- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06800313
Study of HLD-0915 in Patients With Metastatic Prostate Cancer
Phase 1/2 Study of HLD-0915 (JNJ-101556143) in Patients With Metastatic Prostate Cancer
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This is a Phase 1/2 study of the safety, tolerability, pharmacokinetics (PK), pharmacodynamics, and anti-tumor activity of oral single-agent HLD-0915.
The study includes an initial Phase 1 open-label portion to determine the maximum tolerated dose (MTD) and/or recommended dose(s) for expansion (RDEs) of HLD-0915 as monotherapy, followed by Phase 2 expansion cohorts to further evaluate the safety and efficacy of HLD-0915.
Phase 1 is conducted in patients with metastatic castration-resistant prostate cancer (mCRPC) who have progressed following prior systemic therapies. Phase 1 includes Part 1, an open-label monotherapy dose-escalation using a Bayesian optimal interval with backfill (BF-BOIN) design. Phase 1 also includes Part 2 (open-label), which evaluates the relative bioavailability of HLD-0915 formulations.
Phase 2 will evaluate the safety, PK, and anti-tumor activity of HLD-0915 administered at the RDEs. Phase 2, Part 1 will randomize patients and assess dose strengths in patients with mCRPC to support registrational dose selection. Additional Phase 2 open-label expansion cohorts will further evaluate preliminary safety and efficacy in patients with metastatic hormone-sensitive prostate cancer (mHSPC).
Study Type
Enrollment (Estimated)
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
- Name: Study Information
- Phone Number: 844-434-4210
- Email: Participate-In-This-Study1@its.jnj.com
Study Locations
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Surrey
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Sutton, Surrey, United Kingdom, SM2 5PT
- Recruiting
- Royal Marsden Hospital
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-
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Colorado
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Denver, Colorado, United States, 80218
- Recruiting
- Sarah Cannon Research Institute at HealthONE
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Connecticut
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New Haven, Connecticut, United States, 06520
- Recruiting
- Yale - New Haven Hospital - Yale Cancer Center
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Florida
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Sarasota, Florida, United States, 34232
- Recruiting
- Florida Cancer Specialists
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Massachusetts
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Boston, Massachusetts, United States, 02114
- Recruiting
- Massachusetts General Hospital
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Michigan
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Grand Rapids, Michigan, United States, 49546
- Recruiting
- START Midwest, LLC
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New York
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New York, New York, United States, 10065
- Recruiting
- Memorial Sloan Kettering Cancer Center
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North Carolina
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Durham, North Carolina, United States, 27710
- Recruiting
- Duke University Medical Center
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South Carolina
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Myrtle Beach, South Carolina, United States, 29572
- Recruiting
- Carolina Urologic Research Center, LLC
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Tennessee
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Nashville, Tennessee, United States, 37203
- Recruiting
- SCRI Oncology Partners
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Texas
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Austin, Texas, United States, 78758
- Recruiting
- NEXT Austin
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Houston, Texas, United States, 77030
- Recruiting
- The University of Texas M.D. Anderson Cancer Center
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Patients must meet the following criteria to be eligible study participation:
Key Inclusion Criteria:
All Study Arms (Phase 1 Part 1 & 2, Phase 2 Part 1, Part 2A, 2B, 2C & 2D):
Males ≥ 18 years old Histological, pathological, and/or cytological confirmation of prostate adenocarcinoma Adequate hematological, renal, and hepatic function. Able to swallow oral medication
mCRPC Arms: (Phase 1 Part 1 & 2, Phase 2 Part 1): Prior orchiectomy or ongoing androgen-deprivation therapy and a castrate level of serum testosterone Progressive mCRPC defined as having demonstrated PSA progression on the prior regimen
SOAR Arm (Phase 2 Part 2A) mHSPC with distant metastatic disease based on conventional imaging PSA ≥0.2 ng/mL, following treatment with next generation ARPI for at least 180 days and up to 365 days No evidence of radiographic or PSA progression while receiving ARPI
mHSPC arms (Phase 2 Part 2B, 2C & 2D) serum testosterone >150ng/ml mHSPC with distant metastatic disease based on conventional imaging and PSA >2.0 ng/mL
Key Exclusion Criteria:
All arms (Phase 1 Part 1 & 2, Phase 2 Part 1, Part 2A, 2B, 2C & 2D):
Has experienced a recent major bleed or has a known bleeding disorder Tumors exhibiting neuroendocrine or small cell carcinoma component by histopathology Receiving continuous corticosteroids at prednisone-equivalent dose of >10 mg/day Prior or ongoing significant medical condition
mCRPC arms: (Phase 1 Part 1 & 2, Phase 2 Part 1): Has received systemic anti-cancer therapy or investigational drugs within 2 weeks prior to first dose of study drug with certain exceptions requiring longer washout periods
SOAR arm (Phase 2 Part 2A) Has received any prior cytotoxic chemotherapy for prostate cancer
mHSPC arms (Phase 2 Part 2B, 2C & 2D) regional pelvic lymph node disease only
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: HLD-0915 Phase 1 Part 1 - Dose Escalation
Treatment cycle consists of 21 days.
