The primary objectives of this study are the following: Phase 1b: To identify a safe dose level of AMG 102, up to 15 mg/kg Q3W, to combine with mitoxantrone and prednisone (MP) Phase 2: To estimate with adequate precision the effect of the addition of AMG 102 to MP, compared with placebo plus MP, as assessed by the hazard ratio (HR) for overall survival (OS) of previously treated subjects with castrate-resistant prostate cancer (CRPC)
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
162
Investigational product to be given at safe dose from phase 1b, will be administered by IV Q3W.
Investigational product to be given at 15mg/kg, 7.5mg/kg, or 5mg/kg depending on assignment, will be administered by IV Q3W.
Administered Q3W for a maximum of 12 cyles
Placebo
5 mg orally BID
Phase 1b - Incidence of adverse events defined by dose-limiting toxicities
Time frame: 21 days after the 6th subjects has recieved 1st cycle of AMG 102 in combination with MP
Phase 2 - Overall survival
Time frame: Entire Study
Phase 1b - Incidence of adverse events, abnormal laboratory values not defined as dose limiting toxicities
Time frame: Treatment Period
Phase 1b - Incidence of anti-AMG 102 antibody formation
Time frame: Entire Study
Phase 1b - Cmax and Cmin of AMG 102 concentration
Time frame: Treatment Period
Phase 2 - Progression-free survival
Time frame: Entire Study
Phase 2 - Maximum percentage reduction in PSA level
Time frame: Entire Study
Phase 2 - PSA response rate (≥50% reduction in PSA values from baseline)
Time frame: Entire Study
Phase 2 - Objective response rate (CR and PR per RECIST with modifications)
Time frame: Entire Study
Phase 2 - Patient Report Outcome including pain-specific measures
Time frame: Treatment Period
Phase 2 - Incidence of adverse events and significant laboratory value changes from baseline
Time frame: Treatment Period
Phase 2 - Incidence of anti-AMG 102 antibody formation
Time frame: Entire Study
Phase 2 - Cmax and Cmin of AMG 102; Cmax and AUC for Mitoxantrone
Time frame: Treatment Period
Phase 2 - Percentage change in PSA levels from baseline to 12 weeks (or earlier for those who discontinue therapy)
Time frame: Treatment Period
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