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Bicalutamide

Phase 4FDA approved

Non-Metastatic Prostate Cancer | Small molecule | Oncology |AstraZeneca PLC|Trials Updated: Jan 18, 2023

Bicalutamide development status

FDA approval on record Dec 19, 2008 as Casodex
Approval holderAstrazeneca
ApplicationNDA022310
Highest phase Phase 4 (NCT00255268)
Phase scored for AZNPhase 3
Registered trials 32 across 23 sponsors since Oct 2004

Bicalutamide target and mechanism

Molecular targetAR
Target classAntagonist
ModalitySmall molecule
ChEMBLCHEMBL409

Also known as CASODEX®

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials7
Total Enrollment9,132

FDA Designations

No designations recorded

Bicalutamide clinical trials

Bicalutamide · 7 trials · 3 indications

Phase 3 6Phase 2 1
NCT00055731Hormone Therapy With or Without Docetaxel And Estramustine in Treating Patients With Prostate Cancer That is Locally Advanced or At High Risk of RelapseProstate Cancer
COMPLETED413 Analytics
NCT00233610Two Different Regimens of Nolvadex in Preventing Gynecomastia Induced by Casodex 150 mg in Patients With Prostate CancerProstate Cancer
COMPLETED180 Analytics
NCT00672282Casodex vs Placebo in Non-Metastatic Early Prostate CancerNon-Metastatic Prostate Cancer
COMPLETED1,218 Analytics
NCT00673205(Bicalutamide) Casodex vs Placebo in Non-metastatic Early Prostate CancerNon-Metastatic Prostate Cancer
COMPLETED3,588 Analytics
NCT00657904Bicalutamide (Casodex™) Versus Placebo in Patients With Early Prostate CancerNon-metastatic Prostate Cancer
COMPLETED3,618 Analytics
NCT00846976Treatment Protocol to Monitor the Safety of a 200 mg Dose of Bicalutamide in Patients With Advanced Prostate CancerProstate Cancer
COMPLETED101 Analytics
PHASE3COMPLETED
Hormone Therapy With or Without Docetaxel And Estramustine in Treating Patients With Prostate Cancer That is Locally Advanced or At High Risk of Relapse
Prostate CancerUnlock trial analytics
PHASE3COMPLETED
Two Different Regimens of Nolvadex in Preventing Gynecomastia Induced by Casodex 150 mg in Patients With Prostate Cancer
Prostate CancerUnlock trial analytics
PHASE3COMPLETED
Casodex vs Placebo in Non-Metastatic Early Prostate Cancer
Non-Metastatic Prostate CancerUnlock trial analytics
PHASE3COMPLETED
(Bicalutamide) Casodex vs Placebo in Non-metastatic Early Prostate Cancer
Non-Metastatic Prostate CancerUnlock trial analytics
PHASE3COMPLETED
Bicalutamide (Casodex™) Versus Placebo in Patients With Early Prostate Cancer
Non-metastatic Prostate CancerUnlock trial analytics
PHASE3COMPLETED
Treatment Protocol to Monitor the Safety of a 200 mg Dose of Bicalutamide in Patients With Advanced Prostate Cancer
Prostate CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression-free survival
From randomization to disease progression or death, up to 15 years.

The progression-free survival is the length of time during and after the treatment of a disease that a patient lives with the disease but it does not get worse.

Biological response: Prostate-specific antigen (PSA) level
3 months

The biological response is defined as a non-detectable serum PSA level (\<0.1 ng/ml)

Cancer progression as measured by ultrasound
From randomization to disease progression, up to 15 years.

Defined as a decrease of at least 20% in prostate volume detected by ultrasound after the neo-adjuvant treatment

Clinical progression-free survival
From randomization to disease progression or death, up to 15 years.

The clinical progression-free survival is the length of time during and after the treatment of a disease that a patient lives with the disease but it does not get worse (based on bone scintigraphy, pelvic scan, or MRI evaluation).

Overall survival
From randomization to death from any cause, up to 15 years.

The overall survival is the length of time from randomization that patients enrolled in the study are still alive. The outcome is to evaluate whether SRBT improves overall survival compared to standard of care.

Acute and late toxicity during the study
Throughout study completion, up to 15 years.

The National Cancer Institute-Common Terminology Criteria for Adverse Events version 4.0 (NCI-CTCAE v4.0) is widely accepted in the community of oncology research as the leading rating scale for adverse events. This scale, divided into 5 grades (1 = "mild", 2 = "moderate", 3 = "severe", 4 = "life-threatening", and 5 = "death") determined by the investigator, will make it possible to assess the severity of the disorders.

