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

Sponsor
Millennium Pharmaceuticals, Inc. (Industry)
Overall Status
Completed
CT.gov ID
NCT01666314
Collaborator
(none)
137
1
8
48.4
2.8

Study Details

Study Description

Brief Summary

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

Condition or Disease Intervention/Treatment Phase
Phase 1/Phase 2

Detailed Description

The drug being tested in this study is called orteronel. Orteronel is being tested to treat adult males who have adenocarcinoma of the prostate. This study will look at the pharmacokinetics (how the drug moves through the body) and pharmacodynamics (how the drug effects the body) in people who take orteronel in addition to prednisone.

The study will enroll approximately 144 patients. Participants will be randomly assigned (by chance, like flipping a coin) to one of the eight treatment groups (4 in Japan, 4 in Ex-Japan) which will remain undisclosed to the participant and study doctor during the study (unless there is an urgent medical need).

In Japan:

Participants were randomized in a ratio of 2:1:2:1

  • 200 mg orteronel or Placebo-matching orteronel [(dummy inactive pill) - this is a tablet that looks like the study drug but has no active ingredient] twice daily (BID) + prednisone

  • 300 mg orteronel, or Placebo-matching orteronel, BID + prednisone Ex-Japan Participants were randomized in a ratio of 2:1:2:1

  • 200 mg orteronel or Placebo-matching orteronel, BID in Cycle 1 + prednisone

  • 400 mg orteronel, or Placebo-matching orteronel ,BID in Cycle 1 + Prednisone

Participants initially randomized to placebo received 4 weeks of placebo and then 12 weeks of active treatment with orteronel then entered a follow-up period treatment period. Participants initially randomized to orteronel received 16 weeks of treatment then entered a follow-up treatment period.

This multi-centre trial will be conducted worldwide. The overall time to participate in this study is approximately 3.2 years. Participants will make multiple visits to the clinic and a final visit 30 to 40 days after receiving their last dose of study drug for a follow-up assessment.

Study Design

Study Type:
Interventional
Actual Enrollment :
137 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Study in Japan and Ex-Japan to Characterize the Pharmacokinetic and Pharmacodynamic Response to Orteronel (TAK-700) in Chemotherapy-Naive Patients With Castration-Resistant Prostate Cancer
Actual Study Start Date :
Aug 20, 2012
Actual Primary Completion Date :
Sep 12, 2013
Actual Study Completion Date :
Sep 1, 2016

Arms and Interventions

Arm Intervention/Treatment
Other: Placebo + Orteronel 200 mg (Japan)

Orteronel placebo-matching tablets, orally, twice daily in Cycle 1 (28 days) followed by orteronel 200 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.

Drug: Orteronel
Orteronel tablets

Drug: Orteronel Placebo
Orteronel placebo-matching tablets

Drug: Prednisone
Prednisone 5 mg

Experimental: Orteronel 200 mg (Japan)

Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 3 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.

Drug: Orteronel
Orteronel tablets

Drug: Prednisone
Prednisone 5 mg

Other: Placebo + Orteronel 300 mg (Japan)

Orteronel placebo-matching tablets, orally, twice daily in Cycle 1 followed by orteronel 300 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.

Drug: Orteronel
Orteronel tablets

Drug: Orteronel Placebo
Orteronel placebo-matching tablets

Drug: Prednisone
Prednisone 5 mg

Experimental: Orteronel 300 mg (Japan)

Orteronel 300 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.

Drug: Orteronel
Orteronel tablets

Drug: Prednisone
Prednisone 5 mg

Other: Placebo + Orteronel 200 mg (Ex-Japan)

Orteronel placebo-matching tablets, orally, twice daily in Cycle 1 followed by orteronel 200 mg, tablets, orally, twice daily in 28 day cycles outside of Japan (Ex-Japan) for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.

Drug: Orteronel
Orteronel tablets

Experimental: Orteronel 200 mg (Ex-Japan)

Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.

Drug: Orteronel
Orteronel tablets

Drug: Prednisone
Prednisone 5 mg

Other: Placebo + Orteronel 400 mg (Ex-Japan)

Orteronel placebo-matching tablets, orally, twice daily in Cycle 1 followed by orteronel 400 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.

Drug: Orteronel
Orteronel tablets

Drug: Orteronel Placebo
Orteronel placebo-matching tablets

Drug: Prednisone
Prednisone 5 mg

Experimental: Orteronel 400 mg (Ex-Japan)

Orteronel 400 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.

Drug: Orteronel
Orteronel tablets

Drug: Prednisone
Prednisone 5 mg

Outcome Measures

Primary Outcome Measures

  1. Percentage of Participants With Serum Testosterone Levels Reduced to ≤ 2 ng/dL After 4 Weeks of Treatment in Japan [Baseline and Week 4]

    Serum Ultra-sensitive testosterone was measured by liquid chromatography at a central laboratory.

Secondary Outcome Measures

  1. Percentage of Participants With Serum Testosterone Levels Reduced to ≤ 2 ng/dL in Ex-Japan [Baseline and Week 4]

    Serum Ultra-sensitive testosterone was measured by liquid chromatography at a central laboratory.

  2. Percent Change From Baseline in Serum Testosterone Level After 4 Weeks of Treatment [Baseline and Week 4]

    Serum Ultra-sensitive testosterone was measured by liquid chromatography at a central laboratory.

  3. Percent Change From Baseline in Serum Testosterone Level After 12 Weeks of Treatment [Baseline and Week 12]

    Serum Ultra-sensitive testosterone was measured by liquid chromatography at a central laboratory.

  4. Percentage of Participants With Prostate-Specific Antigen Reduction ≥ 50% (PSA50) After 4 Weeks of Treatment [Baseline and Week 4]

    A 50% PSA response rate (PSA50) was defined as PSA reduction ≥ 50% from Baseline.

  5. Percentage of Participants With PSA50 After 12 Weeks of Treatment [Baseline and Week 12]

    A 50% PSA response rate (PSA50) was defined as PSA reduction ≥ 50% from Baseline.

  6. Absolute Values for Testosterone [Baseline, Cycle 1 Day 8 and Cycle 2 Day 1]

    Serum Ultra-sensitive testosterone was measured by liquid chromatography at a central laboratory.

  7. Absolute Values for Dehydroepiandrosterone Sulfate (DHEA-S) [Baseline, Cycle 1 Day 8 and Cycle 2 Day 1]

    Serum Ultra low level quantification of DHEA-S was measured by liquid chromatography and mass spectrometry (LC/MS) at a central laboratory.

  8. Absolute Values for Adrenocorticotropic Hormone (ACTH) [Baseline, Cycle 1 Day 8 and Cycle 2 Day 1]

    Serum ACTH was measured by immunometric assay at the central laboratory.

  9. Absolute Values for Corticosterone [Baseline, Cycle 1 Day 8 and Cycle 2 Day 1]

    Serum Corticosterone was measured by high pressure liquid chromatography with mass spectrometry at the central laboratory.

  10. Absolute Values for Cortisol [Baseline, Cycle 1 Day 8 and Cycle 2 Day 1]

    Serum Cortisol was measured by immunometric assay at the central laboratory.

  11. Absolute Values for Prostate-Specific Antigen (PSA) [Baseline and Cycle 2 Day 1]

    Serum PSA was measured at the central laboratory.

  12. Cmax: Maximum Observed Plasma Concentration for Orteronel and M-I Metabolite [Cycle 1 Day 1 Predose, 0.5, 1, 2, 3, 5, 8, 12 hours post-dose]

    Maximum observed plasma concentration (Cmax) is the peak plasma concentration of a drug after administration, obtained directly from the plasma concentration-time curve.

  13. AUC(0-12): Area Under the Plasma Concentration-Time Curve From Time 0 to 12 Hours Post-dose for Orteronel and M-I Metabolite [Cycle 1 Day 1 Predose, 0.5, 1, 2, 3, 5, 8, 12 hours post-dose]

    AUC(0-12) is measure of area under the curve over the dosing interval where the length of the dosing interval is time 0 to 12 hours in this study.

  14. Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for Orteronel and M-I Metabolite [Cycle 1 Day 1 Predose, 0.5, 1, 2, 3, 5, 8, 12 hours post-dose]

    Tmax: Time to reach the maximum plasma concentration (Cmax), equal to time (hours) to Cmax.

  15. AE (0-24) Cumulative Amount of Drug Excreted Into the Urine for Orteronel and MI-Metabolite [Cycle 1 Day 1 Predose, 0.5, 1, 2, 3, 5, 8, 12 hours post-dose]

    Cumulative amount of urine excreted time 0 to 24 hour.

  16. Cmax,ss: Maximum Observed Plasma Concentration at Steady State for Orteronel and MI-Metabolite [Cycle 1 Day 8 Predose, 0.5, 1, 2, 3, 5, 8, 12 hours post-dose]

    Maximum observed steady-state plasma concentration during a dosing interval.

  17. Tmax,ss: Time to Reach the Maximum Plasma Concentration (Cmax), Equal to Time (Hours) to Cmax at Steady State for Orteronel and M-I Metabolite [Cycle 1 Day 8 Predose, 0.5, 1, 2, 3, 5, 8, 12 hours post-dose]

    Time to reach the maximum plasma concentration (Cmax), equal to time (hours) to Cmax at steady state.

  18. AUC(0-tau): Area Under the Plasma Concentration-time Curve From Time 0 to Time Tau Over the Dosing Interval for Orteronel and M-I Metabolite [Cycle 1 Day 8 Predose, 0.5, 1, 2, 3, 5, 8, 12 hours post-dose]

    Area under the plasma concentration-time curve during a dosing interval, where tau is the length of the dosing interval.

