MedPath

A 2 Part, Phase 2 Trial of Galeterone in the Treatment of Castration Resistant Prostate Cancer

Phase 2
Terminated
Conditions
Prostate Cancer
Interventions
Registration Number
NCT01709734
Lead Sponsor
LTN PHARMACEUTICALS, INC.
Brief Summary

A Phase 2, 2 part trial to evaluate the safety and efficacy of galeterone in castration resistant prostate cancer (CRPC) patients.

Detailed Description

This trial will be split into two parts. The purpose of Part 1 will be to confirm dose and target patient population and Part 2 will be expansion of the dose and patient population selected in Part 1. For eligible patients, there will be an optional extension dosing following the completion of Part 1 or Part 2 of the trial.

Obtaining of informed consent and screening may be performed up to 28 days prior to enrollment. Each patient will be able to receive his specified regimen for 3 consecutive cycles. Each cycle consists of 28 days (approximately 1 mo.). End of Cycle 3 visit assessments will be used to determine outcome and dosing may continue up to an additional 2 weeks until the results of all assessments are obtained. Eligible patients may continue treatment in an optional extension period following the completion of the primary parts of this trial.

Recruitment & Eligibility

Status
TERMINATED
Sex
Male
Target Recruitment
126
Inclusion Criteria
  1. Histologically or cytologically confirmed adenocarcinoma of the prostate
  2. Ongoing androgen blockade demonstrated by serum testosterone concentration of less than 50 ng/dL
  3. Demonstration of progression while on androgen blockade
  4. Eastern Cooperative Oncology Group (ECOG) Performance Status <2
Exclusion Criteria
  1. Depending upon patient prior treatment the following apply:

    • Prior treatment with CYP17 inhibitors or AR antagonists (e.g. abiraterone, TAK-700, ARN-509, ketoconazole*, enzalutamide, or galeterone) - Treatment naรฏve only
    • Prior treatment with CYP17 inhibitors (e.g. TAK-700, ketoconazole*) or AR antagonists (e.g. enzalutamide, ARN-509,) or galeterone - abiraterone refractory only
    • Prior treatment with CYP17 inhibitors (e.g. abiraterone, TAK-700, ketoconazole*) or AR antagonists (e.g. ARN -509) or galeterone - enzalutamide refractory only
  2. Prior chemotherapy (unless allowed for some study arms)

  3. Treatment with non-steroidal oral antiandrogens within 4 weeks of enrollment

  4. Prior use of any chronic systemic glucocorticoids .

  5. Prior radiation therapy within 3 weeks and radionuclide therapy within 8 weeks of enrollment

  6. Prior treatment with Alpharadinยฎ (Xofigoยฎ)

  7. Treatment with anti arrhythmia therapy for ventricular arrhythmia < 4 weeks prior to enrollment

  8. Treatment with Coumadinยฎ or other anti-coagulant therapy (except aspirin) < 4 weeks prior to enrollment

  9. Severe systemic diseases or active uncontrolled illnesses.

  10. Abnormal heart function

  11. Liver metastases

  12. Brain metastases (unless stable disease >3 mos. by scan without additional CNS-directed therapy)

  13. The patient has known allergy to any of the treatment components

  14. Any physical or mental condition or social situation that in the opinion of the Investigator may interfere with the patient's ability to comply with the trial procedures

  15. History of excessive alcohol consumption

  16. Use of any substance known to cause AME

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Dose ExpansiongaleteroneSingle dose expansion (from part 1) of galeterone tablets once daily PO for three months + extension
Dose ConfirmationgaleteroneDose A - galeterone tablets once daily PO for three months + extension Dose B - galeterone tablets once daily PO for three months + extension Dose C - galeterone tablets once daily PO for three months + extension
Primary Outcome Measures
NameTimeMethod
Confirmation of recommended dose and patient population for Part 2 of the study.3 months

Confirmation of recommended dose and patient population for Part 2 of the study.

Assessment of efficacy by means of PSA response.3 months

Assessment of efficacy by means of PSA response.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (23)

UCLA David Geffen School of Medicine

๐Ÿ‡บ๐Ÿ‡ธ

Los Angeles, California, United States

University of Maryland

๐Ÿ‡บ๐Ÿ‡ธ

Baltimore, Maryland, United States

AAHS Research Institute

๐Ÿ‡บ๐Ÿ‡ธ

Annapolis, Maryland, United States

Tulane Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

New Orleans, Louisiana, United States

Dana Farber Cancer Institute

๐Ÿ‡บ๐Ÿ‡ธ

Boston, Massachusetts, United States

Mount Sinai

๐Ÿ‡บ๐Ÿ‡ธ

New York, New York, United States

Sidney Kimmel Johns Hopkins

๐Ÿ‡บ๐Ÿ‡ธ

Baltimore, Maryland, United States

Karmanos Cancer Institute

๐Ÿ‡บ๐Ÿ‡ธ

Detroit, Michigan, United States

Urology Cancer Center and GU Research Network

๐Ÿ‡บ๐Ÿ‡ธ

Omaha, Nebraska, United States

Premier Urology Associates, LLC

๐Ÿ‡บ๐Ÿ‡ธ

Lawrenceville, New Jersey, United States

Urology Clinics of North Texas

๐Ÿ‡บ๐Ÿ‡ธ

Dallas, Texas, United States

Carolina Urologic Research Center

๐Ÿ‡บ๐Ÿ‡ธ

Myrtle Beach, South Carolina, United States

San Bernardino Urological Associates

๐Ÿ‡บ๐Ÿ‡ธ

San Bernardino, California, United States

Raton Regional Hospital, Lynn Cancer Institute

๐Ÿ‡บ๐Ÿ‡ธ

Boca Raton, Florida, United States

Beth Israel Deaconess Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Boston, Massachusetts, United States

Coastal Urology Associates

๐Ÿ‡บ๐Ÿ‡ธ

Brick, New Jersey, United States

Roswell Park Center Institute

๐Ÿ‡บ๐Ÿ‡ธ

Buffalo, New York, United States

Carolina Clinical Trials

๐Ÿ‡บ๐Ÿ‡ธ

Concord, North Carolina, United States

Greenville Hospital System University Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Greenville, South Carolina, United States

BC Cancer Agency

๐Ÿ‡จ๐Ÿ‡ฆ

Vancouver, British Columbia, Canada

University of Washington/Seattle Cancer Care Alliance

๐Ÿ‡บ๐Ÿ‡ธ

Seattle, Washington, United States

Sunnybrook Health Sciences Centre

๐Ÿ‡จ๐Ÿ‡ฆ

Toronto, Ontario, Canada

Massachusetts General Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Boston, Massachusetts, United States

ยฉ Copyright 2025. All Rights Reserved by MedPath