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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT06555796




Registration number
NCT06555796
Ethics application status
Date submitted
13/08/2024
Date registered
15/08/2024

Titles & IDs
Public title
Evaluation of Xaluritamig in High-Risk, Biochemically Recurrent, Non-metastatic Castrate-sensitive Prostate Cancer
Scientific title
A Phase 1b, Open-label, Multicenter Study Evaluating the Safety, Tolerability, and Efficacy of Xaluritamig in Subjects With High-risk Biochemical Recurrence of Nonmetastatic Castration-sensitive Prostate Cancer After Definitive Therapy
Secondary ID [1] 0 0
20230238
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Prostate Cancer 0 0
High-risk Biochemical Recurrence 0 0
High Risk Biochemical Recurrence of Non-metastatic Castration-sensitive Prostate Cancer 0 0
Non-metastatic Castration-sensitive Prostate Cancer 0 0
Condition category
Condition code
Cancer 0 0 0 0
Prostate
Inflammatory and Immune System 0 0 0 0
Allergies
Other 0 0 0 0
Research that is not of generic health relevance and not applicable to specific health categories listed above

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Xaluritamig

Experimental: Xaluritamig - Xaluritamig will be administered as a short-term intravenous (IV) infusion for a total of 6 cycles. One treatment cycle consists of 28 days.


Treatment: Drugs: Xaluritamig
IV infusion

Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Number of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)
Timepoint [1] 0 0
Up to approximately 2 years
Primary outcome [2] 0 0
Number of Participants Experiencing Treatment-related Adverse Events (TRAEs)
Timepoint [2] 0 0
Up to approximately 2 years
Secondary outcome [1] 0 0
Time to Prostate-specific Antigen (PSA) Progression
Timepoint [1] 0 0
Up to 54 months
Secondary outcome [2] 0 0
Number of Participants With a PSA 50 Response
Timepoint [2] 0 0
Up to approximately 54 months
Secondary outcome [3] 0 0
Number of Participants With a PSA 90 Response
Timepoint [3] 0 0
Up to approximately 54 months
Secondary outcome [4] 0 0
Duration of PSA 50 Response
Timepoint [4] 0 0
Up to approximately 54 months
Secondary outcome [5] 0 0
Duration of PSA 90 Response
Timepoint [5] 0 0
Up to approximately 54 months
Secondary outcome [6] 0 0
Number of Participants With Undetectable PSA
Timepoint [6] 0 0
6, 12, 24, and 36 months
Secondary outcome [7] 0 0
Time to Initiation of Androgen Deprivation Therapy or Androgen Receptor Directed Therapy
Timepoint [7] 0 0
Up to approximately 54 months
Secondary outcome [8] 0 0
Time to First use of new Anticancer Therapy
Timepoint [8] 0 0
Up to approximately 54 months
Secondary outcome [9] 0 0
Time to Metastatic Disease/Progression
Timepoint [9] 0 0
Up to approximately 54 months
Secondary outcome [10] 0 0
Time to Symptomatic Progression
Timepoint [10] 0 0
Up to approximately 54 months
Secondary outcome [11] 0 0
Time to First Symptomatic Skeletal Event
Timepoint [11] 0 0
Up to approximately 54 months
Secondary outcome [12] 0 0
Metastasis-free Survival (MFS)
Timepoint [12] 0 0
12, 24, and 36 months
Secondary outcome [13] 0 0
Number of Participants Completing Xaluritamig Monotherapy Treatment
Timepoint [13] 0 0
Up to approximately 36 months
Secondary outcome [14] 0 0
Maximum Serum Concentration (Cmax) of Xaluritamig
Timepoint [14] 0 0
Up to approximately 19 months
Secondary outcome [15] 0 0
Time to Cmax (Tmax) of Xaluritamig
Timepoint [15] 0 0
Up to approximately 19 months
Secondary outcome [16] 0 0
Area Under the Concentration-time Curve (AUC) Over the Dosing Interval of Xaluritamig
Timepoint [16] 0 0
Up to approximately 19 months
Secondary outcome [17] 0 0
Terminal Half-life (t1/2) of Xaluritamig
Timepoint [17] 0 0
Up to approximately 19 months