  19. Rac: Accumulation Index for Orteronel and M-I Metabolite [Cycle 1 Day 8 Predose, 0.5, 1, 2, 3, 5, 8, 12 hours post-dose]

    Rac was calculated as the ratio of AUCtau to AUC12hr.

  20. Ctrough,ss: Observed Predose Plasma Concentration at Steady State for Orteronel and M-I Metabolite [Cycle 1 Day 8 Predose]

    Observed predose plasma concentration at steady state.

  21. Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) [From signing of the informed consent form through 30 days after the last dose of study drug, approximately 3.2 years]

    An Adverse Event (AE) is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (eg, a clinically significant abnormal laboratory finding),symptom, or disease temporally associated with the use of a drug, whether or not it is considered related to the drug. A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study A serious adverse event is any experience that suggests a significant hazard, contraindication, side effect or precaution that: results in death, is life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or is medically significant.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
Male
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Male participants 18 years or older

  • Voluntary written consent must be given before performance of any study-related procedure not part of standard medical care, with the understanding that consent may be withdrawn by the patient at any time without prejudice to future medical care

  • Histologically or cytologically confirmed diagnosis of prostate adenocarcinoma

  • Prior surgical castration or concurrent use of an agent for medical castration [e.g. Gonadotropin-releasing hormone (GnRH) analogue]

  • Prostate-Specific Antigen (PSA) ≥ 2 ng/mL at screening

  • Progressive disease based on PSA and/or radiographic criteria

Exclusion Criteria:
  • Prior therapy with orteronel, ketoconazole, aminoglutethimide, or abiraterone.

  • Known hypersensitivity to compounds related to orteronel, orteronel excipients, prednisone (or commercially available equivalent), or GnRH analogue.

  • All antiandrogen therapy (including bicalutamide) is excluded within 4 weeks before the first dose of study drug. Any other therapies for prostate cancer, other than GnRH analogue therapy, such as progesterone, medroxyprogesterone, progestins (megesterol), or 5- alpha reductase inhibitors (e.g., finasteride or dutasteride), must be discontinued 2 weeks before the first dose of study drug.

  • Continuous daily use of oral prednisone (or commercially available equivalent), oral dexamethasone, or other systemic corticosteroids for more than 2 weeks within the 3 months before screening (inhaled, nasal, and local steroids [e.g., joint injection] are allowed).

  • Prior chemotherapy for prostate cancer, with the exception of neoadjuvant/adjuvant therapy as part of initial primary treatment for local disease that was completed 2 or more years before screening.

Please note that there are additional inclusion and exclusion criteria. The study center will determine if you meet all of the criteria.

Site personnel will explain the trial in detail and answer any question you may have if you do qualify for the study. You can then decide whether or not you wish to participate. If you do not qualify for the trial, site personnel will explain the reasons.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Urology Cancer Center, PC Omaha Nebraska United States 68130

Sponsors and Collaborators

  • Millennium Pharmaceuticals, Inc.

Investigators

  • Study Director: Medical Monitor, Millennium Pharmaceuticals, Inc.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Millennium Pharmaceuticals, Inc.
ClinicalTrials.gov Identifier:
NCT01666314
Other Study ID Numbers:
  • C21013
  • 2012-001539-30
  • U1111-1179-5750
First Posted:
Aug 16, 2012
Last Update Posted:
Mar 20, 2018
Last Verified:
Feb 1, 2018
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Millennium Pharmaceuticals, Inc.
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details Participants took part in the study at 43 investigative sites in Japan, United States, Greece, Australia, Netherlands, Ireland and United Kingdom from 20 August 2012 to 01 September 2016.
Pre-assignment Detail Male participants with a diagnosis of adenocarcinoma of the prostate were enrolled in the study. In Japan, participants were randomized to 200 mg orteronel, Placebo, 300 mg orteronel, or Placebo, BID, in a ratio of 2:1:2:1; ex-Japan participants were randomized to 200 mg orteronel, Placebo, 400 mg orteronel, or Placebo, BID, in a ratio of 2:1:2:1.
Arm/Group Title Placebo + Orteronel 200 mg (Japan) Placebo + Orteronel 300 mg (Japan) Placebo + Orteronel 200 mg (Ex-Japan) Placebo + Orteronel 400 mg (Ex-Japan)
Arm/Group Description Orteronel placebo-matching tablets or Orteronel 200 mg, tablets, orally, twice daily (BID) in Cycle 1 (28 days) followed by orteronel 200 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 3 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily continuously throughout the study. Orteronel placebo-matching tablets or Orteronel 300 mg, tablets, orally, twice daily in Cycle 1 followed by orteronel 300 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel placebo-matching tablets, or Orteronel 200 mg, tablets, orally, twice daily in Cycle 1 followed by orteronel 200 mg, tablets, orally, twice daily in 28 day cycles outside of Japan (Ex-Japan) for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel placebo-matching tablets, or Orteronel 400 mg, tablets, orally, twice daily in Cycle 1 followed by orteronel 400 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.
Period Title: Overall Study
STARTED 33 32 36 36
COMPLETED 0 0 0 0
NOT COMPLETED 33 32 36 36

Baseline Characteristics

Arm/Group Title Placebo + Orteronel 200 mg (Japan) Orteronel 200 mg (Japan) Placebo + Orteronel 300 mg (Japan) Orteronel 300 mg (Japan) Placebo + Orteronel 200 mg (Ex-Japan) Orteronel 200 mg (Ex-Japan) Placebo + Orteronel 400 mg (Ex-Japan) Orteronel 400 mg (Ex-Japan) Total
Arm/Group Description Orteronel placebo-matching tablets, orally, twice daily (BID) in Cycle 1 (28 days) followed by orteronel 200 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 3 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 3 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel placebo-matching tablets, orally, twice daily in Cycle 1 followed by orteronel 300 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 300 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel placebo-matching tablets, orally, twice daily in Cycle 1 followed by orteronel 200 mg, tablets, orally, twice daily in 28 day cycles outside of Japan (Ex-Japan) for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel placebo-matching tablets, orally, twice daily in Cycle 1 followed by orteronel 400 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 400 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Total of all reporting groups
Overall Participants 11 22 10 22 11 25 12 24 137
Age (years) [Mean (Full Range) ]
Mean (Full Range) [years]
72.1
68.5
70.1
71.5
69.6
69.9
73.3
69.4
70.6
Sex: Female, Male (Count of Participants)
Female
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Male
11
100%
22
100%
10
100%
22
100%
11
100%
25
100%
12
100%
24
100%
137
100%
Ethnicity (NIH/OMB) (Count of Participants)
Hispanic or Latino
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
1
4.2%
1
0.7%
Not Hispanic or Latino
11
100%
22
100%
10
100%
22
100%
11
100%
25
100%
12
100%
23
95.8%
136
99.3%
Unknown or Not Reported
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Race/Ethnicity, Customized (participants) [Number]
White
0
0%
0
0%
0
0%
0
0%
11
100%
25
100%
11
91.7%
23
95.8%
70
51.1%
Black or African American
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
1
8.3%
1
4.2%
2
1.5%
Asian - Japanese
11
100%
22
100%
10
100%
22
100%
0
0%
0
0%
0
0%
0
0%
65
47.4%
Region of Enrollment (participants) [Number]
Japan
11
100%
22
100%
10
100%
22
100%
0
0%
0
0%
0
0%
0
0%
65
47.4%
Australia
0
0%
0
0%
0
0%
0
0%
3
27.3%
1
4%
2
16.7%
2
8.3%
8
5.8%
Greece
0
0%
0
0%
0
0%
0
0%
2
18.2%
4
16%
1
8.3%
3
12.5%
10
7.3%
Ireland
0
0%
0
0%
0
0%
0
0%
2
18.2%
5
20%
3
25%
3
12.5%
13
9.5%
Netherlands
0
0%
0
0%
0
0%
0
0%
1
9.1%
6
24%
1
8.3%
5
20.8%
13
9.5%
United Kingdom
0
0%
0
0%
0
0%
0
0%
1
9.1%
0
0%
1
8.3%
1
4.2%
3
2.2%
United States
0
0%
0
0%
0
0%
0
0%
2
18.2%
9
36%
4
33.3%
10
41.7%
25
18.2%
Height (cm) [Mean (Full Range) ]
Mean (Full Range) [cm]
161.94
167.10
163.92
164.71
170.41
174.79
176.70
174.74
169.29
Weight (kg) [Mean (Full Range) ]
Mean (Full Range) [kg]
65.82
70.32
65.75
64.49
87.34
90.39
88.23
89.85
77.77
Body Mass Index (BMI) (kg/m^2) [Mean (Full Range) ]
Mean (Full Range) [kg/m^2]
25.05
25.21
24.43
23.73
29.85
29.61
28.37
29.40
26.96

Outcome Measures

1. Primary Outcome
Title Percentage of Participants With Serum Testosterone Levels Reduced to ≤ 2 ng/dL After 4 Weeks of Treatment in Japan
Description Serum Ultra-sensitive testosterone was measured by liquid chromatography at a central laboratory.
Time Frame Baseline and Week 4

Outcome Measure Data

Analysis Population Description
Pharmacodynamics-evaluable population was defined as participants with a baseline and at least 1 post-baseline pharmacodynamics measurement.
Arm/Group Title Placebo (Japan) Orteronel 300 mg (Japan)
Arm/Group Description Orteronel placebo-matching tablets, orally, twice daily in Cycle 1. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 300 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.
Measure Participants 21 22
Number (95% Confidence Interval) [percentage of participants]
86.0
781.8%
100.0
454.5%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo (Japan), Orteronel 300 mg (Japan)
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1078
Comments
Method Fisher Exact
Comments
2. Secondary Outcome
Title Percentage of Participants With Serum Testosterone Levels Reduced to ≤ 2 ng/dL in Ex-Japan
Description Serum Ultra-sensitive testosterone was measured by liquid chromatography at a central laboratory.
Time Frame Baseline and Week 4

