E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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E.1.1.1 | Medical condition in easily understood language |
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E.1.1.2 | Therapeutic area | Diseases [C] - Cancer [C04] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10060862 |
E.1.2 | Term | Prostate cancer |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Overall objective: to investigate the clinical efficacy and safety of the new GnRH implant (AMW Leuprorelin 10.72 mg implant) applied twice in every 84 days. Primary objective: to demonstrate that AMW Leuprorelin 10.72 mg implant leads to a consistent suppression of testosterone levels below castrate level (0.5 ng/mL). |
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E.2.2 | Secondary objectives of the trial |
The leuprorelin blood levels will be measured as a secondary objective. The clinical efficacy will also be documented by determining PSA, LH and FSH. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Males aged 18 years or older 2. Diagnosis of locally advanced, recidivated or metastatic carcinoma of the prostate suitable for hormonal manipulation including patients with rising PSA after having undergone surgery or radiotherapy with curative intention 3. Normal testosterone values (> 8 nmol/L or > 2.3 ng/mL) at screening according to immunoassay 4. Life expectancy of at least six months 5. The patient is capable of giving informed consent, which includes compliance with the requirements and restrictions listed in the Consent Form 6. The patient is able to understand and follow instructions and is able to participate in the study for the entire study period 7. Patient has given his written informed consent to participate in the study after receiving adequate previous information and prior to any study specific procedures.
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E.4 | Principal exclusion criteria |
1. Hypersensitivity to leuprorelin or to other GnRH analogues 2. Treatment with GnRH analogues completed less than 6 months prior to the baseline visit 3. Patients considered being candidates for curative therapy i.e. radical prostatectomy or radiotherapy within 6 months from inclusion 4. Cancer disease within the last 5 years except prostate cancer, and except surgically removed basocellular or squamous cell carcinoma of the skin 5. Patients with clinically significant neurological, gastrointestinal, renal, hepatic, cardiovascular, psychological, pulmonary, metabolic, endocrine, haematological, dermatological or any infectious disorder or any other condition including alcohol or drug abuse, which may interfere with trial participation or which may affect the conclusion of the study as judged by the investigator 6. Mental incapacity or language barriers precluding adequate understanding or co-operation 7. Previous participation in this study 8. Simultaneous or less than 12 weeks earlier participation in another clinical trial 9. Known allergy against one of the ingredients in the test preparation.
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E.5 End points |
E.5.1 | Primary end point(s) |
Primary efficacy variables are the testosterone plasma levels measured by LC-MS/MS at each visit from Day 28 until the end of the study.
Efficacy endpoints derived from the primary efficacy variables are: • The percentage of patients with plasma testosterone below castrate level (i.e. below 0.5 ng/mL) 4 weeks after treatment initiation (at Day 28) and at the end of the first treatment cycle (Day 84) • The percentage of patients with plasma testosterone below castrate level (i.e. below 0.5 ng/mL) at the end of the study (Day 168) • The percentage of patients with testosterone levels above castrate level (i.e. above 0.5 ng/mL) at the beginning of the second treatment cycle (i.e. on Day 87) • The percentage of patients with consistent suppression of testosterone levels below castrate level (i.e. below 0.5 ng/mL) at all visits from Day 28 until the end of the study • The percentages of patients with 0, 1, 2, and more than 2 of their testosterone levels measured from Day 28 until the end of the study above castrate level (i.e. above 0.5 ng/mL). |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Testosterone plasma levels measured by LC-MS/MS at visits Day 28, 42, 56, 70, 84, 87, 98, 112, 126, 140, 154, 168 |
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E.5.2 | Secondary end point(s) |
Secondary Efficacy Endpoints: 1. Mean values of testosterone, leuprorelin, LH, FSH and PSA levels by visit 2. Time to achieving testosterone plasma levels below castrate level, i.e. first visit with a testosterone plasma level below castrate level (i.e. below 0.5 ng/mL)
Safety Variables: • Adverse Events • Vital signs, body weight and temperature • Safety laboratory assessments • Changes between baseline and end of study in findings from the examination of the prostate • Assessment of local tolerability of the implant |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Efficacy endpoints: throughout the treatment phase, PSA on Day 0 , Day 84 and Day 168. Adverse events and vital signs: throughout the treatment phase Body weight, temperature, safety laboratory, and local tolerability: Day 0, Day 84, Day 168 Examination of prostate: Day 0 and Day 168. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Information not present in EudraCT |
E.8.2.3 | Other | Information not present in EudraCT |
E.8.2.4 | Number of treatment arms in the trial | 1 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 3 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 0 |
E.8.9.1 | In the Member State concerned months | 10 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 0 |
E.8.9.2 | In all countries concerned by the trial months | 10 |
E.8.9.2 | In all countries concerned by the trial days | 0 |