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ZD4054

Phase 3

Prostate Cancer | Small molecule | Oncology |AstraZeneca PLC|Last Updated: Feb 8, 2016

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials4
Total Enrollment2,881
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00617669A Phase III Trial of ZD4054 (Zibotentan) (Endothelin A Antagonist) and Docetaxel in Metastatic Hormone Resistant Prostate CancerPHASE3 COMPLETED 1,494Jan 1, 2008Jul 1, 2011Sep 10, 2012147 United States, Argentina +24
NCT00554229A Phase III Trial of ZD4054 (Zibotentan) (Endothelin A Antagonist) in Hormone Resistant Prostate Cancer With Bone MetastasesPHASE3 COMPLETED 896Nov 1, 2007Aug 1, 2011Feb 8, 2016197 United States, Argentina +29
NCT00090363ZD4054 (Zibotentan) in Pain-free or Mildly Symptomatic Patients With Prostate Cancer and Bone Metastases Who Have Rising Serum Prostate Specific Antigen (PSA)PHASE2 COMPLETED 447Jul 1, 2004Aug 1, 2011Jan 8, 201360 United States, Australia +12
NCT00314782Phase I Study of ZD4054 (Zibotentan) and Docetaxel in Patients With Metastatic HRPCPHASE1 COMPLETED 44Mar 1, 2006Mar 1, 2009Mar 12, 20139 United States, Germany +1
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Study Endpoints
Primary Endpoints
Overall Survival
Patients were followed for survival up to 40 months

Median time (in months) from randomisation until death using the Kaplan-Meier method.

Time to Progression (TTP)
Follow-up for progression/death was 4-weekly for 2 years after first dose and 3-monthly thereafter. 'Final analysis' results are given - the most recent formal analysis (data cut-off 18th December 2008).

Median time (in days) from randomisation until disease progression, where progression is defined, using RECIST, as a measurable increase in the smallest dimension of any target or non-target lesion, or the appearance of new lesions, since baseline or death using the Kaplan-Meier method.

Part A: Maximum Tolerated Dose (MTD)
Part A: Cycle 1 ('Primary analysis' corresponding to data cut-off 5th March 2008)
Secondary Endpoints
Progression Free Survival
Patients were followed for progression up to 40 months
Incidence of Skeletal Related Events
While receiving docetaxel study visits were aligned with its administration ie every 3weeks, after 12 weeks and completion of docetaxel therapy every 12 weeks (up to 40 months)
Time to Prostate-specific Antigen (PSA) Progression
While receiving docetaxel study visits were aligned with its administration ie every 3weeks, after 12 weeks and completion of docetaxel therapy every 12 weeks (up to 40 months)
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Placebo + DocetaxelACTIVE_COMPARATORplacebo oral tablet once daily + docetaxel intravenous infusion every 3 weeks
ZD4054 + DocetaxelEXPERIMENTALZD4054 10 mg oral tablet once daily + docetaxel intravenous infusion every 3 weeks
ZD4054EXPERIMENTALZD4054 10 mg oral tablet once daily
PlaceboPLACEBO_COMPARATORMatching Placebo, oral tablets once daily
ZD4054 10 mgEXPERIMENTALZD4054 10 mg oral tablet once daily, with best supportive care
ZD4054 15 mgEXPERIMENTALZD4054 15 mg oral tablet once daily, with best supportive care
Part AEXPERIMENTALPart A (dose-finding): ZD4054 (Zibotentan) 10 mg oral tablet once daily, with docetaxel 75mg/m\^2 intravenous infusion once per cycle
Part A (ZD4054 (Zibotentan) 15 mg + docetaxel)EXPERIMENTALPart A (dose-finding): ZD4054 (Zibotentan) 15 mg oral tablet once daily, with docetaxel 75mg/m\^2 intravenous infusion once per cycle
Part BEXPERIMENTALPart B (randomised, placebo-controlled): ZD4054 (Zibotentan) Maximum Tolerated Dose (MTD), 15mg, oral tablet once daily, with docetaxel 75mg/m\^2 intravenous infusion once per cycle
Part B (placebo)EXPERIMENTALPart B (randomised, placebo-controlled): Matching placebo oral tablet once daily, with docetaxel 75mg/m\^2 intravenous infusion once per cycle
Interventions
NameTypeDescription
DocetaxelDRUGintravenous infusion given every three weeks
ZD4054DRUG10 mg oral once daily dose
PlaceboDRUGplacebo oral tablet once daily
ZD4054 15 mgDRUG15 mg oral tablet once daily
ZD4054 10 mgDRUG10mg oral tablet once daily
ZD4054 (Zibotentan)DRUGoral tablet
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Eligibility Criteria
Age Range18 Years — N/A
SexMALE
Healthy VolunteersNo
Study Sites147

