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Trial · NCT04325828

A Study of Apalutamide Combined With GnRH Agonist in Participants With Androgen Receptor Positive Salivary Gland Carcinoma

NCT04325828, Phase 2, Active not recruiting, Janssen Pharmaceutical K.K.; results first posted 2022-07-06

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study of Apalutamide Combined With GnRH Agonist in Participants With Androgen Receptor Positive Salivary Gland Carcinoma. Trials, record NCT04325828. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04325828

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Trial

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

Title
A Study of Apalutamide Combined With GnRH Agonist in Participants With Androgen Receptor Positive Salivary Gland Carcinoma
NCT number
NCT04325828
Status
Active not recruiting
Phases
Phase 2
Enrollment
31 participants, actual
Lead sponsor
Janssen Pharmaceutical K.K.
Conditions
Salivary Gland Neoplasms
Interventions
Apalutamide, GnRH Agonist
First posted
2020-03-30
Last updated
2026-11-04
Results first posted
2022-07-06
Limitations and caveats
Due to the low numbers of female participants, it was difficult to interpret the difference between males and females. There was a lack of data on individual treatment of apalutamide as well as goserelin. The number of participants in this study was limited, and the follow-up period was immature at this cut-off for the primary analysis.

Source ClinicalTrials.gov

Registered outcomes10

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

ListOutcomeTime frameDescription
PrimaryOverall Response Rate (ORR)Up to 13 months
Overall response rate (ORR) was defined as the percentage of participants who achieve partial response (PR) or better according to the response evaluation criteria in solid tumors (RECIST) version1.1, including with either confirmed best overall response of complete response (CR) or PR during the study. CR is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (\<) 10 millimeters (mm). PR is defined as at least a 30 percent (%) decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters, in absence of new lesions or unequivocal progression of non-target lesions.
SecondaryClinical Benefit Rate (CBR)Up to 13 months
Clinical benefit rate (CBR) was defined as the percentage of participants who achieved a confirmed best overall response of CR, PR, or stable disease (SD) for at least 24 weeks based on RECIST version 1.1 during the study (and prior to subsequent therapy if any). CR is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters, in absence of new lesions or unequivocal progression of non-target lesions. SD defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease, taking as reference the smallest sum diameters while on study.
SecondaryDisease Control Rate (DCR)Up to 13 months
DCR was defined as the percentage of participants who achieved a confirmed best overall response of CR, PR, or SD based on RECIST version 1.1 during the study (and prior to subsequent therapy if any). CR is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters, in absence of new lesions or unequivocal progression of non-target lesions. SD defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease, taking as reference the smallest sum diameters while on study.
SecondaryProgression-free Survival (PFS) as Assessed by ICRRUp to 13 months
PFS was defined as the time from the date of the initial dose of study intervention to the date of first documented disease progression as defined in the RECIST version 1.1, or death due to any cause, whichever occurred first. Progressive disease is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression.
SecondaryOverall Survival (OS)Up to 13 monthsOverall survival (OS) was defined as the time from the date of the initial dose of study intervention to the date of the participant's death.
SecondaryTime to Response (TTR)Up to 13 months
TTR was defined among responders (with a CR or PR) as the time between date of the initial dose of study intervention and the first efficacy evaluation that the participant had met all criteria for CR or PR. CR is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. PR is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters, in absence of new lesions or unequivocal progression of non-target lesions.
SecondaryDuration of Response (DoR)Up to 13 months
DoR calculated among responders from the date of initial documentation of a response (CR or PR) to the date of first documented evidence of progressive disease as defined in RECIST version 1.1 or death, whichever occurred first. CR is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. PR is defined as at least a 30 % decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters, in absence of new lesions or unequivocal progression of non-target lesions.
SecondaryNumber of Participants With Treatment-emergent Adverse Events (TEAEs)Up to 13 months
Number of participants with TEAEs were reported. Treatment-emergent adverse events (TEAEs) for the treatment phase included events with an onset date/time on or after the start of study intervention through the day of last dose plus 30 days were considered as treatment-emergent.
SecondaryPlasma Concentration of ApalutamideDay 1 (predose) of Cycles 2 to 6 (each cycle was of 28 days)Plasma concentration of apalutamide was reported.
SecondaryPlasma Concentration of N-desmethyl ApalutamideDay 1 (predose) of Cycles 2 to 6 (each cycle was of 28 days)Plasma concentration of N-desmethyl Apalutamide was reported.

