Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Leuprorelin · 5 trials · 4 indications
PBAC score was used to measure volume of menstrual blood loss. Participants used sanitary products designated by sponsor and recorded the numbers of tampons or towels used, clots and flooding in patient diary. Three diagrams used which represented a lightly, moderately stained or completely saturated pad/tampon. Following scores assigned: 1) 1, 5, or 20 points for each pad; 2) 1, 5, or 10 points for each tampon; 3) 1 or 5 points for each blood clot of \<1 cm/=1 cm/\>1 in longest diameter; 4) 5 points for each episode of flooding. The total PBAC score (sum of points) ranges from 0 to \>500.
Staging biopsy of at least 12 cores were sampled and analyzed according to a centralized biopsy procedure which confirm the results of the first biopsy \[presence of positive cores, the absence of core with tumor length \> 3 millimeters (mm), and absence Grade 4 cells (Gleason score \< 7)\]. The Gleason score grades prostate cancer tissue, based on its appearance under a microscope. Scores range from 2 to 10, with a higher score meaning that the cancer tissue is more likely to spread.
PFS=time from randomization to first documentation of progression (death, biological progression or clinical progression). PFS at Year 5=probability of participants' PFS at Year 5. Biological progression definition I: halfway point between nadir and first rise with prostate-specific antigen (PSA) ≥1 nanogram per milliliter (ng/mL) signifying progression and date of introduction of prostate treatment for all participants, including those leaving prematurely for reason other than progression/death; definition II: first date when PSA=nadir+2 ng/mL and date of introduction of prostate treatment, for participants leaving prematurely for reason other than progression/death. Clinical progression: local clinical progression-\>50% increase in prostate volume relative to lowest volume, recurrence of palpable prostatic tumor after complete regression, positive biopsy; locoregional progression=pelvic regional lymph node lesion development; metastatic progression=distant lesions identification.
Median Overall survival is defined as the number of days from date of inclusion to the date of death. For subjects who do not die, survival will be censored at the date of last contact.
Median Progression Free Survival=time from date of inclusion to date of first documentation of progressive disease (death, biological progression, clinical progression). Biological progression: date of the first PSA increase after the nadir and greater than or equal to (≥) 4 ng/mL under treatment. Clinical progression: date of appearance of the clinical sign of progression under treatment. Clinical signs of progression are: 1. Appearance of marked increase of bone pain or appearance of symptoms related to disease progression (example: liver, lungs, kidneys); 2. Alteration of general health conditions related to disease progression (decrease of at least 2 degrees in the European Organization for Research and Treatment of Cancer (ECOG) performance status, weight loss of more than 10% since the last visit); 3. Anemia - drop in hemoglobin level of more than 2 gram per deciliter (g/dL) since the last visit (only if disease related).
| Arm | Type | Description |
|---|---|---|
| Relugolix 40 mg | EXPERIMENTAL | Relugolix placebo matching tablets, orally, once daily along with leuprorelin acetate placebo matching injection, SC, once in 4 weeks for 3 to 6 weeks in run-in period followed by relugolix 40 mg, tablets, orally, once daily and leuprorelin acetate placebo matching injection, SC, once in 4 weeks for 24 weeks in treatment period. |
| Leuprorelin 1.88 mg or 3.75 mg | ACTIVE_COMPARATOR | Relugolix placebo matching tablets, orally, once daily along with leuprorelin acetate placebo matching injection, SC, once in 4 weeks for 3 to 6 weeks in run-in period followed by leuprorelin acetate 1.88 mg or 3.75 mg, injection, SC, once in 4 weeks and relugolix placebo matching tablets, orally, once daily for 24 weeks in treatment period. |
| Leuprorelin 11.25 mg | EXPERIMENTAL | Active surveillance after a single subcutaneous injection of leuprorelin 11.25 mg and bicalutamide 50 mg, tablet, orally, once daily, to prevent flare-up for 15 days. |
