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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05288166
Registration number
NCT05288166
Ethics application status
Date submitted
10/03/2022
Date registered
21/03/2022
Titles & IDs
Public title
A Study of Abemaciclib (LY2835219) With Abiraterone in Men With Prostate Cancer That Has Spread to Other Parts of the Body and is Expected to Respond to Hormonal Treatment (Metastatic Hormone-Sensitive Prostate Cancer)
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Scientific title
CYCLONE 3: A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study of Abemaciclib in Combination With Abiraterone Plus Prednisone in Men With High-Risk Metastatic Hormone-Sensitive Prostate Cancer
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Secondary ID [1]
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I3Y-MC-JPEG
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Secondary ID [2]
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0
18448
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Universal Trial Number (UTN)
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Trial acronym
CYCLONE 3
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Prostatic Neoplasms
0
0
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Neoplasm Metastasis
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0
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Urogenital Neoplasms
0
0
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Physiological Effects of Drugs
0
0
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Antineoplastic Agents
0
0
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Antineoplastic Agents, Hormonal
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0
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Androgens
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0
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Hormones
0
0
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Hormones, Hormone Substitutes, and Hormone Antagonists
0
0
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Abiraterone Acetate
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0
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Steroid Synthesis Inhibitors
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0
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Cytochrome P-450
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0
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Enzyme Inhibitors
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0
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Prednisone
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Prednisolone
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Cyclin-Dependent Kinase 4
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Cyclin-Dependent Kinase 6
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Condition category
Condition code
Cancer
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0
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0
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Prostate
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Cancer
0
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0
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Other cancer types
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Renal and Urogenital
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0
0
0
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Other renal and urogenital disorders
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Inflammatory and Immune System
0
0
0
0
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Allergies
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Intervention/exposure
Study type
Interventional(has expanded access)
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Description of intervention(s) / exposure
Treatment: Drugs - Abemaciclib
Treatment: Drugs - Abiraterone
Treatment: Drugs - Prednisone or Prednisolone
Treatment: Drugs - Placebo for Abemaciclib
Experimental: Abemaciclib + Abiraterone + Prednisone/Prednisolone - Abemaciclib plus (+) abiraterone + prednisone/prednisolone administered orally.
Active comparator: Placebo + Abiraterone + Prednisone/Prednisolone - Placebo + abiraterone + prednisone/prednisolone administered orally.
Treatment: Drugs: Abemaciclib
Administered orally.
Treatment: Drugs: Abiraterone
Administered orally.
Treatment: Drugs: Prednisone or Prednisolone
Administered orally.
Treatment: Drugs: Placebo for Abemaciclib
Administered orally.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Radiographic Progression-Free Survival (rPFS) Assessed by Investigator
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Assessment method [1]
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rPFS Assessed by Investigator
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Timepoint [1]
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Randomization to radiographic progression or death from any cause (approximately 48 months)
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Secondary outcome [1]
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rPFS Assessed by Blinded Independent Central Review (BICR)
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Assessment method [1]
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rPFS Assessed by BICR
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Timepoint [1]
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Randomization to radiographic progression or death from any cause (approximately 48 months)
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Secondary outcome [2]
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Castration-resistant Prostate Cancer (CRPC)-free Survival
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Assessment method [2]
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CRPC-free Survival
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Timepoint [2]
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Randomization to the earliest date of PSA or radiographic progression with a testosterone level of =50 nanogram/deciliter (ng/dL); or death from any cause (approximately 48 months)
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Secondary outcome [3]
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Overall Survival (OS)
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Assessment method [3]
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OS
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Timepoint [3]
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Baseline to date of death due to any cause (approximately 60 months)
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Secondary outcome [4]
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Time to Pain Progression
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Assessment method [4]
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Measured by a combination of 2 scales, the Brief Pain Inventory Short Form (BPI-SF) Worst Pain Numeric Rating Scale (NRS) and the Analgesic Quantification Algorithm (AQA) scale. The BPI-SF Worst Pain NRS is a self-reported 11-item questionnaire on worst pain intensity on the past 24 hours. Score ranges from 0 (no pain) to 10 (pain as bad as you can imagine). The AQA scores analgesic use from 0 (minimum) to 7 (maximum).
