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A Trial Comparing Cardiovascular Safety of Degarelix Versus Leuprolide in Patients With Advanced Prostate Cancer and Cardiovascular Disease (PRONOUNCE)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT02663908
Recruitment Status : Terminated (Recruitment rate; a lower than anticipated observed cardiovascular event rate. The Sponsor decision to stop the trial was not based on any safety concerns or any knowledge of the results, or influenced by issues imposed by the COVID-19 pandemic.)
First Posted : January 26, 2016
Results First Posted : June 29, 2022
Last Update Posted : June 29, 2022
Sponsor:
Collaborators:
Memorial Sloan Kettering Cancer Center
Duke Clinical Research Institute
Information provided by (Responsible Party):
Ferring Pharmaceuticals

Study Type Interventional
Study Design Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: Single (Outcomes Assessor);   Primary Purpose: Treatment
Condition Prostate Cancer
Interventions Drug: Degarelix
Drug: Leuprolide
Enrollment 545
Recruitment Details The trial was performed at 113 investigational sites in 12 countries between Apr 2016 to Mar 2021.
Pre-assignment Details In total, 702 subjects were screened of which 545 subjects were randomized. Of the randomized subjects, 544 subjects were exposed to the investigational medicinal product (IMP): 275 to Degarelix and 269 to Leuprolide. One subject was randomized in error and not exposed to IMP.
Arm/Group Title Degarelix 240 mg/80 mg Leuprolide 22.5 mg
Hide Arm/Group Description Degarelix 240 mg/80 mg: Degarelix at a starting dose of 240 mg administered as two subcutaneous (SC) depot injections, each containing 120 mg of degarelix; followed by up to 11 maintenance doses of 80 mg degarelix administered as single SC depot injections at monthly (28-day) intervals. Leuprolide 22.5 mg: Leuprolide at dose of 22.5 mg administered as intramuscular depot injection every 3 months throughout the trial.
Period Title: Overall Study
Started 276 269
Full Analysis Set (FAS) 275 269
Completed 244 245
Not Completed 32 24
Reason Not Completed
Withdrawal by Subject             8             5
Lost to Follow-up             1             5
Adverse Event             13             11
Protocol Violation             1             2
Lack of therapeutic response             2             0
COVID-19             1             0
Site closed             1             0
Subject to begin treatment with an exclusionary medication             1             0
Subject ended trial due to being prescribed prohibited medication             1             0
Intolerance to FIRMAGON therapy             1             0
Death             1             0
Subject randomized in error and did not receive the IMP             1             0
Subject discontinued treatment as he was in hospice and could not make it for end-of-trial visit             0             1
Arm/Group Title Degarelix 240 mg/80 mg Leuprolide 22.5 mg Total
Hide Arm/Group Description Degarelix 240 mg/80 mg: Degarelix at a starting dose of 240 mg administered as two SC depot injections, each containing 120 mg of degarelix; followed by up to 11 maintenance doses of 80 mg degarelix administered as single SC depot injections at monthly (28-day) intervals. Leuprolide 22.5 mg: Leuprolide at dose of 22.5 mg administered as intramuscular depot injection every 3 months throughout the trial. Total of all reporting groups
Overall Number of Baseline Participants 275 269 544
Hide Baseline Analysis Population Description
The FAS consisted of all randomized and treated subjects (who received at least one dose of IMP) and was analyzed based on the planned (randomized) treatment.
Age, Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 275 participants 269 participants 544 participants
73.3  (7.28) 73.1  (7.16) 73.2  (7.22)
Age, Customized  
Measure Type: Count of Participants
Unit of measure:  Participants
< 75 years Number Analyzed 275 participants 269 participants 544 participants
153 151 304
>= 75 years Number Analyzed 275 participants 269 participants 544 participants
122 118 240
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 275 participants 269 participants 544 participants
Female 0 0 0
Male 275 269 544
Ethnicity (NIH/OMB)   [1] 
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 275 participants 269 participants 544 participants
Hispanic or Latino 16 14 30
Not Hispanic or Latino 256 254 510
Unknown or Not Reported 3 1 4
[1]
Measure Analysis Population Description: Number analyzed differs from the overall population as baseline ethnicity was not reported for some of the subjects.
Race (NIH/OMB)   [1] 
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 275 participants 269 participants 544 participants
American Indian or Alaska Native 2 0 2
Asian 3 5 8
Native Hawaiian or Other Pacific Islander 0 0 0
Black or African American 16 12 28
White 252 251 503
More than one race 0 0 0
Unknown or Not Reported 2 1 3
[1]
Measure Analysis Population Description: Number analyzed differs from the overall population as baseline race was not reported for some of the subjects.
Region of Enrollment  
Measure Type: Number
Unit of measure:  Participants
Greece Number Analyzed 275 participants 269 participants 544 participants
15 15 30
Canada Number Analyzed 275 participants 269 participants 544 participants
25 25 50
United States Number Analyzed 275 participants 269 participants 544 participants
111 102 213
Czechia Number Analyzed 275 participants 269 participants 544 participants
22 25 47
Finland Number Analyzed 275 participants 269 participants 544 participants
0 1 1
Poland Number Analyzed 275 participants 269 participants 544 participants
3 5 8
South Africa Number Analyzed 275 participants 269 participants 544 participants
2 0 2
United Kingdom Number Analyzed 275 participants 269 participants 544 participants
8 7 15
Slovakia Number Analyzed 275 participants 269 participants 544 participants
37 45 82
France Number Analyzed 275 participants 269 participants 544 participants
16 14 30
Germany Number Analyzed 275 participants 269 participants 544 participants
10 9 19
Russia Number Analyzed 275 participants 269 participants 544 participants
26 21 47
Baseline body mass index (BMI)   [1] 
Mean (Standard Deviation)
Unit of measure:  Kg/m^2
Number Analyzed 273 participants 268 participants 541 participants
28.38  (5.057) 28.58  (4.589) 28.48  (4.828)
[1]
Measure Analysis Population Description: Number analyzed differs from the overall population as baseline BMI was not reported for some of the subjects.
Stage of prostate cancer  
Measure Type: Count of Participants
Unit of measure:  Participants
Localized Number Analyzed 275 participants 269 participants 544 participants
138 133 271
Locally Advanced Number Analyzed 275 participants 269 participants 544 participants
63 80 143
Metastatic Number Analyzed 275 participants 269 participants 544 participants
63 48 111
Not classifiable Number Analyzed 275 participants 269 participants 544 participants
11 8 19
Eastern Cooperative Oncology Group (ECOG) performance score   [1] 
Measure Type: Count of Participants
Unit of measure:  Participants
0 score Number Analyzed 275 participants 269 participants 544 participants
178 167 345
1 score Number Analyzed 275 participants 269 participants 544 participants
75 80 155
2 score Number Analyzed 275 participants 269 participants 544 participants
8 11 19
[1]
Measure Description: The ECOG performance status was assessed according to a scale from 0 to 4, where 0 is fully active, able to carry on all pre-disease performance without restriction and where 4 is completely disabled. Cannot carry on any self-care. Totally confined to bed or chair.
Testosterone levels   [1] 
Mean (Standard Deviation)
Unit of measure:  ng/dL
Number Analyzed 274 participants 269 participants 543 participants
353.6  (150.49) 351.6  (140.32) 352.6  (145.41)
[1]
Measure Analysis Population Description: Number analyzed differs from the overall population as baseline testosterone was not reported for some of the subjects.
Prostate Specific Antigen (PSA)   [1] 
Mean (Standard Deviation)
Unit of measure:  ng/mL
Number Analyzed 275 participants 268 participants 543 participants
119.7  (472.10) 59.9  (236.68) 90.2  (375.72)
[1]
Measure Analysis Population Description: Number analyzed differs from the overall population as baseline PSA was not reported for some of the subjects.
1.Primary Outcome
Title Time From Randomization to the First Confirmed (Adjudicated) Occurrence of the Composite Major Adverse Cardiovascular Event (MACE) Endpoint; Percentage of Observed Subjects With Outcome Measure Events During the Trial
Hide Description

Composite MACE endpoint was defined as: death due to any cause, non-fatal myocardial infarction or non-fatal stroke.

