Clinical Trials /

HC-1119 Versus Enzalutamide in Metastatic Castration-Resistant Prostate Cancer (mCRPC)

NCT03850795

Description:

This study is a multinational Phase 3, randomized, double-blind, non-inferiority, efficacy and safety study of oral HC-1119 (80 mg/day) versus enzalutamide (160 mg/day) in asymptomatic or mildly symptomatic patients with progressive metastatic castration-resistant prostate cancer (mCRPC). The following assessment of prostate cancer status will be collected during the course of the trial: soft tissue disease on computed tomography (CT) scan or on magnetic resonance imaging (MRI), bone disease on radionuclide bone scans, FACT-P and EQ-5D, Brief Fatigue Inventory, and PSA. Throughout the study, safety and tolerability will be assessed by the recording of adverse events, monitoring of vital signs and physical examinations, safety laboratory evaluations, and 12-lead electrocardiograms (ECGs). Blood samples for population pharmacokinetics for HC-1119 and enzalutamide and related metabolites will be collected.

Related Conditions:
  • Prostate Carcinoma
Recruiting Status:

Recruiting

Phase:

Phase 3

Trial Eligibility

Document

Title

  • Brief Title: HC-1119 Versus Enzalutamide in Metastatic Castration-Resistant Prostate Cancer (mCRPC)
  • Official Title: PROCADE: A Multinational Phase 3, Randomized, Double-Blind, Non-inferiority, Efficacy and Safety Study of Oral HC-1119 Versus Enzalutamide in Metastatic Castration-Resistant Prostate Cancer (mCRPC)

Clinical Trial IDs

  • ORG STUDY ID: HC1119-CS-03
  • NCT ID: NCT03850795

Conditions

  • Prostate Cancer Metastatic
  • Castration-resistant Prostate Cancer

Interventions

DrugSynonymsArms
HC-1119HC-1119
Enzalutamideenzalutamide

Purpose

This study is a multinational Phase 3, randomized, double-blind, non-inferiority, efficacy and safety study of oral HC-1119 (80 mg/day) versus enzalutamide (160 mg/day) in asymptomatic or mildly symptomatic patients with progressive metastatic castration-resistant prostate cancer (mCRPC). The following assessment of prostate cancer status will be collected during the course of the trial: soft tissue disease on computed tomography (CT) scan or on magnetic resonance imaging (MRI), bone disease on radionuclide bone scans, FACT-P and EQ-5D, Brief Fatigue Inventory, and PSA. Throughout the study, safety and tolerability will be assessed by the recording of adverse events, monitoring of vital signs and physical examinations, safety laboratory evaluations, and 12-lead electrocardiograms (ECGs). Blood samples for population pharmacokinetics for HC-1119 and enzalutamide and related metabolites will be collected.

Detailed Description

      This study is a multinational Phase 3, randomized, double-blind, non-inferiority, efficacy
      and safety study of oral HC-1119 (80 mg/day) versus enzalutamide (160 mg/day) in asymptomatic
      or mildly symptomatic patients with progressive metastatic castration-resistant prostate
      cancer (mCRPC). Patients must not have been previously treated with next generation
      AR-Inhibitors or Androgen-biosynthesis Inhibitors, or prior progression on ketoconazole.

      The following assessments of prostate cancer status will be collected during the course of
      the trial: soft tissue disease on computed tomography (CT) scan or on magnetic resonance
      imaging (MRI), bone disease on radionuclide bone scans, FACT-P and EQ-5D, Brief Fatigue
      Inventory, and PSA. Radiographic disease progression is defined by the Response Evaluation
      Criteria in Solid Tumors, version 1.1 (RECIST 1.1) for soft tissue disease, or the appearance
      of two or more new bone lesions on bone scan.

      Throughout the study, safety and tolerability will be assessed by the recording of adverse
      events, monitoring of vital signs and physical examinations, safety laboratory evaluations,
      and 12-lead electrocardiograms (ECGs). Blood samples for population pharmacokinetics for
      HC-1119 and enzalutamide and related metabolites will be collected pre-dose on Day 1 and
      prior to dosing on Days 8 (Week 2), 15 (Week 3) and 22 (Week 4), 29 (Week 5), 57 (Week 9), 85
      (Week 13) and Day 169 (Week 25). Blood samples for calculating a 24 hour pharmacokinetic
      profile of HC-1119 and enzalutamide and related metabolites will be collected in a subset of
      24 Caucasian (non-Chinese) patients on Day 1 and at steady state in week 9.

      Patients will have a safety follow-up visit 30 days after their last dose of study drug or
      prior to initiation of any new therapy, or an investigational agent, whichever occurs first.
    

Trial Arms

NameTypeDescriptionInterventions
HC-1119ExperimentalOral dose of 80 mg/day
  • HC-1119
enzalutamideActive ComparatorOral dose of 160 mg/day
  • Enzalutamide

Eligibility Criteria

        Inclusion Criteria:

        Subjects must meet the following inclusion criteria:

          1. Age 18 or older and willing and able to give informed consent.

          2. Histologically or cytologically confirmed adenocarcinoma of the prostate without
             significant and relevant neuroendocrine differentiation or small cell features, per
             investigator's judgment.

          3. Ongoing ADT with a GnRH analogue, antagonist or bilateral orchiectomy (i.e., surgical
             or medical castration).

          4. For patients who have not had a bilateral orchiectomy, there must be a plan to
             maintain effective GnRH analogue or antagonist therapy for the duration of the trial.

          5. Serum testosterone level < 1.7 nmol/L (50 ng/dL) at the Screening visit.

          6. Patients receiving bisphosphonate or denosumab therapy must have been on stable doses
             for at least four weeks (from Day 1 visit).

          7. Progressive disease at study entry defined as one or more of the following three
             criteria that occurred while the patient was on ADT as defined in eligibility
             criterion #3:

               1. PSA progression defined by a minimum of two rising PSA levels with an interval of
                  ≥ 1 week between each determination. Patients who received an anti-androgen agent
                  must have progression after withdrawal (≥ 4 weeks since last flutamide or ≥ 6
                  weeks since last bicalutamide or nilutamide). The PSA value at the Screening
                  visit should be ≥ 2 µg/L (2 ng/mL)

               2. Soft tissue disease progression defined by RECIST 1.1

               3. Bone disease progression defined by PCWG3 with two or more new lesions on bone
                  scan

          8. Metastatic disease documented by measurable soft tissue disease by CT/MRI per RECIST
             1.1 criteria. Patients are allowed to have any metastatic disease (i.e. bone
             metastasis) as long as they also have measurable soft tissue lesions per RECIST 1.1..

          9. No prior cytotoxic chemotherapy for prostate cancer.

         10. Asymptomatic or mildly symptomatic from prostate cancer.

         11. ECOG performance status of 0-1 per the Investigators' clinical assessment

         12. Estimated life expectancy of ≥ 6 months

         13. Able to swallow the study drug and comply with study requirements

         14. All sexually active patients are required to use a condom as well as meet 1 of the
             following:

               1. Patient is non-fertile (orchiectomy) or has a female partner of non-childbearing
                  potential (i.e., post-menopausal, surgically sterilized, hysterectomy)

               2. Patient and his female partner must agree to use an adequate contraceptive method
                  from the first day of dosing until 3 months after the last dose to prevent
                  pregnancies. Adequate contraceptive method is defined as:

             i. Established use of oral, injected, or implanted hormonal methods of contraception.

             ii. Placement of an intra-uterine device or intra-uterine system. iii. Occlusive cap
             (diaphragm or cervical/vault caps) with spermicidal foam/gel/film/cream/suppository.

             iv. Tubal ligation for at least 6 months prior to screening.

         15. Male patient engaged in sexual activity with a pregnant female is required to use a
             condom from the first day of dosing until 3 months after the last dose of treatment
             with study drugs.

        Exclusion Criteria:

        Subjects must NOT meet any of the following exclusion criteria:

          1. Severe concurrent disease, infection, or co-morbidity that, in the judgment of the
             investigator, would make the patient inappropriate for enrollment.

          2. Known or suspected brain metastasis or active leptomeningeal disease.

          3. Regular daily use of opiate analgesics for pain from prostate cancer within four weeks
             of enrollment (Day 1 visit).

          4. WBC count < 3,000/µL, or absolute neutrophil count < 1,500/µL, or platelet count <
             100,000/µL, or hemoglobin < 5.6 mmol/L (9 g/dL) at the Screening visit (NOTE: patients
             may not have received any growth factors or blood transfusions or any therapeutic
             invention within 14 days of the hematologic laboratory values obtained at the
             Screening visit).