Outcomes10

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYOverall Response Rate (ORR)Up to 13 months
Response evaluable set included all participants who were androgen receptor (AR) positive by local test and were confirmed evaluable by independent central radiology review (ICRR) and also, who received at least 1 dose of study drug and had at least 1 postbaseline disease assessment or died due to disease progression before first postbaseline disease assessment. Here, 'N' (number of participants analyzed) included 24 response evaluable participants who were analyzed for this outcome measure.
percentage of participantsNUMBER
SECONDARYClinical Benefit Rate (CBR)Up to 13 months
Response evaluable set included all participants who were AR positive by local test and who were confirmed evaluable by an ICRR and also, all participants who received at least 1 dose of study intervention and who had at least 1 postbaseline disease assessment or died due to disease progression before the first postbaseline disease assessment. Here, 'N' (number of participants analyzed) included 24 response evaluable participants who were analyzed for this outcome measure.
percentage of participantsNUMBER
SECONDARYDisease Control Rate (DCR)Up to 13 months
Response evaluable set included all participants who were AR positive by local test and who were confirmed evaluable by an ICRR and also, all participants who received at least 1 dose of study intervention and who had at least 1 postbaseline disease assessment or died due to disease progression before the first postbaseline disease assessment. Here, 'N' (number of participants analyzed) included 24 response evaluable participants who were analyzed for this outcome measure.
percentage of participantsNUMBER
SECONDARYProgression-free Survival (PFS) as Assessed by ICRRUp to 13 monthsTreated analysis set included all participants who received at least 1 dose of study intervention.monthsMEDIAN
SECONDARYOverall Survival (OS)Up to 13 monthsTreated analysis set included all participants who received at least 1 dose of study intervention.monthsMEDIAN
SECONDARYTime to Response (TTR)Up to 13 monthsPopulation analyzed included response evaluable set amongst who were responders (CR or PR).monthsMEDIAN
SECONDARYDuration of Response (DoR)Up to 13 monthsPopulation analyzed included response evaluable set amongst who were responders (CR or PR).monthsMEDIAN
SECONDARYNumber of Participants With Treatment-emergent Adverse Events (TEAEs)Up to 13 monthsSafety analysis set included all participants who received at least 1 dose of study intervention.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPlasma Concentration of ApalutamideDay 1 (predose) of Cycles 2 to 6 (each cycle was of 28 days)
Pharmacokinetics analysis set included all participants with at least 1 apalutamide and/or N-desmethyl apalutamide concentration data after the first study intervention administration. Here, 'N' (number of participants analyzed) specifies all participants who were evaluated for this outcome measure (OM). Here, 'n' (number analyzed) specifies the number of participants evaluated at specified timepoints.
micrograms per milliliter (mcg/mL)MEAN
SECONDARYPlasma Concentration of N-desmethyl ApalutamideDay 1 (predose) of Cycles 2 to 6 (each cycle was of 28 days)
Pharmacokinetics analysis set included all participants with at least 1 apalutamide and/or N-desmethyl apalutamide concentration data after the first study intervention administration. Here, 'N' (number of participants analyzed) specifies all participants who were evaluated for this OM. Here, 'n' (number analyzed) specifies the number of participants evaluated at specified timepoints.
mcg/mLMEAN

Results by group18

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

OutcomeGroupCategoryValueSpreadUnits
Overall Response Rate (ORR)Apalutamide + Goserelin25percentage of participants
Clinical Benefit Rate (CBR)Apalutamide + Goserelin50percentage of participants
Disease Control Rate (DCR)Apalutamide + Goserelin70.8percentage of participants
Progression-free Survival (PFS) as Assessed by ICRRApalutamide + Goserelin7.4395% Confidence Interval 3.65 to NAmonths
Overall Survival (OS)Apalutamide + GoserelinNA95% Confidence Interval NA to NAmonths
Time to Response (TTR)Apalutamide + Goserelin1.87Full Range 1.7 to 3.7months
Duration of Response (DoR)Apalutamide + GoserelinNA95% Confidence Interval 6.64 to NAmonths
Number of Participants With Treatment-emergent Adverse Events (TEAEs)Apalutamide + Goserelin28Participants
Plasma Concentration of ApalutamideApalutamide + GoserelinCycle 02 Day 1, Predose4.67Standard Deviation 1.19micrograms per milliliter (mcg/mL)
Plasma Concentration of ApalutamideApalutamide + GoserelinCycle 03 Day 1, Predose4.32Standard Deviation 1.35micrograms per milliliter (mcg/mL)

Participant flow3

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDApalutamide + Goserelin31
Overall StudyCOMPLETEDApalutamide + Goserelin5
Overall StudyNOT COMPLETEDApalutamide + Goserelin26

Adverse events34

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersApalutamide + Goserelin431
otherLeukopeniaBlood and lymphatic system disordersApalutamide + Goserelin331
otherLymphopeniaBlood and lymphatic system disordersApalutamide + Goserelin231
otherHypothyroidismEndocrine disordersApalutamide + Goserelin631
otherConstipationGastrointestinal disordersApalutamide + Goserelin331
otherDiarrhoeaGastrointestinal disordersApalutamide + Goserelin231
otherNauseaGastrointestinal disordersApalutamide + Goserelin431
otherStomatitisGastrointestinal disordersApalutamide + Goserelin231
otherMalaiseGeneral disordersApalutamide + Goserelin531
otherUpper Respiratory Tract InfectionInfections and infestationsApalutamide + Goserelin231

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityApalutamide + Goserelin431
Total, other adverse eventsApalutamide + Goserelin2831
Total, serious adverse eventsApalutamide + Goserelin531

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 comparisons0

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

None in this release.

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/NCT04325828

GET https://conductscience.org/api/trials/v1/NCT04325828/events?page=2