| Active surveillance | NO_INTERVENTION | Active surveillance is close medical monitoring of prostate cancer for any changes. |
| Combined Radiotherapy and Hormone Therapy | EXPERIMENTAL | Leuprorelin 11.25 milligram (mg) sustained release (SR), injection, subcutaneously, once every 3 months up to 3 years and flutamide 250 mg, tablet, orally, thrice daily for 30 days from the first dose of leuprorelin. Radiotherapy 70 +/- 4 Gray (Gy) in 35 fractions at a rate of 5 fractions of 2 Gy per week up to 3 years. An interval of a maximum of 2 weeks is authorized between radiation of the pelvis with 50 Gy (±4) (5 weeks) and radiation of the prostate with an additional 20 Gy. |
| Hormone Therapy alone | ACTIVE_COMPARATOR | Leuprorelin 11.25 mg SR, injection, subcutaneously, once every 3 months up to 3 years and flutamide 250 mg, tablet, orally, thrice daily for 30 days from the first dose of leuprorelin. |
| Leuprorelin (GF) | EXPERIMENTAL | - |
| Leuprorelin (GC) | EXPERIMENTAL | - |
| Continuous Therapy | ACTIVE_COMPARATOR | Continuous complete androgen suppression therapy with leuprorelin 3.75 mg sustained release (SR), injection, subcutaneously once every 28 days and flutamide, 250 mg, tablet, orally thrice daily until there are signs of disease progression. |
| Intermittent therapy | EXPERIMENTAL | Intermittent complete androgen suppression therapy starting at randomization with interruption of treatment given in the induction period until PSA levels reach \>=10 ng/mL or other signs of progression appear. Upon treatment resumption, leuproreline 3.75 mg SR, injection, subcutaneously once every 28 days and flutamide 250 mg, tablet, orally thrice daily, until PSA levels are \<normal (that is, \<4 ng/mL) and no signs of disease progression appear. The intermittent therapy will be continued similarly until the study end or the appearance of signs of disease progression under treatment. |
| Name | Type | Description |
|---|---|---|
| Relugolix | DRUG | Relugolix tablets |
| Relugolix Placebo | DRUG | Relugolix placebo-matching tablets |
| Leuprorelin | DRUG | Leuprorelin injection |
| Leuprorelin Placebo | DRUG | Leuprorelin placebo-matching injections |
| Bicalutamide | DRUG | Bicalutamide tablets |
| Leuprorelin SR | DRUG | Leuprorelin SR injection |
| Radiotherapy | RADIATION | Radiotherapy 70 +/- 4 Gy |
| Flutamide | DRUG | Flutamide tablets |
| Leuprorelin (GF) | DRUG | Leuprorelin (GF) 3.75 mg injection, subcutaneously, once every 4 weeks for up to 12 weeks. |
| Leuprorelin (GC) | DRUG | Leuprorelin (GC) 3.75 mg injection, subcutaneously, once every 4 weeks for up to 12 weeks. |
Inclusion Criteria: Inclusion Criteria for Entering the Screening (at VISIT 1) 1. In the opinion of the investigator or subinvestigator, the participant is capable of understanding and complying with protocol requirements. 2. The participant signs and dates a written, informed consent form prior t...
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Leuprorelin is used for prostatic neoplasms, prostate cancer, locally advanced prostatic neoplasms, and uterine fibroids. It is being studied in clinical trials for these conditions, including a Phase 3 trial in prostate cancer and a Phase 3 trial in locally advanced prostate cancer.
Leuprorelin is developed by Takeda Pharmaceutical Company Limited, which trades under the ticker TAK. The drug is being investigated for oncology indications, including prostate cancer and uterine fibroids.
Leuprorelin is in Phase 3 clinical development. It has completed two Phase 3 trials: one in locally advanced prostate cancer (NCT01122121) and one in prostate cancer (NCT02085252). It is investigational and not yet approved.
Leuprorelin has completed four clinical trials. Phase 3 trials include NCT01122121, studying leuprorelin with radiotherapy versus leuprorelin alone in locally advanced prostate cancer, and NCT02085252, studying Enantone LP 11.25 mg on indolent prostate cancer. Phase 2 trials include NCT00776074 in uterine fibroids and NCT00817739 in prostatic neoplasms.
Leuprorelin is also known as Enantone. One clinical trial, NCT02085252, specifically studies Enantone LP 11.25 mg (leuprorelin) in prostate cancer, confirming that Enantone is a brand name for leuprorelin.