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Study Summary
No. 2008-0192:.......Prostate......Christopher Logothetis......Genitourinary Medical Oncology
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Study Summary Title
Study Summary
Number:
2008-0192
Study Title:A Phase 3, Randomized, Double-blind, Placebo-Controlled Study of Abiraterone Acetate (CB7630) Plus Prednisone in Patients with Metastatic Castration-Resistant Prostate Cancer Who Have Failed Docetaxel-Based Chemotherapy
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Physician New Patient Referral
Name:Christopher LogothetisPatients Call:800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Dept:Genitourinary Medical OncologyReferring MD
Call:
800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Phone:713-792-2830
Contact us about clinical trials
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General Information
Disease Group:ProstateSupported By:Cougar Biotechnology, Inc.
Phase of Study:Phase IIIReturn
Visit:
Patient will return to clinic 2 weeks after starting therapy and again at Day 1
of each subsequent cycle.
Treatment
Agents:
Abiraterone Acetate (CB7630)
Prednisone
Home Care:Patients will be responsible for self-administering oral study drug.
Treatment Loc:Both at MDACC & outside MDACC at one or more Collaborating Sites or Institutions
Estimated
Length of Stay
in Houston:
N/A
Description/
Intervention:
The goal of this clinical research study was to compare the benefits of
prednisone given with placebo (a substance that looks like the study drug but
has no active ingredients) or in combination with abiraterone acetate to
patients with prostate cancer.
Data collected from participants in the trial was reviewed by an independent
panel and it was determined by this group, that there was a significant benefit
to the participants randomized to the abiraterone acetate group. Researchers
have decided to close the portion of the study giving the placebo to patients.
If you take part in this study, you will receive abiraterone acetate in
combination with prednisone.

This information is being communicated to update you and your doctor about the
progress of this study. If you were originally assigned to receive abiraterone
acetate, your treatment will be the same. If you were originally assigned to
receive placebo, your doctor may suggest switching to abiraterone acetate, in
combination with prednisone, for your treatment. It is your and your doctor's
decision if switching your treatment should be considered. You will have to
meet some study requirements to make sure it is safe to receive abiraterone
acetate.

The safety of abiraterone acetate in combination with prednisone will be
studied.
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Study Objectives / Outcomes
Primary Objective:
  • The primary objective of the study is to compare the clinical benefit of abiraterone acetate
    plus prednisone with placebo plus prednisone in patients with metastatic castration-resistant
    prostate cancer (CRPC) who have failed one or two chemotherapy regimens, one of which
    contains docetaxel.

Secondary Objective:
  • To further evaluate the safety profile of abiraterone acetate plus prednisone.
  • To further characterize the PK of abiraterone acetate when administered concurrently
    with prednisone.
  • To further explore the potential utility of CTCs as a surrogate for clinical benefit
  • To evaluate the impact of abiraterone acetate plus prednisone on health related quality
    of life (QOL).
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Study Status Information
Study Activation / Registration Date:07/22/2008
IRB Review and Approval Date:05/06/2008
Study Type:Phase Iii
Recruitment Status:Closed
Projected Accrual:1158
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Enrollment Eligibility
If you do not meet the enrollment eligibility, there may be other treatment options for you. Please Contact the Referral Office for more information.

Inclusion Criteria:1) Willing and able to provide written informed consent

2) Written Authorization for Use and Release of Health and Research Study Information (US sites only) or Data Protection Consent (European sites only) has been obtained.

3) Age >/= 18 years and male

4) Histologically or cytologically confirmed adenocarcinoma of the prostate without neuroendocrine differentiation or small cell histology

5) At least one but not more than 2 cytotoxic chemotherapy regimens for metastatic castration-resistant prostate cancer. At least one regimen must have contained docetaxel. If docetaxel-containing chemotherapy is used more than once, this will be considered as one regimen.

6) Documented prostate cancer progression as assessed by the investigator with one of the following: a)PSA progression according to PSAWG criteria.(Patients on systemic glucocorticoids for the treatment of prostate cancer or control of symptoms must have documented PSA progression by PSAWG criteria prior to Cycle 1 Day 1. Patients with confirmed PSA progression while on systemic glucocorticoids other than prednisone or prednisolone are required to switch to prednisone or prednisolone 5 mg twice daily prior to Cycle 1 Day 1, but PSA progression does not have to be reconfirmed.)

7) (#6 cont'd) b) Radiographic progression in soft tissue or bone with or without PSA progression.

8) Ongoing androgen deprivation with serum testosterone < 50 ng/dL (< 2.0 nM)

9) Eastern Cooperative Oncology Group (ECOG) Performance Status of </= 2.

10) Hemoglobin >/= 9.0 g/dL independent of transfusion

11) Platelet count >/= 100,000/microliters

12) Serum albumin >/= 3.0 g/dL

13) Serum creatinine < 1.5 x ULN or a calculated creatinine clearance >/= 60 mL/min

14) Serum potassium >/= 3.5 mmol/L

15) Able to swallow the study drug whole as a tablet

Exclusion Criteria:1) Serious or uncontrolled co-existent non-malignant disease, including active and uncontrolled infection.

2) Abnormal liver functions consisting of any of the following: a)Serum bilirubin >/= 1.5 x ULN (except for patients with documented Gilbert's disease) b)AST or ALT >/= 2.5 x ULN, (for patients with known liver metastasis, AST or ALT </= 5 x ULN is allowed)

3) Uncontrolled hypertension (systolic BP >/= 140 mmHg or diastolic BP >/= 90 mmHg) Patients with a history of hypertension are allowed provided blood pressure is controlled by anti-hypertensive therapy.

4) Active or symptomatic viral hepatitis or chronic liver disease

5) History of pituitary or adrenal dysfunction

6) 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 (NYHA) Class III or IV heart disease or cardiac ejection fraction measurement of < 50 % at baseline

7) Other malignancy, except non-melanoma skin cancer, with a >/= 30% probability of recurrence within 12 months

8) Known brain metastasis

9) History of gastrointestinal disorders (medical disorders or extensive surgery) which may interfere with the absorption of the study drug

10) Prior therapy with abiraterone acetate or other CYP17 inhibitor(s), or investigational agent(s) targeting the androgen receptor for metastatic prostate cancer.

11) Prior therapy with ketoconazole for prostate cancer

12) Surgery or local prostatic intervention within 30 days of the first dose. In addition, any clinically relevant sequelae from the surgery must have resolved prior to Cycle 1 Day 1

13) Radiotherapy, chemotherapy or immunotherapy within 30 days, or single fraction of palliative radiotherapy within 14 days of administration of Cycle 1 Day 1

14) Any acute toxicities due to prior chemotherapy and/or radiotherapy that have not resolved to a NCI CTCAE (version 3) grade of </= 1. Chemotherapy induced alopecia and grade 2 peripheral neuropathy is allowed

15) Current enrollment in an investigational drug or device study or participation in such a study within 30 days of Cycle 1 Day 1

16) Condition or situation which, in the investigator's opinion, may put the patient at significant risk, may confound the study results, or may interfere significantly with patient's participation in the study

17) Not willing to comply with the procedural requirements of this protocol

18) Patients who have partners of childbearing potential who are not willing to use a method of birth control with adequate barrier protection as determined to be acceptable by the principal investigator and sponsor during the study and for 13 weeks after last study drug administration.

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Links
Registration Number: NCT00638690
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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