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Recruiting NCT06800313

Study of HLD-0915 in Patients With Metastatic Prostate Cancer

Phase I / Phase II Interventional Metastatic Prostate Cancer

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: HLD-0915 Hard Capsule, HLD-0915 Tablet, HLD-0915 Soft Capsule.
Who it may be relevant to
Registry conditions: Metastatic Prostate Cancer. Basic parameters: from 18 years · Male.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
United States, United Kingdom
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Official title

Phase 1/2 Study of HLD-0915 (JNJ-101556143) in Patients With Metastatic Prostate Cancer

Overview

Assessment of the safety and efficacy of HLD-0915 in patients with metastatic prostate cancer who have progressed on prior systemic therapies, with further evaluation in additional prostate cancer populations.

Detailed description

This is a Phase 1/2 study of the safety, tolerability, pharmacokinetics (PK), pharmacodynamics, and anti-tumor activity of oral single-agent HLD-0915.

The study includes an initial Phase 1 open-label portion to determine the maximum tolerated dose (MTD) and/or recommended dose(s) for expansion (RDEs) of HLD-0915 as monotherapy, followed by Phase 2 expansion cohorts to further evaluate the safety and efficacy of HLD-0915.

Phase 1 is conducted in patients with metastatic castration-resistant prostate cancer (mCRPC) who have progressed following prior systemic therapies. Phase 1 includes Part 1, an open-label monotherapy dose-escalation using a Bayesian optimal interval with backfill (BF-BOIN) design. Phase 1 also includes Part 2 (open-label), which evaluates the relative bioavailability of HLD-0915 formulations.

Phase 2 will evaluate the safety, PK, and anti-tumor activity of HLD-0915 administered at the RDEs. Phase 2, Part 1 will randomize patients and assess dose strengths in patients with mCRPC to support registrational dose selection. Additional Phase 2 open-label expansion cohorts will further evaluate preliminary safety and efficacy in patients with metastatic hormone-sensitive prostate cancer (mHSPC).

Interventions

  • Drug HLD-0915 Hard Capsule
    Experimental: Oral HLD-0915
  • Drug HLD-0915 Tablet
    Experimental: Oral HLD-0915
  • Drug HLD-0915 Soft Capsule
    Experimental: Oral HLD-0915

Primary outcome measures

  • Frequency of dose-limiting toxicities (DLTs) [Time frame: 21 days]
  • Frequency and severity of AEs and abnormal ECG, laboratory and clinical changes since baseline [Time frame: 21 days]
  • Phase 1 Part 2 (formulation exploration) relative bioavailability [Time frame: 22 days]
Secondary outcome measures (6)
  • PK Parameters [Time frame: 21 days]
  • Change in PSA over time [Time frame: 21 days]
  • Objective Response Rate (ORR) [Time frame: 63 days]
  • Duration of Response (DOR) [Time frame: 21 days]
  • Radiographic Progression-Free Survival (rPFS) [Time frame: 63 days]
  • Time to Response (TTR) [Time frame: 63 days]

Eligibility criteria

Patients must meet the following criteria to be eligible study participation:

Inclusion criteria

All Study Arms (Phase 1 Part 1 \& 2, Phase 2 Part 1, Part 2A, 2B, 2C \& 2D):

Males ≥ 18 years old Histological, pathological, and/or cytological confirmation of prostate adenocarcinoma Adequate hematological, renal, and hepatic function. Able to swallow oral medication

mCRPC Arms: (Phase 1 Part 1 \& 2, Phase 2 Part 1): Prior orchiectomy or ongoing androgen-deprivation therapy and a castrate level of serum testosterone Progressive mCRPC defined as having demonstrated PSA progression on the prior regimen

SOAR Arm (Phase 2 Part 2A) mHSPC with distant metastatic disease based on conventional imaging PSA ≥0.2 ng/mL, following treatment with next generation ARPI for at least 180 days and up to 365 days No evidence of radiographic or PSA progression while receiving ARPI

mHSPC arms (Phase 2 Part 2B, 2C \& 2D) serum testosterone >150ng/ml mHSPC with distant metastatic disease based on conventional imaging and PSA >2.0 ng/mL

Exclusion criteria

All arms (Phase 1 Part 1 \& 2, Phase 2 Part 1, Part 2A, 2B, 2C \& 2D):

Has experienced a recent major bleed or has a known bleeding disorder Tumors exhibiting neuroendocrine or small cell carcinoma component by histopathology Receiving continuous corticosteroids at prednisone-equivalent dose of >10 mg/day Prior or ongoing significant medical condition

mCRPC arms: (Phase 1 Part 1 \& 2, Phase 2 Part 1): Has received systemic anti-cancer therapy or investigational drugs within 2 weeks prior to first dose of study drug with certain exceptions requiring longer washout periods

SOAR arm (Phase 2 Part 2A) Has received any prior cytotoxic chemotherapy for prostate cancer

mHSPC arms (Phase 2 Part 2B, 2C \& 2D) regional pelvic lymph node disease only

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Non-randomized
Model
Sequential
Masking
Open label
Primary purpose
Treatment

Study locations

United States · 11 centers
  • Sarah Cannon Research Institute at HealthONE — Denver
  • Yale - New Haven Hospital - Yale Cancer Center — New Haven
  • Florida Cancer Specialists — Sarasota
  • Massachusetts General Hospital — Boston
  • START Midwest, LLC — Grand Rapids
  • Memorial Sloan Kettering Cancer Center — New York
  • Duke University Medical Center — Durham
  • Carolina Urologic Research Center, LLC — Myrtle Beach
  • … and 3 more centers
United Kingdom · 1 center
  • Royal Marsden Hospital — Sutton

Identifiers

NCT: NCT06800313 · HLD-0915-ONC-101

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