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A Study to Compare the Efficacy and Safety of BMS-986365 Versus the Investigator's Choice of Therapy in Participants With Metastatic Castration-resistant Prostate Cancer

Phase 3
Recruiting
Conditions
Metastatic Castration-resistant Prostate Cancer
Interventions
Registration Number
NCT06764485
Lead Sponsor
Celgene
Brief Summary

The purpose of this study is to compare the efficacy and safety of BMS-986365 versus the investigator's choice of therapy in participants with Metastatic Castration-resistant Prostate Cancer.

Detailed Description

The primary objective of this clinical trial is to assess the radiographic progression free survival (rPFS) of BMS-986365 versus investigator's choice comprising Docetaxel + Prednisone/Prednisolone or Abiraterone + Prednisone/Prednisolone or Enzalutamide.

In Part 1, participants will be randomized 1:1:1 to one of the two BMS-986365 dose levels, or to the active comparator arm (investigator's choice). In Part 2 of the study, participants will be randomized 1:1 between BMS-986365 selected dose, or to the active comparator arm (investigator's choice).

Recruitment & Eligibility

Status
RECRUITING
Sex
Male
Target Recruitment
960
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Part 1: Dose 2BMS-986365-
Part 1: Comparator 1EnzalutamideEnzalutamide or Abiraterone Acetate + Prednisone/Prednisolone
Part 1: Comparator 1AbirateroneEnzalutamide or Abiraterone Acetate + Prednisone/Prednisolone
Part 1: Comparator 1Predinsone/PrednisoloneEnzalutamide or Abiraterone Acetate + Prednisone/Prednisolone
Part 1: Comparator 2Docetaxel-
Part 1: Comparator 2Predinsone/Prednisolone-
Part 2: Comparator 1EnzalutamideEnzalutamide or Abiraterone Acetate + Prednisone/Prednisolone
Part 2: Comparator 1AbirateroneEnzalutamide or Abiraterone Acetate + Prednisone/Prednisolone
Part 2: Comparator 1Predinsone/PrednisoloneEnzalutamide or Abiraterone Acetate + Prednisone/Prednisolone
Part 2: Comparator 2Docetaxel-
Part 2: Comparator 2Predinsone/Prednisolone-
Part 1: Dose 1BMS-986365-
Part 2: Dose SelectedBMS-986365-
Primary Outcome Measures
NameTimeMethod
Radiographic progression-free survival (rPFS) by blinded independent central review (BICR) using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 (soft tissue) and Prostate Cancer Clinical Trials Working Group 3 (PCWG3) (bone) criteriaUp to 4 years
Secondary Outcome Measures
NameTimeMethod
Overall Survival (OS)Up to 4 years
Recommended dose of BMS-986365 for Part 2Up to approximately 1.5 years
Progression-free survival (PFS)Up to 4 years
Confirmed overall response rate (ORR) by BICR assessment in participants with measurable disease using RECIST 1.1 (soft tissue) and PCWG3 (bone) criteriaUp to 4 years
Time to pain progression (TTPP)Up to 4 years
Time to symptomatic progression (TTSP)Up to 4 years
Time to initiation of the first subsequent systemic therapy (TFST)Up to 4 years
Prostate-specific antigen (PSA) response rateUp to 4 years
Change from baseline in Functional Assessment of Cancer Therapy - Prostate Cancer (FACT-P) total scoresUp to 4 years
Change from baseline in Prostate Cancer Subscale (PCS) scoresUp to 4 years
Change from baseline in trial outcome index (TOI)Up to 4 years
Change from baseline in Brief Pain Inventory - Short Form (BPI-SF) worst pain (item #3) intensityUp to 4 years
Incidence of adverse events (AEs)Up to 4 years
Incidence of serious adverse events (SAEs)Up to 4 years
Incidence of AEs leading to dose modificationsUp to 4 years
Incidence of AEs leading to interruptionsUp to 4 years
Incidence of AEs leading to discontinuationUp to 4 years
Electrocardiogram (ECG) findingsUp to 4 years

ECG Findings defined as :

* Number of Postbaseline Abnormal Corrected QT (QTc) Values

* Number of abnormal Beats Per Minute (BPM)

Incidence of laboratory abnormalitiesUp to 4 years

Trial Locations

Locations (247)

Local Institution - 0330

🇺🇸

Birmingham, Alabama, United States

Local Institution - 0329

🇺🇸

Gilbert, Arizona, United States

Los Angeles Cancer Network (LACN)

🇺🇸

Anaheim, California, United States

Moores Cancer Center

🇺🇸

La Jolla, California, United States

Cancer and Blood Specialty Clinic

🇺🇸

Los Alamitos, California, United States

Local Institution - 0364

🇺🇸

Los Angeles, California, United States

Local Institution - 0016

🇺🇸

San Francisco, California, United States

Local Institution - 0411

🇺🇸

San Francisco, California, United States

Local Institution - 0238

🇺🇸

Aurora, Colorado, United States

Rocky Mountain Cancer Centers, LLP

🇺🇸

Denver, Colorado, United States

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Local Institution - 0330
🇺🇸Birmingham, Alabama, United States
Site 0330
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