전이성 거세 전립선 암 환자를 치료하기위한 ACE-232의 1 상 연구
전이성 거세 저항성 전립선 암 (CRPC) 환자에서 ACE-232의 안전성, 약동학, 약력학 및 예비 효능을 평가하기위한 1 단계 연구
This is an open label, phase I, multi-center study aiming to assess the safety and tolerability in patients with metastatic castration resistant prostate cancer (mCRPC).
연구 개요
상태
상태
정황
정황
개입 / 치료
개입 / 치료
상세 설명
The study consists of two parts, Phase 1A dose escalation and Phase 1B dose optimization. Phase 1A aims to assess the safety, tolerability, pharmacokinetic (PK) profile, and changes in pharmacodynamic (PD) markers in patients treated with ACE-232, and to determine the maximum tolerated dose (MTD), if applicable. In Phase 1B, patients with AR gene alterations will be treated at two different dose levels to establish the recommended Phase 2 dose (RP2D).
연구 유형
연구 유형
등록 (추정된)
등록
단계
단계
- 1단계
연락처 및 위치
연구 연락처
연구 연락처
- 이름: Teresa Shi, MS
- 전화번호: 86-13916513539
- 이메일: teresa.shi@acerand.com
연구 연락처 백업
- 이름: Derek Yang, MD
- 전화번호: 86-13817816369
- 이메일: derek.yang@acerand.com
연구 장소
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California
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La Jolla, California, 미국, 92093
- 모병
- University of California San Diego, Moores Cancer Center
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Florida
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Tampa, Florida, 미국, 33612
- 모병
- Moffitt Cancer Center, Tampa
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Maryland
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Baltimore, Maryland, 미국, 21201
- 모병
- University of Maryland, Greenebaum Comprehensive Cancer Center
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Massachusetts
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Boston, Massachusetts, 미국, 02114
- 모병
- Harvard Medical School-Massachusetts General Hospital
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Minnesota
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Minneapolis, Minnesota, 미국, 55455
- 모병
- M Health Fairview Clinics and Surgery Center
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Nebraska
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Omaha, Nebraska, 미국, 68130
- 빼는
- Xcancer (Urology Cancer Center)
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South Carolina
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Myrtle Beach, South Carolina, 미국, 29572
- 모병
- Carolina Urologic Research Center
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Washington
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Seattle, Washington, 미국, 98109
- 모병
- Fred Hutchinson Cancer Research Center
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China
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Beijing, China, 중국, 102200
- 아직 모집하지 않음
- Beijing Gobroard Hospital
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연락하다:
- 전화번호: 86+400-696-2000
- 이메일: international.service@gobroadhealthcare.com
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Hangzhou, China, 중국, 310022
- 아직 모집하지 않음
- Zhejiang Cancer Hospital
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연락하다:
- 전화번호: 86-571-88122222
- 이메일: zjszlyy@163.com
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Shanghai, China, 중국, 200127
- 아직 모집하지 않음
- Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
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연락하다:
- 전화번호: 86-21-58752345
- 이메일: renji@renji.com
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Zhengzhou, China, 중국, 450008
- 아직 모집하지 않음
- Henan Cancer Hospital
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연락하다:
- 전화번호: 86+400-0371-818
- 이메일: hnszlyyyb@163.com
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Fujian
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Fuzhou, Fujian, 중국
- 모병
- Fujian Cancer Hospital
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참여기준
자격 기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- Provide written informed consent
- Metastatic Castration-resistant Prostate Cancer with ongoing androgen - deprivation therapy (ADT) or have bilateral orchiectomy
- Difficult to treat or intolerant to standard treatment (post at least 1 line of NHA and taxane-based chemo in mHSPC or mCRPC), suitable for investigational treatment;
- Has Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Has a life expectancy of at least 6 months
- Adequate organ function and bone marrow function
Exclusion Criteria:
- Receiving any anti-cancer drugs or other treatment, major surgery, extensive radiation therapy, or local radiation therapy within protocol-defined wash-out period;
- Concomitant use of medications or herbal supplements known to be moderate to strong CYP3A4 inhibitors/inducers, or P-gp inhibitors, known to prolong the QT interval.
- Any previous treatment-related toxicities have not recovered.
- Spinal cord compression or known brain metastases or leptomeningeal carcinomatosis.
- Severe cardiovascular disorders.
- Known gastrointestinal (GI) disorder or GI procedure
- History of gastric and duodenal perforation.
- History of pituitary dysfunction.
- Poorly controlled diabetes mellitus.
- Active or uncontrolled autoimmune disease
- Active infections, or a known history of HIV infection, or a known active hepatitis B or C, or a known active tuberculosis.
- Other malignancies requiring treatment within 3 years prior to the first dose of study drug
- Known allergy or hypersensitivity to any of the excipients of ACE-232.
