Flag of the European Union EU Clinical Trials Register Help

Clinical trials

The European Union Clinical Trials Register   allows you to search for protocol and results information on:
  • interventional clinical trials that were approved in the European Union (EU)/European Economic Area (EEA) under the Clinical Trials Directive 2001/20/EC
  • clinical trials conducted outside the EU/EEA that are linked to European paediatric-medicine development

  • EU/EEA interventional clinical trials approved under or transitioned to the Clinical Trial Regulation 536/2014 are publicly accessible through the
    Clinical Trials Information System (CTIS).


    The EU Clinical Trials Register currently displays   43873   clinical trials with a EudraCT protocol, of which   7293   are clinical trials conducted with subjects less than 18 years old.   The register also displays information on   18700   older paediatric trials (in scope of Article 45 of the Paediatric Regulation (EC) No 1901/2006).

    Phase 1 trials conducted solely on adults and that are not part of an agreed paediatric investigation plan (PIP) are not publicly available (see Frequently Asked Questions ).  
     
    Examples: Cancer AND drug name. Pneumonia AND sponsor name.
    How to search [pdf]
    Search Tips: Under advanced search you can use filters for Country, Age Group, Gender, Trial Phase, Trial Status, Date Range, Rare Diseases and Orphan Designation. For these items you should use the filters and not add them to your search terms in the text field.
    Advanced Search: Search tools
     

    < Back to search results

    Print Download

    Summary
    EudraCT Number:2017-000160-15
    Sponsor's Protocol Code Number:MVT-601-3201
    National Competent Authority:Italy - Italian Medicines Agency
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2021-01-22
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedItaly - Italian Medicines Agency
    A.2EudraCT number2017-000160-15
    A.3Full title of the trial
    HERO - MVT -601-3201: A Multinational Phase 3 Randomized, Open-label, Parallel Group Study to Evaluate the Safety and Efficacy of Relugolix in Men with Advanced Prostate Cancer
    HERO - MVT -601-3201: Studio di fase 3, multinazionale, randomizzato, in aperto, a gruppi paralleli per valutare la sicurezza e l'efficacia di Relugolix in pazienti con carcinoma prostatico avanzato
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    A research study planned as open-label in order to determine whether Relugolix has any serious side effects and to determine its medical benefits and investigate how it works in men with very serious prostate cancer.
    Studio di ricerca concepito in aperto per determinare se Relugolix abbia effetti collaterali seri e per determinare i suoi benefici clinici e studiare il suo funzionamento in uomini affetti da carcinoma prostatico molto serio.
    A.3.2Name or abbreviated title of the trial where available
    HERO
    HERO
    A.4.1Sponsor's protocol code numberMVT-601-3201
    A.5.1ISRCTN (International Standard Randomised Controlled Trial) NumberISRCTN00000000
    A.5.2US NCT (ClinicalTrials.gov registry) numberNCT03085095
    A.5.3WHO Universal Trial Reference Number (UTRN)U0000-0000-0000
    A.5.4Other Identifiers
    Name:HERONumber:MVT-601-3201
    A.7Trial is part of a Paediatric Investigation Plan No
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorMYOVANT SCIENCES GMBH
    B.1.3.4CountryUnited States
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportMyovant Sciences GmbH
    B.4.2CountrySwitzerland
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationMyovant Sciences Inc.
    B.5.2Functional name of contact pointDavid van Veenhuyzen
    B.5.3 Address:
    B.5.3.1Street Address2000 Sierra Point Parkway, 9th Floor
    B.5.3.2Town/ cityBrisbane, CA
    B.5.3.3Post code94005
    B.5.3.4CountryUnited States
    B.5.4Telephone number0016508498042
    B.5.5Fax number0000000
    B.5.6E-maildavidvanveenhuyzen@myovant.com
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameRelugolix
    D.3.2Product code [RVT-601, MVT-601 ]
    D.3.4Pharmaceutical form Film-coated tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNRelugolix
    D.3.9.1CAS number 737789-87-6
    D.3.9.2Current sponsor codeMVT-601
    D.3.9.3Other descriptive nameRelugolix
    D.3.9.4EV Substance CodeSUB168257
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number120
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleComparator
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Eligard
    D.2.1.1.2Name of the Marketing Authorisation holderAstellas Pharma Co. Ltd
    D.2.1.2Country which granted the Marketing AuthorisationHungary
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product namexxxxx
    D.3.2Product code [0000]
    D.3.4Pharmaceutical form Powder and solvent for solution for injection
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPSubcutaneous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNLEUPROLIDE ACETATO
    D.3.9.1CAS number 74381-53-6
    D.3.9.2Current sponsor codexxx
    D.3.9.3Other descriptive nameLEUPRORELIN ACETATE
    D.3.9.4EV Substance CodeSUB02900MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number22
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 3
    D.1.2 and D.1.3IMP RoleComparator
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Eligard
    D.2.1.1.2Name of the Marketing Authorisation holderAstellas Pharma Co. Ltd.
