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Symptomatic Study Investigating Degarelix in Patients Suffering From Prostate Cancer

A Randomised, Parallel-arm, Open-label Trial Comparing Degarelix With Goserelin Plus Anti-androgen Flare Protection (Bicalutamide), in Terms of Reduction in International Prostate Symptom Score (IPSS), in Patients With Lower Urinary Tract Symptoms (LUTS) Secondary to Locally Advanced Prostate Cancer

Status
Terminated
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00831233
Enrollment
42
Registered
2009-01-28
Start date
2009-04-30
Completion date
2010-07-31
Last updated
2013-11-11

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

Conditions

Prostate Cancer

Brief summary

The purpose of this trial was to see how well a new trial drug (degarelix) worked on lower urinary tract symptoms (also known as LUTS) in prostate cancer patients as compared to how a standard drug hormonal treatment worked on the same symptoms. The advancement/worsening of prostate cancer may be associated with LUTS and the symptoms may impact the ability to urinate normally and thereby the quality of life for these patients. Patients were randomly selected (like flipping a coin) to receive either degarelix or standard hormone therapy (combination of goserelin and bicalutamide) for a 3 month treatment period. During this period the relief of urinary symptoms was evaluated via a questionnaire filled in by patients and addressing the severity and frequency of their symptoms.

Interventions

DRUGDegarelix

The degarelix doses were administered into the abdominal wall every 28 days. A starting dose of 240 mg (40 mg/mL) degarelix was administered on Day 0 as two 3 mL subcutaneous (s.c.) injections. The second and third doses of 80 mg (20 mg/mL) degarelix were administered as single 4 mL s.c. injections on Days 28 and 56, respectively.

DRUGGoserelin

Goserelin implants (3.6 mg) were inserted s.c. into the abdominal wall every 28 days. The second and third doses of goserelin were administered on Days 31 and 59, respectively.

DRUGBicalutamide

On Day 0, three days before the first dose of goserelin on Day 3, patients began once-daily per-oral (p.o.) treatment with bicalutamide (50 mg) as anti-androgen flare protection; this treatment continued for 14 days after the first dose of goserelin.

Sponsors

Ferring Pharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* Patient has given written informed consent before any trial-related activity is performed * Has a confirmed prostate cancer in which this type of treatment is needed.

Exclusion criteria

* Previous treatment for prostate cancer * Previous trans-urethral resection of the prostate * Current use of 5-alpha reductase inhibitor or α-adrenoceptor antagonist. * Patients in need of external beam radiotherapy to be started at the same time as hormone therapy * Certain risk factors for abnormal heart rhythms/QT prolongation (corrected QT interval over 450 msec., Torsades de Pointes or use of certain medications with potential risk) * History of severe untreated asthma, anaphylactic reactions, or severe urticaria and/or angioedema. * Hypersensitivity towards any component of the investigational product * Other previous cancers within the last five years with the exception of prostate cancer and some types of skin cancer. * Clinical disorders other than prostate cancer including but not limited to renal, haematological, gastrointestinal, endocrine, cardiac, neurological, psychiatric disease, alcohol or drug abuse or other conditionals as judged by the investigator.

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Total International Prostate Symptom Score (IPSS) at Week 12After treatment of 12 weeks compared to BaselineThe IPSS is a tool commonly used to assess the severity of lower urinary tract symptoms (LUTS), and to monitor the progress of the disease once treatment has been initiated. The participant completes a questionnaire containing 7 questions regarding incomplete emptying, frequency, intermittency, urgency, weak stream, straining, and nocturia. Each question is assigned a score of 0-5. The total score is then classified according to the following scale: 0 to 7 = mildly symptomatic; 8 to 19 = moderately symptomatic; and 20 to 35 = severely symptomatic.