Kaplan Meier plots of the cumulative incidence rate by treatment groups were used to depict first confirmed (adjudicated) occurrence of composite MACE over time. Percentage of observed subjects with outcome measure events during the trial are reported.

Subjects were censored at the time a subject discontinued the trial, was lost to follow-up, discontinued treatment with IMP, initiated treatment with prohibited medication (including hormonal combination therapy), or at Day 336, whichever occurred first.

Time Frame Randomization to Day 336 (end-of-trial)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS consisted of all randomized and treated subjects (who received at least one dose of IMP) and was analyzed based on the planned (randomized) treatment.
Arm/Group Title Degarelix 240 mg/80 mg Leuprolide 22.5 mg
Hide Arm/Group Description:
Degarelix 240 mg/80 mg: Degarelix at a starting dose of 240 mg administered as two SC depot injections, each containing 120 mg of degarelix; followed by up to 11 maintenance doses of 80 mg degarelix administered as single SC depot injections at monthly (28-day) intervals.
Leuprolide 22.5 mg: Leuprolide at dose of 22.5 mg administered as intramuscular depot injection every 3 months throughout the trial.
Overall Number of Participants Analyzed 275 269
Measure Type: Number
Unit of Measure: percentage of subjects
5.5 4.1
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Degarelix 240 mg/80 mg, Leuprolide 22.5 mg
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.5294
Comments [Not Specified]
Method Log Rank
Comments The p-value of the log-rank test is based on comparison of the treatment groups stratified for age group and region.
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.283
Confidence Interval (2-Sided) 95%
0.589 to 2.794
Estimation Comments Baseline hazards for the Cox regression were stratified over variables: age group and region.
2.Secondary Outcome
Title Time From Randomization to the First Confirmed (Adjudicated) Occurrence of Cardiovascular (CV)-Related Death, Non-fatal Myocardial Infarction or Non-fatal Stroke; Percentage of Observed Subjects With Outcome Measure Events During the Trial
Hide Description

Kaplan Meier plots of the cumulative incidence rate by treatment groups were used to depict confirmed (adjudicated) occurrence of CV-related death, non-fatal myocardial infarction or non-fatal stroke. Percentage of observed subjects with outcome measure events during the trial are reported.

Subjects were censored at the time a subject discontinued the trial, was lost to follow-up, discontinued treatment with IMP, initiated treatment with prohibited medication (including hormonal combination therapy), or at Day 336, whichever occurred first.

Time Frame Randomization to Day 336 (end-of-trial)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS consisted of all randomized and treated subjects (who received at least one dose of IMP) and was analyzed based on the planned (randomized) treatment.
Arm/Group Title Degarelix 240 mg/80 mg Leuprolide 22.5 mg
Hide Arm/Group Description:
Degarelix 240 mg/80 mg: Degarelix at a starting dose of 240 mg administered as two SC depot injections, each containing 120 mg of degarelix; followed by up to 11 maintenance doses of 80 mg degarelix administered as single SC depot injections at monthly (28-day) intervals.
Leuprolide 22.5 mg: Leuprolide at dose of 22.5 mg administered as intramuscular depot injection every 3 months throughout the trial.
Overall Number of Participants Analyzed 275 269
Measure Type: Number
Unit of Measure: percentage of subjects
3.3 2.6
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Degarelix 240 mg/80 mg, Leuprolide 22.5 mg
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.7126
Comments [Not Specified]
Method Log Rank
Comments The p-value of the log-rank test is based on comparison of the treatment groups stratified for age group and region.
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.204
Confidence Interval (2-Sided) 95%
0.448 to 3.234
Estimation Comments Baseline hazards for the Cox regression were stratified over variables: age group and region.
3.Secondary Outcome
Title Time From Randomization to Confirmed (Adjudicated) CV-related Death; Percentage of Observed Subjects With Outcome Measure Events During the Trial
Hide Description

Kaplan Meier plots of the cumulative incidence rate by treatment groups were used to depict confirmed (adjudicated) CV-related death. Percentage of observed subjects with outcome measure events during the trial are reported. Percentage of observed subjects with outcome measure events during the trial are reported.

Subjects were censored at the time a subject discontinued the trial, was lost to follow-up, discontinued treatment with IMP, initiated treatment with prohibited medication (including hormonal combination therapy), or at Day 336, whichever occurred first.

Time Frame Randomization to Day 336 (end-of-trial)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS consisted of all randomized and treated subjects (who received at least one dose of IMP) and was analyzed based on the planned (randomized) treatment.
Arm/Group Title Degarelix 240 mg/80 mg Leuprolide 22.5 mg
Hide Arm/Group Description:
Degarelix 240 mg/80 mg: Degarelix at a starting dose of 240 mg administered as two SC depot injections, each containing 120 mg of degarelix; followed by up to 11 maintenance doses of 80 mg degarelix administered as single SC depot injections at monthly (28-day) intervals.
Leuprolide 22.5 mg: Leuprolide at dose of 22.5 mg administered as intramuscular depot injection every 3 months throughout the trial.
Overall Number of Participants Analyzed 275 269
Measure Type: Number
Unit of Measure: percentage of subjects
0.4 1.9
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Degarelix 240 mg/80 mg, Leuprolide 22.5 mg
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0853
Comments [Not Specified]
Method Log Rank
Comments The p-value of the log-rank test is based on comparison of the treatment groups stratified for age group and region.
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.186
Confidence Interval (2-Sided) 95%
0.022 to 1.595
Estimation Comments Baseline hazards for the Cox regression were stratified over variables: age group and region.
4.Secondary Outcome
Title Time From Randomization to the First Confirmed (Adjudicated) Myocardial Infarction; Percentage of Observed Subjects With Outcome Measure Events During the Trial
Hide Description

Kaplan Meier plots of the cumulative incidence rate by treatment groups were used to depict first confirmed (adjudicated) myocardial infarction. Percentage of observed subjects with outcome measure events during the trial are reported.

Subjects were censored at the time a subject discontinued the trial, was lost to follow-up, discontinued treatment with IMP, initiated treatment with prohibited medication (including hormonal combination therapy), or at Day 336, whichever occurred first.

