Trial Outcomes & Findings for Abiraterone Acetate Trial in African American Prostate Cancer Patients (NCT NCT01735396)

NCT ID: NCT01735396

Last Updated: 2017-05-12

Results Overview

The primary objective of this study is to determine a correlation between inherited genetic polymorphisms and antitumor activity (as defined by a decline in PSA of ≥ 30%) in AA patients with castration-resistant prostate cancer treated with Abiraterone. The primary endpoint is the percent change in PSA from baseline to 12 weeks. A decline of ≥ 30% will be correlated with germline SNPs.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

11 participants

Primary outcome timeframe

baseline and 12 weeks

Results posted on

2017-05-12

Participant Flow

Recruitment began in Dec 2012, with enrollment from April 2014 to March 2016.

Participant milestones

Participant milestones
Measure
Abiraterone Acetate
Abiraterone acetate 1000mg orally daily until the time of disease progression, in the absence of prohibitive toxicities. Abiraterone Acetate: Abiraterone acetate 1000 mg orally daily (supplied as four 250 mg tablets) and prednisone 5 mg orally twice daily
Overall Study
STARTED
11
Overall Study
COMPLETED
10
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Abiraterone Acetate
Abiraterone acetate 1000mg orally daily until the time of disease progression, in the absence of prohibitive toxicities. Abiraterone Acetate: Abiraterone acetate 1000 mg orally daily (supplied as four 250 mg tablets) and prednisone 5 mg orally twice daily
Overall Study
not evaluable
1

Baseline Characteristics

Abiraterone Acetate Trial in African American Prostate Cancer Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Abiraterone Acetate
n=11 Participants
Abiraterone Acetate: Abiraterone acetate 1000 mg orally daily (supplied as four 250 mg tablets) and prednisone 5 mg orally twice daily
Age, Continuous
66 years
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants
Number of prior systemic therapies
3 prior therapies
n=5 Participants
Performance Status: ECOG
ECOG 0
8 Participants
n=5 Participants
Performance Status: ECOG
ECOG 1
3 Participants
n=5 Participants

PRIMARY outcome

Timeframe: baseline and 12 weeks

The primary objective of this study is to determine a correlation between inherited genetic polymorphisms and antitumor activity (as defined by a decline in PSA of ≥ 30%) in AA patients with castration-resistant prostate cancer treated with Abiraterone. The primary endpoint is the percent change in PSA from baseline to 12 weeks. A decline of ≥ 30% will be correlated with germline SNPs.

Outcome measures

Outcome measures
Measure
Abiraterone Acetate
n=10 Participants
Abiraterone Acetate: Abiraterone acetate 1000 mg orally daily (supplied as four 250 mg tablets) and prednisone 5 mg orally twice daily
Number of Participants With ≥ 30% Change in PSA
9 Participants

SECONDARY outcome

Timeframe: up to 12 weeks

Post-treatment changes in measurable disease by RECIST - Response Evaluation Criteria in Solid Tumors Complete Response (CR): Disappearance of all target lesions Partial Response (PR): At least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started Progressive Disease (PD): At least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions

Outcome measures

Outcome measures
Measure
Abiraterone Acetate
n=10 Participants
Abiraterone Acetate: Abiraterone acetate 1000 mg orally daily (supplied as four 250 mg tablets) and prednisone 5 mg orally twice daily
Response Assessment
PR
9 Participants
Response Assessment
SD
1 Participants

SECONDARY outcome

Timeframe: up to 12 weeks

Population: data not collected

post-treatment changes in measurable disease by time to disease progression (as per PCWG2 guidelines)

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: up to 12 weeks

Population: data not collected

post-treatment changes in bone scans (as per PCWG2 guidelines) ("no new lesions" versus "new lesions.")

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: up to 12 weeks

To determine the safety of abiraterone Adverse events as defined by CTCAE v4. Number of participants with serious adverse events grade 4 or 5

Outcome measures

Outcome measures
Measure
Abiraterone Acetate
n=10 Participants
Abiraterone Acetate: Abiraterone acetate 1000 mg orally daily (supplied as four 250 mg tablets) and prednisone 5 mg orally twice daily
Safety of Abiraterone
0 Participants

SECONDARY outcome

Timeframe: up to 12 weeks

Population: data not collected

Post-treatment changes in testosterone

Outcome measures

Outcome data not reported

Adverse Events

Abiraterone Acetate

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Abiraterone Acetate
n=10 participants at risk
Abiraterone Acetate: Abiraterone acetate 1000 mg orally daily (supplied as four 250 mg tablets) and prednisone 5 mg orally twice daily
General disorders
Fatigue
70.0%
7/10
General disorders
Hot flashes
40.0%
4/10
General disorders
Nausea
40.0%
4/10
General disorders
Vomiting
40.0%
4/10
Metabolism and nutrition disorders
Hypocalcemia
20.0%
2/10
Metabolism and nutrition disorders
Hypokalemia
20.0%
2/10
General disorders
Cough
30.0%
3/10
Metabolism and nutrition disorders
Alkaline phosphatase level increased
70.0%
7/10
Metabolism and nutrition disorders
Hypophosphatemia
40.0%
4/10
Renal and urinary disorders
Urinary incontinence
30.0%
3/10
Blood and lymphatic system disorders
Platelet count decreased
20.0%
2/10
Metabolism and nutrition disorders
Hyperglycemia
50.0%
5/10
General disorders
Diarrhea
20.0%
2/10
Blood and lymphatic system disorders
Lymphocyte count decreased
40.0%
4/10
General disorders
Anorexia
30.0%
3/10
Musculoskeletal and connective tissue disorders
Muscle weakness in lower limb
20.0%
2/10
Metabolism and nutrition disorders
Hypoalbuminemia
20.0%
2/10
Metabolism and nutrition disorders
Aspartate aminotransferase level increased
30.0%
3/10
Metabolism and nutrition disorders
Alanine aminotransferase level increased
20.0%
2/10
Musculoskeletal and connective tissue disorders
Back pain
30.0%
3/10

Additional Information

Dr. Matthew David Galsky

Tisch Cancer Center, Icahn School of Medicine at Mount Sinai

Phone: 212-689-5412

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place