The purpose of the study is to evaluate the safety and efficacy of talazoparib in combination with enzalutamide compared with placebo in combination with enzalutamide in participants with DDR-deficient mCSPC.
The study will have 5 periods: prescreening, screening, double-blind treatment, safety follow-up, and long-term follow-up. Approximately 550 men with mCSPC will be randomized. Eligible participants will be randomly assigned to either of 2 treatment groups as follows: * Talazoparib in combination with enzalutamide. * Placebo capsules identical in appearance to talazoparib capsules in combination with enzalutamide. Talazoparib or identical placebo treatment will be blinded. Enzalutamide (160 mg/day) will be open label. The dose of talazoparib/placebo to be given in combination with enzalutamide is 0.5 mg once daily. Participants with moderate renal impairment (eGFR 30-59 mL/min/1.73 m2 by the MDRD equation) at screening may be enrolled and the talazoparib/placebo dose will be 0.35 mg once daily.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
599
experimental arm
Active comparator arm
radiological Progression-Free Survival
time from the date of randomization to first objective evidence of radiographic progression or death, whichever occurs first
Time frame: randomization up to 3 years
Overall Survival
time from randomization to death from any cause
Time frame: randomization up to 4 years
Objective response in measurable soft tissue disease
proportion of patients with measurable soft tissue disease at baseline with objective response per RECIST 1.1
Time frame: randomization up to 3 years
Duration of response in measurable soft tissue disease
duration of responses in patients with measurable soft tissue disease at baseline per RECIST 1.1
Time frame: randomization up to 3 years
Prostate Specific Antigen (PSA) response
proportion of patients with PSA response grater than or equal to 50%
Time frame: randomization up to 3 years
Time to PSA progression
time from baseline to PSA progression
Time frame: randomization up to 3 years
Time to initiation of antineoplastic therapy
Time from randomization to initiation of antineoplastic therapy
Time frame: randomization up to 3 years
Time to first symptomatic skeletal event
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
University of Alabama at Birmingham
Birmingham, Alabama, United States
University of Alabama at Birmingham
Birmingham, Alabama, United States
Arizona Institute of Urology, PLLC
Tucson, Arizona, United States
Beverly Hills Cancer Center
Beverly Hills, California, United States
Adventist Health Glendale
Glendale, California, United States
VA Long Beach Healthcare System
Long Beach, California, United States
Yale-New Haven Hospital
New Haven, Connecticut, United States
MedStar Georgetown University Hospital
Washington D.C., District of Columbia, United States
Washington Cancer Institute at MedStar Washington Hospital Center
Washington D.C., District of Columbia, United States
AdventHealth
Orlando, Florida, United States
...and 301 more locations
time from randomization to first symptomatic skeletal event (symptomatic fractures, spinal cord compression, surgery or radiation to the bone whichever is first)
Time frame: randomization up to 3 years
Opiate use for prostate cancer pain
time from randomization to opiate use for prostate cancer pain
Time frame: randomization up to 3 years
Incidence of adverse events
AEs and SAEs incidence by type and severity (graded by NCI CTCAE version 4.03)
Time frame: randomization up to 3 years
Pharmacokinetic assessment of talazoparib
plasma concentrations of talazoparib
Time frame: Weeks 5, 9, 13, and 17
Pharmacokinetic assessment of enzalutamide and its metabolite
plasma concentrations of enzalutamide and its metabolite
Time frame: Weeks 5, 9, 13, and 17
Relationship between ctDNA burden and outcome
ctDNA burden at baseline and on study
Time frame: randomization up to 3 years
Patient-reported outcomes in pain symptoms - change from baseline
change from baseline in patient-reported pain symptoms per Brief Pain Inventory Short Form (BPI-SF)
Time frame: randomization up to 3 years
Patient-reported outcomes in pain symptoms - time to deterioration
time to deterioration in patient-reported pain symptoms per Brief Pain Inventory Short Form (BPI-SF)
Time frame: randomization up to 3 years
Patient-reported outcomes in cancer specific general health status - change from baseline
change from baseline in participant-reported general health status per EQ-5D-5L
Time frame: randomization up to 3 years
Patient-reported outcomes in cancer specific global health status/QoL - change from baseline
change from baseline in patient-reported Global health status/QoL per EORTC QLQ-C30
Time frame: randomization up to 3 years
Patient-reported outcomes in cancer specific global health status/QoL - time to definitive deterioration
time to definitive deterioration in patient-reported global health status/QoL per EORTC QLQ-C30
Time frame: randomization up to 3 years
Patient-reported outcomes in cancer specific symptoms - time to definitive deterioration
time to definitive deterioration in disease specific urinary symptoms per EORTC QLQ-PR25
Time frame: randomization up to 3 years
Patient-reported outcome: cancer specific functioning, and symptoms - change from baseline
change from baseline in PGI-S
Time frame: randomization up to 3 years