E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
metastatic Castration-Resistant Prostate Cancer |
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E.1.1.1 | Medical condition in easily understood language |
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E.1.1.2 | Therapeutic area | Diseases [C] - Cancer [C04] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | SOC |
E.1.2 | Classification code | 10029104 |
E.1.2 | Term | Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Expansion cohort D (metastatic Castration-Resistant Prostate Cancer): To define the recommended dose and schedule for PT-112 for pivotal studies, administered either as 250 mg/m2 on Days 1 and 15 of each 28-day cycle (Arm 2) or as 360 mg/m2 on Days 1 and 15 of Cycle 1, then 250 mg/m2 on Day 15 of each subsequent 28-day cycle (Arm 3), where the primary endpoint (benefit) is defined as DCR4.
(Dose escalation and Cohorts A, B, and C have been closed). |
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E.2.2 | Secondary objectives of the trial |
Expansion cohort D (metastatic Castration-Resistant Prostate Cancer): assess treatment effects on individual disease manifestations, evaluated overall and for each treatment arm: determine Disease control rate (DCR) by disease manifestation, ORR in patients with RECIST-measurable disease, median duration of response (DOR) for soft (non bone) tissue lesions, % of patients who are CTC nonzero at baseline and with 0 CTCs/mL in one or more post-baseline samples, % of patients who have ≥ 3 CTCs at baseline and ≤ 3 CTCs in one or more post-baseline samples, percentage of patients achieving PSA50, median radiographic progression-free survival (rPFS), median OS, time to PSA progression by PCWG3 criteria, change in disease-related pain, number of TRAEs as a measure of safety and tolerability, pharmacokinetics of PT-112 following dosing on Days 1 and 15 of Cycle 1, exposure-response and exposure-safety relationships for PT-112. (Dose escalation and Cohorts A, B, and C have been closed). |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Expansion cohort D (metastatic Castration-Resistant Prostate Cancer): Documented current evidence of metastatic castration-resistant prostate cancer (mCRPC), Ongoing androgen deprivation therapy with a GnRH analog or a bilateral orchiectomy (i.e., surgical or medical castration), Serum testosterone level ≤ 1.73 nmol/L (50 ng/dL) at screening, Patients who have received at least three prior intended life-prolonging therapies for metastatic disease, Progressive disease at study entry, defined as either / both of the following criteria that occurred on or after the most recent therapy: soft-tissue disease progression, defined by RECIST v1.1, Bone disease progression, defined by PCWG3 as ≥ 2 new lesions confirmed on bone scan, Estimated life expectancy of ≥16 weeks, Adequate bone marrow, liver, and renal function, Must use a condom during study treatment and 6 months after the last dose of PT-112 when having intercourse with a pregnant woman or a woman of childbearing potential. Female partners of male patients also should use a highly effective form of contraception if they are of childbearing potential
(Dose escalation and Cohorts A, B, and C have been closed). |
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E.4 | Principal exclusion criteria |
Expansion cohort D (metastatic Castration-Resistant Prostate Cancer): Carcinomatous meningitis, Known brain metastases and/or active epidural disease (exceptions are described in protocol), Any minor surgical procedure within <5 days or any major surgical procedure within <28 days before the first dose of PT-112, Received treatment with chemotherapy, immunotherapy, gene therapy, vaccine therapy, angiogenesis inhibitors, radiation, experimental drug, or PARP inhibitors within ≤ 14 days of receiving the first dose of PT-112, Active infection requiring systemic therapy or significant acute or chronic infection including, among others Active hepatitis B virus (HBV) infection, Active hepatitis C virus (HCV) infection, Known history or testing positive for human immunodeficiency virus (HIV), Resting ECG indicating uncontrolled cardiac condition, including unstable ischemia, uncontrolled asymptomatic arrhythmia, congestive heart failure (New York Heart Association functional classification Grade II or higher), or QTcF prolongation >450 ms, or patients with congenital long QT syndrome.
(Dose escalation and Cohorts A, B, and C have been closed).
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E.5 End points |
E.5.1 | Primary end point(s) |
Expansion cohort D (metastatic Castration-Resistant Prostate Cancer): Define the recommended dose and schedule for PT-112 for pivotal studies, administered either as 250 mg/m2 on Days 1 and 15 of each 28-day cycle (Arm 2) or as 360 mg/m2 on Days 1 and 15 of Cycle 1, then 250 mg/m2 on Day 15 of each subsequent 28-day cycle (Arm 3), where the primary endpoint (benefit) is defined as DCR4.
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
Expansion cohort D (metastatic Castration-Resistant Prostate Cancer): • Disease control rate (DCR) by disease manifestation, defined as follows: - For patients with RECIST-evaluable disease, the percentage of patients with confirmed complete response (CR), confirmed partial response (PR), or disease stabilization (SD) lasting at least 4 months, based on tumor assessments by CT with contrast at baseline and after every 2 cycles (8±1 weeks) of treatment, evaluated using PCWG3-modified RECIST criteria; - For patients with bone-only disease that is not measurable by RECIST, disease control will be assessed by disease stabilization, defined as the absence of progression for at least 4 months (or 4 months or greater), progression being defined by 2 or more new lesions on the 8-week and the 16-week technetium bone scan (to exclude flare), or the first appearance of 2 or more new lesions on a scan performed at week 16 or later, when compared to week 8 baseline, and confirmed subsequently. Scans should be performed at baseline and after every 2 cycles (8±1 weeks) of treatment through the first 6 months, and every 3 cycles (12±1 weeks) thereafter, and evaluated by PCWG3 criteria; • Objective response rate (ORR) in patients with RECIST-measurable disease, defined as the percentage of patients achieving a confirmed PR and CR, based on tumor assessments by CT with contrast at baseline and after every 2 cycles (8±1 weeks) of treatment through the first 6 months, then every 3 cycles (12±1 weeks), evaluated using PCWG3-modified RECIST criteria; • The median duration of response (DOR) for soft tissue (non bone) lesions, calculated as from the first observation of response to the first observation of disease progression using PCWG3-modified RECIST criteria; • Percentage of patients who are CTC nonzero at baseline and with 0 CTCs/mL in one or more post-baseline samples (i.e., CTC0); • Percentage of patients who have ≥ 3 CTCs at baseline and ≤ 3 CTCs in one or more post-baseline samples (i.e., CTC conversion); • Percentage of patients achieving PSA50 defined as ≥ 50% reduction in serum PSA from Cycle 1 Day 1 that is confirmed at the start of a subsequent cycle as defined by PCWG3 criteria; • Median radiographic progression-free survival (rPFS), calculated from the start of study drug to the first observation of radiographic disease progression by PCWG3 criteria; • Median overall survival (OS); • Time to PSA progression by PCWG3 criteria, calculated from the start of study drug to the first observation of PSA progression by PCWG3 criteria; • Change in disease-related pain, based on American Cancer Society Daily Pain Diary assessment of worst pain over the past 24 hours (11 point scale) and analgesic consumption • Number of treatment-related adverse events (TRAEs) as a measure of safety and tolerability; • Determine the pharmacokinetics of PT-112 following dosing on Days 1 and 15 of Cycle 1; • Assess exposure-response and exposure-safety relationships for PT-112; |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | Yes |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | Yes |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | Yes |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | Yes |
E.7.1.3.1 | Other trial type description |
Phase 1 study: only in the US |
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E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 8 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 4 |
E.8.9.2 | In all countries concerned by the trial months | 10 |
E.8.9.2 | In all countries concerned by the trial days | 0 |