Serum Ultra-sensitive testosterone was measured by liquid chromatography at a central laboratory.
| Group | Value | 95% CI |
|---|---|---|
| Placebo (Japan) | 86.0 | 63.7 – 97.0 |
| Orteronel 300 mg (Japan) | 100.0 | 84.6 – 100.0 |
Last reviewed · How we verify
Study in Japan and Ex-Japan to Characterize the Pharmacokinetic and Pharmacodynamic Response to Orteronel (TAK-700) in Chemotherapy-Naive Participants With Castration-Resistant Prostate Cancer
Phase 1, PHASE2 trial testing Orteronel in Prostate Cancer in 137 participants. Completed in 1 September 2016.
| Lead sponsor | Millennium Pharmaceuticals, Inc. |
|---|---|
| Phase | Phase 1, PHASE2 |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | quadruple |
| Primary purpose | treatment |
| Enrollment | 137 |
| Start date | 20 August 2012 |
| Primary completion | 12 September 2013 |
| Estimated completion | 1 September 2016 |
| Sites | 1 location across United States |
Millennium Pharmaceuticals, Inc. — full company profile →
18 and older, male only, with Prostate Cancer. Patients with the condition only — healthy volunteers not accepted.
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Serum Ultra-sensitive testosterone was measured by liquid chromatography at a central laboratory.
| Group | Value | 95% CI |
|---|---|---|
| Placebo (Japan) | 86.0 | 63.7 – 97.0 |
| Orteronel 300 mg (Japan) | 100.0 | 84.6 – 100.0 |
Serum Ultra-sensitive testosterone was measured by liquid chromatography at a central laboratory.
| Group | Value | 95% CI |
|---|---|---|
| Placebo (Ex-Japan) | 48.0 | 26.8 – 69.4 |
| Orteronel 400 mg (Ex-Japan) | 79.0 | 57.8 – 92.9 |
Serum Ultra-sensitive testosterone was measured by liquid chromatography at a central laboratory.
| Group | Value | 95% CI |
|---|---|---|
| Placebo (Japan) | -87.666 | ± 10.4250 |
| Orteronel 200 mg (Japan) | -97.245 | ± 1.2548 |
| Orteronel 300 mg (Japan) | -96.812 | ± 2.7055 |
| Placebo (Ex-Japan) | -63.702 | ± 43.3941 |
| Orteronel 200 mg (Ex-Japan) | -86.268 | ± 37.2015 |
| Orteronel 400 mg (Ex-Japan) | -53.954 | ± 118.8050 |
Serum Ultra-sensitive testosterone was measured by liquid chromatography at a central laboratory.
| Group | Value | 95% CI |
|---|---|---|
| Orteronel 200 mg (Japan) | -95.804 | ± 5.3367 |
| Orteronel 300 mg (Japan) | -95.703 | ± 5.7468 |
| Orteronel 200 mg (Ex-Japan) | -91.311 | ± 17.5217 |
| Orteronel 400 mg (Ex-Japan) | -14.442 | ± 406.3116 |
A 50% PSA response rate (PSA50) was defined as PSA reduction ≥ 50% from Baseline.
| Group | Value | 95% CI |
|---|---|---|
| Placebo (Japan) | 48.0 | 25.7 – 70.2 |
| Orteronel 200 mg (Japan) | 50.0 | 28.2 – 71.8 |
| Orteronel 300 mg (Japan) | 41.0 | 20.7 – 63.6 |
| Placebo (Ex-Japan) | 17.0 | 5.0 – 38.8 |
| Orteronel 200 mg (Ex-Japan) | 48.0 | 27.8 – 68.7 |
| Orteronel 400 mg (Ex-Japan) | 46.0 | 25.6 – 67.2 |
A 50% PSA response rate (PSA50) was defined as PSA reduction ≥ 50% from Baseline.