    D.2.1.2Country which granted the Marketing AuthorisationGermany
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product namexxxx
    D.3.2Product code [0000]
    D.3.4Pharmaceutical form Powder and solvent for solution for injection
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPSubcutaneous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNLEUPRORELIN ACETATE
    D.3.9.1CAS number 74381-53-6
    D.3.9.2Current sponsor code---
    D.3.9.4EV Substance CodeSUB02900MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number22
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Serious and advanced prostate cancer in men whose cancer responds to male hormones
    Carcinoma prostatico avanzato androgeno-sensibile
    E.1.1.1Medical condition in easily understood language
    Prostate cancer
    Carcinoma prostatico
    E.1.1.2Therapeutic area Diseases [C] - Cancer [C04]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.0
    E.1.2Level PT
    E.1.2Classification code 10060862
    E.1.2Term Prostate cancer
    E.1.2System Organ Class 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To evaluate the ability of relugolix to achieve and maintain serum testosterone suppression to castrate levels (= 50 ng/dL [1.7 nmol/L]) in men with androgen-sensitive advanced prostate cancer.
    • Valutare la capacità di relugolix di ottenere e mantenere la soppressione del testosterone nel siero a livelli di castrazione (< 50 ng/dl [1,7 nmol/L]) negli uomini con carcinoma prostatico avanzato androgeno-sensibile.
    E.2.2Secondary objectives of the trial
    To evaluate the time course and change in serum testosterone during treatment with relugolix;
    To evaluate the time course and magnitude of prostate-specific antigen (PSA) reduction during treatment with relugolix;
    To evaluate testosterone recovery following discontinuation of relugolix;
    To evaluate quality of life using validated patient-reported outcome instruments;
    To evaluate the safety of relugolix 120 mg once daily in men with androgen-sensitive advanced prostate cancer;
    To evaluate the effect of relugolix and leuprolide acetate on endocrine pharmacodynamic parameters;
    To collect relugolix plasma concentration data to further evaluate relugolix population pharmacokinetics (PK) and the relationship between relugolix exposure and serum testosterone; and
    To characterize the relugolix plasma PK parameters in a subset of patients from China and Japan.
    -Please refer to the protocol amendment 2 for the remaining list of study objectives
    - Valutare l'andamento nel tempo e la variazione dei livelli di testosterone nel siero durante il trattamento con relugolix;
    - Valutare l'andamento nel tempo e l'entità della diminuzione dei valori dell'antigene prostatico specifico (PSA) durante il trattamento con relugolix;
    - Valutare il recupero del testosterone dopo l'interruzione del trattamento con relugolix;
    - Valutare la qualità della vita utilizzando gli strumenti convalidati degli esiti riportati dai pazienti
    - Valutare la sicurezza di relugolix in dose da 120 mg una volta al giorno in uomini con carcinoma prostatico avanzato androgeno-sensibile;
    - Valutare l'effetto di relugolix e leuprolide acetato sui parametri farmacodinamici nel sistema endocrino;
    - Raccogliere i dati della concentrazione di relugolix nel plasma per valutare ulteriormente la farmacocinetica (PK) di popolazione di relugolix e la relazione esistente tra esposizione a relugolix e livelli di testosterone nel siero; e caratterizzare i parametri PK di relugoli
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Has voluntarily signed and dated the informed consent form prior to initiation of any screening or study-specific procedures; 2. Is a male aged 18 years or older on the day of signing and dating the informed consent form; 3. Has histologically or cytologically confirmed diagnosis of adenocarcinoma of the prostate; 4. Is a candidate for, in the opinion of the investigator, at least 1 year of continuous androgen deprivation therapy for the management of androgen-sensitive advanced prostate cancer with one of the following clinical disease state presentations:
