A Study to Test if Enzalutamide is Effective and Safe in Prostate Cancer Patients Who Have Never Had Hormone Therapy
A Phase 2, Open-label, Single-arm, Efficacy and Safety Study of Enzalutamide (MDV3100) in Patients With Hormone-naïve Prostate Cancer
2 other identifiers
interventional
67
4 countries
12
Brief Summary
To evaluate the effect of enzalutamide on prostate specific antigen (PSA) level in men with prostate cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2 prostate-cancer
Started May 2011
Typical duration for phase_2 prostate-cancer
12 active sites
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
First Submitted
Initial submission to the registry
February 21, 2011
CompletedFirst Posted
Study publicly available on registry
February 23, 2011
CompletedStudy Start
First participant enrolled
May 6, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 29, 2012
CompletedResults Posted
Study results publicly available
April 6, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
April 27, 2017
CompletedOctober 2, 2018
May 1, 2018
1.2 years
February 21, 2011
February 16, 2016
October 1, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of Participants With a Prostate-Specific Antigen (PSA) Response at Week 25
A PSA response was defined as a decline from Baseline in PSA level of 80% or greater. Blood samples for PSA were collected and analyzed at a central laboratory. Participants with an unknown or missing response or who discontinued prior to week 25 for any reason were treated as non-responders.
Baseline and Week 25
Secondary Outcomes (25)
Number of Participants With Adverse Events
From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Percent Change From Baseline in PSA
Baseline and Weeks 25, 49, 97, 169 and Week 265 (End of Study)
Percent Change From Baseline in Sex Hormone-Binding Globulin (SHBG)
Baseline and Weeks 25 and 49
Percent Change From Baseline in Androstenedione
Baseline and Weeks 25 and 49
Percent Change From Baseline in Dehydroepiandrosterone (DHEA)
Baseline and Weeks 25 and 49
- +20 more secondary outcomes
Study Arms (1)
Enzalutamide
EXPERIMENTALParticipants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at Week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Interventions
Eligibility Criteria
You may qualify if:
- Histologically confirmed prostate cancer (all stages) for whom androgen deprivation therapy is indicated (except when indicated in a neoadjuvant/adjuvant therapy)
- Asymptomatic from prostate cancer
- Non-castrate level of testosterone (≥ 8 nmol/L (230 ng/dL)) at screening
- PSA ≥ 2 ng/mL at screening
You may not qualify if:
- Has previously or is currently receiving:
- Hormonal therapy with intent to treat prostate cancer
- Systemic glucocorticoids
- Chemotherapy with the intent to treat prostate cancer
- Opiate analgesics for pain from prostate cancer
- Radiation therapy for treatment of the primary tumor or metastases
- Has history of known or suspected brain or skull metastases or leptomeningeal disease
- Has history of seizure including febrile seizure or any condition that may predispose to seizure or history of loss of consciousness or transient ischemic attack
- Clinically significant cardiovascular disease
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Astellas Pharma Inclead
- Medivation, Inc.collaborator
Study Sites (12)
Site BE1003
Brussels, 1090, Belgium
Site BE1001
Brussels, 1200, Belgium
Site BE1002
Kortrijk, 8500, Belgium
Site BE1005
Leuven, 3000, Belgium
Site CZ3006
Olomouc, 77520, Czechia
Site CZ3002
Prague, 16000, Czechia
Site DK4001
Aarhus N, 8200, Denmark
Site DK4004
Copenhagen, DK-2100, Denmark
Site DK4002
Herlev, 2730, Denmark
Site DE5005
Aachen, 51074, Germany
Site DE5007
Bonn, 53111, Germany
Site DE5003
Hanover, 30625, Germany
Related Publications (3)
Trump D. Commentary on: "Enzalutamide monotherapy in hormone-naive prostate cancer: primary analysis of an open-label, single-arm, phase 2 study." Tombal B, Borre M, Rathenborg P, Werbrouck P, Van Poppel H, Heidenreich A, Iversen P, Braeckman J, Heracek J, Baskin-Bey E, Ouatas T, Perabo F, Phung D, Hirmand M, Smith MR. Institut de Recherche Clinique, Universite Catholique de Louvain, Brussels, Belgium. Electronic address: bertrand.tombal@uclouvain.be. Aarhus University Hospital, Aarhus, Denmark. Herlev Hospital, Herlev, Denmark. AZ Groeninge Kortrijk, Kortrijk, Belgium. UZ Leuven, Leuven, Belgium. Klinik und Poliklinik fur Urologie, RWTH University Aachen, Aachen, Germany. Rigshospitalet, University of Copenhagen, Copenhagen, Denmark. UZ Brussel, Brussels, Belgium. Univerzita Karlova v Praze, Prague, Czech Republic. Astellas Pharma Global Development, Leiden, Netherlands. Astellas Pharma Global Development, Northbrook, IL, USA. Medivation Inc, San Francisco, CA, USA. Massachusetts General Hospital Cancer Center, Boston, MA, USA: Lancet Oncol. 2014 May;15(6):592-600; doi: 10.1016/S1470-2045(14)70129-9. [Epub 2014 Apr 14]. Urol Oncol. 2016 May;34(5):248-9. doi: 10.1016/j.urolonc.2015.03.012. Epub 2015 Apr 30.
PMID: 25937426DERIVEDTombal B, Borre M, Rathenborg P, Werbrouck P, Van Poppel H, Heidenreich A, Iversen P, Braeckman J, Heracek J, Baskin-Bey E, Ouatas T, Perabo F, Phung D, Baron B, Hirmand M, Smith MR. Long-term Efficacy and Safety of Enzalutamide Monotherapy in Hormone-naive Prostate Cancer: 1- and 2-Year Open-label Follow-up Results. Eur Urol. 2015 Nov;68(5):787-94. doi: 10.1016/j.eururo.2015.01.027. Epub 2015 Feb 14.
PMID: 25687533DERIVEDTombal B, Borre M, Rathenborg P, Werbrouck P, Van Poppel H, Heidenreich A, Iversen P, Braeckman J, Heracek J, Baskin-Bey E, Ouatas T, Perabo F, Phung D, Hirmand M, Smith MR. Enzalutamide monotherapy in hormone-naive prostate cancer: primary analysis of an open-label, single-arm, phase 2 study. Lancet Oncol. 2014 May;15(6):592-600. doi: 10.1016/S1470-2045(14)70129-9. Epub 2014 Apr 14.
PMID: 24739897DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Clinical Trial Disclosure
- Organization
- Astellas Pharma Global Devlopment, Inc.
Study Officials
- STUDY DIRECTOR
Use Central Contact
Astellas Pharma Europe B.V.
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 21, 2011
First Posted
February 23, 2011
Study Start
May 6, 2011
Primary Completion
July 29, 2012
Study Completion
April 27, 2017
Last Updated
October 2, 2018
Results First Posted
April 6, 2016
Record last verified: 2018-05