This study will be conducted in three parts. Part A is a dose-escalation study to determine two safe and tolerable doses of ASN001 for men with metastatic castration resistant prostate cancer. Part A will also characterize the pharmacokinetics and pharmacodynamics of the ASN001 through blood sampling. Subjects in Part B will receive one of two doses identified in Part A to determine which one is more effective, and collect additional pharmacokinetic data. Part C is an extension for subjects completing either Part A or B.
Parts A and B will include a screening period (up to 28 days) and a 12-week treatment period. A subject with no serious adverse drug reactions and who is expected to benefit from continued treatment in the opinion of the investigator will have the opportunity to participate in the long-term extension (Part C). If the subject is not a candidate for or chooses not to participate in the long-term extension (Part C), a post-treatment period of 4 weeks will commence that concludes with an end-of-study visit. Subjects participating in only Part A or Part B will have approximately 9 study site visits over 18 weeks. Part C will include monthly visits to the study site for 9 months. Thereafter, visits will occur every 3 months. A subject with stable disease or response may continue ASN001 treatment with the approval of the investigator; treatment can continue until a subject experiences an intolerable adverse event (AE) or disease progression, withdraws consent or until termination of the study by the sponsor. At the end of treatment, a post-treatment period of 4 weeks will commence that concludes with an end-of-study visit. Part B of the study will not be completed as enrollment was halted after Part A (Phase 1)
Study Type
INTERVENTIONAL
Purpose
TREATMENT
Masking
NONE
Enrollment
27
Androgen inhibitor
UCLA Medical Center, Clark Urology Center
Los Angeles, California, United States
Karmanos Cancer Institute
Detroit, Michigan, United States
Cleveland Clinic Foundation
Cleveland, Ohio, United States
Abramson Cancer Center, Hospital of the Univ. of Pennsylvania
Philadelphia, Pennsylvania, United States
South Texas Accelerated Research Therapeutics
San Antonio, Texas, United States
University of Virginia Cancer Center
Charlottesville, Virginia, United States
Determine the maximum tolerated dose (MTD) of ASN001
The MTD will be determined by evaluating the number of subjects with treatment related dose limiting toxicity.
Time frame: First 28 days
Calculate the pharmacokinetic profile of ASN001
Pharmacokinetic Parameters
Time frame: First 29 days
Change in tumor size by CT, MRI or bone scan
measure of efficacy
Time frame: 12 weeks
Change in ECOG performance status (score 0 to 5) from baseline as assessed by the investigator
Measure of efficacy
Time frame: 12 weeks
Time on treatment
Measure of safety, tolerability and preliminary efficacy
Time frame: 52 weeks
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