Prostatic Neoplasms, Castration-Resistant Clinical Trial
— QUESTOfficial title:
A Phase 1b-2 Study of Niraparib Combination Therapies for the Treatment of Metastatic Castration-Resistant Prostate Cancer
Verified date | June 2024 |
Source | Janssen Research & Development, LLC |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to: a) establish the recommended phase 2 dose (RP2D) and to evaluate the antitumor activity and safety of niraparib combination therapies (Combinations 1 and 2) and b) to determine the relative bioavailability of niraparib and abiraterone acetate (AA) in combination (Combination 3) in participants with metastatic castration-resistant prostate cancer (mCRPC).
Status | Active, not recruiting |
Enrollment | 136 |
Est. completion date | December 31, 2024 |
Est. primary completion date | August 31, 2021 |
Accepts healthy volunteers | No |
Gender | Male |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria for Combination 3: - Diagnosed with mCRPC, who in the opinion of the investigator may benefit from treatment in Combination 3 of this study - Able to continue gonadotropin releasing hormone analogue (GnRHa) therapy during the study if not surgically castrate (that is, subjects who has not undergone bilateral orchiectomy). - Eastern Cooperative Oncology Group Performance Status (ECOG PS) of less than or equal to (<=) 1 - Toxicity associated with prior chemotherapy or radiotherapy has resolved to Grade <= 1 (except alopecia or Grade <= 2 neuropathy) at screening - Participant must agree not to donate sperm while on study treatment, and for 3 months following the last dose of study treatment Exclusion Criteria: - History or current diagnosis of myelodysplastic syndrome (MDS)/acute myeloid leukemia (AML) - Active malignancies (that is, progressing or requiring treatment change in the last 24 months) other than the disease being treated under study. The only allowed exceptions are: non-muscle invasive bladder cancer; skin cancer (non-melanoma or melanoma); breast cancer; malignancy that is considered cured with minimal risk of recurrence - Active infection requiring systemic therapy - Allergies, hypersensitivity, or intolerance to niraparib or the corresponding excipients Combination 3: - Symptomatic brain metastases - Prior disease progression during combination treatment with AA and poly (adenosine diphosphate [ADP]-ribose) polymerase inhibitor (PARPi). Prior discontinuation of treatment with AA or PARPi due to AA- or PARPi-related toxicity |
Country | Name | City | State |
---|---|---|---|
Belgium | OLV Ziekenhuis Aalst | Aalst | |
Belgium | ZNA Middelheim | Antwerpen | |
Belgium | ULB Hôpital Erasme | Brussels | |
Belgium | Universitair Ziekenhuis Gent | Gent | |
Belgium | Az Groeninge | Kortrijk | |
Belgium | Centre Hospitalier Universitaire de Liege Domaine Universitaire du Sart Tilman | Liege | |
Canada | Southern Alberta Institute of Urology / Prostate Cancer Centre | Calgary | Alberta |
Canada | Centre de Recherche du CHUM | Montreal | Quebec |
Canada | University Health Network UHN Princess Margaret Cancer Centre | Toronto | Ontario |
Canada | British Columbia Cancer Agency | Vancouver | British Columbia |
Israel | Asaf Harofe Medical Center | Beer Yaakov | |
Israel | Soroka Hospital | Beer-Sheva | |
Israel | Rambam Medical Center | Haifa | |
Israel | Rabin Medical Center | Petach Tikva | |
Israel | Sheba Medical Center Tel Hashomer | Ramat Gan | |
Italy | Azienda Ospedaliera Universitaria Careggi di Firenze | Firenze | |
Italy | Azienda Ospedaliera ''Vito Fazzi'' | Lecce | |
Italy | UOC Oncologia Ospedale Provinciale di Macerata | Macerata | |
Italy | ASST Grande Ospedale Metropolitano Niguarda | Milano | |
