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CompletedNCT00958477Updated Aug 2, 2017Results posted

A Study to Determine the Safety, Tolerability, Pharmacokinetics and Dynamic Effects of Different Doses of the Study Drug EMD 525797 in Prostate Cancer

A Phase 1 interventional study of EMD 525797 in Prostate Cancer and Bone Metastases, sponsored by Merck KGaA, Darmstadt, Germany. Completed at 4 sites in 2 countries. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-08-02.

Sponsored by Merck KGaA, Darmstadt, Germany · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
26
Allocation
Not applicable
Ages
18 Years and older
Sex
Male
01

Study summary

This study is intended to test an experimental new drug called, EMD 525797 (Study Drug). This drug is not yet approved for sale and has only been tested in a small number of people to date (prior to this study starting another research study was carried out involving 37 healthy volunteers receiving the Study Drug). Until more is known about this Study Drug, it can only be used in research studies.

This research study is planned to answer important questions about how the Study Drug is tolerated and how it may work in patients with prostate cancer with bone metastases.

This is a small study which is expected to include 24 patients, and will be conducted in approximately 3 hospitals in Germany and 1 hospital in Brussels, Belgium. The study will last until the last patient has had their last study visit which is expected to be about 18 months in total.

02

Conditions studied

  • Prostate Cancer
  • Bone Metastases

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Keywords

  • Safety
  • tolerability
  • pharmacokinetics
  • pharmacodynamics of EMD 525797
  • prostate cancer patients
03

In context

Prostatic Neoplasms

6,484 studies on the registry are indexed under Prostatic Neoplasms; 1,415 are open to participants now.

This study's enrollment of 26 is below the median of 58 across 4,908 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

Merck KGaA, Darmstadt, Germany is the lead sponsor of 275 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Provision of signed written informed consent
  • Age superior or equal to 18 years
  • Subjects with histological or cytologically proven prostate cancer with evidence of bone metastases on bone scans or CT / MRI after prior chemotherapy with e.g. taxane or mitoxantrone Patients should have undergone bilateral orchiectomy or should be on continuous androgen deprivation therapy with a gonadotropin releasing hormone agonist or antagonist and should have stopped any anti-androgen therapy for at least 4 weeks before inclusion in the study. Patients should be either on stable (i.e., since at least 3 months) ongoing therapy with a bisphosphonate or without any bisphosphonate therapy. Initiation of a bisphosphonate therapy within this time period prior the study or during the study is not allowed. Total serum testosterone should be less than 50 ng/dL or 1.7 nmol/L.
  • Evidence of progressive disease, defined by at least two PSA values above the individual nadir level with an increase of at least 10% each determined at a minimum interval of 2 weeks before screening examination. Presence of a measurable lesion is not required for study entry. Nodal (in lymph nodes superior or equal to 2cm) or visceral progression is sufficient for trial entry independent of PSA.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2 at study entry and an estimated life expectancy of at least 3 months.
  • Adequate hematological function, defined by white blood cell count (WBC) greater than or equal to 3 x 109/L with absolute neutrophil count (ANC) greater than or equal to 1.5 x 109/L, and lymphocyte count greater than or equal to 0.5 x 109/L; platelet count greater than or equal to 100 x 109/L; and hemoglobin greater than or equal to 9 g/dL.
  • Adequate hepatic function defined by total bilirubin level less than or equal to 1.5 times the upper limit of normal (ULN), and aspartate aminotransferase (AST) and alanine aminotransferase (ALT) levels less than or equal to 2.5 x ULN; or, for subjects with documented metastatic disease to the liver, AST and ALT levels less than or equal to 5 x ULN.
  • Adequate renal function defined by serum creatinine less than 1.5 mg/dL.
  • Effective contraception. If the risk of conception exists, pregnancy has to be avoided during the study (SCR to EOS) as well as during at least 3 month after last dosing using an effective contraception method (e.g. double barrier method)

Exclusion criteria

Exclusion Criteria:

  • Any systemic cytotoxic cancer treatment within 4 weeks before treatment with EMD 525797.
  • Acute pathologic fracture, spinal cord progression, hypercalcemia (within 4 weeks period prior to screening).
  • Radiotherapy to bone lesions, orthopaedic surgery, or any investigational drug in the 30 days before the start of treatment in this study and during treatment period, and/or biopsies involving bone within 2 weeks before the start of treatment in this study.
  • Supraphysiologic doses of steroids (defined as superior or equal to 7.5 mg of prednisone equivalents per day).
  • Previous treatment with anti-integrin therapy.
  • Confirmed or clinically suspected brain metastases.
  • Known hypersensitivity reactions to any of the components of the study medication.
  • History of allergic reactions to other monoclonal antibody (mAb) therapy.
  • Uncontrolled hypertension (systolic greater or equal to 160 mmHg, diastolic greater than or equal to 100 mmHg).
  • Current history of chronic daily aspirin therapy (ASS at doses inferior or equal to 100 mg is permitted), bleeding disorders and/or history of thromboembolic events (history of superficial thrombophlebitis is not an exclusion criterion); thrombolytics or oral or parenteral anticoagulants within 10 days prior to study start and during treatment period.
  • Severe peripheral vascular disease or ulceration.
  • Unstable angina pectoris, or myocardial infarction within 6 months before start of study treatment, clinical significant abnormal ECG at screening
  • Known alcohol or drug abuse.
  • Participation in another clinical trial within the past 30 days before start of study treatment.
  • Dementia, altered mental status, or any psychiatric condition that would prohibit the understanding or rendering of informed consent.
  • Ongoing uncontrolled infections, including active or chronic hepatitis B or C, ongoing HIV infection.
  • Legal incapacity or limited legal capacity.
  • All other significant diseases which, in the opinion of the Investigator, might impair the subject's tolerance of study treatment.
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
26 participants (actual)

Study arms

  • Experimental
    EMD 525797

    Biological: EMD 525797

Interventions

  • BiologicalEMD 525797

    Subjects will be administered with 250 milligram (mg), 500 mg, 1000 mg or 1500 mg of EMD 525797 intravenously over 1 hour every 2 weeks for 6 weeks. Subjects who will be clinically benefitted at the end of week 6 were continued at the same dose-level until disease progression, intolerance to treatment, withdrawal of consent or if the subject is no longer benefitted from the treatment as per Investigator's discretion.

06

What researchers measure

Primary outcomes

  1. Number of Subjects With Dose Limiting Toxicity (DLT)

    DLT was defined using National Cancer Institute Common Toxicity Criteria for Adverse Events Version 3.0 as any Grade 3 or 4 hematological or non-hematological toxicity occurring at any dose level until the end of Week 6, and suspected to be reasonably related to the investigational product by the Investigator and/or Sponsor except for allergic/ hypersensitivity reactions and any Grade 3/4 out-of-range laboratory values without any clinical correlate, which were reversible within 7 days.

