Efficacy Study of Switching to a Lutenizing Hormone-releasing Hormone (LHRH) Antagonist From a LHRH Agonist to Treat Progressive Castrate Resistant Prostate Cancer (CRPC)
A Phase II Single Arm Study of Degarelix in Men With Castrate Resistant Prostate Cancer With a Rising Prostate-Specific Antigen (PSA) Despite LHRH Agonist Therapy.
1 other identifier
interventional
40
1 country
1
Brief Summary
Men with castrate resistant prostate cancer who are switched from a luteinizing hormone-releasing hormone (LHRH) antagonists from a LHRH agonist will experience a fall in prostate-specific antigen (PSA).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Aug 2012
Shorter than P25 for phase_2
1 active site
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
June 25, 2012
CompletedFirst Posted
Study publicly available on registry
June 28, 2012
CompletedStudy Start
First participant enrolled
August 1, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2013
CompletedJune 28, 2012
June 1, 2012
1.3 years
June 25, 2012
June 27, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
50% fall in PSA
Proportion of patients with castrate resistant prostate cancer (CRPC) who have a PSA decline of ≥50% from baseline when switched from an LHRH agonist to an LHRH antagonist
8 weekly
Secondary Outcomes (7)
Luteinizing hormone (LH)
8 weekly
Follicle stimulating hormone (FSH)
8 weekly
Testosterone (TT)
8 weekly
dehydroepiandrosterone (DHEA)
8 weekly
dehydroepiandrosterone-sulfate (DHEA-S)
8 weekly
- +2 more secondary outcomes
Study Arms (1)
Degarelix
EXPERIMENTALDegarelix 240mg subcutaneously loading dose, then 80mg sc every month until disease progression.
Interventions
Standard dosing and schedule for administration of degarelix will be used. 240mg s.c. loading dose, 80mg s.c. monthly maintenance dose.
Eligibility Criteria
You may qualify if:
- histologically confirmed adenocarcinoma of the prostate
- currently receiving LHRH agonist
- Anti-androgen oral therapy is permitted but will be discontinued upon enrollment
- PSA \> 2 ng/ml
- rising PSA despite LHRH agonist
- patients may or may not have clinical evidence off metastases. If metastases are present, they must be asymptomatic and in bone or lymph node only
- Prior chemotherapy allowed
- ECOG performance status 0-1
You may not qualify if:
- Patients with a history of other active malignancies, except: adequately treated non-melanoma skin cancer, superficial bladder cancer, or other solid tumours curatively treated with no evidence of disease for ≥ 3 years.
- Other serious illness, psychiatric or medical condition that would not permit the patient to be managed according to the protocol including: i)Significant cardiovascular condition including but not limited to: uncontrolled hypertension, unstable angina, significant congestive heart failure or myocardial infarction, deep venous thrombosis, pulmonary embolus or cerebrovascular attack within the last 6 months. ii) History of significant neurological disorder that would impair the ability to obtain consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- British Columbia Cancer Agencylead
- Ferring Pharmaceuticalscollaborator
Study Sites (1)
British Columbia Cancer Agency
Vancouver, British Columbia, V5Z4E6, Canada
Related Publications (1)
Crawford ED, Tombal B, Miller K, Boccon-Gibod L, Schroder F, Shore N, Moul JW, Jensen JK, Olesen TK, Persson BE. A phase III extension trial with a 1-arm crossover from leuprolide to degarelix: comparison of gonadotropin-releasing hormone agonist and antagonist effect on prostate cancer. J Urol. 2011 Sep;186(3):889-97. doi: 10.1016/j.juro.2011.04.083. Epub 2011 Jul 23.
PMID: 21788033RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Kim N Chi, MD
British Columbia Cancer Agency, Univeristy of British Columbia
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor of Medicine, University of British Columbia
Study Record Dates
First Submitted
June 25, 2012
First Posted
June 28, 2012
Study Start
August 1, 2012
Primary Completion
December 1, 2013
Study Completion
December 1, 2013
Last Updated
June 28, 2012
Record last verified: 2012-06