A phase 1 study evaluating the safety, tolerability, pharmacokinetics, and efficacy of prostate specific membrane antigen half-life extended bispecific T-cell engager acapatamab in subjects with metastatic castration-resistant prostate cancer, and to determine the maximum tolerated dose (MTD) or recommended phase 2 dose (RP2D).
This is a phase I, first-in-human study to evaluate the safety and tolerability of acapatamab; a half-life extended (HLE) bispecific T-cell engager (BiTE®) construct, alone and in combination with pembrolizumab, etanercept prophylaxis and cytochrome P450 (CYP) phenotyping cocktail in subjects with metastatic castration-resistant prostate cancer.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
212
Investigational immunotherapy for the treatment of metastatic castration-resistant prostate cancer
Combined with acapatamab for investigational treatment of mCRPC
Prophylaxis for acapatamab-related cytokine release syndrome.
Number of participants with dose-limiting toxicity
Parts 1, 2, 3, 4, 5, and 6 of the study
Time frame: Up to 3 years
Number of participants with treatment-emergent adverse events
Parts 1, 2, 3, 4, 5, and 6 of the study
Time frame: Up to 3 years
Number of participants with treatment-related adverse events
Parts 1, 2, 3, 4, 5, and 6 of the study
Time frame: Up to 3 years
Number of participants with clinically significant changes in vital signs
Parts 1, 2, 3, 4, 5, and 6 of the study
Time frame: Up to 3 years
Number of participants with clinically significant changes in electrocardiogram (ECG)
Parts 1, 2, 3, 4, 5, and 6 of the study
Time frame: Up to 3 years
Number of participants with clinically significant changes in clinical laboratory tests
Parts 1, 2, 3, 4, 5, and 6 of the study
Time frame: Up to 3 years
Maximum serum concentration (Cmax) of acapatamab
Parts 1, 2, 3, 4, 5, and 6 of the study
Time frame: Up to 3 years
Minimum serum concentration (Cmin) of acapatamab
Parts 1, 2, 3, 4, 5, and 6 of the study
Time frame: Up to 3 years
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Evaluate the effect of co-administration of multiple dosing of acapatamab on plasma
El Camino Hospital
Campbell, California, United States
City of Hope National Medical Center
Duarte, California, United States
City of Hope at Long Beach Elm
Long Beach, California, United States
University of California Los Angeles
Los Angeles, California, United States
Emory University
Atlanta, Georgia, United States
Indiana University
Indianapolis, Indiana, United States
University of Iowa Hospitals and Clinics
Iowa City, Iowa, United States
Tulane Medical Center
New Orleans, Louisiana, United States
Washington University
St Louis, Missouri, United States
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, United States
...and 20 more locations
Area under the concentration-time curve (AUC) over the dosing interval of acapatamab
Parts 1, 2, 3, 4, 5, and 6 of the study
Time frame: Up to 3 years
Accumulation ratio of acapatamab
Parts 1, 2, 3, 4, 5, and 6 of the study
Time frame: Up to 3 years
Half-life of acapatamab
Parts 1, 2, 3, 4, 5, and 6 of the study
Time frame: Up to 3 years
Objective response (OR)
Parts 1, 2, 3, 4, 5, and 6 of the study
Time frame: Up to 3 years
Prostate-specific antigen (PSA) response
Parts 1, 2, 3, 4, 5, and 6 of the study
Time frame: Up to 3 years
Duration of response (DOR) (radiographic and PSA)
Parts 1, 2, 3, 4, 5, and 6 of the study
Time frame: Up to 3 years
Percentage of participants experiencing a response based on 68Gallium (68Ga)-prostate-specific membrane antigen (PSMA)-11 positron emission tomography (PET)/computed tomography (CT) response evaluations
Parts 1, 2 and 3 only.
Time frame: Up to 3 years
Percentage of participants experiencing a response based on 18F-fluorodeoxyglucose (FDG) positron emission tomography (PET)/computed tomography (CT) response evaluations
Parts 1, 2 and 3 only.
Time frame: Up to 3 years
Change in time to progression (radiographic and PSA)
Parts 1, 2, 3, 4, 5, and 6 of the study
Time frame: Up to 3 years
Progression-free survival (PFS) (radiographic and PSA)
Parts 1, 2, 3, 4, 5, and 6 of the study.
Time frame: Up to 3 years
1, 2 and 3-year overall survival (OS)
Parts 1, 2, 3, 4, 5, and 6 of the study
Time frame: Up to 3 years
Percentage of participants experiencing circulating tumor cells (CTC) response
Parts 1, 2, 3, 4, 5, and 6 of the study. CTC response defined as CTC0 (reduction of CTCs \> 0 to 0) or CTC conversion (≥ 5 CTCs/7.5 mL blood to ≤ 4 CTCs/7.5 mL blood)
Time frame: Up to 3 years
Other PCWG3-recommended endpoints - time to symptomatic skeletal events
Parts 1, 2, 3, 4, 5, and 6 of the study
Time frame: Up to 3 years
Other PCWG3-recommended endpoints - lactate dehydrogenase [LDH] levels
Parts 1, 2, 3, 4, 5, and 6 of the study
Time frame: Up to 3 years
Other PCWG3-recommended endpoints - hemoglobin levels
Parts 1, 2, 3, 4, 5, and 6 of the study
Time frame: Up to 3 years
Other PCWG3-recommended endpoints - neutrophil-to-lymphocyte ratio
Parts 1, 2, 3, 4, 5, and 6 of the study
Time frame: Up to 3 years
Other PCWG3-recommended endpoints - urine N-telopeptide levels
Parts 1, 2, 3, 4, 5, and 6 of the study
Time frame: Up to 3 years
Other PCWG3-recommended endpoints - alkaline phosphatase [total, bone] levels
Parts 1, 2, 3, 4, 5, and 6 of the study
Time frame: Up to 3 years
Maximum serum concentration (Cmax) of acapatamab when administered with CYP enzymes
Part 6 only.
Time frame: Up to 3 years
Area under the concentration-time curve over a 24-hour period (AUC24) of acapatamab when administered with CYP enzymes
Part 6 only.
Time frame: Up to 3 years
Half-life of acapatamab when administered with CYP enzymes
Part 6 only.
Time frame: Up to 3 years