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- Klinische proef NCT07719361
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.
Studie Overzicht
Toestand
Conditie
- Prostaatneoplasmata
- Neoplasmata van de prostaat
- mCRPC, gemetastaseerde castratieresistente prostaatkanker
- Prostaatneoplasmata, castratiebestendig
- mCRPC
- Gemetastaseerde castratieresistente prostaatkanker
- mCRPC of geavanceerde/gemetastaseerde vaste tumoren
- Neoplasmata Prostaat
- mCRPC (metastatische castratieresistente prostaatkanker)
Interventie / Behandeling
Studietype
Inschrijving (Geschat)
Fase
- Fase 1
Contacten en locaties
Studiecontact
- Naam: Janine Koucheki, Associate Director, Clinical Operations
- Telefoonnummer: 857-706-4400
- E-mail: clinops@flaretx.com
Studie Contact Back-up
- Naam: Carolyn McCrone, Sr Clinical Trial Associate
- Telefoonnummer: 857-706-4400
- E-mail: clinops@flaretx.com
Studie Locaties
-
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California
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Los Angeles, California, Verenigde Staten, 90025
- Werving
- START Los Angeles
-
Contact:
- Hope Team Distribution List
- Telefoonnummer: 424-465-1820
- E-mail: hopeteam@startresearch.com
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Hoofdonderzoeker:
- Navid Hafez, MD, MPH
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Massachusetts
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Boston, Massachusetts, Verenigde Staten, 02114
- Nog niet aan het werven
- Massachusetts General Hospital
-
Hoofdonderzoeker:
- Xin Gao, MD
-
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Michigan
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Grand Rapids, Michigan, Verenigde Staten, 49546
- Werving
- START MidWest
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Hoofdonderzoeker:
- Emerson Lim, MD
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Contact:
- Hope Team Distribution List
- Telefoonnummer: 616-389-1810
- E-mail: hopeteam@startresearch.com
-
-
New Jersey
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East Brunswick, New Jersey, Verenigde Staten, 08816
- Werving
- START New Jersey
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Hoofdonderzoeker:
- Bruno Fang, MD
-
Contact:
- Nurse Navigator
- Telefoonnummer: 732-426-4750
- E-mail: dana.sapia@startresearch.com
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South Carolina
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Myrtle Beach, South Carolina, Verenigde Staten, 29572
- Werving
- START Carolinas
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Hoofdonderzoeker:
- Neal Shore, MD
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Contact:
- Kate Valipour, Clinical Research Coordinator
- Telefoonnummer: 5268 843-449-1010
- E-mail: kate.valipour@startresearch.com
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Contact:
- Paige Wilson
- Telefoonnummer: 5147 843-449-1010
- E-mail: paige.wilson@startresearch.com
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Tennessee
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Nashville, Tennessee, Verenigde Staten, 37203
- Nog niet aan het werven
- Tennessee Oncology
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Hoofdonderzoeker:
- Katy Beckermann, MD, Ph.D.
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-
Texas
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Fort Worth, Texas, Verenigde Staten, 76104
- Werving
- START Dallas-Fort Worth
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Contact:
- Hope Team Distribution List
- Telefoonnummer: 682-350-3010
- E-mail: hopeteam@startresearch.com
-
Hoofdonderzoeker:
- Salwan Al Mutar, MD, M.Sc.
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Houston, Texas, Verenigde Staten, 77054
- Werving
- NEXT Houston
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Hoofdonderzoeker:
- Jennifer Segar, MD
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Contact:
- Emma Morales
- E-mail: emorales@nextoncology.com
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San Antonio, Texas, Verenigde Staten, 78229
- Werving
- NEXT Oncology
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Contact:
- Jordan Georg
- E-mail: jgeorg@nextoncology.com
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Hoofdonderzoeker:
- Ildefonso Ismael Rodriguez Rivera, MD
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Virginia
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Fairfax, Virginia, Verenigde Staten, 22031
- Werving
- NEXT Virginia
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Hoofdonderzoeker:
- Mohamad Salkeni, MD
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Contact:
- Maybelle De La Rosa
- E-mail: mdelarosa@nextoncology.com
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Beschrijving
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.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Niet-gerandomiseerd
- Interventioneel model: Sequentiële toewijzing
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Experimenteel: FX-111 Dose Level 1
|
FX-111 will be administered orally once daily in continuous 28-day cycles.
|
|
Experimenteel: FX-111 Dose Level 2
|
FX-111 will be administered orally once daily in continuous 28-day cycles.
|
|
Experimenteel: FX-111 Dose Level 3
|
FX-111 will be administered orally once daily in continuous 28-day cycles.
|
|
Experimenteel: FX-111 Dose Level 4
|
FX-111 will be administered orally once daily in continuous 28-day cycles.
|
|
Experimenteel: FX-111 Dose Level 5
|
FX-111 will be administered orally once daily in continuous 28-day cycles.
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
|---|---|
|
The number of adverse events (AEs), serious adverse events (SAEs), and drug withdrawal due to AE in participants receiving FX-111
Tijdsspanne: Study day 1 throughout the study, estimated to be 6 months.
|
Study day 1 throughout the study, estimated to be 6 months.
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Area Under the Concentration Time Curve
Tijdsspanne: 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.
Tijdsspanne: 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.
Tijdsspanne: 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).
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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.
|
Medewerkers en onderzoekers
Sponsor
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- FX-111-CLINPRO-1
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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