CClinicalTrials.gg
CompletedNCT01753297PRIORITIUpdated Dec 9, 2020Results posted

A Study of Immediate 9 Months Adjuvant Hormone Therapy With Triptorelin 11.25 mg Versus Active Surveillance After Radical Prostatectomy in High Risk Prostate Cancer Patients.

A Phase 4 interventional study of Triptorelin 11.25 mg in Prostate Cancer, sponsored by Ipsen. Completed at 18 sites in 2 countries. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-12-09.

Sponsored by Ipsen · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
226
Allocation
Randomized
Ages
18 Years and older
Sex
Male
01

Study summary

The purpose of this study is to assess the benefit of immediate hormonal treatment after Radical Prostatectomy in Chinese and Russian patients with high risk prostate cancer. To reach this target, the trial will compare a group of patients treated with triptorelin at 8 weeks after the surgery and for a duration of 9 months (3 injections) versus another group (called "active surveillance group") who will be not receiving triptorelin. Both groups will be followed every 3 months to monitor any sign of disease progression during a minimum of 36 months

Read the detailed description

This trial is a phase IV (in Russia and China) as approved indication is locally advanced or metastatic prostate cancer in both countries.

02

Conditions studied

  • Prostate Cancer

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03

In context

Prostatic Neoplasms

6,370 studies on the registry are indexed under Prostatic Neoplasms; 1,397 are open to participants now.

This study's enrollment of 226 is above the median of 58 across 4,821 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

Ipsen is the lead sponsor of 282 studies on the registry; 16 are open to participants now.

Of its 24 completed or terminated interventional studies of FDA-regulated products, 19 (79%) have results posted.

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

Inclusion criteria

  • Histopathologically confirmed adenocarcinoma of the prostate
  • Radical Prostatectomy with curative intent performed no more than 8 weeks before randomisation
  • High risk criteria of disease progression, defined as follows:

Gleason score ≥8 on prostatectomy specimen, and/or Pre RP PSA level ≥20 ng/mL, and/or Primary tumour stage 3a (pT3a) (with any PSA level and any Gleason score)

  • Post-RP PSA levels ≤0.2 ng/mL at 6 weeks

Exclusion criteria

Exclusion Criteria:

  • Evidence of lymph nodes or distant metastasis
  • Positive margins
  • Evidence of any other malignant disease, not treated with a curative intent
  • Had surgical castration
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
226 participants (actual)

Study arms

  • Active comparator
    Triptorelin, 11.25 mg

    Triptorelin, powder and solvent for suspension (prolonged released form)

    Drug: Triptorelin 11.25 mg

  • No intervention
    Active surveillance

    Active surveillance after radical prostatectomy (RP)

Interventions

  • DrugTriptorelin 11.25 mg

    Triptorelin, one injection every 3 months. A total of 3 injections (at baseline, 3 and 6 months)

06

What researchers measure

Primary outcomes

  1. Number of Subjects With BR Events

    The primary efficacy analyses of Biochemical Relapse-Free Survival (BRFS) was performed after 61 BR events were observed on the study global level. The number of subjects with BR events per treatment group is reported. The definition of BR was increased PSA \>0.2 ng/mL confirmed by a second measurement performed 4 to 6 weeks later.

    Time frame: Baseline (Day 1) and every 3 months until end of study with final analysis performed after required 61 BRs were observed on global study level. Minimum monitoring period of 36 months for each subject; maximum duration of 78 months (last subject censored).

  2. Median Time to BRFS

    BRFS was defined as the time from randomisation to time of BR. The definition of BR was increased PSA \>0.2 ng/mL confirmed by a second measurement performed 4 to 6 weeks later. The time point at which the first elevated PSA measurement \>0.2 ng/mL was recorded was deemed to be the time of BR. The Kaplan-Meier method was used to obtain the estimates of median and/or first quartile (Q1) (if median was not reached) time to BRFS associated with each treatment. This outcome measure reports median time to BRFS (with Q1 time to BRFS reported in the subsequent outcome measure).

    Time frame: Baseline (Day 1) and every 3 months until end of study with final analysis performed after required 61 BRs were observed on global study level. Minimum monitoring period of 36 months for each subject; maximum duration of 78 months (last subject censored).

