A Study of Abiraterone Acetate (JNJ-212082) and Prednisolone in Patients With Advanced Prostate Cancer
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Purpose
The purpose of this study is to assess the safety and efficacy in Korea or Taiwan of oral abiraterone acetate and oral prednisolone in men with metastatic-castration resistant prostate cancer (mCRPC) and with disease progression following treatment with a docetaxel-containing chemotherapy.
| Condition | Intervention | Phase |
|---|---|---|
|
Prostate Cancer |
Drug: abiraterone acetate Drug: prednisolone |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase 2 Open Label Study of Abiraterone Acetate (JNJ-212082) and Prednisolone in Patients With Advanced Prostate Cancer Who Have Failed Androgen Deprivation and Docetaxel-Based Chemotherapy. |
- Prostate specific antigen (PSA) response rate [ Time Frame: Day 1 of treatment Cycles until the date of first documented PSA progression, lost to follow Up or withdrawn consent, as assessed up to 9 months after the last patient is enrolled ] [ Designated as safety issue: No ]PSA response rate is defined as the number of patients achieving a PSA decline of at least 50% according to the Prostate-Specific Antigen Working Group (PSAWG) criteria.
- Overall survival [ Time Frame: up to 5 years ] [ Designated as safety issue: No ]Overall survival is defined as the time interval from the date of the first dose to the date of death.
- Time to PSA progression [ Time Frame: up to 15 months ] [ Designated as safety issue: No ]Time to PSA progression will be measured as the time interval from the date of the first dose to the date of PSA progression as defined in the protocol-specific PSAWG criteria.
- Objective radiographic response rate (RAD-ORR) [ Time Frame: up to 15 months ] [ Designated as safety issue: No ]The objective radiographic response rate (RAD-ORR) is defined as the proportion of patients with measurable lesions with a complete response (CR) or partial response (PR) based on modified response evaluation criteria in solid tumors (RECIST) criteria.
- Serum testosterone and dehydroepiandrosterone (DHEA) sulfate [ Time Frame: up to 15 months ] [ Designated as safety issue: No ]
- Number of patients with adverse events [ Time Frame: up to 30 days after the last study medication administration. ] [ Designated as safety issue: Yes ]
| Enrollment: | 82 |
| Study Start Date: | August 2011 |
| Estimated Study Completion Date: | January 2014 |
| Estimated Primary Completion Date: | June 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Abiraterone actetate and Prednisolone |
Drug: abiraterone acetate
Type=exact number, unit=mg, number=250, form=tablet, route=oral. Patients will receive 4 tablets of abiraterone acetate at least 1 hour before a meal or 2 hours after a meal any time up to 10 pm every day.
Other Name: JNJ-212082
Drug: prednisolone
Type=exact number, unit=mg, number=5, form=tablet, route=oral. Patients will receive 1 tablet of prednisolone twice daily.
Other Name: prednisolone
|
Detailed Description:
This is an open-label (all people know the identity of the intervention), multicenter, single arm (only one treatment group) study to evaluate the efficacy and safety of abiraterone acetate in patients with mCRPC. The study will be divided into screening phase (up to 28 days before enrollment), treatment phase including treatment cycles (each cycle of treatment will be 28 days), and follow-up phase. Approximately 80 patients will be enrolled into this study. Safety evaluations for adverse events, clinical laboratory tests, electrocardiogram and vital signs as well as pharmacokinetic (what the body does to drug) assessments will be conducted in this study. Patients will continue to receive abiraterone acetate plus prednisolone until disease progression or occurrence of unacceptable toxicity.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Histologically or cytologically confirmed adenocarcinoma of the prostate (stage IV)
- Has documented Prostate Specific Antigen (PSA) progression according to protocol-specific prostate specific antigen working group (PSAWG) eligibility criteria
- Has undergone prior chemotherapy for prostate cancer with regimen(s) containing Docetaxel
- Has an ongoing androgen deprivation with serum testosterone less than 50 ng/dL
- Has not received radiotherapy, chemotherapy, or immunotherapy at least 30 days prior to the treatment
- Eastern Cooperative Oncology Group Performance Status less than or equal to 2
Exclusion Criteria:
- Active or uncontrolled autoimmune disease that may require corticosteroid therapy
- Serious or uncontrolled co-existent non-malignant disease, including active and uncontrolled infection
- Uncontrolled hypertension
- Hemoglobin less than or equal to 9.0 g/dL independent of transfusion
- Has abnormal liver function tests
- Surgery or local prostatic intervention within 30 days of the first dose
Contacts and Locations| Korea, Republic of | |
| Busan, Korea, Republic of | |
| Cheongju-Si, Korea, Republic of | |
| Seognam-Si, Kyungki-Do, Korea, Republic of | |
| Seoul, Korea, Republic of | |
| Taiwan | |
| Kaohsiung, Taiwan | |
| Taichung, Taiwan | |
| Taichung City, Taiwan | |
| Taipei, Taiwan | |
| Taoyuan County, Taiwan | |
| Study Director: | Janssen Research & Development, LLC Clinical Trial | Janssen Research & Development, LLC |
More Information
No publications provided
| Responsible Party: | Janssen Research & Development, LLC |
| ClinicalTrials.gov Identifier: | NCT01685983 History of Changes |
| Other Study ID Numbers: | CR100009, 212082PCR2007 |
| Study First Received: | September 12, 2012 |
| Last Updated: | May 31, 2013 |
| Health Authority: | Taiwan: Taiwan Food and Drug Administration |
Keywords provided by Janssen Research & Development, LLC:
|
Prostate Cancer Metastatic-castration resistant prostate cancer Prostate specific antigen Abiraterone acetate JNJ-212082 |
Abiraterone Prednisolone Androgen Deprivation Docetaxel-based chemotherapy |
Additional relevant MeSH terms:
|
Prostatic Neoplasms Genital Neoplasms, Male Urogenital Neoplasms Neoplasms by Site Neoplasms Genital Diseases, Male Prostatic Diseases Androgens Methylprednisolone acetate Prednisolone acetate Prednisolone Methylprednisolone Methylprednisolone Hemisuccinate Prednisolone hemisuccinate Prednisolone phosphate |
Hormones Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs Pharmacologic Actions Anti-Inflammatory Agents Therapeutic Uses Glucocorticoids Antineoplastic Agents, Hormonal Antineoplastic Agents Antiemetics Autonomic Agents Peripheral Nervous System Agents Central Nervous System Agents Gastrointestinal Agents Neuroprotective Agents |
ClinicalTrials.gov processed this record on June 17, 2013