| CTRI Number |
CTRI/2025/02/080273 [Registered on: 10/02/2025] Trial Registered Prospectively |
| Last Modified On: |
10/02/2025 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug |
| Study Design |
Single Arm Study |
|
Public Title of Study
|
To assess safety and efficacy of Relugolix Tablets in treating Advanced Prostate Cancer |
|
Scientific Title of Study
|
A Prospective, Multi-center, Single-arm, Phase IV Study to Assess the Safety and Efficacy of Relugolix Tablets for the Treatment of Advanced Prostate Cancer |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| ICR/24/003, Version 1.0, Dated 13/MAR/2024 |
Protocol Number |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Pravin Ghadge |
| Designation |
AVP and Head_India Clinical Research |
| Affiliation |
Sun Pharma Laboratories Limited |
| Address |
Sun house, Plot No. 201, B/1, Western Express Highway, Goregaon east. Mumbai (Suburban)
Mumbai (Suburban) MAHARASHTRA 400063 India |
| Phone |
02243244324 |
| Fax |
02243244343 |
| Email |
pravin.ghadge@sunpharma.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Supriya Sonowal |
| Designation |
Medical Monitor – India Clinical Research |
| Affiliation |
Sun Pharma Laboratories Limited |
| Address |
Sun house, Plot No. 201, B/1, Western Express Highway, Goregaon east. Mumbai (Suburban)
Mumbai (Suburban) MAHARASHTRA 400063 India |
| Phone |
02243244324 |
| Fax |
02243244343 |
| Email |
Supriya.Sonowal1@sunpharma.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Rajiv Yadav |
| Designation |
Senior Manager-India Clinical Research |
| Affiliation |
Sun Pharma Laboratories Limited |
| Address |
Sun house, Plot No. 201, B/1, Western Express Highway, Goregaon east. Mumbai (Suburban)
Mumbai (Suburban) MAHARASHTRA 400063 India |
| Phone |
02243244324 |
| Fax |
02243244343 |
| Email |
Rajiv.Yadav1@sunpharma.com |
|
|
Source of Monetary or Material Support
|
| Sun Pharmaceutical Industries Limited (SPIL), Sun House, Plot No. 201 B/1, Western Express
Highway, Goregaon (E), Mumbai 400 063, Maharashtra, India. |
|
|
Primary Sponsor
|
| Name |
Sun Pharmaceutical Industries Limited (SPIL) |
| Address |
Sun House, Plot No. 201 B/1, Western Express Highway, Goregaon(E), Mumbai 400 063, Maharashtra, India. |
| Type of Sponsor |
Pharmaceutical industry-Indian |
|
|
Details of Secondary Sponsor
|
| Name |
Address |
| Sun Pharmaceutical Industries Limited |
Tandalja, Vadodara -390012, Gujarat, India |
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 4 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Deepak Kumar Das |
All India Institute of Medical Sciences |
Sijua, Patrapada, Bhubaneshwar, Odisha-751019 Khordha ORISSA |
9478552547
Deepak.scb2006@gmail.com |
| Dr Tushar Patil Vishvasrao |
Integrated Cancer Treatment & Research Center |
Dept of Oncology, Ground floor, Vishwashanti Dham, Kesnand Rd, Wagholi, Pune-412207, Maharashtra. Pune MAHARASHTRA |
9552522556
tussipats@hotmail.com |
| Dr Minish Mahendra Jain |
Noble Hospital Pvt Ltd |
153, Dept of Oncology, Room No. 5, Ground floor Magarpatta City Road, Hadapsar, Pune-411013 Pune MAHARASHTRA |
9823133390
minishjain009@gmail.com |
| Dr Kumar Prabhash |
Tata Memorial Hospital |
1108, 11th floor, Homi Bhabha Block Building, Dr E Borges Marg, Parel, Mumbai 400012 Mumbai MAHARASHTRA |
9167760576
kprabhash1@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 4 |
| Name of Committee |
Approval Status |
| Institutional Ethics Committee I_Tata Memorial Hospital |
Submittted/Under Review |
| Institutional Ethics Committee, AIIMS Bhubaneshwar |
Submittted/Under Review |
| Noble Hospital Institutional Ethics Committee |
Submittted/Under Review |
| Supreme Independent Ethics Committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: C61||Malignant neoplasm of prostate, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
NA |
NA |
| Intervention |
Relugolix 120 mg Tablets |
Patients will receive a loading dose of 360 mg (3 tablets of Relugolix 120 mg) on day 1. From day 2, patients will take 1 tablet of Relugolix 120 mg daily till day 169 (week 24). |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
99.00 Year(s) |
| Gender |
Male |
| Details |
Patient will be included if all the inclusion criteria listed below are met:
1. Male patients aged greater than or equal to 18 years who agree to provide written informed consent
2. Has histologically or cytologically confirmed diagnosis of adenocarcinoma of the prostate
3. Patient is a candidate for, in the opinion of the investigator, at least 6 months of continuous androgen deprivation therapy for the management of androgen-sensitive advanced prostate cancer
4. Has a serum testosterone at the Screening and randomization visit of greater than or equal to 150 ng/dL
5. Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 at initial screening and at baseline
6. Is a male patient who, even if surgically sterilized, agrees to use a male condom if having sex with a woman of childbearing potential or a pregnant woman, during the entire study Treatment Period and for at least 2 weeks after last treatment dose
|
|
| ExclusionCriteria |
| Details |
Patient will be excluded if any disease specific or study specific exclusion criteria listed below are met:
1. In the investigators opinion, is likely to require chemotherapy or surgical therapy for disease management within 6 months of initiating study drug
2. Previously received gonadotropin-releasing hormone analogue or other form of androgen deprivation therapy (estrogen or antiandrogen) for greater than 18 months total duration. If androgen deprivation therapy was received for lesser than or equal to 18 months total duration, then that therapy must have been completed at least 3 months prior to baseline. If the dosing interval of the depot is longer than 3 months, then the prior androgen deprivation therapy must have been completed at least as long as the dosing interval of the depot
3. Previous systemic cytotoxic treatment for prostate cancer
4. Patients with suspected Brain metastasis based on clinical evaluation
5. History of surgical castration
6. Have following laboratory values at screening
• Serum ALT and/or AST greater than 2 ULN
• Total bilirubin greater than ULN
• Serum creatinine greater than 2.0 mg/dL
• Platelets less than 100 x 1000 /µL
• Hemoglobin less than 10.0 g/dL
• Leukocytes (WBC) less than 3 x 1000 /µL
• Absolute neutrophil count less than 1.5 x 1000/µL
7. Previous treatment with Relugolix.
8. Known gastrointestinal disease or procedure that could interfere with the oral absorption or tolerance of relugolix, including inability to swallow whole tablets
9. Any other medical or psychiatric condition or laboratory examination finding that, in the opinion of the investigator, would interfere with accomplishing the study objectives or the patient completing the study. |
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
| 1. Sustained castration rate defined as proportion of patients achieving and maintaining serum testosterone at castrate level (lesser than 50ng/dL) by week 4 through 24 weeks of treatment |
Day 29 to Day 169 |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| 1. Castration rate defined as proportion of patients achieving serum testosterone lesser than 50ng/dL. |
Day 4, Day 8 (week 1) and Day 15 (week 2) |
| 2. Profound castration rate defined as proportion of patients achieving serum testosterone lesser than 20ng/dL |
Day 15 (week 2) |
| 3. Sustained Profound castration rate defined as proportion of patients achieving and maintaining serum testosterone suppression of lesser than 20 ng/dL by Week 4 through 24 weeks of treatment |
[Day 29 to Day 169]. |
| 4. PSA response rate |
Day 15 (week 2), Day 29 (week 4), Day 57 (week 8), Day 85 (week 12), Day 113 (week 16), Day 141 (week 20), Day 169 (week 24) |
|
|
Target Sample Size
|
Total Sample Size="127" Sample Size from India="127"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
Phase 4 |
|
Date of First Enrollment (India)
|
21/02/2025 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
21/02/2025 |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="0" Months="7" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Yet Recruiting |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
This is a Phase IV, single arm, multicenter,
open label, study in patients with advanced prostate cancer. The study will be initiated only after the
receipt of regulatory and ethics committee (EC) approval.After confirming
the eligibility patients will be enrolled in the study. The enrolled patients
will undergo 24 weeks treatment period. Patients will receive a loading dose of
360 mg (3 tablets of Relugolix 120 mg) on day 1. From day 2, patients will take
1 tablet of Relugolix 120 mg daily till day 169 for 24 weeks (Treatment period). And week 24 will be considered EOT visit. During the study, assessments will be performed as mentioned in Schedule of Assessment. The study consists of total twelve visits. Both efficacy and safety will be
assessed during the study period. Patients who are withdrawn/ terminating early
from the study will complete end of treatment visit assessment and will be
followed up for safety 2 weeks after last IP dose. Patients will be provided with diary to record
details about study drug administration and adverse events. Patients will be
required to bring completed diary of previous visit at upcoming visit to
facility. |