Outcome Measure Data

Analysis Population Description
Pharmacodynamics-evaluable population was defined as participants with a baseline and at least 1 post-baseline pharmacodynamics measurement.
Arm/Group Title Placebo (Ex-Japan) Orteronel 400 mg (Ex-Japan)
Arm/Group Description Orteronel placebo-matching tablets, orally, twice daily in Cycle 1. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 400 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.
Measure Participants 23 24
Number (95% Confidence Interval) [percentage of participants]
48.0
436.4%
79.0
359.1%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo (Japan), Orteronel 300 mg (Japan)
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0355
Comments
Method Fisher Exact
Comments
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 4.145
Confidence Interval (2-Sided) 95%
0.9895 to 18.7606
Parameter Dispersion Type:
Value:
Estimation Comments Odds ratio >1 favors orteronel.
3. Secondary Outcome
Title Percent Change From Baseline in Serum Testosterone Level After 4 Weeks of Treatment
Description Serum Ultra-sensitive testosterone was measured by liquid chromatography at a central laboratory.
Time Frame Baseline and Week 4

Outcome Measure Data

Analysis Population Description
Participants from the Pharmacodynamics-evaluable population, defined as participants with a baseline and at least 1 post-baseline pharmacodynamics measurement, with data available after 4 Weeks of Treatment.
Arm/Group Title Placebo (Japan) Orteronel 200 mg (Japan) Orteronel 300 mg (Japan) Placebo (Ex-Japan) Orteronel 200 mg (Ex-Japan) Orteronel 400 mg (Ex-Japan)
Arm/Group Description Orteronel placebo-matching tablets, orally, twice daily in Cycle 1 (28 days). Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 3 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 300 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel placebo-matching tablets, orally, twice daily in Cycle 1. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 400 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.
Measure Participants 21 22 22 20 21 22
Mean (Standard Deviation) [percent change]
-87.666
(10.4250)
-97.245
(1.2548)
-96.812
(2.7055)
-63.702
(43.3941)
-86.268
(37.2015)
-53.954
(118.8050)
4. Secondary Outcome
Title Percent Change From Baseline in Serum Testosterone Level After 12 Weeks of Treatment
Description Serum Ultra-sensitive testosterone was measured by liquid chromatography at a central laboratory.
Time Frame Baseline and Week 12

Outcome Measure Data

Analysis Population Description
Participants from the Pharmacodynamics-evaluable population, defined as participants with a baseline and at least 1 post-baseline pharmacodynamics measurement, with data available after 12 Weeks of Treatment.
Arm/Group Title Orteronel 200 mg (Japan) Orteronel 300 mg (Japan) Orteronel 200 mg (Ex-Japan) Orteronel 400 mg (Ex-Japan)
Arm/Group Description Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 3 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 300 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 400 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.
Measure Participants 31 26 28 31
Mean (Standard Deviation) [percent change]
-95.804
(5.3367)
-95.703
(5.7468)
-91.311
(17.5217)
-14.442
(406.3116)
5. Secondary Outcome
Title Percentage of Participants With Prostate-Specific Antigen Reduction ≥ 50% (PSA50) After 4 Weeks of Treatment
Description A 50% PSA response rate (PSA50) was defined as PSA reduction ≥ 50% from Baseline.
Time Frame Baseline and Week 4

Outcome Measure Data

Analysis Population Description
Participants from the Pharmacodynamics-evaluable population, defined as participants with a baseline and at least 1 post-baseline pharmacodynamics measurement, with data available after 4 Weeks of Treatment.
Arm/Group Title Placebo (Japan) Orteronel 200 mg (Japan) Orteronel 300 mg (Japan) Placebo (Ex-Japan) Orteronel 200 mg (Ex-Japan) Orteronel 400 mg (Ex-Japan)
Arm/Group Description Orteronel placebo-matching tablets, orally, twice daily in Cycle 1 (28 days). Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 3 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 300 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel placebo-matching tablets, orally, twice daily in Cycle 1. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 400 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.
Measure Participants 21 22 22 23 25 24
Number (95% Confidence Interval) [percentage of participants]
48.0
436.4%
50.0
227.3%
41.0
410%
17.0
77.3%
48.0
436.4%
46.0
184%
6. Secondary Outcome
Title Percentage of Participants With PSA50 After 12 Weeks of Treatment
Description A 50% PSA response rate (PSA50) was defined as PSA reduction ≥ 50% from Baseline.
Time Frame Baseline and Week 12

Outcome Measure Data

Analysis Population Description
Participants from the Pharmacodynamics-evaluable population, defined as participants with a baseline and at least 1 post-baseline pharmacodynamics measurement, with data available after 12 Weeks of Treatment.
Arm/Group Title Orteronel 200 mg (Japan) Orteronel 300 mg (Japan) Orteronel 200 mg (Ex-Japan) Orteronel 400 mg (Ex-Japan)
Arm/Group Description Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 3 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 300 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 400 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.
Measure Participants 33 32 36 36
Number (95% Confidence Interval) [percentage of participants]
55.0
500%
47.0
213.6%
56.0
560%
44.0
200%
7. Secondary Outcome
Title Absolute Values for Testosterone
Description Serum Ultra-sensitive testosterone was measured by liquid chromatography at a central laboratory.
Time Frame Baseline, Cycle 1 Day 8 and Cycle 2 Day 1

Outcome Measure Data

Analysis Population Description
Pharmacodynamics-evaluable population was defined as participants with a baseline and at least 1 post-baseline pharmacodynamics measurement.
Arm/Group Title Placebo (Japan) Orteronel 200 mg (Japan) Orteronel 300 mg (Japan) Placebo (Ex-Japan) Orteronel 200 mg (Ex-Japan) Orteronel 400 mg (Ex-Japan)
Arm/Group Description Orteronel placebo-matching tablets, orally, twice daily in Cycle 1 (28 days). Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 3 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 300 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel placebo-matching tablets, orally, twice daily in Cycle 1. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 400 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.
Measure Participants 21 22 22 23 25 24
Baseline
9.749
(3.8460)
9.079
(4.4581)
10.148
(4.6504)
9.173
(5.6123)
9.263
(5.6572)
14.588
(13.9833)
Cycle 1 Day 8
1.957
(2.2843)
0.213
(0.0449)
0.251
(0.1727)
3.509
(4.3471)
0.345
(0.2770)
6.658
(20.4347)
Cycle 2 Day 1
1.096
(0.7751)
0.203
(0.0145)
0.270
(0.2311)
3.095
(3.7254)
0.266
(0.1837)
11.720
(45.1753)
8. Secondary Outcome
Title Absolute Values for Dehydroepiandrosterone Sulfate (DHEA-S)
Description Serum Ultra low level quantification of DHEA-S was measured by liquid chromatography and mass spectrometry (LC/MS) at a central laboratory.
Time Frame Baseline, Cycle 1 Day 8 and Cycle 2 Day 1

Outcome Measure Data

Analysis Population Description
Pharmacodynamics-evaluable population was defined as participants with a baseline and at least 1 post-baseline pharmacodynamics measurement.
Arm/Group Title Placebo (Japan) Orteronel 200 mg (Japan) Orteronel 300 mg (Japan) Placebo (Ex-Japan) Orteronel 200 mg (Ex-Japan) Orteronel 400 mg (Ex-Japan)
Arm/Group Description Orteronel placebo-matching tablets, orally, twice daily in Cycle 1 (28 days). Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 3 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 300 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel placebo-matching tablets, orally, twice daily in Cycle 1. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 400 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.
Measure Participants 21 22 22 23 25 24
Baseline
1928.0
(1306.59)
2529.0
(1309.39)
2340.9
(1606.36)
2601.7
(3009.41)
1783.0
(1554.76)
2155.7
(1591.51)
Cycle 1 Day 8
414.9
(392.63)
63.4
(55.11)
71.8
(80.23)
973.8
(1677.95)
116.9
(161.01)
226.6
(328.70)
Cycle 2 Day 1
268.9
(357.32)
14.5
(21.83)
36.3
(123.48)
815.7
(1918.88)
21.5
(25.68)
180.6
(527.03)
9. Secondary Outcome
Title Absolute Values for Adrenocorticotropic Hormone (ACTH)
Description Serum ACTH was measured by immunometric assay at the central laboratory.
Time Frame Baseline, Cycle 1 Day 8 and Cycle 2 Day 1

Outcome Measure Data

Analysis Population Description
Pharmacodynamics-evaluable population was defined as participants with a baseline and at least 1 post-baseline pharmacodynamics measurement.
Arm/Group Title Placebo (Japan) Orteronel 200 mg (Japan) Orteronel 300 mg (Japan) Placebo (Ex-Japan) Orteronel 200 mg (Ex-Japan) Orteronel 400 mg (Ex-Japan)
Arm/Group Description Orteronel placebo-matching tablets, orally, twice daily in Cycle 1 (28 days). Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 3 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 300 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel placebo-matching tablets, orally, twice daily in Cycle 1. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 400 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.
Measure Participants 21 22 22 23 25 24
Baseline
5.0
(1.66)
5.5
(2.54)
8.3
(4.98)
4.7
(2.06)
6.0
(4.05)
6.4
(4.04)
Cycle 1 Day 8
3.1
(2.68)
2.3
(1.55)
3.0
(2.70)
3.1
(2.62)
3.8
(3.04)
3.2
(2.56)
Cycle 2 Day 1
1.7
(1.19)
1.7
(1.08)
2.7
(2.17)
3.0
(1.73)
3.7
(4.38)
3.6
(2.26)
10. Secondary Outcome
Title Absolute Values for Corticosterone
Description Serum Corticosterone was measured by high pressure liquid chromatography with mass spectrometry at the central laboratory.
Time Frame Baseline, Cycle 1 Day 8 and Cycle 2 Day 1