  3. Q1 Time to BRFS

    BRFS was defined as the time from randomisation to time of BR. The definition of BR was increased PSA \>0.2 ng/mL confirmed by a second measurement performed 4 to 6 weeks later. The time point at which the first elevated PSA measurement \>0.2 ng/mL was recorded was deemed to be the time of BR. The Kaplan-Meier method was used to obtain the estimates of median and/or Q1 (if median was not reached) time to BRFS associated with each treatment. This outcome measure reports Q1 time to BRFS.

    Time frame: Baseline (Day 1) and every 3 months until end of study with final analysis performed after required 61 BRs were observed on global study level. Minimum monitoring period of 36 months for each subject; maximum duration of 78 months (last subject censored).

Secondary outcomes

  1. Median Time to Event-Free Survival (EFS)

    EFS was defined as the time from randomisation to time of first clinical disease progression or death from any cause. The Kaplan-Meier method was used to obtain the estimates of median and/or Q1 (if median was not reached) time to EFS associated with each treatment. This outcome measure reports median time to EFS (with Q1 time to EFS reported in the subsequent outcome measure).

    Time frame: Baseline (Day 1) and every 3 months until end of study with final analysis performed after required 61 BRs were observed on global study level. Minimum monitoring period of 36 months for each subject; maximum duration of 78 months (last subject censored).

  2. Q1 Time to EFS

    EFS was defined as the time from randomisation to time of first clinical disease progression or death from any cause. The Kaplan-Meier method was used to obtain the estimates of median and/or Q1 (if median was not reached) time to EFS associated with each treatment. This outcome measure reports Q1 time to EFS.

    Time frame: Baseline (Day 1) and every 3 months until end of study with final analysis performed after required 61 BRs were observed on global study level. Minimum monitoring period of 36 months for each subject; maximum duration of 78 months (last subject censored).

  3. Median Time to Overall Survival (OS)

    OS was defined as the time between randomisation and death from any cause. The Kaplan-Meier method was used to obtain the estimates of median and/or Q1 (if median was not reached) time to OS associated with each treatment. This outcome measure reports median time to OS (with Q1 time to OS reported in the subsequent outcome measure).

    Time frame: Baseline (Day 1) and every 3 months until end of study with final analysis performed after required 61 BRs were observed on global study level. Minimum monitoring period of 36 months for each subject; maximum duration of 78 months (last subject censored).

  4. Q1 Time to OS

    OS was defined as the time between randomisation and death from any cause. The Kaplan-Meier method was used to obtain the estimates of median and/or Q1 (if median was not reached) time to OS associated with each treatment. This outcome measure reports Q1 time to OS.

    Time frame: Baseline (Day 1) and every 3 months until end of study with final analysis performed after required 61 BRs were observed on global study level. Minimum monitoring period of 36 months for each subject; maximum duration of 78 months (last subject censored).

  5. Time to Disease-specific Mortality

    Disease-specific mortality was measured as the time between randomisation and death related to prostate cancer.

    Time frame: Baseline (Day 1) and every 3 months until end of study with final analysis performed after required 61 BRs were observed on global study level. Minimum monitoring period of 36 months for each subject; maximum duration of 78 months (last subject censored).

  6. Median Time to PSA Doubling Time (PSADT)

    PSADT was defined as the time from the first documented PSA increase \>0.2 ng/mL to the time of the first value more than twice that of the first increased value. The Kaplan-Meier method was used to obtain the estimates of median and/or Q1 (if median was not reached) PSADT associated with each treatment. This outcome measure reports median time to PSADT (with Q1 time to PSADT reported in the subsequent outcome measure).

    Time frame: Baseline (Day 1) and every 3 months until end of study with final analysis performed after required 61 BRs were observed on global study level. Minimum monitoring period of 36 months for each subject; maximum duration of 78 months (last subject censored).

  7. Q1 Time to PSADT

    PSADT was defined as the time from the first documented PSA increase \>0.2 ng/mL to the time of the first value more than twice that of the first increased value. The Kaplan-Meier method was used to obtain the estimates of median and/or Q1 (if median was not reached) PSADT associated with each treatment. This outcome measure reports Q1 time to PSADT.

    Time frame: Baseline (Day 1) and every 3 months until end of study with final analysis performed after required 61 BRs were observed on global study level. Minimum monitoring period of 36 months for each subject; maximum duration of 78 months (last subject censored).