    Time frame: Baseline up to 6 weeks

  2. Number of Subjects With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs and Related TEAEs

    An AE was defined as any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of study drug, whether or not considered related to the study drug or worsening of pre-existing medical condition, whether or not related to study drug. A serious adverse event (SAE) was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. Treatment-emergent are events between first dose of study drug that were absent before treatment or that worsened relative to pre-treatment state. TEAEs include both Serious TEAEs and non-serious TEAEs.Treatment-related are events which had causal relationship to study drug as assessed by the Investigator and were suspected to be reasonably related to the study drug.

    Time frame: Baseline up to 534 days

  3. Observed Maximum Serum Concentration (Cmax) of EMD 525797 After First Infusion

    Time frame: pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 1

  4. Observed Maximum Serum Concentration (Cmax) of EMD 525797 After Third Infusion

    Time frame: pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 5

  5. Area Under the Serum Concentration-time Curve From Time Zero to the Last Sampling Time (AUC0-t) After First Infusion

    Area under the serum concentration-time curve from time zero to the last sampling time at which the concentration is at or above lower limit of quantification (LLQ). AUC0-t was calculated according to the mixed log linear trapezoidal rule.

    Time frame: pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 1

  6. Total Body Clearance of Drug From Serum (CL) After First Infusion

    Clearance of a drug was a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Total body clearance of drug from serum, calculated as CL = dose/AUC0-inf. Where AUC0-inf is area under the serum concentration time curve from time zero to infinity, calculated as AUC0 t + AUCextra. AUCextra represents an extrapolated value obtained by Clast/λz, where Clast is the calculated serum concentration at the last sampling time point at which the measured serum concentration is at or above lower limit of quantification (LLQ) and λz is elimination rate constant.

    Time frame: pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 1

  7. Apparent Volume of Distribution During Terminal Phase (Vz) of EMD 525797 After First Infusion

    Volume of distribution was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired serum concentration of a drug. Apparent volume of distribution during the terminal phase, calculated as = Dose/(AUC0-inf \*λz) after first infusion. Where 'λz' is the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve. Where AUC0-inf is area under the serum concentration time curve from time zero to infinity, calculated as AUC0 t + AUCextra. AUCextra represents an extrapolated value obtained by Clast/λz, where Clast is the calculated serum concentration at the last sampling time point at which the measured serum concentration is at or above lower limit of quantification (LLQ) and λz is elimination rate constant.

    Time frame: pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 1

  8. Trough Serum Concentration (Ctrough) Of EMD 525797 at Week 1

    Ctrough is the concentration prior to study drug administration.

    Time frame: pre-dose at Week 1

  9. Trough Serum Concentration (Ctrough) Of EMD 525797 at Week 3

    Ctrough is the concentration prior to study drug administration.

    Time frame: pre-dose at Week 3

  10. Trough Serum Concentration (Ctrough) Of EMD 525797 at Week 5

    Ctrough is the concentration prior to study drug administration.

    Time frame: pre-dose at Week 5

Secondary outcomes

  1. Time to Reach Observed Serum Concentration (Tmax) After First Infusion

    Time frame: pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 1

  2. Time to Reach Observed Serum Concentration (Tmax) After Third Infusion

    Time frame: pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 5

  3. Number of Subjects With Positive Anti-EMD 525797 Antibodies

    Time frame: Week 1, 3, 5, 8, 9

  4. Serum Levels of Interleukin 6 (IL-6) and Interleukin 8 (IL-8)

    Time frame: Week 1 up to a maximum of 56 days

  5. C-Reactive Protein Levels

    Time frame: Week 1 up to a maximum of 56 days

  6. Apparent Terminal Half-life (t1/2) of EMD 525797 After First Infusion

    Terminal half-life is the time measured for the concentration to decrease by one half. Terminal half-life is calculated by dividing the natural logarithm to the base e (Log e) multiplied by (\*) 2/ λz, where 'λz' is the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve.

    Time frame: pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 1

  7. Elimination Rate Constant (λz) of EMD 525797 After First Infusion

    Elimination rate constant obtained from linear regression of the terminal phase of the log transformed concentration-time data.

    Time frame: pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 1

  8. Observed Minimum Serum Concentration (Cmin) of EMD 525797 After Third Infusion

    Observed minimum serum concentration determined directly from the serum concentration-time profile of each subject.

    Time frame: pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 5

  9. Average Serum Concentration at Steady State (Cav) of EMD 525797 After Third Infusion

    The average serum concentration at steady state, calculated as Cav = AUCtau/tau, where tau is the dosing interval (336 hours).

    Time frame: pre-dose, end of infusion, 4, 8, 24, 48, 96, 168, 336 hours post third infusion at Week 5

  10. Area Under the Serum Concentration-time Curve Within One Complete Dosing Interval (AUCtau) of EMD 525797 After First Infusion

    Area under the concentration-time curve from time zero up to time Tau, where Tau is the dosing interval (168 hours).

    Time frame: pre-dose, end of infusion, 4, 8, 24, 48, 96 and 168 hours post-infusion at Week 1

  11. Area Under the Serum Concentration-time Curve Within One Complete Dosing Interval (AUCtau) of EMD 525797 After Third Infusion

    Area under the concentration-time curve from time zero up to time Tau, where Tau is the dosing interval (336 hours).

    Time frame: pre-dose, end of infusion, 4, 8, 24, 48, 96,168, 336 hours post third infusion at Week 5

  12. Area Under the Serum Concentration-time Curve From Time Zero to Infinity (AUC0-inf) of EMD 525797 After First Infusion

    Area under the serum concentration time curve from time zero to infinity, calculated as AUC0 t + AUCextra. AUCextra represents an extrapolated value obtained by Clast/λz, where Clast is the calculated serum concentration at the last sampling time point at which the measured serum concentration is at or above LLQ and λz is elimination rate constant.

    Time frame: pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 1

  13. Peak Trough Fluctuation Over One Dosing Interval at Steady State (%PTF) of EMD 525797 After Third Infusion

    The peak trough fluctuation over one dosing interval at steady state, calculated as PTF (%) = ( \[ Cmax - Cmin \] / Cav )\*100

    Time frame: pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 5

  14. Mean Residence Time of Drug in the Body (MRT) of EMD 525797 After First Infusion

    Mean residence time of drug in the body calculated as: AUMC0-inf / AUC0-inf, where AUMC0-inf is the area under the first moment curve from time zero to infinity. Where AUC0-inf is area under the serum concentration time curve from time zero to infinity, calculated as AUC0 t + AUCextra. AUCextra represents an extrapolated value obtained by Clast/λz, where Clast is the calculated serum concentration at the last sampling time point at which the measured serum concentration is at or above lower limit of quantification (LLQ) and λz is elimination rate constant.

