Trial Outcomes & Findings for Study of VERU-944 to Ameliorate Hot Flashes in Men With Advanced Prostate Cancer (NCT NCT03646162)

NCT ID: NCT03646162

Last Updated: 2021-12-03

Results Overview

Percentage of change in frequency of moderate to severe hot flashes at 6 weeks

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

93 participants

Primary outcome timeframe

6 weeks

Results posted on

2021-12-03

Participant Flow

Participant milestones

Participant milestones
Measure
Veru-944 10 mg
Veru-944 10 mg daily Veru-944: Treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT
Veru-944 50 mg
Veru-944 50 mg daily Veru-944: Treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT
Placebo
Placebo daily Placebo: Placebo
Overall Study
STARTED
31
31
31
Overall Study
COMPLETED
26
27
30
Overall Study
NOT COMPLETED
5
4
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study of VERU-944 to Ameliorate Hot Flashes in Men With Advanced Prostate Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Veru-944 10 mg
n=30 Participants
Veru-944 10 mg daily Veru-944: Treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT
Veru-944 50 mg
n=30 Participants
Veru-944 50 mg daily Veru-944: Treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT
Placebo
n=31 Participants
Placebo daily Placebo: Placebo
Total
n=91 Participants
Total of all reporting groups
Age, Categorical
Between 18 and 65 years
4 Participants
n=5 Participants
7 Participants
n=7 Participants
9 Participants
n=5 Participants
20 Participants
n=4 Participants
Age, Categorical
>=65 years
26 Participants
n=5 Participants
23 Participants
n=7 Participants
22 Participants
n=5 Participants
71 Participants
n=4 Participants
Age, Continuous
70.8 years
STANDARD_DEVIATION 5.79 • n=5 Participants
70.6 years
STANDARD_DEVIATION 8.84 • n=7 Participants
69.1 years
STANDARD_DEVIATION 8.05 • n=5 Participants
70.2 years
STANDARD_DEVIATION 7.50 • n=4 Participants
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Sex: Female, Male
Male
30 Participants
n=5 Participants
30 Participants
n=7 Participants
31 Participants
n=5 Participants
91 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
12 Participants
n=5 Participants
9 Participants
n=7 Participants
10 Participants
n=5 Participants
31 Participants
n=4 Participants
Race (NIH/OMB)
White
18 Participants
n=5 Participants
20 Participants
n=7 Participants
21 Participants
n=5 Participants
59 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Region of Enrollment
United States
30 participants
n=5 Participants
30 participants
n=7 Participants
31 participants
n=5 Participants
91 participants
n=4 Participants
Moderate to Severe Hot Flashes
41.5 Percentage hot flashes moderate severe
STANDARD_DEVIATION 36.52 • n=5 Participants
29.7 Percentage hot flashes moderate severe
STANDARD_DEVIATION 22.2 • n=7 Participants
33.7 Percentage hot flashes moderate severe
STANDARD_DEVIATION 20.23 • n=5 Participants
34.9 Percentage hot flashes moderate severe
STANDARD_DEVIATION 26.25 • n=4 Participants

PRIMARY outcome

Timeframe: 6 weeks

Population: Percentage of change in frequency of moderate to severe hot flashes at week 6

Percentage of change in frequency of moderate to severe hot flashes at 6 weeks

Outcome measures

Outcome measures
Measure
Veru-944 10 mg
n=26 Participants
Veru-944 10 mg daily Veru-944: Treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT
Veru-944 50 mg
n=27 Participants
Veru-944 50 mg daily Veru-944: Treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT
Placebo
n=30 Participants
Placebo daily Placebo: Placebo
Change in Frequency of Moderate to Severe Hot Flashes at 6 Weeks
-19.72 Percentage of change in frequency
Standard Deviation 8.840
-42.24 Percentage of change in frequency
Standard Deviation 8.196
-46.59 Percentage of change in frequency
Standard Deviation 7.760

SECONDARY outcome

Timeframe: 6 weeks

Population: Percentage change in severity of moderate to severe hot flashes compared to baseline at 6 weeks

Change in severity of moderate to severe hot flashes compared to baseline at 6 weeks

Outcome measures

Outcome measures
Measure
Veru-944 10 mg
n=23 Participants
Veru-944 10 mg daily Veru-944: Treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT
Veru-944 50 mg
n=25 Participants
Veru-944 50 mg daily Veru-944: Treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT
Placebo
n=27 Participants
Placebo daily Placebo: Placebo
Percentage Change in Severity of Moderate to Severe Hot Flashes at 6 Weeks
-0.21 percentage of change
Standard Deviation 0.386
-0.31 percentage of change
Standard Deviation 0.416
-0.35 percentage of change
Standard Deviation 0.508

