ClinicalTrials.gg
WithdrawnNCT06795191KATANA E6MUpdated Apr 27, 2025

Efficacy, Safety, and Pharmacokinetics of FP-014, 22.5 mg in Patients With Advanced Prostate Cancer

A Phase 3 interventional study of Triptorelin Mesylate in Prostate Cancer, sponsored by Foresee Pharmaceuticals Co., Ltd.. Withdrawn. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-04-27.

Sponsored by Foresee Pharmaceuticals Co., Ltd. · Phase 3, Interventional, and Treatment

Why this study was withdrawn
Business reasons not safety related.
Phase
Phase 3
Study type
Interventional
Enrollment
0
Allocation
Not applicable
Ages
18 Years and older
Sex
Male
01

Study summary

This is a study in male patients with advanced prostate cancer who are eligible for androgen ablation therapy. The study duration will be up to 48 weeks.

Eligibility will be assessed during a screening period of up to 28 days. Up to 2 doses of a long-acting FP-014, 22.5 mg formulation will be given to the patients by separate SC injections 24 weeks apart in an unblinded manner. The first dose of FP-014, 22.5 mg will be administered on Day 0 (Visit 2/Week 1). When patients have tolerated the first dose of FP-014, 22.5 mg and have achieved castrate levels of serum testosterone, a second dose will be administered on Day 168 (Visit 14/Week 24) to achieve castrate levels of serum testosterone concentrations (\< 50 ng/dL). Patients will be followed for efficacy, safety, tolerability, and ancillary clinical and laboratory markers for an additional 24-week observation period (Day 336/Week 48/ Visit 24) Blood samples will be collected at Baseline (Day 0/Week 1) at least 30 minutes before the first FP-014, 22.5 mg administration, immediately thereafter and at specified time points through Day 336 (Week 48) to determine PK (triptorelin) and pharmacodynamics (PD) (testosterone, PSA, and LH) profiles.

Read the detailed description

This is a study in male patients with advanced prostate cancer who are eligible for androgen ablation therapy. The study duration will be up to 48 weeks.

Eligibility will be assessed during a screening period of up to 28 days. Up to 2 doses of a long-acting FP-014, 22.5 mg formulation will be given to the patients by separate SC injections 24 weeks apart in an unblinded manner. The first dose of FP-014, 22.5 mg will be administered on Day 0 (Visit 2/Week 1). When patients have tolerated the first dose of FP-014, 22.5 mg and have achieved castrate levels of serum testosterone, a second dose will be administered on Day 168 (Visit 14/Week 24) to achieve castrate levels of serum testosterone concentrations (\< 50 ng/dL). Patients will be followed for efficacy, safety, tolerability, and ancillary clinical and laboratory markers for an additional 24-week observation period (Day 336/Week 48/ Visit 24) Blood samples will be collected at Baseline (Day 0/Week 1) at least 30 minutes before the first FP-014, 22.5 mg administration, immediately thereafter and at specified time points through Day 336 (Week 48) to determine PK (triptorelin) and pharmacodynamics (PD) (testosterone, PSA, and LH) profiles.

To evaluate the sustained castration testosterone level after two administrations of FP-014, 22.5 mg, the first 30 enrolled patients will be considered as a subset for PK assessments. For these 30 subjects, additional PK/PD analyses will be performed on dosing days to obtain an extended PK/PD profile of serum triptorelin and testosterone levels.

The efficacy assessments will be performed in both intent-to-treat (ITT) and per-protocol (PP) populations. Efficacy assessment will include the percentage of patients who reached the castrate levels (\< 50 ng/dL) of serum testosterone on Day 28 (± 2 days; Week 4) post the first dosing of FP-014, 22.5 mg. Furthermore, the effect of FP-014, 22.5 mg on serum levels of PSA, and LH will be assessed post the first and the second dosing of FP-014, 22.5 mg, respectively. Urinary tract signs and symptoms will be evaluated for efficacy using the International Prostate Symptom Score [I-PSS] and recorded in the electronic case report forms (eCRFs). The acute-on-chronic (surge) effect of serum testosterone and LH levels will also be monitored in all patients. In addition, the impact of FP-014, 22.5 mg, on the percentage (rate) of patients with PSA relapse, on the percentage of patients that achieves normal serum PSA level, and on the percentage of patients with an enhanced serum testosterone concentration suppression (\< 20 ng/dL) will be determined at the end of study.