  8. Percent Change From Baseline in PSA Levels

    As per inclusion criterion, all subjects in both treatment groups had PSA levels ≤0.2 ng/mL at the screening visit. Starting from Month 3, any elevated PSA concentration \>0.2 ng/mL had to be confirmed by a second measurement performed 4 to 6 weeks later. No confirmation test was required after evidence of disease progression (BR and/or clinical disease progression). Subjects remained in the study until Month 36, even if they had a biochemical failure (PSA levels \>0.2 ng/mL); then they could enter follow-up. The percent change from baseline was defined as the percent change from the screening visit (Day -14). Percent change from baseline in PSA levels are reported as median values at Months 3, 6, 9, 12, 24 and 36. Note: the raw baseline values for PSA levels are reported in the Baseline Characteristics section.

    Time frame: Screening (Day -14) and Months 3, 6, 9, 12, 24 and 36.

  9. Change From Baseline in Serum Testosterone Levels

    Serum testosterone levels were evaluated on blood samples taken before triptorelin injection at baseline and at 3, 6 and 9 months only in subjects in the triptorelin arm. Change from baseline in testosterone levels are reported as median values at Months 3, 6 and 9. Note: the raw baseline values for testosterone levels are reported in the Baseline Characteristics section.

    Time frame: Baseline (Day 1) and Months 3, 6 and 9.

  10. Change From Baseline in FACT-P Total Score

    Health-Related Quality of Life (HRQoL) was assessed using the FACT-P questionnaire (v4) at baseline and at 9, 24 and 36 months. The FACT-P score is composed of 27 general questions about physical, social, emotional, and functional well-being, as well as a 12-item questionnaire about prostate-specific concerns. The total FACT-P score was calculated as the sum of 39 item scores (range of 0-156); higher scores indicate a better quality of life. Change from baseline in FACT-P total score are reported as mean values at Months 9, 24 and 36. A negative change from baseline indicates decreased QoL. Note: the raw baseline values for FACT-P total score are reported in the Baseline Characteristics section.

    Time frame: Baseline (Day 1) and Months 9, 24 and 36.

  11. Change From Baseline in SF-36 Physical and Mental Component Summary Measures Norm-Based Scores (i.e. PCS and MCS)

    HRQoL was assessed using the SF-36 health survey (v2) at baseline and at 9, 24 and 36 months. The 36 items cover 8 health domains: PF, role-physical, BP, SF, MH, RE, VT and GH. Subscale scores were normed to the 2009 US general population (mean=50; SD=10) to give norm-based scores. Two summary measures were then calculated: PCS was derived from PF, role-physical, BP and GH; MCS was derived from SF, MH, RE and VT. The PCS and MCS norm-based scores ranged 0-100; higher scores indicate a better QoL. Change from baseline in SF-36 PCS and MSC norm-based scores are reported as mean values at Months 9, 24 and 36. A negative change from baseline indicates decreased QoL. Note: the raw baseline values for PCS and MSC norm-based scores are reported in the Baseline Characteristics section.

    Time frame: Baseline (Day 1) and Months 9, 24 and 36.

07

Results

Posted Dec 9, 2020

Participant flow

The study was conducted in male subjects with high-risk prostate cancer who had undergone radical prostatectomy (RP) in 18 sites in China and Russia between Dec 2012 and Sep 2019. The study participation for each subject was at least 36 months. The end of study was when 61 biochemical relapse (BR) events were observed on the study global level.

Participant flow — Overall Study
MilestoneActive SurveillanceTriptorelin
Started117109
Received triptorelin treatment0105
Completed7673
Not completed4136
Withdrew: Lost to follow-up72
Withdrew: Withdrawal by subject2623
Withdrew: Adverse event (up to month 36)11
Withdrew: Death02
Withdrew: Did not attend end of study visit78

Outcome measures

PrimaryNumber of Subjects With BR Events

The primary efficacy analyses of Biochemical Relapse-Free Survival (BRFS) was performed after 61 BR events were observed on the study global level. The number of subjects with BR events per treatment group is reported. The definition of BR was increased PSA \>0.2 ng/mL confirmed by a second measurement performed 4 to 6 weeks later.

