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CTRI Number  CTRI/2019/08/020820 [Registered on: 21/08/2019] Trial Registered Prospectively
Last Modified On: 18/10/2021
Post Graduate Thesis  No 
Type of Trial  BA/BE 
Type of Study    
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Leuprorelin Acetate Injectable Suspension 11.25 mg in male subjects with metastatic prostate cancer  
Scientific Title of Study   A randomized, open label, multi-center, two-treatment, single-period, parallel group, single dose, Pharmacokinetic - Pharmacodynamic study of Leuprorelin Acetate Injectable Suspension 11.25 mg of Daewoong Pharmaceutical Co. Ltd, South Korea with Leuplin depot 3M 11.25 mg S.C. Injection manufactured by Takeda, Japan in male subjects with metastatic prostate cancer undergoing initial therapy under fasting condition 
Trial Acronym  NA 
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
CBCC/2019/007, Amendment Number 1.1 Dated 02/Jan/2020  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sandeep Singh 
Designation  Director Operations 
Affiliation  CBCC Global Research LLP 
Address  Clinical Operations Department, Room Number 2, East Wing, Second Floor Skoda House, Opposite L. J Campus, S. G. Highway, Sarkhej, Ahmedabad – 382210, India.

Ahmadabad
GUJARAT
382210
India 
Phone  9637555304  
Fax    
Email  sandeep.singh@cbccusa.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sandeep Singh 
Designation  Director Operations 
Affiliation  CBCC Global Research LLP 
Address  Clinical Operations Department, Room Number 2, East Wing, Second Floor Skoda House, Opposite L. J Campus, S. G. Highway, Sarkhej, Ahmedabad – 382210, India.

Ahmadabad
GUJARAT
382210
India 
Phone  9637555304  
Fax    
Email  sandeep.singh@cbccusa.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sandeep Singh 
Designation  Director Operations 
Affiliation  CBCC Global Research LLP 
Address  Clinical Operations Department, Room Number 2, East Wing, Second Floor Skoda House, Opposite L. J Campus, S. G. Highway, Sarkhej, Ahmedabad – 382210, India.

Ahmadabad
GUJARAT
382210
India 
Phone  9637555304  
Fax    
Email  sandeep.singh@cbccusa.com  
 
Source of Monetary or Material Support  
Daewoong Pharmaceutical Co. Ltd 72, Dugye- ro, Pogok-eup, Cheoin-gu, Yongin-si, Gyeonggi-do, 17028, South Korea  
 
Primary Sponsor  
Name  Daewoong Pharmaceutical Co Ltd 
Address  72, Dugye- ro, Pogok-eup, Cheoin-gu, Yongin-si, Gyeonggi-do, 17028, South Korea  
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
NA  NA 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 6  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr K Velavan  Erode Cancer Center  1/393, VELAVAN NAGAR, PERUNDURA! ROAD, THINDAL, ERODE .638 012. TAMIL NADU, INDIA
Erode
TAMIL NADU 
9942334222

kvels@rediffmail.com 
Dr Rajeev Chaudhari  Grant Medical Foundation, Ruby Hall Clinic  Grant Medical Foundation, Ruby Hall Clinic, Dept. of Urology, 40, Sassoon Road, Pune-411001, Maharashtra, India.
Pune
MAHARASHTRA 
9822052661

rrcpune@gmail.com 
Dr Rajnish Nagarkar  HCG Manavata Cancer Centre  HCG Manavata Cancer Centre, 1st Floor, MCRI Department, Behind Shivang Auto, Mumbai Naka, Nashik - 422001, Maharashtra, India.
Nashik
MAHARASHTRA 
9823061929

drraj@manavatacancercentre.com 
Dr P Chaithanya  MNJ Institute of Oncology and Regional Cancer Center  Red hills Road, Red hills, Lakadi ka pul, beside Niloufer Hospital, Hyderabad-500004, Telangana, India
Hyderabad
TELANGANA 
8897199994

mnjiorccchaithanya@gmail.com 
Dr Minish Jain  Noble Hospital Pvt.Ltd  Noble Hospital Pvt. Ltd, Basement, Clinical Research Department,153, Magarpatta City Road, Hadapsar, Pune-411013, Maharashtra, India
Pune
MAHARASHTRA 
9823133390

minishjain009@gmail.com 
Dr Mukesh C Arya  S. P. Medical Collage and A. G. Hospitals  Dept. of Urology, Ground Floor, S. P. Medical College & A.G. of Hospitals, Bikaner-334003, Rajasthan, India.
Bikaner
RAJASTHAN 
9782300231

mcarya@yahoo.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 6  
Name of Committee  Approval Status 
Ethics Committee, S.P. Medical College & A.G. Hospitals  Approved 
Institutional Ethics Committee Erode Cancer Center  Approved 
Institutional Ethics Committee Noble Hospital Pvt.Ltd  Approved 
Institutional Ethics Committee, Poona Medical Research Foundation  Approved 
Manavata Clinical Research Institute Ethics Committee  Approved 
MNJ Institute of Oncology & Regional Cancer Centre Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
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  Leuplin depot (leuprolide acetate for injection) 3M 11.25 mg   dose: 11.25 mg, duration: 3 Month, mode of administration: Depot Injection 
Intervention  Luphere (Leuprorelin Acetate) depot injection 11.25 mg   dose: 11.25 mg, duration: 3 Month, mode of administration: Depot Injection 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Male 
Details  1. Subjects must be able to provide voluntary written informed consent and to follow protocol requirements

2. Male subjects aged 18 to 75 years (both inclusive) having Body Mass Index (BMI) at least 17 calculated as weight in kg/height in m2.