Time Frame Randomization to Day 336 (end-of-trial)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS consisted of all randomized and treated subjects (who received at least one dose of IMP) and was analyzed based on the planned (randomized) treatment.
Arm/Group Title Degarelix 240 mg/80 mg Leuprolide 22.5 mg
Hide Arm/Group Description:
Degarelix 240 mg/80 mg: Degarelix at a starting dose of 240 mg administered as two SC depot injections, each containing 120 mg of degarelix; followed by up to 11 maintenance doses of 80 mg degarelix administered as single SC depot injections at monthly (28-day) intervals.
Leuprolide 22.5 mg: Leuprolide at dose of 22.5 mg administered as intramuscular depot injection every 3 months throughout the trial.
Overall Number of Participants Analyzed 275 269
Measure Type: Number
Unit of Measure: percentage of subjects
1.8 1.1
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Degarelix 240 mg/80 mg, Leuprolide 22.5 mg
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.5196
Comments [Not Specified]
Method Log Rank
Comments The p-value of the log-rank test is based on comparison of the treatment groups stratified for age group and region.
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.594
Confidence Interval (2-Sided) 95%
0.381 to 6.673
Estimation Comments Baseline hazards for the Cox regression were stratified over variables: age group and region.
5.Secondary Outcome
Title Time From Randomization to the First Confirmed (Adjudicated) Stroke; Percentage of Observed Subjects With Outcome Measure Events During the Trial
Hide Description

Kaplan Meier plots of the cumulative incidence rate by treatment groups were used to depict first confirmed (adjudicated) stroke. Percentage of observed subjects with outcome measure events during the trial are reported.

Subjects were censored at the time a subject discontinued the trial, was lost to follow-up, discontinued treatment with IMP, initiated treatment with prohibited medication (including hormonal combination therapy), or at Day 336, whichever occurred first.

Time Frame Randomization to Day 336 (end-of-trial)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS consisted of all randomized and treated subjects (who received at least one dose of IMP) and was analyzed based on the planned (randomized) treatment.
Arm/Group Title Degarelix 240 mg/80 mg Leuprolide 22.5 mg
Hide Arm/Group Description:
Degarelix 240 mg/80 mg: Degarelix at a starting dose of 240 mg administered as two SC depot injections, each containing 120 mg of degarelix; followed by up to 11 maintenance doses of 80 mg degarelix administered as single SC depot injections at monthly (28-day) intervals.
Leuprolide 22.5 mg: Leuprolide at dose of 22.5 mg administered as intramuscular depot injection every 3 months throughout the trial.
Overall Number of Participants Analyzed 275 269
Measure Type: Number
Unit of Measure: percentage of subjects
1.1 1.1
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Degarelix 240 mg/80 mg, Leuprolide 22.5 mg
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.8966
Comments [Not Specified]
Method Log Rank
Comments The p-value of the log-rank test is based on comparison of the treatment groups stratified for age group and region.
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.899
Confidence Interval (2-Sided) 95%
0.181 to 4.457
Estimation Comments Baseline hazards for the Cox regression were stratified over variables: age group and region.
6.Secondary Outcome
Title Time From Randomization to the First Confirmed (Adjudicated) Unstable Angina Requiring Hospitalization; Percentage of Observed Subjects With Outcome Measure Events During the Trial
Hide Description

Kaplan Meier plots of the cumulative incidence rate by treatment groups were used to depict first confirmed (adjudicated) unstable angina requiring hospitalization. Percentage of observed subjects with outcome measure events during the trial are reported.

Subjects were censored at the time a subject discontinued the trial, was lost to follow-up, discontinued treatment with IMP, initiated treatment with prohibited medication (including hormonal combination therapy), or at Day 336, whichever occurred first.

Time Frame Randomization to Day 336 (end-of-trial)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS consisted of all randomized and treated subjects (who received at least one dose of IMP) and was analyzed based on the planned (randomized) treatment.
Arm/Group Title Degarelix 240 mg/80 mg Leuprolide 22.5 mg
Hide Arm/Group Description:
Degarelix 240 mg/80 mg: Degarelix at a starting dose of 240 mg administered as two SC depot injections, each containing 120 mg of degarelix; followed by up to 11 maintenance doses of 80 mg degarelix administered as single SC depot injections at monthly (28-day) intervals.
Leuprolide 22.5 mg: Leuprolide at dose of 22.5 mg administered as intramuscular depot injection every 3 months throughout the trial.
Overall Number of Participants Analyzed 275 269
Measure Type: Number
Unit of Measure: percentage of subjects
0.7 1.5
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Degarelix 240 mg/80 mg, Leuprolide 22.5 mg
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.3857
Comments [Not Specified]
Method Log Rank
Comments The p-value of the log-rank test is based on comparison of the treatment groups stratified for age group and region.
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.480
Confidence Interval (2-Sided) 95%
0.088 to 2.620
Estimation Comments Baseline hazards for the Cox regression were stratified over variables: age group and region.
7.Secondary Outcome
Title Time From Randomization to Death Due to Any Cause; Percentage of Observed Subjects With Outcome Measure Events During the Trial
Hide Description

Kaplan Meier plots of the cumulative incidence rate by treatment groups were used to depict death due to any cause. Percentage of observed subjects with outcome measure events during the trial are reported.

Subjects were censored at the time a subject discontinued the trial, was lost to follow-up, discontinued treatment with IMP, initiated treatment with prohibited medication (including hormonal combination therapy), or at Day 336, whichever occurred first.

Time Frame Randomization to Day 336 (end-of-trial)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS consisted of all randomized and treated subjects (who received at least one dose of IMP) and was analyzed based on the planned (randomized) treatment.
Arm/Group Title Degarelix 240 mg/80 mg Leuprolide 22.5 mg
Hide Arm/Group Description:
Degarelix 240 mg/80 mg: Degarelix at a starting dose of 240 mg administered as two SC depot injections, each containing 120 mg of degarelix; followed by up to 11 maintenance doses of 80 mg degarelix administered as single SC depot injections at monthly (28-day) intervals.
Leuprolide 22.5 mg: Leuprolide at dose of 22.5 mg administered as intramuscular depot injection every 3 months throughout the trial.
Overall Number of Participants Analyzed 275 269
Measure Type: Number
Unit of Measure: percentage of subjects
2.9 3.3
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Degarelix 240 mg/80 mg, Leuprolide 22.5 mg
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.7180
Comments [Not Specified]
Method Log Rank
Comments The p-value of the log-rank test is based on comparison of the treatment groups stratified for age group and region.
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.839
Confidence Interval (2-Sided) 95%
0.324 to 2.176
Estimation Comments Baseline hazards for the Cox regression were stratified over variables: age group and region.
8.Secondary Outcome
Title Testosterone Levels at Days 28, 168 and 336 in the Degarelix and Leuprolide Treatment Groups
Hide Description Median levels and interquartile ranges for serum testosterone at Days 28, 168, and 336 are presented.
Time Frame Days 28, 168 and 336 (end-of-trial)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS consisted of all randomized and treated subjects (who received at least one dose of IMP) and was analyzed based on the planned (randomized) treatment. Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.
Arm/Group Title Degarelix 240 mg/80 mg Leuprolide 22.5 mg
Hide Arm/Group Description:
Degarelix 240 mg/80 mg: Degarelix at a starting dose of 240 mg administered as two SC depot injections, each containing 120 mg of degarelix; followed by up to 11 maintenance doses of 80 mg degarelix administered as single SC depot injections at monthly (28-day) intervals.
Leuprolide 22.5 mg: Leuprolide at dose of 22.5 mg administered as intramuscular depot injection every 3 months throughout the trial.
Overall Number of Participants Analyzed 264 257
Median (Inter-Quartile Range)
Unit of Measure: ng/dL
Day 28 Number Analyzed 264 participants 257 participants
8.650
(6.810 to 13.960)
14.410
(10.910 to 20.170)
Day 168 Number Analyzed 247 participants 248 participants
8.650
(5.760 to 12.750)
8.475
(5.760 to 11.530)
Day 336 Number Analyzed 234 participants 228 participants
9.855
(5.760 to 14.410)
8.650
(5.760 to 11.530)
9.Secondary Outcome
Title Time From Randomization to Failure in Progression-free Survival (PFS); Percentage of Observed Subjects With Outcome Measure Events During the Trial
Hide Description

Time to failure in PFS was defined as the time, measured in days, from randomization to the first occurrence of either death, radiographic disease progression, introduction of additional prostate cancer therapies for progression, or PSA failure.