Italy | IRCCS-Fondazione Pascale | Napoli | |
Spain | Hosp. de La Santa Creu I Sant Pau | Barcelona | |
Spain | Hospital Vall D'Hebron | Barcelona | |
Spain | Hosp Univ Fund Jimenez Diaz | Madrid | |
Spain | Hosp. Univ. de La Princesa | Madrid | |
Spain | Hosp. Univ. Hm Sanchinarro | Madrid | |
Spain | Hosp. Virgen de La Victoria | Malaga | |
United Kingdom | Royal United Hospital | Bath | |
United Kingdom | University College London Hospitals | London | |
United Kingdom | Southampton General Hospital | Southampton | |
United Kingdom | The Royal Marsden NHS Trust Sutton | Sutton | |
United Kingdom | Royal Cornwall Hospitals NHS Trust - Royal Cornwall Hospital | Truro | |
United States | New York Oncology Hematology | Albany | New York |
United States | MUSC-Hollings Cancer Center | Charleston | South Carolina |
United States | The Urology Center of Colorado | Denver | Colorado |
United States | Memorial Sloan Kettering Cancer Center | Harrison | New York |
United States | Houston Metro Urology | Houston | Texas |
United States | The University of Texas MD Anderson Cancer Center | Houston | Texas |
United States | Mayo Clinic - Division Of Hematology/oncology | Jacksonville | Florida |
United States | First Urology, PSC | Jeffersonville | Indiana |
United States | University of Wisconsin Carbone Cancer Center | Madison | Wisconsin |
United States | Carolina Urologic Research Center | Myrtle Beach | South Carolina |
United States | Urology Associates | Nashville | Tennessee |
United States | Memorial Sloan Kettering Cancer Center | New York | New York |
United States | Thomas Jefferson University | Philadelphia | Pennsylvania |
United States | University of Pittsburgh Medical Center (UPMC) | Pittsburgh | Pennsylvania |
United States | Utah Cancer Specialists | Salt Lake City | Utah |
United States | Chesapeake Urology Research Associates | Towson | Maryland |
United States | Michigan Institute of Urology | Troy | Michigan |
United States | Urological Associates of Southern Arizona, P.C. | Tucson | Arizona |
United States | Urology of Virginia, PLCC | Virginia Beach | Virginia |
Lead Sponsor | Collaborator |
---|---|
Janssen Research & Development, LLC |
United States, Belgium, Canada, Israel, Italy, Spain, United Kingdom,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Combination 1: Part 1: Number of Participants With Specified Toxicity | Number of participants with specified toxicity during Cycle 1 was reported. Only toxicities that occurred during safety evaluation period(defined as first 28 days of treatment-Cycle 1 of Part 1) was used for analysis of specified toxicities and for dose reduction decisions. Toxicities were graded for severity as per NCI-CTCAE, version 4.03. Safety evaluation criteria were: Any Grade(G) >=3 non-hematological toxicity without anorexia, or constipation, fatigue improved to G<=2 in <7 days, vomiting and diarrhea resolved in <=3 days, laboratory abnormalities with hospitalization, tumor flare improved to G<=2 in <=7 days, elevation in AST/ALT for <=7 days and G3 hypertension controlled by medical therapy; any treatment-related(TR)G4 or G>=3 thrombocytopenia required platelet transfusion; Any TR G4 neutropenia >=7 days or G3 or 4 neutropenia with infection/fever >38.5 degrees Celsius; Any TR SAE or intolerable toxicity. | Cycle 1 (28 days) | |
Primary | Combination 1: Part 2: Objective Response Rate (ORR) | ORR of soft tissue (visceral or nodal disease) was defined as percentage of participants with measurable disease who achieved a best response of either complete response (CR) or partial response (PR) as assessed by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 with no evidence of bone progression according to prostate cancer working group 3 (PCWG3) criteria. | Up to 37 months | |
