Clinical trial NCT00598312: Safety and Efficacy Study of Leuprolide Acetate for Injectable Suspension 22.5 MG in the Treatment of Prostate Cancer
Official title: A Phase 3, Open-Label, Multi-Center, Safety And Efficacy Study of Oakwood Laboratories' Leuprolide Acetate For Injectable Suspension 22.5 mg In Patients With Prostate Cancer
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE3
Conditions: Prostate Cancer
Lead sponsor: Oakwood Laboratories, LLC
Sponsor class: INDUSTRY
First posted: 2008-01-21
Enrollment: 201
Sex: MALE
Minimum age (years): 45
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: The purpose of the study is to demonstrate the safety and efficacy of Leuprolide Acetate for Injectable Suspension 22.5 mg in reducing serum testosterone to castrate levels in patients with prostate cancer.

Detailed description: This study is an open-label, multi-center study in which a minimum of 165 patients will receive one (1) of three (3) lots of Oakwood Laboratories' Leuprolide Acetate for Injectable Suspension 22.5 mg for two cycles. A subset of patients (minimum of 12) will be assigned to each lot (A, B or C) and will have additional blood sampling to characterize leuprolide release kinetics for each dose administered.

Eligibility criteria: Inclusion Criteria:

* Reads, understands and is able and willing to sign informed consent form
* Males greater than or equal to age 45
* Histologically and cytologically documented prostate carcinoma
* Candidate for initial hormone therapy - inclusive of patients beginning neoadjuvant or intermittent therapy, being treated locally for advanced disease, or patients beginning therapy for failure of prior local therapy
* Patients who have had prior LHRH therapy in an adjuvant or neoadjuvant setting, providing that the last date of effective therapy was greater than 6 months prior to screening
* ECOG 0-2
* Morning serum testosterone level \> 150 ng/dL
* Standard screening labs within 2x ULN (AST, ALT, bilirubin and serum creatinine)
* Hemoglobin \> 10 g/dL
* Life expectancy of \>1yr.
* Willing to complete both cycles and all procedures of the study

Exclusion Criteria:

* Any prior (except for prior LHRH therapy in an adjuvant or neoadjuvant setting) or current definitive therapy for prostate cancer, including chemotherapy, immunotherapy, tumor-vaccines,biological response modifiers, or estrogens
* Patients who have undergone any prostatic surgery within 4 weeks of Baseline
* Patients who have undergone orchiectomy, adrenalectomy, or hypophysectomy
* Patients that are currently hospitalized or require frequent hospitalization
* Prior resistance to LHRH therapy, either neoadjuvant or adjuvant.
* Patients with evidence of spinal cord compression, ureteral obstruction or clinically significant bladder outlet obstruction
* Participation in any investigational drug, biologic, or device study within five half-lives of its physiological action or three months prior to enrollment, whichever was longer
* Patients anticipated to need concomitant hormonal, anti-androgen, radio-, chemo-, immuno- or surgical therapy for prostate cancer while on study
* History of recent drug and/or alcohol abuse within 6 months of screening
* History of HIV, HCV or HBV infection
* History of hypersensitivity or known allergy to LHRH agonists or antagonists
* Concurrent use of daily corticosteroids or other agents known to modify serum androgen within 12 weeks of screening visit
* Patients on other anti-androgens such as flutamide, nilutamide or bicalutamide
* History of other cancer with the exception of non-metastatic basal or squamous cell carcinoma of the skin
* Patients receiving any type of 5-alpha reductase inhibitor such as Proscar, Propecia, or Avodart within the past 3 months
* Patients who have experienced a myocardial infarction, unstable or uncontrolled cardiovascular disease or a coronary vascular procedure within 6 months of Baseline
* Patients who have experienced venous thrombosis within 6 months of Baseline
* Patients with other serious intercurrent illness(es) or disease(s)that might interfere with, or put them at additional risk for, their ability to receive the treatment outlined in the protocol
* Patients who have a history of the following: Immunization within 4 weeks of Baseline; Flu shots within 2 weeks of Baseline; Donation or receipt of blood or blood products within 2 months of Baseline; Anaphylaxis
* Patients who have received Oakwood's leuprolide acetate formulation previously.

Primary outcomes:
measure: The percentage of responders who attain and maintain castrate levels of serum testosterone
timeFrame: From Day 28 to Day 168.
Secondary outcomes:
measure: Safety as shown through laboratory parameters
timeFrame: Day 0 - Day 168
measure: Leuprolide serum profiles following administration study drug product.
timeFrame: Day 0 - Day 168
measure: Safety as shown through reported adverse events
timeFrame: Day 0 -168
Other outcomes:
Locations:
city: Oakwood Village
country: United States
facility: Oakwood Laboratories, LLC
state: Ohio
Study officials:
affiliation: Urology San Antonio Research PA
name: Daniel Saltzstein, MD
role: PRINCIPAL_INVESTIGATOR
affiliation: Oakwood Laboratories, LLC
name: James Page, MD
role: STUDY_CHAIR
affiliation: Oakwood Laboratories, LLC
name: Beth Glasgow
role: STUDY_DIRECTOR
References: