Description:
In this study researcher want to gain more information on how the study drug (radium-223) is
distributed in the bone, particularly in the tumor free bone in participants with prostate
cancer. The study plans to enroll 60 patients with the age of at least 18 years and suffering
from prostate cancer which has spread to the bones. Researcher will divide the study
participants into 2 groups. Patients in Group 1 should have up to 6 bone metastases and
patients for group 2 should have more than 6 bone metastases. The study medication will be
given as injection into a vein every 4 weeks up to a maximum of 6 times. To study how radium
distributes in the body and particularly in the bones, participants will undergo after study
medication intake MRI or CT Scans (imaging techniques).
Title
- Brief Title: A Study to Assess How Radium-223 Distributes in the Body of Patients With Prostate Cancer Which Spread to the Bones
- Official Title: Open-label, Non-randomized Phase 1, Multicenter Study to Assess Radium- 223 Biodistribution in Participants With Bone Metastatic Castration Resistant Prostate Cancer (CRPC) Receiving Radium-223 Dichloride Treatment.
Clinical Trial IDs
- ORG STUDY ID:
20511
- SECONDARY ID:
2019-000475-17
- NCT ID:
NCT04521361
Conditions
- Bone Metastatic Castration-resistant Prostate Cancer
Interventions
Drug | Synonyms | Arms |
---|
Radium-223 dichloride (Xofigo, BAY88-8223) | | Patients with High extent of disease |
Purpose
In this study researcher want to gain more information on how the study drug (radium-223) is
distributed in the bone, particularly in the tumor free bone in participants with prostate
cancer. The study plans to enroll 60 patients with the age of at least 18 years and suffering
from prostate cancer which has spread to the bones. Researcher will divide the study
participants into 2 groups. Patients in Group 1 should have up to 6 bone metastases and
patients for group 2 should have more than 6 bone metastases. The study medication will be
given as injection into a vein every 4 weeks up to a maximum of 6 times. To study how radium
distributes in the body and particularly in the bones, participants will undergo after study
medication intake MRI or CT Scans (imaging techniques).
Trial Arms
Name | Type | Description | Interventions |
---|
Patients with Low extent of disease | Experimental | Adult men with bone mCRPC having < 6 bone metastases | - Radium-223 dichloride (Xofigo, BAY88-8223)
|
Patients with High extent of disease | Experimental | Adult men with bone mCRPC having ≥ 6 bone metastases | - Radium-223 dichloride (Xofigo, BAY88-8223)
|
Eligibility Criteria
Inclusion Criteria:
- Participants who have histologically confirmed adenocarcinoma of the prostate.
- Participants with bone metastatic CRPC, progressing after 1 or 2 prior lines of
systemic treatment for metastatic prostate cancer (including prior treatment for
metastatic hormone sensitive prostate mHSPC or metastatic castration resistant
prostate cancer mCRPC).
- Participants with at least 2 bone metastases on Tc 99m phosphonate whole body planar
bone scans at Screening.
- Documented progression of mCRPC. Disease progression is defined by at least one of the
following criteria: a. PCWG3 criteria (defined as 2 consecutive increases in PSA over
a previous reference value measured at least one week prior, with a minimal start
value of 1.0 ng/mL) or b. ≥2 new bone lesions (according to PCWG3 bone scan criteria)
or c. Radiological progression according to RECIST, version 1.1.
- Ability to participate in the required study procedures including all scanning
procedures and ability to control pain to ensure tolerance and completion of the
necessary scanning procedures.
- Maintenance of medical castration or surgical castration with testosterone less than
50 ng/dL (1.7 nmol/L). If the participant is being treated with luteinizing hormone
releasing hormone (LHRH) agonists or antagonists (participant who has not undergone
orchiectomy), this therapy must have been initiated at least 4 weeks prior to start of
Screening and must be continued throughout the study.
- Participants must be on a bone health agent prior to the first dose of radium-223
dichloride. Participants with at least 6 months of prior bone health agent (BHA)
treatment are preferred.
- Eastern Cooperative Oncology Group performance status (ECOG PS) 0 or 1.
- Life expectancy ≥6 months.
Exclusion Criteria:
- Any chronic medical condition requiring continuous systemic corticosteroid treatment
at a higher dose than 5 mg prednisone / prednisolone twice daily.
- Pathological finding consistent with neuroendocrine features small cell carcinoma of
the prostate.
- Metastatic bone deposits extend of disease (EOD) grades 0 or 4 (according to centrally
assessed Tc 99m phosphonate planar bone scans during Screening).
- History of visceral metastasis, or presence of visceral metastasis detected by
screening imaging examinations (according to central review at screening).
- Other malignancy treated within the last 5 years (except non-melanoma skin cancer or
low-grade superficial bladder cancer).
- Imminent spinal cord compression based on clinical findings and / or magnetic
resonance imaging (MRI). - Participants with history of spinal cord compression should
have completely recovered.
- Active or symptomatic viral hepatitis
- Inability to tolerate any of the other imaging procedures in the study (ie, bone
SPECT/CT and planar bone scans with a Tc 99m phosphonate radiotracer, DXA scan,
radium-223 SPECT/CT scans).
- Any condition, which in the opinion of the investigator would preclude participation
in this trial.
- Hypersensitivity to radium-223 dichloride.
- Blood transfusion or erythropoietin stimulating agents 4 weeks prior to start of
Screening and during the whole Screening period before enrollment into the cohort.
- Prior administration of an investigational therapeutic for CRPC.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | Male |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | AUC of radium-223 in tumor-free bone after 3 doses |
Time Frame: | At 4, 24 and 144 hours post injection at Cycle 3 ( total duration of one cycle is 28 days). |
Safety Issue: | |
Description: | The uptake of radium-223 in bone is determined with single-photon emission tomography / computed tomography (SPECT/CT). |
Secondary Outcome Measures
Measure: | AUC of radium-223 in tumor-free bone after single dose |
Time Frame: | At 4, 24 and 144 hours post injection at Cycle 1 ( total duration of one cycle is 28 days). |
Safety Issue: | |
Description: | |
Measure: | AUC of radium-223 in tumor-free bone after 6 doses |
Time Frame: | At 4, 24 and 144 hours post injection at Cycle 6 ( total duration of one cycle is 28 days). |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Bayer |
Trial Keywords
- Metastatic castration-resistant prostate cancer (mCRPC)
- Single-photon emission tomography / computed tomography (SPECT/CT)
- radium-223,
- phase I
Last Updated
August 23, 2021