A Study in Patients With Metastatic Castration-Resistant Prostate Cancer
A Phase 1, First-in-Human, Dose-Finding Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of FX-111 in Patients With Metastatic Castration-Resistant Prostate Cancer
The goal of this clinical trial is to find out if FX-111 is safe enough to permit further studies in adult male participants with metastatic castration-resistant prostate cancer (mCRPC). It will also study the drug's pharmacokinetics (how the body breaks down FX-111) and how well FX-111 treats mCRPC. The main questions it aims to answer are:
What are the side effects of FX-111?
Does FX-111 work to reduce or prevent progression of mCRPC?
The study doctor will oversee participants' treatment with FX-111 and ask about any side effects. Participants will take FX-111 every day by mouth and will have regular physical and laboratory examinations to check health and tumor status.
Studieoversigt
Status
Status
Betingelser
Betingelser
- Prostatiske neoplasmer
- Neoplasmer af prostata
- mCRPC, metastatisk kastrationsresistent prostatakræft
- Prostatiske neoplasmer, kastrationsresistente
- mCRPC
- Metastatisk kastrationsresistent prostatakræft
- mCRPC eller avancerede/metastatiske solide tumorer
- Neoplasmer prostata
- mCRPC (metastatisk kastrationsresistent prostatakræft)
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 1
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Janine Koucheki, Associate Director, Clinical Operations
- Telefonnummer: 857-706-4400
- E-mail: clinops@flaretx.com
Undersøgelse Kontakt Backup
- Navn: Carolyn McCrone, Sr Clinical Trial Associate
- Telefonnummer: 857-706-4400
- E-mail: clinops@flaretx.com
Studiesteder
-
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California
-
Los Angeles, California, Forenede Stater, 90025
- Rekruttering
- START Los Angeles
-
Kontakt:
- Hope Team Distribution List
- Telefonnummer: 424-465-1820
- E-mail: hopeteam@startresearch.com
-
Ledende efterforsker:
- Navid Hafez, MD, MPH
-
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Massachusetts
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Boston, Massachusetts, Forenede Stater, 02114
- Ikke rekrutterer endnu
- Massachusetts General Hospital
-
Ledende efterforsker:
- Xin Gao, MD
-
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Michigan
-
Grand Rapids, Michigan, Forenede Stater, 49546
- Rekruttering
- START MidWest
-
Ledende efterforsker:
- Emerson Lim, MD
-
Kontakt:
- Hope Team Distribution List
- Telefonnummer: 616-389-1810
- E-mail: hopeteam@startresearch.com
-
-
New Jersey
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East Brunswick, New Jersey, Forenede Stater, 08816
- Rekruttering
- START New Jersey
-
Ledende efterforsker:
- Bruno Fang, MD
-
Kontakt:
- Nurse Navigator
- Telefonnummer: 732-426-4750
- E-mail: dana.sapia@startresearch.com
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South Carolina
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Myrtle Beach, South Carolina, Forenede Stater, 29572
- Rekruttering
- START Carolinas
-
Ledende efterforsker:
- Neal Shore, MD
-
Kontakt:
- Kate Valipour, Clinical Research Coordinator
- Telefonnummer: 5268 843-449-1010
- E-mail: kate.valipour@startresearch.com
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Kontakt:
- Paige Wilson
- Telefonnummer: 5147 843-449-1010
- E-mail: paige.wilson@startresearch.com
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Tennessee
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Nashville, Tennessee, Forenede Stater, 37203
- Ikke rekrutterer endnu
- Tennessee Oncology
-
Ledende efterforsker:
- Katy Beckermann, MD, Ph.D.
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-
Texas
-
Fort Worth, Texas, Forenede Stater, 76104
- Rekruttering
- START Dallas-Fort Worth
-
Kontakt:
- Hope Team Distribution List
- Telefonnummer: 682-350-3010
- E-mail: hopeteam@startresearch.com
-
Ledende efterforsker:
- Salwan Al Mutar, MD, M.Sc.
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Houston, Texas, Forenede Stater, 77054
- Rekruttering
- NEXT Houston
-
Ledende efterforsker:
- Jennifer Segar, MD
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Kontakt:
- Emma Morales
- E-mail: emorales@nextoncology.com
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San Antonio, Texas, Forenede Stater, 78229
- Rekruttering
- NEXT Oncology
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Kontakt:
- Jordan Georg
- E-mail: jgeorg@nextoncology.com
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Ledende efterforsker:
- Ildefonso Ismael Rodriguez Rivera, MD
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Virginia
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Fairfax, Virginia, Forenede Stater, 22031
- Rekruttering
- NEXT Virginia
-
Ledende efterforsker:
- Mohamad Salkeni, MD
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Kontakt:
- Maybelle De La Rosa
- E-mail: mdelarosa@nextoncology.com
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Confirmed adenocarcinoma of the prostate.
