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临床试验/EUCTR2010-023382-22-NL
EUCTR2010-023382-22-NL进行中(未招募)不适用

Phase I/II, multi-center, open label study to assess the safety, tolerability, pharmacokinetics, pharmacodynamics and anti-tumor activity of ASP9521 in patients with metastatic castrate-resistant prostate cancer - PHASE I/II STUDY OF ASP9521 IN CRPC PATIENTS

Astellas Pharma Europe B.V. (APEB)0 个研究点目标入组 186 人开始时间: 2011年7月11日最近更新:
适应症

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
入组人数
186

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
Male

入选标准

  • A patient is eligible for the study if all of the following apply:
  • 1.Institutional Review Board (IRB) / Independent Ethics Committee (IEC) approved written informed consent and privacy language as per national regulations must be obtained from the patient or legally authorized representative prior to any study-related procedures.
  • 2.Male aged 18 years or older. Female sexual partners of male participants in the study must be non-fertile, i.e., surgically sterilized or must practice an adequate contraceptive method to prevent pregnancies. Adequate contraceptive methods are defined as: sexual abstinence from the day of partner’s dosing until 3 months after the last dose; the use of a condom in addition to having their partner use another acceptable method (oral or injectable hormonal contraceptives, contraceptive patch, intra-uterine devices, vaginal hormonal rings, or sterilization by surgery, a vaginal diaphragm or cervical caps) during the study and for up to 3 months after the last dose; patient’s sexual partner is of non-child bearing potential i.e., post-menopausal, surgically sterilized (e.g., tubal ligation), or hysterectomy in medical history.
  • 3.Histologically confirmed adenocarcinoma of the prostate without neuroendocrine differentiation or small cell features.
  • 4.Metastatic disease documented by 2 or more bone lesions on bone scan or by soft tissue disease observed by CT/MRI.
  • 5.Ongoing androgen deprivation with LHRH agonist/antagonist therapy or bilateral orchiectomy. For patients who have not had an orchiectomy, there must be a plan to maintain effective LHRH agonist/antagonist therapy for the duration of the study.
  • 6.Serum testosterone <1.7 nmol/L (50 ng/dL) at screening.
  • 7.Patients receiving bisphosphonates or other approved bone targeting therapy must have been on stable doses for at least 4 weeks prior to screening.
  • 8.Progressive disease at study entry defined as one or more of the following 3 criteria occurring in the setting of castrate levels of testosterone:
  • ?PSA progression defined by a minimum of 2 rising PSA levels with an interval of >1 week between each determination. The PSA value at screening should be >2 ng/mL.
  • ?Soft tissue disease progression defined by Response Evaluation Criteria in Solid Tumors (RECIST). Measurable disease is not required for entry. Lymph nodes >20 mm are considered measurable disease.
  • ?Bone disease progression defined by at least 2 new lesions on bone scan.
  • 9.Life expectancy of >6 months according to the investigator’s judgment.
  • The following inclusion criteria must be fulfilled by chemotherapy-naïve patients:
  • 10.Eastern Cooperative Oncology Group (ECOG) scores of 0 to 1.
  • 11.Asymptomatic or controlled symptomatic patients with metastatic CRPC who have failed one or more lines of hormonal treatment/androgen deprivation therapy but have not received chemotherapy or have refused chemotherapy.
  • 12.No prior chemotherapy for prostate cancer.
  • 13.Anti-androgen withdrawal patients receiving an anti androgen as part of primary androgen ablation must demonstrate disease progression following discontinuation of anti-androgen (>4 weeks since last flutamide dose or >6 weeks since last bicalutamide or nilutamide dose).
  • The following inclusion criteria must be fulfilled by post chemotherapy patients:
  • 14.ECOG scores of 0 to 2.
  • 15.No more than 2 prior regimens of chemotherapy for prostate cancer, of which one is docetaxel-based to have been received at least 4 weeks prior

排除标准

  • Patients will be excluded from participation in the study if any of the following apply:
  • 1.Concomitant treatment with the following is prohibited according to stratification as chemotherapy-naïve or post-chemotherapy patients:
  • ?Chemotherapy-naïve patients:
  • ?All chemotherapeutic agents.
  • ?All biologic agents (except for sipuleucel T [Provenge®]), or other agents with anti-tumor activity against prostate cancer, including 5 alpha reductase inhibitors, androgens (e.g., testosterone), cytoproterone acetate and all other progestational agents, estrogens, and flutamide within 4 weeks prior to day of first dose of ASP9521.
  • ?Bicalutamide or nilutamide within 6 weeks prior to day of first dose of ASP9521.
  • ?Treatment with estramustine.
  • ?Ketoconazole for treatment of prostate cancer.
  • ?Treatment with abiraterone.
  • ?Post-chemotherapy patients:
  • ?All biologic agents (except for sipuleucel T [Provenge®]), or other agents with anti-tumor activity against prostate cancer, including 5 alpha reductase inhibitors, androgens (e.g., testosterone), progestational agents, estrogens, flutamide within 4 weeks prior to day of first dose of ASP9521.
  • ?Bicalutamide or nilutamide within 6 weeks prior to day of first dose of ASP9521.
  • ?Ketoconazole for treatment of prostate cancer.
  • ?Treatment with abiraterone.
  • 2.Use of herbal products that may have hormonal anti prostate cancer activity and/or are known to decrease PSA levels or Prednisolone > 10 mg (or an equivalent) for the treatment of prostate cancer within 4 weeks of day of first dose of ASP9521, or plans to initiate the above within the study period.
  • 3.Radiation therapy for treatment of the prostate within 3 months prior to screening.
  • 4.Radiation therapy for the treatment of metastases within 3 weeks (if single fraction of radiotherapy then within 2 weeks) and radionuclide therapy for the treatment of metastases within 4 weeks prior to screening.
  • 5.Major surgery within 2 months prior to screening.
  • 6.Known or suspected intracerebral disease or brain metastasis.
  • 7.History of another malignancy within the previous 5 years other than curatively treated non-melanomatous skin cancer.
  • 8.Gastrointestinal disorder affecting absorption (e.g., gastrectomy or active peptic ulcer disease).
  • 9.Any of the following significant ophthalmological abnormalities:
  • a.Abnormal intraocular pressure (IOP).
  • b.Abnormal fundus, like age-related macular degeneration (AMD) or other retinal damage
  • 10.Significant cardiovascular disease including:
  • ?Myocardial infarction within 6 months prior to screening.
  • ?Uncontrolled angina within 3 months prior to screening.
  • ?Congestive heart failure New York Heart Association (NYHA) class 3 or 4, or patients with a history of congestive heart failure NYHA class 3 or 4 in the past, unless a screening echocardiogram or multigated acquisition scan (MUGA) performed within 3 months results in a left ventricular ejection fraction that is =45%.
  • ?History of clinically significant ventricular arrhythmias (e.g., ventricular tachycardia, ventricular fibrillation, torsades de pointes).
  • ?History of Mobitz II second degree or third degree heart block without a permanent pacemaker in place.
  • ?Uncontrolled hypertension as indicated by a resting systolic blood pressure (BP) >170 mmHg or diastolic BP >105 mmHg at screening.
  • 11.Concurrent disease or any clinically significant abnormality following the investigator’s review of the pre-study physical examination, 12-lead

研究者

发起方
Astellas Pharma Europe B.V. (APEB)

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