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An Efficacy and Safety Study of Abiraterone Acetate and Prednisone in Participants With Prostate Cancer Who Failed Androgen Deprivation and Docetaxel-Based Chemotherapy

A Phase II Open Label Study of CB7630 (Abiraterone Acetate) and Prednisone in Patients With Advanced Prostate Cancer Who Have Failed Androgen Deprivation and Docetaxel-Based Chemotherapy

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00485303
Enrollment
58
Registered
2007-06-12
Start date
2007-06-30
Completion date
2011-10-31
Last updated
2013-07-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Prostate Cancer, Prostatic Neoplasms

Keywords

Prostatic Neoplasms, Prostate cancer, Abiraterone acetate, CB7630, Prednisone

Brief summary

The purpose of this study is to evaluate the efficacy and safety of abiraterone acetate in participants with advanced prostate cancer (a disease in which cells in the prostate gland become abnormal and start to grow uncontrollably, forming tumors).

Detailed description

This is an open-label (all people know the identity of the intervention), single-arm, multicenter (when more than one hospital or medical school team work on a medical research study) study to evaluate the anti-tumor activities and safety of abiraterone acetate in participants with prostate cancer who have failed androgen deprivation and docetaxel-based chemotherapy. Abiraterone acetate oral tablet will be administered as a total dose of 1000 milligram (mg) orally (by mouth) once daily after an overnight fast and prednisone/prednisolone will be administered as 5 mg oral tablet twice daily. Participants will be enrolled and treated up to 12 cycles (or longer, if they have not progressed and continue to benefit from treatment). The study will consist of 3 parts: Screening (14 days), Open-label Treatment; and follow-up (up to 60 months). Participants will be evaluated primarily for prostate specific antigen response according to Prostate Specific Antigen Working Group (PSAWG) criteria. Participants' safety will be monitored throughout the study.

Interventions

DRUGAbiraterone acetate

Abiraterone acetate oral tablets 250 milligram (mg) each will be administered at a total dose of 1000 mg until documented disease progression or unacceptable toxicity.

DRUGPrednisone

Prednisone/Prednisolone 5 mg tablet will be taken orally twice daily.

Sponsors

Cougar Biotechnology, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
MALE
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Histologically or cytologically confirmed adenocarcinoma (malignant epithelial tumor with a glandular organization)of the prostate (a gland in the male reproductive system found below the bladder and in front of the rectum), but not with neuroendocrine (specialized neurons that produce hormones, such as neuropeptides or biogenic amines) differentiation or of small cell histology * Prior chemotherapy (treatment of disease, usually cancer, by chemical agents) for prostate cancer with regimen(s) containing docetaxel * Documented prostate specific antigen (PSA) progression according to Prostate Specific Antigen Working Group (PSAWG) eligibility criteria with a PSA more than (\>) 5 nanogram per milliliter (ng/mL) or objective progression by Response Evaluation Criteria in Solid Tumors (RESIST) criteria * Ongoing androgen deprivation with serum testosterone less than (\<) 50 nanogram per deciliter (ng/dL) * Eastern Cooperative Oncology Group (ECOG) Performance Status of less than equal to (\<=) 2 (Karnofsky Performance Status \>= 50 percent)

Exclusion criteria

* Active or uncontrolled autoimmune disease (disorder in which a person's immune system attacks parts of his or her own body) that may require corticosteroid therapy * Serious or uncontrolled co-existent non-malignant disease, including active and uncontrolled infection * Uncontrolled hypertension (high blood pressure) * Hemoglobin \<=9.0 gram per deciliter (g/dL) without growth factor or transfusion support * Abnormal liver (large organ that helps in many body functions, including digestion, metabolism, and storage of substances) function

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Prostate Specific Antigen (PSA) ResponseDay 1 of each cycle (of 28 days each) up to Cycle 12The PSA response was evaluated according to Prostate-Specific Antigen Working Group (PSAWG) criterion, which is, greater than or equal to 50 percent decrease in PSA from Baseline during the study, which would be subsequently confirmed by a measurement that is at least 4 or more weeks after initial documentation of PSA response.

