Description:
This is a master protocol designed to evaluate the safety and efficacy of investigational therapies in participants with metastatic castration-resistant prostate cancer (mCRPC).
This is a master protocol designed to evaluate the safety and efficacy of investigational therapies in participants with metastatic castration-resistant prostate cancer (mCRPC).
Recruiting
Phase 1/Phase 2
Drug | Synonyms | Arms |
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AMG 160 | PSMA targeted therapy | AMG 160 and AMG 404: Dose Expansion |
Enzalutamide | Androgen receptor inhibitor | AMG 160 and Enzalutamide: Dose Expansion |
Abiraterone | Cytochrome P450 (CYP)17 inhibitor | AMG 160 and Abiraterone: Dose Expansion |
AMG 404 | PD-1 inhibitor | AMG 160 and AMG 404: Dose Expansion |
This is a master protocol designed to evaluate the safety, tolerability, and maximum tolerated dose (MTD) or recommended phase 2 dose (RP2D) and efficacy of AMG 160, in combination with enzalutamide, abiraterone, or the PD1 inhibitor AMG 404 as well as AMG 404 monotherapy, in participants with metastatic castration-resistant prostate cancer (mCRPC).
Name | Type | Description | Interventions |
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AMG 160 and Enzalutamide: Dose Exploration | Experimental | The dose-exploration part of the study will estimate the MTD/recommended phase 2 dose (RP2D) of AMG 160 in combination with enzalutamide. |
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AMG 160 and Enzalutamide: Dose Expansion | Experimental | Following dose exploration, dose expansion will be conducted to confirm the safety and tolerability of the selected dose and to further evaluate the efficacy of AMG 160 in combination with enzalutamide. |
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AMG 160 and Abiraterone: Dose Exploration | Experimental | The dose exploration part of the study will estimate the MTD/recommended phase 2 dose (RP2D) of AMG 160 in combination with abiraterone. |
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AMG 160 and Abiraterone: Dose Expansion | Experimental | Following dose exploration, dose expansion will be conducted to confirm the safety and tolerability of the selected dose and to further evaluate the efficacy of AMG 160 in combination with abiraterone. |
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AMG 160 and AMG 404: Dose Exploration | Experimental | The dose-exploration part of the study will estimate the MTD/RP2D of AMG 160 in combination with AMG 404. |
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AMG 160 and AMG 404: Dose Expansion | Experimental | Following dose exploration, dose expansion will be conducted to confirm the safety and tolerability of the selected dose and to further evaluate the efficacy of AMG 160 in combination with AMG 404. |
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AMG 404 Monotherapy | Active Comparator | Part 3 of this study (AMG 404 monotherapy) is being conducted to evaluate the preliminary anti-tumor activity of PD-1 inhibition in the mCRPC population. |
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AMG 160 and Enzalutamide: Dose Expansion Asia Cohort | Experimental | Following dose exploration, dose expansion will be conducted in the Asia cohort at the combination MTD/RP2D determined in dose exploration to confirm the safety, tolerability and PK of AMG 160 in combination with enzalutamide for subjects in Asia. |
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AMG 160 and Abiraterone: Dose Expansion Asia Cohort | Experimental | Following dose exploration, dose expansion will be conducted in the Asia cohort at the combination MTD/RP2D determined in dose exploration to confirm the safety, tolerability and PK of AMG 160 in combination with abiraterone for subjects in Asia. |
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AMG 160 and AMG 404: Dose Expansion Asia Cohort | Experimental | Following dose exploration, dose expansion will be conducted in the Asia cohort at the combination MTD/RP2D determined in dose exploration to confirm the safety, tolerability and PK of AMG 160 in combination with AMG 404 for subjects in Asia. |
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All parts Inclusion Criteria: - ≥ 18 years of age (or legal adult age within country) - Subject has provided informed consent prior to initiation of any study-specific activities/procedures - Subjects with mCRPC with histologically or cytologically confirmed adenocarcinoma of the prostate - Subjects should have undergone bilateral orchiectomy or should be on continuous androgen deprivation therapy with a gonadotropin releasing hormone agonist or antagonist (testosterone ≤ 50 ng/dL (or 1.7 nmol/L)) Exclusion Criteria: - Central nervous system (CNS) metastases or leptomeningeal disease - History or presence of clinically relevant CNS pathology - Confirmed history or current autoimmune disease or other diseases requiring permanent immunosuppressive therapy - Myocardial infarction, uncontrolled hypertension, unstable angina, cardiac arrhythmia requiring medication, and/or symptomatic congestive heart failure (New York Heart Association > class II) within 12 months - Prior treatment with a taxane for mCRPC - Major surgery and/or Radiation within 4 weeks - History or evidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection unless agreed upon with medical monitor and meeting the following criteria: - Negative test for SARS-CoV-2 RNA by real time polymerase chain reaction (RT-PCR) within 72 hours of first dose of AMG 160 (or AMG 404 in Part 3) - No acute symptoms of COVID-19 disease within 10 days prior to first dose of AMG 160 (or AMG 404 in Part 3) (counted from day of positive test for asymptomatic subjects) Prior/Concurrent Clinical Study Experience - Currently receiving treatment in another investigational device or drug study, or