Phase I Open-label Single- and Multiple-ascending Dose Study to Evaluate the Safety, Tolerability and Pharmacokinetics of ONC1-0013B in Patients With Progressive Metastatic Castration-resistant Prostate Cancer (mCRPC)
Overview
- Phase
- Phase 1
- Intervention
- ONC1-0013B
- Conditions
- Metastatic Castration-Resistant Prostate Cancer (mCRPC)
- Sponsor
- Avionco LLC
- Enrollment
- 17
- Locations
- 2
- Primary Endpoint
- DLT within 4 weeks of ONC1-0013B administration (safety and tolerability)
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
This is a PhaseI, open-label study, Dose-Escalation Study, where tolerated doses will be escalated to the next doses with the safety, tolerability, and PK being evaluated in metastatic castration-resistant prostate cancer (mCRPC) patients. Tumor assessment and PSA values will be evaluated during the study as an additional point.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Men aged 18 years and older.
- •Histologically confirmed diagnosis of prostate cancer
- •Castrate level of testosterone in blood serum \< 1,7 nmol/l or \< 50 ng/dl
- •PSA level at screening \> 2 ng/ml
- •Progression of metastatic CRPC after the chemical castration with gonadotropin-releasing hormone (GnRH) analogue or after the chemical castration and subsequent chemotherapy.
- •The patient's ECOG performance status of 0 - 2
- •Patients previously treated with docetaxel chemotherapy should have received 2 or less prior lines of chemotherapy for mCRPC
- •The expected survival time of not less than 12 weeks
Exclusion Criteria
- •Prior anticancer therapy:
- •Treatment with chemotherapeutic agents or radiotherapy within 4 weeks prior to screening or preserved toxicities of ≥ II grade according to CTCAE scale, related to prior anticancer therapy (excluding alopecia)
- •Prior antiandrogen therapy: flutamide within 4 weeks prior to screening or bicalutamide within 6 weeks prior to screening
- •Exposure to bisphosphonates is allowed only if the treatment started prior to screening
- •Clinically significant cardiovascular system diseases:
- •Clinically significant central nervous system diseases:
- •History of other significant concomitant diseases which, in the Investigator's opinion, may cause a disease recurrence (i.e. uncontrolled diabetes mellitus)
- •Prior or concomitant therapy:
- •Exposure to drugs which may cause a convulsive state within 4 weeks prior to screening
- •Exposure to treatment with characteristics of CYP3A4 or CYP2D6 inhibitors within 4 weeks prior to screening
Arms & Interventions
ONC1-0013B 320 mg
ONC1-0013B 320 mg per os daily
Intervention: ONC1-0013B
ONC1-0013B 40 mg
ONC1-0013B 40 mg per os daily
Intervention: ONC1-0013B
ONC1-0013B 80 mg
ONC1-0013B 80 mg per os daily
Intervention: ONC1-0013B
ONC1-0013B 160 mg
ONC1-0013B 160 mg per os daily
Intervention: ONC1-0013B
Outcomes
Primary Outcomes
DLT within 4 weeks of ONC1-0013B administration (safety and tolerability)
Time Frame: 4 weeks and during the study up to 76 weeks
Incidence rate and severity of adverse events, changes in laboratory tests
Secondary Outcomes
- Area under the plasma concentration versus time curve (AUC)(28 days)
- Elimination half-life (T1/2)(28 days)
- Time-to-peak concentration (tmax)(28 days)
- Tumor response(12 weeks and during the study up to 76 weeks)
- Peak Plasma Concentration (Cmax)(28 days)
- Steady-State Concentration (Css)(28 days)