Trial Outcomes & Findings for Study to Compare Capsule and Liquid Formulations of Enzalutamide After Single Dose Administration Under Fasting Conditions in Prostate Cancer (NCT NCT03478904)

NCT ID: NCT03478904

Last Updated: 2021-05-10

Results Overview

AUC is the cumulative drug exposure (drug concentration \* time) for this single dose over a 42-day sampling period. Participants were randomized to receive Enzalutamide gel capsule 4x40mg (Treatment A) followed by enzalutamide liquid 160mg orally (Treatment B), or Enzalutamide liquid 160mg orally (Treatment B) followed by enzalutamide gel capsule 4x40mg (Treatment A). The difference in the AUCs were calculated following a published non-parametric and noncompartmental approach. A difference of less than 20% difference in the AUC for the test version vs. the standard formulation would permit the two formulations to be considered bioequivalent." \*The calculated AUC values for N-Desmethyl Enzalutamide of the "4x40mg Enzalutamide Capsule" formulation was influenced by detectable concentrations of N-Desmethyl Enzalutamide (an active metabolite of Enzalutamide) following the 42 Day washout period between the two doses.

Recruitment status

TERMINATED

Study phase

PHASE1

Target enrollment

1 participants

Primary outcome timeframe

Day 42

Results posted on

2021-05-10

Participant Flow

No participants were enrolled to receive Enzalutamide capsule (Treatment A) followed by enzalutamide liquid (Treatment B) Enzalutamide Liquid: Enzalutamide liquid formulation given orally (160mg) Enzalutamide Capsule: Enzalutamide gel capsule (4X 40mg)

Participant milestones

Participant milestones
Measure
160mg Enzalutamide Liquid Followed by 4x40mg Enzalutamide Capsule
Enzalutamide liquid (Treatment B) followed by enzalutamide capsule (Treatment A) Enzalutamide Liquid: Enzalutamide liquid formulation given orally (160mg) Enzalutamide Capsule: Enzalutamide gel capsule (4X 40mg)
Overall Study
STARTED
1
Overall Study
COMPLETED
1
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study to Compare Capsule and Liquid Formulations of Enzalutamide After Single Dose Administration Under Fasting Conditions in Prostate Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
160mg Enzalutamide Liquid Followed by 4x40mg Enzalutamide Capsule
n=1 Participants
Enzalutamide liquid (Treatment B) followed by enzalutamide capsule (Treatment A) Enzalutamide Liquid: Enzalutamide liquid formulation given orally (160mg) Enzalutamide Capsule: Enzalutamide gel capsule (4X 40mg)
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=99 Participants
Age, Categorical
>=65 years
1 Participants
n=99 Participants
Age, Continuous
78.2 years
STANDARD_DEVIATION 0 • n=99 Participants
Sex: Female, Male
Female
0 Participants
n=99 Participants
Sex: Female, Male
Male
1 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
1 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
Race (NIH/OMB)
White
1 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Region of Enrollment
United States
1 participants
n=99 Participants

PRIMARY outcome

Timeframe: Day 42

Population: No participants were enrolled to receive Enzalutamide capsule (Treatment A) followed by enzalutamide liquid (Treatment B).

AUC is the cumulative drug exposure (drug concentration \* time) for this single dose over a 42-day sampling period. Participants were randomized to receive Enzalutamide gel capsule 4x40mg (Treatment A) followed by enzalutamide liquid 160mg orally (Treatment B), or Enzalutamide liquid 160mg orally (Treatment B) followed by enzalutamide gel capsule 4x40mg (Treatment A). The difference in the AUCs were calculated following a published non-parametric and noncompartmental approach. A difference of less than 20% difference in the AUC for the test version vs. the standard formulation would permit the two formulations to be considered bioequivalent." \*The calculated AUC values for N-Desmethyl Enzalutamide of the "4x40mg Enzalutamide Capsule" formulation was influenced by detectable concentrations of N-Desmethyl Enzalutamide (an active metabolite of Enzalutamide) following the 42 Day washout period between the two doses.

Outcome measures

Outcome measures
Measure
160mg Enzalutamide Liquid
n=1 Participants
Enzalutamide Liquid: Enzalutamide liquid formulation given orally (160mg)
4x40mg Enzalutamide Capsule
n=1 Participants
Enzalutamide Capsule: Enzalutamide gel capsule (4X 40mg)
Grade 3
Grade 3 is severe or medically significant but not life-threatening.
Grade 4
Grade 4 is life-threatening consequences.
Grade 5
Grade 5 is death related to adverse event.
Area Under Curve (AUC) for the First Period of Administration and Second Period of Administration of Two Formulations of Enzalutamide and the Active Metabolite of Enzalutamide Following a Single 160mg Dose
Day 42 - Enzalutamide
329.14 AUC ug*h/mL
295.03 AUC ug*h/mL
Area Under Curve (AUC) for the First Period of Administration and Second Period of Administration of Two Formulations of Enzalutamide and the Active Metabolite of Enzalutamide Following a Single 160mg Dose
Day 42 - N-Desmethyl Enzalutamide
617.52 AUC ug*h/mL
529.18 AUC ug*h/mL

SECONDARY outcome

Timeframe: Day 1, 3, 8, and 42

Population: No participants were enrolled to receive Enzalutamide capsule (Treatment A) followed by enzalutamide liquid (Treatment B); Enzalutamide Liquid: Enzalutamide liquid formulation given orally (160mg); Enzalutamide Capsule: Enzalutamide gel capsule (4X 40mg)

Nausea and vomiting adverse events were assessed by the Common Terminology Criteria for Adverse Events (CTCAE) v5.0. A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned. Grade 1 is mild, Grade 2 is moderate, Grade 3 is severe or medically significant but not immediately life-threatening, Grade 4 is life threatening consequences, and Grade 5 is death related to adverse event.

