Enzalutamide and Hormone Therapy Before, During, and After Radiation for High Risk Localized Prostate Cancer

NCT ID: NCT02064582

Last Updated: 2020-10-12

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

7 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-05-31

Study Completion Date

2018-06-09

Brief Summary

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The study is being done to find out whether combining two FDA approved drugs along with radiation therapy for the treatment of high risk localized prostate cancer is safe and well tolerated.

Detailed Description

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* this pilot study will assess the safety and tolerability of combining enzalutamide with an gonadotropin-releasing hormone agonist (GnRH) and external beam radiation
* Correlative imaging and tissue biopsy analysis will be performed to assess the radiographic response to enzalutamide plus gonadotropin-releasing hormone agonist (GnRH) therapy as well as intratumoral androgen signaling

Conditions

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Prostate Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Enzalutamide, Leuprolide, radiation

Single arm Enzalutamide 160 mg daily for 6 months Leuprolide acetate 22.5mg every 3 months or 45mg every 6 months Radiation therapy as standard of care

Group Type OTHER

Enzalutamide

Intervention Type DRUG

160mg by mouth each day

Leuprolide acetate

Intervention Type DRUG

22.5 mg intramuscular every 3 months or 45mg intramuscular every 6 months

radiation

Intervention Type RADIATION

External beam radiation will be delivered as per standard radiation therapy protocol

Interventions

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Enzalutamide

160mg by mouth each day

Intervention Type DRUG

Leuprolide acetate

22.5 mg intramuscular every 3 months or 45mg intramuscular every 6 months

Intervention Type DRUG

radiation

External beam radiation will be delivered as per standard radiation therapy protocol

Intervention Type RADIATION

Other Intervention Names

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Xtandi Lupron

Eligibility Criteria

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Inclusion Criteria

* histologically proven adenocarcinoma of the prostate within 6 months of screening
* Eastern Cooperative Oncology Group(ECOG) score 0-2
* adequate organ and and blood marrow function
* must be a candidate for long-term androgen deprivation in combination with external beam radiation for the treatment of high risk prostate cancer
* patient must permit a targeted prostate biopsy at the time of study initiation or at the beginning of radiation treatment
* men who are sexually active with female partners of child-bearing potential mush agree to use adequate contraception

Exclusion Criteria

* prior treatment with agents known to have endocrine effects on prostate cancer
* treatment with corticosteroids within 4 weeks of enrollment
* treatment with androgens within 6 months of enrollment
* may not be receiving any other investigational agents
* Prostate specific antigen greater than 160ng/dL
* history of malignancy( other than non-melanoma skin cancer) within 5 years
* uncontrolled intercurrent illness
* cardiovascular event within 6 months of enrollment
* seizure or seizure disorder history
* contraindications to MRI- pacemakers, clips, etc
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Astellas Pharma US, Inc.

INDUSTRY

Sponsor Role collaborator

University of Texas Southwestern Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Kevin Dale Courtney

Associate Professor of Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kevin D Courtney, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

UT Southwestern Medical Center

Locations

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UT Southwestern Medical Center

Dallas, Texas, United States

Site Status

Countries

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United States

References

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Li J, Alyamani M, Zhang A, Chang KH, Berk M, Li Z, Zhu Z, Petro M, Magi-Galluzzi C, Taplin ME, Garcia JA, Courtney K, Klein EA, Sharifi N. Aberrant corticosteroid metabolism in tumor cells enables GR takeover in enzalutamide resistant prostate cancer. Elife. 2017 Feb 13;6:e20183. doi: 10.7554/eLife.20183.

Reference Type BACKGROUND
PMID: 28191869 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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STU 082013-032

Identifier Type: -

Identifier Source: org_study_id

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