    a. Evidence of biochemical (PSA) or clinical relapse following local primary intervention with curative intent, such as surgery, radiation therapy, cryotherapy, or high-frequency ultrasound and not a candidate for salvage treatment by surgery (radiotherapy, cryotherapy, or high frequency ultrasound are allowed after 2 months of androgen deprivation therapy); or b. Newly diagnosed androgen-sensitive metastatic disease; or c. Advanced localized disease unlikely to be cured by local primary surgical intervention with either surgery or radiation with curative intent (radiotherapy, cryotherapy, or high frequency ultrasound are allowed after 2 months of androgen deprivation therapy); 5. Has a serum testosterone at the Screening visit of = 150 ng/dL (1.5 ng/mL or 5.2 nmol/L); 6. Has a serum PSA concentration at the Screening visit of > 2.0 ng/mL (2.0 µg/L), or, when applicable, post radical prostatectomy of > 0.2 ng/mL (0.2 µg/L) or post radiotherapy, cryotherapy, or high frequency ultrasound > 2.0 ng/mL (2.0 µg/L) above the post interventional nadir; 7. Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 at initial screening and at baseline (refer to Appendix 1); 8. Is a male patient who, even if surgically sterilized (ie, status post vasectomy): a. Agrees to use a male condom if having sex with a woman of childbearing potential age or a pregnant woman, during the entire study Treatment Period and through 4 months after the last dose of study drug; or b. Agrees to practice true abstinence, when this is in line with the preferred and usual lifestyle of the patient. Periodic abstinence (eg, calendar, ovulation, symptothermal, postovulation methods for the female partner) and withdrawal are not acceptable methods of contraception; 9. Must agree not to donate sperm from first dose of study drug through 4 months after the last dose of study drug; 10. A randomization authorization form has been signed by a study medical monitor approving the patient for randomization into the trial.
    1. Aver firmato e datato volontariamente il modulo di consenso informato prima dell'inizio di qualsiasi procedura di screening o procedura specifica per lo studio;
    2. Essere un uomo di età pari o superiore a 18 anni nel giorno in cui ha apposto firma e data sul modulo di consenso informato;
    3. Presentare una diagnosi istologicamente o citologicamente confermata di adenocarcinoma prostatico;
    4. Secondo l'opinione dello sperimentatore essere un candidato a ricevere per almeno 1 anno terapia di deprivazione androgenica continua per la gestione del carcinoma prostatico in stadio avanzato androgeno-sensibile con una delle seguenti presentazioni cliniche dello stato della malattia:
    a. Evidenza di recidiva biochimica (PSA) o clinica dopo intervento locale primario con intento curativo, come intervento chirurgico, radioterapia, crioterapia, o ultrasuoni ad alta frequenza e non è un candidato per il trattamento di emergenza mediante intervento chirurgico (radioterapia, crioterapia, o ultrasuoni ad alta frequenza sono consentiti dopo 2 mesi di terapia di deprivazione androgenica); oppure
    b. Malattia metastatica androgeno-sensibile di recente diagnosi; oppure
    c. Malattia localizzata in stadio avanzato con poca probabilità di essere curata mediante intervento chirurgico primario locale con intento curativo (Nota: radioterapia, crioterapia o alta gli ultrasuoni di frequenza sono consentiti dopo 2 mesi di androgeni terapia di privazione Radiazione palliativa precedente a siti diversi dal letto della prostata è permessa. Nota: una volta arruolati 915 pazienti in tutto il mondo, solo i pazienti con il cancro alla prostata avanzato metastatico sarà eleggibile per lo studio in tutti regioni eccetto la Cina, dove sia metastatico che non metastatico i pazienti continueranno ad essere arruolati.);
    5. Presentare un livello di testosterone sierico al momento della visita di screening di => 150 ng/dl (1.5 ng/mL o 5,2 nmol/l);
    6. Presentare una concentrazione di PSA sierico al momento della visita di screening di > 2,0 ng/mL (2,0 µg/l), o, se applicabile, post-prostatectomia radicale > 0,2 ng/mL (0,2 µg/l) o dopo radioterapia, crioterapia o ultrasuoni ad alta frequenza > 2,0 ng/mL (2,0 µg/l) al di sopra del nadir post-operatorio; (Nota: se il paziente ha avuto una prostatectomia radicale, il PSA deve essere> 0,2 ng / mL (0,2 µg / L) indipendentemente da qualsiasi altro trattamento che il paziente ha avuto.
