NCT00519285

Brief Summary

Primary objective was to demonstrate overall survival improvement with aflibercept compared to placebo in patients receiving docetaxel / prednisone for metastatic androgen-independent prostate cancer (MAIPC). The secondary objectives were:

  • To assess the efficacy of aflibercept compared to placebo on other parameters such prostate-specific antigen (PSA) level, cancer related pain, progression free survival (PFS), tumor-based and skeletal events and health-related quality of life (HRQL);
  • To assess the overall safety in both treatment arms;
  • To determine the pharmacokinetics of intravenous (IV) aflibercept in this population;
  • to determine immunogenicity of IV aflibercept.

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,224

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Aug 2007

Longer than P75 for phase_3

Geographic Reach
30 countries

30 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 1, 2007

Completed
20 days until next milestone

First Submitted

Initial submission to the registry

August 21, 2007

Completed
1 day until next milestone

First Posted

Study publicly available on registry

August 22, 2007

Completed
4.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2012

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2012

Completed
1.5 years until next milestone

Results Posted

Study results publicly available

October 10, 2013

Completed
Last Updated

July 22, 2016

Status Verified

June 1, 2016

Enrollment Period

4.7 years

First QC Date

August 21, 2007

Results QC Date

April 25, 2013

Last Update Submit

June 21, 2016

Conditions

Keywords

metastaticprostatecancer

Outcome Measures

Primary Outcomes (1)

  • Overall Survival Time

    Overall survival (OS) time was measured as the time from date of randomization to the date of death due to any cause. The median OS time and its 95.6% confidence interval were estimated using the Kaplan-Meier method. In the absence of confirmation of death, the participant was censored at the last date he/she was known to be alive or the study cut-off date (when 873 deaths have occurred), whichever was earlier.

    From randomization up to the cut-off date (median follow-up of 35.4 months)

Secondary Outcomes (10)

  • Prostate Specific Antigen Response Rate

    Before randomization (baseline) then every 3 weeks up to PSA progression (≥25% increase) or the cut-off date, whichever occurred first

  • Time to Skeletal Related Events

    From randomization up to the cut-off date (median follow-up of 35.4 months)

  • Progression Free Survival Time

    From randomization up to the cut-off date (median follow-up of 35.4 months)

  • Tumor Response Rate in Participants With Measurable Disease

    Before randomization (baseline) then every 3 months up to tumor progression (≥25% increase) or the cut-off date, whichever occurred first

  • Prostate Specific Antigen Progression-free Survival Time

    From randomization up to the cut-off date (median follow-up of 35.4 months)

  • +5 more secondary outcomes

Study Arms (2)

Placebo

PLACEBO COMPARATOR

Placebo added to standard chemotherapy with docetaxel plus prednisone or prednisolone

Drug: Placebo (for aflibercept)Drug: DocetaxelDrug: Prednisone or Prednisolone

Aflibercept

EXPERIMENTAL

Aflibercept added to standard chemotherapy with docetaxel plus prednisone or prednisolone

Drug: AfliberceptDrug: DocetaxelDrug: Prednisone or Prednisolone

Interventions

25 mg/ml solution 6 mg/kg, 1-hour IV on Day 1 of each 3-Week cycle

Also known as: AVE0005, ZALTRAP®)
Aflibercept

Sterile aqueous buffered solution identical to aflibercept 1-hour IV on Day 1 of each 3-Week cycle

Placebo

Marketed formulation 75 mg/m², 1 hour IV on Day 1 of each 3-week cycle (immediately after Aflibercept or placebo)

Also known as: Taxotere®
AfliberceptPlacebo

Marketed formulation 5 mg twice daily PO from day 1 continuously

AfliberceptPlacebo

Eligibility Criteria

Age18 Years+
Sexmale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically- or cytologically-confirmed prostate adenocarcinoma;
  • Metastatic disease;
  • Progressive disease while receiving hormonal therapy or after surgical castration;
  • Effective castration.

You may not qualify if:

  • Prior cytotoxic chemotherapy for prostate cancer, except estramustine and except adjuvant/neoadjuvant treatment completed \>3 years ago;
  • Prior treatment with Vascular Endothelial Growth Factor (VEGF) inhibitors or VEGF receptor inhibitors;
  • Eastern Cooperative Oncology Group (ECOG) performance status \>2.
  • The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (31)

