During the AGL9904 study using ELIGARD® 7.5 mg, once testosterone suppression was achieved, no patients (0%) demonstrated breakthrough (concentration >50 ng/dL) at any time in the study.

During the AGL9909 study using ELIGARD® 22.5 mg, once testosterone suppression was achieved, only one patient (< 1%) demonstrated breakthrough following the initial injection; that patient remained below the castrate threshold following the second injection.

During the AGL0001 study using ELIGARD® 30 mg, once testosterone suppression was achieved, three patients (3%) demonstrated breakthrough. In the first of these patients, a single serum testosterone concentration of 53 ng/dL was reported on the day after the second injection. In this patient, castrate suppression was reported for all other timepoints. In the second patient, a serum testosterone concentration of 66 ng/dL was reported immediately prior to the second injection. This rose to a maximum concentration of 147 ng/dL on the second day after the second injection. In this patient, castrate suppression was again reached on the seventh day after the second injection and was maintained thereafter. In the final patient, serum testosterone concentrations > 50 ng/dL were reported at 2 and at 8 hours after the second injection. Serum testosterone concentration rose to a maximum of 110 ng/dL on the third day after the second injection. In this patient, castrate suppression was again reached eighteen days after the second injection and was maintained until the final day of the study, when a single serum testosterone concentration of 55 ng/dL was reported.

During the AGL0205 study using ELIGARD® 45 mg, once testosterone suppression was achieved, one patient (<1%) demonstrated breakthrough. This patient reached castrate suppression at Day 21 and remained suppressed until Day 308 when his testosterone level rose to 112 ng/dL. At Month 12 (Day 336), his testosterone was 210 ng/dL.

Figure 5 ELIGARD® 7.5 mg Mean Serum Testosterone Concentrations (n=117)

Figure 6 ELIGARD® 22.5 mg Mean Serum Testosterone Concentrations (n=111)

Figure 7 ELIGARD® 30 mg Mean Serum Testosterone Concentrations (n=90)

Figure 8 ELIGARD® 45 mg Mean Serum Testosterone Concentrations (n=103)

Serum PSA decreased in all patients in all studies whose Baseline values were elevated above the normal limit. Refer to Table 4 for a summary of the effectiveness of ELIGARD® in reducing serum PSA values.

Other secondary efficacy endpoints eva luated included WHO performance status, bone pain, urinary pain and urinary signs and symptoms. Refer to Table 5 for a summary of these endpoints.

Table 3. Summary of ELIGARD® Clinical Studies  7.5 mg 22.5 mg 30 mg 45 mg
Study number AGL9904 AGL9909 AGL0001 AGL0205
Total Number of patients 120 (117 completed) 117One patient received less than a full dose at Baseline, never suppressed, and was withdrawn at Day 73 and given an alternate treatment. (111 completedAll non-eva luable patients who attained castration by Day 28 maintained castration at each timepoint up to and including the time of withdrawal.) 90 (82 completedOne patient withdrew on Day 14. All 7 non-eva luable patients who had achieved castration by Day 28 maintained castration at each timepoint, up to and including the time of withdrawal.) 111 (103 completedTwo patients we