This phase Ib single-center open-label de-escalation study uses a modified 3+3 design to determine the safety, tolerability, and recommended phase II dose (RP2D) of the combination of standard of care Sip-T and N-803 in patients with metastatic androgen pathway modulation resistant (mAPMR) prostate cancer. Patients will receive treatment for up to 8 weeks.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
30
Sipuleucel-T is a cellular therapeutic vaccine given in 3 complete doses at 2-week intervals intravenously.
N-803 is a biologic that is administered subcutaneously in the abdominal area.
Washington University School of Medicine
St Louis, Missouri, United States
Frequency of dose-limiting toxicities (Cohort 1 only)
As assessed via CTCAE v6.0. Dose limiting toxicities will be evaluated according to protocol.
Time frame: Start of treatment (day 1 dose of Sip-T) through 14 days following the last dose of N-803 (total time up to 44 days)
Recommended Phase II Dose (RP2D) (Cohort 1 only)
RP2D is defined as the highest dose of N-803 that has an overall DLT rate of less than 33% in total of 6 patients.
Time frame: Start of treatment (day 1 dose of Sip-T) through 14 days following the last dose of N-803 for all participants in Cohort 1 (total time up to 44 days)
Number of severe (grade 3+) adverse events measured via CTCAE v6.0
Time frame: Start of treatment through 100 days after last dose of N-803 (total time up to 137 days)
Number and type of adverse events measured via CTCAE v6.0
Time frame: Start of treatment through 100 days after last dose of N-803 (total time up to 137 days)
PSA30 Response
PSA response rate is defined as the proportion of subjects who have PSA response as defined by at least 30% reduction in PSA level from baseline measured twice at least 3 weeks apart. PSA response is measured per PCWG3 criteria.
Time frame: Start of treatment to completion of follow-up (up to 26 months)
PSA50 Response
PSA response rate is defined as the proportion of subjects who have PSA response as defined by at least 50% reduction in PSA level from baseline measured twice at least 3 weeks apart. PSA response is measured per PCWG3 criteria.
Time frame: Start of treatment to completion of follow-up (up to 26 months)
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PSA90 Response
PSA response rate is defined as the proportion of subjects who have PSA response as defined by at least 90% reduction in PSA level from baseline measured twice at least 3 weeks apart. PSA response is measured per PCWG3 criteria.
Time frame: Start of treatment to completion of follow-up (up to 26 months)
Radiographic progression-free survival (PFS)
rPFS is defined as the duration of time from start of treatment to time of radiographic progression by PCWG3 or time of death or last follow-up, the event that occurs first. Patients who have not experienced either event at the time of analysis will be censored at their last radiographic scan date. All radiographic response criteria are assessed per PCWG3 criteria.
Time frame: Start of treatment to date of progression or death or last follow-up (up to 26 months)
Failure-free survival (FFS)
Failure-free survival which is defined from date of treatment start to date of any progression events (radiographic progression, biochemical recurrence, or death, whichever is earlier) or date of last follow-up if experiencing no events
Time frame: Start of treatment to date of any progression events or last follow-up (up to 26 months)
Time to next therapy (TTNT)
Time frame: Through completion of follow-up (up to 26 months)
Overall survival (OS)
Overall survival is defined as the date of treatment start to date of death or date of last follow-up.
Time frame: Start of treatment to death or last follow-up (up to 26 months)