Clinical Trials /

Onvansertib in Combination With Abiraterone and Prednisone in Adult Patients With Metastatic Castration-Resistant Prostate Cancer

NCT03414034

Description:

The purpose of the phase 2 study is to determine whether Onvansertib is safe and tolerable in adult participants with Metastatic Castration-Resistant Prostate Cancer who have disease progression while receiving abiraterone acetate (abiraterone) and prednisone therapy, and to observe the effects of Onvansertib in combination with abiraterone and prednisone on disease control.

Related Conditions:
  • Prostate Adenocarcinoma
Recruiting Status:

Recruiting

Phase:

Phase 2

Trial Eligibility

Document

Title

  • Brief Title: Onvansertib in Combination With Abiraterone and Prednisone in Adult Patients With Metastatic Castration-Resistant Prostate Cancer
  • Official Title: A Phase 2 Study of PCM-075 (Onvansertib) in Combination With Abiraterone and Prednisone in Adult Patients With Metastatic Castration-Resistant Prostate Cancer

Clinical Trial IDs

  • ORG STUDY ID: TROV-053
  • SECONDARY ID: U1111-1208-1579
  • NCT ID: NCT03414034

Conditions

  • Metastatic Castration-Resistant Prostate Cancer

Interventions

DrugSynonymsArms
OnvansertibPCM-075Arm A: onvansertib + abiraterone and prednisone
AbirateroneArm A: onvansertib + abiraterone and prednisone
PrednisoneArm A: onvansertib + abiraterone and prednisone

Purpose

The purpose of the phase 2 study is to determine whether Onvansertib is safe and tolerable in adult participants with Metastatic Castration-Resistant Prostate Cancer who have disease progression while receiving abiraterone acetate (abiraterone) and prednisone therapy, and to observe the effects of Onvansertib in combination with abiraterone and prednisone on disease control.

Trial Arms

NameTypeDescriptionInterventions
Arm A: onvansertib + abiraterone and prednisoneExperimentalOn Day 1 of each cycle, onvansertib will be administered orally (PO) once daily (QD) at a dose of 24 mg/m^2 for 5 days (Day 1 through Day 5) out of a 21-day cycle. Beginning on Day 1 and continuing uninterrupted throughout each cycle, participants will also receive abiraterone and prednisone. This arm was discontinued.
  • Onvansertib
  • Abiraterone
  • Prednisone
Arm B: onvansertib + abiraterone and prednisoneExperimentalOn Day 1 of each cycle, onvansertib will be administered orally (PO) once daily (QD) at a dose of 24 mg/m^2 for 5 days (Day 1 through Day 5) out of a 14-day cycle. Beginning on Day 1 and continuing uninterrupted throughout each cycle, participants will also receive abiraterone and prednisone.
  • Onvansertib
  • Abiraterone
  • Prednisone
Arm C: onvansertib + abiraterone and prednisoneExperimentalOn Day 1 of each cycle, onvansertib will be administered orally (PO) once daily (QD) at a dose of 12 mg/m^2 for 14 days (Day 1 through Day 14) out of a 21-day cycle. Beginning on Day 1 and continuing uninterrupted throughout each cycle, participants will also receive abiraterone and prednisone.
  • Onvansertib
  • Abiraterone
  • Prednisone

Eligibility Criteria

        Inclusion Criteria:

          1. Males ≥ 18 years of age on the day of consenting to the study.

          2. Ability to swallow the study drug as a whole tablet.

          3. Histologically confirmed prostate adenocarcinoma without significant small-
             cell/neuroendocrine or other variant histologies, with rising PSA and/or radiographic
             progression in the setting of castration-level testosterone (< 50 ng/dL) indicating
             mCRPC. Participants must have either undergone surgical castration or continue on GnRH
             agonist/antagonist on the appropriate schedule throughout the study period.

          4. Asymptomatic or minimally symptomatic disease.

          5. Metastatic disease by bone scan or other nodal or visceral lesions on CT or MRI at any
             time (past or present).

          6. Participant currently receiving abiraterone and prednisone for CRPC.

          7. Participant has been on abiraterone for castration-sensitive prostate cancer (CSPC) or
             castration-resistant prostate cancer (CRPC). Participants who have received
             abiraterone for CSPC must have had a response to hormonal therapy, as defined by any
             decline in PSA, radiographic response and/or clinical benefit after starting hormonal
             therapy.

             Participants who have received abiraterone for CRPC must have responded to
             abiraterone, defined by any decline in PSA, radiographic response, and/or clinical
             benefit after starting abiraterone.

          8. Two rising PSA values separated by at least 1 week, one showing a rise of at least 0.3
             ng/mL and one confirmatory value not showing a decline, while on abiraterone therapy.

