Safety, Pharmacokinetics, and Preliminary Efficacy of AMX-500 in Metastatic Castration Resistant Prostate Cancer (mCRPC)

PHASE1PHASE2RECRUITING

The study will be conducted in 4 parts and will commence with dose escalation of AMX-500 as a monotherapy (Part 1), followed by monotherapy dose expansion (Part 2). * Part 1 (Monotherapy Dose Escalation): Single-agent AMX-500 dose escalation * Part 2 (Monotherapy Dose Expansion): Single-agent AMX-500 dose expansion The study may subsequently continue via a protocol amendment with dose escalation of AMX-500 combinations (Part 3) followed by combination therapy dose expansion (Part 4).

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Study details:

Duration of the study up to approximately 48 months.

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Eligibility criteria

Researchers look for people who fit a certain description, called eligibility criteria. See if you qualify.

Inclusion criteria

  • Has histological, pathological, and/or cytological confirmation of prostate adenocarcinoma OR metastatic disease typical of prostate cancer (ie, involving bone or pelvic lymph nodes or para-aortic lymph nodes)
  • Has metastatic disease, defined by ≥1 metastatic lesion that is present on baseline CT, MRI, or bone scan imaging - Has documented progressive mCRPC
  • Have been treated with ≥ 1 prior taxane regimens (eg, docetaxel, cabazitaxel)
  • Participants deemed unsuitable for standard of care
  • Has Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2
  • Has a life expectancy more than 6 months
  • Exclusion criteria

  • Presence of dominant histopathological features representative of sarcomatoid, spindle cell, or neuroendocrine small cell components
  • Has acute or chronic infections
  • Has a concomitant medical or inflammatory condition that may increase the risk of toxicity to AMX 500, per the Investigator
  • Has lesions in proximity of vital organs
  • Has known active CNS metastases and/or carcinomatous meningitis
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    Eligibility

    Age eligible for study : 18 and older

    Healthy volunteers accepted : No

    Gender eligible for study: Male

    Things to know

    Study dates

    Study start: 2023-08-10

    Primary completion: 2027-09-29

    Study completion finish: 2027-09-29

    study type

    Study type

    TREATMENT

    phase

    Phase

      PHASE1

      PHASE2

    trial

    Trial ID

    NCT05997615

    Intervention or treatment

    DRUG: AMX-500 (SAR446329)

    Conditions

    • Hormone-refractory Prostate Cancer

    Find a site

    Closest Location:

    Investigational Site Number: 101

    Research sites nearby

    Select from list below to view details:

    • Investigational Site Number: 101

      New South Wales, Not Specified, Australia

    • Investigational Site Number: 100

      Victoria, Not Specified, Australia

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    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/ArmIntervention/Treatment
    EXPERIMENTAL: Part 1: AMX-500 Monotherapy Dose Escalation
    • AMX-500 will be administered as a monotherapy in patients with mCRPC over a 21-day cycle
    DRUG: AMX-500 (SAR446329)
    • Pharmaceutical form: Solution for infusion Route of administration: Intravenous (IV) infusion
    EXPERIMENTAL: Part 2: AMX-500 Monotherapy Dose Expansion
    • AMX-500 will be administered as a monotherapy in patients with mCRPC over a 21-day cycle
    DRUG: AMX-500 (SAR446329)
    • Pharmaceutical form: Solution for infusion Route of administration: Intravenous (IV) infusion

    What is the study measuring?

    Primary outcome

    Primary Outcome MeasurePrimary Outcome DescriptionPrimary Outcome Time Frame
    Part 1: Number of participants with Adverse Events (AEs)Incidence and nature of DLTs according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE)from the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months
    Part 1: Incidence of Dose Limiting Toxicities (DLTs)Incidence and nature of DLTs according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE)from the Cycle 1(each cycle is 21 days), Day 1 up to Day 21
    Part 2: Prostate-Specific Antigen (PSA) response ratedefined as a ≥ 50% reduction in PSA from baselinefrom the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months
    Part 2: Objective Response Rate (ORR)defined as the proportion of participants who have a complete response (CR) or partial response (PR) determined per Response Evaluation Criteria in Solid Tumors (RECIST 1.1)from the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months

    Secondary outcome

    Secondary Outcome MeasureSecondary Outcome DescriptionSecondary Outcome Time Frame
    Part 2: Number of participants with Adverse Events (AEs)Not Specifiedfrom the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months
    Part 1: PSA response rateNot Specifiedfrom the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months
    Part 1: Objective Response Rate (ORR)Not Specifiedfrom the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months
    All parts: Time to ResponseTime from the start of treatment to the first objective tumor response observed for participants who achieved confirmed Complete Response or Partial Responsefrom the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months
    All parts: Duration of response (DoR)DOR defined as the time from the first occurrence of a documented objective response to the time of the first documented disease progression or death from any cause, whichever occurs first, per RECIST v.1.1.from the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months
    All parts: Progression Free Survival PFSTime from treatment initiation to disease progression using RECIST v1.1from the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months
    All parts: Assessment of PK parameters: CmaxMaximum plasma concentration observedfrom the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months
    All parts: Assessment of PK parameters: AUCArea under the concentration versus time curvefrom the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months
    All parts: Assessment of PK parameters: TmaxTime to reach Cmaxfrom the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months
    All parts: Incidence of baseline anti-drug antibodies (ADAs) to AMX-500Incidence of patients with baseline anti-drug antibodies to AMX-500from the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months
    All parts: Incidence of treatment emergent anti-drug antibodies (ADAs) to AMX-500Incidence of patients with treatment emergent anti-drug antibodies to AMX-500from the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months

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    References

    Clinical Trials Gov: Safety, Pharmacokinetics, and Preliminary Efficacy of AMX-500 in Metastatic Castration Resistant Prostate Cancer (mCRPC)

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