Time frame:
Baseline (Day 1) and every 3 months until end of study with final analysis performed after required 61 BRs were observed on global study level. Minimum monitoring period of 36 months for each subject; maximum duration of 78 months (last subject censored).
Reported as:
Count of participants · Participants
Number of Subjects With BR Events
ParticipantsActive SurveillanceTriptorelin
Number of Subjects With BR Events3526
PrimaryMedian Time to BRFS

BRFS was defined as the time from randomisation to time of BR. The definition of BR was increased PSA \>0.2 ng/mL confirmed by a second measurement performed 4 to 6 weeks later. The time point at which the first elevated PSA measurement \>0.2 ng/mL was recorded was deemed to be the time of BR. The Kaplan-Meier method was used to obtain the estimates of median and/or first quartile (Q1) (if median was not reached) time to BRFS associated with each treatment. This outcome measure reports median time to BRFS (with Q1 time to BRFS reported in the subsequent outcome measure).

Time frame:
Baseline (Day 1) and every 3 months until end of study with final analysis performed after required 61 BRs were observed on global study level. Minimum monitoring period of 36 months for each subject; maximum duration of 78 months (last subject censored).
Reported as:
Median · months
Median Time to BRFS
monthsActive SurveillanceTriptorelin
Median Time to BRFSNA (NA to NA)NA (NA to NA)
Statistical analysis
  • Active Surveillance vs Triptorelin · Log Rank · p = 0.158
  • Active Surveillance vs Triptorelin · Regression, Cox · p = 0.100 · Hazard ratio (hr): 0.65 · 95% CI 0.38 to 1.09
  • Active Surveillance vs Triptorelin · Regression, Cox · p = 0.502 · Hazard ratio (hr): 1.49 · 95% CI 0.46 to 4.79
  • Active Surveillance vs Triptorelin · Regression, Cox · p = 0.671
  • Active Surveillance vs Triptorelin · Regression, Cox · p = 0.093 · Hazard ratio (hr): 2.35 · 95% CI 0.87 to 6.39
  • Active Surveillance vs Triptorelin · Regression, Cox · p = 0.168 · Hazard ratio (hr): 2.03 · 95% CI 0.74 to 5.55
PrimaryQ1 Time to BRFS

BRFS was defined as the time from randomisation to time of BR. The definition of BR was increased PSA \>0.2 ng/mL confirmed by a second measurement performed 4 to 6 weeks later. The time point at which the first elevated PSA measurement \>0.2 ng/mL was recorded was deemed to be the time of BR. The Kaplan-Meier method was used to obtain the estimates of median and/or Q1 (if median was not reached) time to BRFS associated with each treatment. This outcome measure reports Q1 time to BRFS.

Time frame:
Baseline (Day 1) and every 3 months until end of study with final analysis performed after required 61 BRs were observed on global study level. Minimum monitoring period of 36 months for each subject; maximum duration of 78 months (last subject censored).
Reported as:
Number · months
Q1 Time to BRFS
monthsActive SurveillanceTriptorelin
Q1 Time to BRFS30.0 (18.6 to 42.1)39.1 (29.9 to NA)
SecondaryMedian Time to Event-Free Survival (EFS)

EFS was defined as the time from randomisation to time of first clinical disease progression or death from any cause. The Kaplan-Meier method was used to obtain the estimates of median and/or Q1 (if median was not reached) time to EFS associated with each treatment. This outcome measure reports median time to EFS (with Q1 time to EFS reported in the subsequent outcome measure).

Time frame:
Baseline (Day 1) and every 3 months until end of study with final analysis performed after required 61 BRs were observed on global study level. Minimum monitoring period of 36 months for each subject; maximum duration of 78 months (last subject censored).
Reported as:
Median · months
Median Time to Event-Free Survival (EFS)
monthsActive SurveillanceTriptorelin
Median Time to Event-Free Survival (EFS)NA (NA to NA)NA (NA to NA)
Statistical analysis
  • Active Surveillance vs Triptorelin · Log Rank · p = 0.639
  • Active Surveillance vs Triptorelin · Regression, Cox · p = 0.653 · Hazard ratio (hr): 1.52 · 95% CI 0.24 to 9.59
  • Active Surveillance vs Triptorelin · Regression, Cox · p = 0.999
  • Active Surveillance vs Triptorelin · Regression, Cox · p = 1.000
  • Active Surveillance vs Triptorelin · Regression, Cox · p = 0.583
SecondaryQ1 Time to EFS

EFS was defined as the time from randomisation to time of first clinical disease progression or death from any cause. The Kaplan-Meier method was used to obtain the estimates of median and/or Q1 (if median was not reached) time to EFS associated with each treatment. This outcome measure reports Q1 time to EFS.

