Leuprolide Acetate 3.75 mg Depot to Treat Prostate Cancer

Last updated: November 12, 2007
Sponsor: GP-Pharm
Overall Status: Completed

Phase

3

Condition

Prostate Cancer

Prostate Cancer, Early, Recurrent

Prostate Disorders

Treatment

N/A

Clinical Study ID

NCT00128531
CRO-04-62
  • Ages > 18
  • Male

Study Summary

The purpose of this study is to look at the efficacy and safety of leuprolide acetate in patients with prostate cancer.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Males >/= 18 years of age, with histologically proven carcinoma of the prostate, whomight benefit from medical androgen deprivation therapy

  • Life expectancy of at least 1 year

  • World Health Organization/Eastern Cooperative Oncology Group (WHO/ECOG) performancestatus of 0, 1, or 2

  • Adequate renal function at screening as defined by serum creatinine </= 1.6 times theULN (upper limit of normal) for the clinical laboratory

  • Adequate and stable hepatic function as defined by bilirubin </= 1.5 times the ULN andtransaminases (i.e. SGOT, SGPT) </= 2.5 times the ULN for the clinical laboratory atscreening

  • Ability to comprehend the full nature and purpose of the study, including possiblerisks and side effects; ability to co-operate with the Investigator and to comply withthe requirements of the entire study

  • Signed written informed consent prior to inclusion in the study

Exclusion

Exclusion Criteria:

  • Evidence of brain metastases, in the opinion of the Investigator, taking into accountmedical history, clinical observations and symptoms

  • Evidence of spinal cord compression, in the opinion of the Investigator, taking intoaccount medical history, clinical observations and symptoms

  • Evidence of severe urinary tract obstruction with threatening urinary retention, inthe opinion of the Investigator, taking into account medical history, clinicalobservations and symptoms

  • Excruciating, severe pain from extensive osseous deposits, in the opinion of theInvestigator, taking into account medical history, clinical observations and symptoms

  • Testosterone levels < 1.5 ng/mL at screening, locally determined at the laboratory ofeach clinical site

  • Previous cancer systemic therapy such as chemotherapy, immunotherapy (e.g. antibodytherapies, tumor-vaccines), biological response modifiers (e.g. cytokines) within 3months of baseline

  • Previous hormonal therapy for treatment of prostate cancer, such as luteinisinghormone-releasing hormone (LHRH) analogues (e.g. Lupron®, Zoladex®, etc.) [no wash-outallowed]

  • Previous treatment with androgen receptor (AR) blockers, such as Casodex®, Fugerel®,Megace®, Androcur® (no wash-out allowed)

  • Previous orchiectomy, adrenalectomy or hypophysectomy

  • Previous prostatic surgery (e.g. radical prostatectomy, transurethral resection of theprostate [TUR-P]) within 2 weeks of baseline

  • Previous local therapy to the primary tumor with a curative attempt other than surgery (external beam radiotherapy, brachytherapy, thermotherapy, cryotherapy) within 2 weeksof baseline

  • Any investigational drug within 5 half-lives of its physiological action or 3 months (whichever is longer) before baseline

  • Administration of 5-alpha-reductase inhibitors (Proscar®, Avodart®, Propecia®) within 3 months before baseline

  • Over-the-counter (OTC) or alternative medical therapies which have an estrogenic oranti-androgenic effect (i.e., PC-SPES, saw palmetto, Glycyrrhiza®, Urinozinc®,dehydroepiandrosterone [DHEA]) within the 3 months before baseline

  • Hematological parameters (RBC, total and differential WBC count, platelet count,hemoglobin, hematocrit) outside 20% of the upper or lower limits of normal (ULN, LLN)for the clinical laboratory at screening

  • Co-existent malignancy, according to the Investigator's opinion

  • Uncontrolled congestive heart failure, myocardial infarction or a coronary vascularprocedure (e.g. balloon angioplasty, coronary artery bypass graft) or significantsymptomatic cardiovascular disease(s) within 6 months before baseline; restinguncontrolled hypertension: (>/= 160/100 mmHg) or symptomatic hypotension within 3months before baseline

  • Venous thrombosis within 6 months of baseline

  • Insulin-dependent diabetes mellitus

  • History of drug and/or alcohol abuse within 6 months of baseline

  • Serious concomitant illness(es) or disease(s) [e.g., hematological, renal, hepatic,respiratory, endocrine, psychiatric] that may interfere with, or put patients atadditional risk for, their ability to receive the treatment outlined in the protocol

  • Patients receiving anticoagulants who have prothrombin and partial thromboplastintimes outside of the normal range for the laboratory assays; patients who are onanticoagulation or antiplatelet medications (e.g. dipyridamole, ticlopidine, warfarinderivatives) who are not receiving a stable dose for 3 months before baseline;patients who are receiving warfarin-derivative anticoagulants who do not have anInternational Normalized Ratio (INR) in the therapeutic range for the clinicalindication for which the anticoagulant has been prescribed.