SECONDARY outcome

Timeframe: Weeks 12

Population: Percentage of change from Baseline to Week 12

Mean change in frequency of moderate to severe hot flashes compared to baseline at weeks 12

Outcome measures

Outcome measures
Measure
Veru-944 10 mg
n=26 Participants
Veru-944 10 mg daily Veru-944: Treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT
Veru-944 50 mg
n=27 Participants
Veru-944 50 mg daily Veru-944: Treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT
Placebo
n=30 Participants
Placebo daily Placebo: Placebo
Change of Frequency of Moderate to Severe Hot Flashes at Week 12
-39.94 percentage of change
Standard Error 8.458
-51.95 percentage of change
Standard Error 8.574
-52.70 percentage of change
Standard Error 7.881

SECONDARY outcome

Timeframe: Week 12

Population: Mean percentage change from baseline to week 12

Mean change in severity of moderate to severe hot flashes compared to baseline at week 12

Outcome measures

Outcome measures
Measure
Veru-944 10 mg
n=26 Participants
Veru-944 10 mg daily Veru-944: Treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT
Veru-944 50 mg
n=27 Participants
Veru-944 50 mg daily Veru-944: Treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT
Placebo
n=30 Participants
Placebo daily Placebo: Placebo
Change in Severity of Moderate to Severe Hot Flashes at Week 12
-12.05 percentage of change
Standard Error 5.014
-16.93 percentage of change
Standard Error 5.061
-22.48 percentage of change
Standard Error 4.674

SECONDARY outcome

Timeframe: 84 days

Population: Change in C-telopeptide concentration at day 84 compared to baseline

Change in C-telopeptide concentration at day 84 compared to baseline

Outcome measures

Outcome measures
Measure
Veru-944 10 mg
n=27 Participants
Veru-944 10 mg daily Veru-944: Treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT
Veru-944 50 mg
n=30 Participants
Veru-944 50 mg daily Veru-944: Treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT
Placebo
n=31 Participants
Placebo daily Placebo: Placebo
Change in Bone Turnover Markers C-telopeptide (CTX)
419.7 ng/L
Standard Deviation 262
362.1 ng/L
Standard Deviation 305.44
466 ng/L
Standard Deviation 347.3

SECONDARY outcome

Timeframe: 84 days

Population: Change in bone specific alkaline phosphatase at day 84 compared to baseline

Change in bone specific alkaline phosphatase at day 84 compared to baseline

Outcome measures

Outcome measures
Measure
Veru-944 10 mg
n=28 Participants
Veru-944 10 mg daily Veru-944: Treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT
Veru-944 50 mg
n=30 Participants
Veru-944 50 mg daily Veru-944: Treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT
Placebo
n=31 Participants
Placebo daily Placebo: Placebo
Change in Bone Turnover Markers Alkaline Phosphatase
13.89 ug/L
Standard Deviation 4.598
15.72 ug/L
Standard Deviation 22.468
13.12 ug/L
Standard Deviation 6.074

OTHER_PRE_SPECIFIED outcome

Timeframe: 84 Days

Change in serum PSA concentration comparing baseline to day 30, baseline to day 60 and baseline to day 84 for each treatment group

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 84 Days

Change in serum total testosterone concentration comparing baseline to day 30, baseline to day 60 and baseline to day 84 for each treatment group

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 84 days

Population: Change in serum free testosterone concentration comparing baseline to day 84

Change in serum free testosterone concentration comparing baseline to day 84

Outcome measures

Outcome measures
Measure
Veru-944 10 mg
n=29 Participants
Veru-944 10 mg daily Veru-944: Treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT
Veru-944 50 mg
n=30 Participants
Veru-944 50 mg daily Veru-944: Treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT
Placebo
n=29 Participants
Placebo daily Placebo: Placebo
Change in Serum Free Testosterone
1.16 ng/L
Standard Deviation 0.895
1.38 ng/L
Standard Deviation 4.873
1.0 ng/L
Standard Deviation 1.635

OTHER_PRE_SPECIFIED outcome

Timeframe: 84 days

Population: Change in serum SHBG concentration comparing baseline to day 84

Change in serum SHBG concentration comparing baseline to day 30, baseline to day 60 and baseline to day 84 for each treatment group

Outcome measures

Outcome measures
Measure
Veru-944 10 mg
n=29 Participants
Veru-944 10 mg daily Veru-944: Treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT
Veru-944 50 mg
n=30 Participants
Veru-944 50 mg daily Veru-944: Treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT
Placebo
n=30 Participants
Placebo daily Placebo: Placebo
Change in Serum SHBG
55.7 nmol/L
Standard Deviation 28.27
113.5 nmol/L
Standard Deviation 60.53
54.1 nmol/L
Standard Deviation 24.98