    7. Presentare uno stato di performance secondo ECOG (Eastern Cooperative Oncology Group) di 0 o 1 allo screening iniziale e alla baseline (fare riferimento all'Appendice 1);
    8. Essere un paziente di sesso maschile, anche se sterilizzato chirurgicamente (ossia in condizione di post-vasectomia), che:
    a. Accetta di usare un preservativo maschile in caso di rapporti sessuali con una donna in età fertile o una donna in gravidanza, durante l'intero periodo di trattamento previsto dallo studio e per 4 mesi dopo l'ultima dose di farmaco in studio; oppure
    b. Accetta di praticare l'astinenza totale, se questo è in linea con lo stile di vita consueto e preferibile del paziente. L'astinenza periodica (come i metodi basati sul calendario, ovulazione, sintotermici, postovulazione per la partner femminile) e coito interrotto non sono metodi contraccettivi accettabili;
    9. Deve acconsentire a non donare sperma dall'assunzione della prima dose di farmaco in studio fino a 4 mesi dopo l'ultima dose di farmaco in studio;
    10. Un modulo di autorizzazione alla randomizzazione è stato firmato da un Medical Monitor dello studio per l'approvazione della randomizzazione del paziente nella sperimentazione.
    E.4Principal exclusion criteria
    1. In the investigator's opinion, is likely to require chemotherapy or surgical therapy for symptomatic disease management within 2 months of initiating androgen deprivation therapy; 2. Previously received GnRH analog or other form of androgen deprivation therapy (estrogen or antiandrogen) for > 18 months total duration. If androgen deprivation therapy was received for = 18 months total duration, then that therapy must have been completed at least 3 months prior to baseline; If the dosing interval of the depot is longer than 3 months, then the prior androgen deprivation therapy must have been completed at least as long as the dosing interval of the depot.
    3. Previous system treatment for prostate cancer with a taxane-based regimen; 4. Metastases to brain per prior clinical evaluation; 5. Scheduled for major surgery after baseline; 6. History of surgical castration; 7. residual disease. Patients with nonmelanoma skin cancer or carcinoma in situ of any type are not excluded if they have undergone complete resection. Patients with Stage 0 or Stage 1 melanoma or superficial Stage 0 or Stage 1 bladder cancer, if curatively managed prior to screening, are not excluded. The medical monitor should be contacted for any questions regarding this exclusion criterion; 9. Abnormal laboratory values at the Screening visit that suggest a clinically unstable underlying disease, or the following laboratory values: a. Serum gamma-glutamyl transferase > 2.0 x upper limit of normal (ULN); b. Serum ALT and/or AST > 1.0 x ULN; c. Total Bil. > 1.0 x ULN (unless secondary to Gilbert's syndrome or the pattern is consistent with a diagnosis of Gilbert's syndrome) or; d. Serum creatinine > 2.0 mg/dL; 10. Uncontrolled diabetes with HbA1c > 10% or previously undiagnosed diabetes mellitus with screening HbA1c > 8% (such excluded patients may be rescreened after referral and evidence of improved control of their condition);
    11. Has jaundice or known current active liver disease from any cause, including hep. A (hep. A virus IgM positive), hep. B (hep. B virus surface antigen [HBsAg] positive), or hep. C (hep. C virus [HCV] antibody positive, confirmed by HCV ribonucleic acid); 12. Known human HIV infection;
    13. Within 6 months before baseline, a history of myocardial infarction, angina, unstable symptomatic ischemic heart disease, or congestive heart failure, or any history of clinically significant ventricular arrhythmias such as ventricular tachycardia, ventricular fibrillation, or torsades de pointes, or history of Mobitz II second degree or third degree heart block without permanent pacemaker in place or untreated supraventricular tachycardia (heart rate = 120 beats per minute); thromboembolic events (eg, deep vein thrombosis, pulmonary embolism, or symptomatic cerebrovascular events); or any other significant cardiac condition (eg, pericardial effusion, restrictive cardiomyopathy). Patients with chronic stable atrial fibrillation on stable anticoagulant therapy or patients with stable cardiac rhythm controlled by a pacemaker are allowed; 14. The following ECG abnormalities are excluded: a. Q-wave infarction, unless identified 6 or more months before the Screening visit; b. QT interval corrected for heart rate (QTc) > 470 msec. If the QTc is prolonged in a patient with a pacemaker, the patient may be enrolled in the study upon discussion with the medical monitor; or c. Congenital long QT syndrome; 15. Uncontrolled hypertension despite appropriate medical therapy (sitting blood pressure of greater than 160 mmHg systolic and/or 100 mmHg diastolic at 2 separate measurements no more than 45 minutes apart during the Screening visit). Patients may be re-screened after referral and further management of hypertension;
    PLEASE REFER TO PROTOCOL AMENDMENT 3 FOR REMAINING LIST OF EXCLUSION CRITERIA.