Outcome Measure Data

Analysis Population Description
Pharmacodynamics-evaluable population was defined as participants with a baseline and at least 1 post-baseline pharmacodynamics measurement.
Arm/Group Title Placebo (Japan) Orteronel 200 mg (Japan) Orteronel 300 mg (Japan) Placebo (Ex-Japan) Orteronel 200 mg (Ex-Japan) Orteronel 400 mg (Ex-Japan)
Arm/Group Description Orteronel placebo-matching tablets, orally, twice daily in Cycle 1 (28 days). Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 3 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 300 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel placebo-matching tablets, orally, twice daily in Cycle 1. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 400 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.
Measure Participants 21 22 22 23 25 24
Baseline
5.946
(3.4433)
6.515
(4.8246)
7.768
(6.8625)
6.317
(4.1467)
10.030
(7.7341)
17.975
(35.0695)
Cycle 1 Day 8
1.530
(1.6404)
11.067
(14.4220)
9.709
(13.4538)
5.598
(7.1366)
48.668
(66.3904)
60.301
(77.5434)
Cycle 2 Day 1
0.758
(0.5108)
11.108
(9.0708)
14.654
(9.2064)
4.321
(6.4063)
29.929
(35.5565)
47.204
(53.4566)
11. Secondary Outcome
Title Absolute Values for Cortisol
Description Serum Cortisol was measured by immunometric assay at the central laboratory.
Time Frame Baseline, Cycle 1 Day 8 and Cycle 2 Day 1

Outcome Measure Data

Analysis Population Description
Pharmacodynamics-evaluable population was defined as participants with a baseline and at least 1 post-baseline pharmacodynamics measurement.
Arm/Group Title Placebo (Japan) Orteronel 200 mg (Japan) Orteronel 300 mg (Japan) Placebo (Ex-Japan) Orteronel 200 mg (Ex-Japan) Orteronel 400 mg (Ex-Japan)
Arm/Group Description Orteronel placebo-matching tablets, orally, twice daily in Cycle 1 (28 days). Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 3 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 300 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel placebo-matching tablets, orally, twice daily in Cycle 1. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 400 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.
Measure Participants 21 22 22 23 25 24
Baseline
366.5
(116.69)
371.3
(119.38)
383.4
(125.98)
384.8
(117.14)
449.0
(131.54)
446.8
(193.09)
Cycle 1 Day 8
82.3
(46.16)
49.5
(25.53)
55.5
(55.97)
175.8
(107.82)
100.9
(87.38)
122.0
(88.70)
Cycle 2 Day 1
53.9
(24.92)
49.2
(21.71)
54.3
(39.93)
149.6
(122.91)
97.2
(85.66)
109.1
(83.19)
12. Secondary Outcome
Title Absolute Values for Prostate-Specific Antigen (PSA)
Description Serum PSA was measured at the central laboratory.
Time Frame Baseline and Cycle 2 Day 1

Outcome Measure Data

Analysis Population Description
Pharmacodynamics-evaluable population was defined as participants with a baseline and at least 1 post-baseline pharmacodynamics measurement.
Arm/Group Title Placebo (Japan) Orteronel 200 mg (Japan) Orteronel 300 mg (Japan) Placebo (Ex-Japan) Orteronel 200 mg (Ex-Japan) Orteronel 400 mg (Ex-Japan)
Arm/Group Description Orteronel placebo-matching tablets, orally, twice daily in Cycle 1 (28 days). Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 3 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 300 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel placebo-matching tablets, orally, twice daily in Cycle 1. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 400 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.
Measure Participants 21 22 22 23 25 24
Baseline
37.588
(48.9413)
27.227
(24.8821)
97.504
(293.9496)
133.238
(189.9345)
165.992
(368.5016)
100.237
(210.5675)
Cycle 2 Day 1
24.325
(46.9725)
18.005
(16.9858)
38.892
(95.0124)
152.940
(261.9735)
117.257
(286.1870)
56.437
(97.1621)
13. Secondary Outcome
Title Cmax: Maximum Observed Plasma Concentration for Orteronel and M-I Metabolite
Description Maximum observed plasma concentration (Cmax) is the peak plasma concentration of a drug after administration, obtained directly from the plasma concentration-time curve.
Time Frame Cycle 1 Day 1 Predose, 0.5, 1, 2, 3, 5, 8, 12 hours post-dose

Outcome Measure Data

Analysis Population Description
Pharmacokinetic Population included all randomized participants who received orteronel in Cycle 1.
Arm/Group Title Orteronel 200 mg (Japan) Orteronel 300 mg (Japan) Orteronel 200 mg (Ex-Japan) Orteronel 400 mg (Ex-Japan)
Arm/Group Description Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 3 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 300 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 400 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.
Measure Participants 22 22 25 24
Orteronel
1520
(23.9)
2210
(33.9)
1300
(59.7)
1610
(50.3)
Orteronel Metabolite M-I
272
(33.1)
422
(37.0)
199
(61.9)
261
(47.2)
14. Secondary Outcome
Title AUC(0-12): Area Under the Plasma Concentration-Time Curve From Time 0 to 12 Hours Post-dose for Orteronel and M-I Metabolite
Description AUC(0-12) is measure of area under the curve over the dosing interval where the length of the dosing interval is time 0 to 12 hours in this study.
Time Frame Cycle 1 Day 1 Predose, 0.5, 1, 2, 3, 5, 8, 12 hours post-dose

Outcome Measure Data

Analysis Population Description
Pharmacokinetic Population included all randomized participants who received orteronel in Cycle 1.
Arm/Group Title Orteronel 200 mg (Japan) Orteronel 300 mg (Japan) Orteronel 200 mg (Ex-Japan) Orteronel 400 mg (Ex-Japan)
Arm/Group Description Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 3 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 300 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 400 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.
Measure Participants 22 22 25 24
Orteronel
8810
(16.4)
12800
(31.2)
7830
(51.1)
10200
(41.4)
Orteronel Metabolite M-I
2130
(28.3)
3290
(33.8)
1570
(65.5)
2080
(44.8)
15. Secondary Outcome
Title Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for Orteronel and M-I Metabolite
Description Tmax: Time to reach the maximum plasma concentration (Cmax), equal to time (hours) to Cmax.
Time Frame Cycle 1 Day 1 Predose, 0.5, 1, 2, 3, 5, 8, 12 hours post-dose

Outcome Measure Data

Analysis Population Description
Pharmacokinetic Population included all randomized participants who received orteronel in Cycle 1.
Arm/Group Title Orteronel 200 mg (Japan) Orteronel 300 mg (Japan) Orteronel 200 mg (Ex-Japan) Orteronel 400 mg (Ex-Japan)
Arm/Group Description Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 3 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 300 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 400 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.
Measure Participants 22 22 25 24
Orteronel
2.97
2.43
2.00
1.92
Orteronel Metabolite M-I
5.00
4.98
5.05
4.98
16. Secondary Outcome
Title AE (0-24) Cumulative Amount of Drug Excreted Into the Urine for Orteronel and MI-Metabolite
Description Cumulative amount of urine excreted time 0 to 24 hour.
Time Frame Cycle 1 Day 1 Predose, 0.5, 1, 2, 3, 5, 8, 12 hours post-dose

Outcome Measure Data

Analysis Population Description
Pharmacokinetic Population included all randomized participants who received orteronel in Cycle 1.
Arm/Group Title Orteronel 200 mg (Japan) Orteronel 300 mg (Japan) Orteronel 200 mg (Ex-Japan) Orteronel 400 mg (Ex-Japan)
Arm/Group Description Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 3 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 300 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 400 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.
Measure Participants 22 22 25 24
Orteronel
115.0
(26.0)
164.0
(26.2)
95.3
(31.9)
161.0
(41.4)
Orteronel Metabolite M-I
39.6
(31.5)
62.5
(26.6)
30.0
(40.1)
52.8
(46.4)
17. Secondary Outcome
Title Cmax,ss: Maximum Observed Plasma Concentration at Steady State for Orteronel and MI-Metabolite
Description Maximum observed steady-state plasma concentration during a dosing interval.
Time Frame Cycle 1 Day 8 Predose, 0.5, 1, 2, 3, 5, 8, 12 hours post-dose

Outcome Measure Data

Analysis Population Description
Pharmacokinetic Population included all randomized participants who received orteronel in Cycle 1.
Arm/Group Title Orteronel 200 mg (Japan) Orteronel 300 mg (Japan) Orteronel 200 mg (Ex-Japan) Orteronel 400 mg (Ex-Japan)
Arm/Group Description Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 3 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 300 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 400 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.
Measure Participants 22 22 25 24
Orteronel
2180
(22.4)
3210
(31.5)
1840
(37.1)
3100
(45.0)
Orteronel Metabolite M-I
565
(32.4)
864
(39.5)
485
(75.4)
761
(81.3)
18. Secondary Outcome
Title Tmax,ss: Time to Reach the Maximum Plasma Concentration (Cmax), Equal to Time (Hours) to Cmax at Steady State for Orteronel and M-I Metabolite
Description Time to reach the maximum plasma concentration (Cmax), equal to time (hours) to Cmax at steady state.
Time Frame Cycle 1 Day 8 Predose, 0.5, 1, 2, 3, 5, 8, 12 hours post-dose

