GTx, Inc. (Nasdaq: GTXI) today presented a safety analysis demonstrating
that fewer men treated with toremifene 80 mg had PSA progression over
time compared to placebo in the Phase III clinical trial evaluating
toremifene 80 mg for the treatment of multiple serious side effects of
androgen deprivation therapy (ADT) for advanced prostate cancer. These
data, as well as an additional analysis of bone turnover markers and
fracture risk, were presented at the 2008 Annual Meeting of the American
Society for Bone and Mineral Research in Montreal, Canada.
Among men in the intent-to-treat population with a detectable PSA (PSA ≥
1 ng/ml) at baseline (n=419), significantly fewer men treated with
toremifene 80 mg had PSA progression over time compared to men taking
placebo (27% versus 37%, respectively; p <
0.05). This subgroup analysis is consistent with the recommendations of
the Prostate Cancer Clinical Trials Working Group to measure prostate
cancer progression in clinical studies. In another analysis among men
with an undetectable PSA (PSA < 1 ng/ml)
at baseline (n= 698), there was no difference in PSA progression in men
treated with toremifene 80 mg compared to men taking placebo.
“These new safety data are consistent with the
mechanism of action observed in other studies evaluating toremifene,
which have demonstrated inhibition of prostate growth in animal models,
as well as in our Phase IIb clinical trial evaluating toremifene for the
prevention of prostate cancer,” said Mitchell
S. Steiner, MD, Chief Executive Officer of GTx.
“In men with advanced prostate cancer, PSA is
a sensitive marker of progression and is followed closely by physicians
and patients to monitor the underlying cancer,”
Dr. Steiner continued. “It is encouraging to
find that in our Phase III clinical trial in men with advanced prostate
cancer on ADT, who have castrate levels of testosterone and estrogen,
toremifene 80 mg treatment resulted in fewer men with detectable PSA at
baseline demonstrating PSA progression over time when compared to
placebo.”
Additional data from the study were also highlighted during the
presentation. An efficacy analysis studied changes in three serum
markers of bone turnover: C-telopeptides, bone specific alkaline
phosphatase (bALP), and osteocalcin. Changes in the three markers were
further evaluated among men in the trial who experienced a new
morphometric vertebral fracture.