    Time frame: pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 1

  15. Apparent Volume of Distribution at Steady State (Vss) of EMD 525797 After Third Infusion

    Apparent volume of distribution at steady-state was reported. Apparent volume of distribution was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired serum concentration of a drug.

    Time frame: pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 5

  16. Accumulation Ratio Of Cmax (R_Cmax)

    Accumulation ratio for Cmax was calculated as Cmax, after third dose/Cmax, after first dose.

    Time frame: pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 1 and Week 5

  17. Accumulation Ratio of AUC (R_AUC)

    Accumulation ratio for AUC, calculated as area under the serum concentration-time curve within one complete dosing interval at third dose divided by area under the serum concentration-time curve within one complete dosing interval at first dose.

    Time frame: pre-dose, end of infusion, 4, 8, 24, 48, 96,168 hours post-infusion at Week 1 and pre-dose, end of infusion, 4, 8, 24, 48, 96, 168, 336 hours post third infusion at Week 5

  18. Number of Subjects With Best Overall Response (BOR)

    Number of subjects with BOR in each category (complete response \[CR\], partial response \[PR\], stable disease \[SD\], progressive disease \[PD\]) according to Response Evaluation Criteria in Solid Tumors (RECIST Version 1.0) was reported. CR: defined as disappearance of all target and all non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. PR: defined as at least a 30% decrease in sum of longest diameter of target lesions, taking as reference the baseline sum of longest diameter. PD:defined as at least a 20% increase in sum of longest diameter of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study) or unequivocal progression of existing non-target lesions. SD: defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum of longest diameter while on study.

    Time frame: Week 6, Week 19, Overall (Baseline Up to 394 days)

  19. Progression-free Survival (PFS) as Per Prostate Cancer Clinical Trials Working Group 1 (PCWG1) and Prostate Cancer Clinical Trials Working Group 2 (PCWG2) Criteria

    PFS PCWG1 criteria: time from the day treatment is initiated up to progression (for subject's whose prostate specific antigen \[PSA\] level did not decrease after baseline, progression defined as 50% PSA increase relative to baseline; for subject's whose PSA decreased after baseline, progression defined as 50% PSA increase relative to nadir \[smallest PSA value post-baseline\]. Progression was confirmed if progression criterion was met in next 2 assessments as well.) PFS PCWG2 criteria: time from study entry to disease progression or death. Progression was defined as first appearance of progression according to PSA (for subject's whose PSA decreased after baseline, progression was defined as 25% PSA increase relative to nadir. Progression was confirmed if another assessment measured at least 3 weeks later met the criterion as well; for subject's whose PSA did not decrease after baseline, progression was defined as 25% PSA increase relative to baseline assessed 12 weeks after baseline).

    Time frame: Baseline up to 394 days

  20. Time to Progression (TTP)

    TTP was calculated as the time between the date of imaging for the earliest visit where progressive disease was detected and the first dose date plus 1 day. Participants without event are censored on the date of last tumor assessment.

    Time frame: Baseline up to disease progression up to a maximum of 13.1 months

  21. Number of Subjects With Eastern Cooperative Oncology Group (ECOG) Performance: Baseline Score vs. Worst Post-baseline Score

    ECOG performance status measured to assess subject's performance status on a scale of 0 to 4, where 0=Fully active, able to carry on all pre-disease activities without restriction; 1=Restricted in physically strenuous activity, ambulatory and able to carry out light or sedentary work; 2=Ambulatory (\>50% of waking hours), capable of all self-care, unable to carry out any work activities; 3=Capable of only limited self-care, confined to bed/chair \>50% of waking hours; 4=Completely disabled, cannot carry on any self-care, totally confined to bed/chair. ECOG performance status was reported in terms of number of subjects with Baseline value vs. worst post-baseline value (i.e. highest score) combination.

    Time frame: Baseline up to 394 days

  22. Number of Subjects With Eastern Cooperative Oncology Group (ECOG) Performance: Baseline Score vs. Best Post-baseline Score

    ECOG performance status measured to assess subject's performance status on a scale of 0 to 4, where 0=Fully active, able to carry on all pre-disease activities without restriction; 1=Restricted in physically strenuous activity, ambulatory and able to carry out light or sedentary work; 2=Ambulatory (\>50% of waking hours), capable of all self-care, unable to carry out any work activities; 3=Capable of only limited self-care, confined to bed/chair \>50% of waking hours; 4=Completely disabled, cannot carry on any self-care, totally confined to bed/chair. ECOG performance status was reported in terms of number of subjects with Baseline value vs. best post-baseline value (i.e. lowest score) combination.

    Time frame: Baseline up to 394 days

  23. Total Pain Score Using Brief Pain Inventory-Short Form (BPI-sf)

    BPI-sf is an 11-item self-report questionnaire that is designed to assess the severity and impact of pain on daily functions. BPI-sf has 4 questions that assess pain intensity (worst, least, average, right now) and 7 questions that assess impact of pain on daily functions (general activity, mood, walking ability, normal work, relations with other people, sleep, enjoyment of life). Each question is answered on a scale ranging from 0 to 10;'0=No pain and 10=Pain as bad as you can imagine'.Total score is reported as average of individual questions ranges from 0 to 10, with lower scores being indicative of less pain or pain interference.Data was not available for "EMD 525797 250 mg" arm for FUP Weeks 15, 19, 23, 27, 31, 35, 39, 43, 47, 51, 55, 59, 63, 67, 71, 75 and "EMD 525797 1000 mg" arm for FUP Weeks 47, 51, 55, 59, 63, 67, 71 and "EMD 525797 1500 mg arm" for FUP Weeks 35, 39, 43, 47, 51, 55, 59, 63, 67, 71, 75 respectively as no subjects were evaluable at the specified FUP visits.

    Time frame: Screening; Baseline; Week 3, 5, 7; Follow-up (FUP) Week 11, 15, 19, 23, 27, 31, 35, 39, 43, 47, 51, 55, 59, 63, 67, 71, 75; End of treatment (EOT; maximum up to 380 days) and EOS (maximum up to 394 days)

  24. Maximum Percent Change From Baseline in Prostate Specific Antigen (PSA) Level

    Maximum percent change from Baseline in PSA Level during the study was reported.

    Time frame: Baseline up to 394 days

  25. Minimum Percent Change From Baseline in PSA Level

    Minimum percent change from Baseline in PSA Level during the study was reported.

