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Brief Title: A Phase III Study of Radium-223 Dichloride in Patients With Symptomatic Hormone Refractory Prostate Cancer With Skeletal Metastases
Official Title: A Double-blind, Randomised, Multiple Dose, Phase III, Multicentre Study of Alpharadin in the Treatment of Patients With Symptomatic Hormone Refractory Prostate Cancer With Skeletal Metastases
Study ID: NCT00699751
Brief Summary: ALSYMPCA (ALpharadin in SYMPtomatic Prostate CAncer) is an international Phase III clinical study to evaluate the efficacy and safety of Radium-223 dichloride in patients with hormone refractory prostate cancer and skeletal metastases.
Detailed Description: The aim of the study was to compare, in patients with symptomatic hormone refractory prostate cancer (HRPC) and skeletal metastases, the efficacy of best standard of care plus Radium-223 dichloride versus best standard of care plus placebo, with the primary efficacy endpoint being overall survival (OS). Patients were randomised in a 2:1 allocation ratio (Radium-223 dichloride:Placebo). The study treatment consisted of 6 intravenous administrations of Radium-223 dichloride or placebo (saline) each separated by an interval of 4 weeks. The patient were followed until 3 years after first study drug administration. Within the U.S., the trial was conducted under an IND sponsored by Bayer HealthCare Pharmaceuticals. All patients received BSoC (Best Standard of Care). This study has the original PCD as 14 October 2010, when a total of 316 deaths had been observed; this resulted in the Independent Data Monitoring Committee's (IDMC's) recommendation to stop the study as the primary efficacy analysis of overall survival had crossed the pre-specified boundary for efficacy. Later an updated analysis of primary endpoint in the first addendum was done with cut-off of 15 July 2011.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: MALE
Healthy Volunteers: No
, Los Angeles, California, United States
, Roseville, California, United States
, Tampa, Florida, United States
, New Orleans, Louisiana, United States
, St. Louis, Missouri, United States
, Las Vegas, Nevada, United States
, Philadelphia, Pennsylvania, United States
, Liverpool, New South Wales, Australia
, Randwick, New South Wales, Australia
, St Leonards, New South Wales, Australia
, Sydney, New South Wales, Australia
, Wahroonga, New South Wales, Australia
, Wollongong, New South Wales, Australia
, Brisbane, Queensland, Australia
, Toowoomba, Queensland, Australia
, Adelaide, South Australia, Australia
, Adelaide, South Australia, Australia
, Hobart, Tasmania, Australia
, Fitzroy, Victoria, Australia
, Nedlands, Western Australia, Australia
, Kortrijk, , Belgium
, Ottignies, , Belgium
, Salvador, Bahia, Brazil
, Belo Horizonte, Minas Gerais, Brazil
, Porto Alegre, Rio Grande do Sul, Brazil
, Barretos, Sao Paulo, Brazil
, Piracicaba, Sao Paulo, Brazil
, Belo Horizonte, , Brazil
, Rio de Janeiro, , Brazil
, Sao Paulo, , Brazil
, Edmonton, Alberta, Canada
, London, Ontario, Canada
, Ottawa, Ontario, Canada
, Toronto, Ontario, Canada
, Brno, , Czech Republic
, Chomutov, , Czech Republic
, Olomouc, , Czech Republic
, Ostrava, , Czech Republic
, Plzen - Bory, , Czech Republic
, Praha 4, , Czech Republic
, Usti nad Labem, , Czech Republic
, La Roche Sur Yon, , France
, Montbeliard, , France
, Saint Cloud, , France
, Ulm, Baden-Württemberg, Germany
, Frankfurt, Hessen, Germany
, Marburg, Hessen, Germany
, Göttingen, Niedersachsen, Germany
, Hannover, Niedersachsen, Germany
, Dortmund, Nordrhein-Westfalen, Germany
, Mainz, Rheinland-Pfalz, Germany
, Berlin, , Germany
, Berlin, , Germany
, Hamburg, , Germany
, Chai Wan, , Hong Kong
, Hong Kong, , Hong Kong
, Hongkong, , Hong Kong
, Kowloon, , Hong Kong
, Beer Sheva, , Israel
, Kfar Saba, , Israel
, Tel Aviv, , Israel
, Zrifin, , Israel
, Meldola, Forlì, Italy
, Candiolo, Torino, Italy
, Bergamo, , Italy
, Milano, , Italy
, Reggio Emilia, , Italy
, Alkmaar, , Netherlands
, Nijmegen, , Netherlands
, Rotterdam, , Netherlands
, Bergen, , Norway
, Bodø, , Norway
, Kristiansand, , Norway
, Oslo, , Norway
, Oslo, , Norway
, Tromsø, , Norway
, Trondheim, , Norway
, Ålesund, , Norway
, Bydgoszcz, , Poland
, Gliwice, , Poland
, Kielce, , Poland
, Krakow, , Poland
, Luiblin, , Poland
, Warszawa, , Poland
, Wroclaw, , Poland
, Wroclaw, , Poland
, Singapore, , Singapore
, Singapore, , Singapore
, Banska Bystrica, , Slovakia
, Bratislava, , Slovakia
, Bratislava, , Slovakia
, Martin, , Slovakia
, Presov, , Slovakia
, Trnava, , Slovakia
, Santiago de Compostela, A Coruña, Spain
, Alcorcón, Madrid, Spain
, Barakaldo, Vizcaya, Spain
, Barcelona, , Spain
, Barcelona, , Spain
, Barcelona, , Spain
, Córdoba, , Spain
, Pamplona, , Spain
, Valencia, , Spain
, Zaragoza, , Spain
, Göteborg, , Sweden
, Jönköping, , Sweden
, Kalmar, , Sweden
, Malmö, , Sweden
, Sandviken, , Sweden
, Stockholm, , Sweden
, Sundsvall, , Sweden
, Umeå, , Sweden
, Romford, Essex, United Kingdom
, Leicester, Leicestershire, United Kingdom
, Bebington, Merseyside, United Kingdom
, Nottingham, Nottinghamshire, United Kingdom
, Taunton, Somerset, United Kingdom
, Ipswich, Suffolk, United Kingdom
, Guildford, Surrey, United Kingdom
, Sutton, Surrey, United Kingdom
, Coventry, Warwickshire, United Kingdom
, Birmingham, West Midlands, United Kingdom
, Belfast, , United Kingdom
, Brighton, , United Kingdom
, Bristol, , United Kingdom
, Cardiff, , United Kingdom
, Derby, , United Kingdom
, Hull, , United Kingdom
, Leeds, , United Kingdom
, Manchester, , United Kingdom
, Northwood, , United Kingdom
, Plymouth, , United Kingdom
, Sheffield, , United Kingdom
, Southampton, , United Kingdom
, Wolverhampton, , United Kingdom
Name: Christopher Parker, MD
Affiliation: The Royal Marsden Hospital, UK
Role: STUDY_CHAIR