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Timepoint [4]
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Randomization to pain progression (approximately 48 months)
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Secondary outcome [5]
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Time to Deterioration in Health-Related Quality of Life (HRQoL)
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Assessment method [5]
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Measured by the Functional Assessment of Cancer Therapy-Prostate (FACT-P; Physical well-being and Prostate Cancer Subscale). The FACT-P is a 39-item self-reported questionnaire that assesses physical well-being (7 items), social/family well-being (7 items), emotional well-being (6 items), functional well-being (7 items), and additional prostate cancer specific concerns (12 items). All items are scored from 0 (not at all) to 4 (very much). The total FACT-P score ranges from 0-156, with higher scores representing a better quality of life.
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Timepoint [5]
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Randomization to the date of HRQoL deterioration (approximately 48 Months)
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Secondary outcome [6]
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Pharmacokinetics (PK): Mean Steady State Exposure of Abemaciclib
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Assessment method [6]
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PK: Mean steady state exposure of abemaciclib
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Timepoint [6]
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Postdose Cycle 1 Day 1 through Predose Cycle 3 Day 1 (28 Day Cycles)
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Eligibility
Key inclusion criteria
* Adenocarcinoma of the prostate (as the predominant histology)
* High-risk metastatic hormone-sensitive prostate cancer. High risk is defined as:
* Greater than or equal to (=)4 bone metastases by bone scan and/or
* =1 visceral metastases by computed tomography or magnetic resonance imaging
* Must have initiated androgen deprivation therapy (ADT) with luteinizing hormone-releasing hormone (LHRH) agonist/antagonist or bilateral orchiectomy prior to randomization. Up to 3 months of ADT prior to randomization is permitted with or without first-generation anti-androgen.
* Adequate organ function
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Prior treatment with abemaciclib or any other cyclin dependent kinase 4 and 6 (CDK4 & 6) inhibitor
* Development of metastatic prostate cancer in the context of castrate levels of testosterone
* Received any prior systemic therapy for metastatic prostate cancer (including investigational agents), except for ADT and first-generation anti-androgen
* Clinically significant cardiovascular disease as evidenced by myocardial infarction, arterial thrombotic events, or severe/unstable angina in the past 6 months, or New York Heart Association Class II to IV heart failure
* History of syncope of cardiovascular etiology, ventricular arrhythmia of pathological origin, or sudden cardiac arrest. Chronic and hemodynamically stable atrial arrhythmia well-controlled on medical therapy is permitted
* Uncontrolled hypertension
* Clinically active or chronic liver disease, moderate/severe hepatic impairment
* Known untreated central nervous system (CNS) metastasis. Participants with a history of treated brain metastases are eligible if stable for at least 8 weeks prior to randomization and off corticosteroid for at least 2 weeks prior to randomization
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
14/04/2022
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/10/2027
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Actual
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Sample size
Target
900
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,TAS,VIC,WA
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Recruitment hospital [1]
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Chris O'Brien Lifehouse - Camperdown
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Coffs Harbour Health Campus - Coffs Harbour
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St Vincent's Hospital - Darlinghurst
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Liverpool Hospital - Liverpool
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Macquarie University - Macquarie University
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Recruitment hospital [6]
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Icon Cancer Centre South Brisbane - South Brisbane
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Tasman Oncology Research - Southport
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Recruitment hospital [8]
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Princess Alexandra Hospital - Woolloongabba
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Recruitment hospital [9]
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Lyell McEwin Hospital - Elizabeth Vale
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Ashford Cancer Centre Research - Kurralta Park
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Icon Cancer Centre Hobart - Hobart
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Box Hill Hospital - Box Hill
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Monash Health - Clayton
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Barwon Health - Geelong
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Austin Health - Heidelberg
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St Vincent's Hospital - Melbourne
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Recruitment hospital [17]
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Epworth Freemasons - Richmond
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Recruitment hospital [18]
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Fiona Stanley Hospital - Murdoch
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Recruitment postcode(s) [1]
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2050 - Camperdown
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2450 - Coffs Harbour
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2010 - Darlinghurst
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2170 - Liverpool
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2109 - Macquarie University
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4101 - South Brisbane
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4215 - Southport
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4102 - Woolloongabba
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Recruitment postcode(s) [9]
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5112 - Elizabeth Vale
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Recruitment postcode(s) [10]
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5037 - Kurralta Park
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Recruitment postcode(s) [11]
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7000 - Hobart
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Recruitment postcode(s) [12]
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3128 - Box Hill
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Recruitment postcode(s) [13]
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3168 - Clayton
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Recruitment postcode(s) [14]
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3220 - Geelong
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Recruitment postcode(s) [15]
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3084 - Heidelberg
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Recruitment postcode(s) [16]
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3065 - Melbourne
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Recruitment postcode(s) [17]
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3121 - Richmond
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Recruitment postcode(s) [18]
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6150 - Murdoch
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Recruitment outside Australia
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Colorado
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Georgia
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Indiana
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Kentucky
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Louisiana
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Maryland
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Massachusetts
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Hungary
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Budapest
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HaMerkaz
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Israel
