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    Clinical Trial Results:
    Phase III, open-label, multi-center study to assess the pharmacodynamic (PD), pharmacokinetic (PK), and safety of Zoreline 10.8 mg goserelin subcutaneous implant (Novalon) in male patients with prostate cancer

    Summary
    EudraCT number
    2013-000799-14
    Trial protocol
    BE   NL  
    Global end of trial date
    03 May 2016

    Results information
    Results version number
    v1(current)
    This version publication date
    18 Aug 2022
    First version publication date
    18 Aug 2022
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    0080CA002
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Novalon S.A.
    Sponsor organisation address
    Rue Saint Georges 5-7, Liège, Belgium, 4000
    Public contact
    Clinical Study Leader , Novalon S.A., +32 43492822, Clinical.Trials@mithra.com
    Scientific contact
    Clinical Study Leader , Novalon S.A., +32 43492822, Clinical.Trials@mithra.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    02 May 2017
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    03 May 2016
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To assess the ability of Zoreline 10.8 mg SC implant to induce by Day 29 of Cycle 1 at the latest and maintain up to Day 85 of Cycle 2 (end of treatment) testosterone plasma suppression (≤50 ng/dL) in male patients with confirmed diagnosis of prostate cancer. This clinical study was designed to assess the pharmacodynamics (PD), pharmacokinetics (PK), and safety of the Zoreline 10.8 mg SC implant to collect data for marketing authorization application. Zoreline was developed as a generic version of Zoladex® 10.8 mg goserelin SC implant (AstraZeneca, United Kingdom). The active pharmaceutical ingredient and excipients in Zoreline and Zoladex® are identical. Luteinizing hormone (LH)-releasing hormone (LHRH) agonists, such as goserelin, are potential therapies for prostate cancer. With continuous administration, these agents block LH secretion and reduce testosterone concentrations to anorchid levels.
    Protection of trial subjects
    This study was conducted in accordance with the ethical principles that have their origin in the Declaration of Helsinki and the International Conference on Harmonization (ICH) Note for Guidance on Good Clinical Practice (GCP) (CPMP/ICH/135/95) and with applicable local requirements. Safety was assessed by monitoring of adverse events (AEs) volunteered, observed, and elicited by general questioning in a non-suggestive manner throughout the study. All new clinically relevant abnormalities, significant changes according to the opinion of the Investigator were reported as AEs in the case report form. Vital signs, electrocardiograms (ECGs), and clinical laboratory test results were monitored. To assess the potential futility of the study which would have induced an early stopping of the study to avoid exposure of patients to a potentially non-efficient drug, the Independent Statistician – not involved in any other aspect of the study – was provided periodically (about every 3 months) by SGS Secure Data Office (to assure blinding of the study team) with a snapshot of the clinical database containing the available cleaned data for treatment administration, PD sampling and testosterone results at that time
    Background therapy
    Not applicable
    Evidence for comparator
    Not applicable LIST OF ABBREVIATIONS USED IN THIS STUDY ENTRY AE=Adverse event; AUC (0-t)=Area under the plasma drug concentration-time curve, calculated to the last quantifiable data point; Cmax=Maximum measured plasma concentration; Cmin=Minimum measured post-dose plasma concentration; ECOG=Eastern Cooperative Oncology Group; HPLC-MS/MS=High-performance liquid chromatography with tandem mass spectrometric detection; ITT population=Included all subjects who received study medication and had at least 1 post-dose testosterone assessment. In case of drop-out or of missing testosterone assessments, the responder status was defined as the responder status observed over all testosterone assessments available at the time of drop-out; LH=Luteinizing hormone; LHRH=Luteinizing hormone releasing hormone; mITT population=Modified ITT population; included all subjects of the ITT population for whom the final responder status would not have changed due to missing testosterone assessments or due to testosterone levels >50 ng/dL in Cycle 2 between Day 2 and Day 4. This also included intermediate missing assessments and not only assessments after drop-out; PD=Pharmacodynamics; PK=Pharmacokinetics; Tmax=Time until the maximum measured plasma concentration;
    Actual start date of recruitment
    07 Jan 2015
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Belgium: 2
    Country: Number of subjects enrolled
    Germany: 119
    Country: Number of subjects enrolled
    Netherlands: 4
    Country: Number of subjects enrolled
    Moldova, Republic of: 14
    Country: Number of subjects enrolled
    Georgia: 3
    Worldwide total number of subjects
    142
    EEA total number of subjects
    125
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    16
    From 65 to 84 years
    121
    85 years and over
    5