- PSA levels ≥ 2 ng/mL at screening visit.
- Progressing PSA, defined as two consecutive increases in the most recent PSA measurements taken at least 1 week apart.
- Progressed on Androgen Deprivation Therapy (ADT) and at least one prior potent Androgen Receptor (AR) pathway inhibitor given in castration-sensitive prostate cancer setting or approved for castration-resistant prostate cancer (eg, apalutamide, darolutamide, abiraterone, enzalutamide).
- Ongoing primary ADT with gonadotropin-releasing hormone agonist or antagonist in the absence of bilateral orchiectomy.
- Acceptable physical functioning and laboratory measurements, per the study protocol.
- Discontinued prior therapies within protocol-specified timeframes.
- Commit to use of highly-effective contraception while on study and for 90 days after.
- Willing and able to adhere to the study visit schedule and other protocol defined requirements.
Exclusion Criteria:
- Predominance of small cell carcinoma of the prostate/neuroendocrine prostate cancer in most recent tumor biopsy.
- Participants with brain metastases that require ongoing treatment with radiation or high-dose steroids.
- Not recovered from side effects of prior surgery or cancer treatments.
- Evidence of active viral, bacterial, or fungal infection requiring treatment with antivirals, antibiotics, or anti-fungal medications.
- Prior treatment with AR degraders and molecules with an AR ligand such as AR Regulated Induced Proximity Targeting Chimera (RIPTAC).
- Blood clots ≤ 4 weeks prior to start of treatment.
- Concurrent malignancy requiring treatment or history of prior malignancy active within 2 years prior to the first dose of study drug. Patients may be eligible if the malignancy is clinically stable or has been treated with curative intent.
- Any evidence of severe or uncontrolled systemic diseases.
- Any condition that, in the opinion of the Investigator, would interfere with evaluation of the investigational product or interpretation of the patient's safety or study results.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Ikke-randomiseret
- Interventionel model: Sekventiel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: FX-111 Dose Level 1
|
FX-111 will be administered orally once daily in continuous 28-day cycles.
|
|
Eksperimentel: FX-111 Dose Level 2
|
FX-111 will be administered orally once daily in continuous 28-day cycles.
|
|
Eksperimentel: FX-111 Dose Level 3
|
FX-111 will be administered orally once daily in continuous 28-day cycles.
|
|
Eksperimentel: FX-111 Dose Level 4
|
FX-111 will be administered orally once daily in continuous 28-day cycles.
|
|
Eksperimentel: FX-111 Dose Level 5
|
FX-111 will be administered orally once daily in continuous 28-day cycles.
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
The number of adverse events (AEs), serious adverse events (SAEs), and drug withdrawal due to AE in participants receiving FX-111
Tidsramme: Study day 1 throughout the study, estimated to be 6 months.
|
Study day 1 throughout the study, estimated to be 6 months.
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Area Under the Concentration Time Curve
Tidsramme: Study day 1 throughout the study for 6 months.
|
Total body exposure of FX-111
|
Study day 1 throughout the study for 6 months.
|
|
Maximum concentration (Cmax) of FX-111 in the bloodstream.
Tidsramme: Study day 1 throughout the study for 6 months.
|
Study day 1 throughout the study for 6 months.
|
|
|
Time required (Tmax) to reach Cmax of FX-111 in the bloodstream.
Tidsramme: Study day 1 throughout the study for 6 months.
|
Study day 1 throughout the study for 6 months.
|
|
|
Rate of confirmed prostate-specific antigen (PSA) decline of ≥ 50% from baseline (PSA50).
Tidsramme: Baseline and every 4 weeks throughout the study, estimated to be 6 months.
|
Baseline and every 4 weeks throughout the study, estimated to be 6 months.
|
|
|
Objective Response Rate (ORR)
Tidsramme: Tumor assessments at baseline and every 8 weeks throughout the study, estimated to be 6 months.
|
The number of patients who achieve either a Complete Response (CR) or Partial Response (PR) to FX-111. CR: disappearance of all lesions and pathologic lymph nodes. PR: ≥30% decrease in sum of lesions, no new lesions, no progression of non-target lesions. |
Tumor assessments at baseline and every 8 weeks throughout the study, estimated to be 6 months.
|
|
Duration of Response (DoR)
Tidsramme: Tumor assessments at baseline and every 8 weeks throughout the study, estimated to be 6 months.
|
DoR is the time from initial CR or PR until disease progression.
|
Tumor assessments at baseline and every 8 weeks throughout the study, estimated to be 6 months.
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- FX-111-CLINPRO-1
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
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