Primary | Combination 2: Composite Response Rate (RR) | Composite response rate was defined as the percentage of participants who had a composite response which is defined as one of the following PCWG3 criteria: Objective response (percentage of participants with measurable disease who achieved a best response of either CR or PR as assessed by RECIST 1.1 with no evidence of bone progression according to PCWG3 criteria) (confirmed per RECIST 1.1), or; circulating tumor cells (CTC) response: defined as CTC=0 per 7.5 milliliters (mL) of blood at 8 weeks for participants who had CTC greater than or equal to (>=) 1 at baseline or CTC less than (<) 5 per 7.5 mL with CTC >=5 at baseline, confirmed by a second consecutive value obtained 4 or more weeks later, or prostate-specific antigen (PSA) declined of >=50 percentage (%), measured twice 3 to 4 weeks apart. This outcome measure was analyzed for specified arms only as pre-planned in the protocol. | Up to 31 months | |
Primary | Combination 1: Part 2: Number of Participants With Adverse Events (AEs) | AE was defined as an any untoward medical occurrence in a clinical study subject administered a pharmaceutical (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the treatment. | Up to 37 months | |
Primary | Combination 2: Number of Participants With Adverse Events (AEs) | AE was defined as an any untoward medical occurrence in a clinical study subject administered a pharmaceutical (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the treatment. | Up to 31 months | |
Primary | Combination 1: Part 2: Number of Participants With Adverse Events (AEs) of Grade >=3 Severity | AE was defined as an any untoward medical occurrence in a clinical study subject administered a pharmaceutical (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the treatment. An assessment of severity grade was made using the National Cancer Institute - Common Terminology Criteria for Adverse Events (NCI-CTCAE) as Grade 1 (mild): awareness of symptoms that are easily tolerated, causing minimal discomfort and not interfering with everyday activities; Grade 2 (moderate): sufficient discomfort is present to cause interference with normal activity; Grade 3 (severe): extreme distress, causing significant impairment of functioning or incapacitation, prevents normal everyday activities; Grade 4 (Life-threatening): urgent intervention indicated; and Grade 5 (death). | Up to 37 months | |
Primary | Combination 2: Number of Participants With Adverse Events (AEs) of Grade >=3 Severity | AE was defined as an any untoward medical occurrence in a clinical study subject administered a pharmaceutical (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the treatment. An assessment of severity grade was made using the NCI-CTCAE as Grade 1 (mild): awareness of symptoms that are easily tolerated, causing minimal discomfort and not interfering with everyday activities; Grade 2 (moderate): sufficient discomfort is present to cause interference with normal activity; Grade 3 (severe): extreme distress, causing significant impairment of functioning or incapacitation, prevents normal everyday activities; Grade 4 (Life-threatening): urgent intervention indicated; and Grade 5 (death). | Up to 31 months | |
Primary | Combination 3: Maximum Observed Plasma Concentration (Cmax) of Niraparib and Abiraterone Acetate After a Single Dose | Cmax is defined as maximum observed plasma concentration of niraparib and abiraterone acetate (AA) after a single dose. | Pre-dose, 30 min, 1 hour (hr), 1.5 hr, 2hr, 3 hr, 4 hr, 6 hr, 8 hr, 10 hr, 24 hr, 48 hr, 72 hr, and 168 hr post dose on Day 1 | |