OTHER_PRE_SPECIFIED outcome

Timeframe: 114 days

Incidence of Treatment-Emergent Adverse Events will be tabulated by MedDRA terms and system organ class. The incidence of AEs and the maximum intensity and frequency of AEs will be summarized. The intensity of AE will be graded according to CTCAE version 4. Changes from baseline will be computed and tested for significant change from baseline to day 114

Outcome measures

Outcome data not reported

POST_HOC outcome

Timeframe: Day 84

Population: Subjects with a BMI \>25 kg/m2 who had trough plasma concentrations ≥195 ng/mL vs \<195 ng/mL Change in moderate and severe hot flash frequency at Week 12

Post-hoc exploratory MMRM analysis was conducted to explore the effect of trough plasma concentration at Week12 on the change in frequency of moderate and severe hot flashes from Baseline to Week 12 in subjects with a BMI \>25 kg/m2.

Outcome measures

Outcome measures
Measure
Veru-944 10 mg
n=9 Participants
Veru-944 10 mg daily Veru-944: Treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT
Veru-944 50 mg
n=56 Participants
Veru-944 50 mg daily Veru-944: Treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT
Placebo
Placebo daily Placebo: Placebo
Post-hoc Analysis on the Percentage Change in Frequency of Moderate and Severe Hot Flashes From Baseline to Week 12; Exposure Response Assessment
-77.60 percentage of change
Standard Deviation 14.542
-50.14 percentage of change
Standard Deviation 5.842

Adverse Events

Veru-944 10 mg

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Veru-944 50 mg

Serious events: 1 serious events
Other events: 16 other events
Deaths: 0 deaths

Placebo

Serious events: 2 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Veru-944 10 mg
n=30 participants at risk
Veru-944 10 mg daily Veru-944: Treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT
Veru-944 50 mg
n=30 participants at risk
Veru-944 50 mg daily Veru-944: Treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT
Placebo
n=31 participants at risk
Placebo daily Placebo: Placebo
Cardiac disorders
Atrial Fibrillation
0.00%
0/30 • 15 months
0.00%
0/30 • 15 months
3.2%
1/31 • 15 months
Cardiac disorders
Coronary Artery Disease
0.00%
0/30 • 15 months
0.00%
0/30 • 15 months
3.2%
1/31 • 15 months
Infections and infestations
Appendicitis
0.00%
0/30 • 15 months
3.3%
1/30 • 15 months
0.00%
0/31 • 15 months

