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

Last updated: May 7, 2019
Sponsor: Janssen Research & Development, LLC
Overall Status: Completed

Phase

3

Condition

Prostate Cancer, Early, Recurrent

Prostate Disorders

Prostate Cancer

Treatment

N/A

Clinical Study ID

NCT01695135
CR100010
ABI-PRO-3001
  • Ages > 18
  • Male

Study Summary

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

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Histologically or cytologically confirmed adenocarcinoma of the prostate exceptneuroendocrine carcinoma including small cell carcinoma

  • Disease progressed on or after prior docetaxel-containing chemotherapy

  • Prior 1 or 2 cytotoxic chemotherapy regimens for metastatic castration-resistantprostate cancer, at least 1 of which contains docetaxel

  • Documented prostate cancer progression as documented by prostate specific antigenprogression according to Prostate Specific Antigen Working Group criteria orradiographic progression in soft tissue or bone

  • Surgically or medically castrated, with serum testosterone level <50 ng/dL (1.7nmol/L)

  • Eastern Cooperative Oncology Group performance status score of <=2

  • Protocol-defined laboratory values

  • Agrees to protocol-defined use of effective contraception

Exclusion

Exclusion Criteria:

  • Active infection or other medical condition that would make prednisone (corticosteroid) use contraindicated

  • Any chronic medical condition requiring a higher dose of corticosteroid than 5 mgprednisone twice daily

  • Pathological finding consistent with neuroendocrine carcinoma of prostate includingsmall cell carcinoma

  • Uncontrolled hypertension (systolic BP >=160 mmHg or diastolic BP >=95 mmHg; patientswith a history of hypertension are allowed provided blood pressure is controlled byanti-hypertensive therapy)

  • Active or symptomatic viral hepatitis or chronic liver disease, have a known infectionwith human immunodeficiency virus and/or hepatitis B virus or hepatitis C virus

  • History of pituitary or adrenal dysfunction.

  • Clinically significant heart disease as evidenced by myocardial infarction, orarterial thrombotic events in the past 6 months, severe or unstable angina, or NewYork Heart Association Class III or IV heart disease or cardiac ejection fractionmeasurement of <50% at baseline

  • Atrial fibrillation, or other cardiac arrhythmia requiring therapy

  • Other malignancy within past 3 years (except basal or nonmetastatic squamous cellcarcinoma of the skin)

  • Known brain metastasis

  • Prior therapy with abiraterone acetate or other CYP17 inhibitor(s), or investigationalagent(s) targeting the androgen receptor for metastatic prostate cancer

  • Prior therapy with ketoconazole for prostate cancer

  • Surgery or local prostatic intervention within 30 days of the first dose

  • Radiotherapy, chemotherapy, or immunotherapy within 30 days, or single fraction ofpalliative radiotherapy within 14 days of administration of Cycle 1 Day 1

  • Any acute toxicities due to prior chemotherapy and/or radiotherapy that have notresolved to a National Cancer Institute-Common Terminology Criteria for Adverse Eventsgrade of <=1 (chemotherapy induced alopecia and grade 2 peripheral neuropathy isallowed)

  • Current enrollment in an investigational drug or device study or participation in sucha study within 30 days of Cycle 1 Day 1

  • Anti-androgen treatment must not be given within 4 weeks (flutamide) or 6 weeks (bicalutamide or nilutamide) prior to Cycle 1 Day 1

  • Prior systemic treatment with an azole drug (eg, fluconazole, itraconazole) within 4weeks prior to Cycle 1 Day 1

  • Has known allergies, hypersensitivity, or intolerance to abiraterone acetate or itsexcipients

  • Has contraindications to the use of prednisone per local prescribing information

  • Has any condition that, in the opinion of the investigator, would make participationnot be in the best interest (eg, compromise the well-being) of the patient or thatcould prevent, limit, or confound the protocol-specified assessments

Study Design

Total Participants: 214
Study Start date:
August 09, 2012
Estimated Completion Date:
May 08, 2018

Study Description

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

Connect with a study center

  • Beijing,
    China

    Site Not Available

  • Changsha,
    China

    Site Not Available

  • Chongqing,
    China

    Site Not Available

  • Guangzhou,
    China

    Site Not Available

  • Hangzhou,
    China

    Site Not Available

  • Nanjing,
    China

    Site Not Available

  • Shanghai,
    China

    Site Not Available

  • Su Zhou,
    China

    Site Not Available

  • empty

    Suzhou,
    China

    Site Not Available

  • Tianjin,
    China

    Site Not Available

  • Wenzhou,
    China

    Site Not Available

  • Wuhan,
    China

    Site Not Available

  • empty

    Hanoi,
    Vietnam

    Site Not Available

  • empty

    Ho Chi Minh City,
    Vietnam

    Site Not Available

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