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Spots Global Cancer Trial Database for Cabazitaxel Versus the Switch to Alternative AR Targeted Therapy Enzalutamide or Abiraterone in Metastatic Castration-Resistant Prostate Cancer (mCRPC) Primary Resistant Patients to Abiraterone or Enzalutamide

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Trial Identification

Brief Title: Cabazitaxel Versus the Switch to Alternative AR Targeted Therapy Enzalutamide or Abiraterone in Metastatic Castration-Resistant Prostate Cancer (mCRPC) Primary Resistant Patients to Abiraterone or Enzalutamide

Official Title: Phase II, Randomized, Open-label, Multicenter Study in Chemotherapy-naïve Metastatic Castration-Resistant Prostate Cancer (mCRPC) Patients Who Have PRIMary Resistance to Abiraterone Acetate or Enzalutamide Treatment Comparing the Anti-tumor Effect of CABazitaxel to Alternative Androgen Receptors (AR) Targeted Therapy

Study ID: NCT02379390

Study Description

Brief Summary: Primary Objective: To demonstrate the superiority in term of radiographic Progression-Free Survival (rPFS) of cabazitaxel at at 25 milligram per meter square (mg/m\^2) plus prednisone (Arm A) versus either enzalutamide at 160 milligram (mg) once daily or abiraterone acetate at 1000 mg once daily plus prednisone (Arm B) in chemotherapy-naïve participants with metastatic Castration-Resistant Prostate Cancer (mCRPC) who have disease progression while receiving androgen receptor (AR) targeted therapy (abiraterone plus prednisone or enzalutamide) within 12 months of treatment initiation (≤12 months). Secondary Objective: * To compare efficacy for: * Prostate-specific antigen (PSA) response rate and Time to PSA progression (TTPP). * Progression Free Survival (PFS). * Overall Survival (OS). * Tumor response rate in participants with measurable disease (RECIST 1.1) * Pain response and time to pain progression. * Symptomatic skeletal events (SSE) rate and time to occurrence of any SSE. * To analyze messenger ribonucleic acids (mRNAs) including androgen-receptor splice variant 7 messenger RNA (AR-V7) as a biomarker in Circulating Tumor Cells (CTCs). * To evaluate safety in the 2 treatment arms.

Detailed Description: The duration of the study per participant was approximately 2 years. Each participant was treated until radiographic disease progression, unacceptable toxicity, or participants refusal of further study treatment, and each participant was followed after completion of study treatment until death, study cutoff date, or withdrawal of participant consent.

Keywords

Eligibility

Minimum Age: 18 Years

Eligible Ages: ADULT, OLDER_ADULT

Sex: MALE

Healthy Volunteers: No

Locations

Investigational Site Number 840030, Muscle Shoals, Alabama, United States

Investigational Site Number 840024, Anchorage, Alaska, United States

Investigational Site Number 840028, Anaheim, California, United States

Investigational Site Number 840004, Sacramento, California, United States

Investigational Site Number 840002, Boca Raton, Florida, United States

Investigational Site Number 840027, Lakeland, Florida, United States

Investigational Site Number 840006, Port Saint Lucie, Florida, United States

Investigational Site Number 840015, Ottawa, Illinois, United States

Investigational Site Number 840001, Covington, Louisiana, United States

Investigational Site Number 840017, Metairie, Louisiana, United States

Investigational Site Number 840012, Rockville, Maryland, United States

Investigational Site Number 840026, Omaha, Nebraska, United States

Investigational Site Number 840022, Canton, Ohio, United States

Investigational Site Number 840016, Myrtle Beach, South Carolina, United States

Investigational Site Number 124003, Edmonton, , Canada

Investigational Site Number 124010, Greenfield Park, , Canada

Investigational Site Number 124005, Hamilton, , Canada

Investigational Site Number 124004, London, , Canada

Investigational Site Number 124002, Montreal, , Canada

Investigational Site Number 124006, Montreal, , Canada

Investigational Site Number 124007, Ottawa, , Canada

Investigational Site Number 124009, Quebec, , Canada

Investigational Site Number 124008, Saskatoon, , Canada

Investigational Site Number 124001, Vancouver, , Canada

Contact Details

Name: Clinical Sciences & Operations

Affiliation: Sanofi

Role: STUDY_DIRECTOR

Useful links and downloads for this trial

Clinicaltrials.gov

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