Long-term safety study for prostate cancer patients on enzalutamide
A Phase 2 Open-label Extension Study for Subjects With Prostate Cancer Who Previously Participated in an Enzalutamide Clinical Study
This study is testing the long-term safety of enzalutamide for prostate cancer patients who are continuing their treatment from a previous study.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Enrollment | 900 (estimated) |
| Ages | 18 Years and up |
| Sex | Male |
| Sponsor | Astellas Pharma Inc Industry-sponsored |
| Drugs / interventions | radiation |
| Locations | 241 sites (Anchorage, Alaska and 240 other locations) |
| Trial ID | NCT02960022 on ClinicalTrials.gov |
What this trial studies
This study aims to gather long-term safety data for patients with prostate cancer who are continuing treatment with enzalutamide after participating in a previous clinical study. Participants must remain on the same treatment regimen they were receiving in the prior study, with any necessary dose adjustments requiring medical monitor approval. Patients will be monitored every 24 weeks for adverse events and will return unused study drugs at each visit. The study will ensure that participants continue to benefit from their treatment while adhering to safety protocols.
Who should consider this trial
Good fit: Ideal candidates are prostate cancer patients who are currently benefiting from enzalutamide treatment in a prior clinical study sponsored by Astellas or Medivation.
Not a fit: Patients who are not currently receiving enzalutamide or those participating in investigator-initiated trials may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could provide valuable insights into the long-term safety and efficacy of enzalutamide for prostate cancer patients.
How similar studies have performed: Other studies have shown success in evaluating the safety and efficacy of enzalutamide, making this approach a continuation of established research.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Subject must currently be receiving enzalutamide or assigned to receive enzalutamide (if on treatment suspension) for prostate cancer in a study sponsored by Astellas or Medivation and, based on the investigator's assessment, benefit from continued treatment. Subjects participating in investigator-initiated trials are not eligible. * Subject is able to continue on the treatment regimen that they were receiving or were assigned to receive in the prior study. If in the investigator's assessment, a change is needed to the subject's regimen (e.g., dose change in Androgen deprivation therapy (ADT) or dropping of a combination therapy) approval from a medical monitor is required prior to enrollment. * Subject is able to swallow enzalutamide capsules and comply with study requirements. * Subject and female partner who is of childbearing potential must continue to use 2 forms of birth control, of which 1 must be highly effective and 1 must be a barrier method throughout the study and for 3 months after final enzalutamide administration. * Subject agrees to avoid sperm donation during the study and for at least 3 months after final enzalutamide administration. * Subject agrees not to participate in another interventional study while on treatment. Canada Specific: * Institutional Review Board (IRB)/Independent Ethics Committee (IEC) approved written Informed Consent and privacy language as per national regulations (e.g., Health Insurance Portability and Accountability Act authorization for the United States sites) must be obtained from the subject prior to any study-related procedures. * Subject must currently be receiving enzalutamide for breast cancer in a study sponsored by Astellas or Medivation/Pfizer and based on the investigator's assessment, benefit from continued treatment. Subjects participating in investigator-initiated trials are not eligible. * Subject is able to continue on the treatment regimen that they were receiving in the prior study. If in the investigator's assessment, a change is needed to the subject's regimen (e.g., dropping of a combination therapy) approval from a medical monitor is required prior to enrollment. * Subject is able to swallow enzalutamide capsules and comply with study requirements. * Subject is either: * Of nonchildbearing potential: * postmenopausal (defined as no spontaneous menses for at least 12 months prior to Day 1 with follicle stimulating hormone (FSH) \> 40 IU/L at Day 1 for women \< 55 years of age), * documented surgically sterile or status post hysterectomy (at least 1 month prior to Day 1), * Or, if of childbearing potential, * must have a negative urine pregnancy test at Day 1 before the first dose of study drug is administered, * must use 2 acceptable methods of birth control starting at Day 1 and through 6 months after the final study drug administration, * must not donate ova starting at first administration of study intervention and throughout 6 months after final study intervention administration. The 2 acceptable methods of birth control are as follows or per local guidelines where these require additional description of contraceptive methods: * A barrier method (e.g., condom by a male partner) is required; AND * One of the following is required: * Placement of an intrauterine device (IUD) or intrauterine system (IUS); * Additional barrier method including occlusive cap (diaphragm or cervical/vault caps) with spermicidal foam/gel/film/cream/suppository; * Vasectomy or other surgical castration at least 6 months before Day 1. * The subject must not be breastfeeding at Day 1 or during the study period, and for 6 months after the final study drug administration. * Subject agrees not to participate in another interventional study while on treatment. Exclusion Criteria: * Subject met any of the discontinuation criteria or whose cancer progressed on the current enzalutamide clinical study in which subject is enrolling from. * Subject requires treatment with or plans to use either of the following: * New systemic therapy for subjects cancer (palliative radiation therapy is allowed). The treatment with agents administered during previous studies which was stopped and then restarted during this study does not represent new treatment. * Investigational therapy other than enzalutamide. * Subject is currently participating in an investigator-initiated interventional trial and receiving enzalutamide. * Subject has any concurrent disease, infection, or comorbid condition that interferes with the ability of the subject to participate in the study, which places the subject at undue risk or complicates the interpretation of data. Canada Specific: Subject will be excluded from participation if any of the following apply: * Subject met any of the discontinuation criteria or whose cancer progressed on the current enzalutamide clinical study in which they are enrolling from. * Subject requires treatment with or plans to use any of the following: * New systemic therapy for their cancer (palliative radiation therapy is allowed). The treatment with agents administered during previous studies which was stopped and then restarted during this study does not represent new treatment. * Investigational therapy other than enzalutamide. * Subject is currently participating in an investigator-initiated interventional trial and receiving enzalutamide. * Subject has any concurrent disease, infection, or comorbid condition that interferes with the ability of the subject to participate in the study, which places the subject at undue risk or complicates the interpretation of data in the opinion of the investigator.