    Subject disposition

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    Recruitment
    Recruitment details
    Male adult subjects (18 years or older), with confirmed diagnosis of prostate adenocarcinoma were screened according to the study inclusion and exclusion criteria. In total, 163 subjects were screened and 142 subjects were randomized to treatment.

    Pre-assignment
    Screening details
    At the screening visit (7 to 4 days before first study treatment administration), inclusion/exclusion criteria were assessed; subjects selected to enter in the study had ECOG score of ≤ 2 measured at screening. All subjects signed an Informed Consent Form before the first study-related procedure was performed.

    Period 1
    Period 1 title
    Treatment (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded
    Blinding implementation details
    This was an open-label study. Testosterone results remained blinded for all people involved in the clinical conduct throughout the study up to the clinical database lock for the final analysis to avoid any potential bias review of the testosterone levels.

    Arms
    Arm title
    Treatment (Zoreline)
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Zoreline
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Implant
    Routes of administration
    Implantation
    Dosage and administration details
    Name : Zoreline Formulation : Goserelin acetate Strength of dosage form : 10.8 mg subcutaneous implant The test product was injected every 84 days: on Day 1 of Cycle 1 and Cycle 2 (Day 85 of Cycle 1 was Day 1 of Cycle 2), into the anterior abdominal wall below the navel line using an aseptic technique by a trained member of the clinical team. The use of local anaesthetic was allowed if this was part of local practice. Each treatment cycle lasted 84 days and the total treatment duration was 168 days. A follow-up visit was done 84 days after the last dose (Day 85 of Cycle 2).

    Number of subjects in period 1
    Treatment (Zoreline)
    Started
    142
    Completed
    133
    Not completed
    9
         Adverse event, serious fatal
    1
         Consent withdrawn by subject
    3
         Adverse event, non-fatal
    1
         Did not meet all selection criteria
    1
         Sponsor’s decision
    1
         Protocol deviation
    2

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Treatment
    Reporting group description
    -

    Reporting group values
    Treatment Total
    Number of subjects
    142 142
    Age categorical
    The intent-to-treat (ITT) population was used to evaluate the demographic characteristics of the subjects.
    Units: Subjects
        Adults (18-64 years)
    16 16
        From 65-84 years
    121 121
        85 years and over
    5 5
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    73.7 ( 6.62 ) -
    Gender categorical
    Units: Subjects
        Female
    0 0
        Male
    142 142
    Race
    Units: Subjects
        Caucasian
    142 142
    Body mass index (BMI)
    Units: kg/m²
        arithmetic mean (standard deviation)
    27.44 ( 3.67 ) -
    Subject analysis sets

    Subject analysis set title
    mITT set
    Subject analysis set type
    Modified intention-to-treat
    Subject analysis set description
    mITT population=Modified ITT population; included all subjects of the ITT population for whom the final responder status would not have changed due to missing testosterone assessments or due to testosterone levels >50 ng/dL in Cycle 2 between Day 2 and Day 4. This also included intermediate missing assessments and not only assessments after drop-out;

