Description:
This is a two-arm, open label Phase 1b/2 study with an oral administration of CPI-1205 in
combination with either enzalutamide or abiraterone/prednisone in male patients with
metastatic Castration Resistant Prostate Cancer. This study is designed to determine the
maximum tolerated dose (MTD) and recommended Phase II dose (RP2D) based on safety,
tolerability, pharmacokinetic, and efficacy profiles of CPI-1205 in combination with either
enzalutamide or abiraterone/prednisone.
Following determination of MTD and RP2D will proceed to phase 2. Patients in phase 2 will
receive CPI-1205 at the RP2D in combination with either enzalutamide or
abiraterone/prednisone vs either enzalutamide or abiraterone/prednisone as a control arm.
Title
- Brief Title: ProSTAR: A Study Evaluating CPI-1205 in Patients With Metastatic Castration Resistant Prostate Cancer
- Official Title: A Phase 1b/2 Study of CPI-1205, a Small Molecule Inhibitor of EZH2, Combined With Enzalutamide or Abiraterone/Prednisone in Patients With Metastatic Castration Resistant Prostate Cancer
Clinical Trial IDs
- ORG STUDY ID:
1205-201
- NCT ID:
NCT03480646
Conditions
- Metastatic Castration Resistant Prostate Cancer (mCRPC)
Interventions
Drug | Synonyms | Arms |
---|
CPI-1205 | | CPI-1205 Combination with Abiraterone/Prednisone |
Enzalutamide | | CPI-1205 Combination with Enzalutamide |
Abiraterone/Prednisone | | CPI-1205 Combination with Abiraterone/Prednisone |
Purpose
This is a two-arm, open label Phase 1b/2 study with an oral administration of CPI-1205 in
combination with either enzalutamide or abiraterone/prednisone in male patients with
metastatic Castration Resistant Prostate Cancer. This study is designed to determine the
maximum tolerated dose (MTD) and recommended Phase II dose (RP2D) based on safety,
tolerability, pharmacokinetic, and efficacy profiles of CPI-1205 in combination with either
enzalutamide or abiraterone/prednisone.
Following determination of MTD and RP2D will proceed to phase 2. Patients in phase 2 will
receive CPI-1205 at the RP2D in combination with either enzalutamide or
abiraterone/prednisone vs either enzalutamide or abiraterone/prednisone as a control arm.
Trial Arms
Name | Type | Description | Interventions |
---|
CPI-1205 Combination with Enzalutamide | Experimental | | |
CPI-1205 Combination with Abiraterone/Prednisone | Experimental | | - CPI-1205
- Abiraterone/Prednisone
|
Eligibility Criteria
Inclusion Criteria:
- Adults (Age ≥ 18 years)
- Eastern Cooperative Oncology Group (ECOG) performance status 0-1
- Life expectancy of at least 12 weeks
- Histologically or cytologically confirmed adenocarcinoma of the prostate
- Progressive disease in the setting of medical or surgical castration (i.e. CRPC)
- Documented metastatic disease
- Must have undergone bilateral orchiectomy (surgical castration) or be willing to
continue gonadotropin-releasing hormone (GnRH) analog or antagonist (medical
castration)
- Serum testosterone <50 ng/dL
- Receipt of prior line of second generation androgen inhibitor
- Demonstrate adequate organ function as defined below:
- Absolute Neutrophil Count (ANC) ≥ 1,000/μL
- Platelet Count ≥ 100,000/μL
- Hemoglobin (Hgb) ≥ 8 g/dL
- Serum creatinine ≤ 2 × upper limit of normal (ULN) OR
- Creatinine clearance (CrCl) ≥ 40 mL/min as estimated by the Cockcroft and Gault
formula1 in subjects with creatinine > 2 X ULN
- Bilirubin ≤ 1.5 × ULN unless evidence of Gilbert's disease in which case < 3 x
ULN
- Aspartate aminotransferase (AST) ≤ 2.5 × ULN without liver metastases; must be ≤
5 × ULN with liver metastases
- Alanine aminotransferase (ALT) ≤ 2.5 × ULN without liver metastases; must be ≤ 5
× ULN with liver metastases
Exclusion Criteria:
- Known symptomatic brain metastases (NOTE: patients with treated epidural disease are
allowed)
- Treatment with any of the following for prostate cancer within the indicated timeframe
prior to day 1 of treatment:
1. First generation: AR antagonists (e.g., bicalutamide, nilutamide, flutamide)
within 4 weeks
2. 5 alpha reductase inhibitors, ketoconazole, estrogens (including
diethylstilbesterol [DES]), or progesterones within 2 weeks
3. Chemotherapy within 3 weeks
4. Biologic therapy within 4 weeks
5. Investigational therapy within 3 weeks (or within a time interval less than at
least 5 half-lives of the investigational agent [if known], whichever is longer).
6. Immunotherapy within 4 weeks
7. Prior radionuclide therapy within 4 weeks
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | Male |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Frequency of Dose-limiting toxicities (DLTs) |
Time Frame: | 1 year |
Safety Issue: | |
Description: | The RP2D will be selected based on PK and the overall tolerability of each of the combinations (i.e with either enzalutamide or abiraterone/prednisone), but will not exceed the MTD. |
Secondary Outcome Measures
Measure: | PSA50 |
Time Frame: | 1 year |
Safety Issue: | |
Description: | The proportion of patients with a ≥50% reduction in PSA from baseline. |
Measure: | CTC |
Time Frame: | 1 year |
Safety Issue: | |
Description: | In patients who enter the trial with unfavorable CTCs (five or more cells per 7.5mL of blood), conversion to favorable status is defined as four or fewer cells per 7.5 mL of blood. The CTC conversion rate is the proportion of patients who convert to favorable status. |
Measure: | CTC 30% Response Rate |
Time Frame: | 1 year |
Safety Issue: | |
Description: | CTC 30% response is defined as a ≥30% reduction in CTCs from baseline in patients who enter the trial with unfavorable CTCs |
Measure: | Objective response rate |
Time Frame: | 1 year |
Safety Issue: | |
Description: | The proportion of patients with a CR or PR per PCWG3. |
Measure: | Time to PSA progression |
Time Frame: | 1 year |
Safety Issue: | |
Description: | |
Measure: | Radiographic progression free survival |
Time Frame: | 1 year |
Safety Issue: | |
Description: | |
Measure: | Time to first skeletal-related event (SRE) |
Time Frame: | 1 year |
Safety Issue: | |
Description: | |
Measure: | Time to first symptomatic skeletal event (SSE) |
Time Frame: | 1 year |
Safety Issue: | |
Description: | |
Measure: | Time to clinical progression |
Time Frame: | 1 year |
Safety Issue: | |
Description: | |
Measure: | Time to initiation of new systemic treatment for prostate cancer |
Time Frame: | 1 year |
Safety Issue: | |
Description: | |
Measure: | To further evaluate the incidence of Treatment-Emergent Adverse Events (safety and tolerability) |
Time Frame: | 1 year |
Safety Issue: | |
Description: | Adverse Events |
Measure: | Pharmacokinetic parameters |
Time Frame: | 1 year |
Safety Issue: | |
Description: | Area under the concentration versus time curves (AUC) |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | Constellation Pharmaceuticals |
Trial Keywords
- Phase 1/2
- Oncology
- EZH2 Inhibitor
Last Updated
July 26, 2021