Where this trial is running
Anchorage, Alaska and 240 other locations
- Site US10052 — Anchorage, Alaska, United States (Completed)
- Site US10011 — Tucson, Arizona, United States (Completed)
- Site US10040 — Los Angeles, California, United States (Completed)
- Site US10009 — Los Angeles, California, United States (Completed)
- Site US10067 — Orange, California, United States (Recruiting)
- Site US10008 — San Bernardino, California, United States (Completed)
- Site US10042 — San Diego, California, United States (Completed)
- Site US10028 — Stanford, California, United States (Completed)
- Site US10001 — Aurora, Colorado, United States (Completed)
- Site US10017 — Denver, Colorado, United States (Completed)
- Site US10050 — Washington D.C., District of Columbia, United States (Completed)
- Site US10049 — Daytona Beach, Florida, United States (Completed)
- Site US10048 — Jacksonville, Florida, United States (Withdrawn)
- Site US10002 — Chicago, Illinois, United States (Active_not_recruiting)
- Springfield Clinic, LLP — Springfield, Illinois, United States (Active_not_recruiting)
- Site US10007 — Jeffersonville, Indiana, United States (Completed)
- University of Kansas Medical Center — Kansas City, Kansas, United States (Active_not_recruiting)
- Site US10066 — Lenexa, Kansas, United States (Active_not_recruiting)
- Site US10029 — Towson, Maryland, United States (Completed)
- Site US10032 — St Louis, Missouri, United States (Completed)
- Nebraska Medical Hospital — Omaha, Nebraska, United States (Active_not_recruiting)
- Site US10023 — Omaha, Nebraska, United States (Active_not_recruiting)
- Site US10004 — Hackensack, New Jersey, United States (Active_not_recruiting)
- Site US10024 — Garden City, New York, United States (Active_not_recruiting)
- Site US10055 — New York, New York, United States (Completed)
- Site US10059 — New York, New York, United States (Completed)
- Hudson Valley Urology, PC — Poughkeepsie, New York, United States (Active_not_recruiting)
- Site US10053 — Syracuse, New York, United States (Completed)
- Site US10030 — Chapel Hill, North Carolina, United States (Completed)
- Site US10062 — Charlotte, North Carolina, United States (Active_not_recruiting)
- Site US10020 — Concord, North Carolina, United States (Withdrawn)
- Site US10031 — Greensboro, North Carolina, United States (Terminated)
- Eastern Urological Associates — Greenville, North Carolina, United States (Completed)
- Site US10046 — Winston-Salem, North Carolina, United States (Completed)
- Site US10035 — Cincinnati, Ohio, United States (Completed)
- Site US10022 — Springfield, Oregon, United States (Completed)
- Site US10027 — Lancaster, Pennsylvania, United States (Completed)
- Site US10005 — Pittsburgh, Pennsylvania, United States (Active_not_recruiting)
- Site US10018 — Charleston, South Carolina, United States (Active_not_recruiting)
- Carolina Urologic Research Center — Myrtle Beach, South Carolina, United States (Active_not_recruiting)
- Site US10003 — Myrtle Beach, South Carolina, United States (Withdrawn)
- Site US10041 — Nashville, Tennessee, United States (Active_not_recruiting)
- Site US10010 — Dallas, Texas, United States (Active_not_recruiting)
- Site US10034 — Houston, Texas, United States (Completed)
- Site US10043 — Houston, Texas, United States (Active_not_recruiting)
- Site US10014 — Norfolk, Virginia, United States (Completed)
- Site US10015 — Virginia Beach, Virginia, United States (Active_not_recruiting)
- Virginia Mason Medical Center — Seattle, Washington, United States (Active_not_recruiting)
- Site US10038 — Seattle, Washington, United States (Completed)
- Site US10021 — Madison, Wisconsin, United States (Active_not_recruiting)
+191 more sites — see ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Astellas Pharma Global Development
- Email: astellas.registration@astellas.com
- Phone: 800-888-7704
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.