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Last Updated: January 21, 2025

CLINICAL TRIALS PROFILE FOR LUPRON DEPOT-PED


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505(b)(2) Clinical Trials for Lupron Depot-ped

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial Type Trial ID Title Status Sponsor Phase Start Date Summary
New Formulation NCT00626431 ↗ A Study of Leuprolide to Treat Prostate Cancer Completed Abbott Phase 3 2008-02-01 To assess the efficacy and safety of 2 new formulations of leuprolide acetate 45 mg 6-month depot, Formulation A or Formulation B, for the treatment of patients with prostate cancer. A formulation will be deemed successful if the percentage of subjects with suppression of testosterone to <= 50 ng/dL from Week 4 to Week 48 is not less than 87%, (the lower bound of the 2-sided 90% confidence interval), a protocol-specified criterion.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for Lupron Depot-ped

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00001181 ↗ Testolactone for the Treatment of Girls With LHRH Resistant Precocious Puberty Completed Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Phase 2 1982-10-01 The normal changes of puberty, such as breast enlargement, pubic hair and menstrual periods, usually begin between the ages of 9 and 15 in response to hormones produced in the body. Some children's bodies produce these hormones before the normal age and start puberty too early. This condition is known as precocious puberty. The hormones responsible for the onset of puberty come from the pituitary gland and the ovaries. The hormones from the pituitary gland act on the ovaries to produce different hormones that cause the breasts to grow, pubic hair to develop, and menstruation. Many children with precocious puberty can be treated with a medication known as lutenizing hormone-releasing hormone analog (Lupron, Histerelin, Deslorelin). This drug is made in a laboratory and is designed to act like the natural hormone LHRH, which is made in the pituitary gland. The drug causes the pituitary gland to decrease the amount of hormones it is releasing and thereby decrease the amount of hormones released by the ovaries. However, some girls already have low levels of pituitary hormones and yet their ovaries still produce hormones. Researchers do not believe that LHRH analog therapy will work for these children. Testolactone is a drug that acts directly on the ovary. It works by preventing the last step of estrogen production in the ovary. The goal of this treatment is to stop estrogen production and delay the onset of puberty until the normal age. Researchers will give patients with LHRHa resistant precocious puberty Testolactone for six months. If the initial treatment is successful and patients do not experience very bad side effects, they will continue to receive the medication until puberty is desired. Throughout the therapy patients will receive frequent monitoring of their general state of health, hormone levels, and medication levels.
NCT00001259 ↗ A Treatment Study for Premenstrual Syndrome (PMS) Completed National Institute of Mental Health (NIMH) Phase 1 1992-08-11 This study examines the effects of estrogen and progesterone on mood, the stress response, and brain function and behavior in women with premenstrual syndrome. Previously this study has demonstrated leuprolide acetate (Lupron (Registered Trademark)) to be an effective treatment for PMS. The current purpose of this study is to evaluate how low levels of estrogen and progesterone (that occur during treatment with leuprolide acetate) compare to menstrual cycle levels of estrogen and progesterone (given during individual months of hormone add-back) on a variety of physiologic measures (brain imaging, stress testing, etc.) in women with PMS. PMS is a condition characterized by changes in mood and behavior that occur during the second phase of the normal menstrual cycle (luteal phase). This study will investigate possible hormonal causes of PMS by temporarily stopping the menstrual cycle with leuprolide acetate and then giving, in sequence, the menstrual cycle hormones progesterone and estrogen. The results of these hormonal studies will be compared between women with PMS and healthy volunteers without PMS (see also protocol 92-M-0174). At study entry, participants will undergo a physical examination. Blood, urine, and pregnancy tests will be performed. Cognitive functioning and stress response will be evaluated during the study along with brain imaging and genetic studies.