| Group | Value | 95% CI |
|---|---|---|
| Orteronel 200 mg (Japan) | 55.0 | 36.4 – 71.9 |
| Orteronel 300 mg (Japan) | 47.0 | 29.1 – 65.3 |
| Orteronel 200 mg (Ex-Japan) | 56.0 | 38.1 – 72.1 |
| Orteronel 400 mg (Ex-Japan) | 44.0 | 27.9 – 61.9 |
Serum Ultra-sensitive testosterone was measured by liquid chromatography at a central laboratory.
| Group | Value | 95% CI |
|---|---|---|
| Placebo (Japan) | 9.749 | ± 3.8460 |
| Orteronel 200 mg (Japan) | 9.079 | ± 4.4581 |
| Orteronel 300 mg (Japan) | 10.148 | ± 4.6504 |
| Placebo (Ex-Japan) | 9.173 | ± 5.6123 |
| Orteronel 200 mg (Ex-Japan) | 9.263 | ± 5.6572 |
| Orteronel 400 mg (Ex-Japan) | 14.588 | ± 13.9833 |
| Group | Value | 95% CI |
|---|---|---|
| Placebo (Japan) | 1.957 | ± 2.2843 |
| Orteronel 200 mg (Japan) | 0.213 | ± 0.0449 |
| Orteronel 300 mg (Japan) | 0.251 | ± 0.1727 |
| Placebo (Ex-Japan) | 3.509 | ± 4.3471 |
| Orteronel 200 mg (Ex-Japan) | 0.345 | ± 0.2770 |
| Orteronel 400 mg (Ex-Japan) | 6.658 | ± 20.4347 |
| Group | Value | 95% CI |
|---|---|---|
| Placebo (Japan) | 1.096 | ± 0.7751 |
| Orteronel 200 mg (Japan) | 0.203 | ± 0.0145 |
| Orteronel 300 mg (Japan) | 0.270 | ± 0.2311 |
| Placebo (Ex-Japan) | 3.095 | ± 3.7254 |
| Orteronel 200 mg (Ex-Japan) | 0.266 | ± 0.1837 |
| Orteronel 400 mg (Ex-Japan) | 11.720 | ± 45.1753 |
Serum Ultra low level quantification of DHEA-S was measured by liquid chromatography and mass spectrometry (LC/MS) at a central laboratory.
| Group | Value | 95% CI |
|---|---|---|
| Placebo (Japan) | 1928.0 | ± 1306.59 |
| Orteronel 200 mg (Japan) | 2529.0 | ± 1309.39 |
| Orteronel 300 mg (Japan) | 2340.9 | ± 1606.36 |
| Placebo (Ex-Japan) | 2601.7 | ± 3009.41 |
| Orteronel 200 mg (Ex-Japan) | 1783.0 | ± 1554.76 |
| Orteronel 400 mg (Ex-Japan) | 2155.7 | ± 1591.51 |
| Group | Value | 95% CI |
|---|---|---|
| Placebo (Japan) | 414.9 | ± 392.63 |
| Orteronel 200 mg (Japan) | 63.4 | ± 55.11 |
| Orteronel 300 mg (Japan) | 71.8 | ± 80.23 |
| Placebo (Ex-Japan) | 973.8 | ± 1677.95 |
| Orteronel 200 mg (Ex-Japan) | 116.9 | ± 161.01 |
| Orteronel 400 mg (Ex-Japan) | 226.6 | ± 328.70 |
| Group | Value | 95% CI |
|---|---|---|
| Placebo (Japan) | 268.9 | ± 357.32 |
| Orteronel 200 mg (Japan) | 14.5 | ± 21.83 |
| Orteronel 300 mg (Japan) | 36.3 | ± 123.48 |
| Placebo (Ex-Japan) | 815.7 | ± 1918.88 |
| Orteronel 200 mg (Ex-Japan) | 21.5 | ± 25.68 |
| Orteronel 400 mg (Ex-Japan) | 180.6 | ± 527.03 |
Serum ACTH was measured by immunometric assay at the central laboratory.
