Prostate Cancer Metastatic Clinical Trial
Official title:
A Randomised, Double-blind, Placebo-controlled Multicentre Phase II Study to Evaluate Efficacy and Tolerability of ODX (Osteodex) in Metastatic Castration Resistant Prostate Cancer (CRPC)
This phase IIb study is a randomized, double-blind, placebo-controlled multi-center study
evaluating efficacy and tolerability of Osteodex of patients with metastatic castration
resistant prostate cancer (CRPC). Osteodex is a poly-bisphosphonate containing three known
substances; dextran, alendronate and guanidine.
The objective of the study is to evaluate the relative change of response markers to bone
metabolism (B-ALP and S-P1NP) The following objectives will also be evaluated: overall
survival, PSA response, other response markers related to bone metabolism (S-CTX and
osteocalcin), safety, tolerability, pain and quality of life.
Males, diagnosed with CRPC, who fulfil the inclusion criteria and does not have any
exclusion criteria, will be asked to participate in the study. The subject will be informed
orally and in writing about the study procedures and give written informed consent, prior to
study start. At the screening visit the following examinations are performed: Physical
examination, medical history and concomitant medication. Heart rate, blood pressure, weight,
height, body temperature and respiratory rate are measured. Blood samples are drawn and
urine sample is collected. ECG is recorded. Bone scan and PET-CT are also performed. At the
next visit, baseline, the subject is examined physically and heart rate, blood pressure,
weight, body temperature and respiratory rate are measured, ECG is recorded, blood samples
drawn and urine sample collected. FACT-P and EQ-5D-5L questionnaire are filled out by the
subject. Adverse events and concomitant medication is documented and the first dose of the
investigational product is given.
The subject is surveyed for 3 hours at the hospital.
The duration of the study for the individual subject will be approximately 30 weeks from
screening to the follow-up visit 2 weeks after the last dose. Each subject will receive at
least 7 doses and maximum 13 doses of investigational product.
A Data Monitoring Committee (DMC) will be designated and will be responsible to
monitor/review all study related safety data. After review of safety data the DMC will
provide recommendation as to whether the dose escalation can proceed as planned according to
the protocol.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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