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A Study of Leuprolide 45 mg Formulation to Treat Prostate Cancer
This study has been completed.
First Received: February 20, 2008   Last Updated: September 30, 2009   History of Changes
Sponsor: Abbott
Information provided by: Abbott
ClinicalTrials.gov Identifier: NCT00626431
  Purpose

The purpose of this study is to access the efficacy and safety of two new formulations of leuprolide acetate 45 mg 6-month depot formulations in treating patients with prostate cancer.


Condition Intervention Phase
Prostate Cancer
Drug: Leuprolide acetate formulation A
Drug: Leuprolide acetate formulation B
Phase III

Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Official Title: A Phase 3, Multi-Center, Open-Label, Trial to Evaluate the Efficacy, Safety and Pharmacokinetics of Two 6-Month Leuprolide Formulations, in Subjects With Prostatic Adenocarcinoma.

Resource links provided by NLM:


Further study details as provided by Abbott:

Primary Outcome Measures:
  • The suppression of serum testosterone (≤50 ng/dL) from Week 4 through Week 48. [ Time Frame: Week 4 through Week 48 ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Change from baseline in Prostate Specific antigen (PSA) levels. [ Time Frame: At each treatment visit ] [ Designated as safety issue: No ]
  • Mean testosterone concentration [ Time Frame: Measured at each treatment visit ] [ Designated as safety issue: No ]
  • "Acute-on-chronic" changes in testosterone and Luteinizing Hormone (LH) levels [ Time Frame: From just prior to the second (Week 24) injection through the visit 14 days post-second injection ] [ Designated as safety issue: No ]

Enrollment: 310
Study Start Date: March 2008
Primary Completion Date: August 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
Leuprolide acetate Formulation A
Drug: Leuprolide acetate formulation A
Two intramuscular injections of Formulation A 45 mg 6 month depot administered 24 weeks apart.
2: Experimental
Leuprolide acetate Formulation B
Drug: Leuprolide acetate formulation B
Two intramuscular injections of Formulation B 45 mg 6-month depot administered 24 weeks apart.

Detailed Description:

Subjects will receive a total of two intramuscular injections, administered 24 weeks apart.

Approximately 300 male subjects will be enrolled. The first 150 enrolled will receive Formulation A for both injections and the next 150 will receive Formulation B for both injections.

This study will be conducted by approximately 60-80 investigative sites. Patients will participate in the trial for approximately 14 months.

This trial includes a Screening Period (up to 4 weeks), 12-month Treatment Period (two 6 month treatment cycles), and a Follow-Up Period (30 days). This trial will include a total of 20 visits (Screening Visit, 18 Treatment Period Visits, and a Post-Treatment Follow-Up Visit).

  Eligibility

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

Inclusion Criteria:

  • Voluntarily sign an IRB-approved informed consent form and any required privacy statement/authorization form.
  • Pre-trial serum testosterone level >150 ng/dL.
  • Histologically-confirmed prostatic adenocarcinoma in Jewett Clinical Stage A2, B, C or D and TNM* classification cT1b-4, N: any, M: any.

    *Tumor/Nodes/Metastases

  • Subjects with a rising PSA following radical prostatectomy defined as an increase of 0.2 ng/dL from the previous test on two consecutive testings or rising PSA following prostate irradiation using Phoenix Definition of a rise of greater than or equal to 2.0 ng/dL above the nadir.
  • Prostate cancer and general clinical status is sufficient to warrant at least 48 weeks of continuous androgen deprivation treatment, without concomitant antiandrogen treatment.
  • Eastern Cooperative Oncology Group (ECOG) Performance status grades 0,1,or 2 at the time of pre-trial screening.
  • Life expectancy of at least 18 months.
  • Subjects with serum creatinine ≤1.9 mg/dL, bilirubin ≤2.0 mg/dL (unless Gilbert's syndrome with normal AST, ALT); AST and ALT ≤2.5 times the ULN.

Exclusion Criteria:

  • Requires additional treatment including radical prostatectomy, radiotherapy or cryotherapy of local disease
  • Historical, clinical, or radiographic evidence of central nervous system metastases, including spinal cord metastasis.
  • Clinical evidence of urinary tract obstruction.
  • History of bilateral orchiectomy, adrenalectomy, or hypophysectomy.
  • History of clinical hypogonadism.
  • Current malignancy or history of malignancy except for prostate cancer or basal or squamous cell carcinoma of the skin.
  • Clinical or laboratory evidence of any severe underlying disease state (excluding prostate cancer) that would place subjects in additional jeopardy by participating in this trial.
  • Hypersensitivity to leuprolide, polylactic acid, or any excipient of the drug.
  • Incomplete recovery from the effects of any major surgery.
  • History of receiving of the following prostate cancer therapies within 8 weeks prior to the Screening Visit: chemotherapy, immunotherapy, antiandrogen, radiation therapy, cryotherapy, strontium, or biological response modifiers.
  • History of prostatic surgery within 4 weeks prior to the Screening Visit.
  • Received hormonal therapy, including GnRH analogs (less than or equal to 6 month depot administration), estrogen, Megace and phytotherapy, within 32 weeks prior to the Screening Visit and during the trial.
  • Alternative medical therapies which have an estrogenic, androgenic, or antiandrogenic effect (including phyto-estrogens and phyto-androgens) within 12 weeks prior to the Screening Visit and during the trial.
  • Requires the chronic use of systemic corticosteroids and anticonvulsants that may affect bone loss such as carbamazepine, phenobarbital, phenytoin, valproic acid or primidone.
  • May require antiandrogen, immuno-, or surgical therapy for prostate cancer during the trial.
  • History of alcoholism or consumes >14 alcoholic beverages per week or illicit drug abuse within 12 months prior to screening.
  • Received therapy with a GnRH analog 1 year implant within 60 weeks prior to the Screening Visit.
  • Received therapy with finasteride or ketoconazole within 1 week prior to the Screening Visit; dutasteride within 25 weeks prior to the Screening Visit.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00626431