    1. Secondo l'opinione dello sperimentatore, è probabile che necessiti di chemioterapia o terapia chirurgica per la gestione della malattia sintomatica entro 2 mesi dall'inizio della terapia di deprivazione androgenica; 2. Ha ricevuto in precedenza un analogo di GnRH o altra forma di terapia di deprivazione androgenica (estrogeni o anti-androgeni) per un periodo di durata complessiva >18 mesi. Se la terapia di deprivazione androgenica è stata somministrata per un periodo di durata complessiva =< 18 mesi, in tal caso la terapia deve essere stata completata almeno 3 mesi prima della baseline; 3. Precedente trattamento per il tumore alla prostata con un regime a base di taxani; 4. Metastasi al cervello in base a precedente valutazione clinica; 5. Intervento importante programmato dopo la baseline; 6. Anamnesi di castrazione chirurgica;
    7. Tumore maligno attivo oltre cancro alla prostata, ad eccezione di una qualsiasi delle seguenti condizioni: carcinoma a cellule basali adeguatamente trattato, carcinoma a cellule squamose o carcinoma in situ di qualsiasi tipo; tumore di stadio I adeguatamente trattato, da cui il soggetto è attualmente in stato di remissione ed è stato in remissione per un periodo =2 anni; eventuali altri tipi di tumore da cui il soggetto è stato libero da malattia per un periodo =5 anni;
    8. Valori di laboratorio anomali al momento della visita di screening che suggeriscono una malattia preesistente clinicamente instabile, o i seguenti valori di laboratorio: a. Gamma glutamil transferasi sierica > 2,0 volte il limite superiore della norma (ULN);
    b. Alanina aminotransferasi (ALT) e/o aspartato aminotransferasi (AST) sieriche > 1,0 x ULN;
    c. Bilirubina totale > 1,0 x ULN (se non secondaria a sindrome di Gilbert o se lo schema è coerente con una diagnosi di sindrome di Gilbert) oppure;
    d. Creatinina nel siero > 2,0 mg/dl; 10. Diabete non controllato con emoglobina A1c (HbA1c) > 10% o diabete mellito precedentemente non diagnosticato con HbA1C > 8% allo screening (tali pazienti esclusi possono essere sottoposti a nuovo screening dopo un consulto specialistico ed evidenza di un migliore controllo della propria condizione); 11. È affetto da ittero o nota malattia epatica attualmente attiva per qualsiasi causa, tra cui epatite A (immunoglobulina M [IgM] anti-epatite A positiva), epatite B (antigene di superficie del virus dell’epatite B positivo [HBsAg]), o epatite C (anticorpi anti epatite C [HCV] positivi, confermato da acido ribonucleico di HCV); 12. Infezione nota da virus dell'immunodeficienza umana;
    13. Entro 6 mesi prima della baseline, anamnesi di infarto del miocardio, angina, malattia cardiaca ischemica instabile sintomatica, o insufficienza cardiaca congestizia, o anamnesi di aritmie ventricolari clinicamente significative quali tachicardia ventricolare, fibrillazione ventricolare o torsioni di punta o anamnesi di blocco cardiaco di tipo Mobitz II di secondo grado o di terzo grado senza pacemaker permanente in sede o tachicardia sopraventricolare non trattata (Frequenza cardiaca = 120 battiti al minuto); eventi tromboembolici (ad es., trombosi venosa profonda, embolia polmonare o sintomatica, eventi cerebrovascolari); o qualsiasi altra condizione cardiaca significativa (ad esempio, versamento pericardico, cardiomiopatia restrittiva). I pazienti con fibrillazione atriale cronica stabile in terapia stabile con anticoagulanti o pazienti con ritmo cardiaco stabile controllato da un pacemaker sono ammessi;
    FARE RIFERIMENTO ALL'EMENDAMENTO 3 AL PROTOCOLLO PER IL RIMANENTE ELENCO DEI CRITERI DI ESCLUSIONE
    E.5 End points
    E.5.1Primary end point(s)
    The primary endpoint will be analyzed in the initial 915 patients enrolled
    to the study.