Quality of life questionnaire - Core 30 (QLQ-C30)
At baseline, 3 months, and 1 year

Developed by the EORTC, this self-reported questionnaire assesses the health-related quality of life of cancer patients in clinical trials. The questionnaire includes five functional scales (physical, everyday activity, cognitive, emotional, and social), three symptom scales (fatigue, pain, nausea and vomiting), a health/quality of life overall scale, and a number of additional elements assessing common symptoms (including dyspnea, loss of appetite, insomnia, constipation, and diarrhea), as well as, the perceived financial impact of the disease. All of the scales and single-item measures range in score from 0 to 100. A high scale score represents a higher response level.

Incidence of Gynecomastia and Breast pain at 2, 6 months and every 6 months thereafter and/or at withdrawal visit.
Survival
Throughout study period
Time to clinical progression
Throughout study period
Tolerability in terms of adverse events and laboratory parameters
Throughout study period
Overall patient survival
Throughout study period
Safety profile of patients treated with a 200 mg daily dose of CASODEX
every three months
Change in Growth Rate (cm/Year)
Assessed after 12 months treatment

Change in growth rate after 12 months relative to the growth rate during the ≥6 month pre-study period, based on raw height data (cm/year).

Change in Growth Rate (SD Units)
Assessed after 12 months treatment

Change in growth rate after 12 months relative to the growth rate during the ≥6 month pre-study period, calculated after adjustment for the chronological age of the patient (expressed as a standard deviation \[SD\] score).

Secondary Endpoints

Sexual functioning, Quality of life.
Tolerability in terms of adverse events and laboratory parameters
Throughout study period
Time to treatment failure
Throughout study period
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ChemotherapyEXPERIMENTAL -
Without ChemotherapyACTIVE_COMPARATOR -
APLACEBO_COMPARATOR -
BACTIVE_COMPARATOR -
1EXPERIMENTAL -
2PLACEBO_COMPARATOR -
200 mg CasodexEXPERIMENTAL -
Bicalutamide with AnastrozoleOTHERBicalutamide in combination with Anastrozole

Interventions

NameTypeDescription
bicalutamideDRUG -
Goserelin AcetateDRUG -
docetaxelDRUG -
Estramustine phosphate sodiumDRUG -
acetylsalicylic acidDRUG -
conventional surgeryPROCEDURE -
radiation therapyRADIATION -
TamoxifenDRUG -
PlaceboDRUG -
AnastrozoleDRUGoral
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Eligibility Criteria

Age Range0 Years to 79 Years
SexMALE
Healthy VolunteersNo
Study Sites38

DISEASE CHARACTERISTICS: * Histologically confirmed adenocarcinoma of the prostate * Locally advanced disease or at high risk for relapse * No clinically or radiologically suspected metastases * Prior lymphadenectomy required * Meets at least 1 of the following criteria for poor prognosis: * ...

Countries:FranceItalyDenmarkFinlandNorwaySwedenAustraliaAustriaBelgiumCzechiaGermanyHungaryIrelandIsraelMexicoNetherlandsPolandPortugalSouth AfricaSpainUnited KingdomUnited StatesCanadaIndiaRussia
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Competitive Landscape -Prostate Cancer 418 trials (matched to "Non-Metastatic Prostate Cancer")

Top 20 of 55 competitors

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Frequently asked questions about Bicalutamide

What is bicalutamide used for?

Bicalutamide is used to treat prostate cancer, including non-metastatic prostate cancer and advanced prostate cancer. It has also been studied in precocious puberty. It is a small molecule developed by AstraZeneca PLC under the ticker AZN and has been evaluated in Phase 3 clinical trials.

What does bicalutamide target?

Bicalutamide targets the androgen receptor, or AR, acting as an antagonist. By blocking the androgen receptor, it interferes with androgen signaling, which is relevant in prostate cancer, where androgens drive tumor growth. This mechanism underlies its use in prostate cancer treatment.

Who makes bicalutamide?

Bicalutamide is developed by AstraZeneca PLC, which trades under the ticker AZN. The company has sponsored Phase 3 clinical trials of the drug in prostate cancer, including studies conducted across North America, Europe, and other regions.

What phase is bicalutamide in?

Bicalutamide has been evaluated in Phase 3 clinical trials. The trials listed are completed, with no active trials currently reported. It is an investigational agent in the context of these studies, and the available information does not indicate approval status.

What clinical trials is bicalutamide in?

Bicalutamide has been studied in completed Phase 3 trials including NCT00846976 in advanced prostate cancer, NCT00673205 and NCT00672282 in non-metastatic early prostate cancer, and NCT00657904 in early prostate cancer. These trials enrolled a total of 8,424 participants and were randomized, double-blind, and placebo-controlled.

Is bicalutamide the same as Casodex?

Bicalutamide is also known as Casodex. The trade name Casodex appears in trial titles such as Casodex versus placebo in non-metastatic early prostate cancer, confirming that bicalutamide and Casodex refer to the same drug developed by AstraZeneca PLC.