The purpose of this study is to find out whether talazoparib in combination with enzalutamide or talazoparib alone delays cancer progression in people with metastatic castration-resistant prostate cancer (mCRPC) who have homologous recombination repair (HRR) mutations and have previously received abiraterone acetate or darolutamide
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
126
Talazoparib (0.5 mg PO QD) and enzalutamide (160 mg PO QD) will be administered in continuous 28-day cycles.
Talazoparib (1 mg PO QD) will be administered in continuous 28-day cycles.
City of Hope
Duarte, California, United States
RECRUITINGUCSD Moores Cancer Center
La Jolla, California, United States
RECRUITINGDana Farber Cancer Institute
Boston, Massachusetts, United States
RECRUITINGMasonic Cancer Center
Minneapolis, Minnesota, United States
RECRUITINGMemorial Sloan Kettering Cancer Center
New York, New York, United States
RECRUITINGAbramson Cancer Center of the University of Pennsylvania, Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, United States
RECRUITINGFred Hutchinson Cancer Center
Seattle, Washington, United States
RECRUITINGUniversity of Wisconsin Carbone Cancer Center-Madison
Madison, Wisconsin, United States
RECRUITINGradiographic progression free survival (rPFS)
To compare the efficacy of talazoparib + enzalutamide to talazoparib alone as measured by rPFS as assessed by the Investigator.
Time frame: From treatment initiation until documented disease progression, death, lost to follow-up, withdrawal, administrative censoring at the time of final analysis, assessed at approximately 42 months from the start of enrollment.
Time to PSA50
To compare the efficacy of talazoparib + enzalutamide to talazoparib alone as measured by time to prostate specific antigen (PSA) ≥ 50% decline, summarized using median time-to-event and landmark response rates at 9 and 12 months.
Time frame: Time from treatment initiation until observed PSA50, assessed at approximately 42 months from the start of enrollment.
Time to PSA Progression
To compare the efficacy of talazoparib + enzalutamide to talazoparib alone as measured by time to PSA progression.
Time frame: From treatment initiation until documented PSA progression, assessed at approximately 42 months from the start of enrollment.
Quality of Life (QoL) by Functional Assessment of Cancer Therapy-Prostate (FACT-P)
Overall QoL measured by FACT-P. Scales: FACT-P Total score (range 0-156), FACT-General (G) Total score (range 0-108), FACT-P Trial Outcome Index (TOI) score (range 0-104). The higher the score, the better the QOL.
Time frame: From prior to treatment initiation (screening) until treatment discontinuation, assessed at approximately 42 months from the start of enrollment.
Quality of Life (QoL) by Functional Assessment of Cancer Intervention Therapy-Fatigue Scale (FACIT-Fatigue)
Fatigue measured by FACIT-Fatigue. Scales: FACIT-F Total score (range 0-160), FACT-General (G) Total score (range 0-108), FACIT-F Trial Outcome Index (TOI) score (range 0-108). The higher the score, the better the QOL.
Time frame: From prior to treatment initiation (screening) until treatment discontinuation, assessed at approximately 42 months from the start of enrollment.
Quality of Life (QoL) by Functional Assessment of Cancer Therapy-Cognitive Function (FACT-Cog)
Cognitive function measured by FACT-Cog. Subscales: Perceived Cognitive Impairments (CogPCI) score (range 0-72), Impact of Perceived Cognitive Impairments on Quality of Life (CogQOL) score (range 0-16), Comments from Others (CogOth) score (range 0-16), Perceived Cognitive Abilities (CogPCA) score (range 0-28). The higher the score, the better the QOL.
Time frame: From prior to treatment initiation (screening) until treatment discontinuation, assessed at approximately 42 months from the start of enrollment.
Adverse Events (AE)
Evaluate AE occurrence according to the Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 to confirm safety.
Time frame: From treatment initiation through follow up, up to 12 months from end of treatment, assessed at approximately 42 months from the start of enrollment.
Overall Survival (OS)
To compare the efficacy of talazoparib + enzalutamide to talazoparib alone as measured by OS.
Time frame: From treatment initiation until death, lost to follow-up, withdrawal, administrative censoring at the time of final analysis, assessed at approximately 42 months from the start of enrollment.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.