Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This is a Randomized, Active Controlled, Comparative, Open-Label, Multi-Center, Phase 3 clinical study to compare the efficacy, safety, and pharmacokinetics of leuprolide acetate for injection 3.75mg (depot) of two brands (Luprodex and Lucrin) administered in subjects with advanced adenocarcinoma of the prostate.
Approximately 168 subjects (males )of age above 18 years fulfilling the eligibility criteria will be enrolled. The IP will be given as a monthly dose for two cycles on day 0 and day 28.
The pharmacokinetic analysis will be done for 12 patients receiving Luprodex. The primary and secondary outcomes will be captured on days as per protocol. Adverse events will be noted for safety evaluation.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Leuprolide acetate 3.75 mg Depot (Luprodex) | Experimental | Will be administered subcutaneously once a month for two cycles, on day 0 and on day 28/29 |
|
| Leuprolide acetate 3.75 mg Depot (Lucrin) | Active Comparator | Will be administered subcutaneously once a month for two cycles, on day 0 and on day 28/29 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Leuprolide Acetate 3.75 MG/ML | Drug | Leuprolide Acetate/ Leuprorelin is a depot injection administered as a subcutaneous injection once every month. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Testosterone response rate defined as Testosterone values sustained below castration level (0.5 ng/mL or 50 ng/dL) i.e. all Testosterone values at and after Day 28 until Day 57 must be < 0.5 ng/mL or < 50 ng/dL | From Day 28 to day 57 |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of subjects who have reached castration level of Testosterone at the last visit (Day 57) | Day 57 | |
| Percentage of breakthrough responses defined as a single total serum Testosterone value of >0.5 ng/mL or >50 ng/dL measured after achieving a castration Testosterone level |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Evidence of brain metastases.
Evidence of spinal cord compression.
Evidence of urinary tract obstruction, where a flare in disease could put subject at significant risk in the opinion of the Investigator.
Received prostate cancer therapies like immunotherapy (antibody therapies, tumor vaccines), external radiotherapy, brachytherapy, chemotherapy or biological response modifiers (e.g. cytokines) within two months of enrollment.
Undergone any prostate surgery (e.g. transurethral resection of the prostate (TURP), radical prostatectomy) within two weeks of enrollment.
Under the effects of any other hormonal therapy, including anti-androgens for treatment of prostate cancer within three months of baseline.
Received leuprolide (leuprorelin) previously.
Had an orchiectomy, adrenalectomy or hypophysectomy.
Had used any investigational drug, biologic, or device within five half-lives of its physiological action or three months, whichever is longer, before enrollment.
Anticipated to need concomitant hormonal, anti-androgen, radiotherapy, chemotherapy, immunotherapy or surgical therapy for prostate cancer throughout the duration of the study.
Used over-the-counter (OTC) or alternative medical therapies which has an estrogenic or anti-androgenic effect (e.g., Glycyrrhiza, Dehydroepiandrosterone (DHEA), PC-SPES, saw palmetto) within three months prior to enrollment.
Used finasteride, dutasteride, estrogens, megestrol acetate, anti-androgens (Bicalutamide, Flutamide, or Cyproterone), and ketoconazole within three months prior to baseline.
Co-existent malignancy or a history of malignancy, with the exception of basal and/or squamous cell carcinomas of the skin.
Uncontrolled congestive heart failure within six months before baseline.
Experienced a myocardial infarction or a coronary vascular procedure (e.g. balloon angioplasty, coronary artery bypass graft surgery) within six months before baseline.
Significant symptomatic cardiovascular disease within six months of baseline.
Experienced venous thrombosis within six months of baseline.
Uncontrolled hypertension (≥160/100 mmHg) or symptomatic hypotension within three months before baseline.
Insulin-dependent diabetes mellitus (Type I diabetes mellitus).
History of drug abuse within six months of baseline.
Serious intercurrent illnesses or diseases (e.g. hematological, renal, hepatic, respiratory, endocrine, psychiatric) that might interfere with the treatment outlined in the protocol.
Receiving anticoagulants or antiplatelet medications and not receiving a stable dose for three months before baseline. Receiving warfarin-derivative anticoagulants with International normalized ratio (INR) outside therapeutic range for the clinical indication for which the anticoagulant has been prescribed.
Known hypersensitivity to GnRH, GnRH agonists or any excipients of Leuprolide (leuprorelin).
Positive test for HIV, HCV, HbsAg at Screening.
History of:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Anirban Roy Chowdhury | Bharat Serums and Vaccines Ltd | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Government Med ical College & Superspeciality Hospital Nagpur | Nagpur | Maharashtra | 440009 | India | ||
| MV hospital and Research Center |
Not provided
| ID | Term |
|---|---|
| D016729 | Leuprolide |
| ID | Term |
|---|---|
| D007987 | Gonadotropin-Releasing Hormone |
| D010906 | Pituitary Hormone-Releasing Hormones |
| D007028 | Hypothalamic Hormones |
| D036361 | Peptide Hormones |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| from Day 28 to Day 57 |
| Time after first implantation until castration level of Testosterone is achieved | up to Day 28 |
| Percentage of subjects with Testosterone values sustained below 0.2 ng/mL or 20 ng/dL at and after Day 28 until Day 57 | From Day 28 to Day 57 |
| Change from baseline in Luteinizing hormone (LH) levels at Day 28 and 57 | from baseline to Day 28 and from baseline to Day 57 |
| Change from baseline in Follicle Stimulating Hormone (FSH) levels at Day 28 and Day 57 | from baseline to Day 28 and from baseline to Day 57 |
| Change from baseline in Prostate-specific antigen (PSA) at Day 57 | Day 57 |
| Mean number of days of maintaining testosterone castration levels (mean number of castration days) | day 28 to day 57 |
| Mean maximum testosterone concentration during the dosing period after reaching the castration level | Day 28 to Day 57 |
| Lucknow |
| Uttar Pradesh |
| 226003 |
| India |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D009479 | Neuropeptides |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D009842 | Oligopeptides |
| D009419 | Nerve Tissue Proteins |
| D011506 | Proteins |