Secondary

MeasureTime frameDescription
Radiographic Progression Free Survival (PFS)Baseline, Day 1 of Cycle 4, 7 and 10, and thereafter every third cycle until first documented disease progression or up to 60 monthsThe RAD-PFS is defined as the time from randomization to the earliest objective evidence of radiographic progression or death due to any cause. Progression is defined using Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.0, as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started or the appearance of one or more new lesions.
Overall Survival (OS)Every 3 months until death or up to 60 monthsOverall survival is defined as the interval from the date of the first dose of abiraterone acetate to the date of death.
Percentage of Participants With Objective Radiographic ResponseBaseline, Day 1 of Cycle 4, 7 and 10, and thereafter every third cycle until first documented disease progression or up to 60 monthsPercentage of participants with radiographic objective response is defined as the percentage of participants with complete response (CR) or partial response (PR) as best overall response based on reconciled radiographic disease assessment according to RECIST Version 1.0. The CR is disappearance of all lesions. The PR is at least 30 percent decrease in sum of the longest diameter of target lesions or persistence of one or more non-target lesion(s) or/and maintenance of tumor marker level above the normal limits.
Prostate-Specific Antigen Based Progression-free Survival (PSA-PFS)Baseline and Day 1 of each cycle until first documented disease progression or up to 60 monthsThe PSA-PFS is defined as time to first PSA failure (that is, two consecutive increases in PSA of 50 percent and greater than or equal to 5 nanogram per milliliter, as per Prostate-Specific Antigen Working Group \[PSAWG\] criterion) or death or the start of secondary anti-tumor therapy, whichever occurs first. If a PSA progression or death does not occur, subject will be censored at the last PSA evaluation.
Time to Radiographic ProgressionBaseline, Day 1 of Cycle 4, 7 and 10, and thereafter every third cycle until first documented disease progression or up to 60 monthsTime to radiographic progression is defined as the time from first dose until the first radiographic progression date that was confirmed.
Shift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline and Day 1 of each cycle until first documented disease progression or up to 60 monthsECOG performance status score ranges from 0 to 5 where 0=fully active, perform all pre-disease activities without restriction. 1=restricted in physically strenuous activity but ambulatory, carry out work of a light or sedentary nature, 2=ambulatory, capable of self-care, unable to carry out any work activities, up and about more than (\>) 50 percent of waking hours, 3=capable of limited self-care, confined to bed or chair \>50 percent of waking hours, 4=completely disabled, not capable of any self-care, totally confined to bed or chair and 5=dead.
Percentage of Participants With Clinical BenefitBaseline, Day 1 of Cycle 4, 7 and 10, and thereafter every third cycle until first documented disease progression or up to 60 monthsClinical benefit was defined as an observation of at least 1 of the following: PSA response by PSAWG criteria; radiographic response by RECIST criteria; stable disease by RECIST criteria lasting 6 months; or improvement by at least 1 unit in ECOG performance status.
Time to PSA ProgressionDay 8 of Cycle 1, thereafter Day 1 of each cycle up to end of study (60 months)The time interval from first dose of abiraterone acetate to the date of PSA progression as defined by the Prostate-Specific Antigen Working Group (PSAWG) criteria. If a PSA progression does not occur, subject will be censored at the last PSA evaluation.

Countries

United Kingdom, United States

Participant flow

Participants by arm

ArmCount
Abiraterone
Abiraterone acetate 1000 milligram (mg) (4 oral tablets of 250 mg each) was administered once daily along with 5 mg oral prednisolone or prednisone tablet administered twice daily for 28-days dosing cycle and was continued until disease progression or unacceptable toxicity.
58
Total58

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event5
Overall StudyInitiation of new anti-cancer treatment2
Overall StudyOther3
Overall StudyProgressive Disease44
Overall StudyTreatment ongoing at cutoff date2

Baseline characteristics

CharacteristicAbiraterone
Age Continuous68.6 Years
STANDARD_DEVIATION 9.78
Region of Enrollment
United Kingdom
4 Participants
Region of Enrollment
United States
54 Participants
Sex: Female, Male
Female
0 Participants
Sex: Female, Male
Male
58 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
57 / 58
serious
Total, serious adverse events
23 / 58

Outcome results

Primary

Percentage of Participants With Prostate Specific Antigen (PSA) Response

The PSA response was evaluated according to Prostate-Specific Antigen Working Group (PSAWG) criterion, which is, greater than or equal to 50 percent decrease in PSA from Baseline during the study, which would be subsequently confirmed by a measurement that is at least 4 or more weeks after initial documentation of PSA response.