| Group | Value | 95% CI |
|---|---|---|
| Placebo (Japan) | 5.0 | ± 1.66 |
| Orteronel 200 mg (Japan) | 5.5 | ± 2.54 |
| Orteronel 300 mg (Japan) | 8.3 | ± 4.98 |
| Placebo (Ex-Japan) | 4.7 | ± 2.06 |
| Orteronel 200 mg (Ex-Japan) | 6.0 | ± 4.05 |
| Orteronel 400 mg (Ex-Japan) | 6.4 | ± 4.04 |
| Group | Value | 95% CI |
|---|---|---|
| Placebo (Japan) | 3.1 | ± 2.68 |
| Orteronel 200 mg (Japan) | 2.3 | ± 1.55 |
| Orteronel 300 mg (Japan) | 3.0 | ± 2.70 |
| Placebo (Ex-Japan) | 3.1 | ± 2.62 |
| Orteronel 200 mg (Ex-Japan) | 3.8 | ± 3.04 |
| Orteronel 400 mg (Ex-Japan) | 3.2 | ± 2.56 |
| Group | Value | 95% CI |
|---|---|---|
| Placebo (Japan) | 1.7 | ± 1.19 |
| Orteronel 200 mg (Japan) | 1.7 | ± 1.08 |
| Orteronel 300 mg (Japan) | 2.7 | ± 2.17 |
| Placebo (Ex-Japan) | 3.0 | ± 1.73 |
| Orteronel 200 mg (Ex-Japan) | 3.7 | ± 4.38 |
| Orteronel 400 mg (Ex-Japan) | 3.6 | ± 2.26 |
Serum Corticosterone was measured by high pressure liquid chromatography with mass spectrometry at the central laboratory.
| Group | Value | 95% CI |
|---|---|---|
| Placebo (Japan) | 5.946 | ± 3.4433 |
| Orteronel 200 mg (Japan) | 6.515 | ± 4.8246 |
| Orteronel 300 mg (Japan) | 7.768 | ± 6.8625 |
| Placebo (Ex-Japan) | 6.317 | ± 4.1467 |
| Orteronel 200 mg (Ex-Japan) | 10.030 | ± 7.7341 |
| Orteronel 400 mg (Ex-Japan) | 17.975 | ± 35.0695 |
| Group | Value | 95% CI |
|---|---|---|
| Placebo (Japan) | 1.530 | ± 1.6404 |
| Orteronel 200 mg (Japan) | 11.067 | ± 14.4220 |
| Orteronel 300 mg (Japan) | 9.709 | ± 13.4538 |
| Placebo (Ex-Japan) | 5.598 | ± 7.1366 |
| Orteronel 200 mg (Ex-Japan) | 48.668 | ± 66.3904 |
| Orteronel 400 mg (Ex-Japan) | 60.301 | ± 77.5434 |
| Group | Value | 95% CI |
|---|---|---|
| Placebo (Japan) | 0.758 | ± 0.5108 |
| Orteronel 200 mg (Japan) | 11.108 | ± 9.0708 |
| Orteronel 300 mg (Japan) | 14.654 | ± 9.2064 |
| Placebo (Ex-Japan) | 4.321 | ± 6.4063 |
| Orteronel 200 mg (Ex-Japan) | 29.929 | ± 35.5565 |
| Orteronel 400 mg (Ex-Japan) | 47.204 | ± 53.4566 |
Serum Cortisol was measured by immunometric assay at the central laboratory.
