- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning 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.
Studieöversikt
Status
Betingelser
- Prostatiska neoplasmer
- Neoplasmer i prostata
- mCRPC, metastatisk kastrationsresistent prostatacancer
- Prostatiska neoplasmer, kastrationsresistenta
- mCRPC
- Metastaserande kastrationsresistent prostatacancer
- mCRPC eller avancerade/metastatiska solida tumörer
- Neoplasmer Prostata
- mCRPC (metastatisk kastrationsresistent prostatacancer)
Intervention / Behandling
Studietyp
Inskrivning (Beräknad)
Fas
- Fas 1
Kontakter och platser
Studiekontakt
- Namn: Janine Koucheki, Associate Director, Clinical Operations
- Telefonnummer: 857-706-4400
- E-post: clinops@flaretx.com
Studera Kontakt Backup
- Namn: Carolyn McCrone, Sr Clinical Trial Associate
- Telefonnummer: 857-706-4400
- E-post: clinops@flaretx.com
Studieorter
-
-
California
-
Los Angeles, California, Förenta staterna, 90025
- Rekrytering
- START Los Angeles
-
Kontakt:
- Hope Team Distribution List
- Telefonnummer: 424-465-1820
- E-post: hopeteam@startresearch.com
-
Huvudutredare:
- Navid Hafez, MD, MPH
-
-
Massachusetts
-
Boston, Massachusetts, Förenta staterna, 02114
- Har inte rekryterat ännu
- Massachusetts General Hospital
-
Huvudutredare:
- Xin Gao, MD
-
-
Michigan
-
Grand Rapids, Michigan, Förenta staterna, 49546
- Rekrytering
- START MidWest
-
Huvudutredare:
- Emerson Lim, MD
-
Kontakt:
- Hope Team Distribution List
- Telefonnummer: 616-389-1810
- E-post: hopeteam@startresearch.com
-
-
New Jersey
-
East Brunswick, New Jersey, Förenta staterna, 08816
- Rekrytering
- START New Jersey
-
Huvudutredare:
- Bruno Fang, MD
-
Kontakt:
- Nurse Navigator
- Telefonnummer: 732-426-4750
- E-post: dana.sapia@startresearch.com
-
-
South Carolina
-
Myrtle Beach, South Carolina, Förenta staterna, 29572
- Rekrytering
- START Carolinas
-
Huvudutredare:
- Neal Shore, MD
-
Kontakt:
- Kate Valipour, Clinical Research Coordinator
- Telefonnummer: 5268 843-449-1010
- E-post: kate.valipour@startresearch.com
-
Kontakt:
- Paige Wilson
- Telefonnummer: 5147 843-449-1010
- E-post: paige.wilson@startresearch.com
-
-
Tennessee
-
Nashville, Tennessee, Förenta staterna, 37203
- Har inte rekryterat ännu
- Tennessee Oncology
-
Huvudutredare:
- Katy Beckermann, MD, Ph.D.
-
-
Texas
-
Fort Worth, Texas, Förenta staterna, 76104
- Rekrytering
- START Dallas-Fort Worth
-
Kontakt:
- Hope Team Distribution List
- Telefonnummer: 682-350-3010
- E-post: hopeteam@startresearch.com
-
Huvudutredare:
- Salwan Al Mutar, MD, M.Sc.
-
Houston, Texas, Förenta staterna, 77054
- Rekrytering
- NEXT Houston
-
Huvudutredare:
- Jennifer Segar, MD
-
Kontakt:
- Emma Morales
- E-post: emorales@nextoncology.com
-
San Antonio, Texas, Förenta staterna, 78229
- Rekrytering
- NEXT Oncology
-
Kontakt:
- Jordan Georg
- E-post: jgeorg@nextoncology.com
-
Huvudutredare:
- Ildefonso Ismael Rodriguez Rivera, MD
-
-
Virginia
-
Fairfax, Virginia, Förenta staterna, 22031
- Rekrytering
- NEXT Virginia
-
Huvudutredare:
- Mohamad Salkeni, MD
-
Kontakt:
- Maybelle De La Rosa
- E-post: mdelarosa@nextoncology.com
-
-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
- Vuxen
- Äldre vuxen
Tar emot friska volontärer
Beskrivning
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
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Icke-randomiserad
- Interventionsmodell: Sekventiell tilldelning
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Experimentell: FX-111 Dose Level 1
|
FX-111 will be administered orally once daily in continuous 28-day cycles.
|
|
Experimentell: FX-111 Dose Level 2
|
FX-111 will be administered orally once daily in continuous 28-day cycles.
|
|
Experimentell: FX-111 Dose Level 3
|
FX-111 will be administered orally once daily in continuous 28-day cycles.
|
|
Experimentell: FX-111 Dose Level 4
|
FX-111 will be administered orally once daily in continuous 28-day cycles.
|
|
Experimentell: FX-111 Dose Level 5
|
FX-111 will be administered orally once daily in continuous 28-day cycles.
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Tidsram |
|---|---|
|
The number of adverse events (AEs), serious adverse events (SAEs), and drug withdrawal due to AE in participants receiving FX-111
Tidsram: Study day 1 throughout the study, estimated to be 6 months.
|
Study day 1 throughout the study, estimated to be 6 months.
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Area Under the Concentration Time Curve
Tidsram: 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.
Tidsram: 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.
Tidsram: 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).
Tidsram: 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)
Tidsram: 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)
Tidsram: 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.
|
Samarbetspartners och utredare
Sponsor
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Primärt slutförande (Beräknad)
Avslutad studie (Beräknad)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- FX-111-CLINPRO-1
Plan för individuella deltagardata (IPD)
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