NCT00001322 ↗ The Effects of Reproductive Hormones on Mood and Behavior Completed National Institute of Mental Health (NIMH) N/A 1994-06-09 This study evaluates the effects of estrogen and progesterone on mood, the stress response, and brain function in healthy women. The purpose of this study is to evaluate how low levels of estrogen and progesterone (that occur during treatment with leuprolide acetate) compare to menstrual cycle levels of estrogen and progesterone (given during individual months of hormone add-back) on a variety of physiologic measures (brain imaging, stress testing, etc.) in healthy volunteer women without PMS. This study will investigate effects of reproductive hormones by temporarily stopping the menstrual cycle with leuprolide acetate and then giving, in sequence, the menstrual cycle hormones progesterone and estrogen. Tests (such as brain imaging or stress testing, etc.) will be performed during the different hormonal conditions (low estrogen and progesterone, progesterone add-back, estrogen add-back). The results of these studies will be compared between women without PMS and women with PMS (see also protocol 90-M-0088). At study entry, participants will undergo a physical examination. Blood, urine, and pregnancy tests will be performed. Cognitive functioning and stress response will be evaluated during the study along with brain imaging and genetic studies.
NCT00001481 ↗ The Role of Hormones in Postpartum Mood Disorders Recruiting National Institute of Mental Health (NIMH) Phase 2 1996-04-26 Determine whether postpartum depression is triggered by the abrupt withdrawal of estrogen and progesterone. The appearance of mood and behavioral symptoms during pregnancy and the postpartum period has been extensively reported. While there has been much speculation about possible biologically based etiologies for postpartum disorders (PPD), none has ever been confirmed. Preliminary results from two related studies (protocols 90-M-0088, 92-M-0174) provide evidence that women with menstrual cycle related mood disorder, but not controls, experience mood disturbances during exogenous replacement of physiologic levels of gonadal steroids. The present protocol is designed to create a "scaled-down" hormonal milieu of pregnancy and the puerperium in order to determine whether women who have had a previous episode of postpartum major effective episode will experience differential mood and behavioral effects compared with controls and to determine whether it is the abrupt withdrawal of gonadal steroids or the prolonged exposure to gonadal steroids that is associated with mood symptoms. Supraphysiologic plasma levels of gonadal steroids will be established, maintained, and then rapidly reduced, simulating the hormonal events that occur during pregnancy and parturition. This will be accomplished by administering estradiol and progesterone to women who are pretreated with a gonadotropin releasing hormone (GnRH) agonist (Lupron). After eight weeks, administration of gonadal steroids will be stopped in one group of patients and controls, and a sudden decline in the plasma hormone levels will be precipitated. Another group will be maintained on supraphysiologic levels of estrogen and progesterone for an additional month. Outcome measures will include mood, behavioral and hormonal parameters (a separate protocol done in collaboration with NICHD).
NCT00002597 ↗ Radiation Therapy With or Without Antiandrogen Therapy in Treating Patients With Stage I or Stage II Prostate Cancer Completed National Cancer Institute (NCI) Phase 3 1994-10-01 RATIONALE: Radiation therapy (RT) uses high-energy x-rays to damage tumor cells. Androgens can stimulate the growth of prostate cancer cells. Hormone therapy using flutamide, goserelin, and leuprolide may fight prostate cancer by reducing the production of androgens. It is not yet known which regimen of antiandrogen therapy is most effective for prostate cancer. PURPOSE: Randomized phase III trial to study the effectiveness of radiation therapy with or without antiandrogen therapy in treating patients who have stage I or stage II prostate cancer.
NCT00002597 ↗ Radiation Therapy With or Without Antiandrogen Therapy in Treating Patients With Stage I or Stage II Prostate Cancer Completed Radiation Therapy Oncology Group Phase 3 1994-10-01 RATIONALE: Radiation therapy (RT) uses high-energy x-rays to damage tumor cells. Androgens can stimulate the growth of prostate cancer cells. Hormone therapy using flutamide, goserelin, and leuprolide may fight prostate cancer by reducing the production of androgens. It is not yet known which regimen of antiandrogen therapy is most effective for prostate cancer. PURPOSE: Randomized phase III trial to study the effectiveness of radiation therapy with or without antiandrogen therapy in treating patients who have stage I or stage II prostate cancer.
NCT00005044 ↗ Hormone Therapy and Radiation Therapy in Treating Patients With Prostate Cancer Unknown status National Cancer Institute (NCI) Phase 3 2000-02-01 RATIONALE: Hormones can stimulate the growth of prostate cancer cells. Hormone therapy may fight prostate cancer by reducing the production of androgens. Radiation therapy uses high-energy x-rays to damage tumor cells. It is not yet known which regimen of hormone therapy and radiation therapy is more effective for prostate cancer. PURPOSE: Randomized phase III trial to compare the effectiveness of two different regimens of hormone therapy and radiation therapy in treating patients who have prostate cancer.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Lupron Depot-ped