Subjects who discontinued treatment with IMP or withdrew from the trial were censored at the time of discontinuation/withdrawal.

Kaplan Meier plots of the cumulative incidence rate by treatment groups were used to depict failure in PFS. Percentage of observed subjects with outcome measure events during the trial are reported.

Time Frame From randomization to end-of-trial for each subject (subjects not censored at Day 336)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS consisted of all randomized and treated subjects (who received at least one dose of IMP) and was analyzed based on the planned (randomized) treatment.
Arm/Group Title Degarelix 240 mg/80 mg Leuprolide 22.5 mg
Hide Arm/Group Description:
Degarelix 240 mg/80 mg: Degarelix at a starting dose of 240 mg administered as two SC depot injections, each containing 120 mg of degarelix; followed by up to 11 maintenance doses of 80 mg degarelix administered as single SC depot injections at monthly (28-day) intervals.
Leuprolide 22.5 mg: Leuprolide at dose of 22.5 mg administered as intramuscular depot injection every 3 months throughout the trial.
Overall Number of Participants Analyzed 275 269
Measure Type: Number
Unit of Measure: percentage of subjects
8.7 10.0
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Degarelix 240 mg/80 mg, Leuprolide 22.5 mg
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.6701
Comments [Not Specified]
Method Log Rank
Comments The p-value of the log-rank test is based on comparison of the treatment groups stratified for age group and region.
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.887
Confidence Interval (2-Sided) 95%
0.512 to 1.539
Estimation Comments Baseline hazards for the Cox regression were stratified over variables: age group and region.
10.Secondary Outcome
Title Changes From Baseline in International Prostate Symptom Score (IPSS) Total and Quality of Life (QoL) Scores
Hide Description

Lower urinary tract symptoms were measured with the IPSS Version 1 (IPSS-1). The IPSS is a subject-administered questionnaire containing seven items to evaluate symptoms of urinary obstruction (incomplete emptying, frequency, intermittency, urgency, weak stream, straining, nocturia) over the preceding week. Each urinary symptom question was assigned points from 0 to 5 indicating increasing severity of the particular symptom. The total IPSS-1 score was then calculated as summation over the responses for all 7 questions. The total IPSS-1 score was transformed to a scale from 0 (lowest score) to 100 (highest score). Higher scores reflect higher severity of symptoms. The IPSS-1 included an additional single question to assess a subject's QoL in relation to his urinary symptoms; response to this question was analyzed separately and was not included in the total IPSS score. The score was similarly scaled from 0 to 100.

Change from baseline in IPSS Total and QoL scores are presented.

Time Frame Baseline to Days 168 and 336 (end-of-trial)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS consisted of all randomized and treated subjects (who received at least one dose of IMP) and was analyzed based on the planned (randomized) treatment. Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.
Arm/Group Title Degarelix 240 mg/80 mg Leuprolide 22.5 mg
Hide Arm/Group Description:
Degarelix 240 mg/80 mg: Degarelix at a starting dose of 240 mg administered as two SC depot injections, each containing 120 mg of degarelix; followed by up to 11 maintenance doses of 80 mg degarelix administered as single SC depot injections at monthly (28-day) intervals.
Leuprolide 22.5 mg: Leuprolide at dose of 22.5 mg administered as intramuscular depot injection every 3 months throughout the trial.
Overall Number of Participants Analyzed 234 232
Least Squares Mean (95% Confidence Interval)
Unit of Measure: score on a scale
IPSS Total at Day 168 Number Analyzed 234 participants 232 participants
-0.000
(-0.804 to 0.804)
0.907
(0.098 to 1.715)
IPSS, QoL at Day 168 Number Analyzed 234 participants 232 participants
-0.115
(-0.298 to 0.068)
0.098
(-0.086 to 0.282)
IPSS Total at Day 336 Number Analyzed 195 participants 191 participants
-0.795
(-1.619 to 0.029)
0.121
(-0.712 to 0.953)
IPSS, QoL at Day 336 Number Analyzed 195 participants 191 participants
-0.281
(-0.467 to -0.095)
-0.234
(-0.422 to -0.046)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Degarelix 240 mg/80 mg, Leuprolide 22.5 mg
Comments IPSS Total at Day 168
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.1193
Comments [Not Specified]
Method ANCOVA
Comments ANCOVA with the baseline score as a covariate, and treatment group, age group, region, visit, and treatment by visit interaction as factors.
Method of Estimation Estimation Parameter Treatment Difference
Estimated Value -0.907
Confidence Interval (2-Sided) 95%
-2.048 to 0.235
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Degarelix 240 mg/80 mg, Leuprolide 22.5 mg
Comments IPSS, QoL at Day 168
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.1080
Comments [Not Specified]
Method ANCOVA
Comments ANCOVA with the baseline score as a covariate, and treatment group, age group, region, visit, and treatment by visit interaction as factors.
Method of Estimation Estimation Parameter Treatment Difference
Estimated Value -0.213
Confidence Interval (2-Sided) 95%
-0.473 to 0.047
Estimation Comments [Not Specified]
Hide Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Degarelix 240 mg/80 mg, Leuprolide 22.5 mg
Comments IPSS Total at Day 336
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.1256
Comments [Not Specified]
Method ANCOVA
Comments ANCOVA with the baseline score as a covariate, and treatment group, age group, region, visit, and treatment by visit interaction as factors.
Method of Estimation Estimation Parameter Treatment Difference
Estimated Value -0.916
Confidence Interval (2-Sided) 95%
-2.089 to 0.257
Estimation Comments [Not Specified]
Hide Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Degarelix 240 mg/80 mg, Leuprolide 22.5 mg
Comments IPSS, QoL at Day 336
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.7261
Comments [Not Specified]
Method ANCOVA
Comments ANCOVA with the baseline score as a covariate, and treatment group, age group, region, visit, and treatment by visit interaction as factors.
Method of Estimation Estimation Parameter Treatment Difference
Estimated Value -0.047
Confidence Interval (2-Sided) 95%
-0.312 to 0.218
Estimation Comments [Not Specified]
11.Secondary Outcome
Title Total Number of CV-related Hospitalization Events Over the Duration of the Trial
Hide Description The total number of CV-related hospitalizations over the duration of the trial was defined as the number of hospitalizations due to CV-related adverse events, observed from the first exposure to IMP up until Day 336 for each subject.
Time Frame First dose of IMP to Day 336 (end-of-trial)
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Degarelix 240 mg/80 mg Leuprolide 22.5 mg
Hide Arm/Group Description:
Degarelix 240 mg/80 mg: Degarelix at a starting dose of 240 mg administered as two SC depot injections, each containing 120 mg of degarelix; followed by up to 11 maintenance doses of 80 mg degarelix administered as single SC depot injections at monthly (28-day) intervals.
Leuprolide 22.5 mg: Leuprolide at dose of 22.5 mg administered as intramuscular depot injection every 3 months throughout the trial.
Overall Number of Participants Analyzed 275 269
Measure Type: Number
Unit of Measure: Events
15 17
12.Secondary Outcome
Title Total Number of Coronary Artery By-pass Grafting (CABG) or Percutaneous Coronary Intervention (PCI) Procedures Over the Duration of the Trial
Hide Description The total number of CABG or PCI procedures observed for each subject over the duration of the trial
Time Frame First dose of IMP to Day 336 (end-of-trial)
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Degarelix 240 mg/80 mg Leuprolide 22.5 mg
Hide Arm/Group Description:
Degarelix 240 mg/80 mg: Degarelix at a starting dose of 240 mg administered as two SC depot injections, each containing 120 mg of degarelix; followed by up to 11 maintenance doses of 80 mg degarelix administered as single SC depot injections at monthly (28-day) intervals.
Leuprolide 22.5 mg: Leuprolide at dose of 22.5 mg administered as intramuscular depot injection every 3 months throughout the trial.
Overall Number of Participants Analyzed 275 269
Measure Type: Number
Unit of Measure: Events
3 6
13.Secondary Outcome
Title Total Number of CV-related Emergency Room (ER) Visit Events Over the Duration of the Trial
Hide Description CV-related ER visit events (that did not lead to hospitalization) was observed from the first exposure to IMP up until Day 336 for each subject.
Time Frame First dose of IMP to Day 336 (end-of-trial)
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Degarelix 240 mg/80 mg Leuprolide 22.5 mg
Hide Arm/Group Description:
Degarelix 240 mg/80 mg: Degarelix at a starting dose of 240 mg administered as two SC depot injections, each containing 120 mg of degarelix; followed by up to 11 maintenance doses of 80 mg degarelix administered as single SC depot injections at monthly (28-day) intervals.
Leuprolide 22.5 mg: Leuprolide at dose of 22.5 mg administered as intramuscular depot injection every 3 months throughout the trial.
Overall Number of Participants Analyzed 275 269
Measure Type: Number
Unit of Measure: Events
8 2
14.Secondary Outcome
Title Change in Utility, Based on EuroQol Group 5 Dimensions 5 Levels Questionnaire (EQ-5D-5L)
Hide Description

