A Phase 2 interventional study of Degarelix in Prostate Cancer, sponsored by Ferring Pharmaceuticals. Completed at 35 sites in 2 countries. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2011-12-19.
Sponsored by Ferring Pharmaceuticals · Phase 2, Interventional, and Treatment
The purpose of the study was to contribute, along with other such dose-finding studies, to the identification of the most effective treatment regimen for a one month depot injection of degarelix in the treatment of prostate cancer by a rapid and sustained suppression of testosterone.
6,370 studies on the registry are indexed under Prostatic Neoplasms; 1,400 are open to participants now.
This study's enrollment of 127 is above the median of 58 across 4,822 interventional studies indexed under Prostatic Neoplasms.
Browse Prostatic Neoplasms studies →Ferring Pharmaceuticals is the lead sponsor of 244 studies on the registry; 4 are open to participants now.
Of its 14 completed or terminated interventional studies of FDA-regulated products, 13 (93%) have results posted.
Counted across the registry records on this site, refreshed daily.
Each patient must meet the following inclusion criteria before entry into the study.
Exclusion Criteria:
Any patient meeting one or more of the following exclusion criteria will not be entered into the study.
Initial dose of 200 milligrams (40 milligrams per milliliter) of Degarelix on Day 0 (cycle 1) given by subcutaneous injection. Maintenance dose of 60 milligrams (20 milligrams per milliliter) of Degarelix given by subcutaneous injection every 28 days for cycles 2-13.
Drug: Degarelix
Initial dose of 200 milligrams (40 milligrams per milliliter) of Degarelix on Day 0 (cycle 1) given by subcutaneous injection. Maintenance dose of 80 milligrams (20 milligrams per milliliter) of Degarelix given by subcutaneous injection every 28 days for cycles 2 - 13.
Drug: Degarelix
Drug supplied as a powder to be dissolved in the solvent for solution for injection. Maintenance dose given in twelve 28-day cycles.
Also known as: FE200486
Number of Participants With Testosterone <=0.5 Nanogram/Milliliter From Day 28 to Day 364
Number of participants with all testosterone values \<=0.5 nanogram/milliliter from Day 28 to Day 364
Time frame: Day 28 to Day 364
Number of Participants With Testosterone Level <= 0.5 Nanogram/Milliliter From Day 28 to Day 364 for Participants With Testosterone <= 0.5 Nanogram/Milliliter at Day 28
Number of participants who maintained a testosterone level of \<=0.5 nanogram/milliliter from Day 28 to Day 364.
Time frame: Day 28 - Day 364
Number of Participants With Testosterone <= 0.5 Nanogram/Milliliter at Day 3.
Testosterone levels checked at Day 3 to determine if the reduction in testosterone level occurs rapidly after dosing.
Time frame: Day 3
Days to 50 Percent and 90 Percent Reduction in Prostate-Specific Antigen
Median number of days after the first dose of Degarelix when the Prostate-Specific Antigen levels fell to 50 percent and 90 percent of the baseline value.
Time frame: Day 0 (post dose) to Day 364
Days to Prostate-Specific Antigen Progression
Median days to prostate-specific antigen increase of \>= 50 percent and \>= 5 nanograms/milliliter compared to nadir on two consecutive visits at least 2 weeks apart.
Time frame: Day 0 (post dose) to Day 364
Median Di-Hydrotestosterone Levels At Various Study Timepoints
Di-hydrotestosterone levels at baseline and days 1, 3, 7, 14
Time frame: Baseline, Days 1, 3, 7, 14
Median Prostate-Specific Antigen Values at Various Study Timepoints
Prostate-specific antigen levels at baseline and days 3, 14, 28, 84, and 364.
Time frame: Baseline, Days 3, 14, 28, 84, 364
Median Luteinizing Hormone Levels at Various Study Timeframes
Luteinizing hormone levels at baseline, and days 1, 3, 7, and 14.
Time frame: Baseline, Days 1, 3, 7, 14
Median Testosterone Levels at Various Days During the Study
Testosterone levels at baseline and days 1, 3, 7, 14 and 364
Time frame: Baseline, Days 1,3,7,14,364
Number of Participants With Abnormal Alanine Aminotransferase Values
Participants whose alanine aminotransferase values were at levels above the normal range.
