Prostate Cancer
Conditions
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
Leuprorelin acetate SR 11.25 mg injection kit
Sponsors
Study design
Eligibility
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
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Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants Reporting One or More Adverse Drug Reactions | Baseline up to Week 96 | 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. |
| Number of Participants Reporting One or More Serious Adverse Drug Reactions | Baseline up to Week 96 | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Progression Free Survival (PFS) Based on TNM Classification | Baseline up to 96 weeks | 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. |
| Percentage of Participants With Overall Survival (OS) Based on TNM Classification | Baseline 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 Survival | Baseline up to 96 weeks | — |
| Percentage of Participants With Disease-specific Survival | Baseline up to 96 weeks | 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. |
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
| Arm | Count |
|---|---|
| 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 |
| Total | 11,125 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Case report forms not collected | 68 |
| Overall Study | Investigator health reasons | 10 |
| Overall Study | Investigator transferred | 85 |
Baseline characteristics
| Characteristic | Leuprorelin Acetate |
|---|---|
| Age, Continuous | 75.88 years STANDARD_DEVIATION 7.04 |
| Body Mass Index | 22.87 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 type | EG000 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
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Leuprorelin Acetate | Number of Participants Reporting One or More Adverse Drug Reactions | 2052 participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Leuprorelin Acetate | Number of Participants Reporting One or More Serious Adverse Drug Reactions | 188 participants |
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.
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.
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Leuprorelin Acetate | Percentage of Participants With Overall Survival (OS) Based on TNM Classification | Stage I (N=466) | 96.9 percentage of participants |
| Leuprorelin Acetate | Percentage of Participants With Overall Survival (OS) Based on TNM Classification | Stage II (N=4852) | 97.4 percentage of participants |
| Leuprorelin Acetate | Percentage of Participants With Overall Survival (OS) Based on TNM Classification | Stage III (N=1927) | 97.6 percentage of participants |
| Leuprorelin Acetate | Percentage of Participants With Overall Survival (OS) Based on TNM Classification | Stage IV (N=2443) | 88.5 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Leuprorelin Acetate | Percentage of Participants With Progression Free Survival (PFS) Based on TNM Classification | Stage I (N=467) | 94.2 percentage of participants |
| Leuprorelin Acetate | Percentage of Participants With Progression Free Survival (PFS) Based on TNM Classification | Stage II (N=4852) | 92.0 percentage of participants |
| Leuprorelin Acetate | Percentage of Participants With Progression Free Survival (PFS) Based on TNM Classification | Stage III (N=1926) | 86.9 percentage of participants |
| Leuprorelin Acetate | Percentage of Participants With Progression Free Survival (PFS) Based on TNM Classification | Stage IV (N=2446) | 55.4 percentage of participants |