Neoadjuvant Study Investigating Degarelix in Patients Suffering From Prostate Cancer

NCT ID: NCT00833248

Last Updated: 2012-10-04

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

246 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-04-30

Study Completion Date

2011-09-30

Brief Summary

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The purpose of this phase 3B trial was to see how well a new trial drug (degarelix) works in terms of reducing the size of the prostate volume in prostate cancer patients who were scheduled to undergo subsequent radiotherapy for treatment of their prostate cancer. Prior to receiving radiotherapy, it is recommended that patients with intermediate to high risk prostate cancer are pre-treated with hormone therapy (so-called neoadjuvant therapy) which is known to reduce the size of the prostate and thereby decrease the required radiation field and enable a more safe and effective treatment. In this trial, participants were randomly selected (like flipping a coin) to receive either degarelix given alone or a standard hormone therapy (combination of goserelin and bicalutamide. The treatment was given for three months and the prostate size was measured by ultra sound at the beginning and at the end of the trial. The participants were required to come to the clinic for 5 or 6 visits during the three months.

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

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.

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)

On Day 0, the participants began once-daily oral (p.o.) treatment with bicalutamide as anti-androgen flare protection. This treatment continued for 2 weeks after the first dose of goserelin (i.e. 17 days in total).

On Day 3, the first goserelin implant was inserted s.c. into the abdominal wall. The second and third doses of goserelin were administered on Days 31 and 59, respectively.

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 first dose was administered on Day 3. The second and third doses of goserelin were administered on Days 31 and 59, respectively.

Bicalutamide

Intervention Type DRUG

On Day 0, participants 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 first dose was administered on Day 3. The second and third doses of goserelin were administered on Days 31 and 59, respectively.

Intervention Type DRUG

Bicalutamide

On Day 0, participants 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 Firmagon 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
* Patients who are lymph node positive or have other metastatic disease
* Use of urethral catheter
* Current treatment with a 5-alpha reductase inhibitor or α-adrenoceptor antagonist.
* 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.
* 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)
* 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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Responsibility Role SPONSOR

Principal Investigators

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Clinical Development Support

Role: STUDY_DIRECTOR

Ferring Pharmaceuticals

Locations

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Alabama Research Center

Birmingham, Alabama, United States

Site Status

Urology Centers of Alabama

Homewood, Alabama, United States

Site Status

Alaska Urological Association

Anchorage, Alaska, United States

Site Status

Arizona Urologic Specialists

Tuscon, Arizona, United States

Site Status

Orange County Urology

Lagua Hills, California, United States

Site Status

Tri-Valley Urology Medical Group

Murrieta, California, United States

Site Status

Connecticut Clinical Research Center

Middlebury, Connecticut, United States

Site Status

South Florida Medical Research

Aventura, Florida, United States

Site Status

DCT -Celebration, LLC dba Discovery Clinical Trials

Celebration, Florida, United States

Site Status

Pinellas Urology Inc.

