A Study Evaluating the Safety, Pharmacokinetics, and Activity of RO7656594 In Participants With Advanced or Metastatic Prostate Cancer

Sponsor
Genentech, Inc. (Industry)
Overall Status
Not yet recruiting
CT.gov ID
NCT05800665
Collaborator
(none)
160
2
40.1

Study Details

Study Description

Brief Summary

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics, and preliminary activity of RO7656594 in participants with advanced or metastatic prostate cancer. It will also identify recommended doses and regimens for RO7656594 for subsequent studies.

Condition or Disease Intervention/Treatment Phase
Phase 1

Study Design

Study Type:
Interventional
Anticipated Enrollment :
160 participants
Allocation:
Non-Randomized
Intervention Model:
Sequential Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 1, Open-Label, Multicenter, Dose-Escalation and Expansion Study Evaluating the Safety, Pharmacokinetics, and Activity of RO7656594 in Patients With Advanced or Metastatic Prostate Cancer
Anticipated Study Start Date :
Mar 27, 2023
Anticipated Primary Completion Date :
Jul 30, 2026
Anticipated Study Completion Date :
Jul 30, 2026

Arms and Interventions

Arm Intervention/Treatment
Experimental: Stage 1: Dose Escalation

Participants will receive RO7656594 administered at a specified dose on specific days in each 28-day cycle. The dose will be increased in successive cohorts until a study-specific threshold is reached.

Drug: RO7656594
RO7656594 will be administered orally at specified dose on specified days.
Other Names:
  • GDC-2992
  • Experimental: Stage 2: Expansion

    Participants will receive RO7656594 at or below the maximum tolerated dose (MTD) or maximum administered dose (MAD).

    Drug: RO7656594
    RO7656594 will be administered orally at specified dose on specified days.
    Other Names:
  • GDC-2992
  • Outcome Measures

    Primary Outcome Measures

    1. Percentage of Participants with Adverse Events [From Cycle 1 Day 1 until 28 days after the final dose (Up to approximately 24 months) (1 cycle= 28 days)]

    2. Percentage of Participants Who Experience Dose-limiting Toxicities (DLTs) [Days 1-28 of Cycle 1]

    Secondary Outcome Measures

    1. Plasma Concentration of RO7656594 [Multiple timepoints from Cycle 1 Day 1 up to approximately 12 months (1 cycle= 28 days)]

    2. Area Under Concentration-Time Curve from Time Zero to Infinity (AUC0-inf) of RO7656594 [Multiple timepoints from Cycle 1 Day 1 up to approximately 12 months (1 cycle= 28 days)]

    3. Area Under Concentration-Time Curve From Time Zero to End of the Dosing Interval (AUC0-T) of RO7656594 [Multiple timepoints from Cycle 1 Day 1 up to approximately 12 months (1 cycle= 28 days)]

    4. Maximum Plasma Concentration Observed (Cmax) of RO7656594 [Multiple timepoints from Cycle 1 Day 1 up to approximately 12 months (1 cycle= 28 days)]

    5. Time to Maximum Plasma Concentration Observed (tmax) of RO7656594 [Multiple timepoints from Cycle 1 Day 1 up to approximately 12 months (1 cycle= 28 days)]

    6. Minimum Plasma Concentration Observed (Cmin) of RO7656594 [Multiple timepoints from Cycle 1 Day 1 up to approximately 12 months (1 cycle= 28 days)]

    7. Total Apparent Clearance of RO7656594 [Multiple timepoints from Cycle 1 Day 1 up to approximately 12 months (1 cycle= 28 days)]

    8. Volume of Distribution at Steady State of RO7656594 [Multiple timepoints from Cycle 1 Day 1 up to approximately 12 months (1 cycle= 28 days)]

    9. Half-life of RO7656594 [Multiple timepoints from Cycle 1 Day 1 up to approximately 12 months (1 cycle= 28 days)]

    10. Accumulation Ratio at Steady-State of RO7656594 [Multiple timepoints from Cycle 1 Day 1 up to approximately 12 months (1 cycle= 28 days)]

    11. Prostate-Specific Antigen-30% (PSA30) Response Rate of RO7656594 [From Cycle 1 Day 1 until 28 days after the final dose (Up to approximately 24 months) (1 cycle= 28 days)]

    12. Prostate-Specific Antigen-50% (PSA50) Response Rate of RO7656594 [From Cycle 1 Day 1 until 28 days after the final dose (Up to approximately 24 months) (1 cycle= 28 days)]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    Male
    Accepts Healthy Volunteers:
    No
    Key Inclusion Criteria:
    1. Eastern Cooperative Oncology Group (ECOG) performance status ≤1.

    2. Metastatic prostate adenocarcinoma without small-cell carcinoma or neuroendocrine features.

    3. Prior therapy with ≥1 second-generation androgen receptor (AR)-targeted therapy (e.g., abiraterone, enzalutamide, apalutamide, darolutamide).

    4. Prior therapy with ≥1 taxane regimen or are considered ineligible for treatment with a taxane regimen or have refused treatment with a taxane regimen.

    Key Exclusion Criteria:
    1. Treatment with any approved systemic anti-cancer therapy within 14 days or 5 drug elimination half-lives (whichever is longer, not to exceed 28 days) prior to the first study treatment.

    2. Treatment with any investigational agent within 28 days prior to the first study treatment.

    3. Treatment with any previous AR protein degrader.

    4. Untreated central nervous system (CNS) metastases or leptomeningeal disease.

    Note: Other protocol specified inclusion/exclusion criteria may apply.

    Contacts and Locations

    Locations

    No locations specified.

    Sponsors and Collaborators

    • Genentech, Inc.

    Investigators

    • Study Director: Clinical Trials, Genentech, Inc.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Genentech, Inc.
    ClinicalTrials.gov Identifier:
    NCT05800665
    Other Study ID Numbers:
    • GO44537
    First Posted:
    Apr 5, 2023
    Last Update Posted:
    Apr 5, 2023
    Last Verified:
    Mar 1, 2023
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Genentech, Inc.
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Apr 5, 2023