Evaluation of Neoadjuvant Xaluritamig in Localized Prostate Cancer
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Xaluritamig, GnRH Antagonist.
- Кому может быть актуально
- Состояния в реестре: Prostate Cancer. Базовые параметры: от 18 лет · Мужчины.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- США, Германия
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
A Phase 1b, Open-Label, Multicenter Study Evaluating the Safety, Tolerability, and Feasibility of Neoadjuvant Xaluritamig Therapy Prior to Radical Prostatectomy in Subjects With Newly Diagnosed Localized Intermediate or High-Risk Prostate Cancer
Обзор
The primary objectives of this study are to evaluate the safety and tolerability of xaluritamig administered as monotherapy or in combination with an oral Gonadotropin-releasing Hormone (GnRH) antagonist in the neoadjuvant setting followed by radical prostatectomy, and to evaluate the feasibility and safety of a radical prostatectomy following xaluritamig administered as monotherapy or in combination with an oral GnRH antagonist in the neoadjuvant setting.
Вмешательства
- Препарат Xaluritamig
Intravenous (IV) infusion - Препарат GnRH Antagonist
Oral administration
Первичные конечные точки
- Number of Participants who Experienced Treatment-emergent Adverse Events [Срок оценки: Up to 45 months]
- Number of Participants who Experienced Treatment-related Adverse Events [Срок оценки: Up to 28 months]
- Number of Participants who Received Radical Prostatectomy After Completing Xaluritamig Treatment [Срок оценки: Up to 25 months]
- Number of Participants who Experienced Complications of Radical Prostatectomy According to Clavien-Dindo Classification [Срок оценки: Up to 28 months]
Вторичные конечные точки (12)
- Change in Prostate-specific Antigen (PSA) Levels from Baseline to End of Xaluritamig Treatment [Срок оценки: Up to 25 months]
- Prostate Imaging-Reporting and Data System (PI-RADS) Score [Срок оценки: Up to 25 months]
- Pathological Complete Response (pCR) Following Radical Prostatectomy [Срок оценки: Up to 25 months]
- Minimal Residual Disease (MRD) [Срок оценки: Up to 25 months]
- Number of Participants who Rise to PSA ≥ 0.2 ng/mL Post-radical Prostatectomy [Срок оценки: Up to 45 months]
- Time to PSA Rise ≥ 0.2 ng/mL Post-radical Prostatectomy [Срок оценки: Up to 45 months]
- Undetectable PSA at SFU [Срок оценки: Up to 26 months]
- PSA Progression-free Survival [Срок оценки: Up to 45 months]
- Maximum Serum Concentration (Cmax) of Xaluritamig [Срок оценки: Up to 45 months]
- Time to Maximum Concentration (Tmax) of Xaluritamig [Срок оценки: Up to 45 months]
- Area Under the Concentration Time Curve (AUC) Over the Dosing Interval [Срок оценки: Up to 45 months]
- Accumulation Following Multiple Dosing [Срок оценки: Up to 45 months]
Критерии участия
Критерии включения
Participants are eligible to be included in the study only if all the following criteria apply:
- Participants planned to undergo radical prostatectomy.
- Histologically or cytologically confirmed adenocarcinoma of the prostate at initial biopsy, without neuroendocrine differentiation, signet cell, or small cell features. Intermediate- or high-risk localized prostate cancer, defined as:
- Gleason score of 4+3 or higher AND initial PSA (iPSA) >10 OR
- Clinically advanced (cT3) on Magnetic Resonance Imaging (MRI) obtained within 3 months prior to screening AND/OR
- Positive locoregional lymph nodes as detected by prostate-specific membrane antigen-positron emission tomography (PSMA-PET) scans OR ≤ 5 local lymph nodes on MRI can be enrolled.
- Participants must have undergone a PSMA-PET (CT or MRI) scan within 3 months prior to screening as part of the standard of care (SOC).
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1.
Критерии исключения
Participants are excluded from the study if any of the following criteria apply:
- Prior treatment for participant's prostate cancer.
\- Exception: Participants intended for enrollment in cohort B may have received an oral GnRH antagonist up to 3 months prior to the start of screening.
- Any evidence of metastases outside of the surgical resection field identified by conventional imaging or PSMA-PET scans.
- Confirmed history or current autoimmune disease or other diseases resulting in permanent immunosuppression or requiring permanent immunosuppressive therapy.
- Participants with symptoms and/or clinical signs and/or radiographic signs that indicate an acute and/or uncontrolled active systemic infection within 7 days prior to the first dose of study treatment:
\- Participant has known active infection requiring antibiotic treatment. Upon completion of antibiotics and resolution of symptoms, the participant may be considered eligible for the study from an infection standpoint.
- Recent history of arterial or venous thrombosis (eg, stroke, transient ischemic attack, pulmonary embolism, or deep vein thrombosis) within 6 and 3 months prior to the first dose of study treatment, respectively. Note: Participants with a history of venous thrombosis must be on stable anti-coagulation.
- Myocardial infarction and/or symptomatic congestive heart failure (New York Heart Association ≥ class II) within 12 months of first dose of xaluritamig with the exception of ischemia or non-ST segment elevation myocardial infarction controlled with stent placement more than 6 months prior to first dose of xaluritamig.
- Requirement for chronic systemic corticosteroid therapy unless stopped (with adequate tapering) within 7 days prior to dosing.
- Currently receiving treatment in another investigational device or drug study, or less than 4 weeks (since ending treatment on another investigational device or drug study\[ies\]). Other investigational procedures and participation in observational research studies while participating in this study are excluded with the exception of investigational scans.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Нерандомизированное
- Модель
- Параллельные группы
- Маскирование
- Открытое
- Основная цель
- Лечение
Центры проведения
США · 7 центров
- University of California San Francisco — San Francisco
- Washington University — St Louis
- The Ohio State University — Columbus
- Thomas Jefferson University — Philadelphia
- Carolina Urologic Research Center — Myrtle Beach
- Fred Hutchinson Cancer Center — Seattle
- Medical College of Wisconsin — Milwaukee
Германия · 2 центра
- Universitaetsklinikum Essen — Essen
- Universitaetsklinikum Hamburg Eppendorf — Hamburg
Идентификаторы
NCT: NCT06613100 · 20230237 · 2024-511965-13