A Study to Evaluate Enzalutamide After Abiraterone in Metastatic Castration-Resistant Prostate Cancer

NCT ID: NCT02116582

Last Updated: 2024-12-06

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

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

215 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-05-23

Study Completion Date

2017-09-29

Brief Summary

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The objective of this study was to evaluate the efficacy and safety of enzalutamide treatment in patients with progressive metastatic castration-resistant prostate cancer previously treated with abiraterone acetate.

Detailed Description

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Conditions

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Metastatic Castration-Resistant Prostate Cancer

Keywords

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MDV3100 Xtandi Abiraterone Metastatic Castration-Resistant Prostate Cancer Enzalutamide

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

Participants received 160 mg of enzalutamide orally once daily until they experienced an adverse event, disease progression, started new anti-cancer therapy, withdrew consent, or other protocol-specified criteria.

Group Type EXPERIMENTAL

Enzalutamide

Intervention Type DRUG

Participants received 160 mg of enzalutamide (soft capsules) orally once daily.

Interventions

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Enzalutamide

Participants received 160 mg of enzalutamide (soft capsules) orally once daily.

Intervention Type DRUG

Other Intervention Names

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MDV3100 Xtandi

Eligibility Criteria

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Inclusion Criteria

* Subject has histologically confirmed adenocarcinoma of the prostate without neuro-endocrine differentiation or small cell features.
* Subject has metastatic disease documented by bone scan or by soft tissue disease observed by Computed Tomography/Magnetic Resonance Imaging (CT/MRI) at screening, or within ≤30 days prior to Day 1.
* In the setting of castrate levels of testosterone ≤1.7 nmol/L (or ≤50 ng/dL), subject has progressive disease at study entry defined as PSA rise determined by a minimum of 2 rising PSA levels with an interval of ≥ 1 week between each assessment. The PSA value at the screening visit should be ≥ 2 ng/mL WITH or WITHOUT:

* Soft tissue disease progression defined by Response Evaluation Criteria In Solid Tumors (RECIST 1.1) at screening, or within ≤30 days prior to Day 1. Measurable disease is not required for entry. Lymph nodes ≥ 2 cm are considered measurable disease (Prostate Cancer Clinical Trials Working Group (PCWG2)).
* Bone disease progression defined by at least 2 new lesions on bone scan at screening, or within ≤30 days prior to Day 1.
* Subject must have received a minimum of 24 weeks of treatment with abiraterone acetate within its approved label indication and has discontinued use at least 4 weeks prior to start of study drug at Day 1.
* If the subject has received previous treatment with chemotherapy for prostate cancer, this must be limited to no more than one prior line of docetaxel, and must have been used prior to abiraterone acetate therapy.
* Subject receives and will continue to receive ongoing androgen deprivation with Luteinizing-hormone-releasing hormone (LHRH) analogue therapy throughout the course of the study or has had a bilateral orchiectomy.
* Subject is asymptomatic or mildly symptomatic from prostate cancer:

* The score on Brief Pain Inventory - Short Form (BPI-SF) Question #3 must be \< 4.
* No use of opiate analgesics for prostate cancer-related pain currently or anytime within 4 weeks prior to screening.

Exclusion Criteria

* Subject has prior use of ketoconazole for the treatment of prostate cancer.
* Subject has prior use of cabazitaxel.
* Subject has prior use of enzalutamide.
* Subject has received ANY anti-neoplastic therapy (including antiandrogens and chemotherapy) following abiraterone acetate discontinuation and prior to start of study drug at Day 1.
* Subject has a known or suspected hypersensitivity to enzalutamide, or any components of the formulation used.
* Subject has known or suspected brain metastases or active leptomeningeal disease.
* Subject has history of seizure or any condition that may predispose to seizure (e.g., prior stroke or significant brain trauma).
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Medivation LLC, a wholly owned subsidiary of Pfizer Inc.

INDUSTRY

Sponsor Role collaborator

Astellas Pharma Europe B.V.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Astellas Pharma Europe B.V.

Locations

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Site BE32001

Brussels, Flemish Brabant, Belgium

Site Status

Site BE32004

Ghent, , Belgium

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Site BE32007

Hasselt, , Belgium

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Site BE32003

Kortrijk, , Belgium

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Site BE32002

Liège, , Belgium

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Site FR33015

Angers, , France

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Site FR33009

Caen, , France

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Site FR33010

Créteil, , France

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Site FR33014

Le Mans, , France

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Site FR33013

Lyon, , France

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Site FR33003

Marseille, , France

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Site FR33008

Nantes Saint Herblain Cedex, , France

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Site FR33002

Nîmes, , France

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Site FR33011

Paris, , France

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Site FR33001

Paris, , France

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Site FR33007

Rennes, , France

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Site FR33005

Suresnes, , France

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Site FR33012

Villejiuf, , France

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Site DE49005

Nürtingen, Baden-Wurttemberg, Germany

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Site DE49017

Duisburg, North Rhine-Westphalia, Germany

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Site DE49015

Bergisch Gladbach, Northwest, Germany

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Site DE49014

Berlin, , Germany

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Site DE49003

Berlin, , Germany

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Site DE49009

Bonn, , Germany

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Site DE49010

Dresden, , Germany

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Site DE49016

Düsseldorf, , Germany

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Site DE49004

Göttingen, , Germany

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Site DE49001

Hamburg, , Germany

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Site DE49008

Hamburg, , Germany

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Site DE49007

Hanover, , Germany

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Site DE49002

Heidelberg, , Germany

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Site DE49012

Münster, , Germany

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Site DE49006

Tübingen, , Germany

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Site ES34004

Santiago de Compostela, A Coruna, Spain

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Site ES34009

Badalona, , Spain

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Site ES34011

Barcelona, , Spain

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Site ES34006

Barcelona, , Spain

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Site ES34008

Barcelona, , Spain

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Site ES34001

Madrid, , Spain

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Site ES34003

Madrid, , Spain

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Site ES34002

Madrid, , Spain

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Site ES34010

Madrid, , Spain

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Site GB44001

Sutton, Surrey, United Kingdom

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Site GB44004

Birmingham, , United Kingdom

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Site GB44009

Brighton, , United Kingdom

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Site GB44002

Glasgow, , United Kingdom

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Site GB44007

London, , United Kingdom

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Site GB44003

Northwood, Middlesex, , United Kingdom

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Site GB44010

Plymouth, , United Kingdom

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Site GB44006

Withington, , United Kingdom

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Countries

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Belgium France Germany Spain United Kingdom

References

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de Bono JS, Chowdhury S, Feyerabend S, Elliott T, Grande E, Melhem-Bertrandt A, Baron B, Hirmand M, Werbrouck P, Fizazi K. Antitumour Activity and Safety of Enzalutamide in Patients with Metastatic Castration-resistant Prostate Cancer Previously Treated with Abiraterone Acetate Plus Prednisone for >/=24 weeks in Europe. Eur Urol. 2018 Jul;74(1):37-45. doi: 10.1016/j.eururo.2017.07.035. Epub 2017 Aug 23.

Reference Type DERIVED
PMID: 28844372 (View on PubMed)

Related Links

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https://astellasclinicalstudyresults.com/study.aspx?ID=274

Link to results on the Astellas Clinical Study Results website

Other Identifiers

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2013-002271-17

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

9785-CL-0410

Identifier Type: -

Identifier Source: org_study_id