Time frame:
Baseline (Day 1) and every 3 months until end of study with final analysis performed after required 61 BRs were observed on global study level. Minimum monitoring period of 36 months for each subject; maximum duration of 78 months (last subject censored).
Reported as:
Number · months
Q1 Time to EFS
monthsActive SurveillanceTriptorelin
Q1 Time to EFSNA (NA to NA)NA (NA to NA)
SecondaryMedian Time to Overall Survival (OS)

OS was defined as the time between randomisation and death from any cause. The Kaplan-Meier method was used to obtain the estimates of median and/or Q1 (if median was not reached) time to OS associated with each treatment. This outcome measure reports median time to OS (with Q1 time to OS reported in the subsequent outcome measure).

Time frame:
Baseline (Day 1) and every 3 months until end of study with final analysis performed after required 61 BRs were observed on global study level. Minimum monitoring period of 36 months for each subject; maximum duration of 78 months (last subject censored).
Reported as:
Median · months
Median Time to Overall Survival (OS)
monthsActive SurveillanceTriptorelin
Median Time to Overall Survival (OS)NA (NA to NA)NA (NA to NA)
Statistical analysis
  • Active Surveillance vs Triptorelin · Log Rank · p = 0.557
SecondaryQ1 Time to OS

OS was defined as the time between randomisation and death from any cause. The Kaplan-Meier method was used to obtain the estimates of median and/or Q1 (if median was not reached) time to OS associated with each treatment. This outcome measure reports Q1 time to OS.

Time frame:
Baseline (Day 1) and every 3 months until end of study with final analysis performed after required 61 BRs were observed on global study level. Minimum monitoring period of 36 months for each subject; maximum duration of 78 months (last subject censored).
Reported as:
Number · months
Q1 Time to OS
monthsActive SurveillanceTriptorelin
Q1 Time to OSNA (NA to NA)NA (NA to NA)
SecondaryTime to Disease-specific Mortality

Disease-specific mortality was measured as the time between randomisation and death related to prostate cancer.

Time frame:
Baseline (Day 1) and every 3 months until end of study with final analysis performed after required 61 BRs were observed on global study level. Minimum monitoring period of 36 months for each subject; maximum duration of 78 months (last subject censored).

No measurements were reported for this outcome.

SecondaryMedian Time to PSA Doubling Time (PSADT)

PSADT was defined as the time from the first documented PSA increase \>0.2 ng/mL to the time of the first value more than twice that of the first increased value. The Kaplan-Meier method was used to obtain the estimates of median and/or Q1 (if median was not reached) PSADT associated with each treatment. This outcome measure reports median time to PSADT (with Q1 time to PSADT reported in the subsequent outcome measure).

Time frame:
Baseline (Day 1) and every 3 months until end of study with final analysis performed after required 61 BRs were observed on global study level. Minimum monitoring period of 36 months for each subject; maximum duration of 78 months (last subject censored).
Reported as:
Median · months
Median Time to PSA Doubling Time (PSADT)
monthsActive SurveillanceTriptorelin
Median Time to PSA Doubling Time (PSADT)NA (15.2 to NA)NA (9.1 to NA)
Statistical analysis
  • Active Surveillance vs Triptorelin · Log Rank · p = 0.525
  • Active Surveillance vs Triptorelin · Regression, Cox · p = 0.435 · Hazard ratio (hr): 1.72 · 95% CI 0.44 to 6.73
  • Active Surveillance vs Triptorelin · Regression, Cox · p = 0.761
  • Active Surveillance vs Triptorelin · Regression, Cox · p = 0.652
  • Active Surveillance vs Triptorelin · Regression, Cox · p = 0.726
SecondaryQ1 Time to PSADT

PSADT was defined as the time from the first documented PSA increase \>0.2 ng/mL to the time of the first value more than twice that of the first increased value. The Kaplan-Meier method was used to obtain the estimates of median and/or Q1 (if median was not reached) PSADT associated with each treatment. This outcome measure reports Q1 time to PSADT.