Outcome Measure Data

Analysis Population Description
Pharmacokinetic Population included all randomized participants who received orteronel in Cycle 1.
Arm/Group Title Orteronel 200 mg (Japan) Orteronel 300 mg (Japan) Orteronel 200 mg (Ex-Japan) Orteronel 400 mg (Ex-Japan)
Arm/Group Description Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 3 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 300 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 400 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.
Measure Participants 22 22 25 24
Orteronel
2.05
2.96
2.00
1.98
Orteronel Metabolite M-I
3.08
4.78
3.00
3.00
19. Secondary Outcome
Title AUC(0-tau): Area Under the Plasma Concentration-time Curve From Time 0 to Time Tau Over the Dosing Interval for Orteronel and M-I Metabolite
Description Area under the plasma concentration-time curve during a dosing interval, where tau is the length of the dosing interval.
Time Frame Cycle 1 Day 8 Predose, 0.5, 1, 2, 3, 5, 8, 12 hours post-dose

Outcome Measure Data

Analysis Population Description
Pharmacokinetic Population included all randomized participants who received orteronel in Cycle 1.
Arm/Group Title Orteronel 200 mg (Japan) Orteronel 300 mg (Japan) Orteronel 200 mg (Ex-Japan) Orteronel 400 mg (Ex-Japan)
Arm/Group Description Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 3 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 300 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 400 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.
Measure Participants 22 22 25 24
Orteronel
13300
(20.4)
20400
(36.1)
12600
(36.2)
20000
(55.0)
Orteronel Metabolite M-I
4840
(35.0)
7460
(46.3)
4340
(69.4)
6590
(78.0)
20. Secondary Outcome
Title Rac: Accumulation Index for Orteronel and M-I Metabolite
Description Rac was calculated as the ratio of AUCtau to AUC12hr.
Time Frame Cycle 1 Day 8 Predose, 0.5, 1, 2, 3, 5, 8, 12 hours post-dose

Outcome Measure Data

Analysis Population Description
Pharmacokinetic Population included all randomized participants who received orteronel in Cycle 1.
Arm/Group Title Orteronel 200 mg (Japan) Orteronel 300 mg (Japan) Orteronel 200 mg (Ex-Japan) Orteronel 400 mg (Ex-Japan)
Arm/Group Description Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 3 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 300 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 400 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.
Measure Participants 22 22 25 24
Orteronel
1.51
(9.1)
1.59
(46.6)
1.62
(39.3)
1.97
(90.5)
Orteronel Metabolite M-I
2.27
(17.5)
2.26
(43.0)
2.76
(45.0)
3.17
(77.7)
21. Secondary Outcome
Title Ctrough,ss: Observed Predose Plasma Concentration at Steady State for Orteronel and M-I Metabolite
Description Observed predose plasma concentration at steady state.
Time Frame Cycle 1 Day 8 Predose

Outcome Measure Data

Analysis Population Description
Pharmacokinetic Population included all randomized participants who received orteronel in Cycle 1.
Arm/Group Title Orteronel 200 mg (Japan) Orteronel 300 mg (Japan) Orteronel 200 mg (Ex-Japan) Orteronel 400 mg (Ex-Japan)
Arm/Group Description Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 3 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 300 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 400 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.
Measure Participants 22 22 24 22
Orteronel
710
(28.1)
1060
(63.7)
807
(45.4)
899
(59.8)
Orteronel Metbolite M-I
291
(47.1)
444
(66.7)
314
(68.6)
417
(58.0)
22. Secondary Outcome
Title Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Description An Adverse Event (AE) is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (eg, a clinically significant abnormal laboratory finding),symptom, or disease temporally associated with the use of a drug, whether or not it is considered related to the drug. A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study A serious adverse event is any experience that suggests a significant hazard, contraindication, side effect or precaution that: results in death, is life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or is medically significant.
Time Frame From signing of the informed consent form through 30 days after the last dose of study drug, approximately 3.2 years

Outcome Measure Data

Analysis Population Description
Safety Population included all randomized participants who received at least one dose of study drug. Adverse events are summarized as per the treatment received.
Arm/Group Title Placebo (Japan) Orteronel 200 mg (Japan) Orteronel 300 mg (Japan) Placebo (Ex-Japan) Orteronel 200 mg (Ex-Japan) Orteronel 400 mg (Ex-Japan)
Arm/Group Description Orteronel placebo-matching tablets, orally, twice daily in Cycle 1 (28 days). Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles in Japan and ex-Japan for up to 3 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 300 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel placebo-matching tablets, orally, twice daily in Cycle 1. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 400 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.
Measure Participants 21 33 32 23 36 36
AE
7
63.6%
33
150%
32
320%
18
81.8%
36
327.3%
36
144%
SAE
0
0%
8
36.4%
18
180%
1
4.5%
16
145.5%
12
48%

