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Leuplin SR 11.25 mg Injection Kit Specified Drug-use Survey Long-term Use Survey in Prostate Cancer Patients (96 Weeks)

Leuprorelin Acetate SR 11.25 mg Injection Kit Specified Drug-use Survey Long-term Use Survey in Prostate Cancer Patients (96 Weeks)

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT02167893
Enrollment
11288
Registered
2014-06-19
Start date
2005-10-31
Completion date
2010-12-31
Last updated
2017-03-29

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

Conditions

Prostate Cancer

Keywords

Pharmacological therapy

Brief summary

The purpose of this survey is designed to evaluate the efficacy and safety of long-term use (96 weeks) of leuprorelin acetate SR 11.25 milligram (mg) injection kit (Leuplin SR 11.25 mg injection kit) in prostate cancer participants in daily medical practice.

Detailed description

This survey was designed to evaluate the efficacy and safety of long-term use (96 weeks) of leuprorelin acetate 3 months depot injection kit (Leuplin SR 11.25 mg Injection Kit) in prostate cancer participants in daily medical practice. For adults, 11.25 mg of leuprorelin acetate is usually administered subcutaneously once every 12 weeks. Prior to injection, the plunger rod of the syringe is pushed upward with the needle pointed upward, allowing the entire suspension fluid contained to be transferred to the powder. The powder is then fully suspended in the fluid while ensuring that bubbles are not generated.

Interventions

DRUGLeuprorelin acetate

Leuprorelin acetate SR 11.25 mg injection kit

Sponsors

Takeda
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
MALE
Healthy volunteers
No

Inclusion criteria

Prostate cancer participants who meet all the following criteria: 1. Participants for whom prostate cancer was initially diagnosed on or after January 1, 2005 2. Participants with no prior history of treatment with Leuplin SR 11.25 mg Injection Kit (as an exception, participants with prior history of treatment with Leuplin 3.75 mg Injection Kit may be enrolled in the survey ) 3. Participants with prostate-specific antigen (PSA) level determined at baseline or within 3 months prior to the start of treatment with Leuplin SR 11.25 mg Injection Kit

Exclusion criteria

\-

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants Reporting One or More Adverse Drug ReactionsBaseline up to Week 96Adverse drug reactions are defined as adverse events (AEs) which are in the investigator's opinion of causal relationship to the study treatment. AEs are defined as any unfavorable and unintended signs, symptoms or diseases temporally associated with the use of a medicinal product reported from the first dose of study drug to the last dose of study drug.
Number of Participants Reporting One or More Serious Adverse Drug ReactionsBaseline up to Week 96Serious adverse drug reactions are defined as serious adverse events (SAE) which are in the investigator's opinion of causal relationship to the study treatment. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.

Secondary

MeasureTime frameDescription
Percentage of Participants With Progression Free Survival (PFS) Based on TNM ClassificationBaseline up to 96 weeksPFS was defined as the time from the first day of study treatment to documented disease progression or death on study. For participants who experienced no disease progression and did not die while on study, data were censored at the date of the last tumor assessment. Kaplan-Meier methodology was used to estimate PFS. TNM classification based on tumor size, if cancer cells had spread to nearby lymph nodes (LN), or distant metastasis. Stages included: stage 0(no evidence of cancer cells),stage 1(T1N0M0), stage IIA(T0N1M0, T1N1M0, T2N0M0), stage IIB(T2N1M0, T3N0M0), stage IIIA(T0N2M0, T1N2M0, T2N3M0, T3N1orN2M0),stage IIIb( T4 anyNM0, any TN3M0),stage IIIC(any TN3M0), stage IV(any T any NM1), where T0=early form of tumor, T1=\<2 centimeter (cm), T2=2-5 cm, T3=\>2 cm, T4=large sized, N0=not spread to LN, N1=spread to 1 to 3,N2=spread to 4 to 9,N3=spread \>10 axillary LN, M0=no metastasis, M1= Metastasis.
Percentage of Participants With Overall Survival (OS) Based on TNM ClassificationBaseline up to 96 weeks or death (which ever occurs first)OS was defined as the duration from randomization to death (due to any cause). Probability of OS was reported using Kaplan-Meier method. TNM classification based on tumor size, if cancer cells had spread to nearby lymph nodes (LN), or distant metastasis. Stages included: stage 0(no evidence of cancer cells),stage 1(T1N0M0), stage IIA(T0N1M0, T1N1M0, T2N0M0), stage IIB(T2N1M0, T3N0M0), stage IIIA(T0N2M0, T1N2M0, T2N3M0, T3N1orN2M0),stage IIIb( T4 anyNM0, any TN3M0),stage IIIC(any TN3M0), stage IV(any T any NM1), where T0=early form of tumor, T1=\<2 centimeter (cm), T2=2-5 cm, T3=\>2 cm, T4=large sized, N0=not spread to LN, N1=spread to 1 to 3,N2=spread to 4 to 9,N3=spread \>10 axillary LN, M0=no metastasis, M1= Metastasis.
Percentage of Participants With Metastasis-free SurvivalBaseline up to 96 weeks
Percentage of Participants With Disease-specific SurvivalBaseline up to 96 weeksDisease-specific survival is defined as time interval between the date of randomization and the earliest date of local, regional or distant relapse, or death due to cancer.

