- ICH GCP
- US-Register für klinische Studien
- Klinische Studie NCT06780670
Offene Studie zum Vergleich von AAA817 mit der Standardversorgung bei der Behandlung zuvor behandelter PSMA-positiver mCRPC-Erwachsener, deren Krankheit während oder nach einer gezielten [177Lu]Lu-PSMA-Therapie fortgeschritten ist (PSMAcTION)
PSMAcTION: Eine offene, internationale, multizentrische, randomisierte Phase-II/III-Studie zu AAA817 im Vergleich zur Standardversorgung bei der Behandlung erwachsener Teilnehmer mit PSMA-positivem metastasiertem kastrationsresistentem Prostatakrebs, deren Progression auf oder nach [177Lu]Lu-PSMA erfolgte Gezielte Therapie
This is a Phase II/III study. Patient population is adult participants with PSMA-positive mCRPC who had treatments with androgen receptor pathway inhibitor (ARPI) and taxane-based chemotherapy and progressed on or after [177Lu]Lu-PSMA targeted therapy.
Treatment of interest: the investigational treatment is AAA817 regardless of subsequent anti-neoplastic treatment. The control treatment is investigator's choice of Standard of Care, regardless of subsequent anti-neoplastic treatment
Studienübersicht
Status
Bedingungen
Intervention / Behandlung
Detaillierte Beschreibung
Study CAAA817A12201 consists of 2 parts: a randomized, open-label, international, multicenter, phase II study (Phase II) to collect more information to support the proposed dose of AAA817 and a randomized, open-label, international, multicenter, 2- arm phase III study (Phase III) aimed to evaluate the efficacy and safety of proposed dose of AAA817 vs. investigator's choice of standard of care (SoC) in the treatment of adult participants with PSMA-positive metastatic castration-resistant prostate cancer (mCRPC) who had treatments with ARPI and taxane-based chemotherapy, and progressed on or after [177Lu]Lu-PSMA targeted therapy. The purpose of the phase II part (Phase II) of this study is to collect additional information to support proposed phase III dose of AAA817.
Studientyp
Einschreibung (Geschätzt)
Phase
- Phase 2
- Phase 3
Kontakte und Standorte
Studienkontakt
- Name: Novartis Pharmaceuticals
- Telefonnummer: 1-888-669-6682
- E-Mail: novartis.email@novartis.com
Studieren Sie die Kontaktsicherung
- Name: Novartis Pharmaceuticals
- Telefonnummer: +41613241111
Studienorte
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New South Wales
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Darlinghurst, New South Wales, Australien, 2010
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Queensland
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Herston, Queensland, Australien, 4029
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Victoria
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Melbourne, Victoria, Australien, 3004
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São Paulo
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São Paulo, São Paulo, Brasilien, 01308-050
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São Paulo, São Paulo, Brasilien, 05652-000
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Beijing, China, 100036
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Beijing, China, 100034
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Guangzhou, China, 510060
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Shanghai, China, 200025
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Shanghai, China, 200032
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Tianjin, China, 300480
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Tianjin, China, 300300
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Fujian
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Fuzhou, Fujian, China, 350025
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Hubei
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Wuhan, Hubei, China, 430022
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Wuhan, Hubei, China, 430030
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Jiangsu
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Nanjing, Jiangsu, China, 210006
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Nanjing, Jiangsu, China, 210029
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Liaoning
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Shenyang, Liaoning, China, 110011
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Shanxi
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Xian, Shanxi, China, 710032
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Xian, Shanxi, China, 710061
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Sichuan
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Chengdu, Sichuan, China, 610041
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Hong Kong, Hongkong, 999077
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Beersheba, Israel, 8457108
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Haifa, Israel, 3109601
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Jerusalem, Israel, 9112001
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Petah Tikva, Israel, 4941492
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Ramat Gan, Israel, 5265601
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Tel Aviv, Israel, 6423906
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Chiba, Japan, 2608717
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Fukuoka, Japan, 8128582
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Fukuoka, Japan, 8110213
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Fukuoka, Japan, 8120033
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Fukushima, Japan, 9601295
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Ishikawa, Japan, 9208641
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Kyoto, Japan, 6068507
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Chiba
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Kashiwa, Chiba, Japan, 2778577
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Hokkaido
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Sapporo, Hokkaido, Japan, 0608648
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Hyōgo
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Kobe, Hyōgo, Japan, 6500047
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Kanagawa
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Yokohama, Kanagawa, Japan, 2360004
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Kuala Lumpur
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Putrajaya, Kuala Lumpur, Malaysia, 62250
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Selangor
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Petaling Jaya, Selangor, Malaysia, 46050
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Petaling Jaya, Selangor, Malaysia, 46150
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Huxquilucan, Mexiko, 52763
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Mexico City
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Mexico City, Mexico City, Mexiko, 14050
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Basel, Schweiz, 4031
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Bellinzona, Schweiz, 6500