The EQ-5D-5L essentially consists of 2 systems - the EQ-5D-5L descriptive system and the EQ visual analogue scale (EQ VAS). The EQ-5D-5L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. The EQ VAS is an overall estimation of the present health status. The results from the EQ-5D-5L questionnaire were converted into quality adjusted life year (QALY) units.

The QALY is estimated by combining the value of life (utility value) and length of life. Quality adjusted life years are based on a principle assuming that a year of life lived in perfect health is worth 1 QALY and that a year of life lived in a state of less than perfect health is worth less than 1.

Time Frame Baseline to Day 336 (end-of-trial)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS consisted of all randomized and treated subjects (who received at least one dose of IMP) and was analyzed based on the planned (randomized) treatment. Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.
Arm/Group Title Degarelix 240 mg/80 mg Leuprolide 22.5 mg
Hide Arm/Group Description:
Degarelix 240 mg/80 mg: Degarelix at a starting dose of 240 mg administered as two SC depot injections, each containing 120 mg of degarelix; followed by up to 11 maintenance doses of 80 mg degarelix administered as single SC depot injections at monthly (28-day) intervals.
Leuprolide 22.5 mg: Leuprolide at dose of 22.5 mg administered as intramuscular depot injection every 3 months throughout the trial.
Overall Number of Participants Analyzed 243 239
Least Squares Mean (95% Confidence Interval)
Unit of Measure: QALY
0.794
(0.770 to 0.818)
0.796
(0.772 to 0.820)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Degarelix 240 mg/80 mg, Leuprolide 22.5 mg
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.9110
Comments [Not Specified]
Method ANCOVA
Comments Compared using an ANCOVA model, where the QALY is the dependent variable and adjusted for treatment group, age group and region, respectively.
Method of Estimation Estimation Parameter Treatment difference
Estimated Value -0.002
Confidence Interval (2-Sided) 95%
-0.036 to 0.032
Estimation Comments [Not Specified]
15.Secondary Outcome
Title Changes From Baseline in Duke Activity Status Index (DASI) Global Score
Hide Description

The DASI is a self-administered instrument developed to measure functional capacity in subjects with cardiovascular disease (CVD). It contains 12 items referring to the present time, assessing the ability to perform physical tasks in five domains: personal care (1 item), ambulation (4 items), household tasks (4 items), sexual function (1 item) and recreation (2 items). Each question was answered by one of four options: 'yes with no difficulty' / 'yes, but with some difficulty' / 'no, I can't do this' / 'don't do this for other reasons'. A global score was calculated with a higher score indicating a higher functional capacity. The minimum score is 0 and the maximum score is 58.2 points.

Change from baseline in DASI Global score is presented.

Time Frame Baseline to Days 168 and 336 (end-of-trial)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS consisted of all randomized and treated subjects (who received at least one dose of IMP) and was analyzed based on the planned (randomized) treatment. Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.
Arm/Group Title Degarelix 240 mg/80 mg Leuprolide 22.5 mg
Hide Arm/Group Description:
Degarelix 240 mg/80 mg: Degarelix at a starting dose of 240 mg administered as two SC depot injections, each containing 120 mg of degarelix; followed by up to 11 maintenance doses of 80 mg degarelix administered as single SC depot injections at monthly (28-day) intervals.
Leuprolide 22.5 mg: Leuprolide at dose of 22.5 mg administered as intramuscular depot injection every 3 months throughout the trial.
Overall Number of Participants Analyzed 234 232
Least Squares Mean (95% Confidence Interval)
Unit of Measure: score on a scale
Change in DASI to Day 168 Number Analyzed 234 participants 232 participants
-2.65
(-3.95 to -1.35)
-1.08
(-2.38 to 0.23)
Change in DASI to Day 336 Number Analyzed 195 participants 191 participants
-2.18
(-3.54 to -0.81)
-3.01
(-4.39 to -1.63)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Degarelix 240 mg/80 mg, Leuprolide 22.5 mg
Comments DASI at Day 168
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0936
Comments [Not Specified]
Method ANCOVA
Comments ANCOVA with the baseline score as a covariate, and treatment group, age group, region, visit, and treatment by visit interaction as factors.
Method of Estimation Estimation Parameter Treatment Difference
Estimated Value -1.57
Confidence Interval (2-Sided) 95%
-3.41 to 0.27
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Degarelix 240 mg/80 mg, Leuprolide 22.5 mg
Comments DASI at Day 336
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.4000
Comments [Not Specified]
Method ANCOVA
Comments ANCOVA with the baseline score as a covariate, and treatment group, age group, region, visit, and treatment by visit interaction as factors.
Method of Estimation Estimation Parameter Treatment Difference
Estimated Value 0.84
Confidence Interval (2-Sided) 95%
-1.11 to 2.78
Estimation Comments [Not Specified]
16.Secondary Outcome
Title Changes From Baseline in Cardiac Anxiety Questionnaire (CAQ) Global Score and Score Per Domain
Hide Description

The CAQ is a self-administered questionnaire developed to measure heart-focused anxiety in persons with or without heart disease. It contains 18 items referring to the present time assessing cardiac anxiety in three domains: fear (8 items, each item could be scored between 0 "never" to 4 "always", maximum total score 32), avoidance (5 items, each item could be scored between 0 "never" to 4 "always", maximum total score 20) and attention (5 items, each item could be scored between 0 "never" to 4 "always", maximum total score 20). A higher score indicated greater cardiac anxiety and the total score range was between 0 and 72.