    Time frame: Baseline up to 394 days

07

Results

Posted Aug 2, 2017

Participant flow

First/last subject (informed consent): 14 Oct 2008/21 May 2010. Last subject completed: 03 March 2011.

Participant flow — Overall Study
MilestoneEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Started8666
Completed8666
Not completed0000

Outcome measures

PrimaryNumber of Subjects With Dose Limiting Toxicity (DLT)

DLT was defined using National Cancer Institute Common Toxicity Criteria for Adverse Events Version 3.0 as any Grade 3 or 4 hematological or non-hematological toxicity occurring at any dose level until the end of Week 6, and suspected to be reasonably related to the investigational product by the Investigator and/or Sponsor except for allergic/ hypersensitivity reactions and any Grade 3/4 out-of-range laboratory values without any clinical correlate, which were reversible within 7 days.

Time frame:
Baseline up to 6 weeks
Reported as:
Number · subjects
Number of Subjects With Dose Limiting Toxicity (DLT)
subjectsEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Number of Subjects With Dose Limiting Toxicity (DLT)0000
PrimaryNumber of Subjects With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs and Related TEAEs

An AE was defined as any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of study drug, whether or not considered related to the study drug or worsening of pre-existing medical condition, whether or not related to study drug. A serious adverse event (SAE) was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. Treatment-emergent are events between first dose of study drug that were absent before treatment or that worsened relative to pre-treatment state. TEAEs include both Serious TEAEs and non-serious TEAEs.Treatment-related are events which had causal relationship to study drug as assessed by the Investigator and were suspected to be reasonably related to the study drug.

Time frame:
Baseline up to 534 days
Reported as:
Number · Subjects
Number of Subjects With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs and Related TEAEs
SubjectsEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
TEAEs8666
Serious TEAEs5143
Related TEAEs2423
PrimaryObserved Maximum Serum Concentration (Cmax) of EMD 525797 After First Infusion
Time frame:
pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 1
Reported as:
Geometric mean · microgram per milliliter (mcg/mL)
Observed Maximum Serum Concentration (Cmax) of EMD 525797 After First Infusion
microgram per milliliter (mcg/mL)EMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Observed Maximum Serum Concentration (Cmax) of EMD 525797 After First Infusion52.9 ± 15.3115.5 ± 20.1298.0 ± 10.8368.9 ± 26.7
PrimaryObserved Maximum Serum Concentration (Cmax) of EMD 525797 After Third Infusion
Time frame:
pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 5
Reported as:
Geometric mean · mcg/mL
Observed Maximum Serum Concentration (Cmax) of EMD 525797 After Third Infusion
mcg/mLEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Observed Maximum Serum Concentration (Cmax) of EMD 525797 After Third Infusion55.7 ± 23.8130.3 ± 17.0371.8 ± 17.8485.7 ± 25.0
PrimaryArea Under the Serum Concentration-time Curve From Time Zero to the Last Sampling Time (AUC0-t) After First Infusion

Area under the serum concentration-time curve from time zero to the last sampling time at which the concentration is at or above lower limit of quantification (LLQ). AUC0-t was calculated according to the mixed log linear trapezoidal rule.

Time frame:
pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 1
Reported as:
Geometric mean · h*mcg/mL
Area Under the Serum Concentration-time Curve From Time Zero to the Last Sampling Time (AUC0-t) After First Infusion
h*mcg/mLEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Area Under the Serum Concentration-time Curve From Time Zero to the Last Sampling Time (AUC0-t) After First Infusion3583 ± 3315609 ± 1640080 ± 1650891 ± 25
PrimaryTotal Body Clearance of Drug From Serum (CL) After First Infusion

Clearance of a drug was a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Total body clearance of drug from serum, calculated as CL = dose/AUC0-inf. Where AUC0-inf is area under the serum concentration time curve from time zero to infinity, calculated as AUC0 t + AUCextra. AUCextra represents an extrapolated value obtained by Clast/λz, where Clast is the calculated serum concentration at the last sampling time point at which the measured serum concentration is at or above lower limit of quantification (LLQ) and λz is elimination rate constant.

Time frame:
pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 1
Reported as:
Geometric mean · L/h
Total Body Clearance of Drug From Serum (CL) After First Infusion
L/hEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Total Body Clearance of Drug From Serum (CL) After First Infusion0.060 ± 38.3990.027 ± 25.8270.019 ± 21.7910.020 ± 28.933
PrimaryApparent Volume of Distribution During Terminal Phase (Vz) of EMD 525797 After First Infusion

Volume of distribution was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired serum concentration of a drug. Apparent volume of distribution during the terminal phase, calculated as = Dose/(AUC0-inf \*λz) after first infusion. Where 'λz' is the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve. Where AUC0-inf is area under the serum concentration time curve from time zero to infinity, calculated as AUC0 t + AUCextra. AUCextra represents an extrapolated value obtained by Clast/λz, where Clast is the calculated serum concentration at the last sampling time point at which the measured serum concentration is at or above lower limit of quantification (LLQ) and λz is elimination rate constant.

Time frame:
pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 1
Reported as:
Geometric mean · Liters
Apparent Volume of Distribution During Terminal Phase (Vz) of EMD 525797 After First Infusion
LitersEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Apparent Volume of Distribution During Terminal Phase (Vz) of EMD 525797 After First Infusion5.06 ± 17.494.64 ± 7.834.35 ± 34.546.16 ± 24.13
PrimaryTrough Serum Concentration (Ctrough) Of EMD 525797 at Week 1

Ctrough is the concentration prior to study drug administration.

Time frame:
pre-dose at Week 1
Reported as:
Mean · mcg/mL
Trough Serum Concentration (Ctrough) Of EMD 525797 at Week 1
mcg/mLEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Trough Serum Concentration (Ctrough) Of EMD 525797 at Week 10.00 ± 0.000.00 ± 0.000.00 ± 0.000.00 ± 0.00
PrimaryTrough Serum Concentration (Ctrough) Of EMD 525797 at Week 3

Ctrough is the concentration prior to study drug administration.

Time frame:
pre-dose at Week 3
Reported as:
Mean · mcg/mL
Trough Serum Concentration (Ctrough) Of EMD 525797 at Week 3
mcg/mLEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Trough Serum Concentration (Ctrough) Of EMD 525797 at Week 30.43 ± 1.0515.17 ± 6.9751.16 ± 23.4681.22 ± 26.72
PrimaryTrough Serum Concentration (Ctrough) Of EMD 525797 at Week 5

Ctrough is the concentration prior to study drug administration.