Secondary

MeasureTime frameDescription
Change From Baseline in Maximum Urine Flow (Qmax) at Each VisitAfter treatment of 4, 8 and 12 weeks compared to BaselineUroflowmetry was used to quantify the maximum urine flow (Qmax; mL/sec)
Change From Baseline in Residual Volume (Vresidual) at Each VisitAfter treatment of 4, 8 and 12 weeks compared to BaselineUroflowmetry was used to quantify the residual volume (Vresidual; mL)
Change From Baseline in Prostate Size Based on Trans Rectal Ultra Sound (TRUS) at Week 12After 12 weeks treatment compared to BaselineTRUS is a method of measuring the size of the prostate.
Number of Participants With Testosterone <=0.5 Nanograms/Milliliter at Each VisitAfter treatment of 4, 8 and 12 weeks compared to Baseline
Change From Baseline in Total IPSS at Weeks 4 and 8After treatment of 4 and 8 weeks compared to BaselineThe IPSS is a tool commonly used to assess the severity of lower urinary tract symptoms (LUTS), and to monitor the progress of the disease once treatment has been initiated. The participant completes a questionnaire containing 7 questions regarding incomplete emptying, frequency, intermittency, urgency, weak stream, straining, and nocturia. Each question is assigned a score of 0-5. The total score is then classified according to the following scale: 0 to 7 = mildly symptomatic; 8 to 19 = moderately symptomatic; and 20 to 35 = severely symptomatic.
Change From Baseline in Quality of Life (QoL) Related to Urinary Symptoms at Each VisitAfter treatment of 4, 8 and 12 weeks compared to BaselineThe IPSS questionnaire included an additional single question to assess the participant's QoL in relation to his urinary symptoms. The question was: 'If you were to spend the rest of your life with your urinary condition the way it is now, how would you feel about that?' The possible answers to this question ranged from 'delighted' (a score of '0') to 'terrible' (a score of '6'). The figures in the tables present the change (ie decrease) in IPSS QoL score, i.e. the bigger the decrease the better QoL.
Number of Participants With Markedly Abnormal Values in Vital Signs and Body WeightBaseline to 12 weeks of treatmentThis outcome measure included incidence of markedly abnormal changes in blood pressure (systolic and diastolic), pulse, and body weight. The table presents the number of participants with normal baseline and at least one post-baseline markedly abnormal value.
Number of Participants With Markedly Abnormal Values in Safety Laboratory VariablesBaseline to 12 weeks of treatmentThe figures present the number of participants who had abnormal (defined as above upper limit of normal range (ULN)) levels of safety laboratory variables. Only the laboratory variables that had at least on participant with one abnormal value are presented, many more variables were included in the trial.
Percentage Change From Baseline in Prostate-specific Antigen (PSA) Concentration at Each VisitAfter treatment of 4, 8 and 12 weeks compared to Baseline

Countries

Germany, Spain, United Kingdom

Participant flow

Recruitment details

The participants were recruited by outpatient urologists. 280 participants were to be randomised in a 3:1 ratio to one of two treatment groups (210 patients were to be treated with degarelix; 70 patients were to be treated with goserelin plus bicalutamide). The trial was stopped early due to poor recruitment.

Participants by arm

ArmCount
Degarelix 240 mg/80 mg
Degarelix 240 mg (40 mg/mL) + 80 mg (20 mg/mL)
27
Goserelin (3.6 mg) + Bicalutamide (50 mg)
Goserelin (3.6 mg) + bicalutamide (50 mg)
13
Total40

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event01
Overall StudyProtocol Violation10
Overall StudySelection Criteria Not Met20

