Symptomatic Study Investigating Degarelix in Patients Suffering From Prostate Cancer

NCT ID: NCT00831233

Last Updated: 2013-11-11

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-04-30

Study Completion Date

2010-07-31

Brief Summary

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The purpose of this trial was to see how well a new trial drug (degarelix) worked on lower urinary tract symptoms (also known as LUTS) in prostate cancer patients as compared to how a standard drug hormonal treatment worked on the same symptoms. The advancement/worsening of prostate cancer may be associated with LUTS and the symptoms may impact the ability to urinate normally and thereby the quality of life for these patients.

Patients were randomly selected (like flipping a coin) to receive either degarelix or standard hormone therapy (combination of goserelin and bicalutamide) for a 3 month treatment period. During this period the relief of urinary symptoms was evaluated via a questionnaire filled in by patients and addressing the severity and frequency of their symptoms.

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

NONE

Study Groups

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Degarelix 240 mg/80 mg

Degarelix 240 mg (40 mg/mL) + 80 mg (20 mg/mL)

Group Type EXPERIMENTAL

Degarelix

Intervention Type DRUG

The degarelix doses were administered into the abdominal wall every 28 days. A starting dose of 240 mg (40 mg/mL) degarelix was administered on Day 0 as two 3 mL subcutaneous (s.c.) injections. The second and third doses of 80 mg (20 mg/mL) degarelix were administered as single 4 mL s.c. injections on Days 28 and 56, respectively.

Goserelin (3.6 mg) + bicalutamide (50 mg)

Goserelin (3.6 mg) + bicalutamide (50 mg)

Group Type ACTIVE_COMPARATOR

Goserelin

Intervention Type DRUG

Goserelin implants (3.6 mg) were inserted s.c. into the abdominal wall every 28 days. The second and third doses of goserelin were administered on Days 31 and 59, respectively.

Bicalutamide

Intervention Type DRUG

On Day 0, three days before the first dose of goserelin on Day 3, patients began once-daily per-oral (p.o.) treatment with bicalutamide (50 mg) as anti-androgen flare protection; this treatment continued for 14 days after the first dose of goserelin.

Interventions

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Degarelix

The degarelix doses were administered into the abdominal wall every 28 days. A starting dose of 240 mg (40 mg/mL) degarelix was administered on Day 0 as two 3 mL subcutaneous (s.c.) injections. The second and third doses of 80 mg (20 mg/mL) degarelix were administered as single 4 mL s.c. injections on Days 28 and 56, respectively.

Intervention Type DRUG

Goserelin

Goserelin implants (3.6 mg) were inserted s.c. into the abdominal wall every 28 days. The second and third doses of goserelin were administered on Days 31 and 59, respectively.

Intervention Type DRUG

Bicalutamide

On Day 0, three days before the first dose of goserelin on Day 3, patients began once-daily per-oral (p.o.) treatment with bicalutamide (50 mg) as anti-androgen flare protection; this treatment continued for 14 days after the first dose of goserelin.

Intervention Type DRUG

Other Intervention Names

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FE200486 Zoladex Casodex

Eligibility Criteria

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Inclusion Criteria

* Patient has given written informed consent before any trial-related activity is performed
* Has a confirmed prostate cancer in which this type of treatment is needed.

Exclusion Criteria

* Previous treatment for prostate cancer
* Previous trans-urethral resection of the prostate
* Current use of 5-alpha reductase inhibitor or α-adrenoceptor antagonist.
* Patients in need of external beam radiotherapy to be started at the same time as hormone therapy
* Certain risk factors for abnormal heart rhythms/QT prolongation (corrected QT interval over 450 msec., Torsades de Pointes or use of certain medications with potential risk)
* History of severe untreated asthma, anaphylactic reactions, or severe urticaria and/or angioedema.
* Hypersensitivity towards any component of the investigational product
* Other previous cancers within the last five years with the exception of prostate cancer and some types of skin cancer.
* Clinical disorders other than prostate cancer including but not limited to renal, haematological, gastrointestinal, endocrine, cardiac, neurological, psychiatric disease, alcohol or drug abuse or other conditionals as judged by the investigator.
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Ferring Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Ferring Pharmaceuticals

