The study will be conducted in 4 parts and will commence with dose escalation of VIR-5500 as a monotherapy (Part 1), followed by combination escalation (Part 3a), monotherapy dose expansion (Part 2) and combination dose expansion (Part 4a). * Part 1 (Monotherapy Dose Escalation): Single-agent VIR-5500 dose escalation * Part 2 (Monotherapy Dose Expansion): Single-agent VIR-5500 dose expansion * Part 3 (Combination Dose Escalation): VIR-5500 plus another therapeutic agent dose escalation o Part 3a (Combination Dose Escalation): VIR-5500 in combination with an androgen receptor signaling inhibitor (ARSI) (enzalutamide or darolutamide) * Part 4 (Combination Dose Expansion): VIR-5500 plus another therapeutic agent dose expansion o Part 4a (Combination Dose Expansion): VIR-5500 in combination with an ARSI (enzalutamide or darolutamide)
Duration of the study up to approximately 48 months.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
390
Pharmaceutical form: Solution for infusion Route of administration: Intravenous (IV) infusion
Oral administration
Oral administration
Investigational Site Number: 100
Melbourne, Australia
RECRUITINGInvestigational Site Number: 101
Sydney, Australia
RECRUITINGInvestigational Site Number: 251
Barcelona, Spain
WITHDRAWNInvestigational Site Number: 250
Barcelona, Spain
RECRUITINGInvestigational Site Number: 254
Madrid, Spain
RECRUITINGInvestigational Site Number: 252
Madrid, Spain
RECRUITINGInvestigational Site Number: 253
Pamplona, Spain
RECRUITINGInvestigational Site Number: 300
London, United Kingdom
RECRUITINGPart 1 and 3a: Number of participants with treatment-emergent Adverse Events (AEs)
Incidence and severity of AEs according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE)
Time frame: from the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months
Part 1 and 3a: Incidence of Dose Limiting Toxicities (DLTs)
Incidence and nature of DLTs according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE)
Time frame: from the Cycle 1(each cycle is 21 days), Day 1 up to Day 21
Part 2 and 4a: Prostate-Specific Antigen (PSA) response rate
Time frame: from the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months
Part 2 and 4a: Objective Response Rate (ORR)
Time frame: from the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months
Part 2 and 4a: Number of participants with Adverse Events (AEs)
Time frame: from the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months
Part 1 and 3a: PSA response rate
Time frame: from the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months
Part 1 and 3a: Objective Response Rate (ORR)
Time frame: from the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months
All parts: Duration of response (DoR)
Time frame: from the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months
All parts: Progression Free Survival PFS
Time frame: from the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months
All parts: Assessment of PK parameters: Cmax
Time frame: from the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months
All parts: Assessment of PK parameters: AUC
Time frame: from the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months
All parts: Assessment of PK parameters: Tmax
Time frame: from the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months
All parts: Incidence of baseline anti-drug antibodies (ADAs) to VIR-5500
Time frame: from the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months
All parts: Incidence of treatment emergent anti-drug antibodies (ADAs) to VIR-5500
Time frame: from the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months
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