Time frame: Day 1 through day 364
Number of Participants With Abnormal Aspartate Aminotransferase Values
Participants with aspartate aminotransferase values that were above the normal range.
Time frame: Day 1 - 364
Number of Participants With Abnormal Total Bilirubin Values
Participants with abnormal total bilirubin values
Time frame: Day 1 - 364
Participants With Markedly Abnormal Changes in Vital Signs or Body Weight
Vital sign and body weight values at the end of the trial are compared to baseline values. The table represents the number of participants in each group with normal baseline values and markedly abnormal end-of-study values.
Time frame: Day 364
| Milestone | Degarelix 60mg | Degarelix 80mg |
|---|---|---|
| Started | 63 | 64 |
| Completed | 42 | 45 |
| Not completed | 21 | 19 |
| Withdrew: Adverse event | 4 | 2 |
| Withdrew: Protocol violation | 1 | 4 |
| Withdrew: Withdrawal by subject | 4 | 1 |
| Withdrew: Inadequate testosterone suppression | 7 | 9 |
| Withdrew: Physician decision | 3 | 1 |
| Withdrew: Elevated psa levels | 2 | 2 |
Number of participants with all testosterone values \<=0.5 nanogram/milliliter from Day 28 to Day 364
| participants | Degarelix 60mg | Degarelix 80mg |
|---|---|---|
| Number of Participants With Testosterone <=0.5 Nanogram/Milliliter From Day 28 to Day 364 | 42 (73 to 94) | 41 (64 to 88) |
Testosterone levels checked at Day 3 to determine if the reduction in testosterone level occurs rapidly after dosing.
| participants | Degarelix 60mg | Degarelix 80mg |
|---|---|---|
| Number of Participants With Testosterone <= 0.5 Nanogram/Milliliter at Day 3. | 54 (79 to 96) | 56 (78 to 95) |
Number of participants who maintained a testosterone level of \<=0.5 nanogram/milliliter from Day 28 to Day 364.
| participants | Degarelix 60mg | Degarelix 80mg |
|---|---|---|
| Number of Participants With Testosterone Level <= 0.5 Nanogram/Milliliter From Day 28 to Day 364 for Participants With Testosterone <= 0.5 Nanogram/Milliliter at Day 28 | 42 (82 to 99) | 41 (87 to 100) |
Median number of days after the first dose of Degarelix when the Prostate-Specific Antigen levels fell to 50 percent and 90 percent of the baseline value.
| days | Degarelix 60mg | Degarelix 80mg |
|---|---|---|
| 50 percent reduction (n=59, 59) | 14 (3 to 84) | 14 (1 to 56) |
| 90 percent reduction (n=45, 48) | 56 (28 to 168) | 56 (14 to 252) |
Median days to prostate-specific antigen increase of \>= 50 percent and \>= 5 nanograms/milliliter compared to nadir on two consecutive visits at least 2 weeks apart.
| days | Degarelix 60mg | Degarelix 80mg |
|---|---|---|
| Days to Prostate-Specific Antigen Progression | 196 (107 to 280) | 154 (28 to 308) |
Di-hydrotestosterone levels at baseline and days 1, 3, 7, 14
| picogram / milliliter | Degarelix 60mg | Degarelix 80mg |
|---|---|---|
| Baseline (n=63, 64) | 360 (10 to 800) | 350 (48 to 810) |
| Day 1 (n=62, 62) | 110 (37 to 350) | 120 (34 to 280) |
| Day 3 (n=58, 63) | 56.5 (10 to 230) | 57 (10 to 150) |
| Day 7 (n=58, 63) | 45.5 (20 to 150) | 52 (10 to 280) |
| Day 14 (n=61, 61) | 37 (10 to 230) | 40 (10 to 430) |
Prostate-specific antigen levels at baseline and days 3, 14, 28, 84, and 364.