Principal Investigators

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Clinical Development Support

Role: STUDY_DIRECTOR

Ferring Pharmaceuticals

Locations

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Facharztpraxis für Urologie

Bamberg, , Germany

Site Status

Gemeinschaftspraxis

Borken, , Germany

Site Status

Gemeinschaftspraxis

Cologne, , Germany

Site Status

Universitätsklinikum Dresden

Dresden, , Germany

Site Status

Euromed Clinic

Fürth, , Germany

Site Status

Urologische Gemeinschaftspraxis

Hamburg, , Germany

Site Status

VITURO Gesellschaft für Klinische Studien

Leipzig, , Germany

Site Status

Klinikum Offenbach GmbH

Offenbach, , Germany

Site Status

Urologische Klinik Planegg

Planegg, , Germany

Site Status

Wuppertaler Gemeinschaftspraxis

Wuppertal, , Germany

Site Status

Complejo Hospitalario Universitario A Coruña

A Coruña, , Spain

Site Status

Hospital Universitario Principe de Asturias

Alcalá de Henares-Madrid, , Spain

Site Status

Fundacion Hospital Alcorcón

Alcorcón, , Spain

Site Status

Fundación Puigvert

Barcelona, , Spain

Site Status

Hospital de Basurto

Bilbao (Bizkaia), , Spain

Site Status

Hospital universitario Ramón y Cajal

Madrid, , Spain

Site Status

Hospital Clinico Universitario S. Carlos

Madrid, , Spain

Site Status

Hospital Universitario Puerta de Hierro

Majadahonda, Madrid, , Spain

Site Status

Hospital Manacor

Manacor, , Spain

Site Status

Hospital Universitario Central de Asturias

Oviedo, , Spain

Site Status

Hospital Santiago de Compostela

Santiago de Compostela, , Spain

Site Status

Hospital Virgen Macarena

Seville, , Spain

Site Status

Hospital Xeral de Vigo

Vigo, , Spain

Site Status

United Bristol Healthcare NHSTrust Bristol Royal Infirmary

Bristol, , United Kingdom

Site Status

Falkirk and District Royal Infirmary

Falkirk, , United Kingdom

Site Status

Southern General Hospital

Glasgow, , United Kingdom

Site Status

Castle Hill Hospital

Hull, , United Kingdom

Site Status

Whipps Cross University Hospital

London, , United Kingdom

Site Status

The Royal Free Hospital

London, , United Kingdom

Site Status

King's College Hospital

London, , United Kingdom

Site Status

Derriford Hospital

Plymouth, , United Kingdom

Site Status

Royal Hallamshire Hospital, Sheffield South

Sheffield, , United Kingdom

Site Status

Sunderland Royal Hospital

Sunderland, , United Kingdom

Site Status

Countries

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Germany Spain United Kingdom

References

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Anderson J, Al-Ali G, Wirth M, Gual JB, Gomez Veiga F, Colli E, van der Meulen E, Persson BE. Degarelix versus goserelin (+ antiandrogen flare protection) in the relief of lower urinary tract symptoms secondary to prostate cancer: results from a phase IIIb study (NCT00831233). Urol Int. 2013;90(3):321-8. doi: 10.1159/000345423. Epub 2012 Dec 15.

Reference Type RESULT
PMID: 23258223 (View on PubMed)

Zengerling F, Jakob JJ, Schmidt S, Meerpohl JJ, Blumle A, Schmucker C, Mayer B, Kunath F. Degarelix for treating advanced hormone-sensitive prostate cancer. Cochrane Database Syst Rev. 2021 Aug 5;8(8):CD012548. doi: 10.1002/14651858.CD012548.pub2.

Reference Type DERIVED
PMID: 34350976 (View on PubMed)

Other Identifiers

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2008-004338-26

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

FE200486 CS28

Identifier Type: -

Identifier Source: org_study_id