Komura Emiko, Fujimoto Tsukasa, Takabayashi Nobuyoshi, Okamoto Hiroyuki, Akaza Hideyuki
Japan Development Center, Pharmaceutical Development Division, Takeda Pharmaceutical Company Limited.
Gan To Kagaku Ryoho. 2014 May;41(5):587-93.
The aim of this phase II study was to evaluate the pharmacokinetics, pharmacodynamics, efficacy, and safety of a 6- month depot formulation of a luteinizing hormone-releasing hormone (LH-RH) agonist, TAP-144-SR (6M), in Japanese treatment-naÏve patients with prostatic cancer. Each subject received a single subcutaneous or intramuscular injection of TAP- 144-SR (6M) and was monitored for 24 weeks. The primary endpoint was the change in serum testosterone levels. The serum testosterone level in six subjects who received 22.5 mg of TAP-144 (SR) subcutaneously decreased below the castrate level after 4 weeks and remained suppressed during the 24 weeks of follow-up. With regard to safety, TAP-144-SR (6M)was not associated with any additional concerns compared to those reported for the approved 1-month and 3-month depot formulations of TAP-144-SR. In addition, 30 mg of TAP-144-SR (6M) was administered subcutaneously to six subjects, and, on the basis of the results, the optimal clinical dosage of TAP-144-SR (6M) in Japan was considered to be 22.5 mg. Outcomes with 22.5mg TAP-144-SR (6M) administered intramuscularly were similar to those with TAP-144-SR (6M) administered subcutaneously.
本II期研究的目的是评估促黄体生成素释放激素(LH-RH)激动剂TAP-144-SR(6M)的6个月长效制剂在日本初治前列腺癌患者中的药代动力学、药效学、疗效和安全性。每位受试者接受一次皮下或肌肉注射TAP-144-SR(6M),并接受24周的监测。主要终点是血清睾酮水平的变化。6名皮下注射22.5mg TAP-144(SR)的受试者的血清睾酮水平在4周后降至去势水平以下,并在24周的随访期间一直处于抑制状态。在安全性方面,与已批准的TAP-144-SR 1个月和3个月长效制剂报告的情况相比,TAP-144-SR(6M)没有任何其他问题。此外,对6名受试者皮下注射30mg TAP-144-SR(6M),根据结果,日本TAP-144-SR(6M)的最佳临床剂量被认为是22.5mg。肌肉注射22.5mg TAP-144-SR(6M)的结果与皮下注射TAP-144-SR(6M)的结果相似。