A Study of Abiraterone Acetate Plus Prednisone in Patients With Metastatic Castration-Resistant Prostate Cancer Who Have Failed Docetaxel-Based Chemotherapy

This study is ongoing, but not recruiting participants.
Sponsor:
Information provided by (Responsible Party):
Janssen Research & Development, LLC
ClinicalTrials.gov Identifier:
NCT01695135
First received: September 25, 2012
Last updated: August 28, 2014
Last verified: August 2014
  Purpose

The purpose of this study is to evaluate the safety and efficacy of abiraterone acetate when co-administered with prednisone in Asian patients with metastatic castration-resistant prostate cancer (mCRPC) who have failed docetaxel-based chemotherapy.


Condition Intervention Phase
Prostate Neoplasms
Drug: Abiraterone acetate
Drug: Placebo
Drug: Prednisone
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator)
Primary Purpose: Treatment
Official Title: A Phase 3, Randomized, Double-blind, Placebo-Controlled Study of Abiraterone Acetate (JNJ-212082) Plus Prednisone in Patients With Metastatic Castration-Resistant Prostate Cancer Who Have Failed Docetaxel-Based Chemotherapy

Resource links provided by NLM:


Further study details as provided by Janssen Research & Development, LLC:

Primary Outcome Measures:
  • Time to prostate specific antigen (PSA) progression (TTPP) [ Time Frame: From randomization to the time of PSA progression (up to Month 27) ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Number of participants affected by an adverse event [ Time Frame: Up to 30 days after the last dose of study medication ] [ Designated as safety issue: Yes ]
  • Number of participants achieving a PSA decline >=50% [ Time Frame: From randomization, on Day 1 of each treatment cycle, to the end-of treatment visit (up to 30 days after the last dose of study medication) ] [ Designated as safety issue: No ]
  • Objective response rate [ Time Frame: From randomization, on Day 1 of each treatment cycle, up to the end-of treatment visit (up to 30 days after the last dose of study medication) ] [ Designated as safety issue: No ]
  • Change in Functional Assessment of Cancer Therapy-Prostate (FACT-P) questionnaire quality of life total and subscale scores [ Time Frame: From randomization, on Day 1 of Cycles 1, 3, 5, 7, 10; Day 1 of every third cycle after Cycle 13, up to the end-of treatment visit (up to 30 days after the last dose of study medication) ] [ Designated as safety issue: No ]
  • Time to pain progression [ Time Frame: From randomization to the first observation of symptomatic pain progression up to the end-of treatment visit (up to 30 days after the last dose of study medication) ] [ Designated as safety issue: No ]
  • Number of patients experiencing pain palliation [ Time Frame: From randomization up to the end-of treatment visit (up to 30 days after the last dose of study medication) ] [ Designated as safety issue: No ]
  • Change in Brief Fatigue Inventory (BFI) score [ Time Frame: From randomization, on Day 1 of Cycles 1, 3, 5, 7, 10; Day 1 of every third cycle after Cycle 13, up to the end-of treatment visit (up to 30 days after the last dose of study medication) ] [ Designated as safety issue: No ]
  • Overall survival [ Time Frame: From randomization to the time of death from any cause (up to Month 60) ] [ Designated as safety issue: Yes ]

Enrollment: 214
Study Start Date: August 2012
Estimated Study Completion Date: August 2015
Estimated Primary Completion Date: August 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Abiraterone acetate plus prednisone Drug: Abiraterone acetate
Abiraterone 1000 mg (4 x 250 mg tablets) taken orally once daily
Drug: Prednisone
Prednisone 5 mg tablet taken orally twice daily
Experimental: Placebo plus prednisone Drug: Placebo
Placebo (4 tablets) taken orally once daily
Drug: Prednisone
Prednisone 5 mg tablet taken orally twice daily

Detailed Description:

This is a randomized (the treatment group is assigned by chance), double-blind (neither physician nor patient knows the treatment that the patient receives) placebo (an inactive substance that is compared with a drug to test whether the drug has a real effect in a clinical trial)-controlled study with a randomization allocation ratio of 2:1 between the abiraterone acetate group (abiraterone acetate plus prednisone) and the placebo group (placebo plus prednisone). Approximately 200 (133 in the abiraterone acetate group and 67 in the placebo group) medically or surgically castrated male patients with mCRPC who have failed docetaxel-based chemotherapy will be enrolled in this study for up to 27 months. The study protocol includes the following phases: screening (within 28 days prior to randomization on Cycle 1 Day 1), double-blind treatment (28-day cycles until protocol-defined disease progression or unacceptable toxicity), and survival follow-up (up to Month 60). During the follow-up phase, patients with disease progression will be provided open-label (identity of assigned study drug will be known) extension treatment with abiraterone acetate. In the event of a positive study result at the time of the final analysis, participants in the placebo group who have not shown progressive disease in the double-blind treatment Phase of the study will be enrolled in an open-label extension treatment with abiraterone acetate treatment based on the participant's choice and treating physician's endorsement if they meet the criteria for subsequent abiraterone acetate. Abiraterone acetate 1000 mg tablets or placebo will be taken orally (by mouth) once daily plus prednisone 5 mg tablet orally twice daily. Efficacy and safety will be monitored throughout the study.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Histologically or cytologically confirmed adenocarcinoma of the prostate except neuroendocrine carcinoma including small cell carcinoma
  • Disease progressed on or after prior docetaxel-containing chemotherapy
  • Prior 1 or 2 cytotoxic chemotherapy regimens for metastatic castration-resistant prostate cancer, at least 1 of which contains docetaxel
  • Documented prostate cancer progression as documented by prostate specific antigen progression according to Prostate Specific Antigen Working Group criteria or radiographic progression in soft tissue or bone
  • Surgically or medically castrated, with serum testosterone level <50 ng/dL (1.7 nmol/L)
  • Eastern Cooperative Oncology Group performance status score of <=2
  • Protocol-defined laboratory values
  • Agrees to protocol-defined use of effective contraception