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Bern, Schweiz, 3010
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Singapore, Singapur, 119228
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Singapore, Singapur, 168583
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Singapore, Singapur, 258499
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Seoul, Südkorea, 03080
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Seoul, Südkorea, 05505
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Seoul, Südkorea, 06591
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Seoul, Südkorea, 03722
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Taipei, Taiwan, 10002
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Taipei, Taiwan, 11217
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Taipei, Taiwan, 103616
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Taoyuan, Taiwan, 33305
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Arizona
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Scottsdale, Arizona, Vereinigte Staaten, 85258
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- Honor Health Research Institute
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Hauptermittler:
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Kontakt:
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California
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Los Angeles, California, Vereinigte Staaten, 90073
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Kontakt:
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Hauptermittler:
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Palo Alto, California, Vereinigte Staaten, 94304-1207
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Hauptermittler:
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Kontakt:
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Palo Alto, California, Vereinigte Staaten, 94304
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Hauptermittler:
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Kontakt:
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Santa Barbara, California, Vereinigte Staaten, 93105
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Hauptermittler:
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Kontakt:
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- Telefonnummer: 805-563-5800
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Santa Monica, California, Vereinigte Staaten, 90404
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- Saint Johns Cancer Institute
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Hauptermittler:
- Przemyslaw Twardowski
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Kontakt:
- Joey Dumadag
- Telefonnummer: 310-829-8569
- E-Mail: joey.dumadag@providence.org
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Colorado
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Denver, Colorado, Vereinigte Staaten, 80218
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- Rocky Mountain Cancer Centers
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Hauptermittler:
- Manojkumar Bupathi
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Kontakt:
- Jannae Foellmer
- Telefonnummer: 303-385-2000
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Connecticut
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Hartford, Connecticut, Vereinigte Staaten, 06102
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- Hartford Hospital
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Hauptermittler:
- Andrew Salner
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Kontakt:
- Melanie Manning
- E-Mail: Melanie.Manning@hhchealth.org
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Florida
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Miami, Florida, Vereinigte Staaten, 33173
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- Baptist Health South
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Hauptermittler:
- Adeel Kaiser
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Kontakt:
- Leslie Castaneda
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Orlando, Florida, Vereinigte Staaten, 32804
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- AdventHealth
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Hauptermittler:
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Kontakt:
- Joseph Guzzo
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Georgia
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Athens, Georgia, Vereinigte Staaten, 30607
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- University Cancer and Blood Center LLC
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Kontakt:
- Christen Nicole Cooper Pope
- Telefonnummer: +1 706 353 2990
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Hauptermittler:
- Petros Nikolinakos
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Atlanta, Georgia, Vereinigte Staaten, 30322
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- Emory University
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Hauptermittler:
- Shahid Sattar Ahmed
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Kontakt:
- Jalpa Patel
- Telefonnummer: +1 404 778 1835
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Illinois
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Chicago, Illinois, Vereinigte Staaten, 60637
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- University of Chicago
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Hauptermittler:
- Mohammad Atiq
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Kontakt:
- Paige Olson
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- E-Mail: paige.olson@bsd.uchicago.edu
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Indiana
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Indianapolis, Indiana, Vereinigte Staaten, 46202
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- Indiana University
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Hauptermittler:
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Kontakt:
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Kansas
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Kansas City, Kansas, Vereinigte Staaten, 66160
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Hauptermittler:
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Kontakt:
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Louisiana
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Metairie, Louisiana, Vereinigte Staaten, 70006
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Hauptermittler:
- Alton Oliver Sartor
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Kontakt:
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Massachusetts
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Boston, Massachusetts, Vereinigte Staaten, 02215
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- Beth Israel Deaconess Medical Center
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Hauptermittler:
- David J Einstein
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Kontakt:
- Ooviya Sathiyamoorthy