| Group | Value | 95% CI |
|---|---|---|
| Placebo (Japan) | 366.5 | ± 116.69 |
| Orteronel 200 mg (Japan) | 371.3 | ± 119.38 |
| Orteronel 300 mg (Japan) | 383.4 | ± 125.98 |
| Placebo (Ex-Japan) | 384.8 | ± 117.14 |
| Orteronel 200 mg (Ex-Japan) | 449.0 | ± 131.54 |
| Orteronel 400 mg (Ex-Japan) | 446.8 | ± 193.09 |
| Group | Value | 95% CI |
|---|---|---|
| Placebo (Japan) | 82.3 | ± 46.16 |
| Orteronel 200 mg (Japan) | 49.5 | ± 25.53 |
| Orteronel 300 mg (Japan) | 55.5 | ± 55.97 |
| Placebo (Ex-Japan) | 175.8 | ± 107.82 |
| Orteronel 200 mg (Ex-Japan) | 100.9 | ± 87.38 |
| Orteronel 400 mg (Ex-Japan) | 122.0 | ± 88.70 |
| Group | Value | 95% CI |
|---|---|---|
| Placebo (Japan) | 53.9 | ± 24.92 |
| Orteronel 200 mg (Japan) | 49.2 | ± 21.71 |
| Orteronel 300 mg (Japan) | 54.3 | ± 39.93 |
| Placebo (Ex-Japan) | 149.6 | ± 122.91 |
| Orteronel 200 mg (Ex-Japan) | 97.2 | ± 85.66 |
| Orteronel 400 mg (Ex-Japan) | 109.1 | ± 83.19 |
Serum PSA was measured at the central laboratory.
| Group | Value | 95% CI |
|---|---|---|
| Placebo (Japan) | 37.588 | ± 48.9413 |
| Orteronel 200 mg (Japan) | 27.227 | ± 24.8821 |
| Orteronel 300 mg (Japan) | 97.504 | ± 293.9496 |
| Placebo (Ex-Japan) | 133.238 | ± 189.9345 |
| Orteronel 200 mg (Ex-Japan) | 165.992 | ± 368.5016 |
| Orteronel 400 mg (Ex-Japan) | 100.237 | ± 210.5675 |
| Group | Value | 95% CI |
|---|---|---|
| Placebo (Japan) | 24.325 | ± 46.9725 |
| Orteronel 200 mg (Japan) | 18.005 | ± 16.9858 |
| Orteronel 300 mg (Japan) | 38.892 | ± 95.0124 |
| Placebo (Ex-Japan) | 152.940 | ± 261.9735 |
| Orteronel 200 mg (Ex-Japan) | 117.257 | ± 286.1870 |
| Orteronel 400 mg (Ex-Japan) | 56.437 | ± 97.1621 |
Time frame: From signing of the informed consent form through 30 days after the last dose of study drug, approximately 3.2 years.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.
| Reaction | System | Placebo | Orteronel 200 mg (Japan) | Orteronel 300 mg (Japan) | Orteronel 200 mg (Ex-Japan) | Orteronel 400mg (Ex-Japan) |
|---|---|---|---|---|---|---|
| Dehydration | Metabolism and nutrition disorders | — | — | — | — | — |
| Diabetes mellitus | Metabolism and nutrition disorders | — | — | — | — | — |
| Pneumonia | Infections and infestations | — | — | — | — | — |
| Hepatic function abnormal | Hepatobiliary disorders | — | — | — | — | — |
| Chronic obstructive pulmonary disease | Respiratory, thoracic and mediastinal disorders | — | — | — | — | — |
| Gastroenteritis viral | Infections and infestations | — | — | — | — | — |
| Haematuria | Renal and urinary disorders | — | — | — | — | — |
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | — | — | — | — | — |
| Diabetic ketoacidosis | Metabolism and nutrition disorders | — | — | — | — | — |
| Hyponatraemia | Metabolism and nutrition disorders | — | — | — | — | — |
| Pancreatitis | Gastrointestinal disorders | — | — | — | — | — |
| Pancreatitis acute | Gastrointestinal disorders | — | — | — | — | — |
| Duodenal ulcer | Gastrointestinal disorders | — | — | — | — | — |
| Bronchopneumonia | Infections and infestations | — | — | — | — | — |
| Influenza | Infections and infestations | — | — | — | — | — |
| Lung adenocarcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | — | — | — | — | — |
| Cancer pain | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | — | — | — | — | — |
| Rectal cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | — | — | — | — | — |
| Renal neoplasm | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | — | — | — | — | — |
| Pancreatic enzymes increased | Investigations | — | — | — | — | — |
| Liver function test abnormal | Investigations | — | — | — | — | — |
| Anaemia | Blood and lymphatic system disorders | — | — | — | — | — |
| Cardiac disorder | Cardiac disorders | — | — | — | — | — |
