Study Comparing Orteronel Plus Prednisone in Participants With Metastatic Castration-Resistant Prostate Cancer.

NCT ID: NCT01193257

Last Updated: 2018-12-19

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1099 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-11-15

Study Completion Date

2016-02-29

Brief Summary

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This is a randomized, double-blind, multicenter, phase 3 study evaluating orteronel plus prednisone compared with placebo plus prednisone in men with metastatic, castration-resistant prostate cancer (mCRPC) that has progressed following Docetaxel-based therapy

Detailed Description

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Conditions

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Prostate Cancer

Keywords

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Drug therapy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Orteronel + prednisone

Group Type EXPERIMENTAL

Orteronel

Intervention Type DRUG

Orteronel tablets

Prednisone

Intervention Type DRUG

Prednisone tablets

Placebo + prednisone

Group Type PLACEBO_COMPARATOR

Prednisone

Intervention Type DRUG

Prednisone tablets

Orteronel Placebo

Intervention Type DRUG

Orteronel placebo-matching tablets

Interventions

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Orteronel

Orteronel tablets

Intervention Type DRUG

Prednisone

Prednisone tablets

Intervention Type DRUG

Orteronel Placebo

Orteronel placebo-matching tablets

Intervention Type DRUG

Other Intervention Names

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TAK-700

Eligibility Criteria

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Inclusion Criteria

* Voluntary written consent
* Male 18 years or older
* Histologically or cytologically confirmed diagnosis of prostate adenocarcinoma
* Radiograph-documented metastatic disease
* Progressive disease
* Prior surgical castration or concurrent use of an agent for medical castration
* Progressive disease during or following 1 or 2 regimens of cytotoxic chemotherapy, 1 of which must have included docetaxel. Must have received greater than or equal to (\>=) 360 milligram per square meter (mg/m\^2) of docetaxel within a 6-month period. Participants who were clearly intolerant to docetaxel or develop progressive disease before receiving \>= 360 mg/m\^2 are also eligible if they have received at least 225 mg/m\^2 of docetaxel within a 6-month period and meet the other study entry criteria.
* Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2
* Even if surgically sterilized, participants must practice effective barrier contraception during the entire study treatment period and for 4 months after the last dose of study drug, OR Abstain from heterosexual intercourse
* Screening laboratory values as specified in protocol
* Stable medical condition
* Life expectancy of 6 months or more
* Participants who have had up to 2 prior chemotherapy treatments are eligible to participate

Exclusion Criteria

* Known hypersensitivity to orteronel, prednisone or gonadotropin-releasing hormone (GnRH) analogue
* Received prior therapy with orteronel, aminoglutethimide, ketoconazole or abiraterone
* Any other therapies for prostate cancer, except for GnRH analogue therapy, must be discontinued 2 weeks before the first dose of study drug
* Radioisotope therapy or external beam radiation therapy within 4 weeks of first dose of study drug
* Documented central nervous system metastases
* Treatment with any investigational compound within 30 days prior to first dose of study drug (Participants who are in long-term follow-up following active treatment in other trials are eligible)
* Diagnosis or treatment of another malignancy within 2 years preceding first dose of study drug except nonmelanoma skin cancer or in situ malignancy completely resected
* Uncontrolled cardiovascular condition as specified in study protocol
* Known history of human immunodeficiency virus (HIV) infection, hepatitis B, or hepatitis C
* Unwilling or unable to comply with protocol
* Known gastrointestinal disease or procedure that could interfere with oral absorption or tolerance of orteronel
* Uncontrolled nausea, vomiting, or diarrhea despite appropriate medical therapy
* Prostate cancer confined to just the prostrate bed or immediate adjacent tissue
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Millennium Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Monitor

Role: STUDY_DIRECTOR

Millennium Pharmaceuticals, Inc.

Locations

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Anchorage, Alaska, United States

Site Status

Fort Smith, Arkansas, United States

Site Status

Fountain Valley, California, United States

Site Status

Los Angeles, California, United States

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Riverside, California, United States

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San Diego, California, United States

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Fort Myers, Florida, United States

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Port Saint Lucie, Florida, United States

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Indianapolis, Indiana, United States

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Jeffersonville, Indiana, United States

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New Orleans, Louisiana, United States

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Westminster, Maryland, United States

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Detroit, Michigan, United States

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Jefferson City, Missouri, United States

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Las Vegas, Nevada, United States

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Hackensack, New Jersey, United States

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Albany, New York, United States

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East Syracuse, New York, United States

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Rochester, New York, United States

