The purpose of this study is to determine the effect of abiraterone acetate plus prednisone on the conduction of electric charges within the heart and to determine the blood levels of abiraterone acetate following administration 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.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
33
Abiraterone acetate 1000 mg (4 x 250 mg tablets) administered orally once daily.
Prednisone 5 mg tablets administered orally twice daily.
Roswell Park Cancer Institute
Buffalo, New York, United States
Unnamed facility
Buffalo, New York, United States
Carolina Urologic Research Center
Myrtle Beach, South Carolina, United States
Unnamed facility
Myrtle Beach, South Carolina, United States
Mean maximal change in electrocardiogram QTc
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
Number of participants with change from baseline electrocardiogram QTc >30 msec
Time frame: Pre-dose Cycles 1, 2, 4, and every third cycle after Cycle 4, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose, and end of study visit (4 weeks after last dose of study drug)
Number of participants with change from baseline electrocardiogram QTc >60 msec
Time frame: Pre-dose Cycles 1, 2, 4, and every third cycle after Cycle 4, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose, and end of study visit (4 weeks after last dose of study drug)
Number of participants affected by an adverse event
Time frame: Up to 30 days after the last dose of study medication
Number of participants with change in cortrosyn stimulation test
Time frame: Baseline and end of study visit (4 weeks after last dose of study drug)
Number of participants with change in serum blood levels of testosterone
Time frame: Baseline and end of study visit (4 weeks after last dose of study drug)
Number of participants with change in adrenocorticotropic hormone
Time frame: Baseline and end of study visit (4 weeks after last dose of study drug)
Mean plasma concentrations of abiraterone
Time frame: Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose
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South Texas Accelerated Research Therapeutics
San Antonio, Texas, United States
Unnamed facility
San Antonio, Texas, United States
BC Cancer Agency-Vancouver
Vancouver, British Columbia, Canada
Unnamed facility
Vancouver, British Columbia, Canada
Maximum plasma concentrations of abiraterone
Time frame: Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose
Time to reach the maximum plasma concentration of abiraterone
Time frame: Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose
Area under the plasma-concentration-time curve from time 0 to the last quantifiable concentration of abiraterone
Time frame: Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose
Area under the plasma-concentration-time curve from time 0 to infinite time of abiraterone
Time frame: Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose
Elimination half-life of abiraterone
Time frame: Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose
Radiographic progression free survival
Time frame: Up to Month 60
Overall survival
Time frame: Up to Month 60
Number of participants with prostate specific antigen response
Time frame: Week 12
Time to prostate specific antigen progression according to Prostate Cancer Working Group 2 criteria
Time frame: Up to Month 60
Number of participants with objective radiographic response according to Prostate Cancer Working Group 2 criteria
Time frame: Up to Month 60