Condition Name

Condition Name for Lupron Depot-ped
Intervention Trials
Prostate Cancer 44
Prostate Adenocarcinoma 11
Infertility 7
Stage IV Prostate Cancer 6
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Condition MeSH

Condition MeSH for Lupron Depot-ped
Intervention Trials
Prostatic Neoplasms 71
Adenocarcinoma 19
Infertility 7
Syndrome 6
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Clinical Trial Locations for Lupron Depot-ped

Trials by Country

Trials by Country for Lupron Depot-ped
Location Trials
United States 631
Canada 39
United Kingdom 14
Germany 9
Netherlands 7
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Trials by US State

Trials by US State for Lupron Depot-ped
Location Trials
California 34
Texas 31
Maryland 29
New York 27
Colorado 24
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Clinical Trial Progress for Lupron Depot-ped

Clinical Trial Phase

Clinical Trial Phase for Lupron Depot-ped
Clinical Trial Phase Trials
Phase 4 15
Phase 3 25
Phase 2/Phase 3 3
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Clinical Trial Status

Clinical Trial Status for Lupron Depot-ped
Clinical Trial Phase Trials
Completed 62
Recruiting 26
Terminated 15
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Clinical Trial Sponsors for Lupron Depot-ped

Sponsor Name

Sponsor Name for Lupron Depot-ped
Sponsor Trials
National Cancer Institute (NCI) 27
M.D. Anderson Cancer Center 11
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins 9
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Sponsor Type

Sponsor Type for Lupron Depot-ped
Sponsor Trials
Other 148
Industry 61
NIH 52
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LUPRON DEPOT-PED: Clinical Trials, Market Analysis, and Projections

Introduction

LUPRON DEPOT-PED, a formulation of leuprolide acetate, is a gonadotropin-releasing hormone (GnRH) agonist used in the treatment of central precocious puberty (CPP) in children. This article provides an update on the clinical trials, market analysis, and future projections for this drug.

Clinical Trials Overview

Study Designs and Objectives

Clinical trials for LUPRON DEPOT-PED have been conducted to assess its efficacy and safety in children with CPP. These studies include:

  • 1-Month Administration: A prospective, multicenter, longitudinal study from 1991 to 2009, which included an open-label treatment period and a long-term post-treatment follow-up period. The primary endpoint was the suppression of clinical sexual characteristics, with secondary endpoints including gonadotropin and sex hormone concentrations, growth rate, and safety[1].
  • 3-Month Administration: A randomized, open-label clinical trial evaluating the safety and efficacy of LUPRON DEPOT-PED 11.25 mg and 30 mg every 3 months. The primary endpoint was the suppression of peak stimulated luteinizing hormone (LH) to <4.0 mIU/mL[1].
  • 6-Month Administration: An open-label, multicenter clinical study with 45 pediatric patients, assessing the efficacy and safety of a 45 mg dose administered every 6 months[4].

Key Findings

  • Efficacy: LUPRON DEPOT-PED has shown significant efficacy in suppressing clinical sexual characteristics. For the 1-month administration, 66.7% to 90.6% of females and 60% to 100% of males had suppression of breast and genital development, respectively. The 3-month administration also demonstrated sustained suppression of LH concentrations[1].
  • Growth and Bone Maturation: Long-term studies indicated that growth and bone maturation normalized in patients treated with LUPRON DEPOT-PED. Patients essentially reached the mean height of the normal population by adulthood, with a mean adult height increase of 4.0 cm over baseline predicted adult height[1].
  • Safety: Common adverse reactions include injection site reactions, general pain, headache, emotional lability, and hot flushes/sweating. These reactions are generally mild or moderate in severity[2][4].

Market Analysis

Current Market Position

LUPRON DEPOT-PED is a leading treatment for CPP, with a strong presence in the pediatric endocrinology market. Its efficacy and safety profile, as demonstrated in clinical trials, have established it as a preferred choice among healthcare providers.