All treatment emergent adverse events (TEAEs), including adverse events of interest (AEoI), that occur during the study period and serious adverse events (SAEs) that occur during the study period will be recorded in the eCRFs and followed until they are resolved or considered stable. In addition, all SAEs will be recorded and reported as required by local and international regulatory requirements.

Other safety assessments and their results including safety clinical laboratory parameters, vital signs, physical examination, resting 12-lead electrocardiogram (ECG), injection site reactions and bone pain (assessed using visual analog scale [VAS]) will also be recorded in the eCRF.

Patients who discontinue early should be encouraged to remain in the study for safety evaluations.

A Data Safety Monitoring Board (DSMB) composed of independent experts will review available safety results every 3 months, and on an ad hoc basis if deemed necessary, from the moment onwards when one month data is available from approximately 5% of enrolled patients until the last patient completes the study. The composition and responsibilities of the DSMB will be defined in a separate DSMB charter.

02

Conditions studied

  • Prostate Cancer

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Keywords

  • Prostate cancer
03

In context

Prostatic Neoplasms

7,046 studies on the registry are indexed under Prostatic Neoplasms; 1,580 are open to participants now.

Browse Prostatic Neoplasms studies →

Lead sponsor

Foresee Pharmaceuticals Co., Ltd. is the lead sponsor of 15 studies on the registry; 2 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 4 (57%) 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

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

  1. Males aged ≥ 18 years old at Screening.
  2. confirmed carcinoma of the prostate at the time of Screening.
  3. or biochemically recurrent prostate cancer disease at Screening.
  4. Patient agrees to use male methods during the study.
  5. In the Investigator's opinion, the patient understands the nature of the study and any hazards of participation, communicates satisfactorily with the Investigator, and is able to participate in and comply with the requirements of the entire protocol.
  6. Patients judged by the attending physician and/or Principal Investigator to be a candidate for androgen ablation therapy.
  7. Patients who are able to tolerate ablation therapy but are considered unable to tolerate androgen receptor pathway inhibitors.
  8. Performance Status score ≤ 2 and of at least 18 months at Screening.
  9. Baseline morning serum testosterone level > 150 ng/dL at Screening.
  10. Laboratory values at Screening:

    • ≥ 1,500 cells/μL;
    • ≥ 100,000 cells/μL;
    • ≥ 10 gm/dL;
    • Total ≤ 1.5 × (ULN);
    • ≤ 2.5 × ULN;
    • ALT ≤ 2.5 × ULN;
    • ≥ 30 mL/min or estimated (eGFR) > 30 mL/min/1.73°m2 or evidence of acute kidney injury;
    • Lipid profile within the acceptable range according to the Investigator's opinion;
    • Serum glucose within the acceptable range according to the Investigator's opinion;
    • within the acceptable range according to the Investigator's opinion;
    • Clinical chemistries (K, Na, Mg, Ca, and P) within the acceptable range according to the Investigator's opinion;
    • Normal urinalysis results:

      • red blood cells (RBCs) ≤ 3 RBCs/hpf;
      • white blood cells (WBCs) ≤ 5 WBCs/hpf;
      • nitrate: negative;
      • glucose: \<0.1 g/dL in patients without diabetes mellitus Type II and \< 1.0 g/dL in patients with diabetes mellitus Type II.

Exclusion criteria

Exclusion Criteria:

  1. Receipt of chemotherapy, immunotherapy, cryotherapy, radiotherapy, or anti- androgen therapy within 8 weeks prior to Screening, for treatment of carcinoma of the prostate.
  2. Receipt of any luteinizing hormone-releasing hormone (LH-RH) suppressive therapy within 6 months of the Screening Visit.
  3. Receipt of any vaccination (including influenza) within 2 weeks of the Screening Visit.
  4. History of blood donation within 2 months of the Screening Visit.
  5. History of anaphylaxis to any LH-RH analogues.
  6. to triptorelin or an LH-RH agonist as indicated on the package labeling.
  7. Previous exposure to triptorelin mesylate.
  8. Major surgery, including any prostatic surgery (excluding prostatic ), within 4 weeks of the Screening Visit.
  9. History of bilateral orchiectomy, adrenalectomy, or hypophysectomy.
  10. History of clinical and radiographic evidence of central nervous system dysfunction.
  11. Spinal cord and patients at risk for spinal cord compression.
  12. Clinical evidence of uncontrolled active urinary tract obstruction and patients at risk for urinary obstruction.
  13. abnormal at Screening and/or history of clinically significant ECG.
  14. Cardiovascular disease that is clinically significant as judged by the Investigator.
  15. History of Uncontrolled diabetes, >9.5%, urine glycosuria >1.0 g/dl, or presence of diabetic ketoacidosis.
  16. History of liver dysfunction, including patients with moderate ( B) or severe (Child-Pugh C) impairment or disordered coagulation.
  17. End-stage renal diseases on peritoneal dialysis or hemodialysis.
  18. History or presence of hypogonadism; or receipt of exogenous testosterone supplementation within 6 months of Screening Visit.
  19. Use of systemic at a dose > 10 mg/day at Screening.
  20. Use of 5-alpha reductase inhibitor within the last 6 months of Screening Visit.
  21. Use of any over-the-counter (OTC) medication within 4 weeks of the Screening Visit, except for those listed as permitted concomitant treatment.
  22. History of drug and/or alcohol abuse within 6 months of Screening Visit.
  23. Use of any agent within 4 weeks of the Screening Visit.
  24. Use of any therapeutics with strong inhibitors and strong inducers of or CYP2C8 [e.g., rifampicin, ketoconazole, phenytoin, ritonavir, macrolide antibiotics (e.g. telithromycin)] at the time of Screening.
Terms in these criteria, in plain language(22)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    FP-014