Baseline characteristics

CharacteristicGoserelin (3.6 mg) + Bicalutamide (50 mg)TotalDegarelix 240 mg/80 mg
Age Continuous71.0 years
STANDARD_DEVIATION 8.39
70.3 years
STANDARD_DEVIATION 8.49
69.9 years
STANDARD_DEVIATION 8.68
Body mass index26.8 kilogram per square meter
STANDARD_DEVIATION 3.75
26.7 kilogram per square meter
STANDARD_DEVIATION 3.91
26.7 kilogram per square meter
STANDARD_DEVIATION 4.06
Body weight78.2 kilogram
STANDARD_DEVIATION 8.5
80.3 kilogram
STANDARD_DEVIATION 12.5
81.4 kilogram
STANDARD_DEVIATION 14
Gleason Score
2-4
0 participants0 participants0 participants
Gleason Score
5-6
0 participants2 participants2 participants
Gleason Score
7-10
13 participants38 participants25 participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
1 Participants1 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
12 Participants39 Participants27 Participants
Region of Enrollment
Germany
7 participants20 participants13 participants
Region of Enrollment
Spain
4 participants8 participants4 participants
Region of Enrollment
United Kingdom
2 participants12 participants10 participants
Sex: Female, Male
Female
0 Participants0 Participants0 Participants
Sex: Female, Male
Male
13 Participants40 Participants27 Participants
Stage of Prostate Cancer
Localized
0 participants4 participants4 participants
Stage of Prostate Cancer
Locally Advanced
1 participants5 participants4 participants
Stage of Prostate Cancer
Metastatic
4 participants14 participants10 participants
Stage of Prostate Cancer
Not Classifiable
8 participants17 participants9 participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
14 / 277 / 13
serious
Total, serious adverse events
0 / 271 / 13

Outcome results

Primary

Change From Baseline in Total International Prostate Symptom Score (IPSS) at Week 12

The IPSS is a tool commonly used to assess the severity of lower urinary tract symptoms (LUTS), and to monitor the progress of the disease once treatment has been initiated. The participant completes a questionnaire containing 7 questions regarding incomplete emptying, frequency, intermittency, urgency, weak stream, straining, and nocturia. Each question is assigned a score of 0-5. The total score is then classified according to the following scale: 0 to 7 = mildly symptomatic; 8 to 19 = moderately symptomatic; and 20 to 35 = severely symptomatic.

Time frame: After treatment of 12 weeks compared to Baseline

Population: Full Analysis Set (FAS) + Per Protocol (PP) Analysis Set, Last Observation Carried Forward (LOCF).

ArmMeasureValue (MEAN)Dispersion
Degarelix 240 mg/80 mgChange From Baseline in Total International Prostate Symptom Score (IPSS) at Week 12-11.2 score on scaleStandard Deviation 8.29
Goserelin (3.6 mg) + Bicalutamide (50 mg)Change From Baseline in Total International Prostate Symptom Score (IPSS) at Week 12-7.69 score on scaleStandard Deviation 7.61
Comparison: Estimates from analysis of variance with treatment and country as factors and age and baseline value as covariates.p-value: 0.197395% CI: [-7.51, 1.61]ANCOVA
Comparison: Estimates from analysis of variance with treatment and country as factors and age and baseline value as covariates.p-value: 0.039895% CI: [-11.5, -0.291]ANCOVA
Secondary

Change From Baseline in Maximum Urine Flow (Qmax) at Each Visit

Uroflowmetry was used to quantify the maximum urine flow (Qmax; mL/sec)

Time frame: After treatment of 4, 8 and 12 weeks compared to Baseline

Population: FAS, LOCF.

ArmMeasureGroupValue (MEAN)Dispersion
Degarelix 240 mg/80 mgChange From Baseline in Maximum Urine Flow (Qmax) at Each VisitWeek 43.63 mL/secStandard Deviation 7.82
Degarelix 240 mg/80 mgChange From Baseline in Maximum Urine Flow (Qmax) at Each VisitWeek 84.74 mL/secStandard Deviation 6.6
Degarelix 240 mg/80 mgChange From Baseline in Maximum Urine Flow (Qmax) at Each VisitWeek 123.62 mL/secStandard Deviation 7.37
Goserelin (3.6 mg) + Bicalutamide (50 mg)Change From Baseline in Maximum Urine Flow (Qmax) at Each VisitWeek 43.55 mL/secStandard Deviation 3.8
Goserelin (3.6 mg) + Bicalutamide (50 mg)Change From Baseline in Maximum Urine Flow (Qmax) at Each VisitWeek 83.52 mL/secStandard Deviation 3.58
Goserelin (3.6 mg) + Bicalutamide (50 mg)Change From Baseline in Maximum Urine Flow (Qmax) at Each VisitWeek 122.07 mL/secStandard Deviation 4.57
Comparison: Week 4. Estimates from analysis of variance with treatment and country as factors and age and baseline value as covariates.p-value: 0.815195% CI: [-5.33, 4.22]ANCOVA
Comparison: Week 8. Estimates from analysis of variance with treatment and country as factors and age and baseline value as covariates.p-value: 0.45595% CI: [-2.46, 5.38]ANCOVA
Comparison: Week 12. Estimates from analysis of variance with treatment and country as factors and age and baseline value as covariates.p-value: 0.318695% CI: [-2.04, 6.08]ANCOVA
Secondary