Change from baseline in CAQ Global score and score per domain are presented.

Time Frame Baseline to Days 168 and 336 (end-of-trial)
Hide Outcome Measure Data
Hide Analysis Population Description
The FAS consisted of all randomized and treated subjects (who received at least one dose of IMP) and was analyzed based on the planned (randomized) treatment. Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.
Arm/Group Title Degarelix 240 mg/80 mg Leuprolide 22.5 mg
Hide Arm/Group Description:
Degarelix 240 mg/80 mg: Degarelix at a starting dose of 240 mg administered as two SC depot injections, each containing 120 mg of degarelix; followed by up to 11 maintenance doses of 80 mg degarelix administered as single SC depot injections at monthly (28-day) intervals.
Leuprolide 22.5 mg: Leuprolide at dose of 22.5 mg administered as intramuscular depot injection every 3 months throughout the trial.
Overall Number of Participants Analyzed 234 232
Least Squares Mean (95% Confidence Interval)
Unit of Measure: score on a scale
CAQ global score (Day 168) Number Analyzed 234 participants 232 participants
0.034
(-0.021 to 0.088)
-0.011
(-0.066 to 0.044)
CAQ domain score for Attention (Day 168) Number Analyzed 234 participants 232 participants
0.030
(-0.034 to 0.094)
-0.006
(-0.070 to 0.059)
CAQ domain score for Avoidance (Day 168) Number Analyzed 234 participants 232 participants
0.155
(0.062 to 0.248)
0.039
(-0.054 to 0.133)
CAQ domain score for Fear (Day 168) Number Analyzed 234 participants 232 participants
-0.036
(-0.106 to 0.034)
-0.048
(-0.119 to 0.022)
CAQ global score (Day 336) Number Analyzed 195 participants 191 participants
0.102
(0.043 to 0.161)
0.051
(-0.009 to 0.110)
CAQ domain score for Attention (Day 336) Number Analyzed 195 participants 191 participants
0.023
(-0.046 to 0.092)
-0.015
(-0.085 to 0.054)
CAQ domain score for Avoidance (Day 336) Number Analyzed 195 participants 191 participants
0.228
(0.130 to 0.325)
0.220
(0.122 to 0.319)
CAQ domain score for Fear (Day 336) Number Analyzed 195 participants 191 participants
0.075
(-0.003 to 0.153)
-0.018
(-0.097 to 0.061)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Degarelix 240 mg/80 mg, Leuprolide 22.5 mg
Comments CAQ Global Score at Day 168
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.2535
Comments [Not Specified]
Method ANCOVA
Comments ANCOVA with the baseline score as a covariate, and treatment group, age group, region, visit, and treatment by visit interaction as factors.
Method of Estimation Estimation Parameter Treatment Difference
Estimated Value 0.045
Confidence Interval (2-Sided) 95%
-0.032 to 0.122
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Degarelix 240 mg/80 mg, Leuprolide 22.5 mg
Comments CAQ domain score for Attention at Day 168
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.4370
Comments [Not Specified]
Method ANCOVA
Comments ANCOVA with the baseline score as a covariate, and treatment group, age group, region, visit, and treatment by visit interaction as factors.
Method of Estimation Estimation Parameter Treatment Difference
Estimated Value 0.036
Confidence Interval (2-Sided) 95%
-0.055 to 0.127
Estimation Comments [Not Specified]
Hide Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Degarelix 240 mg/80 mg, Leuprolide 22.5 mg
Comments CAQ domain score for Avoidance at Day 168
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0852
Comments [Not Specified]
Method ANCOVA
Comments ANCOVA with the baseline score as a covariate, and treatment group, age group, region, visit, and treatment by visit interaction as factors.
Method of Estimation Estimation Parameter Treatment Difference
Estimated Value 0.116
Confidence Interval (2-Sided) 95%
-0.016 to 0.248
Estimation Comments [Not Specified]
Hide Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Degarelix 240 mg/80 mg, Leuprolide 22.5 mg
Comments CAQ domain score for Fear at Day 168
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.8156
Comments [Not Specified]
Method ANCOVA
Comments ANCOVA with the baseline score as a covariate, and treatment group, age group, region, visit, and treatment by visit interaction as factors.
Method of Estimation Estimation Parameter Treatment Difference
Estimated Value 0.012
Confidence Interval (2-Sided) 95%
-0.087 to 0.111
Estimation Comments [Not Specified]
Hide Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Degarelix 240 mg/80 mg, Leuprolide 22.5 mg
Comments CAQ Global Score at Day 336
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.2299
Comments [Not Specified]
Method ANCOVA
Comments ANCOVA with the baseline score as a covariate, and treatment group, age group, region, visit, and treatment by visit interaction as factors.
Method of Estimation Estimation Parameter Treatment Difference
Estimated Value 0.051
Confidence Interval (2-Sided) 95%
-0.033 to 0.135
Estimation Comments [Not Specified]
Hide Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Degarelix 240 mg/80 mg, Leuprolide 22.5 mg
Comments CAQ domain score for Attention at Day 336
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.4440
Comments [Not Specified]
Method ANCOVA
Comments ANCOVA with the baseline score as a covariate, and treatment group, age group, region, visit, and treatment by visit interaction as factors.
Method of Estimation Estimation Parameter Treatment Difference
Estimated Value 0.038
Confidence Interval (2-Sided) 95%
-0.060 to 0.136
Estimation Comments [Not Specified]
Hide Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Degarelix 240 mg/80 mg, Leuprolide 22.5 mg
Comments CAQ domain score for Avoidance at Day 336
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.9172
Comments [Not Specified]
Method ANCOVA
Comments ANCOVA with the baseline score as a covariate, and treatment group, age group, region, visit, and treatment by visit interaction as factors.
Method of Estimation Estimation Parameter Treatment Difference
Estimated Value 0.007
Confidence Interval (2-Sided) 95%
-0.131 to 0.146
Estimation Comments [Not Specified]
Hide Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Degarelix 240 mg/80 mg, Leuprolide 22.5 mg
Comments CAQ domain score for Fear at Day 336
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.1028
Comments [Not Specified]
Method ANCOVA
Comments ANCOVA with the baseline score as a covariate, and treatment group, age group, region, visit, and treatment by visit interaction as factors.
Method of Estimation Estimation Parameter Treatment Difference
Estimated Value 0.093
Confidence Interval (2-Sided) 95%
-0.019 to 0.204
Estimation Comments [Not Specified]
17.Secondary Outcome
Title Number of Subjects With Adverse Events (AEs)
Hide Description Adverse events were recorded from signed informed consent until end-of-trial. Adverse events with onset after start of IMP treatment, and within 3 months after (1 month=28 days) last dosing of IMP, were considered 'treatment-emergent' and are presented for the safety analysis set.
Time Frame Start of IMP treatment until 3 months after last dosing of IMP
Hide Outcome Measure Data
Hide Analysis Population Description
The safety analysis set consisted of all treated subjects (who received at least one dose of IMP) and was analyzed based on the actual treatment received.
Arm/Group Title Degarelix 240 mg/80 mg Leuprolide 22.5 mg
Hide Arm/Group Description:
Degarelix 240 mg/80 mg: Degarelix at a starting dose of 240 mg administered as two SC depot injections, each containing 120 mg of degarelix; followed by up to 11 maintenance doses of 80 mg degarelix administered as single SC depot injections at monthly (28-day) intervals.
Leuprolide 22.5 mg: Leuprolide at dose of 22.5 mg administered as intramuscular depot injection every 3 months throughout the trial.
Overall Number of Participants Analyzed 275 269
Measure Type: Number
Unit of Measure: subjects
AEs 250 228
SAEs 47 44
AE leading to death 11 9
18.Secondary Outcome
Title Intensity of AEs
Hide Description