    Subject analysis sets values
    mITT set
    Number of subjects
    125
    Age categorical
    The intent-to-treat (ITT) population was used to evaluate the demographic characteristics of the subjects.
    Units: Subjects
        Adults (18-64 years)
    13
        From 65-84 years
    107
        85 years and over
    5
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    74.2 ( 6.47 )
    Gender categorical
    Units: Subjects
        Female
    0
        Male
    125
    Race
    Units: Subjects
        Caucasian
    125
    Body mass index (BMI)
    Units: kg/m²
        arithmetic mean (standard deviation)
    27.56 ( 3.44 )

    End points

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    End points reporting groups
    Reporting group title
    Treatment (Zoreline)
    Reporting group description
    -

    Subject analysis set title
    mITT set
    Subject analysis set type
    Modified intention-to-treat
    Subject analysis set description
    mITT population=Modified ITT population; included all subjects of the ITT population for whom the final responder status would not have changed due to missing testosterone assessments or due to testosterone levels >50 ng/dL in Cycle 2 between Day 2 and Day 4. This also included intermediate missing assessments and not only assessments after drop-out;

    Primary: 1a_Testosterone suppression in plasma -- ≤50 ng/dL (ITT set)

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    End point title
    1a_Testosterone suppression in plasma -- ≤50 ng/dL (ITT set) [1]
    End point description
    Testosterone suppression in plasma to ≤50 ng/dL A responder was defined as a subject who reached plasma testosterone levels below the castrate level (≤50 ng/dL) by Day 29 of Cycle 1 at the latest and maintained plasma testosterone levels below the castrate level (≤50 ng/dL) until Day 85 of Cycle 2 (end of treatment). Total testosterone was measured in plasma, using high-performance liquid chromatography with tandem mass spectrometric detection (HPLC-MS/MS). ITT population=Included all subjects who received study medication and had at least 1 post-dose testosterone assessment. In case of drop-out or of missing testosterone assessments, the responder status was defined as the responder status observed over all testosterone assessments available at the time of drop-out.
    End point type
    Primary
    End point timeframe
    Days 1 (pre-dose, baseline), 2, 4, 8, 15, 29, 36, 57, and 85 of Cycle 1 (pre-dose on Day 1 of Cycle 2) and on Days 2, 4, 8, 15, 29, 36, 57 and 85 of Cycle 2 (end of treatment)
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The primary objective was addressed using the mITT population. The primary objective was considered as achieved if the lower limit of the 2-sided 95% CI on the responder rate was ≥90%. A total of 105 subjects in the ITT population were responders (73.9%, 2-sided 95% CI: 65.9; 80.9%).
    End point values
    Treatment (Zoreline)
    Number of subjects analysed
    142 [2]
    Units: subjects
        UNDEFINED
    3
        NON-RESPONDER
    34
        RESPONDER
    105
    Notes
    [2] - ITT population
    No statistical analyses for this end point

    Primary: 1b_Testosterone suppression in plasma -- ≤50 ng/dL (mITT set)

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    End point title
    1b_Testosterone suppression in plasma -- ≤50 ng/dL (mITT set) [3]
    End point description
    Testosterone suppression in plasma to ≤50 ng/dL A responder was defined as a subject who reached plasma testosterone levels below the castrate level (≤50 ng/dL) by Day 29 of Cycle 1 at the latest and maintained plasma testosterone levels below the castrate level (≤50 ng/dL) until Day 85 of Cycle 2 (end of treatment). Total testosterone was measured in plasma, using high-performance liquid chromatography with tandem mass spectrometric detection (HPLC-MS/MS). mITT Population: included all subjects of the ITT population for whom the final responder status would not have changed due to missing testosterone assessments or due to testosterone levels >50 ng/dL in Cycle 2 between Day 2 and Day 4. This also included intermediate missing assessments and not only assessments after drop-out.
    End point type
    Primary
    End point timeframe
    Days 1 (pre-dose, baseline), 2, 4, 8, 15, 29, 36, 57, and 85 of Cycle 1 (pre-dose on Day 1 of Cycle 2) and on Days 2, 4, 8, 15, 29, 36, 57 and 85 of Cycle 2 (end of treatment)
    Notes
    [3] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The primary objective was addressed using the mITT population. The primary objective was considered as achieved if the lower limit of the 2-sided 95% CI on the responder rate was ≥90%. A total of 92 subjects in the mITT population were responders (73.6%; 2-sided 95% CI: 65.0; 81.1%).
    End point values
    Treatment (Zoreline)
    Number of subjects analysed
    125 [4]
    Units: subjects
        UNDEFINED
    0
        NON-RESPONDER
    33
        RESPONDER
    92
    Notes
    [4] - mITT Population
    No statistical analyses for this end point

