A Study to Compare the Efficacy and Safety of BMS-986365 Versus the Investigator's Choice of Therapy in Participants With Metastatic Castration-resistant Prostate Cancer
The purpose of this study is to compare the efficacy and safety of BMS-986365 versus the investigator's choice of therapy in participants with Metastatic Castration-resistant Prostate Cancer.
Study details:
The primary objective of this clinical trial is to assess the radiographic progression free survival (rPFS) of BMS-986365 versus investigator's choice comprising Docetaxel + Prednisone/Prednisolone or Abiraterone + Prednisone/Prednisolone or Enzalutamide. In Part 1, participants will be randomized 1:1:1 to one of the two BMS-986365 dose levels, or to the active comparator arm (investigator's choice). In Part 2 of the study, participants will be randomized 1:1 between BMS-986365 selected dose, or to the active comparator arm (investigator's choice).
Eligibility criteria
Researchers look for people who fit a certain description, called eligibility criteria. See if you qualify.
Inclusion criteria
- Participants must have histologic or cytologic confirmation of adenocarcinoma of the prostate without small cell or neuro-endocrine features.
- Participants must have current evidence of metastatic disease documented by either bone lesions on radionuclide bone scan and/or soft tissue lesions on computed tomography/magnetic resonance imaging (CT/MRI).
- Participants must be asymptomatic or mildly symptomatic from prostate cancer with score on Brief Pain Inventory - Short Form (BPI-SF) that must be < 4.
- Participants must have had previous treatment with an androgen receptor pathway inhibitor (abiraterone, enzalutamide, apalutamide, or darolutamide).
Exclusion criteria
- Participants must not have impaired cardiac function or clinically significant cardiac disease.
- Participants must not have any brain metastasis.
- Participants must not have any liver metastasis.
- Participants with superscan on technetium-99m (Tc-99m) radionuclide bone scans.
- Other protocol-defined Inclusion/Exclusion criteria apply.
Eligibility
Age eligible for study : NA
Healthy volunteers accepted : No
Gender eligible for study: MALE
Things to know
Study dates
Study start:
Primary completion:
Study completion finish:
Study type
TREATMENT
Phase
- PHASE3
Study ID
NCT06764485
Intervention or treatment
DRUG: BMS-986365
DRUG: Enzalutamide
DRUG: Abiraterone
DRUG: Docetaxel
DRUG: Predinsone/Prednisolone
Conditions
- Metastatic Castration-resistant Prostate Cancer
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Research sites nearby
Closest Location:
GenesisCare - Campbelltown
Select from list below to view details:
GenesisCare - Campbelltown
Campbelltown, New South Wales, Australia
St Vincent's Hospital
Darlinghurst, New South Wales, Australia
Macquarie University
Macquarie University, New South Wales, Australia
Port Macquarie - Mid North Coast Cancer Institute
Port Macquarie, New South Wales, Australia
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Who is running the clinical trial?
Celgene
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
| Participant Group/Arm | Intervention/Treatment |
|---|---|
EXPERIMENTAL: Part 1: Dose 1
| Drug: BMS-986365 |
EXPERIMENTAL: Part 1: Dose 2
| Drug: BMS-986365 |
ACTIVE_COMPARATOR: Part 1: Comparator 1
| Drug: Enzalutamide, Drug: Abiraterone, Drug: Predinsone/Prednisolone |
ACTIVE_COMPARATOR: Part 1: Comparator 2
| Drug: Docetaxel, Drug: Predinsone/Prednisolone |
EXPERIMENTAL: Part 2: Dose Selected
| Drug: BMS-986365 |
ACTIVE_COMPARATOR: Part 2: Comparator 1
| Drug: Enzalutamide, Drug: Abiraterone, Drug: Predinsone/Prednisolone |
ACTIVE_COMPARATOR: Part 2: Comparator 2
| Drug: Docetaxel, Drug: Predinsone/Prednisolone |
What is the study measuring?
Primary Outcome
| Measure | Description | Time Frame |
|---|---|---|
| Radiographic progression-free survival (rPFS) by blinded independent central review (BICR) using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 (soft tissue) and Prostate Cancer Clinical Trials Working Group 3 (PCWG3) (bone) criteria | Not Specified | Up to 4 years |
Secondary Outcome
| Measure | Description | Time Frame |
|---|---|---|
| Overall Survival (OS) | Not Specified | Up to 4 years |
| Recommended dose of BMS-986365 for Part 2 | Not Specified | Up to approximately 1.5 years |
| Progression-free survival (PFS) | Not Specified | Up to 4 years |
| Confirmed overall response rate (ORR) by BICR assessment in participants with measurable disease using RECIST 1.1 (soft tissue) and PCWG3 (bone) criteria | Not Specified | Up to 4 years |
| Time to pain progression (TTPP) | Not Specified | Up to 4 years |
| Time to symptomatic progression (TTSP) | Not Specified | Up to 4 years |
| Time to initiation of the first subsequent systemic therapy (TFST) | Not Specified | Up to 4 years |
| Prostate-specific antigen (PSA) response rate | Not Specified | Up to 4 years |
| Change from baseline in Functional Assessment of Cancer Therapy - Prostate Cancer (FACT-P) total scores | Not Specified | Up to 4 years |
| Change from baseline in Prostate Cancer Subscale (PCS) scores | Not Specified | Up to 4 years |
| Change from baseline in trial outcome index (TOI) | Not Specified | Up to 4 years |
| Change from baseline in Brief Pain Inventory - Short Form (BPI-SF) worst pain (item #3) intensity | Not Specified | Up to 4 years |
| Incidence of adverse events (AEs) | Not Specified | Up to 4 years |
| Incidence of serious adverse events (SAEs) | Not Specified | Up to 4 years |
| Incidence of AEs leading to dose modifications | Not Specified | Up to 4 years |
| Incidence of AEs leading to interruptions | Not Specified | Up to 4 years |
| Incidence of AEs leading to discontinuation | Not Specified | Up to 4 years |
| Electrocardiogram (ECG) findings | ECG Findings defined as : * Number of Postbaseline Abnormal Corrected QT (QTc) Values * Number of abnormal Beats Per Minute (BPM) | Up to 4 years |
| Incidence of laboratory abnormalities | Not Specified | Up to 4 years |
References
Clinical Trials Gov: A Study to Compare the Efficacy and Safety of BMS-986365 Versus the Investigator's Choice of Therapy in Participants With Metastatic Castration-resistant Prostate CancerOther trials to consider
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