  Hide Study Locations
Locations
United States, Alabama
Homewood, Alabama, United States, 35209
Birmingham, Alabama, United States, 35209
United States, Alaska
Anchorage, Alaska, United States, 99508
United States, Arizona
Tucson, Arizona, United States, 85712
Phoenix, Arizona, United States, 85013
United States, Arkansas
Little Rock, Arkansas, United States, 72211
United States, California
Anaheim, California, United States, 92801
Fresno, California, United States, 93720
Laguna Hills, California, United States, 92653
Atherton, California, United States, 94027
Torrance, California, United States, 90505
Tarzana, California, United States, 91356
Long Beach, California, United States, 90806
United States, Colorado
Englewood, Colorado, United States, 80113
Denver, Colorado, United States, 80211
United States, Connecticut
Middlebury, Connecticut, United States, 06762
New Britain, Connecticut, United States, 06052
United States, Florida
Daytona Beach, Florida, United States, 32114
Tallahassee, Florida, United States, 32308
Saint Augustine, Florida, United States, 32086
St. Petersburg, Florida, United States, 33710
Orlando, Florida, United States, 32803
Wellington, Florida, United States, 33414
West Palm Beach, Florida, United States, 33407
Aventura, Florida, United States, 33180
New Smyrna Beach, Florida, United States, 32168
United States, Georgia
Roswell, Georgia, United States, 30076
Thomasville, Georgia, United States, 31799
United States, Indiana
Fort Wayne, Indiana, United States, 46825
Newburgh, Indiana, United States, 47630
United States, Kansas
Overland Park, Kansas, United States, 66211
United States, Maryland
Greenbelt, Maryland, United States, 20770
United States, Nevada
Las Vegas, Nevada, United States, 89148
United States, New Jersey
Lawrenceville, New Jersey, United States, 08648
United States, New York
Poughkeepsie, New York, United States, 12601
New York, New York, United States, 10016
Bronx, New York, United States, 10461
United States, North Carolina
Raleigh, North Carolina, United States, 27607
Concord, North Carolina, United States, 28025
Charlotte, North Carolina, United States, 28209
Winston-Salem, North Carolina, United States, 27103
United States, Ohio
Cincinnati, Ohio, United States, 45212
Columbus, Ohio, United States, 43220
United States, Oklahoma
Bethany, Oklahoma, United States, 73008
United States, Pennsylvania
Lancaster, Pennsylvania, United States, 17604
Bala Cynwyd, Pennsylvania, United States, 19004
United States, South Carolina
Myrtle Beach, South Carolina, United States, 29572
United States, Tennessee
Nashville, Tennessee, United States, 37209
Nashville, Tennessee, United States, 37232
Germantown, Tennessee, United States, 38138
Memphis, Tennessee, United States, 38119
United States, Texas
Dallas, Texas, United States, 75231
Houston, Texas, United States, 77024
San Antonio, Texas, United States, 78229
Tyler, Texas, United States, 75701
United States, Utah
Salt Lake City, Utah, United States, 84107
United States, Virginia
Norfolk, Virginia, United States, 23502
Richmond, Virginia, United States, 23235
Sponsors and Collaborators
Abbott
  More Information

No publications provided

Responsible Party: Abbott ( Peter Bacher, Global Project Head )
Study ID Numbers: L-PC07-169
Study First Received: February 20, 2008
Last Updated: September 30, 2009
ClinicalTrials.gov Identifier: NCT00626431     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by Abbott:
Lupron Depot
prostate cancer

Additional relevant MeSH terms:
Genital Neoplasms, Male
Prostatic Diseases
Antineoplastic Agents, Hormonal
Antineoplastic Agents
Physiological Effects of Drugs
Urogenital Neoplasms
Reproductive Control Agents
Genital Diseases, Male
Pharmacologic Actions
Neoplasms
Neoplasms by Site
Leuprolide
Therapeutic Uses
Fertility Agents, Female
Fertility Agents
Prostatic Neoplasms

ClinicalTrials.gov processed this record on November 30, 2009