Effect of GTx-758 on Total and Free Testosterone Levels in Men With Prostate Cancer

NCT ID: NCT01326312

Last Updated: 2023-06-22

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

159 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-06-30

Study Completion Date

2012-12-31

Brief Summary

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The purpose of this study is to determine whether GTx 758 is effective in achieving and maintaining castrate testosterone levels in men with advanced prostate cancer.

Detailed Description

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Prostate cancer is one of the most frequently diagnosed noncutaneous cancers among men in the US and is the second most common cause of cancer deaths. Patients with advanced prostate cancer undergo androgen deprivation therapy (ADT), by either LHRH agonists, LHRH antagonists, DES and other nonselective estrogens, or by bilateral orchiectomy. ADT by LHRH agonists, LHRH antagonists, or bilateral orchiectomy not only reduces testosterone, but also substantially lowers estrogen levels as estrogen is derived from the aromatization of testosterone. ADT-induced estrogen deficiency causes significant side effects which include hot flushes, gynecomastia, bone loss, decreases in bone quality and strength, osteoporosis and life-threatening fractures, adverse lipid changes, increase in body fat composition, and higher cardiovascular disease and myocardial infarction, and depression and other mood changes.

GTx-758 is a nonsteroidal selective ER agonist that suppresses LH secretion by the pituitary by feedback inhibition of the hypothalamic-pituitary-gonadal axis to induce castrate levels of testosterone. However, because it is a selective ER agonist, GTx-758 may maintain bone, does not induce hot flushes, avoids adverse lipid changes and body fat composition changes, and does not have the acute testosterone surge that are associated with other forms of ADT.

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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GTx- 758 1000mg

GTx-758/Experimental/ nonsteroidal selective ER alpha agonist

Group Type EXPERIMENTAL

GTx-758 2000mg

Intervention Type DRUG

comparison of different dosages of GTx-758 with leuprolide acetate for depot suspension

GTx-758 2000mg

GTx-758/Experimental/ nonsteroidal selective ER alpha agonist

Group Type EXPERIMENTAL

GTx-758 1000mg

Intervention Type DRUG

comparison of different dosages of GTx-758 with leuprolide acetate for depot suspension

Lupron Depot

Luteinizing Hormone Releasing Hormone Agonist

Group Type ACTIVE_COMPARATOR

Lupron Depot

Intervention Type DRUG

comparison of different dosages of GTx-758 with leuprolide acetate for depot suspension

Interventions

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GTx-758 1000mg

comparison of different dosages of GTx-758 with leuprolide acetate for depot suspension

Intervention Type DRUG

Lupron Depot

comparison of different dosages of GTx-758 with leuprolide acetate for depot suspension

Intervention Type DRUG

GTx-758 2000mg

comparison of different dosages of GTx-758 with leuprolide acetate for depot suspension

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. be between age 45 and 80 years of age
2. be able to communicate effectively with study personnel
3. ECOG is \< or = 2
4. screening serum total testosterone\> or = 150ng/dL
5. have prostate cancer, confirmed by pathology report
6. have not been treated with androgen deprivation therapy(chemical or surgical
7. have a clinical indication for the initiation of androgen deprivation therapy
8. give written informed consent prior to any study specific procedures
9. subject must agree to use acceptable methods of contraception

Exclusion Criteria

1. known hypersensitivity or allergy to estrogen or estrogen like drugs
2. a clinically significant concurrent illness or psychological, familial, sociological, geographical or other concomitant condition that would not permit adequate follow-up and compliance with the study protocol
3. history of abnormal blood clotting,Factor V Leiden clotting disorder, thrombotic disease
4. have ALT or AST above 2 times the upper normal limit
5. have alkaline phosphatase greater than 3 times UNL and/or bilirubin levels above 2mg/dL at baseline
6. patients cannot have brain or spinal cord metastases
7. patients cannot have or be at risk for spinal cord compression from bone metastases
8. received an investigational drug within a period of 90 days prior to enrollment in the study
9. received the study medication previously
10. currently taking testosterone, testosterone-like agents, or antiandrogens including 5-alpha reductase inhibitors within 4 weeks of randomization
11. currently taking Saw Palmetto or PC-SPES (the subject may be considered for randomization after a 4 week washout period prior to randomization)
12. have taken diethylstilbestrol or other estrogen products within the previous 12 months prior to randomization
13. have taken body building or fertility supplements within 4 weeks of admission into the study (steroids and steroid like supplements)
14. have a history of cancer other than prostate cancer, superficial bladder cancer (with no recurrence in the last 5 years) and/or non-melanoma carcinoma of the skin
15. QTcB\>480 msec, If the first QTcB reading exceeds 480msec two additional ECGs are to be performed separated at least 5 min apart, then take the average of the three QTcB or readings to determine if the subject satisfies the above criteria. If the average QYcB reading is \>480 msec then the subject is excluded.
Minimum Eligible Age

45 Years

Maximum Eligible Age

80 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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GTx

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mitchell Steiner, MD

Role: STUDY_DIRECTOR

GTx

Locations

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GTx Investigative Site

Phoenix, Arizona, United States

Site Status

GTx Investigative Site

La Mesa, California, United States

Site Status

GTx Investigative Site

Los Angeles, California, United States

Site Status

GTx Investigative Site

San Bernardino, California, United States

Site Status

GTx Investigative Site

Middlebury, Connecticut, United States

Site Status

GTx Investigative Site

Aventura, Florida, United States

Site Status

GTx Investigative Site

Daytona Beach, Florida, United States

Site Status

GTx Investigative Site

Wellington, Florida, United States

Site Status

GTx Investigative Site

Marietta, Georgia, United States

Site Status

GTx Investigative Site

Springfield, Illinois, United States

Site Status

GTx Investigative Site

Fort Wayne, Indiana, United States

Site Status

GTx Investigative Site

Indianapolis, Indiana, United States

Site Status

GTx Investigative Site

Jeffersonville, Indiana, United States

Site Status

GTx Investigative Site

Annapolis, Maryland, United States

Site Status

GTx Investigative Site

Baltimore, Maryland, United States

Site Status

GTx Investigative Site

Brick, New Jersey, United States

Site Status

GTx Investigative Site

Lawrenceville, New Jersey, United States

Site Status

GTx Investigative Site

Albuquerque, New Mexico, United States

Site Status

GTx Investigative Site

Albany, New York, United States

Site Status

GTx Investigative Site

Garden City, New York, United States

Site Status

GTx Investigative Site

New York, New York, United States

Site Status

GTx Investigative Site

Oneida, New York, United States

Site Status

GTx Investigative Site

Syracuse, New York, United States

Site Status

GTx Investigative Site

Chapel Hill, North Carolina, United States

Site Status

GTx Investigative Site

Raleigh, North Carolina, United States

Site Status

GTx Investigative Site

Cincinnati, Ohio, United States

Site Status

GTx Investigative Site

Columbus, Ohio, United States

Site Status

GTx Investigative Site

Bala-Cynwyd, Pennsylvania, United States

Site Status

GTx Investigative Site

Lancaster, Pennsylvania, United States

Site Status

GTx Investigative Site

Pittsburgh, Pennsylvania, United States

Site Status

GTx Investigative Site

Myrtle Beach, South Carolina, United States

Site Status

GTx Investigative Site

Memphis, Tennessee, United States

Site Status

GTx Investigative Site

Nashville, Tennessee, United States

Site Status

GTx Investigative Site

Arlington, Texas, United States

Site Status

GTx Investigative Site

Houston, Texas, United States

Site Status

GTx Investigative Site

San Antonio, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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G200705

Identifier Type: -

Identifier Source: org_study_id

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