Inclusion Criteria: Patients who answer TRUE to the following criteria may be eligible to participate in this trial. * Confirmed diagnosis of prostate cancer (adenocarcinoma of the prostate) that has spread to the bone (bone metastasis) * Increasing Prostate Specific Antigen (PSA), collected withi...

Countries:United StatesArgentinaAustraliaBrazilCanadaCzechiaFinlandFranceGermanyHungaryIndiaItalyNetherlandsPeruPolandPortugalRomaniaRussiaSerbiaSouth AfricaSouth KoreaSpainSwedenSwitzerlandTaiwanUnited KingdomAustriaBelgiumChinaDenmarkHong KongJapanMexicoSingaporeIndonesiaNorway
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Competitive Landscape -Prostate Cancer 259 trials
CompanyTickerTrialsLead PhaseDrugs
Merck & Co., Inc.MRK7PHASE3Pembrolizumab, Enzalutamide, Ifinatamab deruxtecan, Docetaxel, Prednisone
AstraZeneca PLCAZN20PHASE3olaparib, abiraterone, Saruparib, Abiraterone, Darolutamide
Pfizer Inc.PFE12PHASE3Talazoparib with enzalutamide, PF-06821497, Docetaxel, Enzalutamide, Leuprolide Open Label
Johnson & JohnsonJNJ21PHASE3Apalutamide, Androgen Deprivation Therapy, Niraparib, Abiraterone, Prednisone
Eli Lilly and CompanyLLY9PHASE3Abemaciclib, Abiraterone, Prednisone or Prednisolone, -PNT2002, Enzalutamide
Amgen Inc.AMGN7PHASE3Xaluritamig, Abiraterone, Enzalutamide, Cabazitaxel, Docetaxel
Novartis AG Sponsored ADRNVS28PHASE3177Lu-PSMA-617, 68Ga-PSMA-11, ARDT, ADT, AAA617
Exelixis, Inc.EXEL4PHASE3Cabozantinib, Atezolizumab, Abiraterone, Enzalutamide, Prednisone
Candel Therapeutics, Inc.CADL3PHASE3Aglatimagene besadenovec + valacyclovir, aglatimagene besadenovec, valacyclovir, aglatimagene besadenovec + valacyclovir
Bristol-Myers Squibb CompanyBMY2PHASE3BMS-986365, Enzalutamide, Abiraterone, Docetaxel, Predinsone/Prednisolone
BioNTech SE Sponsored ADRBNTX1PHASE3BNT324, Docetaxel, Prednisone/prednisolone
Telix Pharmaceuticals Limited Sponsored ADRTLX3PHASE368Ga-PSMA-11, 177Lu-TLX591, Enzalutamide, Abiraterone, Docetaxel
Sanofi SA Sponsored ADRSNY2PHASE3abiraterone, Docetaxel, Cabazitaxel
Regeneron Pharmaceuticals, Inc.REGN4PHASE2REGN2810, Degarelix, Leuprolide, Docetaxel, BPX-601
Veracyte, Inc.VCYT2PHASE2Darolutamide, Zoladex, Zoladex LA, Decapeptyl sustained release, Depo-Eligard
Kyntra Bio, Inc.KYNB2PHASE2FG-3246, FOR46, Enzalutamide, Pegfilgrastim
Lantheus Holdings IncLNTH3PHASE3Undisclosed
IDEAYA Biosciences, Inc.IDYA3PHASE1IDE-161, Pembrolizumab, IDE034, IDE574, Fulvestrant
Xencor, Inc.XNCR1PHASE2vudalimab
GSK plc Sponsored ADRGSK2PHASE1GSK5471713, GSK5458514
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