Change From Baseline in Prostate Size Based on Trans Rectal Ultra Sound (TRUS) at Week 12

TRUS is a method of measuring the size of the prostate.

Time frame: After 12 weeks treatment compared to Baseline

Population: FAS, Observed Cases (OC).

ArmMeasureValue (MEAN)Dispersion
Degarelix 240 mg/80 mgChange From Baseline in Prostate Size Based on Trans Rectal Ultra Sound (TRUS) at Week 12-22.4 mLStandard Deviation 14.8
Goserelin (3.6 mg) + Bicalutamide (50 mg)Change From Baseline in Prostate Size Based on Trans Rectal Ultra Sound (TRUS) at Week 12-13.4 mLStandard Deviation 10
Comparison: Estimates from analysis of variance with treatment and country as factors and age and baseline value as covariates.p-value: 0.101895% CI: [-17.3, 1.64]ANCOVA
Secondary

Change From Baseline in Quality of Life (QoL) Related to Urinary Symptoms at Each Visit

The IPSS questionnaire included an additional single question to assess the participant's QoL in relation to his urinary symptoms. The question was: 'If you were to spend the rest of your life with your urinary condition the way it is now, how would you feel about that?' The possible answers to this question ranged from 'delighted' (a score of '0') to 'terrible' (a score of '6'). The figures in the tables present the change (ie decrease) in IPSS QoL score, i.e. the bigger the decrease the better QoL.

Time frame: After treatment of 4, 8 and 12 weeks compared to Baseline

Population: FAS, OC.

ArmMeasureGroupValue (MEAN)Dispersion
Degarelix 240 mg/80 mgChange From Baseline in Quality of Life (QoL) Related to Urinary Symptoms at Each VisitWeek 4-0.96 score on scaleStandard Deviation 0.92
Degarelix 240 mg/80 mgChange From Baseline in Quality of Life (QoL) Related to Urinary Symptoms at Each VisitWeek 8-1.54 score on scaleStandard Deviation 1.42
Degarelix 240 mg/80 mgChange From Baseline in Quality of Life (QoL) Related to Urinary Symptoms at Each VisitWeek 12-1.77 score on scaleStandard Deviation 1.73
Goserelin (3.6 mg) + Bicalutamide (50 mg)Change From Baseline in Quality of Life (QoL) Related to Urinary Symptoms at Each VisitWeek 4-0.54 score on scaleStandard Deviation 1.51
Goserelin (3.6 mg) + Bicalutamide (50 mg)Change From Baseline in Quality of Life (QoL) Related to Urinary Symptoms at Each VisitWeek 8-0.73 score on scaleStandard Deviation 2.2
Goserelin (3.6 mg) + Bicalutamide (50 mg)Change From Baseline in Quality of Life (QoL) Related to Urinary Symptoms at Each VisitWeek 12-0.55 score on scaleStandard Deviation 1.69
Secondary

Change From Baseline in Residual Volume (Vresidual) at Each Visit

Uroflowmetry was used to quantify the residual volume (Vresidual; mL)

Time frame: After treatment of 4, 8 and 12 weeks compared to Baseline

Population: FAS, LOCF.