Time frame:
Baseline (Day 1) and every 3 months until end of study with final analysis performed after required 61 BRs were observed on global study level. Minimum monitoring period of 36 months for each subject; maximum duration of 78 months (last subject censored).
Reported as:
Number · months
Q1 Time to PSADT
monthsActive SurveillanceTriptorelin
Q1 Time to PSADT13.4 (6.0 to NA)9.1 (1.6 to NA)
SecondaryPercent Change From Baseline in PSA Levels

As per inclusion criterion, all subjects in both treatment groups had PSA levels ≤0.2 ng/mL at the screening visit. Starting from Month 3, any elevated PSA concentration \>0.2 ng/mL had to be confirmed by a second measurement performed 4 to 6 weeks later. No confirmation test was required after evidence of disease progression (BR and/or clinical disease progression). Subjects remained in the study until Month 36, even if they had a biochemical failure (PSA levels \>0.2 ng/mL); then they could enter follow-up. The percent change from baseline was defined as the percent change from the screening visit (Day -14). Percent change from baseline in PSA levels are reported as median values at Months 3, 6, 9, 12, 24 and 36. Note: the raw baseline values for PSA levels are reported in the Baseline Characteristics section.

Time frame:
Screening (Day -14) and Months 3, 6, 9, 12, 24 and 36.
Reported as:
Median · percent change
Percent Change From Baseline in PSA Levels
percent changeActive SurveillanceTriptorelin
Month 30.0 (0.0 to 0.0)0.0 (0.0 to 0.0)
Month 60.0 (0.0 to 0.0)0.0 (0.0 to 0.0)
Month 90.0 (0.0 to 0.0)0.0 (0.0 to 0.0)
Month 120.0 (0.0 to 0.0)0.0 (0.0 to 0.0)
Month 240.0 (0.0 to 0.0)0.0 (0.0 to 0.0)
Month 360.0 (0.0 to 25.7)0.0 (0.0 to 0.0)
SecondaryChange From Baseline in Serum Testosterone Levels

Serum testosterone levels were evaluated on blood samples taken before triptorelin injection at baseline and at 3, 6 and 9 months only in subjects in the triptorelin arm. Change from baseline in testosterone levels are reported as median values at Months 3, 6 and 9. Note: the raw baseline values for testosterone levels are reported in the Baseline Characteristics section.

Time frame:
Baseline (Day 1) and Months 3, 6 and 9.
Reported as:
Median · ng/dL
Change From Baseline in Serum Testosterone Levels
ng/dLTriptorelin
Month 3-444.60 (-599.30 to -305.20)
Month 6-438.80 (-599.45 to -306.15)
Month 9-429.80 (-573.90 to -304.00)
SecondaryChange From Baseline in FACT-P Total Score

Health-Related Quality of Life (HRQoL) was assessed using the FACT-P questionnaire (v4) at baseline and at 9, 24 and 36 months. The FACT-P score is composed of 27 general questions about physical, social, emotional, and functional well-being, as well as a 12-item questionnaire about prostate-specific concerns. The total FACT-P score was calculated as the sum of 39 item scores (range of 0-156); higher scores indicate a better quality of life. Change from baseline in FACT-P total score are reported as mean values at Months 9, 24 and 36. A negative change from baseline indicates decreased QoL. Note: the raw baseline values for FACT-P total score are reported in the Baseline Characteristics section.

Time frame:
Baseline (Day 1) and Months 9, 24 and 36.
Reported as:
Mean · score on a scale
Change From Baseline in FACT-P Total Score
score on a scaleActive SurveillanceTriptorelin
Month 94.75 (0.79 to 8.70)0.88 (-3.04 to 4.79)
Month 241.48 (-2.86 to 5.83)3.78 (0.22 to 7.33)
Month 362.76 (-1.96 to 7.49)3.81 (-1.05 to 8.67)
SecondaryChange From Baseline in SF-36 Physical and Mental Component Summary Measures Norm-Based Scores (i.e. PCS and MCS)

HRQoL was assessed using the SF-36 health survey (v2) at baseline and at 9, 24 and 36 months. The 36 items cover 8 health domains: PF, role-physical, BP, SF, MH, RE, VT and GH. Subscale scores were normed to the 2009 US general population (mean=50; SD=10) to give norm-based scores. Two summary measures were then calculated: PCS was derived from PF, role-physical, BP and GH; MCS was derived from SF, MH, RE and VT. The PCS and MCS norm-based scores ranged 0-100; higher scores indicate a better QoL. Change from baseline in SF-36 PCS and MSC norm-based scores are reported as mean values at Months 9, 24 and 36. A negative change from baseline indicates decreased QoL. Note: the raw baseline values for PCS and MSC norm-based scores are reported in the Baseline Characteristics section.