Time frame:
pre-dose at Week 5
Reported as:
Mean · mcg/mL
Trough Serum Concentration (Ctrough) Of EMD 525797 at Week 5
mcg/mLEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Trough Serum Concentration (Ctrough) Of EMD 525797 at Week 52.70 ± 4.0527.97 ± 12.33105.77 ± 25.22150.74 ± 47.37
SecondaryTime to Reach Observed Serum Concentration (Tmax) After First Infusion
Time frame:
pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 1
Reported as:
Median · hours
Time to Reach Observed Serum Concentration (Tmax) After First Infusion
hoursEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Time to Reach Observed Serum Concentration (Tmax) After First Infusion1.0 (1.0 to 5.0)8 (1 to 24)2.0 (1.0 to 4.0)2.0 (1.0 to 5.0)
SecondaryTime to Reach Observed Serum Concentration (Tmax) After Third Infusion
Time frame:
pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 5
Reported as:
Median · hours
Time to Reach Observed Serum Concentration (Tmax) After Third Infusion
hoursEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Time to Reach Observed Serum Concentration (Tmax) After Third Infusion1 (1 to 5)3 (1 to 5)1 (1 to 4)1 (1 to 8)
SecondaryNumber of Subjects With Positive Anti-EMD 525797 Antibodies
Time frame:
Week 1, 3, 5, 8, 9
Reported as:
Number · Subjects
Number of Subjects With Positive Anti-EMD 525797 Antibodies
SubjectsEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Week 10000
Week 34000
Week 51000
Week 81000
Week 91000
SecondarySerum Levels of Interleukin 6 (IL-6) and Interleukin 8 (IL-8)
Time frame:
Week 1 up to a maximum of 56 days

No measurements were reported for this outcome.

SecondaryC-Reactive Protein Levels
Time frame:
Week 1 up to a maximum of 56 days

No measurements were reported for this outcome.

SecondaryApparent Terminal Half-life (t1/2) of EMD 525797 After First Infusion

Terminal half-life is the time measured for the concentration to decrease by one half. Terminal half-life is calculated by dividing the natural logarithm to the base e (Log e) multiplied by (\*) 2/ λz, where 'λz' is the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve.

Time frame:
pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 1
Reported as:
Median · hours
Apparent Terminal Half-life (t1/2) of EMD 525797 After First Infusion
hoursEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Apparent Terminal Half-life (t1/2) of EMD 525797 After First Infusion60.3 (31.3 to 88.7)109.5 (92.0 to 186.8)184.5 (66.3 to 233.1)222.1 (174.7 to 257.6)
SecondaryElimination Rate Constant (λz) of EMD 525797 After First Infusion

Elimination rate constant obtained from linear regression of the terminal phase of the log transformed concentration-time data.

Time frame:
pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 1
Reported as:
Geometric mean · 1/h
Elimination Rate Constant (λz) of EMD 525797 After First Infusion
1/hEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Elimination Rate Constant (λz) of EMD 525797 After First Infusion0.0119 ± 34.21790.0059 ± 28.82970.0043 ± 47.92260.0032 ± 16.6282
SecondaryObserved Minimum Serum Concentration (Cmin) of EMD 525797 After Third Infusion

Observed minimum serum concentration determined directly from the serum concentration-time profile of each subject.

Time frame:
pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 5
Reported as:
Mean · mcg/mL
Observed Minimum Serum Concentration (Cmin) of EMD 525797 After Third Infusion
mcg/mLEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Observed Minimum Serum Concentration (Cmin) of EMD 525797 After Third Infusion2.7 ± 4.128.0 ± 12.3102.8 ± 28.2150.7 ± 47.4
SecondaryAverage Serum Concentration at Steady State (Cav) of EMD 525797 After Third Infusion

The average serum concentration at steady state, calculated as Cav = AUCtau/tau, where tau is the dosing interval (336 hours).

Time frame:
pre-dose, end of infusion, 4, 8, 24, 48, 96, 168, 336 hours post third infusion at Week 5
Reported as:
Geometric mean · mcg/mL
Average Serum Concentration at Steady State (Cav) of EMD 525797 After Third Infusion
mcg/mLEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Average Serum Concentration at Steady State (Cav) of EMD 525797 After Third Infusion16.4 ± 59.657.1 ± 41.9187.2 ± 28.2178.5 ± 41.3
SecondaryArea Under the Serum Concentration-time Curve Within One Complete Dosing Interval (AUCtau) of EMD 525797 After First Infusion

Area under the concentration-time curve from time zero up to time Tau, where Tau is the dosing interval (168 hours).

Time frame:
pre-dose, end of infusion, 4, 8, 24, 48, 96 and 168 hours post-infusion at Week 1
Reported as:
Geometric mean · h*mcg/mL
Area Under the Serum Concentration-time Curve Within One Complete Dosing Interval (AUCtau) of EMD 525797 After First Infusion
h*mcg/mLEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Area Under the Serum Concentration-time Curve Within One Complete Dosing Interval (AUCtau) of EMD 525797 After First Infusion4398 ± 3315609 ± 1640080 ± 1650553 ± 24
SecondaryArea Under the Serum Concentration-time Curve Within One Complete Dosing Interval (AUCtau) of EMD 525797 After Third Infusion

Area under the concentration-time curve from time zero up to time Tau, where Tau is the dosing interval (336 hours).

Time frame:
pre-dose, end of infusion, 4, 8, 24, 48, 96,168, 336 hours post third infusion at Week 5
Reported as:
Geometric mean · h*mcg/mL
Area Under the Serum Concentration-time Curve Within One Complete Dosing Interval (AUCtau) of EMD 525797 After Third Infusion
h*mcg/mLEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Area Under the Serum Concentration-time Curve Within One Complete Dosing Interval (AUCtau) of EMD 525797 After Third Infusion6028 ± 5020306 ± 3567160 ± 1985401 ± 25
SecondaryArea Under the Serum Concentration-time Curve From Time Zero to Infinity (AUC0-inf) of EMD 525797 After First Infusion

Area under the serum concentration time curve from time zero to infinity, calculated as AUC0 t + AUCextra. AUCextra represents an extrapolated value obtained by Clast/λz, where Clast is the calculated serum concentration at the last sampling time point at which the measured serum concentration is at or above LLQ and λz is elimination rate constant.

