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Cyproterone

Phase 3

Adenocarcinoma, Prostate | Small molecule | Oncology |Takeda Pharmaceutical Company Limited|Last Updated: Jul 30, 2015

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-BlindCONTROLLEDBiomarker
Total Trials1
Total Enrollment311
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01011751Treatment of Hot Flushes Caused by Leuprorelin 11.25 mg in Prostate AdenocarcinomaPHASE3 COMPLETED 311Apr 1, 2004Dec 1, 2007Jul 30, 20151 France
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Study Endpoints
Primary Endpoints
Percent Change from Randomization in Hot Flushes (HF) Score at Week 4 of Treatment
Randomization (Month 6) and Week 4 of treatment (Month 7)

The change is calculated as follows: \[(HF score at Week 4 of treatment - HF score at randomization)/HF score at randomization\]\*100. The calculation of the HF score will be done as follows: a coefficient is allocated to each severity grade, it varies from 1 to 4 (1: slight; 2: moderate; 3: severe; 4: very severe), and the calculation of the daily score is equal to the sum of the daily instances of hot flushes multiplied by their severity coefficient. The score calculated at randomization and Week 4 of treatment will be the average of the scores recorded in the preceding week. The score range will depend upon the frequency of hot flushes, and higher score signifies higher severity of hot flushes.

Secondary Endpoints
Percent Change from Randomization in HF Frequency at Weeks 4, 8 of Treatment and Last Available Value
Randomization (Month 6), Weeks 4 and 8 of treatment (Months 7 and 8, respectively) and last available value (Month 7 or 8)
Percentage of Participants With More Than 50 percent (%) Decrease in HF Score
Week 4 of treatment
Percentage of Participants with Complete Regression of hot flushes
Week 4 of treatment
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Cyproterone acetateEXPERIMENTALLeuprorelin 11.25 mg, injection, subcutaneously at Months 0, 3, and 6, and flutamide 250 mg, tablet, orally, thrice daily for first 30 days from first leuprorelin administration. From Month 6, cyproterone acetate 50 mg, tablet-in-capsule, along with cyproterone acetate placebo-matching capsule, orally, once daily in the morning and cyproterone acetate 50 mg, tablet-in-capsule, orally, once daily in the evening for 8 weeks. Cyproterone acetate placebo-matching capsule, orally, once daily in the morning for the next 2 weeks.
Medroxyprogesterone acetateEXPERIMENTALLeuprorelin 11.25 mg, injection, subcutaneously at Months 0, 3, and 6, and flutamide 250 mg, tablet, orally, thrice daily for first 30 days from first leuprorelin administration. From Month 6, medroxyprogesterone acetate 10 mg, tablet-in-capsule, along with medroxyprogesterone acetate placebo-matching capsule, orally, once daily in the morning and medroxyprogesterone acetate 10 mg, tablet-in-capsule, orally, once daily in the evening for 8 weeks. Medroxyprogesterone acetate placebo-matching capsule, orally, once daily in the morning for the next 2 weeks.
VenlafaxineEXPERIMENTALLeuprorelin 11.25 mg, injection, subcutaneously at Months 0, 3, and 6, and flutamide 250 mg, tablet, orally, thrice daily for first 30 days from first leuprorelin administration. From Month 6, venlafaxine 75 mg, capsule, orally, once daily in the morning and venlafaxine placebo-matching capsule, orally, once daily in the evening for 8 weeks. Venlafaxine 37.5 mg, capsule, orally, once daily in the evening for the next 2 weeks.
Interventions
NameTypeDescription
Cyproterone acetateDRUGCyproterone acetate tablet-in-capsule.
Medroxyprogesterone acetateDRUGMedroxyprogesterone acetate tablet-in-capsule.
VenlafaxineDRUGVenlafaxine capsule.
LeuprorelinDRUGLeuprorelin injection.
FlutamideDRUGFlutamide tablet
PlaceboDRUGCyproterone acetate, medroxyprogesterone acetate or venlafaxine placebo-matching capsule.
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Eligibility Criteria
Age Range18 Years — N/A
SexMALE
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: - Patient has a histologically proven prostatic adenocarcinoma. * Patient has been on a gonadotropin releasing hormone (GnRH) agonist treatment for a duration of at least 1 year. * Karnofsky index greater than or equal to (\>=) 70 %. * Patient who, after having been clearly info...

Countries:France
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