Eligibility
Key inclusion criteria
Inclusion Criteria

* Histologically or cytologically confirmed adenocarcinoma of the prostate at initial biopsy, without neuroendocrine differentiation, signet cell, or small cell features.
* Prostate cancer initially treated by radical prostatectomy (RP) or radiotherapy (XRT) (including brachytherapy) or both (eg, salvage radiotherapy), with curative intent.
* PSA doubling time = 12 months.
* Participants must have biochemically recurrent disease after definitive treatment to prostate by either RP or XRT.
* Screening PSA by the local laboratory = 0.2 ng/mL for participants who had RP (with or without XRT) as primary treatment for prostate cancer or at least 2 ng/mL above the nadir (local assessments) for participants who had XRT or brachytherapy only as primary treatment for prostate cancer.
* Serum testosterone = 150 ng/dL (5.2 nmol/L).
* Participants must have undergone a 68Ga-PSMA-11 or a piflufolastat F18 PET scan during or within 3 months of screening.
Minimum age
18 Years
Maximum age
No limit
Sex
Males
Can healthy volunteers participate?
No
Key exclusion criteria
Exclusion Criteria

* Present evidence of metastatic disease in conventional CT scan and/or bone scan
* Participants that present prostate-specific membrane antigen (PSMA)-positive lesions in the 68Ga-PSMA-11 or the piflufolastat F18 positron emission tomography (PET) scan may be enrolled if the conventional imaging does not show suspicion of metastatic disease.
* Prior hormonal therapy, exceptions include:

* Neoadjuvant/adjuvant therapy to treat prostate cancer = 36 months in duration and = 9 months before enrollment, or
* A single dose or a short course (= 6 months) of hormonal therapy given for rising PSA = 9 months before enrollment.
* Prior cytotoxic chemotherapy, aminoglutethimide, ketoconazole, abiraterone acetate, enzalutamide, apalutamide, or darolutamide for prostate cancer.
* Abiraterone acetate, enzalutamide, apalutamide, or darolutamide are allowed if administered in a neoadjuvant/adjuvant setting = 36 months in duration and = 9 months before enrollment.
* Prior systemic biologic therapy, including immunotherapy, for prostate cancer.
* If, in the investigator's opinion, salvage therapy is the preferred intervention.
* Confirmed history or current autoimmune disease or other diseases resulting in permanent immunosuppression or requiring permanent immunosuppressive therapy.
* Participant with symptoms and/or clinical signs and/or radiographic signs that indicate an acute and/or uncontrolled active systemic infection within 7 days prior to the first dose of study treatment.
* Requirement for chronic systemic corticosteroid therapy (prednisone dose > 10 mg/day or equivalent) or any other immunosuppressive therapies (including anti tumor necrosis factor alpha [TNFa] therapies).

Study design
Purpose of the study
Treatment
Allocation to intervention
Not applicable
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Single group
Other design features
Phase
Phase 1
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Recruiting
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
NSW,VIC
Recruitment hospital [1] 0 0
Chris OBrien Lifehouse - Camperdown
Recruitment hospital [2] 0 0
Cabrini Hospital - Malvern
Recruitment hospital [3] 0 0
Peter MacCallum Cancer Centre - Melbourne
Recruitment postcode(s) [1] 0 0
2050 - Camperdown
Recruitment postcode(s) [2] 0 0
3144 - Malvern
Recruitment postcode(s) [3] 0 0
3000 - Melbourne
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Minnesota
Country [2] 0 0
United States of America
State/province [2] 0 0
North Carolina
Country [3] 0 0
United States of America
State/province [3] 0 0
Oregon
Country [4] 0 0
United States of America
State/province [4] 0 0
Texas

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
Amgen
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
MD
Address 0 0
Amgen
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Amgen Call Center
Address 0 0
Country 0 0
Phone 0 0
866-572-6436
Fax 0 0
Email 0 0
Contact person for scientific queries

Data sharing statement


What supporting documents are/will be available?

No Supporting Document Provided



Results publications and other study-related documents

No documents have been uploaded by study researchers.