Participant flow

Recruitment details

Participants took part in the study at 758 investigative site in Japan from 13-Oct-2005 to 31-Dec-10.

Pre-assignment details

Participants with a historical diagnosis of prostate cancer were treated with leuprorelin acetate 11.25 milligrams (mg) in daily medical practice along with adjuvant therapy were observed.

Participants by arm

ArmCount
Leuprorelin Acetate
Participants receiving leuprorelin acetate 11.25 mg, injection subcutaneously once every 12 weeks up to 96 weeks as daily medical practice were observed.
11,125
Total11,125

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyCase report forms not collected68
Overall StudyInvestigator health reasons10
Overall StudyInvestigator transferred85

Baseline characteristics

CharacteristicLeuprorelin Acetate
Age, Continuous75.88 years
STANDARD_DEVIATION 7.04
Body Mass Index22.87 kilogram per square meter (kg/m^2)
STANDARD_DEVIATION 3.1
Breakdown for Prior Treatment for Prostate Cancer
LH-RH agonists (other than leuplin SR 11.25 mg)
7220 participants
Breakdown for Prior Treatment for Prostate Cancer
Other chemotherapies
49 participants
Breakdown for Prior Treatment for Prostate Cancer
Other endocrine therapies
7596 participants
Breakdown for Prior Treatment for Prostate Cancer
Other treatments
72 participants
Breakdown for Prior Treatment for Prostate Cancer
Radiotherapy
561 participants
Breakdown for Prior Treatment for Prostate Cancer
Total prostatectomy
734 participants
Breakdown of Complications
Cerebrovascular disease
547 participants
Breakdown of Complications
Diabetes mellitus
1147 participants
Breakdown of Complications
Heart disease
1208 participants
Breakdown of Complications
Hyperlipidemia
799 participants
Breakdown of Complications
Hypertension
3195 participants
Breakdown of Complications
Malignant tumor
456 participants
Breakdown of Complications
Other
4617 participants
Healthcare Category
Inpatient
496 participants
Healthcare Category
Outpatient
10629 participants
Medical Complications
Had Complications
7234 participants
Medical Complications
Had no Complications
3889 participants
Medical Complications
Unknown
2 participants
Performance Status (at start of treatment with leuplin SR 11.25 mg injection)
0
8577 participants
Performance Status (at start of treatment with leuplin SR 11.25 mg injection)
1
1688 participants
Performance Status (at start of treatment with leuplin SR 11.25 mg injection)
2
518 participants
Performance Status (at start of treatment with leuplin SR 11.25 mg injection)
3
230 participants
Performance Status (at start of treatment with leuplin SR 11.25 mg injection)
4
72 participants
Performance Status (at start of treatment with leuplin SR 11.25 mg injection)
Unknown
40 participants
Predisposition to Hypersensitivity
Had no redisposition to Hypersensitivity
10594 participants
Predisposition to Hypersensitivity
Had predisposition to Hypersensitivity
530 participants
Predisposition to Hypersensitivity
Unknown
1 participants
Prior Treatment for Prostate Cancer
Had no prior treatment
1799 participants
Prior Treatment for Prostate Cancer
Had prior treatment
9324 participants
Prior Treatment for Prostate Cancer
Unknown
2 participants
Sex/Gender, Customized
Male
11125 participants
Tumor Node Metastasis(TNM) Classification (at start of treatment with leuplin SR 11.25 mg injection)
Cannot be assessed
391 participants
Tumor Node Metastasis(TNM) Classification (at start of treatment with leuplin SR 11.25 mg injection)
No lesions
333 participants
Tumor Node Metastasis(TNM) Classification (at start of treatment with leuplin SR 11.25 mg injection)
Stage I
529 participants
Tumor Node Metastasis(TNM) Classification (at start of treatment with leuplin SR 11.25 mg injection)
Stage II
5197 participants
Tumor Node Metastasis(TNM) Classification (at start of treatment with leuplin SR 11.25 mg injection)
Stage III
2066 participants
Tumor Node Metastasis(TNM) Classification (at start of treatment with leuplin SR 11.25 mg injection)
Stage IV
2608 participants
Tumor Node Metastasis(TNM) Classification (at start of treatment with leuplin SR 11.25 mg injection)
Unknown
1 participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
1,429 / 11,125
serious
Total, serious adverse events
188 / 11,125

Outcome results

Primary

Number of Participants Reporting One or More Adverse Drug Reactions

Adverse drug reactions are defined as adverse events (AEs) which are in the investigator's opinion of causal relationship to the study treatment. AEs are defined as any unfavorable and unintended signs, symptoms or diseases temporally associated with the use of a medicinal product reported from the first dose of study drug to the last dose of study drug.

Time frame: Baseline up to Week 96

Population: The safety analysis set was defined as all participants who were enrolled and completed the study.