Time frame:
Baseline (Day 1) and Months 9, 24 and 36.
Reported as:
Mean · score on a scale
Change From Baseline in SF-36 Physical and Mental Component Summary Measures Norm-Based Scores (i.e. PCS and MCS)
score on a scaleActive SurveillanceTriptorelin
PCS: Month 92.78 (1.23 to 4.34)2.60 (1.22 to 3.98)
PCS: Month 244.49 (2.91 to 6.06)3.46 (1.87 to 5.04)
PCS: Month 364.79 (3.11 to 6.46)4.86 (3.15 to 6.56)
MCS: Month 91.80 (-0.35 to 3.95)4.26 (2.23 to 6.28)
MCS: Month 240.55 (-1.67 to 2.77)2.81 (0.69 to 4.93)
MCS: Month 361.13 (-1.35 to 3.61)5.10 (2.89 to 7.31)

Adverse events

Collected over Up to 12 months for the reporting groups 'Prior to Month 12'; up to 24 months for the reporting group 'Posterior to Month 12'. For the triptorelin arm, treatment-emergent adverse events (TEAEs) are reported. For the active surveillance arm, all adverse events (AEs) are reported (TEAEs were not applicable for this arm; all AEs were considered as non-treatment emergent since subjects did not receive any triptorelin injections).. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Active Surveillance - Safety Population - Prior to Month 121/112 (0.9%)11/112 (9.8%)27/112 (24.1%)
Triptorelin - Safety Population - Prior to Month 120/105 (0%)3/105 (2.9%)31/105 (29.5%)
Overall Safety Population - Posterior to Month 122/217 (0.9%)2/217 (0.9%)7/217 (3.2%)
Most frequent serious events
Showing 10 of 18
Most frequent serious events
EventActive Surveillance - Safety Population - Prior to Month 12Triptorelin - Safety Population - Prior to Month 12Overall Safety Population - Posterior to Month 12
Alanine aminotransferase increasedInvestigations0/1121/1050/217
Papillary thyroid cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/1121/1050/217
Urethral stenosisRenal and urinary disorders1/1121/1050/217
Inguinal hernia, obstructiveGastrointestinal disorders1/1120/1050/217
Salivary gland calculusGastrointestinal disorders1/1120/1050/217
Bone neoplasmNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/1120/1050/217
Varicose veinVascular disorders1/1120/1050/217
Incisional herniaInjury, poisoning and procedural complications1/1120/1050/217
Haemangioma of liverNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/1120/1050/217
Inguinal herniaGastrointestinal disorders1/1120/1050/217
Most frequent other events
Showing 10 of 74
Most frequent other events
EventActive Surveillance - Safety Population - Prior to Month 12Triptorelin - Safety Population - Prior to Month 12Overall Safety Population - Posterior to Month 12
Hot flushVascular disorders0/11210/1050/217
NasopharyngitisInfections and infestations4/1124/1052/217
Aspartate aminotransferase increasedInvestigations0/1122/1050/217
Platelet count decreasedInvestigations2/1122/1050/217
CoughRespiratory, thoracic and mediastinal disorders0/1122/1050/217
FatigueGeneral disorders1/1122/1050/217
PyrexiaGeneral disorders1/1122/1050/217
HyperhidrosisSkin and subcutaneous tissue disorders0/1122/1050/217
ConstipationGastrointestinal disorders2/1120/1051/217
Micturition urgencyRenal and urinary disorders2/1120/1050/217

Baseline characteristics

Intention-to-Treat (ITT) population consisted of all randomised subjects analysed according to the group to which they were randomised (i.e. regardless of treatment approach followed).

