Phase 2
Completed N=137
Study in Japan and Ex-Japan to Characterize the Pharmacokinetic and Pharmacodynamic Response to Orteronel (TAK-700) in Chemotherapy-Naive Participants With Castration-Resistant Prostate Cancer
Source: ClinicalTrials.gov NCT01666314 ↗Enrolled (actual)
137
Serious AEs
35.4%
Results posted
Mar 2018
Primary outcomePrimary: Percentage of Participants With Serum Testosterone Levels Reduced to ≤ 2 ng/dL After 4 Weeks of Treatment in Japan — 86.0; 100.0 percentage of participants — p=0.1078
Summary
This is a double-blind, placebo-controlled, multiregional Phase1/2 study to characterize the pharmacokinetic and pharmacodynamic responses to orteronel when administered concomitantly with prednisone in Chemotherapy-Naive Participants With Castration-Resistant Prostate Cancer
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Participants With Serum Testosterone Levels Reduced to ≤ 2 ng/dL After 4 Weeks of Treatment in Japan |
86.0; 100.0 | 0.1078 |
| SECONDARY Percentage of Participants With Serum Testosterone Levels Reduced to ≤ 2 ng/dL in Ex-Japan |
48.0; 79.0 | 0.0355 sig |
| SECONDARY Percent Change From Baseline in Serum Testosterone Level After 4 Weeks of Treatment |
-87.666; -97.245; -96.812; -63.702; -86.268; -53.954 | — |
| SECONDARY Percent Change From Baseline in Serum Testosterone Level After 12 Weeks of Treatment |
-95.804; -95.703; -91.311; -14.442 | — |
| SECONDARY Percentage of Participants With Prostate-Specific Antigen Reduction ≥ 50% (PSA50) After 4 Weeks of Treatment |
48.0; 50.0; 41.0; 17.0; 48.0; 46.0 | — |
| SECONDARY Percentage of Participants With PSA50 After 12 Weeks of Treatment |
55.0; 47.0; 56.0; 44.0 | — |
| SECONDARY Absolute Values for Testosterone |
9.749; 9.079; 10.148; 9.173; 9.263; 14.588 | — |
| SECONDARY Absolute Values for Dehydroepiandrosterone Sulfate (DHEA-S) |
1928.0; 2529.0; 2340.9; 2601.7; 1783.0; 2155.7 | — |
| SECONDARY Absolute Values for Adrenocorticotropic Hormone (ACTH) |
5.0; 5.5; 8.3; 4.7; 6.0; 6.4 | — |
| SECONDARY Absolute Values for Corticosterone |
5.946; 6.515; 7.768; 6.317; 10.030; 17.975 | — |
| SECONDARY Absolute Values for Cortisol |
366.5; 371.3; 383.4; 384.8; 449.0; 446.8 | — |
| SECONDARY Absolute Values for Prostate-Specific Antigen (PSA) |
37.588; 27.227; 97.504; 133.238; 165.992; 100.237 | — |
| SECONDARY Cmax: Maximum Observed Plasma Concentration for Orteronel and M-I Metabolite |
1520; 2210; 1300; 1610; 272; 422 | — |
| SECONDARY AUC(0-12): Area Under the Plasma Concentration-Time Curve From Time 0 to 12 Hours Post-dose for Orteronel and M-I Metabolite |
8810; 12800; 7830; 10200; 2130; 3290 | — |
| SECONDARY Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for Orteronel and M-I Metabolite |
2.97; 2.43; 2.00; 1.92; 5.00; 4.98 | — |
| SECONDARY AE (0-24) Cumulative Amount of Drug Excreted Into the Urine for Orteronel and MI-Metabolite |
115.0; 164.0; 95.3; 161.0; 39.6; 62.5 | — |
| SECONDARY Cmax,ss: Maximum Observed Plasma Concentration at Steady State for Orteronel and MI-Metabolite |
2180; 3210; 1840; 3100; 565; 864 | — |
| SECONDARY Tmax,ss: Time to Reach the Maximum Plasma Concentration (Cmax), Equal to Time (Hours) to Cmax at Steady State for Orteronel and M-I Metabolite |
2.05; 2.96; 2.00; 1.98; 3.08; 4.78 | — |
| SECONDARY AUC(0-tau): Area Under the Plasma Concentration-time Curve From Time 0 to Time Tau Over the Dosing Interval for Orteronel and M-I Metabolite |
13300; 20400; 12600; 20000; 4840; 7460 | — |
| SECONDARY Rac: Accumulation Index for Orteronel and M-I Metabolite |
1.51; 1.59; 1.62; 1.97; 2.27; 2.26 | — |
| SECONDARY Ctrough,ss: Observed Predose Plasma Concentration at Steady State for Orteronel and M-I Metabolite |
710; 1060; 807; 899; 291; 444 | — |
| SECONDARY Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) |
7; 33; 32; 18; 36; 36 | — |
Eligibility Criteria
Inclusion Criteria
- Male participants 18 years or older
- Voluntary written consent must be given before performance of any study-related procedure not part of standard medical care, with the understanding that consent may be withdrawn by the patient at any time without prejudice to future medical care
- Histologically or cytologically confirmed diagnosis of prostate adenocarcinoma
- Prior surgical castration or concurrent use of an agent for medical castration [e.g. Gonadotropin-releasing hormone (GnRH) analogue]
- Prostate-Specific Antigen (PSA) ≥ 2 ng/mL at screening
- Progressive disease based on PSA and/or radiographic criteria
Exclusion Criteria
- Prior therapy with orteronel, ketoconazole, aminoglutethimide, or abiraterone.
- Known hypersensitivity to compounds related to orteronel, orteronel excipients, prednisone (or commercially available equivalent), or GnRH analogue.
- All antiandrogen therapy (including bicalutamide) is excluded within 4 weeks before the first dose of study drug. Any other therapies for prostate cancer, other than GnRH analogue therapy, such as progesterone, medroxyprogesterone, progestins (megesterol), or 5- alpha reductase inhibitors (e.g., finasteride or dutasteride), must be discontinued 2 weeks before the first dose of study drug.
- Continuous daily use of oral prednisone (or commercially available equivalent), oral dexamethasone, or other systemic corticosteroids for more than 2 weeks within the 3 months before screening (inhaled, nasal, and local steroids [e.g., joint injection] are allowed).
- Prior chemotherapy for prostate cancer, with the exception of neoadjuvant/adjuvant therapy as part of initial primary treatment for local disease that was completed 2 or more years before screening.
Please note that there are additional inclusion and exclusion criteria. The study center will determine if you meet all of the criteria.
Site personnel will explain the trial in detail and answer any question you may have if you do qualify for the study. You can then decide whether or not you wish to participate. If you do not qualify for the trial, site personnel will explain the reasons.
Data sourced from ClinicalTrials.gov (NCT01666314). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.