuropathy
1.8%
1/57
Nervous system disorders
Speech disorder
1.8%
1/57
Nervous system disorders
Syncope
3.5%
2/57
Psychiatric disorders
Confusional state
1.8%
1/57
Psychiatric disorders
Mood altered
1.8%
1/57
Renal and urinary disorders
Haematuria
1.8%
1/57
Renal and urinary disorders
Nephrolithiasis
1.8%
1/57
Renal and urinary disorders
Urinary tract obstruction
3.5%
2/57
Respiratory, thoracic and mediastinal disorders
Dyspnoea
8.8%
5/57
Respiratory, thoracic and mediastinal disorders
Hypoxia
1.8%
1/57
Respiratory, thoracic and mediastinal disorders
Pneumonitis
1.8%
1/57
Vascular disorders
Hypertension
1.8%
1/57
Vascular disorders
Hypotension
5.3%
3/57
Vascular disorders
Orthostatic hypotension
1.8%
1/57

Other adverse events

Other adverse events
Measure
Abiraterone Acetate
n=57 participants at risk
Patients were treated orally with abiraterone acetate 1000 mg daily and prednisone 5 mg twice a day until clinical disease progression.
Blood and lymphatic system disorders
Anaemia
52.6%
30/57
Blood and lymphatic system disorders
Leukopenia
8.8%
5/57
Blood and lymphatic system disorders
Lymphopenia
12.3%
7/57
Blood and lymphatic system disorders
Thrombocytopenia
8.8%
5/57
Gastrointestinal disorders
Constipation
26.3%
15/57
Gastrointestinal disorders
Diarrhoea
22.8%
13/57
Gastrointestinal disorders
Dyspepsia
5.3%
3/57
Gastrointestinal disorders
Flatulence
5.3%
3/57
Gastrointestinal disorders
Nausea
26.3%
15/57
Gastrointestinal disorders
Vomiting
12.3%
7/57
General disorders
Fatigue
63.2%
36/57
General disorders
Oedema peripheral
35.1%
20/57
General disorders
Pyrexia
8.8%
5/57
Hepatobiliary disorders
Hyperbilirubinaemia
17.5%
10/57
Infections and infestations
Urinary tract infection
7.0%
4/57
Injury, poisoning and procedural complications
Contusion
21.1%
12/57
Investigations
Alanine aminotransferase increased
19.3%
11/57
Investigations
Aspartate aminotransferase increased
26.3%
15/57
Investigations
Blood albumin decreased
5.3%
3/57
Investigations
Blood alkaline phosphatase increased
63.2%
36/57
Investigations
Blood bilirubin increased
10.5%
6/57
Investigations
Blood calcium decreased
5.3%
3/57
Investigations
Blood cholesterol increased
15.8%
9/57
Investigations
Blood creatinine increased
19.3%
11/57
Investigations
Blood glucose increased
5.3%
3/57
Investigations
Blood triglycerides increased
14.0%
8/57
Investigations
Platelet count decreased
7.0%
4/57
Investigations
White blood cell count decreased
8.8%
5/57
Metabolism and nutrition disorders
Anorexia
19.3%
11/57
Metabolism and nutrition disorders
Hypercholesterolaemia
17.5%
10/57
Metabolism and nutrition disorders
Hyperglycaemia
82.5%
47/57
Metabolism and nutrition disorders
Hyperkalaemia
8.8%
5/57
Metabolism and nutrition disorders
Hypertriglyceridaemia
28.1%
16/57
Metabolism and nutrition disorders
Hypoalbuminaemia
45.6%
26/57
Metabolism and nutrition disorders
Hypocalcaemia
19.3%
11/57
Metabolism and nutrition disorders
Hypoglycaemia
8.8%
5/57
Metabolism and nutrition disorders
Hypokalaemia
35.1%
20/57
Metabolism and nutrition disorders
Hypomagnesaemia
21.1%
12/57
Metabolism and nutrition disorders
Hyponatraemia
21.1%
12/57
Metabolism and nutrition disorders
Hypophosphataemia
5.3%
3/57
Musculoskeletal and connective tissue disorders
Arthralgia
38.6%
22/57
Musculoskeletal and connective tissue disorders
Back pain
40.4%
23/57
Musculoskeletal and connective tissue disorders
Bone pain
19.3%
11/57
Musculoskeletal and connective tissue disorders
Muscle spasms
7.0%
4/57
Musculoskeletal and connective tissue disorders
Muscular weakness
10.5%
6/57
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
17.5%
10/57
Musculoskeletal and connective tissue disorders
Pain in extremity
14.0%
8/57
Nervous system disorders
Dizziness
14.0%
8/57
Nervous system disorders
Neuropathy peripheral
8.8%
5/57
Nervous system disorders
Peripheral motor neuropathy
7.0%
4/57
Nervous system disorders
Peripheral sensory neuropathy
5.3%
3/57
Psychiatric disorders
Depression
5.3%
3/57
Psychiatric disorders
Insomnia
8.8%
5/57
Renal and urinary disorders
Pollakiuria
7.0%
4/57
Reproductive system and breast disorders
Pelvic pain
5.3%
3/57
Respiratory, thoracic and mediastinal disorders
Cough
8.8%
5/57
Respiratory, thoracic and mediastinal disorders
Dyspnoea
17.5%
10/57
Skin and subcutaneous tissue disorders
Dry skin
15.8%
9/57
Vascular disorders
Hypertension
42.1%
24/57
Vascular disorders
Hypotension
7.0%
4/57

Additional Information

Senior Director

Clinical Research, Janssen R&D, 10990 Wilshire Blvd, Suite 1200, Los Angeles, CA 90024

Phone: 310-943-8040

Results disclosure agreements

  • Principal investigator is a sponsor employee The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days from the time submitted to the sponsor for review. The sponsor cannot require changes to the communication and cannot extend the embargo.
  • Publication restrictions are in place

Restriction type: OTHER