ArmMeasureGroupValue (MEAN)Dispersion
Degarelix 240 mg/80 mgChange From Baseline in Residual Volume (Vresidual) at Each VisitWeek 4-36.2 mLStandard Deviation 148
Degarelix 240 mg/80 mgChange From Baseline in Residual Volume (Vresidual) at Each VisitWeek 8-43.8 mLStandard Deviation 133
Degarelix 240 mg/80 mgChange From Baseline in Residual Volume (Vresidual) at Each VisitWeek 12-50.7 mLStandard Deviation 135
Goserelin (3.6 mg) + Bicalutamide (50 mg)Change From Baseline in Residual Volume (Vresidual) at Each VisitWeek 4-19.8 mLStandard Deviation 63.5
Goserelin (3.6 mg) + Bicalutamide (50 mg)Change From Baseline in Residual Volume (Vresidual) at Each VisitWeek 8-19.6 mLStandard Deviation 85.4
Goserelin (3.6 mg) + Bicalutamide (50 mg)Change From Baseline in Residual Volume (Vresidual) at Each VisitWeek 12-13.4 mLStandard Deviation 85.8
Comparison: Week 4. Estimates from analysis of variance with treatment and country as factors and age and baseline value as covariates.p-value: 0.562795% CI: [-37.8, 68.2]ANCOVA
Comparison: Week 8. Estimates from analysis of variance with treatment and country as factors and age and baseline value as covariates.p-value: 0.828495% CI: [-49.1, 60.9]ANCOVA
Comparison: Week 12. Estimates from analysis of variance with treatment and country as factors and age and baseline value as covariates.p-value: 0.598495% CI: [-34.4, 58.8]ANCOVA
Secondary

Change From Baseline in Total IPSS at Weeks 4 and 8

The IPSS is a tool commonly used to assess the severity of lower urinary tract symptoms (LUTS), and to monitor the progress of the disease once treatment has been initiated. The participant completes a questionnaire containing 7 questions regarding incomplete emptying, frequency, intermittency, urgency, weak stream, straining, and nocturia. Each question is assigned a score of 0-5. The total score is then classified according to the following scale: 0 to 7 = mildly symptomatic; 8 to 19 = moderately symptomatic; and 20 to 35 = severely symptomatic.

Time frame: After treatment of 4 and 8 weeks compared to Baseline

Population: FAS, LOCF.

ArmMeasureGroupValue (MEAN)Dispersion
Degarelix 240 mg/80 mgChange From Baseline in Total IPSS at Weeks 4 and 8Week 4-7.31 score on scaleStandard Deviation 5.83
Degarelix 240 mg/80 mgChange From Baseline in Total IPSS at Weeks 4 and 8Week 8-9.46 score on scaleStandard Deviation 6.94
Goserelin (3.6 mg) + Bicalutamide (50 mg)Change From Baseline in Total IPSS at Weeks 4 and 8Week 4-4.62 score on scaleStandard Deviation 5.49
Goserelin (3.6 mg) + Bicalutamide (50 mg)Change From Baseline in Total IPSS at Weeks 4 and 8Week 8-8.08 score on scaleStandard Deviation 9
Comparison: Week 4. Estimates from analysis of variance with treatment and country as factors and age and baseline value as covariates.p-value: 0.229895% CI: [-6.58, 1.64]ANCOVA
Comparison: Week 8. Estimates from analysis of variance with treatment and country as factors and age and baseline value as covariates.p-value: 0.691795% CI: [-5.98, 4.02]ANCOVA
Secondary

Number of Participants With Markedly Abnormal Values in Safety Laboratory Variables

The figures present the number of participants who had abnormal (defined as above upper limit of normal range (ULN)) levels of safety laboratory variables. Only the laboratory variables that had at least on participant with one abnormal value are presented, many more variables were included in the trial.

Time frame: Baseline to 12 weeks of treatment

Population: FAS.

