Determining the Effect of Abiraterone on the Metabolism of Oxycodone in Men With Prostate Cancer (the ENABLE Study)

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexMale
Age18+
SponsorDeventer Ziekenhuis

About this trial

Prostate cancer often leads to bone metastases, which require adequate pain management with opioids such as oxycodone. This study investigates whether abiraterone - a drug used in the treatment of prostate cancer - affects the pharmacokinetics of oxycodone in order to improve pain management.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Diagnosed prostate cancer;

Males aged 18 years or older;

Treated with abiraterone 1000 mg once daily for at least 10 days (abiraterone arm).

Not treated with abiraterone 1000 mg once daily for at least 10 days (control arm).

Disqualifiers

Use of oxycodone short acting <48 hours, or long acting <96 hours prior to the study day;

Use of other opioids in the 14 days prior to the study day (see also appendix A);

Use of other medication that has pharmacokinetic or pharmacodynamics interactions with oxycodone (see also appendix A);

Arm 1: dose reduction or successive days of treatment interruption within 10 days prior to the study day (arm 1);

Trial design

Design model

Parallel

Treatments tested in this trial

  • Oxycodone oral capsule 15 mg

    Drug

    Single dose of 15 mg oxycodone direct release (both arm 1 and arm 2)

  • Abiraterone Acetate Tablets 500 mg

    Drug

    Abiraterone group: 1000 mg abiraterone acetate (at steady state)

Treatment groups

29 Participants
are divided into 2 treatment groups
Group A: Control groupOther 1 intervention
Group B: Abiraterone groupOther 2 interventions

Trial outcomes

Primary outcomes

1

Cmax Oxycodone

Maximum measured concentration of oxycodone

Time frame
Measured at one of the time points (t= 0.5, 1, 1.5, 2, 3, 5, 8 hours)
2

T1/2 oxycodone

Measured half-life of oxycodone

Time frame
t= 0.5, 1, 1.5, 2, 3, 5, 8 hours
3

AUC0-8h oxycodone

Area under the curve of oxycodone from 0 to 8 hours after ingestion of oxycodone.

Time frame
From 0 to 8 hours after ingestion of oxycodone

Secondary outcomes

1

Cmax noroxycodone

Maximum measured concentration of noroxycodone

Time frame
Measured at one of the time points (t= 0.5, 1, 1.5, 2, 3, 5, 8 hours)
2

AUC0-8h noroxycodone

Area under the curve of noroxycodone from 0 to 8 hours after ingestion of oxycodone.

Time frame
From 0 to 8 hours after ingestion of oxycodone
3

Cmax oxymorphone

Maximum measured concentration of oxymorphone

Time frame
Measured at one of the time points (t= 0.5, 1, 1.5, 2, 3, 5, 8 hours)
4

AUC0-8h oxymorphone

Area under the curve of oxymorphone from 0 to 8 hours after ingestion of oxycodone.

Time frame
From 0 to 8 hours after ingestion of oxycodone

Other outcomes

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