Time frame:
pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 1
Reported as:
Geometric mean · h*mcg/mL
Area Under the Serum Concentration-time Curve From Time Zero to Infinity (AUC0-inf) of EMD 525797 After First Infusion
h*mcg/mLEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Area Under the Serum Concentration-time Curve From Time Zero to Infinity (AUC0-inf) of EMD 525797 After First Infusion4152 ± 3818317 ± 2653580 ± 2275408 ± 29
SecondaryPeak Trough Fluctuation Over One Dosing Interval at Steady State (%PTF) of EMD 525797 After Third Infusion

The peak trough fluctuation over one dosing interval at steady state, calculated as PTF (%) = ( \[ Cmax - Cmin \] / Cav )\*100

Time frame:
pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 5
Reported as:
Geometric mean · percentage of fluctuation
Peak Trough Fluctuation Over One Dosing Interval at Steady State (%PTF) of EMD 525797 After Third Infusion
percentage of fluctuationEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Peak Trough Fluctuation Over One Dosing Interval at Steady State (%PTF) of EMD 525797 After Third Infusion326 ± 39179 ± 43145 ± 18190 ± 32
SecondaryMean Residence Time of Drug in the Body (MRT) of EMD 525797 After First Infusion

Mean residence time of drug in the body calculated as: AUMC0-inf / AUC0-inf, where AUMC0-inf is the area under the first moment curve from time zero to infinity. Where AUC0-inf is area under the serum concentration time curve from time zero to infinity, calculated as AUC0 t + AUCextra. AUCextra represents an extrapolated value obtained by Clast/λz, where Clast is the calculated serum concentration at the last sampling time point at which the measured serum concentration is at or above lower limit of quantification (LLQ) and λz is elimination rate constant.

Time frame:
pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 1
Reported as:
Geometric mean · hours
Mean Residence Time of Drug in the Body (MRT) of EMD 525797 After First Infusion
hoursEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Mean Residence Time of Drug in the Body (MRT) of EMD 525797 After First Infusion87.2 ± 33.3171.0 ± 26.6230.5 ± 41.3299.9 ± 16.2
SecondaryApparent Volume of Distribution at Steady State (Vss) of EMD 525797 After Third Infusion

Apparent volume of distribution at steady-state was reported. Apparent volume of distribution was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired serum concentration of a drug.

Time frame:
pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 5
Reported as:
Geometric mean · Liters
Apparent Volume of Distribution at Steady State (Vss) of EMD 525797 After Third Infusion
LitersEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Apparent Volume of Distribution at Steady State (Vss) of EMD 525797 After Third Infusion4.63 ± 24.424.35 ± 3.793.35 ± 10.554.32 ± 29.04
SecondaryAccumulation Ratio Of Cmax (R_Cmax)

Accumulation ratio for Cmax was calculated as Cmax, after third dose/Cmax, after first dose.

Time frame:
pre-dose, end of infusion, 4, 8, 24, 48, 96, 168 and 336 hours post-infusion at Week 1 and Week 5
Reported as:
Geometric mean · ratio
Accumulation Ratio Of Cmax (R_Cmax)
ratioEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Accumulation Ratio Of Cmax (R_Cmax)1.10 ± 15.131.19 ± 18.251.25 ± 9.841.32 ± 14.59
SecondaryAccumulation Ratio of AUC (R_AUC)

Accumulation ratio for AUC, calculated as area under the serum concentration-time curve within one complete dosing interval at third dose divided by area under the serum concentration-time curve within one complete dosing interval at first dose.

Time frame:
pre-dose, end of infusion, 4, 8, 24, 48, 96,168 hours post-infusion at Week 1 and pre-dose, end of infusion, 4, 8, 24, 48, 96, 168, 336 hours post third infusion at Week 5
Reported as:
Geometric mean · ratio
Accumulation Ratio of AUC (R_AUC)
ratioEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Accumulation Ratio of AUC (R_AUC)1.37 ± 29.431.32 ± 28.351.68 ± 18.911.69 ± 10.31
SecondaryNumber of Subjects With Best Overall Response (BOR)

Number of subjects with BOR in each category (complete response \[CR\], partial response \[PR\], stable disease \[SD\], progressive disease \[PD\]) according to Response Evaluation Criteria in Solid Tumors (RECIST Version 1.0) was reported. CR: defined as disappearance of all target and all non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. PR: defined as at least a 30% decrease in sum of longest diameter of target lesions, taking as reference the baseline sum of longest diameter. PD:defined as at least a 20% increase in sum of longest diameter of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study) or unequivocal progression of existing non-target lesions. SD: defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum of longest diameter while on study.

Time frame:
Week 6, Week 19, Overall (Baseline Up to 394 days)
Reported as:
Number · subjects
Number of Subjects With Best Overall Response (BOR)
subjectsEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Week 6: CR0000
Week 6: PR0000
Week 6: SD4545
Week 6: PD4121
Week 19: CR0000
Week 19: PR0100
Week 19: SD4445
Week 19: PD4121
Overall: CR0000
Overall: PR0100
Overall: SD4445
Overall: PD4121
SecondaryProgression-free Survival (PFS) as Per Prostate Cancer Clinical Trials Working Group 1 (PCWG1) and Prostate Cancer Clinical Trials Working Group 2 (PCWG2) Criteria

PFS PCWG1 criteria: time from the day treatment is initiated up to progression (for subject's whose prostate specific antigen \[PSA\] level did not decrease after baseline, progression defined as 50% PSA increase relative to baseline; for subject's whose PSA decreased after baseline, progression defined as 50% PSA increase relative to nadir \[smallest PSA value post-baseline\]. Progression was confirmed if progression criterion was met in next 2 assessments as well.) PFS PCWG2 criteria: time from study entry to disease progression or death. Progression was defined as first appearance of progression according to PSA (for subject's whose PSA decreased after baseline, progression was defined as 25% PSA increase relative to nadir. Progression was confirmed if another assessment measured at least 3 weeks later met the criterion as well; for subject's whose PSA did not decrease after baseline, progression was defined as 25% PSA increase relative to baseline assessed 12 weeks after baseline).

Time frame:
Baseline up to 394 days
Reported as:
Median · months
Progression-free Survival (PFS) as Per Prostate Cancer Clinical Trials Working Group 1 (PCWG1) and Prostate Cancer Clinical Trials Working Group 2 (PCWG2) Criteria
monthsEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
PCWG1NA (1.4 to NA)1.0 (1.0 to 1.4)2.3 (1.4 to 2.3)7.5 (2.6 to 7.5)
PCWG23.0 (1.7 to 3.7)3.4 (1.8 to NA)3.9 (2.0 to 4.7)3.4 (2.3 to 5.4)
SecondaryTime to Progression (TTP)

TTP was calculated as the time between the date of imaging for the earliest visit where progressive disease was detected and the first dose date plus 1 day. Participants without event are censored on the date of last tumor assessment.