Exclusion Criteria:

  • Active infection or other medical condition that would make prednisone (corticosteroid) use contraindicated
  • Any chronic medical condition requiring a higher dose of corticosteroid than 5 mg prednisone twice daily
  • Pathological finding consistent with neuroendocrine carcinoma of prostate including small cell carcinoma
  • Uncontrolled hypertension (systolic BP >=160 mmHg or diastolic BP >=95 mmHg; patients with a history of hypertension are allowed provided blood pressure is controlled by anti-hypertensive therapy)
  • Active or symptomatic viral hepatitis or chronic liver disease, have a known infection with human immunodeficiency virus and/or hepatitis B virus or hepatitis C virus
  • History of pituitary or adrenal dysfunction.
  • Clinically significant heart disease as evidenced by myocardial infarction, or arterial thrombotic events in the past 6 months, severe or unstable angina, or New York Heart Association Class III or IV heart disease or cardiac ejection fraction measurement of <50% at baseline
  • Atrial fibrillation, or other cardiac arrhythmia requiring therapy
  • Other malignancy within past 3 years (except basal or nonmetastatic squamous cell carcinoma of the skin)
  • Known brain metastasis
  • Prior therapy with abiraterone acetate or other CYP17 inhibitor(s), or investigational agent(s) targeting the androgen receptor for metastatic prostate cancer
  • Prior therapy with ketoconazole for prostate cancer
  • Surgery or local prostatic intervention within 30 days of the first dose
  • Radiotherapy, chemotherapy, or immunotherapy within 30 days, or single fraction of palliative radiotherapy within 14 days of administration of Cycle 1 Day 1
  • Any acute toxicities due to prior chemotherapy and/or radiotherapy that have not resolved to a National Cancer Institute-Common Terminology Criteria for Adverse Events grade of <=1 (chemotherapy induced alopecia and grade 2 peripheral neuropathy is allowed)
  • Current enrollment in an investigational drug or device study or participation in such a study within 30 days of Cycle 1 Day 1
  • Anti-androgen treatment must not be given within 4 weeks (flutamide) or 6 weeks (bicalutamide or nilutamide) prior to Cycle 1 Day 1
  • Prior systemic treatment with an azole drug (eg, fluconazole, itraconazole) within 4 weeks prior to Cycle 1 Day 1
  • Has known allergies, hypersensitivity, or intolerance to abiraterone acetate or its excipients
  • Has contraindications to the use of prednisone per local prescribing information
  • Has any condition that, in the opinion of the investigator, would make participation not be in the best interest (eg, compromise the well-being) of the patient or that could prevent, limit, or confound the protocol-specified assessments
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01695135

Locations
China
Beijing, China
Changsha, China
Chongqing, China
Guangzhou, China
Hangzhou, China
Nanjing, China
Shanghai, China
Su Zhou, China
Tianjin, China
Wenzhou, China
Wuhan, China
Sponsors and Collaborators
Janssen Research & Development, LLC
Investigators
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: NCT01695135     History of Changes
Other Study ID Numbers: CR100010, ABI-PRO-3001
Study First Received: September 25, 2012
Last Updated: August 28, 2014
Health Authority: China: Food and Drug Administration
United States: Food and Drug Administration

Keywords provided by Janssen Research & Development, LLC:
Prostate neoplasms
Prostate cancer
Metastatic castration resistant prostate cancer
Abiraterone acetate
JNJ-212082

Additional relevant MeSH terms:
Neoplasms
Prostatic Neoplasms
Genital Neoplasms, Male
Urogenital Neoplasms
Neoplasms by Site
Genital Diseases, Male
Prostatic Diseases
Prednisone
Docetaxel
Anti-Inflammatory Agents
Therapeutic Uses
Pharmacologic Actions
Glucocorticoids
Hormones
Hormones, Hormone Substitutes, and Hormone Antagonists
Physiological Effects of Drugs
Antineoplastic Agents, Hormonal
Antineoplastic Agents
Tubulin Modulators
Antimitotic Agents
Mitosis Modulators
Molecular Mechanisms of Pharmacological Action

ClinicalTrials.gov processed this record on August 28, 2014