          9. Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1

         10. Participant has adequate bone marrow and organ function as shown by:

               -  Absolute neutrophil count (ANC) ≥ 1.0 x 109/L

               -  Platelets ≥ 100 x 10^9/L

               -  Hemoglobin (Hgb) ≥ 9.0 g/dL

               -  Serum creatinine ≤ 2 x the upper limit of normal (ULN)

               -  Total serum bilirubin ≤ 1.5 x ULN (in participants with known Gilbert Syndrome, a
                  total bilirubin ≤ 3.0 x ULN, with direct bilirubin ≤ 1.5 x ULN)

               -  Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 3 x ULN (or
                  ≤ 5.0 x ULN if hepatic metastases are present)

        Exclusion Criteria:

          1. Major surgery within 28 days prior to starting study drug or has not recovered from
             major side effects of the surgery.

          2. Rapidly progressive symptoms of mCRPC.

          3. Acute neurological dysfunction as a result of bone metastasis.

          4. Previously treated with enzalutamide or experimental therapies directed against
             androgen receptor (ie, apalutamide).

          5. Use of any chemotherapy, investigational agents, immunotherapy, or hormonal therapy
             other than GnRH agonists within 28 days of the start of treatment on protocol.

             Use of bone targeted agents including bisphosphonates and RANK ligand inhibitors is
             allowed if on stable dose; Xgeva or Zometa cannot be started within 28 days of
             initiating study therapy.

          6. Systemic corticosteroids except as part of on label treatment prostate cancer
             regimens. Note: Topical applications (eg, rash), inhaled sprays (eg, obstructive
             airways diseases), eye drops or local injections (eg, intra-articular) are allowed.

          7. Treatment with any of the drugs listed in Section 8.4.5 at the time of study treatment
             initiation.

          8. Has received wide field radiotherapy (including therapeutic radioisotopes such as
             radium 223) ≤ 28 days or limited field radiation for palliation ≤ 14 days prior to
             starting study drug or has not recovered from side effects of such therapy.

          9. New York Heart Association (NYHA) Class III or IV heart disease, active ischemia or
             any other uncontrolled cardiac condition, or hypertensive or metabolic condition.

         10. Myocardial infarction in the previous 12 weeks (from the start of treatment)

         11. QT interval with Fridericia's correction [QTcF] >470 milliseconds. The QTcF should be
             calculated as the arithmetic mean of the QTcF on triplicate ECGs. In the case of
             potentially correctible causes of QT prolongation (e.g., medications, hypokalemia),
             the triplicate ECG may be repeated once during screening and that result may be used
             to determine eligibility.

         12. Planned concomitant use of medications known to prolong the QT/QTc interval

         13. Presence of risk factors for torsade de pointes, including family history of Long QT
             Syndrome or uncorrected hypokalemia.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:Male
Healthy Volunteers:No

Primary Outcome Measures

Measure:Percentage of Participants With Lack of Prostate-specific Antigen (PSA) Progression per Prostate Cancer Working Group 3 (PCWG3) Criteria After 12 Weeks
Time Frame:Week 12
Safety Issue:
Description:

Secondary Outcome Measures

Measure:Percentage Change from Baseline in PSA at 12 Weeks
Time Frame:Baseline and Week 12
Safety Issue:
Description:
Measure:Maximal Percentage Change from Baseline in PSA
Time Frame:Baseline up to 20 months
Safety Issue:
Description:
Measure:Absolute Change from Baseline in PSA Response
Time Frame:Baseline up to 20 months
Safety Issue:
Description:
Measure:Time to PSA Progression per PCWG3 criteria
Time Frame:Baseline up to 20 months
Safety Issue:
Description:
Measure:Time to Radiographic Progression per PCWG3 criteria
Time Frame:Baseline up to 20 months
Safety Issue:
Description:
Measure:Radiographic Response per Response Evaluation Criteria in Solid Tumors (RECIST 1.1)
Time Frame:Baseline up to 20 months
Safety Issue:
Description:
Measure:Percentage of Participants Who are Adherent to Study Treatment (Per-Protocol Analysis) With Lack of Prostate-specific Antigen (PSA) Progression per Prostate Cancer Working Group 3 (PCWG3) Criteria After 12 Weeks
Time Frame:Week 12
Safety Issue:
Description:
Measure:Number of Participants With Adverse Events per Common Terminology Criteria for Adverse Events (CTCAE)
Time Frame:Baseline up to 30 days after last dose of study drug (Up to 20 months)
Safety Issue:
Description:
Measure:Number of Participants With Dose Limiting Toxicity (DLT)
Time Frame:Up to 20 months
Safety Issue:
Description:DLT is defined as a hematologic adverse event (AE) of Grade ≥ 3 or nonhematologic AE of Grade ≥ 3 considered related to the study drug(s).

Details

Phase:Phase 2
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Cardiff Oncology

Trial Keywords

  • PLK1
  • PLK Inhibitor
  • Onvansertib

Last Updated

March 23, 2021