Medicines that reduce the amount of testosterone in the body are commonly used to treat prostate cancer. PRL-02 depot is a potential treatment for men with advanced prostate cancer. It is given by an injection into the muscle. Men with advanced prostate cancer can take part in this study. Their cancer has come back after previous cancer treatment, or the previous cancer treatment they had didn't work. The main aims of the study are: * to check the safety of PRL-02 depot given with and without another medicine called enzalutamide. * to check if the men can tolerate PRL-02 depot given with or without enzalutamide. * to find a suitable dose of PRL-02 depot. This study will be in 2 parts. In the first part, different small groups of men will receive lower to higher doses of PRL-02 depot together with other medicines. In the second part of the study, men who have previously taken a hormone therapy called abiraterone acetate or have previously taken 1 specific hormone therapy as part of their prostate cancer treatment can take part. Men in both parts of the study will receive injections of PRL-02 depot into a muscle once every 12 weeks. They will also take dexamethasone or prednisone, or enzalutamide once a day. The other medicines they take depend on which group and which part of the study they are in. During the study, the men will visit the clinic several times for health checks and scans. After the final visit, men whose cancer has not become worse will continue to have health checks and scans every few months.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
174
abiraterone decanoate for intramuscular injection
Oral dose
Oral dose
Oral capsule
Arizona Urology Specialists
Tucson, Arizona, United States
WITHDRAWNLos Angeles Cancer Network
Anaheim, California, United States
RECRUITINGProvidence Medical Group Oncology Santa Rosa
Santa Rosa, California, United States
RECRUITINGFlorida Urology Partners
Tampa, Florida, United States
Incidence of Dose Limiting Toxicities (DLTs)
A DLT is defined as any event meeting the DLT criteria during the first 28 days of each Dose Escalation treatment regardless of attribution to the study drug unless due to underlying disease or extraneous causes.
Time frame: Up to 28 days
Number of Participants with Adverse Events (AEs)
An AE is defined as any untoward medical occurrence in a patient or clinical investigation patient administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment.
Time frame: Up to 4 years
Number of Participants with Serious Adverse Events (SAEs)
An SAE is defined as any untoward medical occurrence that, at any dose: results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or other medically important events.
Time frame: Up to 4 years
Number of Participants with laboratory value abnormalities and/or AEs
Number of participants with potentially clinically significant laboratory values.
Time frame: Up to 4 years
Number of Participants with electrocardiogram (ECG) abnormalities and/or AEs
Number of participants with potentially clinically significant ECG values.
Time frame: Up to 4 years
Number of Participants with vital sign abnormalities and/or AEs
Number of participants with potentially clinically significant vital sign values.
Time frame: Up to 4 years
Number of Participants with physical exam abnormalities and/or AEs
Number of participants with potentially clinically significant physical exam values or symptoms.
Time frame: Up to 4 years
Number of Participants with Eastern Cooperative Oncology Group (ECOG) performance status score
The ECOG scale will be used to assess performance status. Grades range from 0 (fully active) to 5 (dead). Negative change scores indicate an improvement. Positive scores indicate a decline in performance.
Time frame: Up to 4 years
Testosterone Suppression of Participants as Assessed by Testosterone Levels
Reduction in testosterone will be summarized by group and dose level.
Time frame: Up to 4 years
Pharmacokinetics (PK) of Abiraterone in plasma: Maximum Concentration (Cmax)
Cmax will be recorded from the PK plasma samples collected.
Time frame: Up to 455 days
PK of Abiraterone Decanoate in plasma: Cmax
Cmax will be recorded from the PK plasma samples collected.
Time frame: Up to 455 days
PK of Abiraterone Metabolite in plasma: Cmax
Cmax will be recorded from the PK plasma samples collected.
Time frame: Up to 455 days
PK of Abiraterone in plasma: Minimum Concentration (Cmin)
Cmin will be recorded from the PK plasma samples collected.
Time frame: Up to 455 days
PK of Abiraterone Decanoate in plasma: Cmin
Cmin will be recorded from the PK plasma samples collected.
Time frame: Up to 455 days
PK of Abiraterone Metabolite in plasma: Cmin
Cmin will be recorded from the PK plasma samples collected.
Time frame: Up to 455 days
PK of Abiraterone in plasma: Time of maximum concentration (tmax)
tmax will be recorded from the PK plasma samples collected.
Time frame: Up to 455 days
PK of Abiraterone Decanoate in plasma: tmax
tmax will be recorded from the PK plasma samples collected.
Time frame: Up to 455 days
PK of Abiraterone Metabolite in plasma: tmax
tmax will be recorded from the PK plasma samples collected.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Fort Wayne Medical Oncology and Hematology, Inc.
Fort Wayne, Indiana, United States
WITHDRAWNFirst Urology
Jeffersonville, Indiana, United States
RECRUITINGWichita Urology Group
Wichita, Kansas, United States
RECRUITINGNational Cancer Institute
Bethesda, Maryland, United States
WITHDRAWNChesapeake Urology
Towson, Maryland, United States
RECRUITINGXCancer Center Omaha/Urology Cancer Center
Omaha, Nebraska, United States
COMPLETED...and 15 more locations
Time frame: Up to 455 days
PK of Abiraterone in plasma: apparent volume of distribution (Vd/F)
Vd/F will be recorded from the PK plasma samples collected.
