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A QT/QTc and Multi-dose PK Study of Abiraterone Acetate (CB7630) Plus Prednisone in Patients With Metastatic Castration- Resistant Prostate Cancer

Phase 1
18 Years
Not Enrolling
Prostate Neoplasms

Thank you

Trial Information

A QT/QTc and Multi-dose PK Study of Abiraterone Acetate (CB7630) Plus Prednisone in Patients With Metastatic Castration- Resistant Prostate Cancer

This is an open-label (identity of assigned study drugs will be known) study to evaluate the
effects of abiraterone acetate plus prednisone on the conduction of electric charges within
the heart in male patients diagnosed with metastatic castration-resistant prostate cancer (a
progressive form of prostate cancer that spreads to other parts of the body). At various
time points outline in the protocol from Day -1 of Cycle 1 up to Day 2 of Cycle 2, patients
will have electrocardiograms extracted from a 24 hour holter-monitor to evaluate the
electrical activity of their heart. Efficacy will be assessed according to Prostate Cancer
Working Group 2 and modified Response Evaluation Criteria In Solid Tumors criteria. Serial
blood samples for pharmacokinetic analysis (how the drug concentrations change over time)
will be collected and safety will be monitored throughout the study. Patients will take 1000
mg of abiraterone acetate once daily plus prednisone 5 mg twice daily orally (by mouth)
until disease progression and will be followed up for up to 60 months.

Inclusion Criteria:

- Histologically or cytologically confirmed adenocarcinoma of the prostate without
neuroendocrine differentiation or small cell histology

- Documented metastatic disease

- Has not received chemotherapy or has no more than one line of cytotoxic chemotherapy
or biologic therapy for treatment of castration resistant prostate cancer (CRPC)

- Documented prostate specific antigen (PSA) progression as assessed by the
investigator according to Prostate Cancer Working Group 2 (PCWG2) criteria despite
medical or surgical castration, or prostate cancer progression documented by
radiographic progression according to Response Evaluation Criteria In Solid Tumors
(RECIST) criteria

- Surgically or medically castrated with testosterone levels of <50 ng/dL (<2.0 nM)

- Eastern Cooperative Oncology Group (ECOG) Performance Status of <= 1

- Agrees to protocol-defined use of effective contraception

- Protocol-specified laboratory parameters

Exclusion Criteria:

- Serious or uncontrolled co-existent non-malignant disease, including active and
uncontrolled infection

- Abnormal liver function

- Uncontrolled hypertension

- Active or symptomatic viral hepatitis or chronic liver disease

- Known brain metastasis

- History of pituitary or adrenal dysfunction

- Clinically significant heart disease as evidenced by myocardial infarction, or
arterial thrombotic events in the past 6 months, severe or unstable angina, or New
York Heart Association (NYHA) Class II-IV heart disease or cardiac ejection fraction
measurement of < 50 % at baseline

- Diagnosis of cardiac arrhythmia

- Treatment with anti-arrhythmic drugs primarily for cardiac arrhythmia

- Abnormal electrocardiogram

- Other malignancy (except non-melanoma skin cancer, that is active or has a ≥ 30%
probability of recurrence within 24 months) History of gastrointestinal disorders
(medical disorders or extensive surgery) which may interfere with the absorption of
the study drug

- Surgery or local prostatic intervention within 30 days of the first dose

- Radiotherapy or immunotherapy within 30 days, or single fraction of palliative
radiotherapy within 14 days of administration of Cycle 1 Day 1

- Any acute toxicities due to prior therapy that have not resolved to a NCI CTCAE
(version 3.0) grade of <=1

- More than one prior cytotoxic chemotherapy or biologic therapy for treatment of CRPC

- Prior chemotherapy with mitoxantrone or other anthracyclines (ie, doxorubicin,
daunomycin, epirubicin and idarubicin)

- Current enrollment in an investigational drug or device study or participation in
such a study within 30 days of Cycle 1 Day 1

- Prior flutamide (Eulexin) treatment within 4 weeks of Cycle 1 Day 1

- Prior bicalutamide (Casodex), nilutamide (Nilandron, Anandron) within 6 weeks of
Cycle 1 Day 1

- Previous abiraterone acetate or other investigational CYP17 inhibitor (eg, TAK-700)

- Previous investigational antiandrogens (eg, MDV3100, BMS-641988)

- Patients receiving anti-coagulant therapy

- Condition or situation which, in the investigator's opinion, may put the patient at
significant risk, may confound the study results, or may interfere significantly with
patient's participation in the study

Type of Study:


Study Design:

Endpoint Classification: Pharmacokinetics/Dynamics Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Mean maximal change in electrocardiogram QTc

Outcome Time Frame:

Baseline on Day -1 of Cycle 1 compared with Day 1 of Cycle 1, Cycle 2, Cycle 4 and every third cycle thereafter

Safety Issue:


Principal Investigator

Janssen Research & Development, LLC Clinical Trial

Investigator Role:

Study Director

Investigator Affiliation:

Janssen Research & Development, LLC


United States: Food and Drug Administration

Study ID:




Start Date:

May 2009

Completion Date:

May 2012

Related Keywords:

  • Prostate Neoplasms
  • Prostate neoplasms
  • Metastatic castration resistant prostate cancer
  • Abiraterone acetate
  • CB7630
  • Neoplasms
  • Prostatic Neoplasms



Roswell Park Cancer Institute Buffalo, New York  14263
Albany, New York  12208
Austin, Texas  78705
Charleston, South Carolina  
Carolina Urologic Research Center Myrtle Beach, South Carolina  29572
South Texas Accelerated Research Therapeutics San Antonio, Texas  78229