RECRUITING

Study of Apalutamide With Carotuximab in Metastatic, Castration-Resistant Prostate Cancer

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

This is an open-label, multi-site study of apalutamide with carotuximab in patients who have progressed on androgen receptor signaling inhibitor (ARSI) therapy. This study will begin with a safety assessment in the first 10 subjects (part 1: Safety Lead-in). If the combination is deemed safe, the trial will proceed to the Phase II stage. The purpose of this study is to compare progression free survival (PFS) between patients receiving apalutamide and apalutamide + carotuximab using Response Evaluation Criteria in Solid Tumors (RECIST 1.1) and Prostate Cancer Working Group 3. The secondary objectives are to describe adverse events related to the intervention, overall response rate (ORR), proportion of patients resistant to apalutamide that benefit from the addition of carotuximab, and to determine the ORR, radiographic PFS, and biochemical PFS in the overall population.

Official Title

Phase II Study of Apalutamide With Carotuximab in Metastatic, Castration-Resistant Prostate Cancer

Quick Facts

Study Start:2023-12-27
Study Completion:2027-01
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT05534646

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:MALE
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * History of castration-resistant prostate cancer with rising PSA (prostate-specific antigen) on a contemporary ARSI (Androgen receptor (AR) signaling inhibitor: abiraterone, enzalutamide, darolutamide). Bicalutamide, nilutamide, and flutamide will not be considered as contemporary ARSIs
  2. * Patient must have had 1 and can have up to 2 prior AR targeted therapy with the exception of apalutamide.
  3. * Patients must decline or be ineligible for taxane therapy in the opinion of the treating physician.
  4. * All patients must agree to use an adequate method of contraception, in the opinion of the treating investigator, while on protocol treatment and for 3 months after the last dose of protocol treatment (apalutamide and/or carotuximab)
  1. * Non-PSA producing prostate cancers such as small cell prostate cancers or those prostate cancers which exhibit radiographic progression without PSA rise
  2. * Prior use of apalutamide
  3. * Other prior malignancy requiring active anticancer therapy
  4. * Prior exposure to carotuximab or any CD105 targeted antibody
  5. * Active bleeding or pathologic medical conditions that carries a high bleeding risk
  6. * A known diagnosis of Osler-Weber-Rendu syndrome

Contacts and Locations

Study Contact

Clinical Trial Recruitment Navigator
CONTACT
3104232133
cancer.trial.info@cshs.org

Principal Investigator

Edwin Posadas, MD FACP
PRINCIPAL_INVESTIGATOR
Cedars-Sinai Medical Center

Study Locations (Sites)

City of Hope
Duarte, California, 91010
United States
Cedars-Sinai Medical Center
Los Angeles, California, 90048
United States
Huntsman Cancer Institute and Hospital
Salt Lake City, Utah, 84112
United States

Collaborators and Investigators

Sponsor: Edwin Posadas, MD

  • Edwin Posadas, MD FACP, PRINCIPAL_INVESTIGATOR, Cedars-Sinai Medical Center

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2023-12-27
Study Completion Date2027-01

Study Record Updates

Study Start Date2023-12-27
Study Completion Date2027-01

Terms related to this study

Keywords Provided by Researchers

  • Prostate cancer
  • Castration-resistant
  • CRPC

Additional Relevant MeSH Terms

  • Castration-resistant Prostate Cancer