Sanofi-Aventis Administrative Office

Bridgewater, New Jersey, 08807, United States

Location

Sanofi-Aventis Administrative Office

Buenos Aires, Argentina

Location

Sanofi-Aventis Administrative Office

Macquarie Park, Australia

Location

Sanofi-Aventis Administrative Office

Diegem, Belgium

Location

Sanofi-Aventis Administrative Office

São Paulo, Brazil

Location

Sanofi-Aventis Administrative Office

Laval, Canada

Location

Sanofi-Aventis Administrative Office

Providencia Santiago, Chile

Location

Sanofi-Aventis Administrative Office

City of Zagreb, Croatia

Location

Sanofi-Aventis Administrative Office

Prague, Czechia

Location

Sanofi-Aventis Administrative Office

Hørsholm, Denmark

Location

Sanofi-Aventis Administrative Office

Tallinn, Estonia

Location

Sanofi-Aventis Administrative Office

Paris, France

Location

Sanofi-Aventis Administrative Office

Frankfurt, Germany

Location

Sanofi-Aventis Administrative Office

Hong Kong, Hong Kong

Location

Sanofi-Aventis Administrative Office

Budapest, Hungary

Location

Sanofi-Aventis Administrative Office

Netanya, Israel

Location

Sanofi-Aventis Administrative Office

Milan, Italy

Location

Sanofi-Aventis Administrative Office

Gouda, Netherlands

Location

Sanofi-Aventis Administrative Office

Warsaw, Poland

Location

Sanofi-Aventis Administrative Office

Porto Salvo, Portugal

Location

Sanofi-Aventis Administrative Office

Moscow, Russia

Location

Sanofi-Aventis Administrative Office

Singapore, Singapore

Location

Sanofi-Aventis Administrative Office

Gauteng, South Africa

Location

Sanofi-Aventis Administrative Office

Seoul, South Korea

Location

Sanofi-Aventis Administrative Office

Barcelona, Spain

Location

Sanofi-Aventis Administrative Office

Bromma, Sweden

Location

Sanofi-Aventis Administrative Office

Geneva, Switzerland

Location

Sanofi-Aventis Administrative Office

Taipei, Taiwan

Location

Sanofi-Aventis Administrative Office

Istanbul, Turkey (Türkiye)

Location

Sanofi-Aventis Administrative Office

Kiev, Ukraine

Location

Sanofi-Aventis Administrative Office

Guildford Surrey, United Kingdom

Location

Related Publications (3)

  • Tannock IF, Fizazi K, Ivanov S, Karlsson CT, Flechon A, Skoneczna I, Orlandi F, Gravis G, Matveev V, Bavbek S, Gil T, Viana L, Aren O, Karyakin O, Elliott T, Birtle A, Magherini E, Hatteville L, Petrylak D, Tombal B, Rosenthal M; VENICE investigators. Aflibercept versus placebo in combination with docetaxel and prednisone for treatment of men with metastatic castration-resistant prostate cancer (VENICE): a phase 3, double-blind randomised trial. Lancet Oncol. 2013 Jul;14(8):760-8. doi: 10.1016/S1470-2045(13)70184-0. Epub 2013 Jun 4.

  • van Soest RJ, Templeton AJ, Vera-Badillo FE, Mercier F, Sonpavde G, Amir E, Tombal B, Rosenthal M, Eisenberger MA, Tannock IF, de Wit R. Neutrophil-to-lymphocyte ratio as a prognostic biomarker for men with metastatic castration-resistant prostate cancer receiving first-line chemotherapy: data from two randomized phase III trials. Ann Oncol. 2015 Apr;26(4):743-749. doi: 10.1093/annonc/mdu569. Epub 2014 Dec 15.

  • de Liano AG, Reig O, Mellado B, Martin C, Rull EU, Maroto JP. Prognostic and predictive value of plasma testosterone levels in patients receiving first-line chemotherapy for metastatic castrate-resistant prostate cancer. Br J Cancer. 2014 Apr 29;110(9):2201-8. doi: 10.1038/bjc.2014.189. Epub 2014 Apr 10.

MeSH Terms

Conditions

Prostatic NeoplasmsNeoplasm MetastasisNeoplasms

Interventions

afliberceptDocetaxelPrednisonePrednisolone

Condition Hierarchy (Ancestors)

Genital Neoplasms, MaleUrogenital NeoplasmsNeoplasms by SiteGenital Diseases, MaleGenital DiseasesUrogenital DiseasesProstatic DiseasesMale Urogenital DiseasesNeoplastic ProcessesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

TaxoidsCyclodecanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsDiterpenesTerpenesPregnadienediolsPregnadienesPregnanesSteroidsFused-Ring CompoundsPolycyclic CompoundsPregnadienetriols

Limitations and Caveats

Pain response initially defined as a key secondary endpoint together with PSA response, time to occurence of SRE and PFS was finally considered as an exploratory endpoint in final statistical analysis plan.

Results Point of Contact

Title
Trial Transparency Team
Organization
Sanofi

Study Officials

  • Clinical Sciences & Operations

    Sanofi

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 21, 2007

First Posted

August 22, 2007

Study Start

August 1, 2007

Primary Completion

April 1, 2012

Study Completion

April 1, 2012

Last Updated

July 22, 2016

Results First Posted

October 10, 2013

Record last verified: 2016-06

Locations