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Boston, Massachusetts, Vereinigte Staaten, 02115
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Hauptermittler:
- Xiao Wei
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Kontakt:
- Michael Bonhomme
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Missouri
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St Louis, Missouri, Vereinigte Staaten, 63110
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Hauptermittler:
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Kontakt:
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Nebraska
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Omaha, Nebraska, Vereinigte Staaten, 68154
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- Nebraska Cancer Specialists
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Hauptermittler:
- Samuel Mehr
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Kontakt:
- Marlene Bridwell
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New Jersey
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Voorhees Township, New Jersey, Vereinigte Staaten, 08043
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- New Jersey Urology LLC
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Kontakt:
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Hauptermittler:
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New York
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New York, New York, Vereinigte Staaten, 10029
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- Mount Sinai Hosp Med School
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Hauptermittler:
- Randy Yeh
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Kontakt:
- Ilda Bander
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Syracuse, New York, Vereinigte Staaten, 13210
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- Associated Med Professionals of NY
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Hauptermittler:
- Steven Finkelstein
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Kontakt:
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The Bronx, New York, Vereinigte Staaten, 10467
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- Montefiore Medical Center
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Hauptermittler:
- Benjamin A Gartrell
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Kontakt:
- Tahrima Chowdhury
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Ohio
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Gahanna, Ohio, Vereinigte Staaten, 43230
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Hauptermittler:
- Benjamin Martin
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Kontakt:
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Oregon
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Springfield, Oregon, Vereinigte Staaten, 97477
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- Oregon Urology Institute
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Hauptermittler:
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Kontakt:
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Pennsylvania
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Philadelphia, Pennsylvania, Vereinigte Staaten, 19111
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- Fox Chase Cancer Center
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Kontakt:
- Candice Schewbel
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Hauptermittler:
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South Carolina
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Myrtle Beach, South Carolina, Vereinigte Staaten, 29572
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- Carolina Urologic Research Center
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Hauptermittler:
- Neal D Shore
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Kontakt:
- Rebecca Floyd
- Telefonnummer: 843-839-1679
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Texas
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Dallas, Texas, Vereinigte Staaten, 75251
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- Texas Oncology
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Kontakt:
- Marian Heaven
- Telefonnummer: 512-427-9467
- E-Mail: marian.heaven@usoncology.com
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Hauptermittler:
- Michael P Herman
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San Antonio, Texas, Vereinigte Staaten, 78229
- Rekrutierung
- Urology San Antonio
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Hauptermittler:
- Daniel Saltzstein
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Kontakt:
- Sandra Davila
- E-Mail: sandra.davila@usa-clinicaltrials.com
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Utah
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Murray, Utah, Vereinigte Staaten, 84107
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- Utah Intermountain Medical Center
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Hauptermittler:
- David Gill
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Kontakt:
- Becky Arroyo
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Virginia
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Fairfax, Virginia, Vereinigte Staaten, 22031
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- Virginia Cancer Specialists
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Hauptermittler:
- Gregory Scott Sibley
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Kontakt:
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Roanoke, Virginia, Vereinigte Staaten, 24014
- Rekrutierung
- Onco Hemato Asso of SW Virginia
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Hauptermittler:
- David Buck
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Kontakt:
- Natasha Holt
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Washington
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Seattle, Washington, Vereinigte Staaten, 98109-1024
- Rekrutierung
- Fred Hutchinson Cancer Research Center
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Kontakt:
- Brianna Woo
- E-Mail: bwoo@fredhutch.org
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Hauptermittler:
- Ruben Raychaudhuri
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Wisconsin
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Milwaukee, Wisconsin, Vereinigte Staaten, 53226
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- Medical College Of Wisconsin
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Hauptermittler:
- Deepak Kilari
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Kontakt:
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Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria: ∙
- adults ≥ 18 years of age.
- ECOG performance status of 0 to 2.
- histopathological and/or cytological confirmation of adenocarcinoma of the prostate.
- PSMA-positive disease as assessed by PSMA PET/CT scan using an approved PSMA imaging agent as protocol instructed,
- castrate level of serum/plasma testosterone (< 50 ng/dL or < 1.7 nmol/L).