Market Size and Growth

The market for CPP treatments is growing due to increasing awareness and diagnosis of the condition. The global market for GnRH agonists, which includes LUPRON DEPOT-PED, is expected to expand driven by the rising incidence of CPP and the need for effective management options.

Competitive Landscape

The market for CPP treatments is competitive, with other GnRH agonists such as Triptorelin and Histrelin also available. However, LUPRON DEPOT-PED's extensive clinical data and long-term follow-up studies provide a competitive edge.

Market Projections

Future Growth

The market for LUPRON DEPOT-PED is projected to grow steadily over the next few years, driven by:

  • Increasing Incidence of CPP: Early onset puberty is becoming more recognized, leading to higher diagnosis rates.
  • Expanding Treatment Options: The availability of different dosing regimens (1-month, 3-month, 6-month) caters to various patient needs, enhancing market penetration.
  • Advancements in Healthcare: Improvements in diagnostic techniques and increased awareness among healthcare providers will contribute to market growth.

Geographical Expansion

The drug is expected to see increased adoption in emerging markets where access to advanced healthcare is improving. This expansion will be driven by regulatory approvals and partnerships with local healthcare providers.

Regulatory Environment

Approvals and Compliance

LUPRON DEPOT-PED has received approvals from regulatory bodies such as the FDA for its various dosing regimens. Compliance with regulatory requirements and ongoing monitoring of safety and efficacy will be crucial for maintaining market presence[2][4].

Post-Marketing Surveillance

Continuous post-marketing surveillance is essential to monitor long-term safety and efficacy. This includes tracking adverse reactions and ensuring that the drug's benefits outweigh its risks.

Patient and Provider Perspectives

Patient Outcomes

Patients treated with LUPRON DEPOT-PED have shown significant improvement in terms of delayed puberty and normalized growth patterns. Patient satisfaction is high due to the effective management of CPP symptoms.

Provider Confidence

Healthcare providers have confidence in LUPRON DEPOT-PED due to its robust clinical evidence and long-term safety data. This confidence translates into higher prescription rates and recommendations.

Key Takeaways

  • Clinical Efficacy: LUPRON DEPOT-PED has demonstrated strong efficacy in suppressing clinical sexual characteristics and normalizing growth and bone maturation.
  • Safety Profile: The drug has a manageable safety profile with common adverse reactions being mild or moderate.
  • Market Growth: The market for LUPRON DEPOT-PED is expected to grow driven by increasing incidence of CPP, expanding treatment options, and geographical expansion.
  • Regulatory Compliance: Continuous compliance with regulatory requirements is crucial for maintaining market presence.

FAQs

What is LUPRON DEPOT-PED used for?

LUPRON DEPOT-PED is used in the treatment of central precocious puberty (CPP) in children to delay the onset of secondary sexual characteristics.

What are the common dosing regimens for LUPRON DEPOT-PED?

The common dosing regimens include 1-month, 3-month, and 6-month administrations, with doses ranging from 7.5 mg to 45 mg based on the child’s weight and treatment needs[2][4].

What are the most common adverse reactions associated with LUPRON DEPOT-PED?

Common adverse reactions include injection site reactions, general pain, headache, emotional lability, and hot flushes/sweating[2][4].

How does LUPRON DEPOT-PED affect growth and bone maturation?

LUPRON DEPOT-PED delays bone maturation during treatment but allows for normalization and catch-up growth once treatment is discontinued, resulting in patients reaching normal adult height[1].

What is the projected market growth for LUPRON DEPOT-PED?

The market for LUPRON DEPOT-PED is expected to grow steadily driven by increasing incidence of CPP, expanding treatment options, and geographical expansion.

Are there any specific monitoring requirements during LUPRON DEPOT-PED treatment?

Yes, hormonal and clinical parameters should be monitored during treatment, including basal LH or serum concentration of sex steroid levels, and assessments of height and bone age every 6 to 12 months[2][4].

Sources

  1. Clinical Studies | LUPRON DEPOT-PED - Lupronpedpro.com
  2. Lupron Depot-Ped (leuprolide acetate) injection label - FDA
  3. 20-517/S025 20-517/S030 20-517/S032 - FDA
  4. Lupron Depot-Ped - accessdata.fda.gov - FDA

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