3. Subjects with histologically/cytologically confirmed prostate cancer.

4. Newly diagnosed metastatic prostate cancer patients scheduled to receive their first dose of leuprorelin acetate as a part of their standard of care.

5. Subjects with Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2 (Refer appendix A).


6. Acceptable hematology status:
a. Hemoglobin ≥ 9 g/dL
b. Absolute neutrophil count (ANC) ≥ 1500 cells/μL
c. Platelet count ≥ 75,000 cells/μLprior to dosing.
7. Acceptable liver function:
a. Alanine aminotransferase (ALT) ≤ 2X upper limit of normal (ULN)
b. Aspartate aminotransferase (AST) ≤ 2X ULN
c. Bilirubin < 1.2 mg/dL
d. Alkaline phosphatase ≤ 5X ULN
8. Subjects with creatinine clearance ≥ 60 mL/minute.

9. Subjects with HbA1c ≤ 7 %.

10. No history of addiction to any recreational drug or drug dependence or alcohol addiction.

11. Subjects who agree to use adequate male contraceptive methods while in the study

12. Subjects with life expectancy of > 180 days at the time of screening.
 
 
ExclusionCriteria 
Details  1. Known hypersensitivity or contraindication to GnRH, GnRH agonist or to any of the components of investigational product.

2. History or presence of any uncontrolled debilitating systemic disease (e.g. cardiovascular disease, hypertension, diabetes mellitus etc.).

3. Prior orchidectomy, hypophysectomy or adrenalectomy

4. Clinical indication of urinary tract obstruction

5. Subjects with major surgical procedure (including periodontal) within 28 days of first dose of Investigational Product.

6. Subjects with surgical or other non-healing wounds

7. Subjects with positive serology for Hepatitis B Virus (HBV), Hepatitis C Virus (HCV), or Human Immunodeficiency Virus (HIV)

8. Subjects with positive urine screen for drugs of abuse.
9. Subjects with positive alcohol breath test.
10. Smokers who smoke greater than or equal to 10 cigarettes or equivalent per day
11. Participation in any clinical study within 90 days prior to receiving the first dose of Investigational Product.

12. Donation of ≥ 350 mL blood within 90 days prior to receiving the first dose of investigational product for the current study.

13. Any other medical condition or serious intercurrent illness that, in the opinion of the Investigator, may make it undesirable for the subject to participate in the study including but not limited to cirrhosis or psychiatric illness/social situations that would limit adherence to study requirements.

14. Any other condition(s) which could significantly interfere with Protocol compliance including, but not limited to, dementia, psychosis, cognitive impairment, altered mental status, or other major psychiatric disorder.

15. Subjects with known CNS metastasis
16. Subjects with history of other malignancies in the last 5 years (except in situ cancer or basal or squamous cell skin cancer).
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To establish PK and PD bioequivalence of Luphere (Leuprorelin Acetate) depot Injection 11.25 mg of Daewoong Pharmaceutical Co. Ltd, South Korea and Leuplin depot 3M 11.25 mg S.C. Injection manufactured by Takeda, Japan   Day01: Pre-dose blood sample (00.00) within 30 minutes prior to dosing. 00.25 hr, 00.50 hr. 01.00 hr. 01.50 hr, 02.00 hr. 02.50 hr. (± 05 minutes), 03.00 hrs, 04.00 hr, 06.00 hr, 08.00 hr, 12.00 hr (± 10 minutes), Day02: 24.00 hr (± 10 minutes), Day03: 48.00 hr, Day07:144.00 hr, Day14: 312.00 hr, Day21: 480.00 hr, Day28: 648.00 hr, Day35: 816.00 hr(± 4 hr), Day42: 984.00 hr, Day56: 1320.00 hr, Day 70 1656.00 hr, Day84: 1992.00 hr, Day98: 2328.00 hr, Day112: 2664.00 hr (± 1 Day) 
 
Secondary Outcome  
Outcome  TimePoints 
Safety and tolerability of test product compared to reference product by monitoring adverse events   Day01: Pre-dose blood sample (00.00) within 30 minutes prior to dosing. 00.25 hr, 00.50 hr. 01.00 hr. 01.50 hr, 02.00 hr. 02.50 hr. (± 05 minutes), 03.00 hrs, 04.00 hr, 06.00 hr, 08.00 hr, 12.00 hr (± 10 minutes), Day02: 24.00 hr (± 10 minutes), Day03: 48.00 hr, Day07:144.00 hr, Day14: 312.00 hr, Day21: 480.00 hr, Day28: 648.00 hr, Day35: 816.00 hr(± 4 hr), Day42: 984.00 hr, Day56: 1320.00 hr, Day 70 1656.00 hr, Day84: 1992.00 hr, Day98: 2328.00 hr, Day112: 2664.00 hr (± 1 Day) 
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
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   N/A 
Date of First Enrollment (India)   15/09/2019 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Other (Terminated) 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  
The Study is A randomized, open label, multi-center, two-treatment, single-period, parallel group, single dose, Pharmacokinetic - Pharmacodynamic study of Leuprorelin Acetate Injectable Suspension 11.25 mg of Daewoong Pharmaceutical Co. Ltd, South Korea with Leuplin depot 3M 11.25 mg S.C. Injection manufactured by Takeda, Japan in male subjects with metastatic prostate cancer undergoing initial therapy under fasting condition

Primary Objective: To establish PK and PD bioequivalence of Luphere (Leuprorelin Acetate) depot Injection 11.25 mg of Daewoong Pharmaceutical Co. Ltd, South Korea and Leuplin depot 3M 11.25 mg S.C. Injection manufactured by Takeda, Japan

Secondary Objective: Safety and tolerability of test product compared to reference product by monitoring adverse events

 
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