- Prior treatments with an androgen receptor pathway inhibitor (ARPI) and taxane-based chemotherapy, and progressed on or after [177Lu]Lu-PSMA targeted therapy.
- ≥ 1 metastatic lesion that is present on screening/baseline CT, MRI, or bone scan imaging obtained ≤ 28 days prior to randomization
- eGFR as requested by the sponsor
Exclusion Criteria:
- Any investigational agents within 28 days prior to the day of randomization.
- Any 225Ac-based investigational compound used prior to the day of randomization.
- Participants with a history of CNS metastases who are neurologically unstable, symptomatic, or receiving corticosteroids for the purpose of maintaining neurologic integrity.
- Concurrent acute kidney injury (renal failure developed between 48 hours to 7 days) or chronic kidney disease (at least 3 months of ongoing renal injury)
- Baseline xerostomia ≥ Grade 2 by CTCAE v.5
- History of uncontrolled hypertension, myocardial infarction (MI), angina pectoris, or coronary artery bypass graft (CABG) within 6 months prior to ICF signature and/or clinically active significant cardiac disease
- History of lymphoproliferative disease or any known malignancy or history of malignancy of any organ system within the past 2 years (except for basal cell carcinoma or actinic keratosis that have been treated with no evidence of recurrence in the past 3 months, non-invasive malignant colon polyps that have been removed).
Other protocol-defined inclusion/exclusion criteria may apply.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Keine (Offenes Etikett)
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
|---|---|
|
Experimental: Phase II: AAA817 Dose B
AAA817 will be given for a number of cycles; a cycle = 8 weeks |
The investigational treatment is AAA817
Andere Namen:
Investigational treatment is the Dose B of AAA817
Andere Namen:
|
|
Aktiver Komparator: Phase III: Investigator's choice of SoC
Participants will be given Standard of Care (SOC) treatment per Investigator's choice. |
The control treatment in Phase III is investigator's choice of SoC |
|
Experimental: Phase II: AAA817 Dose A
AAA817 Dose A will be given for a number of cycles: a cycle = 8 weeks |
The investigational treatment is AAA817
Andere Namen:
Investigational treatment is the Dose B of AAA817
Andere Namen:
|
|
Experimental: Phase III: Recommended Phase 3 Dose of AAA817
Rp3D of AAA817 will be given for a number of cycles; a cycle = 8 weeks |
The investigational treatment is AAA817
Andere Namen:
Investigational treatment is the Dose B of AAA817
Andere Namen:
|
Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Biochemical response rate (Phase II)
Zeitfenster: from date of randomization up to approximately 24 months
|
Biochemical response rate as defined as the percentage of participants who achieved a ≥ 50% decrease from baseline that is confirmed by a second measurement |
from date of randomization up to approximately 24 months
|
|
Adverse Events (AEs) and Serious Adverse Events (SAEs), and deaths - Phase II
Zeitfenster: from day of randomization to 30 days after End of Treatment or (last AAA817 dose date + 55 days, last dose date of SoC + 30 days), whichever is later
|
Safety defined as the type, incidence and severity of AEs and SAEs, and deaths |
from day of randomization to 30 days after End of Treatment or (last AAA817 dose date + 55 days, last dose date of SoC + 30 days), whichever is later
|
|
Tolerability of the proposed dose of AAA817- Phase II
Zeitfenster: From on-treatment period which start from the first dose of study treatment until 30 days post-last dose date for SoC and 55 days post last-dose for AAA817
|
Percentage of participants who experienced Dose interruptions, reductions, discontinuation, dose intensity and duration of exposure |
From on-treatment period which start from the first dose of study treatment until 30 days post-last dose date for SoC and 55 days post last-dose for AAA817
|
|
Radiographic progression-free survival (rPFS)- Phase III
Zeitfenster: from date of randomization up to approximately 24 months
|
Percentage of participants who are alive without radiographic progression or who are lost to follow-up at the time of analysis |
from date of randomization up to approximately 24 months
|
|
Overall survival (OS)- Phase III
Zeitfenster: from date of randomization up to approximately 24 months
|
Percentage of participants who are alive or who are lost to follow-up at the time of analysis |
from date of randomization up to approximately 24 months
|
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Radiographic progression-free survival (rPFS)- Phase II
Zeitfenster: from date of randomization up to approximately 24 months
|
Percentage of participants who are alive without radiographic progression or who are lost to follow-up at the time of analysis |
