Phase 1/2 Study of HLD-0915 in Patients With Metastatic Castration Resistant Prostate Cancer (mCRPC)
Summary
Assessment of the safety and efficacy of HLD-0915 as monotherapy in patients with metastatic castration resistant prostate cancer (mCRPC) that have progressed on prior systemic therapies, once a recommended dose for expansion (RDE) has been determined in Phase 1 of the trial.
Detailed description
This is a Phase 1/2, open-label study of the safety, tolerability, pharmacokinetics (PK), pharmacodynamics, and anti-tumor activity of oral single-agent HLD-0915. Patients on the study must continue androgen deprivation therapy (ADT) unless surgically castrated, The study will include an initial Phase 1 portion to determine the maximum tolerated dose (MTD) and/or recommended dose(s) for expansion (RDEs) of HLD-0915 as monotherapy and Phase 2 expansion cohorts to further evaluate the efficacy and safety of HLD-0915. Phase 1 of this study is an open-label, dose-escalation and cohort expansion study in patients with mCRPC that have progressed after prior systemic therapies. Patients will be enrolled in monotherapy dose-escalation cohorts using a Bayesian optimal interval with backfill (BF-BOIN) design. Patients are treated in cohort size of 3 with the enrollment staggered between cohorts. Phase 2 of this study will evaluate the anti-tumor activity of HLD-0915 administered at the RDEs in patients with mCRPC. Phase 2 study design and patient population will be based on the outcomes of Phase 1 of the trial.
Arms & interventions
- DrugHLD-0915
A treatment cycle consists of 21 days. Treatment may continue until disease progression or study discontinuation (withdrawal of consent, intercurrent illness, unacceptable adverse event or any other changes unacceptable for further treatment, etc.)
Outcome measures
Primary
Phase 1: Frequency of dose-limiting toxicities (DLTs)
Time frame: 21 days
Phase 1: Frequency and severity of AEs and serious adverse events (SAEs), including abnormal clinical observations, abnormal ECG parameters, abnormal laboratory assessments and abnormal vital signs changed from baseline
Time frame: 21 days
Secondary
Phase 1: Plasma concentrations of HLD-0915 as a function of time post-dosing
Time frame: 21 days
Phase 1: Plasma PK Parameters (Cmax)
Time frame: 21 days
Phase 1: Plasma PK Parameters (Tmax)
Time frame: 21 days
Phase 1: Plasma PK Parameters (T1/2)
Time frame: 21 days
Phase 1: Plasma PK Parameters (AUC0-inf)
Time frame: 21 days
Phase 1: The proportion of pts with a confirmed prostate-specific antigen (PSA) decline ≥30%, ≥50%, and ≥90%
Time frame: 21 days
Phase 1: Objective response rate (ORR) per RECIST in evaluable patients
Time frame: 21 days
Phase 1: Duration of response (DOR)
Time frame: 21 days
Phase 1: Radiographic progression-free survival (rPFS)
Time frame: 21 days
Phase 1: Time to response (TTR)
Time frame: 21 days
Phase 1: Change in PSA over time
Time frame: 21 days
Eligibility criteria
Study locations (10)
Sarah Cannon Research Institute at HealthONE
Denver, Colorado, 80218
Yale - New Haven Hospital - Yale Cancer Center
New Haven, Connecticut, 06520
Florida Cancer Specialists
Sarasota, Florida, 34232
Massachusetts General Hospital
Boston, Massachusetts, 02114
START Midwest, LLC
Grand Rapids, Michigan, 49546
Evelyn H. Lauder Breast and Imaging Center (BAIC)
New York, New York, 10065
Carolina Urologic Research Center, LLC
Myrtle Beach, South Carolina, 29572
SCRI Oncology Partners
Nashville, Tennessee, 37203
NEXT Austin
Austin, Texas, 78758
The University of Texas M.D. Anderson Cancer Center
Houston, Texas, 77030