Adverse Events

Time Frame From signing of the informed consent form through 30 days after the last dose of study drug, approximately 3.2 years.
Adverse Event Reporting Description At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Adverse events were summarized as per the treatment received.
Arm/Group Title Placebo Orteronel 200 mg (Japan) Orteronel 300 mg (Japan) Orteronel 200 mg (Ex-Japan) Orteronel 400mg (Ex-Japan)
Arm/Group Description Orteronel placebo-matching tablets, orally, twice daily in Cycle 1 (28 days). Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles in for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 300 mg, tablets, orally, twice daily in 28 day cycles in Japan for up to 2.8 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 200 mg, tablets, orally, twice daily in 28 day cycles in for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study. Orteronel 400 mg, tablets, orally, twice daily in 28 day cycles Ex-Japan for up to 3.1 years. Study drug will be administered concomitantly with prednisone (or commercially available equivalent) 5 mg twice daily (BID) continuously throughout the study.
All Cause Mortality
Placebo Orteronel 200 mg (Japan) Orteronel 300 mg (Japan) Orteronel 200 mg (Ex-Japan) Orteronel 400mg (Ex-Japan)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
Placebo Orteronel 200 mg (Japan) Orteronel 300 mg (Japan) Orteronel 200 mg (Ex-Japan) Orteronel 400mg (Ex-Japan)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 10/44 (22.7%) 8/33 (24.2%) 18/32 (56.3%) 16/36 (44.4%) 12/36 (33.3%)
Blood and lymphatic system disorders
Anaemia 1/44 (2.3%) 2 1/33 (3%) 1 1/32 (3.1%) 1 1/36 (2.8%) 2 0/36 (0%) 0
Pancytopenia 1/44 (2.3%) 1 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 0/36 (0%) 0
Cardiac disorders
Cardiac disorder 0/44 (0%) 0 0/33 (0%) 0 1/32 (3.1%) 1 0/36 (0%) 0 0/36 (0%) 0
Atrial fibrillation 1/44 (2.3%) 1 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 0/36 (0%) 0
Coronary Artery Stenosis 0/44 (0%) 0 1/33 (3%) 1 0/32 (0%) 0 0/36 (0%) 0 0/36 (0%) 0
Myocardial Ischaemia 0/44 (0%) 0 1/33 (3%) 1 0/32 (0%) 0 0/36 (0%) 0 0/36 (0%) 0
Cardiac arrest 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 0/36 (0%) 0
Eye disorders
Cataract 0/44 (0%) 0 0/33 (0%) 0 1/32 (3.1%) 1 0/36 (0%) 0 0/36 (0%) 0
Gastrointestinal disorders
Pancreatitis 1/44 (2.3%) 1 1/33 (3%) 1 1/32 (3.1%) 1 0/36 (0%) 0 0/36 (0%) 0
Pancreatitis acute 1/44 (2.3%) 1 0/33 (0%) 0 1/32 (3.1%) 1 0/36 (0%) 0 0/36 (0%) 0
Duodenal ulcer 0/44 (0%) 0 1/33 (3%) 1 0/32 (0%) 0 0/36 (0%) 0 0/36 (0%) 0
Constipation 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 1/36 (2.8%) 1
Gastrointestinal haemorrhage 1/44 (2.3%) 1 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 1/36 (2.8%) 1
Large Intestine Polyp 0/44 (0%) 0 1/33 (3%) 1 0/32 (0%) 0 0/36 (0%) 0 0/36 (0%) 0
Nausea 0/44 (0%) 0 1/33 (3%) 1 0/32 (0%) 0 0/36 (0%) 0 0/36 (0%) 0
Vomitting 0/44 (0%) 0 1/33 (3%) 1 0/32 (0%) 0 0/36 (0%) 0 0/36 (0%) 0
Gastrointestinal Angiodysplasia 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 0/36 (0%) 0
Diarrhoea 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 0/36 (0%) 0
General disorders
General physical health deterioration 0/44 (0%) 0 0/33 (0%) 0 1/32 (3.1%) 2 0/36 (0%) 0 1/36 (2.8%) 1
Asthenia 1/44 (2.3%) 1 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 1/36 (2.8%) 1
Fatigue 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 0/36 (0%) 0
Device occlusion 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 2 0/36 (0%) 0
Hepatobiliary disorders
Hepatic function abnormal 1/44 (2.3%) 1 0/33 (0%) 0 2/32 (6.3%) 2 0/36 (0%) 0 0/36 (0%) 0
Cholelithiasis 0/44 (0%) 0 1/33 (3%) 1 0/32 (0%) 0 0/36 (0%) 0 0/36 (0%) 0
Bile Duct Stone 0/44 (0%) 0 1/33 (3%) 1 0/32 (0%) 0 0/36 (0%) 0 0/36 (0%) 0
Infections and infestations
Pneumonia 2/44 (4.5%) 2 0/33 (0%) 0 2/32 (6.3%) 3 2/36 (5.6%) 2 2/36 (5.6%) 2
Bronchopneumonia 0/44 (0%) 0 0/33 (0%) 0 1/32 (3.1%) 1 0/36 (0%) 0 0/36 (0%) 0
Influenza 0/44 (0%) 0 0/33 (0%) 0 1/32 (3.1%) 1 0/36 (0%) 0 0/36 (0%) 0
Gastroenteritis viral 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 0/36 (0%) 0 2/36 (5.6%) 2
Escherichia sepsis 1/44 (2.3%) 1 0/33 (0%) 0 0/32 (0%) 0 0/36 (0%) 0 1/36 (2.8%) 1
Respiratory tract infection 1/44 (2.3%) 1 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 0/36 (0%) 0
Septic shock 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 0/36 (0%) 0
Streptococcal bacteraemia 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 0/36 (0%) 0
Urinary tract infection 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 1/36 (2.8%) 1
Sepsis 0/44 (0%) 0 1/33 (3%) 1 0/32 (0%) 0 1/36 (2.8%) 1 0/36 (0%) 0
Pyelonephritis 0/44 (0%) 0 0/33 (0%) 0 1/32 (3.1%) 1 0/36 (0%) 0 0/36 (0%) 0
Device Related Infection 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 0/36 (0%) 0 1/36 (2.8%) 1
Injury, poisoning and procedural complications
Head injury 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 0/36 (0%) 0 1/36 (2.8%) 1
Lumbar Vertebral Fracture 0/44 (0%) 0 1/33 (3%) 1 1/32 (3.1%) 1 0/36 (0%) 0 0/36 (0%) 0
Spinal Compression Fracture 0/44 (0%) 0 1/33 (3%) 1 0/32 (0%) 0 0/36 (0%) 0 0/36 (0%) 0
Thoracic Vertebral Fracture 0/44 (0%) 0 0/33 (0%) 0 1/32 (3.1%) 1 0/36 (0%) 0 0/36 (0%) 0
Facial Bones Fracture 0/44 (0%) 0 0/33 (0%) 0 1/32 (3.1%) 1 0/36 (0%) 0 0/36 (0%) 0
Investigations
Pancreatic enzymes increased 0/44 (0%) 0 0/33 (0%) 0 1/32 (3.1%) 1 0/36 (0%) 0 0/36 (0%) 0
Liver function test abnormal 1/44 (2.3%) 1 0/33 (0%) 0 1/32 (3.1%) 1 0/36 (0%) 0 0/36 (0%) 0
International normalised ratio increased 1/44 (2.3%) 1 0/33 (0%) 0 0/32 (0%) 0 0/36 (0%) 0 1/36 (2.8%) 1
Metabolism and nutrition disorders
Diabetes mellitus 1/44 (2.3%) 1 0/33 (0%) 0 2/32 (6.3%) 2 0/36 (0%) 0 0/36 (0%) 0
Diabetic ketoacidosis 0/44 (0%) 0 0/33 (0%) 0 1/32 (3.1%) 1 0/36 (0%) 0 0/36 (0%) 0
Hyponatraemia 0/44 (0%) 0 0/33 (0%) 0 1/32 (3.1%) 1 0/36 (0%) 0 0/36 (0%) 0
Dehydration 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 0/36 (0%) 0 3/36 (8.3%) 3
Musculoskeletal and connective tissue disorders
Rotator Cuff Syndrome 0/44 (0%) 0 0/33 (0%) 0 1/32 (3.1%) 1 0/36 (0%) 0 0/36 (0%) 0
Spinal Ligament Ossification 0/44 (0%) 0 0/33 (0%) 0 1/32 (3.1%) 1 0/36 (0%) 0 0/36 (0%) 0
Lumbar Spinal Stenosis 0/44 (0%) 0 0/33 (0%) 0 1/32 (3.1%) 1 0/36 (0%) 0 0/36 (0%) 0
Pathological Fracture 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 2 0/36 (0%) 0
Arthralgia 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 2 0/36 (0%) 0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung adenocarcinoma 0/44 (0%) 0 1/33 (3%) 1 0/32 (0%) 0 0/36 (0%) 0 0/36 (0%) 0
Cancer pain 0/44 (0%) 0 1/33 (3%) 1 0/32 (0%) 0 0/36 (0%) 0 0/36 (0%) 0
Rectal cancer 0/44 (0%) 0 1/33 (3%) 1 0/32 (0%) 0 0/36 (0%) 0 0/36 (0%) 0
Renal neoplasm 0/44 (0%) 0 1/33 (3%) 1 0/32 (0%) 0 0/36 (0%) 0 0/36 (0%) 0
Gastric cancer 0/44 (0%) 0 0/33 (0%) 0 1/32 (3.1%) 1 0/36 (0%) 0 0/36 (0%) 0
Lung Neoplasm Malignant 0/44 (0%) 0 0/33 (0%) 0 1/32 (3.1%) 1 0/36 (0%) 0 0/36 (0%) 0
Pancreatic Carcinoma 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 2 0/36 (0%) 0
Metastatic Pain 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 0/36 (0%) 0
Nervous system disorders
Dizziness 0/44 (0%) 0 0/33 (0%) 0 1/32 (3.1%) 1 0/36 (0%) 0 0/36 (0%) 0
Balance disorder 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 0/36 (0%) 0 1/36 (2.8%) 1
Aphasia 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 0/36 (0%) 0 1/36 (2.8%) 1
Spinal cord compression 1/44 (2.3%) 1 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 1/36 (2.8%) 1
Altered State Of Consciousness 0/44 (0%) 0 0/33 (0%) 0 1/32 (3.1%) 1 0/36 (0%) 0 0/36 (0%) 0