The intensity of AE was graded using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) (version 4.02) 5-point scale.

AE were categorized as grade 1 Mild (minor; no specific medical intervention; asymptomatic laboratory findings only; marginal clinical relevance), Grade 2 Moderate (minimal intervention: local intervention; non-invasive intervention), Grade 3 Severe (significant symptoms, requiring hospitalization or invasive intervention; transfusion; elective interventional radiological procedure; therapeutic endoscopy or operation), Grade 4 Life-threatening or disabling (complicated by acute, life-threatening metabolic or CV complications such as circulatory failure, hemorrhage, sepsis. Life-threatening physiologic consequences; need for intensive care or emergent invasive procedure; emergent interventional radiological procedure, therapeutic endoscopy or operation) and Grade 5 Death. Events with grades 3, 4 and 5 were categorized as severe.

Time Frame Start of IMP treatment until 3 months after last dosing of IMP
Hide Outcome Measure Data
Hide Analysis Population Description
The safety analysis set consisted of all treated subjects (who received at least one dose of IMP) and was analyzed based on the actual treatment received.
Arm/Group Title Degarelix 240 mg/80 mg Leuprolide 22.5 mg
Hide Arm/Group Description:
Degarelix 240 mg/80 mg: Degarelix at a starting dose of 240 mg administered as two SC depot injections, each containing 120 mg of degarelix; followed by up to 11 maintenance doses of 80 mg degarelix administered as single SC depot injections at monthly (28-day) intervals.
Leuprolide 22.5 mg: Leuprolide at dose of 22.5 mg administered as intramuscular depot injection every 3 months throughout the trial.
Overall Number of Participants Analyzed 275 269
Measure Type: Number
Unit of Measure: subjects
Mild AE 224 200
Moderate AE 160 135
Severe AE 59 55
19.Secondary Outcome
Title Changes in Vital Signs
Hide Description

Number of subjects shifting from normal value(s) in vital signs (pulse and blood pressure) at baseline to clinically significant abnormal value(s) at end-of-trial are presented.

Note: Only subjects with appropriate baseline and post-baseline data are included in the evaluation.

Time Frame Baseline to Day 336 (end-of-trial)
Hide Outcome Measure Data
Hide Analysis Population Description
The safety analysis set consisted of all treated subjects (who received at least one dose of IMP) and was analyzed based on the actual treatment received. Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.
Arm/Group Title Degarelix 240 mg/80 mg Leuprolide 22.5 mg
Hide Arm/Group Description:
Degarelix 240 mg/80 mg: Degarelix at a starting dose of 240 mg administered as two SC depot injections, each containing 120 mg of degarelix; followed by up to 11 maintenance doses of 80 mg degarelix administered as single SC depot injections at monthly (28-day) intervals.
Leuprolide 22.5 mg: Leuprolide at dose of 22.5 mg administered as intramuscular depot injection every 3 months throughout the trial.
Overall Number of Participants Analyzed 196 193
Measure Type: Count of Participants
Unit of Measure: Participants
0 1
Time Frame Start of IMP treatment until 3 months after last dosing of IMP
Adverse Event Reporting Description Adverse events were recorded from signing of the informed consent until end-of-trial. Events with onset after start of IMP treatment, and within 3 months after (1 month=28 days) last dosing of IMP, were considered 'treatment-emergent' and are presented for the safety analysis set (defined above). Non-fatal serious adverse events (SAEs) of myocardial infarction, stroke, and unstable angina constituted exceptions to the SAE reporting (6 events in the degarelix group, 10 in the leuprolide group).
 