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HaTsafon
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Israel
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Tell Abib
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Israel
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Yerushalayim
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Italy
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Emilia-Rom
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Italy
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Lazio
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Italy
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Italy
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Veneto
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Italy
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Milano
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Italy
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Terni
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Italy
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Trento
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Japan
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Aichi
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Japan
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Chiba
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Japan
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Hokkaido
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Japan
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Hyogo
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Japan
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Ishikawa
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Japan
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Kagawa
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Japan
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Kanagawa
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Japan
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Nagano
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Japan
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Shizuoka
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Japan
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Tokyo
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Japan
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Kumamoto
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Japan
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Osaka
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Korea, Republic of
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Seoul-teukbyeolsi [Seoul]
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Mexico
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Distrito Federal
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Mexico
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Jalisco
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Mexico
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Nuevo León
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Mexico
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Sinaloa
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Mexico
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Chihuahua
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Mexico
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Oaxaca
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Netherlands
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Noord-Brabant
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Netherlands
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Groningen
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Poland
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Lubelskie
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Poland
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Opolskie
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Poland
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Pomorskie
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Poland
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Lódzkie
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Romania
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Bra?ov
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Romania
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Cluj
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Romania
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Constan?a
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Romania
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Dolj
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Romania
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Ilfov
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Romania
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Maramure?
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Romania
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Bucure?ti
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Spain
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Barcelona [Barcelona]
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Spain
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Madrid, Comunidad De
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Spain
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Valenciana, Comunitat
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Spain
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Badajoz
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Spain
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Sevilla
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Taiwan
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Taipei
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Taiwan
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Taichung
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Taiwan
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Tainan
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Taiwan
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Taoyuan
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Turkey
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Istanbul
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Turkey
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Izmir
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Turkey
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Adana
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Turkey
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Ankara
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Turkey
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Diyarbakir
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Turkey
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Edirne
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Turkey
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Malatya
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United Kingdom
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Blackburn With Darwen
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United Kingdom
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Essex
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United Kingdom
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London, City Of
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Eli Lilly and Company
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to learn whether adding abemaciclib to abiraterone plus prednisone prolongs the time before prostate cancer gets worse. Participation may last approximately 60 months.
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Trial website
https://clinicaltrials.gov/study/NCT05288166
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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0
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
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Address
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0
Eli Lilly and Company
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Contact person for public queries
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
Supporting document/s available: Study protocol, Statistical analysis plan (SAP), Clinical study report (CSR)
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When will data be available (start and end dates)?
Data are available 6 months after the primary publication and approval of the indication studied in the US and European Union (EU), whichever is later. Data will be indefinitely available for requesting.
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Available to whom?
A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
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Available for what types of analyses?
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How or where can data be obtained?
IPD available at link: https://vivli.org/
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05288166