Parkinsonism 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 0/36 (0%) 0
Parkinson's disease 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 0/36 (0%) 0
Renal and urinary disorders
Haematuria 1/44 (2.3%) 1 0/33 (0%) 0 0/32 (0%) 0 2/36 (5.6%) 2 0/36 (0%) 0
Urinary tract obstruction 1/44 (2.3%) 1 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 0/36 (0%) 0
Acute Kidney Injury 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 1/36 (2.8%) 1
Renal Colic 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 0/36 (0%) 0
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease 0/44 (0%) 0 0/33 (0%) 0 2/32 (6.3%) 2 0/36 (0%) 0 0/36 (0%) 0
Pulmonary embolism 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 2/36 (5.6%) 2 1/36 (2.8%) 1
Pleural effusion 1/44 (2.3%) 1 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 0/36 (0%) 0
Skin and subcutaneous tissue disorders
Dermatitis exfoliative 1/44 (2.3%) 1 0/33 (0%) 0 0/32 (0%) 0 0/36 (0%) 0 1/36 (2.8%) 1
Vascular disorders
Deep vein thrombosis 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 0/36 (0%) 0
Venous thrombosis limb 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 0/36 (0%) 0
Hypertension 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 0/36 (0%) 0
Orthostatic Hypotension 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 0/36 (0%) 0 1/36 (2.8%) 1
Other (Not Including Serious) Adverse Events
Placebo Orteronel 200 mg (Japan) Orteronel 300 mg (Japan) Orteronel 200 mg (Ex-Japan) Orteronel 400mg (Ex-Japan)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 44/44 (100%) 33/33 (100%) 32/32 (100%) 35/36 (97.2%) 36/36 (100%)
Blood and lymphatic system disorders
Anaemia 0/44 (0%) 0 1/33 (3%) 1 2/32 (6.3%) 2 2/36 (5.6%) 2 0/36 (0%) 0
Increased tendency to bruise 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 2/36 (5.6%) 2
Thrombocytopenia 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 2/36 (5.6%) 2 0/36 (0%) 0
Cardiac disorders
Atrial fibrillation 1/44 (2.3%) 1 0/33 (0%) 0 0/32 (0%) 0 0/36 (0%) 0 3/36 (8.3%) 3
Sinus tachycardia 2/44 (4.5%) 2 1/33 (3%) 1 2/32 (6.3%) 2 0/36 (0%) 0 0/36 (0%) 0
Ear and labyrinth disorders
Ear pain 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 2/36 (5.6%) 2
Endocrine disorders
Cushingoid 0/44 (0%) 0 3/33 (9.1%) 3 1/32 (3.1%) 1 0/36 (0%) 0 0/36 (0%) 0
Eye disorders
Cataract 0/44 (0%) 0 3/33 (9.1%) 3 1/32 (3.1%) 1 0/36 (0%) 0 0/36 (0%) 0
Lacrimation increased 0/44 (0%) 0 3/33 (9.1%) 3 0/32 (0%) 0 0/36 (0%) 0 0/36 (0%) 0
Glaucoma 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 0/36 (0%) 0 2/36 (5.6%) 2
Gastrointestinal disorders
Constipation 7/44 (15.9%) 7 8/33 (24.2%) 9 10/32 (31.3%) 12 10/36 (27.8%) 13 12/36 (33.3%) 13
Diarrhoea 11/44 (25%) 12 4/33 (12.1%) 4 5/32 (15.6%) 6 15/36 (41.7%) 30 13/36 (36.1%) 16
Nausea 7/44 (15.9%) 12 5/33 (15.2%) 6 7/32 (21.9%) 10 13/36 (36.1%) 17 12/36 (33.3%) 16
Vomiting 3/44 (6.8%) 3 4/33 (12.1%) 4 3/32 (9.4%) 11 9/36 (25%) 12 3/36 (8.3%) 3
Abdominal discomfort 4/44 (9.1%) 4 4/33 (12.1%) 4 2/32 (6.3%) 3 1/36 (2.8%) 1 2/36 (5.6%) 2
Abdominal pain upper 1/44 (2.3%) 1 1/33 (3%) 1 2/32 (6.3%) 3 1/36 (2.8%) 1 4/36 (11.1%) 4
Abdominal pain 2/44 (4.5%) 2 2/33 (6.1%) 2 0/32 (0%) 0 4/36 (11.1%) 4 3/36 (8.3%) 3
Stomatitis 4/44 (9.1%) 4 2/33 (6.1%) 2 2/32 (6.3%) 2 3/36 (8.3%) 4 2/36 (5.6%) 7
Chronic Gastritis 0/44 (0%) 0 1/33 (3%) 1 2/32 (6.3%) 2 0/36 (0%) 0 0/36 (0%) 0
Dyspepsia 0/44 (0%) 0 1/33 (3%) 1 2/32 (6.3%) 2 1/36 (2.8%) 1 3/36 (8.3%) 3
Abdominal distension 0/44 (0%) 0 2/33 (6.1%) 3 0/32 (0%) 0 0/36 (0%) 0 0/36 (0%) 0
Dental caries 0/44 (0%) 0 0/33 (0%) 0 2/32 (6.3%) 3 0/36 (0%) 0 0/36 (0%) 0
Pancreatitis 0/44 (0%) 0 2/33 (6.1%) 2 0/32 (0%) 0 0/36 (0%) 0 0/36 (0%) 0
Gastrooesophageal reflux disease 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 2/36 (5.6%) 2 2/36 (5.6%) 2
Mouth ulceration 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 0/36 (0%) 0 2/36 (5.6%) 4
Dysphagia 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 0/36 (0%) 0 2/36 (5.6%) 3
General disorders
Fatigue 8/44 (18.2%) 9 0/33 (0%) 0 2/32 (6.3%) 3 19/36 (52.8%) 22 15/36 (41.7%) 17
Oedema peripheral 4/44 (9.1%) 4 8/33 (24.2%) 10 6/32 (18.8%) 7 7/36 (19.4%) 7 5/36 (13.9%) 6
Malaise 4/44 (9.1%) 5 4/33 (12.1%) 5 6/32 (18.8%) 7 3/36 (8.3%) 3 0/36 (0%) 0
Face Oedema 0/44 (0%) 0 2/33 (6.1%) 2 2/32 (6.3%) 3 0/36 (0%) 0 0/36 (0%) 0
Pyrexia 0/44 (0%) 0 0/33 (0%) 0 2/32 (6.3%) 2 0/36 (0%) 0 0/36 (0%) 0
Peripheral swelling 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 2/36 (5.6%) 2
Hepatobiliary disorders
Hepatic function abnormal 0/44 (0%) 0 0/33 (0%) 0 3/32 (9.4%) 4 0/36 (0%) 0 0/36 (0%) 0
Immune system disorders
Seasonal allergy 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 2/36 (5.6%) 2
Infections and infestations
Nasopharyngitis 7/44 (15.9%) 7 8/33 (24.2%) 10 8/32 (25%) 13 0/36 (0%) 0 0/36 (0%) 0
Upper respiratory trat infection 4/44 (9.1%) 4 3/33 (9.1%) 4 4/32 (12.5%) 5 6/36 (16.7%) 7 2/36 (5.6%) 2
Bronchitis 0/44 (0%) 0 1/33 (3%) 1 2/32 (6.3%) 3 1/36 (2.8%) 5 2/36 (5.6%) 3
Cystitis 0/44 (0%) 0 3/33 (9.1%) 3 0/32 (0%) 0 0/36 (0%) 0 0/36 (0%) 0
Influenza 0/44 (0%) 0 2/33 (6.1%) 2 1/32 (3.1%) 1 2/36 (5.6%) 2 2/36 (5.6%) 2
Herpes zoster 0/44 (0%) 0 2/33 (6.1%) 2 0/32 (0%) 0 0/36 (0%) 0 0/36 (0%) 0
Oesophageal candidiasis 0/44 (0%) 0 0/33 (0%) 0 2/32 (6.3%) 2 0/36 (0%) 0 0/36 (0%) 0
Pharyngitis 0/44 (0%) 0 2/33 (6.1%) 2 0/32 (0%) 0 0/36 (0%) 0 0/36 (0%) 0
Oral candidiasis 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 3/36 (8.3%) 4 2/36 (5.6%) 2
Lower respiratory tract infection 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 0/36 (0%) 0 4/36 (11.1%) 6
Sinusitis 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 0/36 (0%) 0 2/36 (5.6%) 2
Tooth abscess 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 2/36 (5.6%) 2 0/36 (0%) 0
Viral upper respiratory tract infection 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 0/36 (0%) 0 2/36 (5.6%) 2
Injury, poisoning and procedural complications
Fall 2/44 (4.5%) 2 3/33 (9.1%) 4 5/32 (15.6%) 8 2/36 (5.6%) 4 5/36 (13.9%) 6
Contusion 0/44 (0%) 0 1/33 (3%) 1 3/32 (9.4%) 3 3/36 (8.3%) 8 0/36 (0%) 0
Rib fracture 0/44 (0%) 0 2/33 (6.1%) 2 1/32 (3.1%) 1 0/36 (0%) 0 0/36 (0%) 0
Spinal compression fracture 0/44 (0%) 0 2/33 (6.1%) 4 0/32 (0%) 0 0/36 (0%) 0 0/36 (0%) 0
Skin abrasion 0/44 (0%) 0 0/33 (0%) 0 2/32 (6.3%) 2 0/36 (0%) 0 0/36 (0%) 0
Thoracic vertebral fracture 0/44 (0%) 0 0/33 (0%) 0 2/32 (6.3%) 2 0/36 (0%) 0 0/36 (0%) 0
Meniscus injury 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 0/36 (0%) 0 2/36 (5.6%) 2
Investigations
Lipase increased 19/44 (43.2%) 36 25/33 (75.8%) 46 19/32 (59.4%) 32 9/36 (25%) 10 7/36 (19.4%) 9
Amylase increased 16/44 (36.4%) 21 21/33 (63.6%) 35 19/32 (59.4%) 27 4/36 (11.1%) 7 6/36 (16.7%) 10
Alanine aminotransferase increased 6/44 (13.6%) 7 7/33 (21.2%) 7 7/32 (21.9%) 11 2/36 (5.6%) 4 1/36 (2.8%) 1
Aspartate aminotransferase increased 6/44 (13.6%) 8 7/33 (21.2%) 7 7/32 (21.9%) 11 2/36 (5.6%) 4 1/36 (2.8%) 1
Gamma-glutamyltransferase increased 6/44 (13.6%) 6 5/33 (15.2%) 6 8/32 (25%) 14 0/36 (0%) 0 2/36 (5.6%) 2
Weight decreased 5/44 (11.4%) 5 2/33 (6.1%) 2 6/32 (18.8%) 9 2/36 (5.6%) 2 3/36 (8.3%) 4
Blood lactate dehydrogenase increased 5/44 (11.4%) 5 8/33 (24.2%) 8 4/32 (12.5%) 4 0/36 (0%) 0 0/36 (0%) 0
Blood creatinine increased 2/44 (4.5%) 2 0/33 (0%) 0 5/32 (15.6%) 5 2/36 (5.6%) 2 1/36 (2.8%) 1
Blood alkaline phosphatase increased 1/44 (2.3%) 1 1/33 (3%) 1 6/32 (18.8%) 7 0/36 (0%) 0 0/36 (0%) 0
Blood urea increased 1/44 (2.3%) 2 0/33 (0%) 0 4/32 (12.5%) 8 2/36 (5.6%) 2 1/36 (2.8%) 1
White blood cell count decreased 3/44 (6.8%) 5 3/33 (9.1%) 4 3/32 (9.4%) 5 0/36 (0%) 0 0/36 (0%) 0
