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临床试验/NCT02705469
NCT02705469已完成1 期

A Phase 1 Safety and Tolerability Study of ZEN003694 in Patients With Metastatic Castration-Resistant Prostate Cancer

Zenith Epigenetics6 个研究点 分布在 1 个国家目标入组 44 人开始时间: 2016年5月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
已完成
发起方
入组人数
44
试验地点
6
主要终点
For dose escalation only: Incidence of dose-limiting toxicities (DLT)

研究概览

简要总结

This is an open label, Phase 1, dose escalation and dose confirmation study of ZEN003694 in patients with mCRPC.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
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

入选标准

  • Males age ≥ 18 years
  • Metastatic, castrate resistant, histologically confirmed prostate cancer; surgically castrated or continuous medical castration for ≥ 8 weeks prior to screening
  • Serum testosterone < 50 ng/dL determined within 4 weeks of first administration of study drug
  • Prior progression on one or more androgen-receptor/androgen-synthesis inhibitor therapies (e.g. abiraterone, enzalutamide, apalutamide, TAK-700 and/or galeterone) by Prostate Cancer Working Group 2 (PCWG2) criteria. Prior progression on bicalutamide/nilutamide/flutamide/ketoconazole alone is not allowed.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Adequate laboratory parameters [absolute neutrophil (ANC), platelets, aspartate aminotransferase (AST), alanine aminotransferase (ALT), total bilirubin, creatinine and coagulation parameters] at screening

排除标准

  • Any history of brain metastases or prior seizure or conditions predisposing to seizure activity
  • Have previously received an investigational BET inhibitor (including previous participation in this study or Study ZEN003694-002)
  • Have received prior systemic anti-cancer therapy or investigational therapy within 2 weeks or five half-lives, whichever is shorter, prior to the first administration of study drug
  • Failure to recover to Grade 1 or lower toxicity related to prior systemic therapy (excluding alopecia and neuropathy) prior to study entry
  • Radiation therapy within 2 weeks of first administration of study drug
  • Have received prior chemotherapy in the metastatic castration-resistant setting (prior chemotherapy in the hormone-sensitive setting is allowed provided last dose was at least 6 months prior to study entry)
  • Currently receiving medications known to be strong inducers or inhibitors of CYP3A4 with a narrow therapeutic window. Strong inducers and inhibitors of CYP3A4 with narrow therapeutic ranges must be discontinued at least 7 days prior to the first administration of study drug.

研究组 & 干预措施

Dose Escalation and Dose Confirmation - ZEN003694 Single Agent

Experimental

ZEN003694 will be administered orally as a single agent once daily in 28-day cycles, enrolling mCRPC patients.

干预措施: ZEN003694 (Drug)

结局指标

主要结局

For dose escalation only: Incidence of dose-limiting toxicities (DLT)

时间窗: Cycle 1 (Day 1 thru Day 28)

A DLT is a treatment-related, clinically significant adverse event or laboratory abnormality occurring during the first cycle of treatment (Day 1 thru Day 28).

For dose escalation and dose confirmation: Incidence of treatment-related adverse events (AE) and treatment-related serious adverse events (SAE)

时间窗: Up to 24 months

次要结局

  • Evaluate prostate-specific antigen (PSA) response rate by PCWG2 criteria(From screening up to 24 months)
  • Measure the pharmacokinetic (PK) parameter: AUC of ZEN003694(Cycle 1 Day 1: pre-dose, 0.25, 0.5, 1, 2, 4, 6 and 8 hours post-dose; Cycle 1 Day 2: pre-dose; Cycle 1 Day 15: pre-dose, 0.25, 0.5, 1, 2, 4, 6 and 8 hours post-dose; Cycle 2 Day 1: pre-dose)
  • Measure the PK parameter: Cmax of ZEN003694(Cycle 1 Day 1: pre-dose, 0.25, 0.5, 1, 2, 4, 6 and 8 hours post-dose; Cycle 1 Day 2: pre-dose; Cycle 1 Day 15: pre-dose, 0.25, 0.5, 1, 2, 4, 6 and 8 hours post-dose; Cycle 2 Day 1: pre-dose)
  • Measure the PK parameter: Cmin of ZEN003694(Cycle 1 Day 1: pre-dose, 0.25, 0.5, 1, 2, 4, 6 and 8 hours post-dose; Cycle 1 Day 2: pre-dose; Cycle 1 Day 15: pre-dose, 0.25, 0.5, 1, 2, 4, 6 and 8 hours post-dose; Cycle 2 Day 1: pre-dose)
  • Measure the PK parameter: Tmax of ZEN003694(Cycle 1 Day 1: pre-dose, 0.25, 0.5, 1, 2, 4, 6 and 8 hours post-dose; Cycle 1 Day 2: pre-dose; Cycle 1 Day 15: pre-dose, 0.25, 0.5, 1, 2, 4, 6 and 8 hours post-dose; Cycle 2 Day 1: pre-dose)
  • Measure the PK parameter: t1/2 of ZEN003694(Cycle 1 Day 1: pre-dose, 0.25, 0.5, 1, 2, 4, 6 and 8 hours post-dose; Cycle 1 Day 2: pre-dose; Cycle 1 Day 15: pre-dose, 0.25, 0.5, 1, 2, 4, 6 and 8 hours post-dose; Cycle 2 Day 1: pre-dose)
  • Evaluate radiographic response rate by PCWG2 criteria(From screening up to 24 months)
  • Evaluate median progression-free survival by PCWG2 criteria(From screening up to 24 months)
  • Evaluate circulating tumor cell (CTC) response rate during dose confirmation phase only(From screening up to 12 months)

研究者

发起方
Zenith Epigenetics
申办方类型
Industry
责任方
Sponsor

研究点 (6)

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