    The primary efficacy endpoint is the sustained castration rate, defined as the cumulative probability of testosterone suppression to = 50 ng/dL (1.7 nmol/L) while on study treatment from Week 5 Day 1 (Study Day 29) through Week 49 (Study Day 337).
    L'endpoint primario verrà analizzato nei primi 915 pazienti arruolati allo studio.
    Tasso di castrazione sostenuta definito come la probabilità cumulativa di soppressione dei livelli di testosterone a =50 ng/dl (1,7 nmol/L) durante il trattamento dello studio dal Giorno 1 della Settimana 5 (Giorno dello Studio 29) fino al Giorno 1 della Settimana 49 (Giorno dello Studio 337).
    E.5.1.1Timepoint(s) of evaluation of this end point
    Week 49 (Day 337)
    Settimana 49 (Giorno 337)
    E.5.2Secondary end point(s)
    If the result of the primary endpoint is statistically significant, the secondary endpoints will be analyzed. The methods and procedures necessary to maintain a study-wide 2-sided type I error rate of 0.05 across primary and secondary endpoint testing will be described in the statistical analysis plan.
    • Castration rate defined as the cumulative probability of testosterone suppression to = 50 ng/dL (1.7 nmol/L) prior to dosing at Week 1 Day 4, prior to dosing at Week 2 Day 1, and prior to dosing at Week 3 Day1 will be summarized by treatment group using the Kaplan-Meier method;
    • Profound castration rate defined as the cumulative probability of testosterone suppression of = 20 ng/dL (0.7 nmol/L) while on treatment from Week 25 Day 1 through Week 49 Day 1 will be estimated for each treatment group using the Kaplan-Meier method. The difference in the cumulative probabilities between the relugolix group and the leuprolide acetate group will be provided, along with the 95% confidence interval calculated in the same manner as in the primary analysis of the primary endpoint;
    • PSA response and percent change from baseline in PSA at Week 2 and Week 5 will be summarized and compared between the relugolix group and the leuprolide acetate group;
    • Proportions of patients who have a PSA concentration < 0.2 ng/mL (0.2 µg/L) at Week 25 will be summarized by treatment group. The proportions will be compared between the relugolix group and the leuprolide acetate group by constructing a 95% confidence interval for the difference in proportions;
    • Time to testosterone recovery in the first 100 patients randomized to relugolix and the first 50 patients randomized to leuprolide acetate who complete 48 weeks of treatment and who do not start alternative androgen deprivation therapy within the following 12 weeks (or within
    24 weeks following the last received leuprolide acetate 3-M depot injection) will be compared between the relugolix group and the leuprolide acetate group; Absolute values and changes from baseline in the scores of the EORTC-QLQ-C30 global health domain and the EORTC-QLQ-PR25 sexual activity and hormonal- treatment related symptom subdomains will be summarized by treatment group. The least square means at Week 49 will be compared between the relugolix group and the leuprolide acetate group by constructing a 95% confidence interval for the difference in the least square means using a mixed model for repeated measures; and
    • Absolute values and changes from baseline of the remaining domains in the EORTC QLQ-C30 and EORTC QLQ-PR25, as well as EQ-5D-5L will be summarized by
    treatment group. The least square means at Week 49 will be compared between the relugolix group and the leuprolide acetate group by constructing a 95% confidence interval for the difference in the least square means using a mixed model for repeated measures.; • Descrivere gli effetti sul testosterone sierico:
    o Tasso di castrazione definito come la probabilità cumulativa di soppressione dei livelli di testosterone a = 50 ng/dl (1,7 nmol/L) prima della somministrazione il Giorno 4 della Settimana 1, prima della somministrazione alla Settimana 2, e prima della somministrazione alla Settimana 3;
    o Tasso di castrazione profonda definito come la probabilità cumulativa di soppressione dei livelli di testosterone a = 20 ng/dl (0,7 nmol/L) durante il trattamento in studio dal Giorno 1 della Settimana 25 fino al Giorno 1 della Settimana 49;
