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Trial · NCT00554229

A Phase III Trial of ZD4054 (Zibotentan) (Endothelin A Antagonist) in Hormone Resistant Prostate Cancer With Bone Metastases

NCT00554229, Phase 3, Completed, AstraZeneca; results first posted 2012-05-31

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Phase III Trial of ZD4054 (Zibotentan) (Endothelin A Antagonist) in Hormone Resistant Prostate Cancer With Bone Metastases. Trials, record NCT00554229. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00554229

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Phase III Trial of ZD4054 (Zibotentan) (Endothelin A Antagonist) in Hormone Resistant Prostate Cancer With Bone Metastases
NCT number
NCT00554229
Status
Completed
Phases
Phase 3
Enrollment
896 participants, actual
Lead sponsor
AstraZeneca
Conditions
Prostate Cancer
Interventions
ZD4054, Placebo
First posted
2007-11-06
Last updated
2016-02-08
Other registries' IDs
eudract:2007-003227-20
Results first posted
2012-05-31

Source ClinicalTrials.gov

Registered outcomes10

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryOverall SurvivalFrom date of randomization until date of death, assessed up to 32 monthsMedian time (in months) from randomisation until death using the Kaplan-Meier method
SecondaryProgression Free SurvivalFrom date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 31 months
Median time (in months) from randomisation until clinical progression of disease, where progression is defined, using RECIST, as a measurable increase in the smallest dimension of any target or non-target lesion, or the appearance of new lesions, since baseline, using the Kaplan-Meier method
SecondaryTime to Use of OpiatesFrom date of randomization until use of opiates for disease-related symptoms for a duration ≥1 week, assessed up to 31 monthsMedian time (in months) from randomisation until use of opiates for disease-related symptoms for a duration ≥1 week using the Kaplan-Meier method
SecondaryIncidence of Skeletal Related EventsFrom date of randomization until occurrence of a skeletal related event, assessed up to 31 months
Median time (in months) from randomisation until occurrence of a skeletal related event, where skeletal related event is defined as the first occurrence of a pathological fracture, a vertebral compression fracture not related to trauma, prophylactic surgery or radiation for impending fracture or spinal cord compression, or a spinal cord compression, using the Kaplan-Meier method.
SecondaryBone Metastases FormationPatients were assessed every 12 weeksMedian time (in months) from randomisation to appearance of ≥4 new bone lesions using the Kaplan-Meier method
SecondaryHealth Related Quality of LifePatients were assessed at every visit
Median time (in months) from randomisation until deterioration of Health related Quality of Life using the Kaplan-Meier method, where deterioration is defined as a change from baseline of less than or equal to -6 points in Total FACT-P score maintained for 2 consecutive visits.
SecondaryTime to Prostate-specific Antigen (PSA) ProgressionPatients were assessed every 12 weeks
Median time (in months) from randomisation to first PSA value \>50% higher than baseline of at least 5ng/ml seen in at least 2 consecutive PSA values at least 2 weeks apart using the Kaplan-Meier method.
SecondaryTime to Pain ProgressionPatients were assessed every 12 weeks
Median time (in months) from randomisation to first assessment of an increased pain event, where increased pain event is defined as the first of a patient requiring opiate medication for duration of ≥1 week for pain due to prostate cancer metastasis, pain due to metastasis that has an increase in the worst pain item of the Brief Pain Inventory (BPI) from baseline to a minimum score of 5 with no decrease in analgesic use, or pain due to metastasis requiring radionuclide therapy, radiation therapy or surgery.
SecondaryTime to Initiation of ChemotherapyPatients were assessed every 12 weeksMedian time (in months) from randomisation to first administration of any chemotherapy using the Kaplan-Meier method
SecondaryPharmacokinetic Characteristics of ZD4054PK samples were performed at randomisation, Week 4, Week 8 and Week 12

Outcomes10

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYOverall SurvivalFrom date of randomization until date of death, assessed up to 32 monthsmonthsMEDIAN
SECONDARYProgression Free SurvivalFrom date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 31 monthsMonthsMEDIAN
SECONDARYTime to Use of OpiatesFrom date of randomization until use of opiates for disease-related symptoms for a duration ≥1 week, assessed up to 31 monthsMonthsMEDIAN
SECONDARYIncidence of Skeletal Related EventsFrom date of randomization until occurrence of a skeletal related event, assessed up to 31 monthsMonthsMEDIAN
SECONDARYBone Metastases FormationPatients were assessed every 12 weeksMonthsMEDIAN
SECONDARYHealth Related Quality of LifePatients were assessed at every visitMonthsMEDIAN
SECONDARYTime to Prostate-specific Antigen (PSA) ProgressionPatients were assessed every 12 weeksMonthsMEDIAN
SECONDARYTime to Pain ProgressionPatients were assessed every 12 weeksMonthsMEDIAN
SECONDARYTime to Initiation of ChemotherapyPatients were assessed every 12 weeksMonthsMEDIAN
SECONDARYPharmacokinetic Characteristics of ZD4054PK samples were performed at randomisation, Week 4, Week 8 and Week 12Plasma concentration versus timeLEAST_SQUARES_MEAN

Results by group18

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Overall SurvivalZD405424.5Full Range 0.5 to 31.2months
Overall SurvivalPlacebo22.5Full Range 0.5 to 29.8months
Progression Free SurvivalZD40546.2Inter-Quartile Range 2.8 to 13.8Months
Progression Free SurvivalPlacebo6.5Inter-Quartile Range 2.8 to 13.2Months
Time to Use of OpiatesZD405416.7Inter-Quartile Range 7.3 to 27.0Months
Time to Use of OpiatesPlacebo14.8Inter-Quartile Range 7.9 to 25.8Months
Incidence of Skeletal Related EventsZD405418.4Inter-Quartile Range 9.6 to 30.6Months
Incidence of Skeletal Related EventsPlacebo17.1Inter-Quartile Range 9.3 to 25.8Months
Bone Metastases FormationZD405415.1Inter-Quartile Range 7.2 to 25.5Months
Bone Metastases FormationPlacebo11.9Inter-Quartile Range 7.0 to 22.5Months

Participant flow8

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDZD4054299
Overall StudySTARTEDPlacebo295
Overall StudyPatients Who Received TreatmentZD4054298
Overall StudyPatients Who Received TreatmentPlacebo295
Overall StudyCOMPLETEDZD405473
Overall StudyCOMPLETEDPlacebo70
Overall StudyNOT COMPLETEDZD4054226
Overall StudyNOT COMPLETEDPlacebo225

Adverse events404

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersZD405446298
otherAnaemiaBlood and lymphatic system disordersPlacebo33295
otherNeutropeniaBlood and lymphatic system disordersZD405411298
otherNeutropeniaBlood and lymphatic system disordersPlacebo16295
otherNauseaGastrointestinal disordersZD405462298
otherNauseaGastrointestinal disordersPlacebo44295
otherConstipationGastrointestinal disordersZD405461298
otherConstipationGastrointestinal disordersPlacebo51295
otherDiarrhoeaGastrointestinal disordersZD405428298
otherDiarrhoeaGastrointestinal disordersPlacebo46295

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityZD4054
Total, all-cause mortalityPlacebo
Total, other adverse eventsZD4054257298
Total, other adverse eventsPlacebo221295
Total, serious adverse eventsZD405498298
Total, serious adverse eventsPlacebo105295

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons1

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison
ZD4054 vs Placebo: serious adverse events

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00554229

GET https://conductscience.org/api/trials/v1/NCT00554229/events?page=2