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Raleigh, North Carolina, United States

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Cincinnati, Ohio, United States

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Tualatin, Oregon, United States

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Lancaster, Pennsylvania, United States

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Pittsburgh, Pennsylvania, United States

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Greenville, South Carolina, United States

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Chattanooga, Tennessee, United States

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Nashville, Tennessee, United States

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Amarillo, Texas, United States

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Bedford, Texas, United States

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Dallas, Texas, United States

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Dallas, Texas, United States

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Odessa, Texas, United States

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Tyler, Texas, United States

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Webster, Texas, United States

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Salt Lake City, Utah, United States

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Newport News, Virginia, United States

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Kennewick, Washington, United States

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Redcliffe, Queensland, Australia

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Woodville South, South Australia, Australia

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Hobart, Tasmania, Australia

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Malvere, Victoria, Australia

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Wodonga, Victoria, Australia

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Brussels, , Belgium

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Kortijk, , Belgium

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Liège, , Belgium

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Namur, , Belgium

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Edmonton, Alberta, Canada

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Kelowna, British Columbia, Canada

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Moncton, New Brunswick, Canada

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Brampton, Ontario, Canada

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Newmarket, Ontario, Canada

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Greenfield Park, Quebec, Canada

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Montreal, Quebec, Canada

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Pointe-Claire, Quebec, Canada

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Hradec Dralove, , Czechia

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Kromertz, , Czechia

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Modřice, , Czechia

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Prague, , Czechia

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Zlín, , Czechia

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Tallinn, , Estonia

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Oulu, , Finland

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Tampere, , Finland

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La Roche-sur-Yon, , France

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Le Mans, , France

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Lyon, , France

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Marseille, , France

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Paris, , France

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Villejuif, , France

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Pátrai, , Greece

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Miskolc, , Hungary

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Osztaly, , Hungary

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Novara, , Italy

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Rome, , Italy

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Eindhoven, , Netherlands

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Bielsko-Biala, , Poland

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Goczałkowice Zdrój, , Poland

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Wroclaw, , Poland

Site Status

Seville, , Spain

Site Status

Countries

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United States Australia Belgium Canada Czechia Estonia Finland France Greece Hungary Italy Netherlands Poland Spain

References

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Heller G, McCormack R, Kheoh T, Molina A, Smith MR, Dreicer R, Saad F, de Wit R, Aftab DT, Hirmand M, Limon A, Fizazi K, Fleisher M, de Bono JS, Scher HI. Circulating Tumor Cell Number as a Response Measure of Prolonged Survival for Metastatic Castration-Resistant Prostate Cancer: A Comparison With Prostate-Specific Antigen Across Five Randomized Phase III Clinical Trials. J Clin Oncol. 2018 Feb 20;36(6):572-580. doi: 10.1200/JCO.2017.75.2998. Epub 2017 Dec 22.

Reference Type DERIVED
PMID: 29272162 (View on PubMed)

Suri A, Chapel S, Lu C, Venkatakrishnan K. Physiologically based and population PK modeling in optimizing drug development: A predict-learn-confirm analysis. Clin Pharmacol Ther. 2015 Sep;98(3):336-44. doi: 10.1002/cpt.155. Epub 2015 Jul 14.

Reference Type DERIVED
PMID: 26031410 (View on PubMed)

Fizazi K, Jones R, Oudard S, Efstathiou E, Saad F, de Wit R, De Bono J, Cruz FM, Fountzilas G, Ulys A, Carcano F, Agarwal N, Agus D, Bellmunt J, Petrylak DP, Lee SY, Webb IJ, Tejura B, Borgstein N, Dreicer R. Phase III, randomized, double-blind, multicenter trial comparing orteronel (TAK-700) plus prednisone with placebo plus prednisone in patients with metastatic castration-resistant prostate cancer that has progressed during or after docetaxel-based therapy: ELM-PC 5. J Clin Oncol. 2015 Mar 1;33(7):723-31. doi: 10.1200/JCO.2014.56.5119. Epub 2015 Jan 26.

Reference Type DERIVED
PMID: 25624429 (View on PubMed)

Other Identifiers

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2010-018662-23

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CTR20131423

Identifier Type: REGISTRY

Identifier Source: secondary_id

0991413212

Identifier Type: REGISTRY

Identifier Source: secondary_id

C21005

Identifier Type: REGISTRY

Identifier Source: secondary_id

U1111-1181-8040

Identifier Type: REGISTRY

Identifier Source: secondary_id

C21005

Identifier Type: -

Identifier Source: org_study_id