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Goserelin

Phase 3

Early-stage Breast Cancer | Small molecule | Oncology |AstraZeneca PLC|Last Updated: Jun 29, 2023

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLEDBiomarker
Total Trials1
Total Enrollment1,099

FDA Designations

No designations recorded

Clinical trial landscape

Goserelin · 7 trials · 4 indications

Phase 3 4Phase 2 3
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
NCT00309478Randomized Study Comparing CMF and Goserelin + Tamoxifen in Premenopausal Receptor-positive PatientsEarly-stage Breast Cancer
COMPLETED1,099 Analytics
NCT00439751Immediate Versus Deferred Androgen Deprivation Therapy,Goserelin for Recurrent Prostate Cancer After Radical RadiotherapyProstate Cancer
COMPLETED79 Analytics
NCT00423475Radiation Therapy With or Without Goserelin in Treating Patients Who Have Undergone Surgery for Recurrent or Refractory Prostate CancerProstate Cancer
COMPLETED743 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
Randomized Study Comparing CMF and Goserelin + Tamoxifen in Premenopausal Receptor-positive Patients
Early-stage Breast CancerUnlock trial analytics
PHASE3COMPLETED
Immediate Versus Deferred Androgen Deprivation Therapy,Goserelin for Recurrent Prostate Cancer After Radical Radiotherapy
Prostate CancerUnlock trial analytics
PHASE3COMPLETED
Radiation Therapy With or Without Goserelin in Treating Patients Who Have Undergone Surgery for Recurrent or Refractory 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.

Disease-free survival
Time to androgen independent disease (AID). AID is defined as the time from randomization to AID or last follow-up.
Every 6 months
Progression-free (biological and/or clinical) survival
3.5 years
Percentage of Participants With Progression Free Survival (PFS) at Week 24
Objective tumour assessments carried out every 12 weeks (+/- 7 days) until Week 24, and then every 24 weeks (+/- 14 days) until Week 96 or objective progression is confirmed according to Response Evaluation Criteria in Solid Tumours (RECIST).

The number of participants for whom neither objective disease progression or death (due to any cause) has been observed at Week 24 over the number of randomised participants x 100.

Zoladex 10.8mg depot (every 12 weeks) is non-inferior to Zoladex 3.6mg depot (every 4 weeks) in terms of oestradiol (E2) suppression in patient population by assessment of area under the curve of E2 concentration during the first 24 weeks of treatment.
every 12 weeks
Objective Response Rate (ORR)
3 months

ORR was determined as the sum of the Complete Response (CR) rate + Partial Response (PR) rates. * CR = Complete disappearance of all clinically- or pathologically-detectable malignant disease for at least 4 weeks. * PR = ≥ 50% decrease in tumor size for at least 4 weeks, without any new lesion or any ≥ 25% increase in size of any lesion. All measurements by ruler or calipers.

Secondary Endpoints

Toxicities
Time to complications of advanced malignancy (CAM) and number of CAMs experienced are secondary outcome measures.
Every 6 months
Quality of life
Every 6 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ChemotherapyEXPERIMENTAL -
Without ChemotherapyACTIVE_COMPARATOR -
2 (CMF scheme)EXPERIMENTAL6 cycles CMF scheme (cyclophosphamide, methotrexate, fluorouracil)
1 (Nol + Zol)EXPERIMENTALZoladex (3 years) combined with Nolvadex (5 years)
Immediate ADTOTHER -
Deferred ADTOTHER -
IACTIVE_COMPARATORExclusive Radiation Therapy 66 Gy (prostatic bed) / 46 Gy (Pelvis with lymph nod involvement) in treating patients who have undergone surgery for recurent or refractory Prostate Cancer
IIEXPERIMENTALRadiation Therapy 66 Gy (prostatic bed) / 46 Gy (Pelvis with lymph nod involvement) and GOSERELIN ACETATE in treating patients who have undergone surgery for recurent or refractory Prostate Cancer
ZOLADEX 10.8 mgEXPERIMENTALZOLADEX (goserelin acetate) 10.8 mg intramuscular depot for injection every 12 weeks
ZOLADEX 3.6 mgEXPERIMENTALZOLADEX (goserelin acetate) 3.6 mg intramuscular depot for injection every 4 weeks
1EXPERIMENTALZoladex 3-month depot
2EXPERIMENTALZoladex 1-month depot
Anastrozole + GoserelinEXPERIMENTALParticipants received goserelin 3.6 mg subcutaneously monthly. Beginning on Day 22 after the first dose of goserelin, participants began taking anastrozole 1 mg orally daily. No dose attenuation or escalation was allowed for either goserelin or anastrozole.

Interventions

NameTypeDescription
bicalutamideDRUG -
Goserelin AcetateDRUG -
docetaxelDRUG -
Estramustine phosphate sodiumDRUG -
acetylsalicylic acidDRUG -
conventional surgeryPROCEDURE -
radiation therapyRADIATION -
CyclophosphamideDRUGCyclophosphamide 600mg/m2
MethotrexateDRUGMethotrexate 40mg/m2
Fluorouracil implantDRUGFluorouracil 600mg/m2
GoserelinDRUGZoladex 3.6mg/28 days for 3 years
TamoxifenDRUGNolvadex 20mg/day for 5 years
adjuvant therapyPROCEDURE -
Anastrozole (Arimidex)DRUGAnastrozole is a prescription hormonal treatment that helps fight breast cancer by lowering the amount of estrogen in the body. It is a non-steroidal aromatase inhibitor, which significantly lowers serum estradiol (estrogen) concentrations, without interfering with the formation of adrenal corticosteroids or aldosterone
Goserelin (Zoladex)DRUGGoserelin is a palliative treatment of advanced breast cancer in pre- and perimenopausal women
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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:FranceCanadaCzechiaRussiaUkraineJapanUnited States
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Frequently asked questions about Goserelin

What is Goserelin used for?

Goserelin is used for the treatment of breast cancer, including advanced breast cancer and early-stage breast cancer, as well as prostate cancer. It is being studied in premenopausal women with hormone receptor-positive breast cancer to suppress estradiol levels. The drug is administered as a subcutaneous implant.

Who makes Goserelin?

Goserelin is developed by AstraZeneca PLC, which is listed on the stock exchange under the ticker AZN. The company is conducting clinical trials to evaluate the drug's efficacy in various breast cancer indications, including advanced and early-stage breast cancer.

What phase is Goserelin in?

Goserelin is in Phase 2 clinical development for breast cancer indications. Clinical trials have been completed for advanced breast cancer and early-stage breast cancer. The drug is investigational and has not been approved by regulatory authorities for these uses.

What clinical trials is Goserelin in?

Goserelin has been studied in several completed clinical trials, including NCT00186121 for metastatic breast cancer, NCT00303524 for early-stage breast cancer, NCT00309478 for early-stage breast cancer, and NCT00322348 for advanced breast cancer. These trials enrolled a total of 1,235 participants.

How does Goserelin work?

Goserelin is a small molecule that works by suppressing estradiol levels in premenopausal women. It acts on the pituitary gland to reduce the production of estrogen, which can help slow the growth of hormone receptor-positive breast cancer cells.