Primary | Combination 3: Maximum Observed Plasma Concentration (Cmax) of Niraparib Normalized by the Dose(Niraparib) (Cmax/Dose) of Niraparib Administered With AA After a Single Dose | Cmax/dose of niraparib was defined as maximum observed plasma concentration of niraparib Cmax normalized by the dose of niraparib administered with AA after a single dose. | Pre-dose, 30 min, 1 hour (hr), 1.5 hr, 2hr, 3 hr, 4 hr, 6 hr, 8 hr, 10 hr, 24 hr, 48 hr, 72 hr, and 168 hr post dose on Day 1 | |
Primary | Combination 3: Area Under the Plasma Concentration-Time Curve From Time Zero to 168 Hours (AUC [0-168hr]) of Niraparib Administered With AA After a Single Dose | AUC(0-168 hours) was defined as area under the plasma concentration-time curve from time zero to 168 hours of Niraparib administered with AA After a single dose. | Pre-dose, 30 min, 1 hour (hr), 1.5 hr, 2hr, 3 hr, 4 hr, 6 hr, 8 hr, 10 hr, 24 hr, 48 hr, 72 hr, and 168 hr post dose on Day 1 | |
Primary | Combination 3: Area Under the Plasma Concentration-Time Curve for Niraparib From Time Zero to 168 Hours (AUC [0-168 Hours]/Dose) of Niraparib Administered With AA After a Single Dose | AUC0(168 hours)/dose was defined as area under the plasma concentration-time curve for niraparib from time 0 to 168 hours of niraparib administered with AA after a single dose. | Pre-dose, 30 min, 1 hour (hr), 1.5 hr, 2hr, 3 hr, 4 hr, 6 hr, 8 hr, 10 hr, 24 hr, 48 hr, 72 hr, and 168 hr post dose on Day 1 | |
Secondary | Combination 1: Parts 1 and 2: Plasma Concentrations of Niraparib | Day 1 | ||
Secondary | Combination 1: Parts 1 and 2: Maximum Observed Plasma Concentration (Cmax) of Niraparib | Day 1 | ||
Secondary | Combination 1: Parts 1 and 2: Time to Reach the Maximum Plasma Concentration (Tmax) of Niraparib | Day 1 | ||
Secondary | Combination 1: Parts 1 and 2: Minimum Observed (Predose) Concentration Following Multiple Dosing (Ctrough) of Niraparib | Day 1 | ||
Secondary | Combination 1: Parts 1 and 2: Number of Participants With Anti-drug Antibodies of Niraparib | From baseline up to end of study (6 years 10 months) | ||
Secondary | Combination 1: Part 2 and Combination 2: Circulating Tumor Cells (CTC) Response | From baseline up to end of study (6 years 10 months) | ||
Secondary | Combination 1: Part 2: Composite Response Rate | From baseline up to end of study (6 years 10 months) | ||
Secondary | Combination 2: Objective Response Rate (ORR) | From baseline up to end of study (6 years 10 months) | ||
Secondary | Combination 1: Part 2 and Combination 2: Duration of Objective Response | From baseline up to end of study (6 years 10 months) | ||
Secondary | Combination 1: Part 2 and Combination 2: Overall Survival | From baseline up to end of study (6 years 10 months) | ||
Secondary | Combination 3: Cmax of Niraparib and Abiraterone Acetate After a Single Dose For Low-strength FDC | Pre-dose, 30 min, 1 hour (hr), 1.5 hr, 2hr, 3 hr, 4 hr, 6 hr, 8 hr, 10 hr, 24 hr, 48 hr, 72 hr, and 168 hr post dose on Day 1 | ||
Secondary | Combination 3: Maximum Observed Plasma Concentration (Cmax) of Niraparib Normalized by the Dose(Niraparib) (Cmax/Dose) of Niraparib Administered With AA After a Single Dose for Low-strength FDC | Pre-dose, 30 min, 1 hour (hr), 1.5 hr, 2hr, 3 hr, 4 hr, 6 hr, 8 hr, 10 hr, 24 hr, 48 hr, 72 hr, and 168 hr post dose on Day 1 | ||
Secondary | Combination 3: Area Under the Plasma Concentration-Time Curve From Time Zero to 168 Hours (AUC [0-168hr]) of Niraparib Administered With AA After a Single Dose For Low-strength FDC | Pre-dose, 30 min, 1 hour (hr), 1.5 hr, 2hr, 3 hr, 4 hr, 6 hr, 8 hr, 10 hr, 24 hr, 48 hr, 72 hr, and 168 hr post dose on Day 1 | ||
