Bone loss in pateints undergoing androgen-deprivation therapy (ADT) for non-metastatic prostate cancer. MedDRA version: 8.1 Level: LLT Classification code 10049470 Term: Bone density decreased
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Patients = 70 years of age, with histologically confirmed prostate cancer or - Adult patients, =65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - Evidence of distant metastases - Concurrent systemic anti-neoplastic therapy, other than ADT and/or antiandrogen therapy - Diagnosis of any secondary non- prostate malignancy within 5 years of randomization, except for adequately treated basal cell or squamous cell skin - PSA > 5 ng/mL after being on ADT >1 month - BMD t-score 10 mg prednisone/day for more than 10 days) • Selective estrogen receptor modulators (SERMS) • Calcitonin • Calcitriol - Concurrent chronic corticosteroid therapy or pulse corticosteroid therapy (topical, inhaled, or nasal steroids are allowed) - Prior administration of OPG construct (i.e. AMGN-0007, Fc-OPG), or AMG 162 - Concurrent use of PC SPES - 25-hydroxyvitamin D deficiency ( 177 µmol/L (>2.0 mg/dL) - Hepatic insufficiency [AST > 2.5 x upper limit of normal (ULN), ALT > 2.5 x ULN, or total bilirubin > 1.5 x ULN] - iPTH > 1.5 x ULN - ANC < 1.5 x 109/L; platelets < 100 x 109/L; or hemoglobin < 6.2 mmol/L (10.0 g/dL) - Evidence of any of the following conditions per subject self report or chart review: a) Current hyper- or hypothyroidism (stable on thyroid replacement therapy is allowed, if the TSH is within the normal range) b) Paget’s disease, Cushing’s disease, hyperprolactinemia, or chronic liver disease c) Unstable systemic disease including active infection, uncontrolled hypertension, unstable angina, congestive heart failure, or myocardial infarction within 6 months before randomization d) Major surgery, or significant traumatic injury occurring within 4 weeks before randomization e) Known HIV, HCV, or chronic Hepatitis B infection - Organic or psychiatric disorder which, in the opinion of the investigator may prevent the subject from completing the study or interfere with the interpretation of the study results - Any kind of disorder that compromises his ability to give written informed consent and/or to comply with study procedures - Is currently enrolled in the active treatment phase of a study investigating an unapproved product or device, or has been treated within the last 30 days with an unapproved product or device. Subjects in the observational phase of clinical studies ( eg, to collect survival data) are allowed - Self-reported drug or alcohol abuse within the previous 24 weeks before study enrollment - Known sensitivity to any of the products to be administered during this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To determine the treatment effect of AMG 162 compared with placebo on lumbar spine bone mineral density (BMD) at month 24 in men with nonmetastatic prostate cancer undergoing ADT.;Primary end point(s): The primary endpoint is the percentage change from baseline in lumbar spine BMD to month 24.;Secondary Objective: - To assess the effect of AMG 162 compared with placebo on the following: – Percent change of femoral neck BMD, and total hip BMD from baseline to month 24 – Percent change of lumbar spine BMD, femoral neck BMD and total hip BMD from baseline to month 36 – Subject incidence of any fracture and subject incidence of new vertebral fracture over the 36-month evaluation period – Time to first clinical fracture over the 36-month evaluation period – Subject incidence of any fracture over the 24- month evaluation period - To assess the safety and pharmacokinetics of AMG 162 in this population. Safety will be followed for up to 2 years after the end of the 36-month treatment phase (as described in Section 7.18). | — |
Countries
Czech Republic, Finland, Hungary