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.
調査の概要
状態
条件
介入・治療
研究の種類
入学 (推定)
段階
- フェーズ 1
連絡先と場所
研究連絡先
- 名前:Janine Koucheki, Associate Director, Clinical Operations
- 電話番号:857-706-4400
- メール:clinops@flaretx.com
研究連絡先のバックアップ
- 名前:Carolyn McCrone, Sr Clinical Trial Associate
- 電話番号:857-706-4400
- メール:clinops@flaretx.com
研究場所
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California
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Los Angeles、California、アメリカ、90025
- 募集
- START Los Angeles
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コンタクト:
- Hope Team Distribution List
- 電話番号:424-465-1820
- メール:hopeteam@startresearch.com
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主任研究者:
- Navid Hafez, MD, MPH
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Massachusetts
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Boston、Massachusetts、アメリカ、02114
- まだ募集していません
- Massachusetts General Hospital
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主任研究者:
- Xin Gao, MD
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Michigan
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Grand Rapids、Michigan、アメリカ、49546
- 募集
- START MidWest
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主任研究者:
- Emerson Lim, MD
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コンタクト:
- Hope Team Distribution List
- 電話番号:616-389-1810
- メール:hopeteam@startresearch.com
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New Jersey
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East Brunswick、New Jersey、アメリカ、08816
- 募集
- START New Jersey
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主任研究者:
- Bruno Fang, MD
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コンタクト:
- Nurse Navigator
- 電話番号:732-426-4750
- メール:dana.sapia@startresearch.com
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South Carolina
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Myrtle Beach、South Carolina、アメリカ、29572
- 募集
- START Carolinas
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主任研究者:
- Neal Shore, MD
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コンタクト:
- Kate Valipour, Clinical Research Coordinator
- 電話番号:5268 843-449-1010
- メール:kate.valipour@startresearch.com
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コンタクト:
- Paige Wilson
- 電話番号:5147 843-449-1010
- メール:paige.wilson@startresearch.com
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Tennessee
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Nashville、Tennessee、アメリカ、37203
- まだ募集していません
- Tennessee Oncology
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主任研究者:
- Katy Beckermann, MD, Ph.D.
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Texas
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Fort Worth、Texas、アメリカ、76104
- 募集
- START Dallas-Fort Worth
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コンタクト:
- Hope Team Distribution List
- 電話番号:682-350-3010
- メール:hopeteam@startresearch.com
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主任研究者:
- Salwan Al Mutar, MD, M.Sc.
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Houston、Texas、アメリカ、77054
- 募集
- NEXT Houston
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主任研究者:
- Jennifer Segar, MD
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コンタクト:
- Emma Morales
- メール:emorales@nextoncology.com
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San Antonio、Texas、アメリカ、78229
- 募集
- NEXT Oncology
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コンタクト:
- Jordan Georg
- メール:jgeorg@nextoncology.com
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主任研究者:
- Ildefonso Ismael Rodriguez Rivera, MD
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Virginia
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Fairfax、Virginia、アメリカ、22031
- 募集
- NEXT Virginia
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主任研究者:
- Mohamad Salkeni, MD
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コンタクト:
- Maybelle De La Rosa
- メール:mdelarosa@nextoncology.com
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参加基準
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
説明
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.
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:非ランダム化
- 介入モデル:順次割り当て
- マスキング:なし(オープンラベル)
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的:FX-111 Dose Level 1
|
FX-111 will be administered orally once daily in continuous 28-day cycles.
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実験的:FX-111 Dose Level 2
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FX-111 will be administered orally once daily in continuous 28-day cycles.
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実験的:FX-111 Dose Level 3
|
FX-111 will be administered orally once daily in continuous 28-day cycles.
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実験的:FX-111 Dose Level 4
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FX-111 will be administered orally once daily in continuous 28-day cycles.
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実験的:FX-111 Dose Level 5
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FX-111 will be administered orally once daily in continuous 28-day cycles.
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この研究は何を測定していますか?
主要な結果の測定
結果測定 |
時間枠 |
|---|---|
|
The number of adverse events (AEs), serious adverse events (SAEs), and drug withdrawal due to AE in participants receiving FX-111
時間枠:Study day 1 throughout the study, estimated to be 6 months.
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Study day 1 throughout the study, estimated to be 6 months.
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Area Under the Concentration Time Curve
時間枠:Study day 1 throughout the study for 6 months.
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Total body exposure of FX-111
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Study day 1 throughout the study for 6 months.
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Maximum concentration (Cmax) of FX-111 in the bloodstream.
時間枠:Study day 1 throughout the study for 6 months.
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Study day 1 throughout the study for 6 months.
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Time required (Tmax) to reach Cmax of FX-111 in the bloodstream.
時間枠:Study day 1 throughout the study for 6 months.
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Study day 1 throughout the study for 6 months.
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Rate of confirmed prostate-specific antigen (PSA) decline of ≥ 50% from baseline (PSA50).
時間枠:Baseline and every 4 weeks throughout the study, estimated to be 6 months.
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Baseline and every 4 weeks throughout the study, estimated to be 6 months.
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|
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Objective Response Rate (ORR)
時間枠:Tumor assessments at baseline and every 8 weeks throughout the study, estimated to be 6 months.
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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.
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Duration of Response (DoR)
時間枠:Tumor assessments at baseline and every 8 weeks throughout the study, estimated to be 6 months.
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DoR is the time from initial CR or PR until disease progression.
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Tumor assessments at baseline and every 8 weeks throughout the study, estimated to be 6 months.
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協力者と研究者
スポンサー
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。