    Secondary: 2_PD_Plasma Testosterone -- Cmax

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    End point title
    2_PD_Plasma Testosterone -- Cmax
    End point description
    Cmax -- Plasma Testosterone -- Maximum measured testosterone plasma concentration. The administered medication (Goserelin) is used to suppress production of the sex hormones, including testosterone and is used particularly in the treatment of prostate cancer. For further details regarding measurement of testosterone concentration in plasma please see description prepared for end point # 1. For all pharmacodynamic (PD) parameters, the results are presented for the intent-to treat (ITT) population.
    End point type
    Secondary
    End point timeframe
    Days 1 (pre-dose, baseline), 2, 4, 8, 15, 29, 36, 57, and 85 of Cycle 1 (pre-dose on Day 1 of Cycle 2) and on Days 2, 4, 8, 15, 29, 36, 57 and 85 of Cycle 2 (end of treatment)
    End point values
    Treatment (Zoreline)
    Number of subjects analysed
    142 [5]
    Units: ng/dL
        arithmetic mean (standard deviation)
    720.4 ( 230.4 )
    Notes
    [5] - ITT population
    No statistical analyses for this end point

    Secondary: 3_PD_Plasma Testosterone -- AUC(0-t), AUC (85d, Cycle 1), AUC (85d, Cycle 2)

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    End point title
    3_PD_Plasma Testosterone -- AUC(0-t), AUC (85d, Cycle 1), AUC (85d, Cycle 2)
    End point description
    AUC for plasma testosterone AUC(0-t)=Area under the plasma concentration-time curve (AUC) from Day 1 to Day 85 in each treatment cycle, i.e. during 2 consecutive treatment cycles in which Day 85 represents the end of treatment of each cycle. For further details regarding measurement of testosterone concentration in plasma please see description prepared for end point # 1.
    End point type
    Secondary
    End point timeframe
    Days 1 (pre-dose, baseline), 2, 4, 8, 15, 29, 36, 57, and 85 of Cycle 1 (pre-dose on Day 1 of Cycle 2) and on Days 2, 4, 8, 15, 29, 36, 57 and 85 of Cycle 2 (end of treatment)
    End point values
    Treatment (Zoreline)
    Number of subjects analysed
    126 [6]
    Units: day.ng/dL
    arithmetic mean (standard deviation)
        AUC 85d (Cycle 1)
    9153 ( 3980 )
        AUC 85d (Cycle 2)
    1638 ( 1695 )
        AUC (0-t)
    10684 ( 5033 )
    Notes
    [6] - N=126 (AUC85d, Cycle 1) N=126 (AUC85d, Cycle 2) N=118 (AUC0-t)
    No statistical analyses for this end point

    Secondary: 4_PD_Plasma Testosterone -- Flare

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    End point title
    4_PD_Plasma Testosterone -- Flare
    End point description
    Plasma Testosterone -- Flare Flare is a temporary increase in testosterone levels in the body caused by certain types of hormone therapy used to treat prostate cancer. Flare was defined as peaks at ≥2-fold the baseline testosterone level during Cycle 1 between Day 1 and Day 29. Both the number of peaks and values per subject were evaluated. For further details regarding measurement of testosterone concentration in plasma please see description prepared for end point # 1.
    End point type
    Secondary
    End point timeframe
    Days 1 (pre-dose, baseline), 2, 4, 8, 15, 29, 36, 57, and 85 of Cycle 1 (pre-dose on Day 1 of Cycle 2) and on Days 2, 4, 8, 15, 29, 36, 57 and 85 of Cycle 2 (end of treatment)
    End point values
    Treatment (Zoreline)
    Number of subjects analysed
    142 [7]
    Units: subjects
        YES
    14
        NO
    128
    Notes
    [7] - ITT Population
    No statistical analyses for this end point

