Study with Enzalutamide to understand molecular alterations in prostate cancer

2024-514786-19-01 Protocol PROSEMA Therapeutic use (Phase IV) Ongoing, recruitment ended

Start 27 Jan 2025 · Status Ongoing, recruitment ended · 1 EU/EEA countries · 1 sites · Protocol PROSEMA

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruitment ended
Participants planned 30
Countries 1
Sites 1

PROSTATE CANCER

To study the molecular and cellular changes caused by Enzalutamide treatment as measured by receptor activity before and after Enzalutamide treatment.

Key facts

Sponsor
Asociacion Instituto De Investigacion Sanitaria Biobizkaia
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male
Therapeutic area
Diseases [C] - Male Urogenital Diseases [C12]
Trial duration
27 Jan 2025 → ongoing
Decision date (initial)
2024-09-18
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Others

To study the molecular and cellular changes caused by Enzalutamide treatment as measured by receptor activity before and after Enzalutamide treatment.

Secondary objectives 3

  1. Change in cell proliferation and cell death before and after Enzalutamide treatment.
  2. Changes in gene expression before and after Enzalutamide treatment
  3. Changes in stromal composition before and after Enzalutamide treatment

Conditions and MedDRA coding

PROSTATE CANCER

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 PROSEMA
This is a “window of opportunity study” that offers the opportunity to understand the mechanism of action of the drug in a window after diagnosis and prior to treatment with curative intent.
2 None EXPERIMENTAL: Enzalutamida 40 MG
CONTROL: WITHOUT MEDICATION

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2024-514786-19-00 Translational research study to discover molecular changes in patients with localized prostate cancer undergoing robotic-assisted radical prostatectomy and treated for 4 weeks with Enzalutamide compared to those not treated with Enzalutamide Asociacion Instituto De Investigacion Sanitaria Biobizkaia

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Age over 18 years at the time of signing the informed consent form
  2. Patients diagnosed with localized high-risk prostate cancer in whom radical prostatectomy indicated.
  3. Patients who decide surgery as curative intent for their pathology
  4. Patients who sign the IC prior to any study-related activity, including the necessary screening evaluations

Exclusion criteria 11

  1. Patients diagnosed with non-high risk prostate cancer.
  2. Patients who are not going to undergo radical prostatectomy with robotic assistance.
  3. Patients with active cancer in any other location
  4. Diagnosis of any other pathology that in the investigator's opinion may increase the subject's risk or reduce the chances of obtaining satisfactory data to achieve the objectives of the study, including the consumption of alcohol or any other drug.
  5. Having received previous treatment with hormones, Finasteride or Dutasteride before signing the informed consent
  6. Contraindication due to potential interactions of their usual treatment with Enzalutamide or for any other cause in the investigator's judgment such as difficulty swallowing
  7. Inability to initiate treatment within the first week after signing the consent
  8. Participation in another clinical trial where they have received an investigational drug in the 6 months prior to signing the informed consent
  9. Men with partners physiologically capable of becoming pregnant who do not commit in writing to use, during their participation in the study and up to 3 months after the end of the study, a reliable method of contraception. Men must also use a condom-type barrier method for the same period of time
  10. Men with pregnant partners who do not commit in writing to use a condom during the study and for up to 3 months afterwards
  11. Patients who do not sign the informed consent form

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. analyze molecular alterations

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Xtandi - 40 mg soft capsules

PRD1863628 · Product

Active substance
Enzalutamide
Pharmaceutical form
CAPSULE, SOFT
Route of administration
ORAL USE
Max daily dose
160 mg milligram(s)
Max total dose
160 mg milligram(s)
Max treatment duration
4 Week(s)
Authorisation status
Authorised
ATC code
L02BB04 — -
Marketing authorisation
EU/1/13/846/001
MA holder
ASTELLAS PHARMA EUROPE B.V.
MA country
Norway
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Asociacion Instituto De Investigacion Sanitaria Biobizkaia

Sponsor organisation
Asociacion Instituto De Investigacion Sanitaria Biobizkaia
Address
Cruces Plaza 12
City
Barakaldo
Postcode
48903
Country
Spain

Scientific contact point

Organisation
Asociacion Instituto De Investigacion Sanitaria Biobizkaia
Contact name
REGULATORIA

Public contact point

Organisation
Asociacion Instituto De Investigacion Sanitaria Biobizkaia
Contact name
REGULATORIA

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Ongoing, recruitment ended 30 1
Rest of world 0

Investigational sites

Spain

1 site · Ongoing, recruitment ended
Hospital Universitario Basurto
UROLOGIA, Montevideo Etorbidea 16-18, 48013, Bilbao

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Spain 2025-01-27 2025-02-05 2026-03-30

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 12 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocolo_C_v8_20241030 8
Protocol (for publication) D1_Protocolo_C_v8_20241030_CC 8
Recruitment arrangements (for publication) CRD_PROSEMA 1
Recruitment arrangements (for publication) K_Recruitment arrangment_E_V3 3
Recruitment arrangements (for publication) K_Recruitment arrangment_E_V3_CC 3
Recruitment arrangements (for publication) Usual Practice Justification_2024-514786-19-00 1
Subject information and informed consent form (for publication) L1_PROSEMA_HIP_CI_V7_20241030 7
Subject information and informed consent form (for publication) PROSEMA_HIP_CI_V5_20240711_CC 5
Subject information and informed consent form (for publication) PROSEMA_HIP_CI_V7_20241030_cc 7
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Enzalutamida 1
Synopsis of the protocol (for publication) D1_PROTOCOL SYNOPSIS_E_V1 1
Synopsis of the protocol (for publication) D1_Resumen del Protocolo_C_V3_20240613 3

Application history

3 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-06-27 Spain Acceptable
2024-09-18
2024-09-18
2 SUBSTANTIAL MODIFICATION SM-1 2024-11-04 Spain Acceptable
2025-01-08
2025-01-08
3 SUBSTANTIAL MODIFICATION SM-2 2026-02-23 Spain Acceptable
2026-04-27
2026-05-04