Arm/Group Title Degarelix 240 mg/80 mg Leuprolide 22.5 mg
Hide Arm/Group Description Degarelix 240 mg/80 mg: Degarelix at a starting dose of 240 mg administered as two SC depot injections, each containing 120 mg of degarelix; followed by up to 11 maintenance doses of 80 mg degarelix administered as single SC depot injections at monthly (28-day) intervals. Leuprolide 22.5 mg: Leuprolide at dose of 22.5 mg administered as intramuscular depot injection every 3 months throughout the trial.
All-Cause Mortality
Degarelix 240 mg/80 mg Leuprolide 22.5 mg
Affected / at Risk (%) Affected / at Risk (%)
Total   11/275 (4.00%)      9/269 (3.35%)    
Hide Serious Adverse Events
Degarelix 240 mg/80 mg Leuprolide 22.5 mg
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total   47/275 (17.09%)      44/269 (16.36%)    
Cardiac disorders     
Cardiac failure chronic  1  3/275 (1.09%)  4 1/269 (0.37%)  1
Cardiac failure  1  1/275 (0.36%)  1 2/269 (0.74%)  2
Atrial flutter  1  2/275 (0.73%)  2 0/269 (0.00%)  0
Atrioventricular block complete  1  2/275 (0.73%)  2 0/269 (0.00%)  0
Bradycardia  1  2/275 (0.73%)  2 0/269 (0.00%)  0
Acute myocardial infarction  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Angina pectoris  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Arrhythmia  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Ischaemic cardiomyopathy  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Sinus node dysfunction  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Supraventricular tachycardia  1  1/275 (0.36%)  2 0/269 (0.00%)  0
Tachyarrhythmia  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Ventricular fibrillation  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Gastrointestinal disorders     
Diarrhoea  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Gastric ulcer haemorrhage  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Haematochezia  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Ileus  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Inguinal hernia  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Intestinal obstruction  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Rectal haemorrhage  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Umbilical hernia  1  0/275 (0.00%)  0 1/269 (0.37%)  1
General disorders     
Death  1  3/275 (1.09%)  3 1/269 (0.37%)  1
Malaise  1  1/275 (0.36%)  1 1/269 (0.37%)  1
Injection site swelling  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Non-cardiac chest pain  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Oedema peripheral  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Pyrexia  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Hepatobiliary disorders     
Cholecystitis  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Hepatic failure  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Infections and infestations     
Pneumonia  1  5/275 (1.82%)  5 3/269 (1.12%)  4
Sepsis  1  2/275 (0.73%)  2 3/269 (1.12%)  3
COVID-19 pneumonia  1  2/275 (0.73%)  2 0/269 (0.00%)  0
Urinary tract infection  1  1/275 (0.36%)  1 1/269 (0.37%)  1
Bacteraemia  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Cellulitis  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Cystitis  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Diverticulitis intestinal haemorrhagic  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Enterococcal sepsis  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Intervertebral discitis  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Osteomyelitis  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Pyelonephritis  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Respiratory tract infection  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Hepatic echinococciasis  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Injury, poisoning and procedural complications     
Fall  1  2/275 (0.73%)  2 0/269 (0.00%)  0
Anastomotic ulcer haemorrhage  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Cervical vertebral fracture  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Femoral neck fracture  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Femur fracture  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Hip fracture  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Lumbar vertebral fracture  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Rib fracture  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Skin laceration  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Spinal compression fracture  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Subdural haematoma  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Upper limb fracture  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Investigations     
Heart rate irregular  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Metabolism and nutrition disorders     
Hyperkalaemia  1  0/275 (0.00%)  0 2/269 (0.74%)  2
Failure to thrive  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Hypocalcaemia  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Hypokalaemia  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Musculoskeletal and connective tissue disorders     
Back pain  1  1/275 (0.36%)  1 2/269 (0.74%)  2
Bone pain  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Rhabdomyolysis  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)     
Brain neoplasm  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Hodgkin's disease  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Pancreatic carcinoma  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Nervous system disorders     
Syncope  1  0/275 (0.00%)  0 4/269 (1.49%)  4
Cerebrovascular accident  1  1/275 (0.36%)  1 1/269 (0.37%)  1
Cerebral haemorrhage  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Cognitive disorder  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Sciatica  1  1/275 (0.36%)  2 0/269 (0.00%)  0
Toxic encephalopathy  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Tremor  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Psychiatric disorders     
Suicidal ideation  1  1/275 (0.36%)  1 1/269 (0.37%)  1
Completed suicide  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Renal and urinary disorders     
Acute kidney injury  1  0/275 (0.00%)  0 3/269 (1.12%)  3
Urinary retention  1  2/275 (0.73%)  2 1/269 (0.37%)  1
Nephrolithiasis  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Renal failure  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Urinary tract obstruction  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Reproductive system and breast disorders     
Prostatitis  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Respiratory, thoracic and mediastinal disorders     
Pulmonary embolism  1  2/275 (0.73%)  2 1/269 (0.37%)  1
Acute respiratory failure  1  1/275 (0.36%)  1 1/269 (0.37%)  1
Pneumothorax  1  0/275 (0.00%)  0 2/269 (0.74%)  2
Respiratory failure  1  2/275 (0.73%)  2 0/269 (0.00%)  0
Acute respiratory distress syndrome  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Chronic obstructive pulmonary disease  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Pulmonary oedema  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Vascular disorders     
Hypotension  1  2/275 (0.73%)  2 1/269 (0.37%)  1
Deep vein thrombosis  1  0/275 (0.00%)  0 2/269 (0.74%)  2
Hypertension  1  0/275 (0.00%)  0 1/269 (0.37%)  1
Hypovolaemic shock  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Peripheral artery thrombosis  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Peripheral ischaemia  1  1/275 (0.36%)  1 0/269 (0.00%)  0
Thrombosis  1  1/275 (0.36%)  1 0/269 (0.00%)  0
1
Term from vocabulary, MedDRA (24.0)
Indicates events were collected by systematic assessment
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 5%
Degarelix 240 mg/80 mg Leuprolide 22.5 mg
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total   250/275 (90.91%)      228/269 (84.76%)    
Gastrointestinal disorders     
Diarrhoea  1  23/275 (8.36%)  26 26/269 (9.67%)  28
Constipation  1  18/275 (6.55%)  21 20/269 (7.43%)  20
Nausea  1  19/275 (6.91%)  21 11/269 (4.09%)  12
General disorders     
Fatigue  1  50/275 (18.18%)  57 34/269 (12.64%)  35
Injection site pain  1  73/275 (26.55%)  232 6/269 (2.23%)  7
Injection site erythema  1  58/275 (21.09%)  163 1/269 (0.37%)  1
Injection site swelling  1  27/275 (9.82%)  62 3/269 (1.12%)  3
Asthenia  1  15/275 (5.45%)  18 8/269 (2.97%)  9
Oedema peripheral  1  8/275 (2.91%)  8 15/269 (5.58%)  17
Injection site induration  1  19/275 (6.91%)  79 2/269 (0.74%)  3
Pyrexia  1  16/275 (5.82%)  20 5/269 (1.86%)  6
Infections and infestations     
Urinary tract infection  1  20/275 (7.27%)  26 13/269 (4.83%)  14
Musculoskeletal and connective tissue disorders     
Arthralgia  1  24/275 (8.73%)  29 16/269 (5.95%)  17
Back pain  1  22/275 (8.00%)  25 19/269 (7.06%)  22
Pain in extremity  1  15/275 (5.45%)  19 11/269 (4.09%)  13
Nervous system disorders     
Dizziness  1  20/275 (7.27%)  20 14/269 (5.20%)  16
Psychiatric disorders     
Insomnia  1  12/275 (4.36%)  12 14/269 (5.20%)  14
Renal and urinary disorders     
Pollakiuria  1  24/275 (8.73%)  25 28/269 (10.41%)  31
Dysuria  1  25/275 (9.09%)  27 21/269 (7.81%)  24
Haematuria  1  8/275 (2.91%)  17 15/269 (5.58%)  17
Nocturia  1  8/275 (2.91%)  8 14/269 (5.20%)  14
Vascular disorders     
Hot flush  1  107/275 (38.91%)  112 120/269 (44.61%)  127
Hypertension  1  17/275 (6.18%)  27 23/269 (8.55%)  31
1
Term from vocabulary, MedDRA (24.0)
Indicates events were collected by systematic assessment
The trial was terminated prematurely due to a slower than anticipated recruitment rate and a lower than anticipated observed CV event rate. Approximately 900 patients were planned to be included, however, at the time of stopping screening and recruitment 216 patients had completed the trial, 292 were ongoing, and 37 were withdrawn. The Sponsor decision to stop the trial was not based on any safety concerns, any knowledge of the results, or influenced by issues imposed by the COVID-19 pandemic.
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
A Publications Committee, including the signatory investigators, other Steering Committee members, and Sponsor representatives was established to function as an independent body of scientific and medical experts acting to facilitate, encourage, and coordinate the complete and accurate presentation and publication of the trial results. Members of the Publication Committee are responsible for review and approval of all abstracts and manuscripts based on the trial results.
Results Point of Contact
Layout table for Results Point of Contact information
Name/Title: Global Clinical Compliance
Organization: Ferring Pharmaceuticals
EMail: DK0-Disclosure@ferring.com
Layout table for additonal information
Responsible Party: Ferring Pharmaceuticals
ClinicalTrials.gov Identifier: NCT02663908    
Other Study ID Numbers: 000108
First Submitted: January 22, 2016
First Posted: January 26, 2016
Results First Submitted: March 21, 2022
Results First Posted: June 29, 2022
Last Update Posted: June 29, 2022