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History of Changes for Study: NCT02677896
A Study of Enzalutamide Plus Androgen Deprivation Therapy (ADT) Versus Placebo Plus ADT in Patients With Metastatic Hormone Sensitive Prostate Cancer (mHSPC)
Latest version (submitted April 18, 2024) on ClinicalTrials.gov
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Study Record Versions
Version A B Submitted Date Changes
1 February 5, 2016 None (earliest Version on record)
2 April 4, 2016 Recruitment Status, Study Status and Contacts/Locations
3 May 13, 2016 Recruitment Status, Study Status and Contacts/Locations
4 June 17, 2016 Contacts/Locations and Study Status
5 July 25, 2016 Recruitment Status, Study Status, Contacts/Locations and Eligibility
6 September 14, 2016 Contacts/Locations and Study Status
7 March 17, 2017 Study Status and Contacts/Locations
8 May 4, 2017 Contacts/Locations and Study Status
9 August 15, 2017 Study Status, Contacts/Locations and Oversight
10 December 7, 2017 Contacts/Locations and Study Status
11 January 26, 2018 Recruitment Status, Contacts/Locations, Study Status, Study Design, Eligibility and Study Identification
12 March 29, 2018 Study Status and Contacts/Locations
13 April 5, 2018 Contacts/Locations and Study Status
14 May 7, 2018 Contacts/Locations and Study Status
15 July 10, 2018 Study Status and Contacts/Locations
16 August 27, 2018 Study Status and Contacts/Locations
17 November 26, 2018 IPDSharing, Study Status and Sponsor/Collaborators
18 January 30, 2019 Study Status, Eligibility, Outcome Measures and Study Description
19 February 5, 2019 Contacts/Locations and Study Status
20 April 25, 2019 Study Status
21 August 9, 2019 Study Status
22 October 1, 2019 Study Status and IPDSharing
23 January 8, 2020 Outcome Measures, Study Status, Arms and Interventions, More Information, Study Description, Document Section, Adverse Events, Baseline Characteristics and Participant Flow
24 February 10, 2020 Outcome Measures, Study Status, Baseline Characteristics, Adverse Events
25 April 1, 2020 Study Status and Contacts/Locations
26 April 8, 2020 References and Study Status
27 April 23, 2020 Contacts/Locations and Study Status
28 May 29, 2020 Study Status
29 July 1, 2020 Study Status
30 October 26, 2020 Study Status
31 November 27, 2020 Study Status
32 January 16, 2021 Study Status
33 March 9, 2021 Study Status
34 April 8, 2021 Study Status
35 June 18, 2021 Study Status
36 August 18, 2021 Study Status
37 September 3, 2021 Study Status
38 October 19, 2021 Oversight and Study Status
39 December 9, 2021 Study Status
40 January 1, 2022 Study Status
41 January 25, 2022 Study Status
42 February 23, 2022 Study Status
43 April 1, 2022 Outcome Measures, Adverse Events, Participant Flow, Arms and Interventions, Baseline Characteristics, Study Status and References
44 May 11, 2022 Study Status
45 June 23, 2022 Study Status
46 July 29, 2022 Study Status
47 August 18, 2022 Study Status
48 September 19, 2022 Study Status
49 October 25, 2022 Study Status
50 November 16, 2022 Study Status
51 December 23, 2022 Study Status
52 January 17, 2023 Study Status
53 February 22, 2023 Study Status
54 March 15, 2023 Study Status
55 June 18, 2023 Study Status
56 July 19, 2023 Study Status
57 August 21, 2023 Study Status
58 September 29, 2023 Study Status
59 October 25, 2023 Study Status
60 November 17, 2023 Study Status
61 December 19, 2023 Study Status
62 January 18, 2024 Study Status
63 February 19, 2024 Study Status
64 March 15, 2024 Study Status
65 April 18, 2024 Study Status
Comparison Format:

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Study NCT02677896
Submitted Date:  February 5, 2016 (v1)