Time frame: Day 1 of each cycle (of 28 days each) up to Cycle 12

Population: Per protocol population defined as participants who had received at least one dose of abiraterone acetate and must had PSA evaluation/tumor assessment at Baseline and at least 1 post-baseline, and had received a minimum of 3 cycles of study treatment.

ArmMeasureValue (NUMBER)
AbirateronePercentage of Participants With Prostate Specific Antigen (PSA) Response37.9 percentage of participants
Secondary

Overall Survival (OS)

Overall survival is defined as the interval from the date of the first dose of abiraterone acetate to the date of death.

Time frame: Every 3 months until death or up to 60 months

Population: Per protocol population defined as participants who had received at least one dose of abiraterone acetate and must had PSA evaluation/tumor assessment at Baseline and at least 1 post-baseline, and had received a minimum of 3 cycles of study treatment.

ArmMeasureValue (MEDIAN)
AbirateroneOverall Survival (OS)492 days
Secondary

Percentage of Participants With Clinical Benefit

Clinical benefit was defined as an observation of at least 1 of the following: PSA response by PSAWG criteria; radiographic response by RECIST criteria; stable disease by RECIST criteria lasting 6 months; or improvement by at least 1 unit in ECOG performance status.

Time frame: Baseline, Day 1 of Cycle 4, 7 and 10, and thereafter every third cycle until first documented disease progression or up to 60 months

Population: Per protocol population defined as participants who had received at least one dose of abiraterone acetate and must had PSA evaluation/tumor assessment at Baseline and at least 1 post-baseline, and had received a minimum of 3 cycles of study treatment.

ArmMeasureGroupValue (NUMBER)
AbirateronePercentage of Participants With Clinical BenefitDisease Stabilization12 percentage of participants
AbirateronePercentage of Participants With Clinical BenefitChange in participant ECOG score16 percentage of participants
Secondary

Percentage of Participants With Objective Radiographic Response

Percentage of participants with radiographic objective response is defined as the percentage of participants with complete response (CR) or partial response (PR) as best overall response based on reconciled radiographic disease assessment according to RECIST Version 1.0. The CR is disappearance of all lesions. The PR is at least 30 percent decrease in sum of the longest diameter of target lesions or persistence of one or more non-target lesion(s) or/and maintenance of tumor marker level above the normal limits.

Time frame: Baseline, Day 1 of Cycle 4, 7 and 10, and thereafter every third cycle until first documented disease progression or up to 60 months

Population: Per protocol population defined as participants who had received at least 1 dose of abiraterone acetate and must had PSA evaluation/tumor assessment at Baseline and at least 1 post-baseline, and had received a minimum of 3 cycles of study treatment. N (number of participants analyzed) =participants who were evaluable for this measure.

ArmMeasureGroupValue (NUMBER)
AbirateronePercentage of Participants With Objective Radiographic ResponseComplete response (CR)0 percentage of participants
AbirateronePercentage of Participants With Objective Radiographic ResponsePartial Response (PR)6.3 percentage of participants
Secondary

Prostate-Specific Antigen Based Progression-free Survival (PSA-PFS)

The PSA-PFS is defined as time to first PSA failure (that is, two consecutive increases in PSA of 50 percent and greater than or equal to 5 nanogram per milliliter, as per Prostate-Specific Antigen Working Group \[PSAWG\] criterion) or death or the start of secondary anti-tumor therapy, whichever occurs first. If a PSA progression or death does not occur, subject will be censored at the last PSA evaluation.

Time frame: Baseline and Day 1 of each cycle until first documented disease progression or up to 60 months

Population: Per protocol population defined as participants who had received at least one dose of abiraterone acetate and must had PSA evaluation/tumor assessment at Baseline and at least 1 post-baseline, and had received a minimum of 3 cycles of study treatment.