| nanogram / milliliter | Degarelix 60mg | Degarelix 80mg |
|---|---|---|
| Baseline (n=63, 64) | 12.7 (2.7 to 759) | 13.7 (1.6 to 1942) |
| Day 3 (n=60, 64) | 11.4 (2.1 to 1557) | 12.2 (1.3 to 1206) |
| Day 14 (n=61, 63) | 6.4 (0.9 to 362) | 6.8 (0.9 to 182) |
| Day 28 (n=61, 63) | 2.9 (0.3 to 28.8) | 3.6 (0.3 to 127) |
| Day 84 (n=57, 54) | 0.8 (0 to 32.1) | 0.7 (0 to 104) |
| Day 364 (n=42, 43) | 0.4 (0 to 12.8) | 0.2 (0 to 39.8) |
Luteinizing hormone levels at baseline, and days 1, 3, 7, and 14.
| international units / liter | Degarelix 60mg | Degarelix 80mg |
|---|---|---|
| Baseline (n=63, 64) | 5.28 (1.22 to 25) | 5.33 (0.72 to 31) |
| Day 1 (n=58, 61) | 0.915 (0.22 to 5.21) | 0.87 (0.035 to 5.64) |
| Day 3 (n=59, 60) | 0.43 (0.035 to 2.05) | 0.425 (0.035 to 1.78) |
| Day 7 (n=60, 61) | 0.41 (0.035 to 2.64) | 0.6 (0.035 to 7.35) |
| Day 14 (n=61, 62) | 0.2 (0.035 to 3.5) | 0.37 (0.035 to 9.5) |
Testosterone levels at baseline and days 1, 3, 7, 14 and 364
| nanograms / milliliter | Degarelix 60mg | Degarelix 80mg |
|---|---|---|
| Baseline (n=63, 64) | 4.1 (1.51 to 11) | 4.23 (0.2 to 8.68) |
| Day 1 (n=61, 63) | 0.56 (0.2 to 2.49) | 0.71 (0.12 to 2.98) |
| Day 3 (n=60, 63) | 0.26 (0.13 to 0.67) | 0.31 (0.11 to 1.31) |
| Day 7 (n=60, 64) | 0.18 (0.08 to 1.46) | 0.24 (0.07 to 3.98) |
| Day 14 (n=61, 63) | 0.11 (0.04 to 2.19) | 0.14 (0.015 to 6.99) |
| Day 364 (n=42, 43) | 0.07 (0.015 to 0.45) | 0.07 (0.015 to 0.32) |
Participants whose alanine aminotransferase values were at levels above the normal range.
| participants | Degarelix 60mg | Degarelix 80mg |
|---|---|---|
| > upper limit and 3 times upper limit | 10 | 21 |
| Total abnormal (> upper limit) | 10 | 21 |
| Total normal (<=upper limit) | 52 | 43 |
Participants with aspartate aminotransferase values that were above the normal range.
| participants | Degarelix 60mg | Degarelix 80mg |
|---|---|---|
| > 3 times upper limit - 5 times upper limit | 0 | 1 |
| > upper limit - 3 times upper limit | 6 | 5 |
| Total Abnormal (> upper limit) | 6 | 6 |
| Total Normal (<= upper limit) | 56 | 58 |
Participants with abnormal total bilirubin values
| participants | Degarelix 60mg | Degarelix 80mg |
|---|---|---|
| >2 times upper limit | 0 | 1 |
| >1.5 times upper limit | 2 | 4 |
| > upper limit - 1.5 times upper limit | 12 | 9 |
| Total abnormal (> upper limit) | 14 | 14 |
| Total normal (<=upper limit) | 48 | 50 |
Vital sign and body weight values at the end of the trial are compared to baseline values. The table represents the number of participants in each group with normal baseline values and markedly abnormal end-of-study values.