Outcome measures

Outcome measures
Measure
160mg Enzalutamide Liquid
n=1 Participants
Enzalutamide Liquid: Enzalutamide liquid formulation given orally (160mg)
4x40mg Enzalutamide Capsule
n=1 Participants
Enzalutamide Capsule: Enzalutamide gel capsule (4X 40mg)
Grade 3
n=1 Participants
Grade 3 is severe or medically significant but not life-threatening.
Grade 4
n=1 Participants
Grade 4 is life-threatening consequences.
Grade 5
n=1 Participants
Grade 5 is death related to adverse event.
Number of Episodes of Grades 1-5 Nausea and Vomiting on 160mg Enzalutamide Liquid Followed by 4x40mg Enzalutamide Gel Capsule
Nausea Day 1
0 episodes
0 episodes
0 episodes
0 episodes
0 episodes
Number of Episodes of Grades 1-5 Nausea and Vomiting on 160mg Enzalutamide Liquid Followed by 4x40mg Enzalutamide Gel Capsule
Nausea Day 3
0 episodes
0 episodes
0 episodes
0 episodes
0 episodes
Number of Episodes of Grades 1-5 Nausea and Vomiting on 160mg Enzalutamide Liquid Followed by 4x40mg Enzalutamide Gel Capsule
Nausea Day 8
0 episodes
0 episodes
0 episodes
0 episodes
0 episodes
Number of Episodes of Grades 1-5 Nausea and Vomiting on 160mg Enzalutamide Liquid Followed by 4x40mg Enzalutamide Gel Capsule
Nausea Day 42
0 episodes
0 episodes
0 episodes
0 episodes
0 episodes
Number of Episodes of Grades 1-5 Nausea and Vomiting on 160mg Enzalutamide Liquid Followed by 4x40mg Enzalutamide Gel Capsule
Vomiting Day 1
0 episodes
0 episodes
0 episodes
0 episodes
0 episodes
Number of Episodes of Grades 1-5 Nausea and Vomiting on 160mg Enzalutamide Liquid Followed by 4x40mg Enzalutamide Gel Capsule
Vomiting Day 3
0 episodes
0 episodes
0 episodes
0 episodes
0 episodes
Number of Episodes of Grades 1-5 Nausea and Vomiting on 160mg Enzalutamide Liquid Followed by 4x40mg Enzalutamide Gel Capsule
Vomiting Day 8
0 episodes
0 episodes
0 episodes
0 episodes
0 episodes
Number of Episodes of Grades 1-5 Nausea and Vomiting on 160mg Enzalutamide Liquid Followed by 4x40mg Enzalutamide Gel Capsule
Vomiting Day 42
0 episodes
0 episodes
0 episodes
0 episodes
0 episodes

SECONDARY outcome

Timeframe: Date treatment consent signed to date off study, approximately 7 months and 24 days.

Population: No participants were enrolled to receive Enzalutamide capsule (Treatment A) followed by enzalutamide liquid (Treatment B); Enzalutamide Liquid: Enzalutamide liquid formulation given orally (160mg); Enzalutamide Capsule: Enzalutamide gel capsule (4X 40mg)

Here is the number of participants with non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0). A non-serious adverse event is any untoward medical occurrence.

Outcome measures

Outcome measures
Measure
160mg Enzalutamide Liquid
n=1 Participants
Enzalutamide Liquid: Enzalutamide liquid formulation given orally (160mg)
4x40mg Enzalutamide Capsule
Enzalutamide Capsule: Enzalutamide gel capsule (4X 40mg)
Grade 3
Grade 3 is severe or medically significant but not life-threatening.
Grade 4
Grade 4 is life-threatening consequences.
Grade 5
Grade 5 is death related to adverse event.
Number of Participants With Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0
1 Participants

SECONDARY outcome

Timeframe: Day 1, 3, 8, and 42

Population: This outcome measure was not done. Planned comparisons between the two formulations of enzalutamide at each time point using Fishers exact test were not conducted due to limited study accrual (n=1).

Proportion of participants with Grade 3 vomiting assessed by the Common Terminology Criteria for Adverse Events (CTCAE) v5.0., compared between two formulations of enzalutamide at each time point using Fishers exact test.

Outcome measures

Outcome data not reported

Adverse Events

160mg Enzalutamide Liquid Followed by 4x40mg Enzalutamide Capsule

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
160mg Enzalutamide Liquid Followed by 4x40mg Enzalutamide Capsule
n=1 participants at risk
Enzalutamide liquid (Treatment B) followed by enzalutamide capsule (Treatment A) Enzalutamide Liquid: Enzalutamide liquid formulation given orally (160mg) Enzalutamide Capsule: Enzalutamide gel capsule (4X 40mg)
General disorders
Pain
100.0%
1/1 • Number of events 1 • Date treatment consent signed to date off study, approximately 7 months and 24 days.
No participants were enrolled to receive Enzalutamide capsule (Treatment A) followed by enzalutamide liquid (Treatment B) Enzalutamide Liquid: Enzalutamide liquid formulation given orally (160mg) Enzalutamide Capsule: Enzalutamide gel capsule (4X 40mg)

Additional Information

William D. Figg, Pharm.D.

National Cancer Institute

Phone: 240-760-6179

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place