Treatment may continue until disease progression or study discontinuation (withdrawal of consent, intercurrent illness, unacceptable adverse event or any other changes unacceptable for further treatment, etc.)
|
Experimental: Oral HLD-0915
|
|
Experimental: HLD-0915 Phase 1 Part 2 - Formulation Exploration
Hard capsule: Single 50mg dose Tablet: Single 50mg dose, followed by daily dosing through Cycle 2. Soft capsule: 50mg daily in 21-day treatment cycles. Treatment may continue until disease progression or study discontinuation (withdrawal of consent, intercurrent illness, unacceptable adverse event or any other changes unacceptable for further treatment, etc.) |
Experimental: Oral HLD-0915
Experimental: Oral HLD-0915
Experimental: Oral HLD-0915
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|
Experimental: HLD-0915 Phase 2 Part 1 - Dose Optimization
Hard Capsules 25mg or 50 mg Treatment cycle consists of 21 days.
Treatment may continue until disease progression or study discontinuation (withdrawal of consent, intercurrent illness, unacceptable adverse event or any other changes unacceptable for further treatment, etc.)
|
Experimental: Oral HLD-0915
|
|
Experimental: Phase 2 Part 2A - SOAR
Hard Capsules Treatment cycle consists of 21 days.
Treatment may continue until disease progression or study discontinuation (withdrawal of consent, intercurrent illness, unacceptable adverse event or any other changes unacceptable for further treatment, etc.)
|
Experimental: Oral HLD-0915
|
|
Experimental: Phase 2 Part 2B - HSPC Expansion
Hard Capsules Treatment cycle consists of 21 days.
Treatment may continue until disease progression or study discontinuation (withdrawal of consent, intercurrent illness, unacceptable adverse event or any other changes unacceptable for further treatment, etc.)
|
Experimental: Oral HLD-0915
|
|
Experimental: Phase 2 Part 2C - HSPC Expansion
Hard capsules Treatment cycle consists of 21 days.
Treatment may continue until disease progression or study discontinuation (withdrawal of consent, intercurrent illness, unacceptable adverse event or any other changes unacceptable for further treatment, etc.)
|
Experimental: Oral HLD-0915
|
|
Experimental: Phase 2 Part 2D - HSPC Expansion
HLD-0915 Hard Capsules Treatment cycle consists of 21 days.
Treatment may continue until disease progression or study discontinuation (withdrawal of consent, intercurrent illness, unacceptable adverse event or any other changes unacceptable for further treatment, etc.)
|
Experimental: Oral HLD-0915
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Frequency of dose-limiting toxicities (DLTs)
Time Frame: 21 days
|
21 days
|
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Frequency and severity of AEs and abnormal ECG, laboratory and clinical changes since baseline
Time Frame: 21 days
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21 days
|
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Phase 1 Part 2 (formulation exploration) relative bioavailability
Time Frame: 22 days
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22 days
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
PK Parameters
Time Frame: 21 days
|
21 days
|
|
|
Change in PSA over time
Time Frame: 21 days
|
Including PSA50 and PSA90 response
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21 days
|
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Objective Response Rate (ORR)
Time Frame: 63 days
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Per RECIST in evaluable patients
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63 days
|
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Duration of Response (DOR)
Time Frame: 21 days
|
21 days
|
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Radiographic Progression-Free Survival (rPFS)
Time Frame: 63 days
|
63 days
|
|
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Time to Response (TTR)
Time Frame: 63 days
|
63 days
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Urogenital Diseases
- Genital Diseases
- Neoplasms by Site
- Neoplasms
- Prostatic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Neoplasms by Histologic Type
- Prostatic Neoplasms
- Neoplasms, Glandular and Epithelial
- Urogenital Neoplasms
- Genital Neoplasms, Male
- Male Urogenital Diseases
- Genital Diseases, Male
Other Study ID Numbers
- HLD-0915-ONC-101
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
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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-
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