from date of randomization up to approximately 24 months
|
|
Progression free survival (PFS)- Phase II
Zeitfenster: from date of randomization up to approximately 24 months
|
Percentage of Participants meeting Progression Free Survival |
from date of randomization up to approximately 24 months
|
|
Overall response rate (ORR)- Phase II
Zeitfenster: from date of randomization up to approximately 24 months
|
Percentage of participants with best overall response (BOR) of complete response (CR) or partial response (PR) |
from date of randomization up to approximately 24 months
|
|
Disease control rate (DCR)- Phase II
Zeitfenster: from date of randomization up to approximately 24 months
|
Percentage of participants with BOR of CR, PR, stable disease (SD) or non-CR/non-PD |
from date of randomization up to approximately 24 months
|
|
Overall survival (OS)- Phase II
Zeitfenster: from date of randomization up to approximately 24 months
|
Percentage of participants who are alive or who are lost to follow-up at the analysis data cut-off |
from date of randomization up to approximately 24 months
|
|
Progression free survival (PFS) -Phase III
Zeitfenster: from date of randomization up to approximately 24 months
|
Percentage of participants with PFS -defined as the time from date of randomization to first documented progression |
from date of randomization up to approximately 24 months
|
|
Overall response rate (ORR)- Phase III
Zeitfenster: from date of randomization up to approximately 24 months
|
ORR is defined as the percentage of participants with best overall response (BOR) of confirmed complete response (CR) or partial response (PR) |
from date of randomization up to approximately 24 months
|
|
Disease control rate (DCR) -Phase III
Zeitfenster: from date of randomization up to approximately 24 months
|
DCR is defined as the percentage of participants with BOR of confirmed CR, PR, stable disease (SD) or Non-CR/Non progressive disease (PD) |
from date of randomization up to approximately 24 months
|
|
Duration of response (DoR)- Phase III
Zeitfenster: from date of randomization up to approximately 24 months
|
Percentage of participants with confirmed DoR defined as duration of time between the date of first documented response (CR or PR) and progression or death due to any cause, whichever occurs first. |
from date of randomization up to approximately 24 months
|
|
Time to first radiographic soft tissue progression (TTSTP)- Phase III
Zeitfenster: from date of randomization up to approximately 24 months
|
Percentage of participants with confirmed first radiographic progression in soft tissue |
from date of randomization up to approximately 24 months
|
|
First symptomatic skeletal event (TTSSE)_Phase III
Zeitfenster: from date of randomization up to approximately 24 months
|
Percentage of participants with confirmed skeletal event is defined as new symptomatic pathological bone fracture, spinal cord compression, tumor-related orthopedic surgical intervention, or requirement for radiation therapy to relieve bone pain, or death due to any cause, whichever occurs first |
from date of randomization up to approximately 24 months
|
|
Prostate specific antigen (PSA) response -Phase III
Zeitfenster: from date of randomization up to approximately 24 months
|
PSA50 is defined as the percentage of participants who achieved a confirmed ≥ 50% decrease from baseline |
from date of randomization up to approximately 24 months
|
|
Patient reported disease related symptoms and health-related quality of life (HRQoL): Phase III
Zeitfenster: from date of randomization up to approximately 24 months
|
Percentage of participants who had a Change from baseline on FACT-P Prostate Cancer Subscale (PCS) |
from date of randomization up to approximately 24 months
|
|
Time to worsening on the Worst Pain: Phase III
Zeitfenster: from date of randomization up to approximately 24 months
|
Time to worsening on the Worst Pain defined as the time from randomization to the first occurrence of worsening on the Worst Pain item (brief pain inventory - short form (BPI-SF)) of at least 30% of baseline or minimum of 2 points increase from baseline, or death due to any cause, whichever occurs first. BPI-SF is a self-reported questionnaire to evaluate pain intensity (severity) and impact of pain on the participant's daily functioning (interference). |
from date of randomization up to approximately 24 months
|
Mitarbeiter und Ermittler
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Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Primärer Abschluss (Geschätzt)
Studienabschluss (Geschätzt)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
- CAAA817A12201
- 2024-512342-42-00 (Andere Kennung: EU CTIS)
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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