Weight increased 0/44 (0%) 0 4/33 (12.1%) 4 0/32 (0%) 0 0/36 (0%) 0 0/36 (0%) 0
Neutrophil count decreased 0/44 (0%) 0 3/33 (9.1%) 4 0/32 (0%) 0 0/36 (0%) 0 0/36 (0%) 0
Glycosylated haemoglobin increased 0/44 (0%) 0 2/33 (6.1%) 2 1/32 (3.1%) 1 0/36 (0%) 0 0/36 (0%) 0
White blood cell count increased 0/44 (0%) 0 1/33 (3%) 1 2/32 (6.3%) 2 0/36 (0%) 0 0/36 (0%) 0
Metabolism and nutrition disorders
Diabetes mellitus 5/44 (11.4%) 5 9/33 (27.3%) 10 6/32 (18.8%) 8 1/36 (2.8%) 1 4/36 (11.1%) 4
Decreased appetite 5/44 (11.4%) 7 1/33 (3%) 1 5/32 (15.6%) 8 9/36 (25%) 10 7/36 (19.4%) 8
Hyponatraemia 4/44 (9.1%) 4 2/33 (6.1%) 3 2/32 (6.3%) 2 1/36 (2.8%) 1 4/36 (11.1%) 4
Dehydration 1/44 (2.3%) 1 0/33 (0%) 0 0/32 (0%) 0 3/36 (8.3%) 3 4/36 (11.1%) 5
Hyperglycaemia 3/44 (6.8%) 3 1/33 (3%) 1 2/32 (6.3%) 2 1/36 (2.8%) 3 2/36 (5.6%) 2
Hypokalaemia 2/44 (4.5%) 2 2/33 (6.1%) 2 0/32 (0%) 0 5/36 (13.9%) 6 1/36 (2.8%) 1
Hyperkalaemia 1/44 (2.3%) 1 0/33 (0%) 0 3/32 (9.4%) 4 2/36 (5.6%) 4 2/36 (5.6%) 2
Type 2 diabetes mellitus 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 2/36 (5.6%) 2 4/36 (11.1%) 5
Hypoglycaemia 0/44 (0%) 0 0/33 (0%) 0 2/32 (6.3%) 2 0/36 (0%) 0 0/36 (0%) 0
Hyperlipidaemia 0/44 (0%) 0 2/33 (6.1%) 2 0/32 (0%) 0 0/36 (0%) 0 0/36 (0%) 0
Hypercholesterolaemia 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 2/36 (5.6%) 2 2/36 (5.6%) 2
Hypomagnesaemia 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 2/36 (5.6%) 2 1/36 (2.8%) 1
Musculoskeletal and connective tissue disorders
Muscle spasms 11/44 (25%) 16 3/33 (9.1%) 3 8/32 (25%) 9 8/36 (22.2%) 11 12/36 (33.3%) 22
Back pain 3/44 (6.8%) 3 2/33 (6.1%) 2 3/32 (9.4%) 3 5/36 (13.9%) 6 3/36 (8.3%) 3
Arthralgia 2/44 (4.5%) 3 0/33 (0%) 0 0/32 (0%) 0 5/36 (13.9%) 6 4/36 (11.1%) 5
Muscular weakness 2/44 (4.5%) 2 0/33 (0%) 0 2/32 (6.3%) 2 4/36 (11.1%) 4 4/36 (11.1%) 4
Musculoskeletal pain 0/44 (0%) 0 3/33 (9.1%) 3 0/32 (0%) 0 3/36 (8.3%) 4 3/36 (8.3%) 4
Musculoskeletal chest pain 2/44 (4.5%) 2 0/33 (0%) 0 0/32 (0%) 0 2/36 (5.6%) 4 3/36 (8.3%) 3
Lumbar spinal stenosis 0/44 (0%) 0 1/33 (3%) 1 2/32 (6.3%) 2 0/36 (0%) 0 0/36 (0%) 0
Osteoporosis 0/44 (0%) 0 2/33 (6.1%) 2 1/32 (3.1%) 1 2/36 (5.6%) 2 2/36 (5.6%) 2
Musculoskeletal discomfort 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 3/36 (8.3%) 3 1/36 (2.8%) 1
Pain in extremity 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 2 2/36 (5.6%) 2
Myalgia 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 2/36 (5.6%) 4 1/36 (2.8%) 1
Bone pain 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 2/36 (5.6%) 2
Groin pain 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 0/36 (0%) 0 2/36 (5.6%) 2
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cancer pain 2/44 (4.5%) 2 1/33 (3%) 1 3/32 (9.4%) 4 0/36 (0%) 0 0/36 (0%) 0
Metastatic pain 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 0/36 (0%) 0 2/36 (5.6%) 2
Nervous system disorders
Dysgeusia 3/44 (6.8%) 3 2/33 (6.1%) 2 4/32 (12.5%) 4 4/36 (11.1%) 4 4/36 (11.1%) 4
Dizziness 1/44 (2.3%) 1 2/33 (6.1%) 2 4/32 (12.5%) 5 3/36 (8.3%) 3 5/36 (13.9%) 5
Hypoaesthesia 1/44 (2.3%) 1 0/33 (0%) 0 3/32 (9.4%) 4 2/36 (5.6%) 2 1/36 (2.8%) 1
Somnolence 0/44 (0%) 0 5/33 (15.2%) 6 0/32 (0%) 0 0/36 (0%) 0 0/36 (0%) 0
Headache 0/44 (0%) 0 2/33 (6.1%) 2 1/32 (3.1%) 1 3/36 (8.3%) 4 1/36 (2.8%) 2
Paraesthesia 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 2/36 (5.6%) 3 3/36 (8.3%) 3
Syncope 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 2/36 (5.6%) 3
Neuropathy peripheral 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 2/36 (5.6%) 2 1/36 (2.8%) 1
Psychiatric disorders
Insomnia 2/44 (4.5%) 2 2/33 (6.1%) 2 2/32 (6.3%) 2 6/36 (16.7%) 6 4/36 (11.1%) 4
Depression 1/44 (2.3%) 1 0/33 (0%) 0 0/32 (0%) 0 3/36 (8.3%) 3 2/36 (5.6%) 2
Anxiety 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 2/36 (5.6%) 2 2/36 (5.6%) 2
Restlessness 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 0/36 (0%) 0 2/36 (5.6%) 2
Renal and urinary disorders
Haematuria 1/44 (2.3%) 1 1/33 (3%) 1 2/32 (6.3%) 2 3/36 (8.3%) 4 2/36 (5.6%) 2
Nocturia 3/44 (6.8%) 4 0/33 (0%) 0 0/32 (0%) 0 2/36 (5.6%) 3 1/36 (2.8%) 1
Dysuria 0/44 (0%) 0 2/33 (6.1%) 2 1/32 (3.1%) 1 0/36 (0%) 0 0/36 (0%) 0
Pollakiuria 0/44 (0%) 0 3/33 (9.1%) 3 0/32 (0%) 0 1/36 (2.8%) 1 3/36 (8.3%) 3
Renal failure 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 2/36 (5.6%) 2 1/36 (2.8%) 1
Hydronephrosis 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 2/36 (5.6%) 2 0/36 (0%) 0
Urinary retention 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 0/36 (0%) 0 2/36 (5.6%) 2
Respiratory, thoracic and mediastinal disorders
Dyspnoea 0/44 (0%) 0 0/33 (0%) 0 3/32 (9.4%) 3 5/36 (13.9%) 5 4/36 (11.1%) 5
Cough 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 3/36 (8.3%) 3 2/36 (5.6%) 2
Productive cough 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 2/36 (5.6%) 2 0/36 (0%) 0
Pulmonary embolism 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 2/36 (5.6%) 2 0/36 (0%) 0
Skin and subcutaneous tissue disorders
Rash macular 3/44 (6.8%) 3 0/33 (0%) 0 0/32 (0%) 0 3/36 (8.3%) 4 4/36 (11.1%) 4
Rash maculo-papular 0/44 (0%) 0 3/33 (9.1%) 4 0/32 (0%) 0 2/36 (5.6%) 2 1/36 (2.8%) 1
Rash erythematous 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 0/36 (0%) 0 2/36 (5.6%) 2
Urticaria 0/44 (0%) 0 1/33 (3%) 1 3/32 (9.4%) 4 0/36 (0%) 0 0/36 (0%) 0
Purpura 0/44 (0%) 0 2/33 (6.1%) 2 2/32 (6.3%) 2 0/36 (0%) 0 0/36 (0%) 0
Dry skin 0/44 (0%) 0 1/33 (3%) 1 2/32 (6.3%) 2 1/36 (2.8%) 1 2/36 (5.6%) 2
Eczema 0/44 (0%) 0 1/33 (3%) 1 2/32 (6.3%) 2 0/36 (0%) 0 0/36 (0%) 0
Haemorrhage subcutaneous 0/44 (0%) 0 0/33 (0%) 0 2/32 (6.3%) 2 0/36 (0%) 0 0/36 (0%) 0
Skin atrophy 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 3/36 (8.3%) 3 1/36 (2.8%) 2
Ecchymosis 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 2/36 (5.6%) 2
Hyperhidrosis 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 2/36 (5.6%) 2 1/36 (2.8%) 1
Rash pruritic 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 2/36 (5.6%) 2
Decubitus ulcer 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 0/36 (0%) 0 2/36 (5.6%) 3
Rash papular 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 0/36 (0%) 0 2/36 (5.6%) 3
Dermatitis acneiform 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 0/36 (0%) 0 2/36 (5.6%) 2
Vascular disorders
Hot flush 7/44 (15.9%) 7 3/33 (9.1%) 3 5/32 (15.6%) 5 5/36 (13.9%) 5 10/36 (27.8%) 10
Hypertension 4/44 (9.1%) 4 3/33 (9.1%) 3 3/32 (9.4%) 3 2/36 (5.6%) 2 8/36 (22.2%) 8
Deep vein thrombosis 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 3/36 (8.3%) 3 1/36 (2.8%) 1
Flushing 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 3/36 (8.3%) 3 1/36 (2.8%) 1
Hypotension 0/44 (0%) 0 0/33 (0%) 0 0/32 (0%) 0 1/36 (2.8%) 1 2/36 (5.6%) 2

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

The first study related publication will be a multi-center publication submitted within 24 months after conclusion or termination of a study at all sites. After such multi site publication, all proposed site publications and presentations will be submitted to sponsor for review 60 days in advance of publication. Site will remove Sponsor confidential information unrelated to study results. Sponsor can delay a proposed publication for another 60 days to preserve intellectual property.

Results Point of Contact

Name/Title Medical Director, Clinical Science
Organization Takeda
Phone +1-877-825-3327
Email trialdisclosures@takeda.com
Responsible Party:
Millennium Pharmaceuticals, Inc.
ClinicalTrials.gov Identifier:
NCT01666314
Other Study ID Numbers:
  • C21013
  • 2012-001539-30
  • U1111-1179-5750
First Posted:
Aug 16, 2012
Last Update Posted:
Mar 20, 2018
Last Verified:
Feb 1, 2018