- Has other medical conditions that at the discretion of the investigator interfere with safety or efficacy evaluation, or treatment compliance.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 해당 없음
- 중재 모델: 단일 그룹 할당
- 마스킹: 없음(오픈 라벨)
팔의 수
무기와 개입
참가자 그룹 / 팔참가자 그룹 / 팔 |
개입 / 치료개입 / 치료 |
|---|---|
|
실험적: ACE-232
Administered once daily (QD) continuously at the assigned dose level in accordance with the standard 3+3 dose-escalation scheme |
ACE-232 tablets will be administered orally daily as a continuous regimen together with Dexamethasone and Fludrocortisone. Subjects will continue to receive study treatment until PD as judged by local investigator review, development of unacceptable toxicity, or withdrawal of consent. |
연구는 무엇을 측정합니까?
주요 결과 측정
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Number of patients experiencing adverse events (AEs)/serious adverse events (SAEs)
기간: From time of information consent to 30 days post last dose, up to approximately 37 months
|
Number of patients with incidence of adverse events and with serious adverse events including changes from baseline in laboratory parameters, vital signs, ECGs, and physical examination, etc. |
From time of information consent to 30 days post last dose, up to approximately 37 months
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Number of patients experiencing dose limiting toxicity (DLT), as defined in the protocol
기간: From the first dose of ACE-232 on Cycle 1 Day 1 up to and including the planned end of Cycle 1 (at the end of 28 days)
|
A DLT is defined as any toxicity events related to ACE-232 that occur from the first dose of study treatment until the planned end date of Cycle 1 (DLT assessment period), meeting the criteria specified in protocol. |
From the first dose of ACE-232 on Cycle 1 Day 1 up to and including the planned end of Cycle 1 (at the end of 28 days)
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Recommended Phase 2 dose (RP2D) and/or maximum tolerated dose (MTD)
기간: Up to approximately 37 months
|
RP2D will be finally determined by the SMC and sponsor based on all data from the dose escalation module and backfill module, as well as the exposure-response relationship evaluated (if available). MTD is defined as the maximum dose level at which ≤1 patient have DLTs during the DLT observation period, and it should be determined with 6 evaluable patients. |
Up to approximately 37 months
|
2차 결과 측정
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Pharmacokinetics characterization by using Area under the plasma concentration versus time curve (AUC)
기간: Up to approximately 37 months
|
To determine the pharmacokinetics (PK) using AUC of ACE-232 after a single dose and at steady state after multiple doses. |
Up to approximately 37 months
|
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Pharmacokinetics characterization by using Maximum concentration (Cmax)
기간: Up to approximately 37 months
|
To determine the pharmacokinetics (PK) using Cmax of ACE-232 after a single dose and at steady state after multiple doses |
Up to approximately 37 months
|
|
Prostate Specific Antigen (PSA) response
기간: Up to approximately 37 months
|
PSA response is defined as PSA decline of 30% and 50% from baseline at any time point |
Up to approximately 37 months
|
|
Objective Response Rate (ORR)
기간: Up to approximately 37 months
|
ORR is defined as a complete response (CR) or partial response (PR), as determined by the investigator using Response Evaluation Criteria in Solid Tumors (RECIST version 1.1) and Prostate Cancer Working Group Criteria 3 (PCWG3 criteria), in patients with measurable disease at baseline. |
Up to approximately 37 months
|
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Duration of Response (DoR)
기간: Up to approximately 37 months
|
DOR is defined, for patients with an objective response, as the time from first documentation of objective tumor response (CR or PR) to the first documentation of objective tumor progression or death due to any cause. |
Up to approximately 37 months
|
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Radiographic Progression Free Survival (rPFS)
기간: Up to approximately 37 months
|
rPFS is defined as the time from the first dose of ACE-232 to the first documented disease progression by either RECIST progression and/or progression on bone scan by PCWG3 or death due to any cause, whichever occurs first. |
Up to approximately 37 months
|
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Overall Survival (OS)
기간: Up to approximately 37 months
|
OS is defined as the time from the first dose of ACE-232 to the date of death due to any cause. |
Up to approximately 37 months
|
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Blood concentration of steroid hormone
기간: Up to approximately 37 months
|
To determine the blood concentration of steroid hormones at various timepoints and change from baseline |
Up to approximately 37 months
|
기타 결과 측정
기타 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Gene aberrations
기간: Up to approximately 37 months
|
To determine the gene aberrations in circulating tumor DNA (ctDNA), and its association with tumor response or resistance to ACE-232 |
Up to approximately 37 months
|
공동 작업자 및 조사자
수사관
수사관
- 연구 책임자: Derek Yang, MD, Acerand Therapeutics
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
연구 시작
기본 완료 (추정된)
기본 완료
연구 완료 (추정된)
연구 완료
연구 등록 날짜
최초 제출
최초 제출
QC 기준을 충족하는 최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
처음 게시됨
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
마지막 업데이트 게시됨
QC 기준을 충족하는 마지막 업데이트 제출
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
기타 연구 ID 번호
- ACE-232-001
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
IPD 계획 설명
No IPD sharing plan at this moment, which might be changed during the study process or when the results come out.
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
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