| participants | Degarelix 60mg | Degarelix 80mg |
|---|---|---|
| Diastolic blood pressure <= 50 and decrease >= 15 | 7 | 5 |
| Diastolic blood pressure >= 105 and increase >= 15 | 1 | 2 |
| Pulse <=50 and decrease of >=15 | 2 | 5 |
| Pulse >=120 and increase of >=15 | 0 | 0 |
| Systolic blood pressure <=90 and decrease >=20 | 5 | 5 |
| Systolic blood pressure >=180 and increase >=20 | 6 | 7 |
| Weight decrease of >=7 percent | 2 | 3 |
| Weight increase of >= 7 percent | 7 | 4 |
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Degarelix 60mg | — | — | — |
| Degarelix 80mg | — | — | — |
| Event | Degarelix 60mg | Degarelix 80mg |
|---|---|---|
| Myocardial infarctionCardiac disorders | 1/63 | 1/64 |
| Acute coronary syndromeCardiac disorders | 1/63 | 0/64 |
| ConstipationGastrointestinal disorders | 1/63 | 0/64 |
| Injection site urticariaGeneral disorders | 1/63 | 0/64 |
| PneumoniaInfections and infestations | 1/63 | 1/64 |
| OrchitisInfections and infestations | 1/63 | 0/64 |
| Perirectal abscessInfections and infestations | 1/63 | 0/64 |
| Pseudomembranous colitisInfections and infestations | 1/63 | 0/64 |
| Gastroenteritis radiationInjury, poisoning and procedural complications | 1/63 | 0/64 |
| ArthralgiaMusculoskeletal and connective tissue disorders | 1/63 | 0/64 |
| Event | Degarelix 60mg | Degarelix 80mg |
|---|---|---|
| Hot flushVascular disorders | 24/63 | 31/64 |
| FatigueGeneral disorders | 10/63 | 15/64 |
| NasopharyngitisInfections and infestations | 7/63 | 7/64 |
| DizzinessNervous system disorders | 7/63 | 6/64 |
| NocturiaRenal and urinary disorders | 1/63 | 7/64 |
| Erectile dysfunctionReproductive system and breast disorders | 4/63 | 6/64 |
| Injection site painGeneral disorders | 4/63 | 5/64 |
| Upper respiratory tract infectionInfections and infestations | 1/63 | 5/64 |
| Back painMusculoskeletal and connective tissue disorders | 2/63 | 5/64 |
| InsomniaPsychiatric disorders | 2/63 | 5/64 |
| Age, Categorical(Participants) | Degarelix 60mg | Degarelix 80mg | Total |
|---|---|---|---|
| <=18 years | 0 | 0 | 0 |
| Between 18 and 65 years | 9 | 9 | 18 |
| >=65 years | 54 | 55 | 109 |
| Age Continuous(years) | Degarelix 60mg | Degarelix 80mg | Total |
|---|---|---|---|
| Mean | 74.8 ± 8.73 | 74.9 ± 9.55 | 74.9 ± 9.12 |
| Sex: Female, Male(Participants) | Degarelix 60mg | Degarelix 80mg | Total |
|---|---|---|---|
| Female | 0 | 0 | 0 |
| Male | 63 | 64 | 127 |
| Race (NIH/OMB)(Participants) | Degarelix 60mg | Degarelix 80mg | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 1 | 1 | 2 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 14 | 4 | 18 |
| White | 48 | 59 | 107 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Curative Intent(participants) | Degarelix 60mg | Degarelix 80mg | Total |
|---|---|---|---|
| No | 41 | 40 | 81 |
| Yes | 22 | 24 | 46 |
| Participant Counts by Gleason Score(participants) | Degarelix 60mg | Degarelix 80mg | Total |
|---|---|---|---|
| 2-4 | 3 | 3 | 6 |
| 5-6 | 19 | 22 | 41 |
| 7-10 | 41 | 39 | 80 |
| The Number of Participants at Each Stage of Prostate Cancer(participants) | Degarelix 60mg | Degarelix 80mg | Total |
|---|---|---|---|
| Localized | 31 | 23 | 54 |
| Locally advanced | 5 | 9 | 14 |
| Metastatic | 15 | 9 | 24 |
| Not classifiable | 12 | 23 | 35 |
| Body Mass Index(kilogram per square meter) | Degarelix 60mg | Degarelix 80mg | Total |
|---|---|---|---|
| Mean | 27.3 ± 4.1 | 26.7 ± 3.98 | 27 ± 4.03 |
4 further baseline measures are reported on the registry.
This study is completed, as verified in Dec 2011. You cannot join it, but the record below documents what was studied.
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Ferring Pharmaceuticals