This is a phase 1 study to assess the safety and tolerability of ARX517 as monotherapy or combination therapy in adult subjects with metastatic prostate cancer (mPC).
This is a first-in-human (FIH), Phase 1, multicenter, open-label, dose-escalation and dose-expansion study to evaluate the safety, PK, pharmacodynamic (PDy), and preliminary anti-tumor activity of ARX517 alone, or in combination with androgen receptor pathway inhibitors (ARPIs), in adult subjects with metastatic prostate cancer .
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
183
ARX517 is an ADC consisting of a humanized anti-PSMA monoclonal antibody (mAb) (IgG1κ) covalently conjugated to two (2) proprietary microtubule-disrupting toxins referred to as AS269.
Oral tablet and will be given once daily by mouth.
Oral tablet and will be given once daily by mouth.
UC San Diego Moores Cancer Center
La Jolla, California, United States
RECRUITINGUniversity of California, Los Angeles School of Medicine
Los Angeles, California, United States
Assess incidence of adverse events
Incidence and severity of adverse events or serious adverse events of ARX517 alone or in combination with ARPIs will be assessed to determine the safety and tolerability of the treatment using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events version 5 (CTCAE).
Time frame: 1.5 Years
Area under the serum concentration-time curve (AUC) for ARX517 alone or in combination with ARPIs
Pharmacokinetic parameter area under the serum concentration-time curve (AUC) will be analyzed through different analytes such as ADC, total antibody, and pAF-AS269
Time frame: 3 Year
Maximum serum concentration (Cmax) for ARX517 alone or in combination with ARPIs
Pharmacokinetic parameter maximum serum concentration (Cmax) will be analyzed through different analytes such as, ADC, total antibody, and pAF-AS269
Time frame: 3 Year
Trough concentration (Ctrough) for ARX517 alone or in combination with ARPIs
Pharmacokinetic parameter trough concentration (Ctrough) will be analyzed through different analytes such as, ADC, total antibody, and pAF-AS269
Time frame: 3 Year
Incidence of ADA against ARX517 alone or in combination with ARPIs
To assess the incidence of anti-drug antibodies (ADA) against ARX517 at selected timepoints
Time frame: 3 year
Overall survival (OS)
Overall survival (OS) is defined as the time from first dose of study therapy to the date of death (any cause). Subjects who are alive will be censored at the last known time that the subject was alive.
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Oral tablet and will be given once daily in metastatic castration-sensitive prostate cancer( mCSPC) and twice daily in metastatic castration-resistant prostate cancer (mCRPC) cohort by mouth.
UCSF Medical Center at Mission Bay
San Francisco, California, United States
RECRUITINGWinship Cancer Institute of Emory University
Atlanta, Georgia, United States
RECRUITINGIndiana University Melvin and Bren Simon Cancer Center
Indianapolis, Indiana, United States
RECRUITINGUniversity of Michigan Comprehensive Cancer Center
Ann Arbor, Michigan, United States
RECRUITINGWashington University St. Louis School Medicine Siteman Cancer Center
St Louis, Missouri, United States
RECRUITINGGU Research Network
Omaha, Nebraska, United States
COMPLETEDWeill Cornell Medical College
New York, New York, United States
RECRUITINGUniversity Hospitals Cleveland Medical Center
Cleveland, Ohio, United States
RECRUITING...and 2 more locations
Time frame: 3 year
Assess changes in serum prostate specific antigen (PSA) levels
Proportion of subjects who show a confirmed reduction of 30%, 50%,and 90% from baseline in serum prostate specific antigen (PSA) levels (PSA30, PSA50, PSA 90)
Time frame: 3 year
Progression-free survival (PFS)
PFS is defined as the time between date of first dose of study therapy and date of progression or death, whichever occurs first, will be computed for response evaluable subjects. Subjects will be censored at time of subsequent therapy
Time frame: 3 year