Efficacy and Safety of Zactima™ in Patients With Castration-refractory Metastatic Prostate Cancer

NCT ID: NCT00659438

Last Updated: 2016-12-05

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

95 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-02-29

Study Completion Date

2011-07-31

Brief Summary

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This randomized, double-blind phase II trial is to assess the efficacy and safety of bicalutamide (Casodex® ) associated to ZD6474 (Zactima™ ) or to placebo in patients with castration-refractory metastatic prostate cancer without any clinical symptom related to disease progression. The study is blinded, and subjects will be randomised (1:1 ratio) to either ZD6474 300 mg or placebo. The blinded design ensures robust, unbiased data collection and assessment. Placebo control is necessary to ensure a robust assessment of PSA PFS, and is acceptable in this subject population where all subjects will also received bicalutamide 150 mg o.d. Subjects will continue study treatment until they reach objective biological disease progression or unacceptable toxicity or withdrawal of consent or until end of trial (which event occurs first). The end of study is fixed 12 months after the last randomised patient's first dose of study treatment.

Detailed Description

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Conditions

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Prostate Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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1

Bicalutamide 150mg + ZD6474 300mg

Group Type EXPERIMENTAL

ZD6474 (Vandetanib)

Intervention Type DRUG

300mg orally, once daily

Bicalutamide

Intervention Type DRUG

150mg orally, once daily

2

Bicalutamide 150mg + placebo

Group Type PLACEBO_COMPARATOR

Bicalutamide

Intervention Type DRUG

150mg orally, once daily

Placebo

Intervention Type DRUG

orally, once daily

Interventions

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ZD6474 (Vandetanib)

300mg orally, once daily

Intervention Type DRUG

Bicalutamide

150mg orally, once daily

Intervention Type DRUG

Placebo

orally, once daily

Intervention Type DRUG

Other Intervention Names

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Zactima Casodex

Eligibility Criteria

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Inclusion Criteria

* Males presented with a confirmed histological diagnosis of adenocarcinoma of the prostate with evidence of metastases (including bone, lymph nodes, or other site) radiologically or histologically documented and despite a serum testosterone ≤1.73 nmol/L (50 ng/dL) proving castration, evidence of biochemical progression of prostate cancer, documented by a rise in PSA .

Exclusion Criteria

* Radiotherapy or surgery or antiandrogens (except LHRH analogue) or bilateral orchiectomy within the 30 days preceding Visit 1. Incompletely healed surgical incision.
* Concomitant anticancer therapy other than surgical castration or continuous medical castration.
* Biology restriction.
* Clinical significant cardiovascular event or presence of cardiac disease that in the opinion of the Investigator increases the risk of ventricular arrhythmia.
* History of arrhythmia which is symptomatic or requires treatment (CTCAE grade 3), symptomatic despite treatment, or asymptomatic sustained ventricular tachycardia. Subjects with atrial fibrillation controlled on medication are permitted.
* Hypertension not controlled by medical therapy
* ECG /QTc prolongation
* Presence of left bundle branch block (LBBB).
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Genzyme, a Sanofi Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Sciences & Operations

Role: STUDY_DIRECTOR

Sanofi

Locations

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Research Site

Bordeaux, , France

Site Status

Research Site

Créteil, , France

Site Status

Research Site

Paris, , France

Site Status

Research Site

Reims, , France

Site Status

Research Site

Villejuif, , France

Site Status

Countries

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France

Other Identifiers

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2007-001891-35

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

D4200C00080

Identifier Type: -

Identifier Source: org_study_id