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OpenTrials
Completed

NCT Number: NCT00117949

Study Investigating the Pharmacokinetics, Pharmacodynamics and Safety of FE200486

Population pharmacokinetic and pharmacodynamic data from Study FE200486 CS06 and FE200486 CS02 provided further knowledge of the optimal dose regimens for FE200486 (degarelix). Both studies were to guide dose selection for phase III. In addition, safety and tolerance data were generated.

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Key information

Age range

18 year and older

Sex eligibility

Male

Study type

Interventional

Phase

Phase 2

Primary location

Advanced Urology Medical Center, Anaheim, California, United States

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Each patient must meet the following inclusion criteria before entry into the study:

  • Has given written consent before any study related activity is performed (A study related activity is defined as any procedure that would not have been performed during the normal management of the patient.)
  • Is a male patient with histologically proven adenocarcinoma of the prostate (all stages) in whom endocrine treatment is indicated, except for neoadjuvant hormonal therapy. For patients, prostate-specific antigen (PSA) increases on two consecutive determinations at least 2 weeks apart prior to Visit 1 must be documented.
  • Is at least 18 years.
  • Has an ECOG score of 2.
  • Has a baseline testosterone level within the age specific normal range as measured by the central laboratory.
  • Has a PSA value of 2 ng/mL as measured by the central laboratory.
  • Has a life expectancy of at least 6 months.

Exclusion criteria

Any patient meeting one or more of the following exclusion criteria will not be entered into the study:

  • Previous or present hormonal management of prostate cancer (surgical castration or other hormonal manipulation, e.g. GnRH agonists, GnRH antagonists, antiandrogens, estrogens, PC-Spec) except for neoadjuvant hormonal therapy of < 6 months duration and completed > 6 months prior to Visit 1.
  • Requires hormonal therapy for neoadjuvant purposes.
  • Is recently (within the last 12 weeks preceding Visit 1) or presently treated with any other drug modifying the testosterone level or function.
  • Is considered to be a candidate for curative therapy, i.e., radical prostatectomy or radiotherapy within 6 months after Visit 1.
  • Has a history of severe asthma requiring daily treatment with inhalation steroids, angioedema or anaphylactic reactions.
  • Has hypersensitivity towards any component of the investigational product.
  • Has had a cancer disease within the last 10 years except for prostate cancer, and surgically removed basocellular or squamous cell carcinoma of the skin.
  • Has a clinically significant neurologic, gastrointestinal, renal, hepatic, cardiovascular, psychological, pulmonary, metabolic, endocrine, hematological, dermatological or infectious disorder or any other condition, including excessive alcohol or drug abuse, which may interfere with trial participation, or which may affect the conclusion of the study, as judged by the investigator.
  • Any clinically significant laboratory abnormalities which, in the judgment of the investigator, would interfere with the patient's participation in this study or evaluation of study results (liver transaminases must be within normal limits).
  • Has a mental incapacity or language barrier precluding adequate understanding or co-operation.
  • Has received an investigational drug within the last 12 weeks preceding Visit 1.
  • Has previously participated in this study.

Treatment and study plan

degarelix

Drug

One dose (2 x 2 mL) of degarelix 40 mg (10 mg/mL), subcutaneous injection.

Other names: FE200486

Primary outcomes

  1. Time to Meet Insufficient Testosterone Response

    Time frame: 3 months

    Figures in the table are Kaplan-Meier estimates of the time to meeting insufficient testosterone response. Insufficient testosterone response was defined as testosterone >1.0 ng/mL at one visit or testosterone 0.5-1.0 at two consecutive visits.

  2. Number of Participants With Testostestone Serum Levels Below 0.5 ng/mL for at Least 28 Days

    Time frame: 28 days

    The number of participants suppressed for at least 28 days was defined as the estimated "survival probability" at time=Day 28.

Secondary outcomes

  1. Time to Testosterone Castration (Testosterone ≤0.5 ng/mL).

    Time frame: 1, 3, 7, 14, 21, 28, 42 days

    Time to testosterone castration was calculated as the number of days from dosing to the first scheduled visit when testosterone was less than 0.5 ng/mL. The figures in the table present the number of participants who were castrated after 1, 3, 7, 14, 21, 28, and 42 days.

  2. Number of Participants With Sufficient Testosterone Suppression for at Least 84 Days

    Time frame: 3 months

    Sufficient testosterone suppression was defined as not meeting an insufficient testosterone response criterion. Insufficient testosterone response was defined as testosterone >1.0 ng/mL at one visit or testosterone 0.5-1.0 at two consecutive visits.

  3. Time to 50% Reduction in Prostate-specific Antigen Levels

    Time frame: 3 months

    The time to 50% prostate-specific antigen (PSA) reduction from baseline was defined as the median number of days from dosing to the first visit where a 50% reduction in PSA level was reached.

  4. Time to 90% Reduction in Prostate-specific Antigen Levels

    Time frame: 3 months

    The time to 90% prostate-specific antigen (PSA) reduction from baseline was defined as the median number of days from dosing to the first visit where a 90% reduction in PSA level was reached.

  5. Liver Function Tests

    Time frame: 3 months

    The number of participants who had abnormal (defined as above upper limit of normal range (ULN)) alanine aminotransferase (ALT) levels, aspartate aminotransferas levels, and bilirubin levels plus the number of participants who had ALT increases >3x ULN and ALT increases >3x ULN with concurrently increased bilirubin >1.5 ULN.

Sponsors and collaborators

Lead sponsor

Ferring Pharmaceuticals

Industry

Registry information

Official study title

An Open-Label, Multi-Center, Ascending, Single Dose Study Investigating the Pharmacokinetics, Pharmacodynamics and Safety of FE200486

Important dates

Study start
2002
Primary completion
2004
Study completion
2004
First posted
Jul 11, 2005
Registry last updated
May 23, 2011

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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