ArmMeasureValue (MEDIAN)
AbirateroneProstate-Specific Antigen Based Progression-free Survival (PSA-PFS)141 days
Secondary

Radiographic Progression Free Survival (PFS)

The RAD-PFS is defined as the time from randomization to the earliest objective evidence of radiographic progression or death due to any cause. Progression is defined using Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.0, as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started or the appearance of one or more new lesions.

Time frame: Baseline, Day 1 of Cycle 4, 7 and 10, and thereafter every third cycle until first documented disease progression or up to 60 months

ArmMeasureValue (MEDIAN)
AbirateroneRadiographic Progression Free Survival (PFS)126 days
Secondary

Shift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status Score

ECOG performance status score ranges from 0 to 5 where 0=fully active, perform all pre-disease activities without restriction. 1=restricted in physically strenuous activity but ambulatory, carry out work of a light or sedentary nature, 2=ambulatory, capable of self-care, unable to carry out any work activities, up and about more than (\>) 50 percent of waking hours, 3=capable of limited self-care, confined to bed or chair \>50 percent of waking hours, 4=completely disabled, not capable of any self-care, totally confined to bed or chair and 5=dead.

Time frame: Baseline and Day 1 of each cycle until first documented disease progression or up to 60 months

Population: Per protocol population defined as participants who had received at least one dose of abiraterone acetate and must had PSA evaluation/tumor assessment at Baseline and at least 1 post-baseline, and had received a minimum of 3 cycles of study treatment. 'N' (number of participants analyzed) = participants who were evaluable for this measure.

ArmMeasureGroupValue (NUMBER)
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:0; Best Post-dose:022 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:0; Best Post-dose:12 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:0; Best Post-dose:20 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:0; Best Post-dose:30 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:0; Best Post-dose:40 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:1; Best Post-dose:014 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:1; Best Post-dose:115 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:1; Best Post-dose:22 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:1; Best Post-dose:30 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:1; Best Post-dose:40 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:2; Best Post-dose:01 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:2; Best Post-dose:11 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:2; Best Post-dose:20 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:2; Best Post-dose:30 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:2; Best Post-dose:40 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:0; Worst Post-dose:06 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:0; Worst Post-dose:117 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:0; Worst Post-dose:21 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:0; Worst Post-dose:30 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:0; Worst Post-dose:40 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:1; Worst Post-dose:00 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:1; Worst Post-dose:124 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:1; Worst Post-dose:26 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:1; Worst Post-dose:31 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:1; Worst Post-dose:40 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:2; Worst Post-dose:00 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:2; Worst Post-dose:10 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:2; Worst Post-dose:22 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:2; Worst Post-dose:30 participants
AbirateroneShift From Baseline in Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status ScoreBaseline:2; Worst Post-dose:40 participants
Secondary

Time to PSA Progression

The time interval from first dose of abiraterone acetate to the date of PSA progression as defined by the Prostate-Specific Antigen Working Group (PSAWG) criteria. If a PSA progression does not occur, subject will be censored at the last PSA evaluation.

Time frame: Day 8 of Cycle 1, thereafter Day 1 of each cycle up to end of study (60 months)

Population: Per protocol population defined as participants who had received at least one dose of abiraterone acetate and must had PSA evaluation/tumor assessment at Baseline and at least 1 post-baseline, and had received a minimum of 3 cycles of study treatment.

ArmMeasureValue (MEDIAN)
AbirateroneTime to PSA Progression169 days
Secondary

Time to Radiographic Progression

Time to radiographic progression is defined as the time from first dose until the first radiographic progression date that was confirmed.

Time frame: Baseline, Day 1 of Cycle 4, 7 and 10, and thereafter every third cycle until first documented disease progression or up to 60 months

Population: Per protocol population defined as participants who had received at least one dose of abiraterone acetate and must had PSA evaluation/tumor assessment at Baseline and at least 1 post-baseline, and had received a minimum of 3 cycles of study treatment.

ArmMeasureValue (MEDIAN)
AbirateroneTime to Radiographic Progression88 days

Source: ClinicalTrials.gov · Data processed: Mar 28, 2026