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.
研究概览
地位
条件
干预/治疗
研究类型
注册 (估计的)
阶段
- 阶段1
联系人和位置
学习联系方式
- 姓名:Janine Koucheki, Associate Director, Clinical Operations
- 电话号码:857-706-4400
- 邮箱:clinops@flaretx.com
研究联系人备份
- 姓名:Carolyn McCrone, Sr Clinical Trial Associate
- 电话号码:857-706-4400
- 邮箱:clinops@flaretx.com
学习地点
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California
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Los Angeles、California、美国、90025
- 招聘中
- START Los Angeles
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接触:
- Hope Team Distribution List
- 电话号码:424-465-1820
- 邮箱:hopeteam@startresearch.com
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首席研究员:
- Navid Hafez, MD, MPH
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Massachusetts
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Boston、Massachusetts、美国、02114
- 尚未招聘
- Massachusetts General Hospital
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首席研究员:
- Xin Gao, MD
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Michigan
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Grand Rapids、Michigan、美国、49546
- 招聘中
- START MidWest
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首席研究员:
- Emerson Lim, MD
-
接触:
- Hope Team Distribution List
- 电话号码:616-389-1810
- 邮箱:hopeteam@startresearch.com
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New Jersey
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East Brunswick、New Jersey、美国、08816
- 招聘中
- START New Jersey
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首席研究员:
- Bruno Fang, MD
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接触:
- Nurse Navigator
- 电话号码:732-426-4750
- 邮箱:dana.sapia@startresearch.com
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South Carolina
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Myrtle Beach、South Carolina、美国、29572
- 招聘中
- START Carolinas
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首席研究员:
- Neal Shore, MD
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接触:
- Kate Valipour, Clinical Research Coordinator
- 电话号码:5268 843-449-1010
- 邮箱:kate.valipour@startresearch.com
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接触:
- Paige Wilson
- 电话号码:5147 843-449-1010
- 邮箱:paige.wilson@startresearch.com
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Tennessee
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Nashville、Tennessee、美国、37203
- 尚未招聘
- Tennessee Oncology
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首席研究员:
- Katy Beckermann, MD, Ph.D.
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Texas
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Fort Worth、Texas、美国、76104
- 招聘中
- START Dallas-Fort Worth
-
接触:
- Hope Team Distribution List
- 电话号码:682-350-3010
- 邮箱:hopeteam@startresearch.com
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首席研究员:
- Salwan Al Mutar, MD, M.Sc.
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Houston、Texas、美国、77054
- 招聘中
- NEXT Houston
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首席研究员:
- Jennifer Segar, MD
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接触:
- Emma Morales
- 邮箱:emorales@nextoncology.com
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San Antonio、Texas、美国、78229
- 招聘中
- NEXT Oncology
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接触:
- Jordan Georg
- 邮箱:jgeorg@nextoncology.com
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首席研究员:
- Ildefonso Ismael Rodriguez Rivera, MD
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Virginia
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Fairfax、Virginia、美国、22031
- 招聘中
- NEXT Virginia
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首席研究员:
- Mohamad Salkeni, MD
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接触:
- Maybelle De La Rosa
- 邮箱:mdelarosa@nextoncology.com
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参与标准
资格标准
适合学习的年龄
- 成人
- 年长者
接受健康志愿者
描述
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.
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:非随机化
- 介入模型:顺序分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的:FX-111 Dose Level 1
|
FX-111 will be administered orally once daily in continuous 28-day cycles.
|
|
实验性的:FX-111 Dose Level 2
|
FX-111 will be administered orally once daily in continuous 28-day cycles.
|
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实验性的:FX-111 Dose Level 3
|
FX-111 will be administered orally once daily in continuous 28-day cycles.
|
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实验性的:FX-111 Dose Level 4
|
FX-111 will be administered orally once daily in continuous 28-day cycles.
|
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实验性的:FX-111 Dose Level 5
|
FX-111 will be administered orally once daily in continuous 28-day cycles.
|
研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
|---|---|
|
The number of adverse events (AEs), serious adverse events (SAEs), and drug withdrawal due to AE in participants receiving FX-111
大体时间:Study day 1 throughout the study, estimated to be 6 months.
|
Study day 1 throughout the study, estimated to be 6 months.
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Area Under the Concentration Time Curve
大体时间:Study day 1 throughout the study for 6 months.
|
Total body exposure of FX-111
|
Study day 1 throughout the study for 6 months.
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Maximum concentration (Cmax) of FX-111 in the bloodstream.
大体时间:Study day 1 throughout the study for 6 months.
|
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.
大体时间: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).
大体时间: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)
大体时间: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.
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Duration of Response (DoR)
大体时间: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.
|
合作者和调查者
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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