| General physical health deterioration | General disorders | — | — | — | — | — |
| Dizziness | Nervous system disorders | — | — | — | — | — |
| Reaction | System | Placebo | Orteronel 200 mg (Japan) | Orteronel 300 mg (Japan) | Orteronel 200 mg (Ex-Japan) | Orteronel 400mg (Ex-Japan) |
|---|---|---|---|---|---|---|
| Lipase increased | Investigations | — | — | — | — | — |
| Amylase increased | Investigations | — | — | — | — | — |
| Fatigue | General disorders | — | — | — | — | — |
| Diarrhoea | Gastrointestinal disorders | — | — | — | — | — |
| Nausea | Gastrointestinal disorders | — | — | — | — | — |
| Constipation | Gastrointestinal disorders | — | — | — | — | — |
| Muscle spasms | Musculoskeletal and connective tissue disorders | — | — | — | — | — |
| Hot flush | Vascular disorders | — | — | — | — | — |
| Diabetes mellitus | Metabolism and nutrition disorders | — | — | — | — | — |
| Decreased appetite | Metabolism and nutrition disorders | — | — | — | — | — |
| Vomiting | Gastrointestinal disorders | — | — | — | — | — |
| Oedema peripheral | General disorders | — | — | — | — | — |
| Gamma-glutamyltransferase increased | Investigations | — | — | — | — | — |
| Hypertension | Vascular disorders | — | — | — | — | — |
| Nasopharyngitis | Infections and infestations | — | — | — | — | — |
| Blood lactate dehydrogenase increased | Investigations | — | — | — | — | — |
| Alanine aminotransferase increased | Investigations | — | — | — | — | — |
| Aspartate aminotransferase increased | Investigations | — | — | — | — | — |
| Weight decreased | Investigations | — | — | — | — | — |
| Insomnia | Psychiatric disorders | — | — | — | — | — |
| Upper respiratory trat infection | Infections and infestations | — | — | — | — | — |
| Malaise | General disorders | — | — | — | — | — |
| Blood alkaline phosphatase increased | Investigations | — | — | — | — | — |
| Dizziness | Nervous system disorders | — | — | — | — | — |
| Back pain | Musculoskeletal and connective tissue disorders | — | — | — | — | — |
| Blood creatinine increased | Investigations | — | — | — | — | — |
| Fall | Injury, poisoning and procedural complications | — | — | — | — | — |
| Arthralgia | Musculoskeletal and connective tissue disorders | — | — | — | — | — |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | — | — | — | — | — |
| Hypokalaemia | Metabolism and nutrition disorders | — | — | — | — | — |
| Somnolence | Nervous system disorders | — | — | — | — | — |
| Dysgeusia | Nervous system disorders | — | — | — | — | — |
| Abdominal discomfort | Gastrointestinal disorders | — | — | — | — | — |
| Abdominal pain upper | Gastrointestinal disorders | — | — | — | — | — |
| Hyponatraemia | Metabolism and nutrition disorders | — | — | — | — | — |
| Dehydration | Metabolism and nutrition disorders | — | — | — | — | — |
| Abdominal pain | Gastrointestinal disorders | — | — | — | — | — |
| Blood urea increased | Investigations | — | — | — | — | — |
| Rash macular | Skin and subcutaneous tissue disorders | — | — | — | — | — |
| Stomatitis | Gastrointestinal disorders | — | — | — | — | — |
Most-reported serious reactions: Dehydration, Diabetes mellitus, Pneumonia, Hepatic function abnormal, Chronic obstructive pulmonary disease, Gastroenteritis viral, Haematuria, Pulmonary embolism.
Data from ClinicalTrials.gov NCT01666314 adverse events section.
This is a double-blind, placebo-controlled, multiregional Phase1/2 study to characterize the pharmacokinetic and pharmacodynamic responses to orteronel when administered concomitantly with prednisone in Chemotherapy-Naive Participants With Castration-Resistant Prostate Cancer
3 peer-reviewed publications reference this trial (live from Europe PMC):
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