Age, Continuous
Age, Continuous(years)Active SurveillanceTriptorelinTotal
Mean65.3 ± 6.865.4 ± 6.165.3 ± 6.4
Sex: Female, Male
Sex: Female, Male(Participants)Active SurveillanceTriptorelinTotal
Female000
Male117109226
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Active SurveillanceTriptorelinTotal
Asian8479163
Caucasian / White333063
Region of Enrollment
Region of Enrollment(Participants)Active SurveillanceTriptorelinTotal
China8479163
Russia333063
PSA Levels
PSA Levels(ng/mL)Active SurveillanceTriptorelinTotal
Median0.074 (0.074 to 0.074)0.074 (0.074 to 0.074)0.074 (0.074 to 0.074)
Testosterone Levels
Testosterone Levels(nanograms per deciliter (ng/dL))Active SurveillanceTriptorelinTotal
Median—462.00 (333.00 to 612.00)462.00 (333.00 to 612.00)
Functional Assessment of Cancer Therapy - Prostate (FACT-P) Total Score
Functional Assessment of Cancer Therapy - Prostate (FACT-P) Total Score(scores on a scale)Active SurveillanceTriptorelinTotal
Mean113.26 ± 18.64114.98 ± 18.31114.08 ± 18.46
36-Item Short Form Health Survey (SF-36) Score
36-Item Short Form Health Survey (SF-36) Score(scores on a scale)Active SurveillanceTriptorelinTotal
Physical Component Summary (PCS)46.31 ± 6.4947.37 ± 6.6246.81 ± 6.56
Mental Component Summary (MCS)48.18 ± 9.7847.41 ± 9.5947.81 ± 9.67

1 further baseline measures are reported on the registry.

08

Study locations

18 sites
  • Chinese PLA General HospitalDepartment of UrologySite #156007
    Beijing, 100853, China
  • Peiking University First Hospital Site #156011
    Beijing, China
  • West China Hosspital, Sichuan UniversityDepartment of Urology Site #156008
    Chengdu, 610041, China
  • The First Affiliated Hospital of the 3th Military Medical University of PLA (Southwest Hospital) Site # 156010
    Chongqing, China
  • SUN YAT-SEN Cancer Center Department of Site #156009
    Guangzhou, 51006, China
  • The third hospital affiliated to Sun Yat-sen University Site #156005
    Guangzhou, China
  • The first hospital affiliated to medical school of Zhejiang university Site #156001
    Hangzhou, China
  • Fudan University cancer hospital Site #156003
    Shanghai, China
  • First Affiliated Hospital of the Fourth Military Medical University Site #156004
    Xi'an, China
  • SIH Altaian Territorial Oncological Dispensary Site #643006
    Barnaul, 656052, Russian Federation
  • SBHI Sverdlovskaya Regional Clinical Hospital #1 Site #643004
    Ekaterinburg, 620102, Russian Federation
  • FSBI "Research Institute of Urology" of Ministry of health care of Russia Site #643002
    Moscow, 105425, Russian Federation
  • State Budgetary Healthcare Institution "Moscow Clinical Scientific-Practical Center named after A. S. Loginov of Healthcare Department of Moscow" Site #643009
    Moscow, 111123, Russian Federation
  • FSBI Russian Oncological Scientific Center named after N.N. Blokhina of RAMS, 23 Site #643001
    Moscow, 115478, Russian Federation
  • Federal State Budgetary Health care Institution "Central clinical hospital of Russian Academy of Science (CCH RAS), in-patient unit, urological department Site #643005
    Moscow, 117593, Russian Federation
  • FSI Moscow Research Oncological Institute named after P.A.Gertsen Site #643003
    Moscow, 125284, Russian Federation
  • Medical radiology research center named after A.F. Tsyba - branch of FSBI "National Medical Research Center of Radiology" of Ministry of healthcare of Russian Federation Site #643008
    Obninsk, 249036, Russian Federation
  • Budgetary Health care Institution of Omsk region "Clinical oncological dispensary" Site #643007
    Omsk, 644013, Russian Federation
09

References and documents

Study documents

  • Study protocol · Jun 7, 2013
  • Statistical analysis plan · Jul 22, 2019

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 9, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01753297
Lead sponsor
Ipsen
Responsible party
Sponsor
First posted
Dec 20, 2012
Start date
Dec 11, 2012
Primary completion
Sep 9, 2019
Completion
Sep 9, 2019
Results posted
Dec 9, 2020
Last update
Dec 9, 2020

Study contacts

Ipsen Medical Director
study director · Ipsen

Oversight

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

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