    Each patient will receive 2 single doses of FP-014, 22.5 mg administered as SC injections. The two injections of the study drug will be administered 24 weeks apart; one injection at Baseline (Visit 2/Day 0/Week 1), and one at Visit 14 (Day 168/Week 24) to achieve castrate serum testosterone level (\< 50 ng/dL).

    Drug: Triptorelin Mesylate

Interventions

06

What researchers measure

Primary outcomes

  1. Primary Endpoints

    The percentage of patients with a serum testosterone concentration suppressed to castrate levels (\< 50 ng/dL).

    Time frame: Baseline to Week 4 (Day 28 ± 1 day) following the first SC injection of FP-014 (22.5 mg).

  2. Primary Endpoints

    The percentage of patients with serum testosterone concentration suppressed to castrate levels (\< 50 ng/dL)

    Time frame: from Week 4 (Day 28 ± 1 day) through Week 48 (Day 336 ± 5 days).

Secondary outcomes

  1. Secondary Endpoints

    The mean acute-on-chronic (surge) changes in serum testosterone and LH levels prior to the second injection.

    Time frame: From injection through 48-72 hours after the second injection of FP-014, 22.5 mg

  2. Secondary Endpoints

    The mean change of serum LH levels.

    Time frame: Baseline to Week 48/End of Study (EOS) (Day 336 ± 5 days).

  3. Secondary Endpoints

    The mean change of serum PSA levels.

    Time frame: Baseline to Week 48/EOS (Day 336 ± 5 days)

  4. Secondary Endpoints

    The percentage of patients with: PSA relapse (defined as an increase in serum PSA of \> 50% PSA nadir after achieving serum PSA level ≤ 4 ng/mL post administration of FP-014, 22.5 mg.

    Time frame: Week 48/EOS (Day 336 ± 5 days)

  5. Secondary Endpoints

    The percentage of patients with: Within normal limit serum PSA level (≤ 4 ng/mL)

    Time frame: Week 48/EOS (Day 336 ± 5 days)

  6. Secondary Endpoints

    The percentage of patients with enhanced serum testosterone concentration suppression to \< 20 ng/dL.

    Time frame: Week 4 (Day 28 ± 1 day) and at Week 48/EOS (Day 336 ± 5 days.

  7. Secondary Endpoints

    Urinary signs and symptoms, i.e. a patient-reported outcome (PRO) assessed by the total score of the International Prostate Symptom Score (I-PSS) (Range 0-35 with 35 being the worst symptoms)

    Time frame: Baseline to Week 48/EOS (Day 336 ± 5 days).

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Jun 2025; primary completion for Nov 2027, 29 months later.

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

Registered
Jan 22, 2025
First posted
Jan 27, 2025
StartEst.
Jun 1, 2025
Primary completionEst.
Nov 30, 2027
CompletionEst.
Jan 2, 2028
Last update
Apr 27, 2025
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 Apr 27, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06795191
Lead sponsor
Foresee Pharmaceuticals Co., Ltd.
Collaborators
QPS Holdings LLC
Responsible party
Sponsor
First posted
Jan 27, 2025
Start date
Jun 1, 2025 (estimated)
Primary completion
Nov 30, 2027 (estimated)
Completion
Jan 2, 2028 (estimated)
Last update
Apr 27, 2025

Study contacts

Susan Whitaker, BSN, MS, MBA
study director · Foresee Pharmaceuticals

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Jan 2025. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Triptorelin

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