    o Tempo al recupero dei livelli di testosterone nei primi 100 pazienti randomizzati a relugolix e nei primi 50 pazienti randomizzati a leuprolide acetato che hanno completato 48 settimane di trattamento e che non prevedono di iniziare una terapia di deprivazione androgenica alternativa entro le successive 12 settimane (o entro 24 settimane dopo l'ultima iniezione 3-M di leuprolide acetato a rilascio graduale);
    • Descrivere gli effetti sul PSA:
    o Percentuale di pazienti con risposta di PSA confermata in base alle Linee guida del Prostate Cancer Clinical Trials Working Group 3 alle visite della Settimana 2 e 5 [Scher, 2016];
    o Percentuale di pazienti con concentrazione di PSA < 0,2 ng/mL (0,2 µg/L) alla visita della Settimana 25;
    • Valori assoluti e variazioni rispetto alla baseline nei punteggi del dominio di salute globale EORTC QLQ-C30 e dei sotto-domini EORTC QLQ- PR25 di attività sessuale e sintomi correlati al trattamento ormonale, a intervalli di tempo regolari durante il trattamento e, a seconda dei casi, durante le visite di follow-up e/o di fine del trattamento;
    • Valori assoluti e variazioni rispetto alla baseline dei restanti domini di EORTC QLQ-C30 e EORTC QLQ-PR25, oltre al questionario EuroQol EQ-5D-5L, a intervalli di tempo regolari durante il trattamento e, a seconda dei casi, durante le Visite di follow-up;
    • Incidenza di eventi avversi;
    • Incidenza di anomalie nei dati clinici di laboratorio;
    • Effetti sul marcatore endocrino di relugolix e leuprolide acetato misur
    E.5.2.1Timepoint(s) of evaluation of this end point
    Week 49 (Day 337)
    Settimana 49 (Giorno 337)
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic Yes
    E.6.7Pharmacodynamic Yes
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic Yes
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) No
    E.7.3Therapeutic confirmatory (Phase III) Yes
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open Yes
    E.8.1.3Single blind No
    E.8.1.4Double blind No
    E.8.1.5Parallel group Yes
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo No
    E.8.2.3Other Yes
    E.8.2.3.1Comparator description
    Leuprolide acetato (Eligard)
    Leuprolide acetate (Eligard)
    E.8.2.4Number of treatment arms in the trial2
    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.8.4.1Number of sites anticipated in Member State concerned7
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA100
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA Information not present in EudraCT
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    Australia
    Canada
    China
    Japan
    Korea, Democratic People's Republic of
    Taiwan
    United States
    Austria
    Belgium
    Czechia
    Denmark
    Finland
    France
    Germany
    Italy
    Netherlands
    Poland
    Slovakia
    Slovenia
    Spain
    Sweden
    European Union
    United Kingdom
    E.8.7Trial has a data monitoring committee Yes
    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
    The End of treatment is defined as the last dose of relugolix. The end of the trial is defined as 12 weeks after the last leuprolide acetate.
    La fine del trattamento è definita come l'ultima dose di relugolix. La fine dello studio è definito come 12 settimane dopo l'ultima dose di acetato di leuprolide.
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years2
    E.8.9.1In the Member State concerned months6
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years2
    E.8.9.2In all countries concerned by the trial months6
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 550
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 550
    F.2 Gender
    F.2.1Female No
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations No
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception No
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state54
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 550
    F.4.2.2In the whole clinical trial 1100
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    non fornito
    non fornito
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2019-01-11
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2019-01-09
    P. End of Trial
    P.End of Trial StatusCompleted
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

    European Medicines Agency © 1995-Tue May 07 17:50:20 CEST 2024 | Domenico Scarlattilaan 6, 1083 HS Amsterdam, The Netherlands
    EMA HMA