Evaluation of Xaluritamig in High-Risk, Biochemically Recurrent, Non-metastatic Castrate-sensitive Prostate Cancer
A Phase 1b, Open-label, Multicenter Study Evaluating the Safety, Tolerability, and Efficacy of Xaluritamig in Subjects With High-risk Biochemical Recurrence of Nonmetastatic Castration-sensitive Prostate Cancer After Definitive Therapy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Amgen Call Center
- Phone Number: 866-572-6436
- Email: medinfo@amgen.com
Study Locations
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New South Wales
-
Camperdown, New South Wales, Australia, 2050
- Chris OBrien Lifehouse
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Victoria
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Malvern, Victoria, Australia, 3144
- Cabrini Hospital
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Melbourne, Victoria, Australia, 3000
- Peter MacCallum Cancer Centre
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-
-
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Minnesota
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Minneapolis, Minnesota, United States, 55455
- University of Minnesota Medical Center Fairview
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New York
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New York, New York, United States, 10065
- Memorial Sloan Kettering Cancer Center
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North Carolina
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Chapel Hill, North Carolina, United States, 27599
- University of North Carolina at Chapel Hill
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Charlotte, North Carolina, United States, 28204
- Levine Cancer Institute
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Oregon
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Portland, Oregon, United States, 97239
- Oregon Health and Science University
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19107
- Thomas Jefferson University
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Texas
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Dallas, Texas, United States, 75390
- University of Texas Southwestern Medical Center
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Washington
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Seattle, Washington, United States, 98109
- Fred Hutchinson Cancer Center
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria
- Histologically or cytologically confirmed adenocarcinoma of the prostate at initial biopsy, without neuroendocrine differentiation, signet cell, or small cell features.
- Prostate cancer initially treated by radical prostatectomy (RP) or radiotherapy (XRT) (including brachytherapy) or both (eg, salvage radiotherapy), with curative intent.
- PSA doubling time ≤ 12 months.
- Participants must have biochemically recurrent disease after definitive treatment to prostate by either RP or XRT.
- Screening PSA by the local laboratory ≥ 0.2 ng/mL for participants who had RP (with or without XRT) as primary treatment for prostate cancer or at least 2 ng/mL above the nadir (local assessments) for participants who had XRT or brachytherapy only as primary treatment for prostate cancer.
- Serum testosterone ≥ 150 ng/dL (5.2 nmol/L).
- Participants must have undergone a prostate-specific membrane antigen (PSMA) positron emission tomography (PET) scan during or within 3 months of screening.
Exclusion Criteria
- Present evidence of metastatic disease in conventional CT scan and/or bone scan
- Participants that present PSMA-positive lesions in the PSMA PET scan may be enrolled if the conventional imaging does not show suspicion of metastatic disease.
Prior hormonal therapy, exceptions include:
- Neoadjuvant/adjuvant therapy to treat prostate cancer ≤ 36 months in duration and ≥ 9 months before enrollment, or
- A single dose or a short course (≤ 6 months) of hormonal therapy given for rising PSA ≥ 9 months before enrollment.
- Prior cytotoxic chemotherapy, aminoglutethimide, ketoconazole, abiraterone acetate, enzalutamide, apalutamide, or darolutamide for prostate cancer.
- Abiraterone acetate, enzalutamide, apalutamide, or darolutamide are allowed if administered in a neoadjuvant/adjuvant setting ≤ 36 months in duration and ≥ 9 months before enrollment.
- Prior systemic biologic therapy, including immunotherapy, for prostate cancer.
- If, in the investigator's opinion, salvage therapy is the preferred intervention.
- Autoimmune disease requiring systemic immunosuppression within the past 2 years.
- Participant with symptoms and/or clinical signs and/or radiographic signs that indicate an acute and/or uncontrolled active systemic infection within 7 days prior to the first dose of study treatment.
- Requirement for chronic systemic corticosteroid therapy (prednisone dose > 10 mg/day or equivalent) or any other immunosuppressive therapies (including anti tumor necrosis factor alpha [TNFα] therapies) unless stopped (with adequate tapering) within 7 days prior to dosing.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Xaluritamig
Xaluritamig will be administered as a short-term intravenous (IV) infusion for a total of 6 cycles.
One treatment cycle consists of 28 days for cycles 1-2 and 56 days for cycles 3-6.
|
IV infusion
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)
Time Frame: Up to approximately 2 years
|
Events categorized as adverse events (AEs) starting on or after first dose of investigational product (xaluritamig) as determined by the flag indicating if the AE started prior to the first dose on the Events Electronic Case Report Form (eCRF) and including 30 days after the last dose of investigational product (xaluritamig) or end of study date, whichever is earlier.
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Up to approximately 2 years
|
|
Number of Participants Experiencing Treatment-related Adverse Events (TRAEs)
Time Frame: Up to approximately 2 years
|
A TRAE is any TEAE that per investigators' review has a reasonable possibility of being caused by the investigational product (xaluritamig) determined by the flag indicating an event may have been caused by the investigational product (xaluritamig) on the Events eCRF.
In the unlikely event that the flag is missing, the TEAE will be considered related.
|
Up to approximately 2 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Time to Prostate-specific Antigen (PSA) Progression
Time Frame: Up to 50 months
|
Up to 50 months
|
|
Number of Participants With a PSA 50 Response
Time Frame: Up to approximately 50 months
|
Up to approximately 50 months
|
|
Number of Participants With a PSA 90 Response
Time Frame: Up to approximately 50 months
|
Up to approximately 50 months
|
|
Duration of PSA 50 Response
Time Frame: Up to approximately 50 months
|
Up to approximately 50 months
|
|
Duration of PSA 90 Response
Time Frame: Up to approximately 50 months
|
Up to approximately 50 months
|
|
Number of Participants With Undetectable PSA
Time Frame: Up to approximately 50 months
|
Up to approximately 50 months
|
|
Time to Initiation of Androgen Deprivation Therapy or Androgen Receptor Directed Therapy
Time Frame: Up to approximately 50 months
|
Up to approximately 50 months
|
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Time to First use of new Anticancer Therapy
Time Frame: Up to approximately 50 months
|
Up to approximately 50 months
|
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Time to Metastatic Disease/Progression
Time Frame: Up to approximately 50 months
|
Up to approximately 50 months
|
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Metastasis-free Survival (MFS)
Time Frame: Up to approximately 50 months
|
Up to approximately 50 months
|
|
Number of Participants Completing Xaluritamig Monotherapy Treatment
Time Frame: Up to approximately 24 months
|
Up to approximately 24 months
|
|
Maximum Serum Concentration (Cmax) of Xaluritamig
Time Frame: Up to approximately 24 months
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Up to approximately 24 months
|
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Time to Cmax (Tmax) of Xaluritamig
Time Frame: Up to approximately 24 months
|
Up to approximately 24 months
|
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Area Under the Concentration-time Curve (AUC) Over the Dosing Interval of Xaluritamig
Time Frame: Up to approximately 24 months
|
Up to approximately 24 months
|
|
Terminal Half-life (t1/2) of Xaluritamig
Time Frame: Up to approximately 24 months
|
Up to approximately 24 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: MD, Amgen
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 20230238
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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