ArmMeasureGroupValue (NUMBER)
Degarelix 240 mg/80 mgNumber of Participants With Markedly Abnormal Values in Safety Laboratory VariablesB-Platelet count (10^9/L) <=751 participants
Degarelix 240 mg/80 mgNumber of Participants With Markedly Abnormal Values in Safety Laboratory VariablesS-Potassium (mmol/L) >=5.80 participants
Degarelix 240 mg/80 mgNumber of Participants With Markedly Abnormal Values in Safety Laboratory VariablesS-Calcium (mmol/L) <=1.81 participants
Degarelix 240 mg/80 mgNumber of Participants With Markedly Abnormal Values in Safety Laboratory VariablesS-Urea nitrogen (mmol/L) >=10.71 participants
Degarelix 240 mg/80 mgNumber of Participants With Markedly Abnormal Values in Safety Laboratory VariablesB-Haematocrit (Ratio) <=0.375 participants
Goserelin (3.6 mg) + Bicalutamide (50 mg)Number of Participants With Markedly Abnormal Values in Safety Laboratory VariablesS-Urea nitrogen (mmol/L) >=10.72 participants
Goserelin (3.6 mg) + Bicalutamide (50 mg)Number of Participants With Markedly Abnormal Values in Safety Laboratory VariablesB-Haematocrit (Ratio) <=0.371 participants
Goserelin (3.6 mg) + Bicalutamide (50 mg)Number of Participants With Markedly Abnormal Values in Safety Laboratory VariablesB-Platelet count (10^9/L) <=750 participants
Goserelin (3.6 mg) + Bicalutamide (50 mg)Number of Participants With Markedly Abnormal Values in Safety Laboratory VariablesS-Calcium (mmol/L) <=1.80 participants
Goserelin (3.6 mg) + Bicalutamide (50 mg)Number of Participants With Markedly Abnormal Values in Safety Laboratory VariablesS-Potassium (mmol/L) >=5.81 participants
Secondary

Number of Participants With Markedly Abnormal Values in Vital Signs and Body Weight

This outcome measure included incidence of markedly abnormal changes in blood pressure (systolic and diastolic), pulse, and body weight. The table presents the number of participants with normal baseline and at least one post-baseline markedly abnormal value.

Time frame: Baseline to 12 weeks of treatment

Population: FAS. One participant in the degarelix group did not have any assessment of vital signs or body weight (the number of participants in this group is thus 26).

ArmMeasureGroupValue (NUMBER)
Degarelix 240 mg/80 mgNumber of Participants With Markedly Abnormal Values in Vital Signs and Body WeightDiastolic blood pressure <=50 and decrease >=150 participants
Degarelix 240 mg/80 mgNumber of Participants With Markedly Abnormal Values in Vital Signs and Body WeightDiastolic blood pressure >=105 and increase >=150 participants
Degarelix 240 mg/80 mgNumber of Participants With Markedly Abnormal Values in Vital Signs and Body WeightSystolic blood pressure <=90 and decrease >=200 participants
Degarelix 240 mg/80 mgNumber of Participants With Markedly Abnormal Values in Vital Signs and Body WeightSystolic blood pressure >=180 and increase >=200 participants
Degarelix 240 mg/80 mgNumber of Participants With Markedly Abnormal Values in Vital Signs and Body WeightHeart rate <=50 and decrease >=150 participants
Degarelix 240 mg/80 mgNumber of Participants With Markedly Abnormal Values in Vital Signs and Body WeightHeart rate >=120 and increase >=150 participants
Degarelix 240 mg/80 mgNumber of Participants With Markedly Abnormal Values in Vital Signs and Body WeightBody weight decrease of >=7 percent1 participants
Degarelix 240 mg/80 mgNumber of Participants With Markedly Abnormal Values in Vital Signs and Body WeightBody weight increase of >=7 percent1 participants
Goserelin (3.6 mg) + Bicalutamide (50 mg)Number of Participants With Markedly Abnormal Values in Vital Signs and Body WeightBody weight increase of >=7 percent0 participants
Goserelin (3.6 mg) + Bicalutamide (50 mg)Number of Participants With Markedly Abnormal Values in Vital Signs and Body WeightDiastolic blood pressure <=50 and decrease >=150 participants
Goserelin (3.6 mg) + Bicalutamide (50 mg)Number of Participants With Markedly Abnormal Values in Vital Signs and Body WeightHeart rate <=50 and decrease >=150 participants
Goserelin (3.6 mg) + Bicalutamide (50 mg)Number of Participants With Markedly Abnormal Values in Vital Signs and Body WeightDiastolic blood pressure >=105 and increase >=150 participants
Goserelin (3.6 mg) + Bicalutamide (50 mg)Number of Participants With Markedly Abnormal Values in Vital Signs and Body WeightBody weight decrease of >=7 percent0 participants
Goserelin (3.6 mg) + Bicalutamide (50 mg)Number of Participants With Markedly Abnormal Values in Vital Signs and Body WeightSystolic blood pressure <=90 and decrease >=200 participants
Goserelin (3.6 mg) + Bicalutamide (50 mg)Number of Participants With Markedly Abnormal Values in Vital Signs and Body WeightHeart rate >=120 and increase >=150 participants
Goserelin (3.6 mg) + Bicalutamide (50 mg)Number of Participants With Markedly Abnormal Values in Vital Signs and Body WeightSystolic blood pressure >=180 and increase >=200 participants
Secondary

