Study of Sipuleucel-T With or Without Continuing New Hormonal Agents in Metastatic Prostate Cancer

Trial Title: Study of Sipuleucel-T With or Without Continuing New Hormonal Agents in Metastatic Prostate Cancer

NCT ID: NCT05751941

Condition: Prostate Cancer
Metastatic Prostate Cancer

Conditions: Official terms:
Prostatic Neoplasms

Conditions: Keywords:
PSA Progression

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Abiraterone
Description: 1000 mg of Abiraterone will be given orally daily plus prednisone 5-10 mg daily
Arm group label: Sipuleucel-T with NHA

Intervention type: Drug
Intervention name: Enzalutamide
Description: 160 mg of Enzalutamide will be given orally daily ending at week 4
Arm group label: Sipuleucel-T with NHA

Other name: Xtandi

Intervention type: Drug
Intervention name: Apalutamide
Description: 240 mg of Apalutamide will be given orally daily ending at week 4
Arm group label: Sipuleucel-T with NHA

Intervention type: Drug
Intervention name: Sipuleucel-T
Description: Sipuleucel-T is considered standard of care and will be infused into the participant three times at approximately 2-week intervals starting week 0, 2 and 4.
Arm group label: Sipuleucel-T with NHA
Arm group label: Sipuleucel-T without NHA

Other name: Provenge

Summary: This study is designed to test the hypothesis that using Sipuleucel-T (Provenge) in combination with new hormonal agents (NHA) (abiraterone, enzalutamide, apalutamide) for the treatment of participants with asymptomatic metastatic castration resistant prostate cancer (mCRPC) and no visceral metastases would enhance the activation of antigen presenting cells (APC) by sipuleucel-T.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Asymptomatic or minimally symptomatic metastatic prostate cancer, and the diagnosis of prostate cancer needs to be histologically confirmed by biopsy of the prostate or a metastatic lesion - On combined ADT with LHRH analog and a NHA (enzalutamide, apalutamide or abiraterone) for metastatic prostate cancer with PSA progression, but no imaging progression based on the prostate cancer working group (PCWG) 3 criteria - Age 18 or above - ECOG performance status 0 or 1 - Participants must have adequate organ and marrow function as defined below: - Absolute neutrophil count ≥1,000/mcL - Platelets ≥100,000/mcL - Hemoglobin > 10 g/dl - AST(SGOT)/ALT(SGPT) ≤3 × institutional ULN - Creatinine 1.5 ≤ institutional ULN - Human immunodeficiency virus (HIV)-infected participants on effective anti-retroviral therapy with undetectable viral load within 6 months are eligible for this trial. - For participants with evidence of chronic hepatitis B virus (HBV) infection, the HBV viral load must be undetectable on suppressive therapy, if indicated - Participants with a history of hepatitis C virus (HCV) infection must have been treated and cured. For participants with HCV infection who are currently on treatment, they are eligible if they have an undetectable HCV viral load - Participants with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of sipuleucel-T are eligible for this trial - No uncontrolled arrhythmia: patients with h/o myocardial infarction or history of congestive heart failure, need to have estimated left ventricle ejection fraction above 40% either on echocardiogram or MUGA scan within 6 months of study enrollment - Non-sterilized men who are sexually active with a female partner of childbearing potential must agree to use adequate contraception prior to the study enrollment, and for the duration of study participation - Ability to understand and the willingness to sign a written informed consent document Exclusion Criteria: - Participants who have had chemotherapy or radiotherapy within 4 weeks prior to entering the study - Prior treatment with sipuleucel-T - Participants who have not recovered from adverse events (AEs) due to prior anti-cancer therapy (i.e., have residual toxicities > Grade 2). - Participants who require > 50% dose reduction of NHA are excluded from the study except for taking abiraterone at 250 mg with low fat food - Documented brain metastases or liver metastases - Treatment with any investigational compound within 30 days prior to the first dose of Sipuleucel-T - Documented brain metastases or liver metastases - Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements - Known history of testing positive for human immunodeficiency virus (HIV) or known acquired immunodeficiency syndrome. HIV-positive participants on combination antiretroviral therapy are ineligible because of the potential for sipluleucel-T to be less clinically active in this population - Inability to comply with protocol requirements

Gender: Male

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Moffitt Cancer Center

Address:
City: Tampa
Zip: 33612
Country: United States

Status: Recruiting

Contact:
Last name: Juliet Bala
Email: Juliet.Bala@moffitt.org

Investigator:
Last name: Jingsong Zhang, MD, PhD
Email: Principal Investigator

Start date: February 14, 2023

Completion date: October 2025

Lead sponsor:
Agency: H. Lee Moffitt Cancer Center and Research Institute
Agency class: Other

Collaborator:
Agency: Dendreon
Agency class: Industry

Source: H. Lee Moffitt Cancer Center and Research Institute

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05751941
https://moffitt.org/clinicaltrialssearch?DiseaseSite=&q=220033