    Secondary: 5_PD_Plasma Testosterone -- Time to achieve castration level

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    End point title
    5_PD_Plasma Testosterone -- Time to achieve castration level
    End point description
    PD_Plasma Testosterone -- Time to achieve castration level Time to achieve castration level was defined as the time of the first testosterone value below the castrate level (≤50 ng/dL) during the entire treatment period. For further details regarding measurement of testosterone concentration in plasma please see description prepared for end point # 1.
    End point type
    Secondary
    End point timeframe
    Days 1 (pre-dose, baseline), 2, 4, 8, 15, 29, 36, 57, and 85 of Cycle 1 (pre-dose on Day 1 of Cycle 2) and on Days 2, 4, 8, 15, 29, 36, 57 and 85 of Cycle 2 (end of treatment)
    End point values
    Treatment (Zoreline)
    Number of subjects analysed
    141 [8]
    Units: days
        arithmetic mean (standard deviation)
    28.7 ( 3.38 )
    Notes
    [8] - ITT Population
    No statistical analyses for this end point

    Secondary: 6_PD_Plasma Testosterone -- Surge upon reinjection

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    End point title
    6_PD_Plasma Testosterone -- Surge upon reinjection
    End point description
    PD_Plasma Testosterone -- Surge upon reinjection Acute on chronic phenomenon (surge upon reinjection) was defined as the occurrence of testosterone level greater than 50 ng/dL during Cycle 2 between Day 2 and Day 4, following re-injection and when the pre-injection value was ≤50 ng/mL. The number of occurrences and values per subject was evaluated. For further details regarding measurement of testosterone concentration in plasma please see description prepared for end point # 1.
    End point type
    Secondary
    End point timeframe
    Days 1 (pre-dose, baseline), 2, 4, 8, 15, 29, 36, 57, and 85 of Cycle 1 (pre-dose on Day 1 of Cycle 2) and on Days 2, 4, 8, 15, 29, 36, 57 and 85 of Cycle 2 (end of treatment)
    End point values
    Treatment (Zoreline)
    Number of subjects analysed
    102 [9]
    Units: subjects
        YES
    12
        NO
    90
    Notes
    [9] - ITT Population
    No statistical analyses for this end point

    Secondary: 7_PD_Plasma Testosterone -- Escape or Surge

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    End point title
    7_PD_Plasma Testosterone -- Escape or Surge
    End point description
    PD_Plasma Testosterone -- Escape or Surge Escape or surge was defined as a value of testosterone level above 50 ng/dL following the onset of suppression after the initial flare in Cycle 1 and from Day 8 to Day 85 of Cycle 2, which was not confirmed at the next sampling day. For further details regarding measurement of testosterone concentration in plasma please see description prepared for end point # 1.
    End point type
    Secondary
    End point timeframe
    Days 1 (pre-dose, baseline), 2, 4, 8, 15, 29, 36, 57, and 85 of Cycle 1 (pre-dose on Day 1 of Cycle 2) and on Days 2, 4, 8, 15, 29, 36, 57 and 85 of Cycle 2 (end of treatment)
    End point values
    Treatment (Zoreline)
    Number of subjects analysed
    141 [10]
    Units: subjects
        YES
    16
        NO
    125
    Notes
    [10] - ITT Population
    No statistical analyses for this end point