Time frame:
Baseline up to disease progression up to a maximum of 13.1 months
Reported as:
Number · months
Time to Progression (TTP)
monthsEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Subject 11.184.171.282.83
Subject 23.021.181.251.18
Subject 31.48NANANA
SecondaryNumber of Subjects With Eastern Cooperative Oncology Group (ECOG) Performance: Baseline Score vs. Worst Post-baseline Score

ECOG performance status measured to assess subject's performance status on a scale of 0 to 4, where 0=Fully active, able to carry on all pre-disease activities without restriction; 1=Restricted in physically strenuous activity, ambulatory and able to carry out light or sedentary work; 2=Ambulatory (\>50% of waking hours), capable of all self-care, unable to carry out any work activities; 3=Capable of only limited self-care, confined to bed/chair \>50% of waking hours; 4=Completely disabled, cannot carry on any self-care, totally confined to bed/chair. ECOG performance status was reported in terms of number of subjects with Baseline value vs. worst post-baseline value (i.e. highest score) combination.

Time frame:
Baseline up to 394 days
Reported as:
Number · subjects
Number of Subjects With Eastern Cooperative Oncology Group (ECOG) Performance: Baseline Score vs. Worst Post-baseline Score
subjectsEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Baseline score 0, worst post-baseline score 02321
Baseline score 0, worst post-baseline score 11010
Baseline score 0, worst post-baseline score 20001
Baseline score 0, worst post-baseline score 30001
Baseline score 0, worst post-baseline score 40000
Baseline score 1, worst post-baseline score 01000
Baseline score 1, worst post-baseline score 12321
Baseline score 1, worst post-baseline score 21001
Baseline score 1, worst post-baseline score 31000
Baseline score 1, worst post-baseline score 40000
Baseline score 2, worst post-baseline score 00000
Baseline score 2, worst post-baseline score 10001
Baseline score 2, worst post-baseline score 20000
Baseline score 2, worst post-baseline score 30010
Baseline score 2, worst post-baseline score 40000
Baseline score 3, worst post-baseline score 00000
Baseline score 3, worst post-baseline score 10000
Baseline score 3, worst post-baseline score 20000
Baseline score 3, worst post-baseline score 30000
Baseline score 3, worst post-baseline score 40000
Baseline score 4, worst post-baseline score 00000
Baseline score 4, worst post-baseline score 10000
Baseline score 4, worst post-baseline score 20000
Baseline score 4, worst post-baseline score 30000
Baseline score 4, worst post-baseline score 40000
SecondaryNumber of Subjects With Eastern Cooperative Oncology Group (ECOG) Performance: Baseline Score vs. Best Post-baseline Score

ECOG performance status measured to assess subject's performance status on a scale of 0 to 4, where 0=Fully active, able to carry on all pre-disease activities without restriction; 1=Restricted in physically strenuous activity, ambulatory and able to carry out light or sedentary work; 2=Ambulatory (\>50% of waking hours), capable of all self-care, unable to carry out any work activities; 3=Capable of only limited self-care, confined to bed/chair \>50% of waking hours; 4=Completely disabled, cannot carry on any self-care, totally confined to bed/chair. ECOG performance status was reported in terms of number of subjects with Baseline value vs. best post-baseline value (i.e. lowest score) combination.

Time frame:
Baseline up to 394 days
Reported as:
Number · subjects
Number of Subjects With Eastern Cooperative Oncology Group (ECOG) Performance: Baseline Score vs. Best Post-baseline Score
subjectsEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Baseline score 0, best post-baseline score 03333
Baseline score 0, best post-baseline score 10000
Baseline score 0, best post-baseline score 20000
Baseline score 0, best post-baseline score 30000
Baseline score 0, best post-baseline score 40000
Baseline score 1, best post-baseline score 03201
Baseline score 1, best post-baseline score 11121
Baseline score 1, best post-baseline score 21000
Baseline score 1, best post-baseline score 30000
Baseline score 1, best post-baseline score 40000
Baseline score 2, best post-baseline score 00001
Baseline score 2, best post-baseline score 10000
Baseline score 2, best post-baseline score 20010
Baseline score 2, best post-baseline score 30000
Baseline score 2, best post-baseline score 40000
Baseline score 3, best post-baseline score 00000
Baseline score 3, best post-baseline score 10000
Baseline score 3, best post-baseline score 20000
Baseline score 3, best post-baseline score 30000
Baseline score 3, best post-baseline score 40000
Baseline score 4, best post-baseline score 00000
Baseline score 4, best post-baseline score 10000
Baseline score 4, best post-baseline score 20000
Baseline score 4, best post-baseline score 30000
Baseline score 4, best post-baseline score 40000
SecondaryTotal Pain Score Using Brief Pain Inventory-Short Form (BPI-sf)

BPI-sf is an 11-item self-report questionnaire that is designed to assess the severity and impact of pain on daily functions. BPI-sf has 4 questions that assess pain intensity (worst, least, average, right now) and 7 questions that assess impact of pain on daily functions (general activity, mood, walking ability, normal work, relations with other people, sleep, enjoyment of life). Each question is answered on a scale ranging from 0 to 10;'0=No pain and 10=Pain as bad as you can imagine'.Total score is reported as average of individual questions ranges from 0 to 10, with lower scores being indicative of less pain or pain interference.Data was not available for "EMD 525797 250 mg" arm for FUP Weeks 15, 19, 23, 27, 31, 35, 39, 43, 47, 51, 55, 59, 63, 67, 71, 75 and "EMD 525797 1000 mg" arm for FUP Weeks 47, 51, 55, 59, 63, 67, 71 and "EMD 525797 1500 mg arm" for FUP Weeks 35, 39, 43, 47, 51, 55, 59, 63, 67, 71, 75 respectively as no subjects were evaluable at the specified FUP visits.

