Prostate Cancer Clinical Trial
A Study of Niraparib Combination Therapies for the Treatment of Metastatic Castration-Resistant Prostate Cancer
Summary
The purpose of this study is to: a) establish the recommended phase 2 dose (RP2D) and to evaluate the antitumor activity and safety of niraparib combination therapies (Combinations 1 and 2) and b) to determine the relative bioavailability of niraparib and abiraterone acetate (AA) in combination (Combination 3) in participants with metastatic castration-resistant prostate cancer (mCRPC).
Full Description
This multicenter study will evaluate safety and efficacy of niraparib in combination with other anti-cancer agents. Combination 1 will combine niraparib with the anti-programmed cell death protein (PD)-1 monoclonal antibody cetrelimab, in participants with mCRPC. Combination 1 has 2 parts: in Part 1 (dose selection), participants will be enrolled to establish RP2D doses of niraparib and cetrelimab; and Part 2 (dose expansion) will evaluate the combination therapy in an expanded number of participants into 2 cohorts (biomarker positive or biomarker negative). Combination 2 will combine niraparib with abiraterone acetate plus prednisone (AA-P) in mCRPC participants with DNA-repair gene defects (DRD). Combination 3 will evaluate the relative bioavailability (BA) of niraparib and AA in combination. In a pharmacokinetics (PK) assessment phase, niraparib and AA will be administered, and in an extension phase, niraparib and AA-P will be administered. Combinations 1 and 2 will have 5 phases: A Pre-screening Phase, a Screening Phase, a Treatment Phase, a Follow-up Phase, and a Long-term Extension (LTE) Phase; Combination 3 has 3 phases: A Screening Phase, A PK Assessment Phase, an Extension Phase (including LTE phase). Study evaluations will include efficacy, PK, PK/pharmacodynamics, biomarkers, safety and tolerability.
Eligibility Criteria
Inclusion Criteria for Combination 3:
Diagnosed with mCRPC, who in the opinion of the investigator may benefit from treatment in Combination 3 of this study
Able to continue gonadotropin releasing hormone analogue (GnRHa) therapy during the study if not surgically castrate (that is, subjects who has not undergone bilateral orchiectomy).
Eastern Cooperative Oncology Group Performance Status (ECOG PS) of less than or equal to (<=) 1
Toxicity associated with prior chemotherapy or radiotherapy has resolved to Grade <= 1 (except alopecia or Grade <= 2 neuropathy) at screening
Participant must agree not to donate sperm while on study treatment, and for 3 months following the last dose of study treatment
Exclusion Criteria:
History or current diagnosis of myelodysplastic syndrome (MDS)/acute myeloid leukemia (AML)
Active malignancies (that is, progressing or requiring treatment change in the last 24 months) other than the disease being treated under study. The only allowed exceptions are: non-muscle invasive bladder cancer; skin cancer (non-melanoma or melanoma); breast cancer; malignancy that is considered cured with minimal risk of recurrence
Active infection requiring systemic therapy
Allergies, hypersensitivity, or intolerance to niraparib or the corresponding excipients
Combination 3:
Symptomatic brain metastases
Prior disease progression during combination treatment with AA and poly (adenosine diphosphate [ADP]-ribose) polymerase inhibitor (PARPi). Prior discontinuation of treatment with AA or PARPi due to AA- or PARPi-related toxicity
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There are 50 Locations for this study
Tucson Arizona, 85741, United States
Denver Colorado, 80211, United States
Jacksonville Florida, 32224, United States
Jeffersonville Indiana, 47130, United States
Towson Maryland, 21204, United States
Troy Michigan, 48084, United States
Albany New York, 12208, United States
Harrison New York, 10604, United States
New York New York, 10065, United States
Philadelphia Pennsylvania, 19107, United States
Pittsburgh Pennsylvania, 15232, United States
Charleston South Carolina, 29425, United States
Myrtle Beach South Carolina, 29572, United States
Nashville Tennessee, 37209, United States
Houston Texas, 77027, United States
Houston Texas, 77030, United States
Salt Lake City Utah, 84106, United States
Virginia Beach Virginia, 23462, United States
Madison Wisconsin, 53792, United States
Aalst , 9300, Belgium
Antwerpen , 2020, Belgium
Brussels , 1070, Belgium
Gent , 9000, Belgium
Kortrijk , 8500, Belgium
Liege , B-400, Belgium
Calgary Alberta, T2V 1, Canada
Vancouver British Columbia, V5Z4E, Canada
Toronto Ontario, M5G 2, Canada
Montreal Quebec, H2X 0, Canada
Beer Yaakov , 60930, Israel
Beer-Sheva , 85101, Israel
Haifa , 31096, Israel
Petach Tikva , 49100, Israel
Ramat Gan , 52621, Israel
Firenze , 50134, Italy
Lecce , 73100, Italy
Macerata , 62100, Italy
Milano , 20162, Italy
Napoli , 80131, Italy
Barcelona , 08025, Spain
Barcelona , 8035, Spain
Madrid , 28006, Spain
Madrid , 28040, Spain
Madrid , 28050, Spain
Malaga , 29010, Spain
Bath , BA1 3, United Kingdom
London , WC1E , United Kingdom
Southampton , SO16 , United Kingdom
Sutton , SM2 5, United Kingdom
Truro , TR1 3, United Kingdom
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