Open or close this module Study Identification
Unique Protocol ID: 9785-CL-0335
Brief Title: A Study of Enzalutamide Plus Androgen Deprivation Therapy (ADT) Versus Placebo Plus ADT in Patients With Metastatic Hormone Sensitive Prostate Cancer (mHSPC)
Official Title: A Multinational, Phase 3, Randomized, Double-blind, Placebo-controlled Efficacy and Safety Study of Enzalutamide Plus Androgen Deprivation Therapy (ADT) Versus Placebo Plus ADT in Patients With Metastatic Hormone Sensitive Prostate Cancer (mHSPC)
Secondary IDs: 2015-003869-28 [EudraCT Number]
Open or close this module Study Status
Record Verification: February 2016
Overall Status: Not yet recruiting
Study Start: February 2016
Primary Completion: April 2020 [Anticipated]
Study Completion: December 2023 [Anticipated]
First Submitted: February 5, 2016
First Submitted that
Met QC Criteria:
February 5, 2016
First Posted: February 9, 2016 [Estimate]
Last Update Submitted that
Met QC Criteria:
February 5, 2016
Last Update Posted: February 9, 2016 [Estimate]
Open or close this module Sponsor/Collaborators
Sponsor: Astellas Pharma Global Development, Inc.
Responsible Party: Sponsor
Collaborators: Medivation, Inc.
Open or close this module Oversight
U.S. FDA-regulated Drug:
U.S. FDA-regulated Device:
Data Monitoring: Yes
Open or close this module Study Description
Brief Summary: The purpose of this study is to evaluate the efficacy of enzalutamide plus androgen deprivation therapy (ADT) as measured by radiographic progression-free survival (rPFS) based on central review. The study will also evaluate the safety of enzalutamide plus ADT in mHSPC.
Detailed Description:
Open or close this module Conditions
Conditions: Metastatic Hormone Sensitive Prostate Cancer
Keywords: Metastatic hormone sensitive prostate cancer
Xtandi
Enzalutamide
Androgen Deprivation Therapy (ADT)
Open or close this module Study Design
Study Type: Interventional
Primary Purpose: Treatment
Study Phase: Phase 3
Interventional Study Model: Parallel Assignment
Number of Arms: 2
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Allocation: Randomized
Enrollment: 1100 [Anticipated]
Open or close this module Arms and Interventions
Arms Assigned Interventions
Experimental: Enzalutamide plus androgen deprivation therapy (ADT)
Subjects will receive enzalutamide once daily. ADT (either bilateral orchiectomy or luteinizing hormone-releasing hormone (LHRH) agonist/antagonist) will be maintained during study treatment as per standard of care (SOC) and provided by the site's pharmacy stock.
Drug: Enzalutamide
Oral
Other Names:
  • Xtandi
Placebo Comparator: Placebo plus androgen deprivation therapy (ADT)
Subjects will receive matching placebo once daily. ADT (either bilateral orchiectomy or luteinizing hormone-releasing hormone (LHRH) agonist/antagonist) will be maintained during study treatment as per standard of care (SOC) and provided by the site's pharmacy stock.
Drug: Placebo
Oral
Open or close this module Outcome Measures
Primary Outcome Measures:
1. Radiographic progression-free survival (rPFS)
[ Time Frame: Up to 4 years ]

Defined as the time from randomization to the first objective evidence of radiographic disease progression as assessed by central review or death (defined as death from any cause within 24 weeks from study drug discontinuation), whichever comes first.
Secondary Outcome Measures:
1. Overall survival (OS)
[ Time Frame: Up to 7 years ]

Defined as the time from randomization to death from any cause.
2. Time to first symptomatic skeletal event (SSE)
[ Time Frame: Up to 4 years ]

Defined as the time from randomization to the occurrence of the first SSE. SSE is defined as radiation or surgery to bone, clinically apparent pathological bone fracture or spinal cord compression.
3. Time to castration resistance
[ Time Frame: Up to 4 years ]

Defined as the time from randomization to the first castration-resistant event (radiographic disease progression, prostate-specific antigen (PSA) progression or SSE), whichever occurs first.
4. Time to deterioration of quality of life (QoL)
[ Time Frame: Up to 4 years ]

Defined as time from randomization to a 10-point reduction of the Functional Assessment of Cancer Therapy - Prostate (FACT-P) total score
5. Time to initiation of a new antineoplastic therapy
[ Time Frame: Up to 4 years ]

Defined as time from randomization to the initiation of antineoplastic subsequent to the study treatments.
6. Time to PSA progression
[ Time Frame: Up to 4 years ]

PSA progression is defined as a ≥ 2 µg/L (2 ng/mL) above the nadir.
7. PSA undetectable rate
[ Time Frame: Up to 4 years ]

Defined as percentage of subjects with detectable (< 0.2 ng/mL) during study treatment.
8. Objective response rate
[ Time Frame: Up to 4 years ]

