Safety, Tolerability and Pharmacokinetics of ONC1-0013B in Patients With Progressive Metastatic Castration-resistant Prostate Cancer
Study Details
Study Description
Brief Summary
This is a PhaseI, open-label study, Dose-Escalation Study, where tolerated doses will be escalated to the next doses with the safety, tolerability, and PK being evaluated in metastatic castration-resistant prostate cancer (mCRPC) patients. Tumor assessment and PSA values will be evaluated during the study as an additional point.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 1 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: ONC1-0013B 40 mg ONC1-0013B 40 mg per os daily |
Drug: ONC1-0013B
ONC1-0013B per os daily
|
Experimental: ONC1-0013B 80 mg ONC1-0013B 80 mg per os daily |
Drug: ONC1-0013B
ONC1-0013B per os daily
|
Experimental: ONC1-0013B 160 mg ONC1-0013B 160 mg per os daily |
Drug: ONC1-0013B
ONC1-0013B per os daily
|
Experimental: ONC1-0013B 320 mg ONC1-0013B 320 mg per os daily |
Drug: ONC1-0013B
ONC1-0013B per os daily
|
Outcome Measures
Primary Outcome Measures
- DLT within 4 weeks of ONC1-0013B administration (safety and tolerability) [4 weeks and during the study up to 76 weeks]
Incidence rate and severity of adverse events, changes in laboratory tests
Secondary Outcome Measures
- Peak Plasma Concentration (Cmax) [28 days]
PK analysis of ONC1-0013B after single and multiple dosage
- Area under the plasma concentration versus time curve (AUC) [28 days]
PK analysis of ONC1-0013B after single and multiple dosage
- Elimination half-life (T1/2) [28 days]
PK analysis of ONC1-0013B after single and multiple dosage
- Time-to-peak concentration (tmax) [28 days]
PK analysis of ONC1-0013B after single and multiple dosage
- Steady-State Concentration (Css) [28 days]
PK analysis of ONC1-0013B after single and multiple dosage
- Tumor response [12 weeks and during the study up to 76 weeks]
RECIST 1.1 criteria and the change of the PSA level
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Men aged 18 years and older.
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Histologically confirmed diagnosis of prostate cancer
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Castrate level of testosterone in blood serum < 1,7 nmol/l or < 50 ng/dl
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PSA level at screening > 2 ng/ml
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Progression of metastatic CRPC after the chemical castration with gonadotropin-releasing hormone (GnRH) analogue or after the chemical castration and subsequent chemotherapy.
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The patient's ECOG performance status of 0 - 2
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Patients previously treated with docetaxel chemotherapy should have received 2 or less prior lines of chemotherapy for mCRPC
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The expected survival time of not less than 12 weeks
Exclusion Criteria:
- Prior anticancer therapy:
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Treatment with chemotherapeutic agents or radiotherapy within 4 weeks prior to screening or preserved toxicities of ≥ II grade according to CTCAE scale, related to prior anticancer therapy (excluding alopecia)
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Prior antiandrogen therapy: flutamide within 4 weeks prior to screening or bicalutamide within 6 weeks prior to screening
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Exposure to bisphosphonates is allowed only if the treatment started prior to screening
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Clinically significant cardiovascular system diseases:
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Clinically significant central nervous system diseases:
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History of other significant concomitant diseases which, in the Investigator's opinion, may cause a disease recurrence (i.e. uncontrolled diabetes mellitus)
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Prior or concomitant therapy:
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Exposure to drugs which may cause a convulsive state within 4 weeks prior to screening
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Exposure to treatment with characteristics of CYP3A4 or CYP2D6 inhibitors within 4 weeks prior to screening
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Exposure to treatment relating to the Class I risk of QT-interval prolongation; exposure to treatment relating to the Class II risk of QT-interval prolongation is allowed if the patient have received not less than 5 half-life periods of flat-dosed treatment
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Research Institute of Urology and Interventional Radiology n.a. N.A. Lopatkin (branch of FSBI NMRRC of the Ministry of Health of the Russian Federation) | Moscow | Russian Federation | 105426 | |
2 | Medical Radiological Research Center n.a. A.F. Tsyb (branch of FSBI NMRRC of the Ministry of Health of the Russian Federation) | Obninsk | Russian Federation | 249036 |
Sponsors and Collaborators
- Avionco LLC
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- ONC-ONC10013B-01