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Идёт набор NCT06613100

Evaluation of Neoadjuvant Xaluritamig in Localized Prostate Cancer

Фаза I С лечением 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 →
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

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