Evidence map›Paper›PMID 28334771›Full record

Trial reportJapanese journal of clinical oncology2017

Efficacy and safety of a 3-month dosing regimen of degarelix in Japanese patients with prostate cancer: a phase II maintenance-dose-finding study.

Seiichiro Ozono, Taiji Tsukamoto, Seiji Naito, Yasuo Ohashi, Takeshi Ueda, Tsutomu Nishiyama, Hideki Maeda, Hidehito Kusuoka, Rio Akazawa, Mototsugu Ito and 1 more

Open access · hybridAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Japanese journal of clinical oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Review
  3. Editorial Comment to Considerations for the use of gonadotropin-releasing hormone agonists and antagonists in patients with prostate cancer.International journal of urology : official journal of the Japanese Urological Association · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 8 institutions in 1 country.

Seiichiro OzonoDepartment of Urology, Hamamatsu University School of Medicine, Shizuoka.
Taiji TsukamotoDepartment of Urology, Sapporo Medical University, Hokkaido.
Seiji NaitoDepartment of Urology, Harasanshin Hospital, Fukuoka.
Yasuo OhashiDepartment of Integrated Science and Engineering for Sustainable Society, Chuo University, Tokyo.
Takeshi UedaProstate Center and Division of Urology, Chiba Cancer Center, Chiba.
Tsutomu NishiyamaDepartment of Urology, Uonuma Institute of Community Medicine, Niigata University Medical and Dental Hospital, Niigata.
Hideki MaedaMedical Research, Medical Affairs, Astellas Pharma Inc., Tokyo.
Hidehito KusuokaJapan-Asia Clinical Development 1, Development, Astellas Pharma Inc., Tokyo.
Rio AkazawaJapan-Asia Data Science, Development, Astellas Pharma Inc., Tokyo.
Mototsugu ItoJapan-Asia Clinical Pharmacology, Development, Astellas Pharma Inc., Tokyo.
Hideyuki AkazaStrategic Investigation on Comprehensive Cancer Network, The University of Tokyo, Tokyo, Japan.
Astellas Pharma (Japan) · JPChiba Cancer Center · JPChuo University · JPHamamatsu University School of Medicine · JPHarasanshin Hospital · JPNiigata University Medical and Dental Hospital · JPSapporo Medical University · JPThe University of Tokyo · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the efficacy and safety of degarelix 3-month depot in Japanese patients with prostate cancer.

methodsIn this Phase II, open-label, parallel-group study, 155 Japanese prostate cancer patients were randomized to treatment with degarelix administered subcutaneously at a maintenance dose of 360 or 480 mg every 84 days for 12 months, after receiving an initial dose of 240 mg. The primary endpoint was the cumulative probability of serum testosterone ≤0.5 ng/ml (Days 28-364). Secondary endpoints included percent change in serum prostate-specific antigen level and proportion of patients with prostate-specific antigen failure at Day 364. For safety, adverse events were evaluated.

resultsThe cumulative probability of serum testosterone ≤0.5 ng/ml (Days 28-364) was 88.3% (95% confidence interval: 77.9-94.0%) and 97.2% (95% confidence interval: 89.4-99.3%) in the 360 and 480 mg groups, respectively. The median percent change in serum prostate-specific antigen level from baseline to Day 364 was -95.05% and -96.43% in the 360 and 480 mg groups, respectively; the proportion of patients with prostate-specific antigen failure was 2.7% and 1.3%. The most frequent adverse event was injection site reaction; however, this did not cause any patient to discontinue treatment.

conclusionsThe 3-month dosing regimen of degarelix 360/480 mg was effective and well tolerated for treatment of Japanese prostate cancer patients. The 480 mg group showed a higher cumulative castration rate than the 360 mg group; thus, 480 mg was considered to be the optimal clinical dosage for future Phase III trials.

Indexed as

Asian PeopleMaintenance ChemotherapyAgedDose-Response Relationship, DrugHumansMaleOligopeptidesProstatic NeoplasmsTestosteroneTime FactorsTreatment Outcomeacetyl-2-naphthylalanyl-3-chlorophenylalanyl-1-oxohexadecyl-seryl-4-aminophenylalanyl(hydroorotyl)-4-aminophenylalanyl(carbamoyl)-leucyl-ILys-prolyl-alaninamideOligopeptidesTestosteroneclinical trialdegarelixgonadotropin-releasing hormone antagonistJapanprostate cancer

Identifiers

PMID28334771
PMCPMC5421626
OpenAlexW2589815139

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.