Pharmacokinetic Food-effect Study of Abiraterone Acetate (A.A) in Patients With Metastatic Castration Resistant Prostate Cancer (mCRPC)
Condition: Prostate Cancer
Intervention:
- Drug: AA Reduced dose-normal diet (A)
- Drug: AA reduced dose-fat diet (B)
- Drug: AA normal dose-fasting conditions (C)
Purpose: ABIFOOD study is a randomized open-labelled, phase I study to evaluate food effect in the pharmacokinetic parameters of abiraterone acetate (AA) at reduced doses, versus AA in fasting conditions at conventional doses, in castration resistant prostate cancer (mCRPC) patients who have progressed to docetaxel.
Study Type: Interventional
Clinical Trials Identifier NCT 8-digits: NCT02730975
Sponsor: Fundación Pública Andaluza para la gestión de la Investigación en Sevilla
Primary Outcome Measures:
- Measure: Area under curve (AUC)
- Time Frame: 1, 2, 3, 4, 5, 6, 8, 12, y 24 hours post dose in day 1 of cycle 1 (28 days long) , day 10-14 of cycle 1 and day 1 of cycle 5(28 days long)
- Safety Issue:
- Measure: Peak Plasma Concentration (Cmax)
- Time Frame: 1, 2, 3, 4, 5, 6, 8, 12, y 24 hours post dose in day 1 of cycle 1 (28 days long) , day 10-14 of cycle 1 and day 1 of cycle 5(28 days long)
- Safety Issue:
- Measure: Time to reach peak plasma concentration (Tmax)
- Time Frame: 1, 2, 3, 4, 5, 6, 8, 12, y 24 hours post dose in day 1 of cycle 1 (28 days long) , day 10-14 of cycle 1 and day 1 of cycle 5(28 days long)
- Safety Issue:
Secondary Outcome Measures:
- Measure: PSA (Prostate Specific Antigen) levels
- Time Frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 100 months
- Safety Issue:
- Measure: Response rate
- Time Frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 100 months
- Safety Issue:
- Measure: Pain intensity
- Time Frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 100 months
- Safety Issue:
- Measure: Use of analgesics
- Time Frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 100 months
- Safety Issue:
- Measure: Total daily dose of analgesics
- Time Frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 100 months
- Safety Issue:
Estimated Enrollment: 42
Study Start Date: May 12, 2014
Phase: Phase 1
Eligibility:
- Age: minimum 18 Years maximum N/A
- Gender: Male
Inclusion Criteria:
- Patients with histologically or cytologically confirmed prostate adenocarcinoma without neuroendocrine differentiation or with no small cell histology.
- At least one, but no more than two regimens of cytotoxic chemotherapy for metastatic castration-resistant prostate cancer. At least one regimen must have contained docetaxel.
- Men 18 years old or more.
- Criteria for progression according to the recommendations of the Prostate Cancer Working Group.
- Androgen deprivation present with testosterone levels <50 ng / dl or <2.0 nmol / l).
- ECOG (Eastern Cooperative Oncology Group) performance status <2.
- Adequate organ function
- Accept the use of barrier methods of contraception throughout the study
- Signature of informed consent to participate in the study consent.
Exclusion Criteria:
- Inability or unwillingness to swallow tablets.
- Known brain metastases
- Significant chronic gastrointestinal disorder with diarrhea as the main symptom (Crohn’s disease, ulcerative colitis, malabsorption, or grade ≥ 2 diarrhea of any etiology at baseline).
- Local prostate surgery or intervention within 30 days prior to the first dose. Further, any clinically relevant sequel to surgery should be resolved before the 1st of cycle 1.
- Radiotherapy, chemotherapy or immunotherapy within 30 days before or single fraction of palliative radiotherapy within 14 days prior to the administration of the day 1of Cycle 1.
- Patients with uncontrolled hypertension, clinically significant heart disease as evidenced by myocardial infarction, or arterial thrombotic events in the past 6 months, severe or unstable angina, heart failure Class III or IV of the New York Heart Association or cardiac ejection fraction <50%, active or symptomatic viral hepatitis, chronic liver failure, clinically significant adrenal or pituitary dysfunction. (Patients with hypertension controlled with drugs are allowed)
- Any acute toxicity due to chemotherapy and / or prior radiotherapy has not been resolved to ≤ grade 1 NCI CTCAE (version 4). Alopecia and grade 2 peripheral neuropathy induced by chemotherapy are allowed.
- Previous treatment with abiraterone acetate.
Contact:
- Clara Rosso Fernández, MD-PhD
- 0034954313414
Location:
- Hospital Universitario Virgen del Rocío
- Seville 41013 Spain
View trial on ClinicalTrials.gov