A Study to Evaluate Serum Testosterone Levels in Patients With Metastatic Castration-Resistant Prostate Cancer

NCT ID: NCT02737332

Last Updated: 2021-11-22

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

53 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-03-21

Study Completion Date

2017-02-27

Brief Summary

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The purpose of this study is to evaluate the serum testosterone levels in patients with Metastatic Castration-Resistant Prostate Cancer on SoluMatrix™ Abiraterone Acetate as Compared to Abiraterone Acetate

Detailed Description

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This was a 12-week, open-label study of abiraterone acetate in at least 50 patients with metastatic castration-resistant prostate cancer.

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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Zytiga® (Abiraterone Acetate)

1,000 MG (4 x 250 mg qd)

Group Type ACTIVE_COMPARATOR

Zytiga® (Abiraterone Acetate)

Intervention Type DRUG

Zytiga® 1,000 mg (4 x 250 mg qd) tablets plus one 5 mg prednisone tablet to be taken bid, spaced approximately 12 hours apart

SoluMatrix™ (Abiraterone Acetate)

500 mg (4 x 125 mg qd)

Group Type EXPERIMENTAL

SoluMatrix™ (Abiraterone Acetate)

Intervention Type DRUG

SoluMatrix™ 500 mg (4 x 125 mg qd) tablets plus one 4 mg methylprednisolone tablet bid, spaced approximately 12 hours apart

Interventions

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Zytiga® (Abiraterone Acetate)

Zytiga® 1,000 mg (4 x 250 mg qd) tablets plus one 5 mg prednisone tablet to be taken bid, spaced approximately 12 hours apart

Intervention Type DRUG

SoluMatrix™ (Abiraterone Acetate)

SoluMatrix™ 500 mg (4 x 125 mg qd) tablets plus one 4 mg methylprednisolone tablet bid, spaced approximately 12 hours apart

Intervention Type DRUG

Other Intervention Names

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Zytiga® SoluMatrix™

Eligibility Criteria

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Inclusion Criteria

1. Written informed consent obtained prior to any study-related procedure being performed
2. Male subjects at least 18 years of age or older at time of consent
3. Pathologically confirmed adenocarcinoma of the prostate
4. Ongoing therapy with a GnRH agonist or antagonist AND serum testosterone level \<50 ng/dL at screening
5. Metastatic disease documented by computed tomography (CT)/ magnetic resonance imaging (MRI) or bone scan. Imaging obtained within 42 days prior to the start of study medication will be accepted.
6. Meeting disease progression according to the recommendations of the prostate cancer working group 2 by one of the following criteria:

* Two rises of PSA (taken a minimum of 1 week apart) from a baseline measurement of at least 2 ng/mL,
* Imaging progression (CT/MRI) by RECIST criteria
* Nuclear scan progression by new lesion.
7. Discontinuation of flutamide or nilutamide, and other anti-androgens at least 4 weeks prior to the start of study medication; discontinuation of bicalutamide at least 6 weeks prior to start of study medication.
8. Discontinuation of Radiotherapy \> 4 weeks prior to start of study medication.
9. ECOG performance status of 0-1 at screening
10. Screening blood counts of the following:

* Absolute neutrophil count \> 1500/µL
* Platelets \> 100,000/µL
* Hemoglobin \> 9 g/dL
11. Screening chemistry values of the following:

* ALT and AST \< 2.5 x ULN
* Total bilirubin \< 1.5 x ULN
* Creatinine\< 1.5 x ULN
* Albumin \> 3.0 g/dL
12. Potassium \> 3.5 mmol/L
13. Life expectancy of at least 6 months at screening
14. Subject is willing and able to comply with all protocol requirements assessments
15. Agrees to protocol-defined use of effective contraception.

Exclusion Criteria

1. History of impaired pituitary or adrenal gland function
2. Prior therapy with abiraterone acetate, orteronel, ketoconazole or any other CYP17 inhibitor
3. Prior therapy with enzalutamide
4. Prior use of experimental androgen receptor antagonist
5. Previous exposure to Ra-223:Xofigo
6. Previous chemotherapy
7. Initiation of bisphosphonate or denosumab therapy within 30 days prior to the start of study medication. Patients who are on a stable dose of these medications for at least 30 days at the time of starting study drug are eligible.
8. Therapy with estrogen within 30 days prior to the start of study medication
9. Use of systemic glucocorticoids equivalent to \> 10 mg of prednisone daily; patients who have discontinued or have reduced dose to \< 10 mg prednisone within 14 days prior to the start of study medication will be eligible
10. Prior use of any herbal products that may decrease PSA levels (eg., saw palmetto) within 30 days of start of study medication
11. Known metastases to the brain or CNS involvement
12. History of other malignancy within the previous 2 years
13. Major surgery within 30 days prior to the start of study medication
14. Blood transfusion within 30 days of screening
15. Serious, persistent infection within 14 days of the start of study medication
16. Persistent pain that requires the use of a narcotic analgesic
17. Known gastrointestinal disease or condition that may impair absorption
18. Treatment with any investigational drug within 4 weeks prior to Day -1 of the study.
19. Known history of human immunodeficiency virus (HIV) or seropositive test for hepatitis C virus or hepatitis B virus
20. Have poorly controlled diabetes.
21. Uncontrolled hypertension
22. History of New York Heart Association (NYHA) class III or IV heart failure
23. Serious concurrent illness, including psychiatric illness, that would interfere with study participation
24. Inability to swallow tablets whole
25. Known hypersensitivity to any excipients in study medications
26. Moderate to severe hepatic impairment (Child-Pugh Classes B and C)
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Sun Pharmaceutical Industries Limited

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Paul Nemeth, PhD

Role: STUDY_DIRECTOR

Locations

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Alliance Research

Laguna Hills, California, United States

Site Status

Tower Urology

Los Angeles, California, United States

Site Status

San Bernardino Urological

San Bernardino, California, United States

Site Status

Skyline Urology

Torrance, California, United States

Site Status

Innovative Clinical Research Institute

Whittier, California, United States

Site Status

Urology Associates, P.C.

Englewood, Colorado, United States

Site Status

Manatee Medical Research

Bradenton, Florida, United States

Site Status

North Idaho Urology

Coeur d'Alene, Idaho, United States

Site Status

The Iowa Clinic

West Des Moines, Iowa, United States

Site Status

Wichita Urology Group

Wichita, Kansas, United States

Site Status

Chesapeake Urology Research Associates

Towson, Maryland, United States

Site Status

Lincoln Urology, PC

Lincoln, Nebraska, United States

Site Status

Urology Cancer Center

Omaha, Nebraska, United States

Site Status

Brooklyn Urology Research Group

Brooklyn, New York, United States

Site Status

Associated Urologist of North Carolina

Raleigh, North Carolina, United States

Site Status

Urology Clinics of North Texas

Dallas, Texas, United States

Site Status

Urology of Virginia

Virginia Beach, Virginia, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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CHL-AA-201

Identifier Type: -

Identifier Source: org_study_id