Secondary | Combination 3: Area Under the Plasma Concentration-Time Curve for Niraparib From Time Zero to 168 Hours (AUC [0-168 Hours]/Dose) of Niraparib Administered With AA After a Single Dose For Low-strength FDC | Pre-dose, 30 min, 1 hour (hr), 1.5 hr, 2hr, 3 hr, 4 hr, 6 hr, 8 hr, 10 hr, 24 hr, 48 hr, 72 hr, and 168 hr post dose on Day 1 | ||
Secondary | Combination 3: Number of Participants With Adverse Events | From baseline up to end of study (6 years 10 months) | ||
Secondary | Combination 3: Number of Participants With Clinical Laboratory Parameters | From baseline up to end of study (6 years 10 months) |
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT04104776 -
A Study of CPI-0209 in Patients With Advanced Solid Tumors and Lymphomas
|
Phase 1/Phase 2 | |
Withdrawn |
NCT03325127 -
Outcomes of mCRPC Patients Treated With Ra-223 Concomitant With Abiraterone or Enzalutamide- A Chart Review Study
|
||
Withdrawn |
NCT02906605 -
A Study of the Clinical Activity and Safety of JNJ-64041809, a Live Attenuated Listeria Monocytogenes Immunotherapy, in Combination With Apalutamide Versus Apalutamide in Subjects With Metastatic Castration-resistant Prostate Cancer
|
Phase 2 | |
Recruiting |
NCT05743621 -
Study of TVB-2640 in Men With Metastatic Castration-Resistant Prostate Cancer
|
Phase 1 | |
Completed |
NCT02204072 -
BI836845 Plus Enzalutamide in Castrate Resistant Prostate Cancer (CRPC)
|
Phase 1 | |
Recruiting |
NCT05393791 -
Phase II Randomised Controlled Trial of Patient-specific Adaptive vs. Continuous Abiraterone or eNZalutamide in mCRPC
|
Phase 2 | |
Completed |
NCT03927391 -
Effect of a Reduced Dose Enzalutamide in Frail (m)CRPC Patients on Cognitive Side Effects
|
Phase 4 | |
Completed |
NCT02450812 -
Non-interventional Study With Ra-223 Dichloride Assessing Overall Survival and Effectiveness Predictors for mCRPC Patients in a Real Life Setting in Germany
|
||
Recruiting |
NCT06353386 -
Substudy 01A: Safety and Efficacy of Opevesostat (MK-5684)-Based Treatment Combinations or Opevesostat Alone in Participants With Metastatic Castration-resistant Prostate Cancer (mCRPC) (MK-5684-01A)
|
Phase 1/Phase 2 | |
Active, not recruiting |
NCT03822845 -
Evaluating the Clinical Accuracy of Gallium-68 PSMA PET/CT Imaging in Patients With Biochemical Recurrence of Prostate Cancer
|
Phase 2/Phase 3 | |
Completed |
NCT02162836 -
A Safety Study of JNJ-56021927 in Participants With Metastatic Castration-Resistant Prostate Cancer
|
Phase 1 | |
Completed |
NCT02899104 -
Navigant Study- Treatment Patterns in mCRPC (Metastatic Castrate Resistant Prostate Cancer )
|
||
Active, not recruiting |
NCT04381832 -
Adenosine Receptor Antagonist Combination Therapy for Metastatic Castrate Resistant Prostate Cancer
|
Phase 1/Phase 2 | |
Completed |
NCT03563014 -
A Local Retrospective Observational Study to Evaluate the Treatment Patterns of mCRPC Patients in Belgium Treated With Radium-223
|
||
Active, not recruiting |
NCT05968599 -
A Study to Learn About the Study Medicines Called Enzalutamide and Abiraterone in People With Metastatic Castration-resistant Prostate Cancer
|
||
Active, not recruiting |
NCT02803437 -
Drug Use Investigation of Xofigo, Castration Resistant Prostate Cancer With Bone Metastases
|
||
Recruiting |
NCT05944237 -
HTL0039732 in Participants With Advanced Solid Tumours
|
Phase 1/Phase 2 | |
Withdrawn |
NCT03173859 -
Efficacy of Rotations Between Abiraterone Acetate and Apalutamide in mCRPC Patients
|
Phase 2 | |
Terminated |
NCT02057666 -
Study Of Tasquinimod In Asian Chemo-Naïve Patients With Metastatic Castrate-Resistant Prostate Cancer
|
Phase 3 | |
Active, not recruiting |
NCT04717154 -
Ipilimumab With Nivolumab for Molecular-selected Patients With Castration-resistant Prostate Cancer
|
Phase 2 |