A Phase 1b Study Evaluating the Safety, Tolerability, Pharmacokinetics and Efficacy of Delta-like Protein 3 Half-life Extended Bispecific T-cell Engager AMG 757 in Subjects With De Novo or Treatment Emergent Neuroendocrine Prostate Cancer
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 发起方
- Amgen
- 入组人数
- 41
- 试验地点
- 21
- 主要终点
- Number of Participants Who Experienced One or More Treatment-emergent Adverse Events (TEAEs)
研究概览
简要总结
To evaluate the safety and tolerability of Tarlatamab and will determine the maximum tolerated dose (MTD) or recommended phase 2 dose (RP2D).
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- 未提供
研究组 & 干预措施
Part 1: Dose Exploration
The maximum tolerated dose (MTD) will be estimated using isotonic regression (Ji et al, 2010). The recommended phase 2 dose (RP2D) may be identified based on emerging safety data prior to reaching an MTD.
干预措施: Tarlatamab (Drug)
Part 2: Dose Expansion
Participants will receive the RP2D/MTD identified in Part 1 (dose exploration) of the study.
干预措施: Tarlatamab (Drug)
结局指标
主要结局
Number of Participants Who Experienced One or More Treatment-emergent Adverse Events (TEAEs)
时间窗: Up to approximately 3 years
An adverse event (AE) was defined as any untoward medical occurrence in a clinical study participant irrespective of a causal relationship with the study treatment. A TEAE was defined as an AE starting on or after the first dose of tarlatamab, and up to and including 47 days after the last dose of tarlatamab excluding the events reported after End of Study date. Clinically significant changes from baseline in vital signs, 12-lead electrocardiograms (ECGs) and clinical laboratory tests were also reported as TEAEs.
Number of Participants Who Experienced One or More Treatment-related Adverse Events (TRAE)
时间窗: Up to approximately 3 years
A TRAE was defined as a TEAE that per investigator review had a reasonable possibility of being caused by tarlatamab. Clinically significant changes from baseline in vital signs, 12-lead ECGs and clinical laboratory tests were also reported as TEAEs.
Number of Participants Who Experienced Dose Limiting Toxicities (DLTs)
时间窗: Up to 28 days
A DLT was defined as any qualifying toxicity that was at least possibly related to tarlatamab with an onset within the first 28 days following first dose with either of the following criteria: 1. Grade 3 adverse event lasting more than 3 days (with the exception of fatigue and Grade 3 non-febrile neutropenia that improved to ≤ Grade 1 within 3 weeks including the use of growth factor support per neutropenia management guidelines); 2. ≥ Grade 4 adverse event regardless of duration (with the exception of grade 4 non-febrile neutropenia lasting less than or equal to 7 days including the use of growth factor support per neutropenia management guidelines).
次要结局
- Objective Response Rate (ORR)(Up to approximately 3 years)
- Duration of Response (DOR)(Up to approximately 3 years)
- Radiographic Progression-free Survival (PFS)(Up to approximately 3 years)
- Overall Survival (OS)(Up to approximately 3 years)
- Disease Control Rate (DCR)(Up to approximately 3 years)
- Maximum Serum Concentration (Cmax) of Tarlatamab(Cycle 2 Day 1 and Day 15: Predose, end of infusion (EOI), 2, 6, 24, 48, 96 and 168 hours after EOI)
- Tarlatamab Concentration at the End of a Dosing Interval or Before Planned Next Dose (Ctrough)(Cycle 2 Day 15: Predose)
- Area Under the Concentration-time Curve Over the Dosing Interval From Time 0 to 336 Hours (AUC336) of Tarlatamab(Cycle 2 Day 1 and Day 15: Predose, EOI, 2, 6, 24, 48, 96, 168, and 336 hours after EOI)
- Terminal Phase Elimination Half-life (t1/2,z) of Tarlatamab(Cycle 2 Day 15: Predose, EOI, 2, 6, 24, 48, 96 and 168 hours after EOI)