ArmMeasureValue (NUMBER)
Leuprorelin AcetateNumber of Participants Reporting One or More Adverse Drug Reactions2052 participants
Primary

Number of Participants Reporting One or More Serious Adverse Drug Reactions

Serious adverse drug reactions are defined as serious adverse events (SAE) which are in the investigator's opinion of causal relationship to the study treatment. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.

Time frame: Baseline up to Week 96

Population: The safety analysis set was defined as all participants who were enrolled and completed the study.

ArmMeasureValue (NUMBER)
Leuprorelin AcetateNumber of Participants Reporting One or More Serious Adverse Drug Reactions188 participants
Secondary

Percentage of Participants With Disease-specific Survival

Disease-specific survival is defined as time interval between the date of randomization and the earliest date of local, regional or distant relapse, or death due to cancer.

Time frame: Baseline up to 96 weeks

Population: No results have been reported in this measure because as predefined in the protocol, the outcome measure was not planned to be assessed.

Secondary

Percentage of Participants With Metastasis-free Survival

Time frame: Baseline up to 96 weeks

Population: No results have been reported in this measure because as predefined in the protocol, the outcome measure was not planned to be assessed.

Secondary

Percentage of Participants With Overall Survival (OS) Based on TNM Classification

OS was defined as the duration from randomization to death (due to any cause). Probability of OS was reported using Kaplan-Meier method. TNM classification based on tumor size, if cancer cells had spread to nearby lymph nodes (LN), or distant metastasis. Stages included: stage 0(no evidence of cancer cells),stage 1(T1N0M0), stage IIA(T0N1M0, T1N1M0, T2N0M0), stage IIB(T2N1M0, T3N0M0), stage IIIA(T0N2M0, T1N2M0, T2N3M0, T3N1orN2M0),stage IIIb( T4 anyNM0, any TN3M0),stage IIIC(any TN3M0), stage IV(any T any NM1), where T0=early form of tumor, T1=\<2 centimeter (cm), T2=2-5 cm, T3=\>2 cm, T4=large sized, N0=not spread to LN, N1=spread to 1 to 3,N2=spread to 4 to 9,N3=spread \>10 axillary LN, M0=no metastasis, M1= Metastasis.

Time frame: Baseline up to 96 weeks or death (which ever occurs first)

Population: The efficacy assessment population was defined as all participants whose efficacy data at baseline and at least 1 post-baseline time points was available.

ArmMeasureGroupValue (NUMBER)
Leuprorelin AcetatePercentage of Participants With Overall Survival (OS) Based on TNM ClassificationStage I (N=466)96.9 percentage of participants
Leuprorelin AcetatePercentage of Participants With Overall Survival (OS) Based on TNM ClassificationStage II (N=4852)97.4 percentage of participants
Leuprorelin AcetatePercentage of Participants With Overall Survival (OS) Based on TNM ClassificationStage III (N=1927)97.6 percentage of participants
Leuprorelin AcetatePercentage of Participants With Overall Survival (OS) Based on TNM ClassificationStage IV (N=2443)88.5 percentage of participants
Secondary

Percentage of Participants With Progression Free Survival (PFS) Based on TNM Classification

PFS was defined as the time from the first day of study treatment to documented disease progression or death on study. For participants who experienced no disease progression and did not die while on study, data were censored at the date of the last tumor assessment. Kaplan-Meier methodology was used to estimate PFS. TNM classification based on tumor size, if cancer cells had spread to nearby lymph nodes (LN), or distant metastasis. Stages included: stage 0(no evidence of cancer cells),stage 1(T1N0M0), stage IIA(T0N1M0, T1N1M0, T2N0M0), stage IIB(T2N1M0, T3N0M0), stage IIIA(T0N2M0, T1N2M0, T2N3M0, T3N1orN2M0),stage IIIb( T4 anyNM0, any TN3M0),stage IIIC(any TN3M0), stage IV(any T any NM1), where T0=early form of tumor, T1=\<2 centimeter (cm), T2=2-5 cm, T3=\>2 cm, T4=large sized, N0=not spread to LN, N1=spread to 1 to 3,N2=spread to 4 to 9,N3=spread \>10 axillary LN, M0=no metastasis, M1= Metastasis.

Time frame: Baseline up to 96 weeks

Population: The efficacy assessment population was defined as all participants whose efficacy data at baseline and at least 1 post-baseline time points was available.

ArmMeasureGroupValue (NUMBER)
Leuprorelin AcetatePercentage of Participants With Progression Free Survival (PFS) Based on TNM ClassificationStage I (N=467)94.2 percentage of participants
Leuprorelin AcetatePercentage of Participants With Progression Free Survival (PFS) Based on TNM ClassificationStage II (N=4852)92.0 percentage of participants
Leuprorelin AcetatePercentage of Participants With Progression Free Survival (PFS) Based on TNM ClassificationStage III (N=1926)86.9 percentage of participants
Leuprorelin AcetatePercentage of Participants With Progression Free Survival (PFS) Based on TNM ClassificationStage IV (N=2446)55.4 percentage of participants

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