St. Petersburg, Florida, United States

Site Status

Palm Beach Urology Associates

Wellington, Florida, United States

Site Status

Summit Research Institute

Bloomington, Indiana, United States

Site Status

Northeast Indiana Research

Fort Wayne, Indiana, United States

Site Status

Urology Center Research Institute

Englewood, New Jersey, United States

Site Status

Urology Group of New Mexico

Albuquerque, New Mexico, United States

Site Status

Premier Medical Group of Hudson

Baldwinsville, New York, United States

Site Status

University Urology Associates

New York, New York, United States

Site Status

Urology Associates

Nashville, Tennessee, United States

Site Status

Urology of Virginia

Norfolk, Virginia, United States

Site Status

Hopital Jean Minjoz

Besançon, , France

Site Status

Institut Bergonié

Bordeaux, , France

Site Status

Centre Francois Baclesse

Caen, , France

Site Status

CHU Henri Mondor

Créteil, , France

Site Status

Centre Oscar Lambret

Lille, , France

Site Status

Centre Leon Berard

Lyon, , France

Site Status

Hopital de la Timone

Marseille, , France

Site Status

CRLC Val d'Aurelle Oncology Radiotherapy

Montpellier, , France

Site Status

Hôpital Tenon

Paris, , France

Site Status

Hôpital Saint Louis, Radiotherapy Departement

Paris, , France

Site Status

Clinique Francheville

Périgueux, , France

Site Status

CHU La Milétrie, Oncology Radiotherapy

Poitiers, , France

Site Status

Clinique Saint Brieuc

Saint-Brieuc, , France

Site Status

Centre de Lutte Contre le Cancer Nantes-Atlantique Centre René Gauducheau

Saint-Herblain, , France

Site Status

Institut de Cancérologie de la Loire

Saint-Priest-en-Jarez, , France

Site Status

Centre Paul Strauss

Strasbourg, , France

Site Status

Centre de radiologie Saint Louis

Toulon, , France

Site Status

Clinique du Parc

Toulouse, , France

Site Status

IGR

Villejuif, , France

Site Status

Charité-Universitätsmedizin, Campus Benjamin Franklin Klinik für Urologie

Berlin, , Germany

Site Status

Städtisches Klinikum Braunschweig

Braunschweig, , Germany

Site Status

Universitätsklinikum Dresden, Klinik und Poliklinik für Urologie

Dresden, , Germany

Site Status

Universitätsklinikum Ulm, Klinik für Strahlentherapie und Radioonkologie

Ulm, , Germany

Site Status

General University Hospital of Alexandroupolis

Alexandroupoli, , Greece

Site Status

General Hospital of Athens, "Sismanogleio", University of Athens, Marouse

Athens, , Greece

Site Status

University General Hospital of Loannina, Medical School

Loannina, , Greece

Site Status

University General Hospital of Patras

Pátrai, , Greece

Site Status

Albert Schweitzer Ziekenhuis, Ioc., Dordwijk

Dordrecht, , Netherlands

Site Status

Groene Hart Ziekenhuis, urology

Gouda, , Netherlands

Site Status

Franciscus Gasthuis, Dept. urology

Rotterdam, , Netherlands

Site Status

Maastad Ziekenhuis, Ioc. Clara

Rotterdam, , Netherlands

Site Status

Vlietland Ziekenhuis, Dept. urology

Schiedam, , Netherlands

Site Status

St. Elisabeth Ziekenhuis Tilburg

Tilburg, , Netherlands

Site Status

Hospital de la Santa Creu i Sant Pau

Barcelona, , Spain

Site Status

Hospital Universitari Vall d´Hebron

Barcelona, , Spain

Site Status

Hospital Universitario La Paz

Madrid, , Spain

Site Status

Fundación IVO

Valencia, , Spain

Site Status

Kent Oncology Centre Maidstone Hospital

Maidstone, Kent, United Kingdom

Site Status

Mount Vernon Cancer Center

Northwood, Middlesex, United Kingdom

Site Status

Oncology Royal United Hospital Bath NHS Trust

Bath, , United Kingdom

Site Status

Addenbrooke's Hospital, Oncology Centre

Cambridge, , United Kingdom

Site Status

St. James' University Hospital

Leeds, , United Kingdom

Site Status

The Royal Marsden NHS, Foundation Trust

London, , United Kingdom

Site Status

Charing Cross Hospital

London, , United Kingdom

Site Status

Northern Centre for Cancer Treatment, Newcastle General Hospital

Newcastle upon Tyne, , United Kingdom

Site Status

Southhampton General Hospital, Cancer Care Directorate, Southhampton Oncology Centre

Southhampton, , United Kingdom

Site Status

Velindre Hospital, Cardiff University

Whitchurch, , United Kingdom

Site Status

Countries

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United States France Germany Greece Netherlands Spain United Kingdom

References

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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)

Mason M, Maldonado Pijoan X, Steidle C, Guerif S, Wiegel T, van der Meulen E, Bergqvist PB, Khoo V. Neoadjuvant androgen deprivation therapy for prostate volume reduction, lower urinary tract symptom relief and quality of life improvement in men with intermediate- to high-risk prostate cancer: a randomised non-inferiority trial of degarelix versus goserelin plus bicalutamide. Clin Oncol (R Coll Radiol). 2013 Mar;25(3):190-6. doi: 10.1016/j.clon.2012.09.010. Epub 2012 Dec 17.

Reference Type DERIVED
PMID: 23257248 (View on PubMed)

Other Identifiers

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2008-005232-33

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

FE200486 CS30

Identifier Type: -

Identifier Source: org_study_id