Defined as the percentage of subjects with measureable disease at baseline who achieved a complete or partial response in their soft tissue disease using the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 criteria.
9. Time to pain progression
[ Time Frame: Up to 4 years ]

Defined as time from randomization to an increase of 30% in pain severity score from baseline using the Brief Pain Inventory-Short Form (BPI-SF)
Open or close this module Eligibility
Minimum Age: 18 Years
Maximum Age:
Sex: Male
Gender Based:
Accepts Healthy Volunteers: No
Criteria:

Inclusion Criteria:

  • Subject is considered an adult according to local regulation at the time of signing informed consent.
  • Subject is diagnosed with histologically or cytologically confirmed adenocarcinoma of the prostate without neuroendocrine differentiation, signet cell or small cell histology.
  • Subject has metastatic prostate cancer documented by positive bone scan or metastatic lesions on computed tomography (CT) or magnetic resonance imaging (MRI) scan. Subjects whose disease spread is limited to regional pelvic lymph nodes are not eligible.
  • Once randomized at day 1, subject must maintain ADT with an LHRH agonist or antagonist during study treatment or have a history of bilateral orchiectomy (i.e., medical or surgical castration).
  • Subject has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.

Exclusion Criteria:

  • Subject has received any prior pharmacotherapy, radiation therapy or surgery for metastatic prostate cancer (the following exceptions are permitted):
    • Up to 3 months of ADT with LHRH agonists or antagonists or orchiectomy with or without concurrent antiandrogens prior to day 1, with no radiographic evidence of disease progression or rising PSA levels prior to day 1;
    • Subject may have 1 course of palliative radiation or surgical therapy to treat symptoms resulting from metastatic disease if it was administered at least 4 weeks prior to day 1;
    • Up to 6 cycles of docetaxel therapy with final treatment administration completed within 2 months of day 1 and no evidence of disease progression during or after the completion of docetaxel therapy;
    • Up to 6 months of ADT with LHRH agonists or antagonists or orchiectomy with or without concurrent antiandrogens prior to day 1 if subject was treated with docetaxel, with no radiographic evidence of disease progression or rising PSA levels prior to day 1;
    • Prior ADT given for < 36 months in duration and > 9 months before randomization as neoadjuvant/adjuvant therapy.
  • Subject had a major surgery within 4 weeks prior to day 1.
  • Subject received treatment with 5-α reductase inhibitors (finasteride, dutasteride) within 4 weeks prior to day 1.
  • Subject received treatment with estrogens, cyprotoerone acetate or androgens within 4 weeks prior to day 1.
  • Subject received treatment with systemic glucocorticoids greater than the equivalent of 10 mg per day of prednisone within 4 weeks prior to day 1.
  • Subject received treatment with herbal medications that have known hormonal antiprostate cancer activity and/or are known to decrease PSA levels within 4 weeks prior to day 1.
  • Subject received prior aminoglutethimide, ketoconazole, abiraterone acetate or enzalutamide for the treatment of prostate cancer or participation in a clinical study of an investigational agent that inhibits the AR or androgen synthesis (e.g., TAK-700, ARN-509, ODM-201).
  • Subject has known or suspected brain metastasis or active leptomeningeal disease.
  • Subject has absolute neutrophil count < 1500/μL, platelet count < 100000/μL or hemoglobin < 10 g/dL (6.2 mmol/L).
  • Subject has total bilirubin (TBL) ≥ 1.5 x the upper limit of normal (ULN) (except subjects with documented Gilbert's disease), or alanine aminotransferase (ALT) or aspartate aminotransferase (AST) ≥ 2.5 x the ULN .
  • Subject has creatinine > 2 mg/dL (177 μmol/L).
  • Subject has albumin < 3.0 g/dL (30 g/L).
  • Subject has a history of seizure or any condition that may predispose to seizure.
  • Subject has history of loss of consciousness or transient ischemic attack within 12 months prior to day 1.
  • Subject has clinically significant cardiovascular disease.
Open or close this module Contacts/Locations
Central Contact Person: Astellas Pharma Global Development
Telephone: 800-888-7704 Ext. 5473
Email: astellas.registration@astellas.com
Study Officials: Medical Director
Study Director
Astellas Pharma Global Development, Inc.
Locations:
Open or close this module IPDSharing
Plan to Share IPD: Undecided
Open or close this module References
Links:
Available IPD/Information:

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