Other adverse events

Other adverse events
Measure
Veru-944 10 mg
n=30 participants at risk
Veru-944 10 mg daily Veru-944: Treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT
Veru-944 50 mg
n=30 participants at risk
Veru-944 50 mg daily Veru-944: Treat hot flashes (vasomotor symptoms) in men with advanced prostate cancer on ADT
Placebo
n=31 participants at risk
Placebo daily Placebo: Placebo
Gastrointestinal disorders
Constipation
3.3%
1/30 • Number of events 1 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/31 • 15 months
Gastrointestinal disorders
Dyspepsia
0.00%
0/30 • 15 months
0.00%
0/30 • 15 months
3.2%
1/31 • Number of events 1 • 15 months
Gastrointestinal disorders
Flatulence
3.3%
1/30 • Number of events 1 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/31 • 15 months
Gastrointestinal disorders
Nauseas
0.00%
0/30 • 15 months
0.00%
0/30 • 15 months
3.2%
1/31 • Number of events 1 • 15 months
Gastrointestinal disorders
Abdominal Pain
0.00%
0/30 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/31 • 15 months
Gastrointestinal disorders
Abdominal Pain Upper
0.00%
0/30 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/31 • 15 months
Gastrointestinal disorders
Diarrhoea
0.00%
0/30 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/31 • 15 months
Gastrointestinal disorders
Gastroesophageal Reflux Disease
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/30 • 15 months
0.00%
0/31 • 15 months
Infections and infestations
Urinary Tract Infection
0.00%
0/30 • 15 months
10.0%
3/30 • Number of events 3 • 15 months
0.00%
0/31 • 15 months
Infections and infestations
Nasopharyngitis
6.7%
2/30 • Number of events 2 • 15 months
0.00%
0/30 • 15 months
0.00%
0/31 • 15 months
Infections and infestations
Appendicitis
0.00%
0/30 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/31 • 15 months
Infections and infestations
Influenza
0.00%
0/30 • 15 months
0.00%
0/30 • 15 months
3.2%
1/31 • Number of events 1 • 15 months
Infections and infestations
Pneumonia
0.00%
0/30 • 15 months
0.00%
0/30 • 15 months
3.2%
1/31 • Number of events 1 • 15 months
Infections and infestations
Sinusitis
0.00%
0/30 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/31 • 15 months
Infections and infestations
Tooth Infection
0.00%
0/30 • 15 months
0.00%
0/30 • 15 months
3.2%
1/31 • Number of events 1 • 15 months
Infections and infestations
Upper Respiratory Tract Infection
0.00%
0/30 • 15 months
0.00%
0/30 • 15 months
3.2%
1/31 • Number of events 1 • 15 months
Musculoskeletal and connective tissue disorders
Arthralgia
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/30 • 15 months
3.2%
1/31 • Number of events 1 • 15 months
Musculoskeletal and connective tissue disorders
Muscle Spasms
0.00%
0/30 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
3.2%
1/31 • Number of events 1 • 15 months
Musculoskeletal and connective tissue disorders
Arthritis
0.00%
0/30 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/31 • 15 months
Musculoskeletal and connective tissue disorders
Back Pain
0.00%
0/30 • 15 months
0.00%
0/30 • 15 months
3.2%
1/31 • Number of events 1 • 15 months
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/30 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/31 • 15 months
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/30 • 15 months
0.00%
0/30 • 15 months
3.2%
1/31 • Number of events 1 • 15 months
Nervous system disorders
Headache
3.3%
1/30 • Number of events 1 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
3.2%
1/31 • Number of events 1 • 15 months
Nervous system disorders
Balance Disorder
0.00%
0/30 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/31 • 15 months
Nervous system disorders
Burning sensation
0.00%
0/30 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/31 • 15 months
Nervous system disorders
Disturbance in Attention
0.00%
0/30 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/31 • 15 months
Nervous system disorders
Dizziness
0.00%
0/30 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/31 • 15 months
Nervous system disorders
Memory Impairment
0.00%
0/30 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/31 • 15 months
General disorders
Fatigue
0.00%
0/30 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
9.7%
3/31 • Number of events 3 • 15 months
General disorders
Oedema Peripheral
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/30 • 15 months
0.00%
0/31 • 15 months
General disorders
Pain
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/30 • 15 months
0.00%
0/31 • 15 months
General disorders
Peripheral Swelling
0.00%
0/30 • 15 months
0.00%
0/30 • 15 months
3.2%
1/31 • Number of events 1 • 15 months
Renal and urinary disorders
Hematuria
0.00%
0/30 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/31 • 15 months
Renal and urinary disorders
Micturition urgency
0.00%
0/30 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/31 • 15 months
Renal and urinary disorders
Nephrolithiasis
0.00%
0/30 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/31 • 15 months
Renal and urinary disorders
Nocturia
0.00%
0/30 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/31 • 15 months
Renal and urinary disorders
Post micturition dribble
0.00%
0/30 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/31 • 15 months
Renal and urinary disorders
Renal Mass
0.00%
0/30 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/31 • 15 months
Blood and lymphatic system disorders
Anaemia
0.00%
0/30 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/31 • 15 months
Blood and lymphatic system disorders
Neutropenia
0.00%
0/30 • 15 months
0.00%
0/30 • 15 months
3.2%
1/31 • Number of events 1 • 15 months
Blood and lymphatic system disorders
Atrial Fibrillation
0.00%
0/30 • 15 months
0.00%
0/30 • 15 months
3.2%
1/31 • Number of events 1 • 15 months
Cardiac disorders
Coronary artery disease
0.00%
0/30 • 15 months
0.00%
0/30 • 15 months
3.2%
1/31 • Number of events 1 • 15 months
Eye disorders
Vision Blurred
3.3%
1/30 • Number of events 1 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/31 • 15 months
Investigations
Cardiac Murmur
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/30 • 15 months
0.00%
0/31 • 15 months
Investigations
Low density lipoprotein increased
0.00%
0/30 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/31 • 15 months
Vascular disorders
Hypertension
0.00%
0/30 • 15 months
0.00%
0/30 • 15 months
6.5%
2/31 • Number of events 2 • 15 months
Injury, poisoning and procedural complications
Fall
0.00%
0/30 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/31 • 15 months
Psychiatric disorders
Insomnia
0.00%
0/30 • 15 months
0.00%
0/30 • 15 months
3.2%
1/31 • Number of events 1 • 15 months
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/30 • 15 months
3.3%
1/30 • Number of events 1 • 15 months
0.00%
0/31 • 15 months
Skin and subcutaneous tissue disorders
Alopecia
0.00%
0/30 • 15 months
0.00%
0/30 • 15 months
3.2%
1/31 • Number of events 1 • 15 months

Additional Information

Gary Barnette PhD CSO

Veru

Phone: 9194263611

Results disclosure agreements

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