    Secondary: 8_PK -- Cmax -- Plasma goserelin -- Maximum measured concentration

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    End point title
    8_PK -- Cmax -- Plasma goserelin -- Maximum measured concentration
    End point description
    Cmax: Maximum measured goserelin plasma concentration. HPLC-MS/MS method was used for the quantification of goserelin in plasma. Results represent Cmax observed during Cycle 1 and Cycle 2 of treatment. The number of subjects contributing to the calculated value during each cycle is shown under the results table below.
    End point type
    Secondary
    End point timeframe
    Days 1 (pre-dose, baseline), 2, 4, 8, 15, 29, 36, 57, and 85 of Cycle 1 (pre-dose on Day 1 of Cycle 2) and on Days 2, 4, 8, 15, 29, 36, 57 and 85 of Cycle 2 (end of treatment)
    End point values
    Treatment (Zoreline)
    Number of subjects analysed
    136 [11]
    Units: pg/mL
    arithmetic mean (standard deviation)
        Cycle 1
    7979 ( 3128 )
        Cycle 2
    8955 ( 3333 )
    Notes
    [11] - ITT Population N=136 (Cycle 1) N=135 (Cycle 2)
    No statistical analyses for this end point

    Secondary: 9_PK -- Cmin -- Plasma goserelin -- Minimum measured concentration

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    End point title
    9_PK -- Cmin -- Plasma goserelin -- Minimum measured concentration
    End point description
    PK -- Cmin -- Plasma goserelin -- Minimum measured concentration Results represent Cmin observed during Cycle 1 and Cycle 2 of treatment.
    End point type
    Secondary
    End point timeframe
    Days 1 (pre-dose, baseline), 2, 4, 8, 15, 29, 36, 57, and 85 of Cycle 1 (pre-dose on Day 1 of Cycle 2) and on Days 2, 4, 8, 15, 29, 36, 57 and 85 of Cycle 2 (end of treatment)
    End point values
    Treatment (Zoreline)
    Number of subjects analysed
    123 [12]
    Units: pg/mL
    arithmetic mean (standard deviation)
        Cycle 1
    49.4 ( 34.5 )
        Cycle 2
    74.5 ( 49.1 )
    Notes
    [12] - ITT Population
    No statistical analyses for this end point

    Secondary: 10_PK -- tmax -- Plasma goserelin - Time until the maximum measured plasma concentration

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    End point title
    10_PK -- tmax -- Plasma goserelin - Time until the maximum measured plasma concentration
    End point description
    PK -- tmax -- Plasma goserelin - Time until the maximum measured plasma concentration Results represent tmax observed during Cycle 1 and Cycle 2 of treatment. The number of subjects contributing to the calculated value during each cycle is shown under the results table below.
    End point type
    Secondary
    End point timeframe
    Days 1 (pre-dose, baseline), 2, 4, 8, 15, 29, 36, 57, and 85 of Cycle 1 (pre-dose on Day 1 of Cycle 2) and on Days 2, 4, 8, 15, 29, 36, 57 and 85 of Cycle 2 (end of treatment)
    End point values
    Treatment (Zoreline)
    Number of subjects analysed
    136 [13]
    Units: days
    median (full range (min-max))
        Cycle 1
    2.0 (1.7 to 2.3)
        Cycle 2
    2.0 (1.7 to 15.0)
    Notes
    [13] - ITT Population N=136 (Cycle 1) N=135 (Cycle 2)
    No statistical analyses for this end point

    Secondary: 11_PK -- AUC(85 days) -- Plasma goserelin -- Area under the plasma concentration-time curve