Time frame:
Screening; Baseline; Week 3, 5, 7; Follow-up (FUP) Week 11, 15, 19, 23, 27, 31, 35, 39, 43, 47, 51, 55, 59, 63, 67, 71, 75; End of treatment (EOT; maximum up to 380 days) and EOS (maximum up to 394 days)
Reported as:
Mean · score on a scale
Total Pain Score Using Brief Pain Inventory-Short Form (BPI-sf)
score on a scaleEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Screening2.32 ± 2.341.95 ± 1.291.95 ± 2.152.52 ± 3.13
Baseline1.73 ± 1.571.64 ± 1.801.71 ± 1.882.62 ± 3.84
Week 31.98 ± 1.982.57 ± 1.792.24 ± 1.821.87 ± 2.48
Week 52.21 ± 2.272.29 ± 2.322.36 ± 2.731.86 ± 2.43
Week 72.38 ± 2.922.17 ± 1.622.31 ± 3.061.86 ± 1.92
FUP Week 110.00 ± NA3.00 ± 0.871.33 ± 1.734.75 ± 3.17
FUP Week 15—2.68 ± 0.652.21 ± 2.733.43 ± 4.85
FUP Week 19—3.33 ± 1.950.57 ± NA3.29 ± 3.43
FUP Week 23—2.36 ± 0.511.00 ± NA2.57 ± 3.64
FUP Week 27—1.57 ± 0.401.00 ± NA1.57 ± NA
FUP Week 31—1.93 ± 0.511.00 ± NA0.00 ± NA
FUP Week 35—2.29 ± 0.201.14 ± NA—
FUP Week 39—2.50 ± 0.511.43 ± NA—
FUP Week 43—5.00 ± 3.031.86 ± NA—
FUP Week 47—2.00 ± NA——
FUP Week 51—3.00 ± NA——
FUP Week 55—3.00 ± NA——
FUP Week 59—2.71 ± NA——
FUP Week 63—2.57 ± NA——
FUP Week 67—2.43 ± NA——
FUP Week 71—2.29 ± NA——
FUP Week 75—2.43 ± NA——
EOT2.19 ± 2.763.36 ± 3.741.50 ± 0.103.41 ± 1.24
EOS1.86 ± 3.223.63 ± 3.702.82 ± 2.222.71 ± 2.12
SecondaryMaximum Percent Change From Baseline in Prostate Specific Antigen (PSA) Level

Maximum percent change from Baseline in PSA Level during the study was reported.

Time frame:
Baseline up to 394 days
Reported as:
Mean · percent change
Maximum Percent Change From Baseline in Prostate Specific Antigen (PSA) Level
percent changeEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Maximum Percent Change From Baseline in Prostate Specific Antigen (PSA) Level138.41 ± 234.40580.32 ± 1083.12120.76 ± 108.18120.41 ± 159.14
SecondaryMinimum Percent Change From Baseline in PSA Level

Minimum percent change from Baseline in PSA Level during the study was reported.

Time frame:
Baseline up to 394 days
Reported as:
Mean · percent change
Minimum Percent Change From Baseline in PSA Level
percent changeEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
Minimum Percent Change From Baseline in PSA Level8.69 ± 21.91-9.88 ± 63.5917.94 ± 9.16-7.72 ± 34.74

Adverse events

Collected over Baseline up to 394 days. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
EMD 525797 250 mg—5/8 (62.5%)8/8 (100%)
EMD 525797 500 mg—1/6 (16.7%)6/6 (100%)
EMD 525797 1000 mg—4/6 (66.7%)6/6 (100%)
EMD 525797 1500 mg—3/6 (50%)6/6 (100%)
Most frequent serious events
Showing 10 of 19
Most frequent serious events
EventEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
AnaemiaBlood and lymphatic system disorders0/80/61/60/6
Anaemia Of Malignant DiseaseBlood and lymphatic system disorders0/80/61/60/6
NauseaGastrointestinal disorders0/80/60/61/6
PancreatitisGastrointestinal disorders0/80/60/61/6
EuthanasiaGeneral disorders0/80/61/60/6
PyrexiaGeneral disorders0/81/60/60/6
Bile Duct StoneHepatobiliary disorders0/80/60/61/6
SepsisInfections and infestations0/80/61/60/6
Urinary Tract InfectionInfections and infestations0/80/61/61/6
Back PainMusculoskeletal and connective tissue disorders0/80/61/60/6
Most frequent other events
Showing 10 of 74
Most frequent other events
EventEMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mg
FatigueGeneral disorders1/80/62/62/6
ArthralgiaMusculoskeletal and connective tissue disorders1/82/61/60/6
Bone PainMusculoskeletal and connective tissue disorders0/80/61/62/6
Musculoskeletal PainMusculoskeletal and connective tissue disorders0/80/60/62/6
Pain In ExtremityMusculoskeletal and connective tissue disorders0/82/61/61/6
ErythemaSkin and subcutaneous tissue disorders0/80/62/60/6
Oedema PeripheralGeneral disorders2/81/60/60/6
Urinary Tract InfectionInfections and infestations2/80/60/60/6
Back PainMusculoskeletal and connective tissue disorders2/81/61/60/6
Muscular WeaknessMusculoskeletal and connective tissue disorders2/80/60/60/6

Baseline characteristics

Safety analysis set included all subjects who received at least 1 dose of the study medication and had at least 1 follow-up safety measure.

Age, Continuous
Age, Continuous(years)EMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mgTotal
Mean67.0 ± 6.063.0 ± 12.062.0 ± 12.066.0 ± 9.065.0 ± 9.0
Sex: Female, Male
Sex: Female, Male(Participants)EMD 525797 250 mgEMD 525797 500 mgEMD 525797 1000 mgEMD 525797 1500 mgTotal
Female00000
Male866626
08

Study locations

4 sites
  • Institut Jules Bordet - Medical Oncology Clinic
    Brussels, Belgium
  • Universitätsklinikum Aachen, AÖR - Medizinische Fakultät der RWTH - Klinik für Urologie
    Aachen, Germany
  • Universitätsklinikum "Carl Gustav Carus" Dresden - Klinik und Poliklinik für Urologie
    Dresden, Germany
  • Klinikum Rechts der Isar - Urologische Klinik und Poliklinik
    München, Germany
09

References and documents

Publications

  • Wirth M, Heidenreich A, Gschwend JE, Gil T, Zastrow S, Laniado M, Gerloff J, Zuhlsdorf M, Mordenti G, Uhl W, Lannert H. A multicenter phase 1 study of EMD 525797 (DI17E6), a novel humanized monoclonal antibody targeting alphav integrins, in progressive castration-resistant prostate cancer with bone metastases after chemotherapy. Eur Urol. 2014 May;65(5):897-904. doi: 10.1016/j.eururo.2013.05.051. Epub 2013 Jun 6. PubMed 23791392 ↗
10

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Oct 2008, a primary completion of Sep 2010 and a completion of Mar 2011. It does not say whether these dates are actual or estimated.

Results were first posted in Aug 2017, 6 years 11 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 11, 2009
First posted
Aug 13, 2009
Start
Oct 2008
Primary completionActual
Sep 2010
CompletionActual
Mar 2011
Results first posted
Aug 2, 2017
Last update
Aug 2, 2017
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 2, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00958477
Responsible party
Sponsor
First posted
Aug 13, 2009
Start date
Oct 2008
Primary completion
Sep 2010
Completion
Mar 2011
Results posted
Aug 2, 2017
Last update
Aug 2, 2017

Study contacts

Wolfgang Uhl, Dr, Dipl. Chem., Physician
study director · Merck KGaA, Darmstadt, Germany

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2017. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Abituzumab

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