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Orteronel

Phase 3

Prostate Cancer | Small molecule | Oncology |Takeda Pharmaceutical Company Limited|Last Updated: Dec 19, 2018

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment2,659

FDA Designations

No designations recorded

Clinical trial landscape

Orteronel · 2 trials · 1 indication

Phase 3 2
NCT01193257Study Comparing Orteronel Plus Prednisone in Participants With Metastatic Castration-Resistant Prostate Cancer.Prostate Cancer
COMPLETED1,099 Analytics
NCT01193244Study Comparing Orteronel Plus Prednisone in Participants With Chemotherapy-Naive Metastatic Castration-Resistant Prostate CancerProstate Cancer
COMPLETED1,560 Analytics
PHASE3COMPLETED
Study Comparing Orteronel Plus Prednisone in Participants With Metastatic Castration-Resistant Prostate Cancer.
Prostate CancerUnlock trial analytics
PHASE3COMPLETED
Study Comparing Orteronel Plus Prednisone in Participants With Chemotherapy-Naive Metastatic Castration-Resistant Prostate Cancer
Prostate CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall Survival
Baseline until death (approximately up to 4.5 years)

Overall survival was calculated from the date of participant randomization to the date of participant death due to any cause. Participants without documentation of death at time of the analysis were censored as of the date the participant was last known to be alive, or the data cutoff date, whichever was earlier.

Radiographic Progression-free Survival (rPFS)
Baseline until radiographic disease progression or death, whichever occurred first (approximately up to 4.7 years)

rPFS was defined as the time from randomization to the first objective evidence of radiographic disease progression assessed by independent central radiology review or death due to any cause, whichever occurred first. Radiographic disease progression was evaluated by computerized tomography (CT) scan or magnetic resonance imaging (MRI) and radionuclide bone scans at regularly scheduled visits. Radiographic disease progression in bone required a confirmatory scan. Radiographic disease progression in soft tissue did not require a confirmatory scan for purposes of analysis. Radiographic disease progression was evaluated by independent central radiology review using Response Evaluation Criteria In Solid Tumors (RECIST) 1.1 for soft tissue disease and Prostate Cancer Working Group (PCWG2) guidelines for bone disease. Participants who did not reach the endpoint were censored at their last assessment.

Secondary Endpoints

Radiographic Progression-free Survival (rPFS)
Baseline until disease progression or death, whichever occurred first (approximately up to 4.5 years)
Percentage of Participants Achieving 50 Percent Reduction From Baseline in Prostate Specific Antigen (PSA50 Response) at Week 12
Week 12
Percentage of Participants With Pain Response at Week 12
Week 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Orteronel + prednisoneEXPERIMENTAL -
Placebo + prednisonePLACEBO_COMPARATOR -

Interventions

NameTypeDescription
OrteronelDRUGOrteronel tablets
PrednisoneDRUGPrednisone tablets
Orteronel PlaceboDRUGOrteronel placebo-matching tablets
PlaceboDRUGPlacebo will be administered orally twice a day continuously throughout the study. Additionally, all patients will receive concomitant gonadotropin-releasing hormone (GnRH) analogue therapy unless they have previously undergone orchiectomy and a testosterone concentration of \<50 ng/dL.
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Eligibility Criteria

Age Range18 Years to N/A
SexMALE
Healthy VolunteersNo
Study Sites78

Inclusion Criteria: Each participant must meet all of the following inclusion criteria: * Voluntary written consent * Male 18 years or older * Histologically or cytologically confirmed diagnosis of prostate adenocarcinoma * Radiograph-documented metastatic disease * Progressive disease * Prior sur...

Countries:United StatesAustraliaBelgiumCanadaCzechiaEstoniaFinlandFranceGreeceHungaryItalyNetherlandsPolandSpainAustriaBelarusBrazilBulgariaChileColombiaGermanyHong KongIrelandIsraelJapanLatviaLithuaniaMexicoNew ZealandPeruPortugalPuerto RicoRomaniaRussiaSingaporeSlovakiaSouth AfricaSwedenSwitzerlandTaiwanUkraineUnited Kingdom
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Competitive Landscape -Prostate Cancer 254 trials

Frequently asked questions about Orteronel

What is Orteronel used for in prostate cancer?

Orteronel is an investigational small molecule being studied for the treatment of prostate cancer, specifically in patients with metastatic castration-resistant prostate cancer. It has been evaluated in Phase 3 clinical trials in combination with prednisone. As of the available data, Orteronel remains investigational and is not approved by regulatory authorities.

Who makes Orteronel?

Orteronel is being developed by Takeda Pharmaceutical Company Limited, which trades under the ticker symbol TAK. The company has conducted Phase 3 clinical trials evaluating Orteronel in combination with prednisone for the treatment of metastatic castration-resistant prostate cancer.

What phase is Orteronel in?

Orteronel is in Phase 3 clinical development for prostate cancer. Two Phase 3 trials have been completed, both evaluating Orteronel plus prednisone in patients with metastatic castration-resistant prostate cancer. The drug is still investigational and has not been approved for any use.

What clinical trials is Orteronel in?

Orteronel has been studied in two completed Phase 3 trials. NCT01193244 enrolled 1560 participants with chemotherapy-naive metastatic castration-resistant prostate cancer, and NCT01193257 enrolled 1099 participants with metastatic castration-resistant prostate cancer. Both trials were randomized, double-blind, and placebo-controlled, with a combined enrollment of 2659 participants.

How does Orteronel work?

Orteronel is a small molecule that targets the enzyme CYP17, which is involved in androgen production. By inhibiting this enzyme, Orteronel is designed to reduce androgen levels, potentially slowing the growth of prostate cancer. This mechanism was evaluated in Phase 3 trials in combination with prednisone for metastatic castration-resistant prostate cancer.

Is Orteronel the same as TAK-700?

Orteronel is also known as TAK-700, a name used in some clinical and research contexts. It is being developed by Takeda Pharmaceutical Company Limited for the treatment of prostate cancer. The drug has been evaluated in Phase 3 trials for metastatic castration-resistant prostate cancer.