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    End point title
    11_PK -- AUC(85 days) -- Plasma goserelin -- Area under the plasma concentration-time curve
    End point description
    PK -- AUC(85 days) -- Plasma goserelin -- Area under the plasma concentration-time curve Area under the plasma concentration-time curve [AUC] from Day 1 to Day 85 in each treatment cycle, i.e. during 2 consecutive treatment cycles in which Day 85 represents the end of treatment of each cycle.
    End point type
    Secondary
    End point timeframe
    Days 1 (pre-dose, baseline), 2, 4, 8, 15, 29, 36, 57, and 85 of Cycle 1 (pre-dose on Day 1 of Cycle 2) and on Days 2, 4, 8, 15, 29, 36, 57 and 85 of Cycle 2 (end of treatment)
    End point values
    Treatment (Zoreline)
    Number of subjects analysed
    123 [14]
    Units: day.pg/mL
    arithmetic mean (standard deviation)
        Cycle 1
    32148 ( 11146 )
        Cycle 2
    40046 ( 13818 )
    Notes
    [14] - ITT Population
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse events (AEs) were reported from the time of patient informed consent signature to study completion or discontinuation.
    Adverse event reporting additional description
    All AEs starting on or after the time study drug implantation were classified as treatment-emergent adverse events (TEAEs). Safety population was used to evaluate the AEs. The safety population included all subjects who received study medication.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    17.0
    Reporting groups
    Reporting group title
    Treatment (Zoreline)
    Reporting group description
    Safety population was used to evaluate the AEs.

    Serious adverse events
    Treatment (Zoreline)
    Total subjects affected by serious adverse events
         subjects affected / exposed
    10 / 142 (7.04%)
         number of deaths (all causes)
    1
         number of deaths resulting from adverse events
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Adenocarcinoma pancreas
         subjects affected / exposed
    1 / 142 (0.70%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Myxofibrosarcoma
         subjects affected / exposed
    1 / 142 (0.70%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Cardiac disorders
    Coronary artery disease
         subjects affected / exposed
    1 / 142 (0.70%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    General disorders and administration site conditions
    Condition aggravated
         subjects affected / exposed
    1 / 142 (0.70%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Death
         subjects affected / exposed
    1 / 142 (0.70%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    1 / 1
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    1 / 142 (0.70%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Chronic obstructive pulmonary disease
         subjects affected / exposed
    1 / 142 (0.70%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Renal and urinary disorders
    Hydronephrosis
         subjects affected / exposed
    1 / 142 (0.70%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Pneumonia
         subjects affected / exposed
    1 / 142 (0.70%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    1 / 142 (0.70%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 3%
    Non-serious adverse events
    Treatment (Zoreline)
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    59 / 142 (41.55%)
    Vascular disorders
    Hot flush
         subjects affected / exposed
    42 / 142 (29.58%)
         occurrences all number
    46
    Hypertension
         subjects affected / exposed
    8 / 142 (5.63%)
         occurrences all number
    9
    Gastrointestinal disorders
    Abdominal pain upper
         subjects affected / exposed
    5 / 142 (3.52%)
         occurrences all number
    7
    Constipation
         subjects affected / exposed
    5 / 142 (3.52%)
         occurrences all number
    11
    Diarrhoea
         subjects affected / exposed
    5 / 142 (3.52%)
         occurrences all number
    5
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    8 / 142 (5.63%)
         occurrences all number
    9
    Infections and infestations
    Nasopharyngitis
         subjects affected / exposed
    12 / 142 (8.45%)
         occurrences all number
    14

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    20 Oct 2014
    The first substantial amendment made to the original protocol included: • Withdrawal and safety follow-up visits for subjects prematurely discontinuing the study were replaced by an End of Study visit within 1 week after Day 85 of the cycle in which the subject prematurely discontinued.
    06 May 2015
    On 06-May-2015, a second substantial amendment was made to the original protocol included: • Inclusion criterion 7 was changed from "PSA level ≥ 4 ng/mL" to "PSA level ≥ 4 ng/mL; Exception: for patients who have had previous prostatectomy and/or prostate radiotherapy, all PSA levels are allowed." • Inclusion criterion 9 was changed. Patients enrolled into the study had to have BMI ranging between 18.5 and 35 kg/m2 (inclusive) instead of 18.5 and 32 kg/m2 (inclusive).

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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