Time frame: Up to 455 days
PK of Abiraterone Decanoate in plasma: Vd/F
Vd/F will be recorded from the PK plasma samples collected.
Time frame: Up to 455 days
PK of Abiraterone Metabolite in plasma: Vd/F
Vd/F will be recorded from the PK plasma samples collected.
Time frame: Up to 455 days
PK of Abiraterone in plasma: oral clearance (CL/F)
CL/F will be recorded from the PK plasma samples collected.
Time frame: Up to 455 days
PK of Abiraterone Decanoate in plasma: CL/F
CL/F will be recorded from the PK plasma samples collected.
Time frame: Up to 455 days
PK of Abiraterone Metabolite in plasma: CL/F
CL/F will be recorded from the PK plasma samples collected.
Time frame: Up to 455 days
PK of Abiraterone in plasma: area under the curve from time 0 to the time of the last measurable concentration (AUClast)
AUClast will be recorded from the PK plasma samples collected.
Time frame: Up to 455 days
PK of Abiraterone Decanoate in plasma: AUClast
AUClast will be recorded from the PK plasma samples collected.
Time frame: Up to 455 days
PK of Abiraterone Metabolite in plasma: AUClast
AUClast will be recorded from the PK plasma samples collected.
Time frame: Up to 455 days
PK of Abiraterone in plasma: Area Under the Concentration-time Curve from the Time of Dosing Extrapolated to Time Infinity (AUCinf)
AUCinf will be recorded from the PK plasma samples collected.
Time frame: Up to 455 days
PK of Abiraterone Decanoate in plasma: AUCinf
AUCinf will be recorded from the PK plasma samples collected.
Time frame: Up to 455 days
PK of Abiraterone Metabolite in plasma: AUCinf
AUCinf will be recorded from the PK plasma samples collected.
Time frame: Up to 455 days
PK of Abiraterone in plasma: area under the plasma concentration-time curve during a dosage interval (AUCtau)
AUCtau will be recorded from the PK plasma samples collected.
Time frame: Up to 455 days
PK of Abiraterone Decanoate in plasma: AUCtau
AUCtau will be recorded from the PK plasma samples collected.
Time frame: Up to 455 days
PK of Abiraterone Metabolite in plasma: AUCtau
AUCtau will be recorded from the PK plasma samples collected.
Time frame: Up to 455 days
PK of Abiraterone in plasma: Terminal Elimination Half-life (t1/2)
t1/2 will be recorded from the PK plasma samples collected.
Time frame: Up to 455 days
PK of Abiraterone Decanoate in plasma: t1/2
t1/2 will be recorded from the PK plasma samples collected.
Time frame: Up to 455 days
PK of Abiraterone Metabolite in plasma: t1/2
t1/2 will be recorded from the PK plasma samples collected.
Time frame: Up to 455 days
Composite Response Rate
Composite responses will be defined as meeting any one of the following criteria: Objective response rate (ORR) by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 with a minimum interval for confirmation of complete response (CR) or partial response (PR) of 4 weeks or; prostate specific antigen (PSA) decline of ≥50% confirmed by a second consecutive PSA assessment at least 3 weeks later, or; Conversion of circulating tumor cell (CTC) count to \<5 cells/7.5 mL blood nadir confirmed by an additional assessment at least 3 weeks later (for participants with a CTC count of ≥5 cells/7.5 mL blood at screening).
Time frame: Up to 4 years
Best overall response (BOR) per RECIST v1.1
Time frame: Up to 4 years
PSA decline of ≥50% response from baseline (PSA50)
Defined as ≥50% decline in PSA from baseline, confirmed by a second consecutive PSA assessment at least 3 weeks later.
Time frame: Up to 4 years
PSA decline of ≥90% response from baseline (PSA90)
Defined as ≥90% decline in PSA from baseline, confirmed by a second consecutive PSA assessment at least 3 weeks later.
Time frame: Up to 4 years
Percentage of participants achieving a PSA level <0.2 ng/mL
Time frame: Up to 4 years
Duration of response (DOR)
DOR is defined as the length of time from date of first documented response using CTC count and/or PSA and/or RECIST v1.1 and Prostate Cancer Working Group 3 (PCWG3) until date of documented progression or death from any cause.
Time frame: Up to 4 years
Radiographic progression-free survival (rPFS)
rPFS is defined as the time from first dose of study drug to documented progression or death using RECIST v1.1 or PCWG3.
Time frame: Up to 4 years
Overall response rate (ORR) using RECIST v1.1
ORR is defined as percentage of patients with measurable disease at baseline who achieved a complete or partial response in their soft tissue disease using the RECIST v1.1 criteria.
Time frame: Up to 4 years
Time to PSA progression
The time from first dose of study drug to documented PSA progression.
Time frame: Up to 4 years
Overall survival (OS)
OS is defined as the time from the first dose of study drug to the date of death due to any cause.
Time frame: Up to 4 years
Time to first symptomatic skeletal-related event (SSRE)
The time from first dose of study drug to first documented symptomatic skeletal-related event: Use of radiation therapy to prevent or relieve skeletal symptoms, occurrence of new symptomatic pathologic bone fractures (vertebral or nonvertebral) with radiologic documentation, occurrence of spinal cord compression with radiologic documentation, orthopedic surgical intervention for bone metastasis
Time frame: Up to 4 years