less than 4 weeks since ending treatment on another investigational device or drug study(ies). Other investigational procedures while participating in this study are excluded with the exception of investigational scans. Subprotocol A only: Inclusion criteria • Subjects planning to receive enzalutamide for the first time for mCRPC Exclusion criteria - Use of strong CYP2C8 inhibitors or strong CYP3A4 inducers - Use of narrow therapeutic index drugs that are substrates of CYP3A4, CYP2C9 or CYP2C19 Subprotocol B only: Inclusion criteria - Subjects planning to receive abiraterone for the first time for mCRPC Exclusion criteria - Baseline moderate and severe hepatic impairment (Child-Pugh Class B and C) - Presence of uncontrolled hypertension, hypokalemia, or fluid retention - History or presence of adrenocortical insufficiency - Use of concomitant medications that are sensitive substrates for CYP2D6 with a narrow therapeutic index - Use of strong CYP3A4 inducers Subprotocol C only: Inclusion criteria - Subjects who are refractory to a novel antiandrogen therapy. Subjects must be ineligible for or refuse taxane therapy. - Evidence of progressive disease, defined as 1 or more PCWG3 criteria: PSA level >/=1 ng/mL that has increased on at least 2 successive occasions at least 1 week apart, nodal or visceral progression as defined by RECIST 1.1 with PCGW3 modifications, and/or appearance of 2 or more new lesions in bone scan Exclusion criteria - History or evidence of interstitial lung disease or active, non-infectious pneumonitis - Subjects on a prior PD-1 or PD-L1 inhibitor who experienced a grade 3 or higher immune-related adverse event prior to first day of dose
Maximum Eligible Age: | 99 Years |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | Male |
Healthy Volunteers: | No |
Measure: | Number of participants who experience dose limiting toxicities (DLTs) |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | The analysis of all endpoints, unless noted otherwise, will be conducted on the Safety Analysis Set defined as all subjects that are enrolled and receive at least 1 dose of AMG 160. The analysis of dose-limiting toxicity (DLT) will be conducted on the DLT Analysis Set defined as all subjects that are enrolled and receive at least 1 dose of AMG 160 with an evaluable DLT endpoint. The DLT endpoint is evaluable if either: 1) the subject experiences a DLT; or 2) the subject does not experience a DLT after receiving all planned doses within the 28-day DLT window in cycle 1. |
Measure: | Objective response rate per response evaluation criteria in solid tumors (RECIST) 1.1 with prostate cancer working group 3 (PCWG3) modifications |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Parts 1, 2 and 3 of the study |
Measure: | Number of participants who experience circulating tumor cell (CTC) response |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Parts 1, 2 and 3 of the study |
Measure: | Number of participants who experience prostate-specific antigen (PSA) response rate |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Parts 1, 2 and 3 of the study |
Measure: | Duration of response |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Parts 1, 2 and 3 of the study |
Measure: | Overall survival (OS) |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Parts 1, 2 and 3 of the study |
Measure: | Progression-free survival |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Parts 1, 2 and 3 of the study |
Measure: | Time to progression |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Parts 1, 2 and 3 of the study |
Measure: | Time to subsequent therapy |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Parts 1, 2 and 3 of the study |
Measure: | Maximum plasma concentration (Cmax) |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Parts 1, 2 and 3 of the study |
Measure: | Minimum plasma concentration (Cmin) |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Parts 1, 2 and 3 of the study |
Measure: | Area under the concentration-time curve (AUC) |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Parts 1, 2 and 3 of the study |
Measure: | Accumulation ratio based on area under the concentration-time curve (AUC) |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Parts 1, 2 and 3 of the study |
Measure: | Half-life (t1/2) |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Parts 1, 2 and 3 of the study |
Measure: | Change from baseline in prostate-specific membrane antigen (PSMA)-positive tumor burden assessed using gallium (GA) 68-labelled PSMA-11 positron emission tomography/computed tomography (PET/CT) |
Time Frame: | Baseline up to 3 years |
Safety Issue: | |
Description: | Parts 1, 2 and 3 of the study |
Measure: | Change from baseline in prostate-specific membrane antigen (PSMA)-negative disease burden assessed using 18F-fluorodeoxyglucose (F-FDG) positron emission tomography/computed tomography (PET/CT) |
Time Frame: | Baseline to 3 years |
Safety Issue: | |
Description: | Parts 1, 2 and 3 of the study |
Measure: | Time to symptomatic skeletal events |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Parts 1, 2 and 3 of the study |
Measure: | Concentration of alkaline phosphatase |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Parts 1, 2 and 3 of the study |
Measure: | Concentration of lactate dehydrogenase (LDH) |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Parts 1, 2 and 3 of the study |
Measure: | Concentration of hemoglobin |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Parts 1, 2 and 3 of the study |
Measure: | Neutrophil-to-lymphocyte ratio |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Parts 1, 2 and 3 of the study |
Measure: | Concentration of N-telopeptide in the urine |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Parts 1, 2 and 3 of the study |
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Amgen |
August 23, 2021