          5. Total bilirubin, alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >
             2.5 times the upper limit of normal at the Screening visit; no therapeutic invention
             within 14 days before screening.

          6. Creatinine clearance < 30 mL/min as calculated using the Cockcroft-Gault equation at
             the Screening visit. Creatinine Clearance (mL/min) = [[140-Age (years)] * Weight (kg)]
             / [72 * Serum Creatinine (mg/dL)]

          7. Albumin < 30 g/L (3.0 g/dL) at the Screening visit, no therapeutic invention within 14
             days before screening.

          8. History of another malignancy within the previous two years other than curatively
             treated non-melanomatous skin cancer.

          9. Treatment with flutamide within four weeks of enrollment (Day 1 visit).

         10. Treatment with bicalutamide or nilutamide within six weeks of enrollment (Day 1
             visit).

         11. Treatment with 5-α reductase inhibitors (finasteride, dutasteride), estrogens within
             four weeks of enrollment (Day 1 visit).

         12. Treatment with systemic biologic therapy for prostate cancer (other than approved bone
             targeted agents) within four weeks of enrollment (Day 1 visit).

         13. Use of herbal products that may have hormonal anti-prostate cancer activity and/or are
             known to decrease PSA levels (e.g., saw palmetto) or systemic corticosteroids greater
             than the equivalent of 10 mg of prednisone/prednisolone per day within four weeks of
             enrollment (Day 1 visit).

         14. Prior use, or participation in a clinical trial, of an agent that blocks androgen
             synthesis (e.g., abiraterone) or blocks the AR (e.g., apalutamide, darolutamide,
             enzalutamide, proxalutamide).

         15. Participation in a previous clinical trial of HC-1119.

         16. Use of an investigational agent within four weeks of enrollment (Day 1 visit).

         17. Radiation therapy for treatment of the primary tumor within three weeks of enrollment
             (Day 1 visit).

         18. Radionuclide therapy (Radium 223) for treatment of metastasis within four weeks of
             enrollment (Day 1 visit).

         19. Clinically significant cardiovascular disease or condition

         20. Treatment with strong CYP2C8 inhibitors and inducers, CYP3A4 inducers, medications
             which are known to prolong the QT interval (see Appendix C).

         21. History of seizure or any condition that may predispose to seizure.

         22. Conditions that predispose subjects to increased risk for falls or fractures according
             to the discretion of the Investigator.

         23. Gastrointestinal disorder affecting absorption (e.g., gastrectomy, active peptic ulcer
             disease within last three months).

         24. Major surgery within four weeks prior to enrollment (Day 1 visit).

         25. Have active infection with HBV measured by hepatitis B surface antigen (HBsAg) test,
             HCV measured by RNA test and HIV measured by antibody test.

         26. Have known active tuberculosis.

         27. Known hypersensitivity to HC-1119, enzalutamide, or any of the excipients.

         28. Rare hereditary problems of fructose intolerance due to sorbitol
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:Male
Healthy Volunteers:No

Primary Outcome Measures

Measure:Overall Response Rate (ORR)
Time Frame:Week 24
Safety Issue:
Description:To determine the efficacy of HC-1119 as compared to enzalutamide as assessed by overall response rate (ORR) by RECIST 1.1.

Secondary Outcome Measures

Measure:PSA decline of ≥50% from baseline
Time Frame:Week 24
Safety Issue:
Description:To determine the efficacy of HC-1119 as compared to enzalutamide as assessed by decline of ≥50% from baseline
Measure:Radiographic Progression-free Survival (rPFS)
Time Frame:Week 24
Safety Issue:
Description:To determine the efficacy of HC-1119 as compared to enzalutamide as assessed by radiographic progression-free survival (rPFS)
Measure:Overall Survival (OS)
Time Frame:Week 24
Safety Issue:
Description:To determine the efficacy of HC-1119 as compared to enzalutamide as assessed by overall survival (OS)
Measure:Safety and Tolerability (based on Common Terminology Criteria for Adverse Events (CTCAE), version 5.0)
Time Frame:Week 24
Safety Issue:
Description:To determine the safety and tolerability of orally administrated HC-1119 as compared to enzalutamide based on Common Terminology Criteria for Adverse Events (CTCAE), version 5.0.

Details

Phase:Phase 3
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Hinova Pharmaceuticals USA, Inc.

Trial Keywords

  • HC-1119
  • enzalutamide

Last Updated

July 29, 2021