Safety and Preliminary Efficacy Evaluation of LC-K76 Plus Anti-PD-1 Therapy in Patients With Metastatic Castration-Resistant Prostate Cancer (mCRPC)
An Open-Label, Single-Arm, Exploratory Study to Evaluate the Safety and Preliminary Efficacy of LC-K76 Plus Anti-PD-1 Therapy in Patients With Metastatic Castration-Resistant Prostate Cancer (mCRPC)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Early Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Ren, MD,PhD
Study Locations
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Shanghai Municipality
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Shanghai, Shanghai Municipality, China, 201109
- Changzheng hospital
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Contact:
- Shancheng Ren, PhD/MD
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Male, aged 18 to 85 years.
- Histologically confirmed prostate adenocarcinoma, without small cell carcinoma components.
- Metastatic Castration-Resistant Prostate Cancer (mCRPC) with disease progression after at least one novel endocrine therapy (e.g., abiraterone or enzalutamide) and/or docetaxel chemotherapy.
- Evidence of bone metastasis on PSMA-PET-CT or bone scan (ECT).
- Serum testosterone at castration levels (< 50 ng/dL or 1.75 nmol/L).
- ECOG performance status ≤ 2.
- Life expectancy > 6 months.
- Adequate bone marrow, hepatic, and renal function.
- Willing to undergo biopsies before and during treatment
Exclusion Criteria:
- Lack of pathological evidence for prostate cancer.
- Other primary malignant tumors active or requiring treatment within the past 3 years.
- Has visceral metastases.
- Poorly controlled diabetes after continuous insulin therapy.
- Significant abnormalities in laboratory values at randomization (Hb < 90 g/L; Neutrophils < 1.5x10^9/L; Platelets < 75x10^9/L; ALT/AST > 2.5xULN; Bilirubin > 1.5xULN; eGFR < 60 mL/min/1.73m^2) .
- Severe cardiopulmonary disease or high-risk conditions.
- Prior therapy with any immune checkpoint inhibitors (e.g., anti-PD-1/PD-L1).
- Intolerance to anti-PD-1 monoclonal antibody or dandelion extracts.
- History of severe drug allergies.
- Factors affecting drug intake/absorption (e.g., swallowing difficulty, chronic diarrhea).
- Concurrent psychiatric or neurological conditions
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 |
|---|---|
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Experimental: LC-K76 + Tislelizumab + ADT
Participants receive oral LC-K76 combined with intravenous Anti-PD-1 monoclonal antibody (Tislelizumab) and standard androgen deprivation therapy (ADT).
Treatment continues for 24 weeks.
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Oral administration, 1.2 g twice daily (BID), taken 30 minutes before breakfast and dinner.
Intravenous infusion, 200 mg every 3 weeks (Q3W).
Maintenance of ADT using GnRH agonist or antagonist (e.g., Goserelin, Leuprorelin, Triptorelin, or Degarelix).
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of Adverse Events (AEs)
Time Frame: From baseline to primary completion, which may take up to 24 to 48 weeks
|
The Incidence of Adverse Events is defined as the proportion of subjects in a clinical trial who experience at least one Adverse Event (AE) during the defined observation period, which is assessed by CTCAE 5.0.
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From baseline to primary completion, which may take up to 24 to 48 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
PSA Response Rate
Time Frame: From baseline to primary completion, which may take up to 24 to 48 weeks
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From baseline to primary completion, which may take up to 24 to 48 weeks
|
|
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Disease control rate (DCR)
Time Frame: From baseline to primary completion, which may take up to 24 to 48 weeks
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Defined as the proportion of subjects whose best overall response, assessed per RECIST 1.1 and PCWG3, is Complete Response (CR), Partial Response (PR), or Stable Disease (SD) .
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From baseline to primary completion, which may take up to 24 to 48 weeks
|
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Radiographic Progression-Free Survival (rPFS)
Time Frame: From baseline to primary completion, which may take up to 24 to 48 weeks
|
Defined as the time from treatment initiation to the first objective evidence of disease progression as assessed by radiographic imaging, or death from any cause, whichever occurs first.
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From baseline to primary completion, which may take up to 24 to 48 weeks
|
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Time to First Skeletal-Related Event (SRE)
Time Frame: From baseline to primary completion, which may take up to 24 to 48 weeks
|
Defined as the interval from the date of treatment initiation to the date of the first occurrence of any of the following clinically significant events attributable to bone metastasis: pathological fracture (vertebral or non-vertebral), palliative radiation therapy to bone for pain relief, surgical intervention to bone to prevent or treat a fracture or spinal cord compression, or confirmed spinal cord compression.
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From baseline to primary completion, which may take up to 24 to 48 weeks
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- LC-K76-201
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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