Number of Participants With Testosterone <=0.5 Nanograms/Milliliter at Each Visit

Time frame: After treatment of 4, 8 and 12 weeks compared to Baseline

Population: FAS, OC.

ArmMeasureGroupValue (NUMBER)
Degarelix 240 mg/80 mgNumber of Participants With Testosterone <=0.5 Nanograms/Milliliter at Each VisitWeek 426 participants
Degarelix 240 mg/80 mgNumber of Participants With Testosterone <=0.5 Nanograms/Milliliter at Each VisitWeek 825 participants
Degarelix 240 mg/80 mgNumber of Participants With Testosterone <=0.5 Nanograms/Milliliter at Each VisitWeek 1227 participants
Goserelin (3.6 mg) + Bicalutamide (50 mg)Number of Participants With Testosterone <=0.5 Nanograms/Milliliter at Each VisitWeek 412 participants
Goserelin (3.6 mg) + Bicalutamide (50 mg)Number of Participants With Testosterone <=0.5 Nanograms/Milliliter at Each VisitWeek 812 participants
Goserelin (3.6 mg) + Bicalutamide (50 mg)Number of Participants With Testosterone <=0.5 Nanograms/Milliliter at Each VisitWeek 1212 participants
Secondary

Percentage Change From Baseline in Prostate-specific Antigen (PSA) Concentration at Each Visit

Time frame: After treatment of 4, 8 and 12 weeks compared to Baseline

Population: FAS, LOCF.

ArmMeasureGroupValue (MEDIAN)
Degarelix 240 mg/80 mgPercentage Change From Baseline in Prostate-specific Antigen (PSA) Concentration at Each VisitWeek 4-85.72 percentage
Degarelix 240 mg/80 mgPercentage Change From Baseline in Prostate-specific Antigen (PSA) Concentration at Each VisitWeek 8-89.2 percentage
Degarelix 240 mg/80 mgPercentage Change From Baseline in Prostate-specific Antigen (PSA) Concentration at Each VisitWeek 12-93.87 percentage
Goserelin (3.6 mg) + Bicalutamide (50 mg)Percentage Change From Baseline in Prostate-specific Antigen (PSA) Concentration at Each VisitWeek 4-93.44 percentage
Goserelin (3.6 mg) + Bicalutamide (50 mg)Percentage Change From Baseline in Prostate-specific Antigen (PSA) Concentration at Each VisitWeek 8-97.26 percentage
Goserelin (3.6 mg) + Bicalutamide (50 mg)Percentage Change From Baseline in Prostate-specific Antigen (PSA) Concentration at Each VisitWeek 12-97.78 percentage

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026