  • Blood donations/losses within 2 months of baseline, apart from previous prostaticsurgery patients (see earlier exclusion [9]; please note that these patients shouldnot be included in the pharmacokinetic [PK] group)

  • Known hypersensitivity to GnRH, GnRH agonist, including any LHRH analogues, or anyexcipients of the study formulation

  • History of the following prior to the study:

  • immunization (within 4 weeks of baseline);

  • flu shots (within 2 weeks of baseline);

  • anaphylaxis;

  • skin disease which would interfere with injection site evaluation;

  • dermatographism will be documented at screening and followed up while ontreatment.

Study Design

Total Participants: 120
Study Start date:
September 01, 2005
Estimated Completion Date:
November 30, 2007

Study Description

Other assessments include evaluation of main leuprolide PK parameters in 12 subjects after administration of 3 doses.

Study Design:

This will be a multi-center, open-label, fixed investigation of six monthly dosages of leuprolide acetate 3.75 mg administered to patients with histologically proven carcinoma of prostate, who might benefit from medical androgen deprivation therapy.

A total of 120 male patients will receive a single, i.m. injection of leuprolide acetate 3.75 mg initially on study day 0 (after baseline assessment) and then monthly (i.e. every 28 days) for five months.

12 of the patients will also have plasma leuprolide levels measured for PK analysis during the first 3 injection periods (PK group). These patients will belong to pre-defined study sites.

Connect with a study center

  • Department of Urology, Vienna University Medical School

    Vienna, A-1090
    Austria

    Site Not Available

  • Urocentrum Praha

    Prague, 120 00
    Czech Republic

    Site Not Available

  • Urology Department, Hviezdoslavova

    Prague,
    Czech Republic

    Site Not Available

  • Charles University, Clinic of Urology

    Praha,
    Czech Republic

    Site Not Available

  • Masaryk Hospital, Urology Dept.

    Usti nad Labem, 401 13
    Czech Republic

    Site Not Available

  • Department of Urology, Technical University of Dresden

    Dresden, 01307
    Germany

    Site Not Available

  • Department of Urology, Semmelweis University

    Budapest, H-1082
    Hungary

    Site Not Available

  • Department of Urology, Medical School, University of Pécs

    Pecs, H-7621
    Hungary

    Site Not Available

  • Department of Urology, General Hospital of Bolzano

    Bolzano, 39100
    Italy

    Site Not Available

  • Sexual Medicine Unit and Urology, Università Vita Salute San Raffaele Fondazione Centro San Raffaele del Monte Tabor

    Milan, 20132
    Italy

    Site Not Available

  • Department of Urology, Jessenius Faculty of Medicine, Comenius University

    Martin,
    Slovakia

    Site Not Available

  • Institut Català d'Oncologia, Hospital Duran I Reynals, Servicio de Oncologia Medica

    Barcelona, 08907
    Spain

    Site Not Available

  • Royal Free Hospital and School of Medicine

    London, NW3 2QG
    United Kingdom

    Site Not Available

  • Urology Centers of Alabama

    Homewood, Alabama 35209
    United States

    Site Not Available

  • Desert Oasis Cancer Center

    Casa Granda, Arizona 85222
    United States

    Site Not Available

  • Southwest Florida Urologic Associates

    Fort Myers, Florida 33907
    United States

    Site Not Available

  • Advanced Research Institute, Inc.

    New Port Richey, Florida 34652
    United States

    Site Not Available

  • Florida Urology Specialists

    Sarasota, Florida 34237
    United States

    Site Not Available

  • Regional Urology

    Shreveport, Louisiana 71106
    United States

    Site Not Available

  • Lakeside Urology

    St. Joseph, Michigan 49085
    United States

    Site Not Available

  • Hamilton Urology, P.A.

    Hamilton, New Jersey 08690
    United States

    Site Not Available

  • Lawrenceville Urology

    Lawrenceville, New Jersey 08648
    United States

    Site Not Available

  • AccuMed Research Associates

    Garden City, New York 11530
    United States

    Site Not Available

  • Urological Surgeons of Long Island

    Garden City, New York 11530
    United States

    Site Not Available

  • Hudson Valley Urology

    Kingston, New York 12401
    United States

    Site Not Available

  • Hudson Valley Urology

    Poughkeepsie, New York 12601
    United States

    Site Not Available

  • Carolina Urologic Research Center

    Myrtle Beach, South Carolina 29572
    United States

    Site Not Available

  • Urology Associates, PC

    Nashville, Tennessee 37209
    United States

    Site Not Available

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