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Trial Title: A Study of Opevesostat (MK-5684) in China Participants With Metastatic Castration-Resistant Prostate Cancer (mCRPC) (MK-5684-001)

NCT ID: NCT06136598

Condition: Prostatic Neoplasms
Metastatic Castration-Resistant Prostate Cancer

Conditions: Official terms:
Prostatic Neoplasms
Dexamethasone
Dexamethasone acetate
Hydrocortisone
Hydrocortisone 17-butyrate 21-propionate
Hydrocortisone acetate
Hydrocortisone hemisuccinate
Fludrocortisone
BB 1101

Study type: Interventional

Study phase: Phase 1

Overall status: Active, not recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Opevesostat
Description: Tablets to be taken orally.
Arm group label: Opevesostat

Other name: MK-5684

Intervention type: Drug
Intervention name: Dexamethasone
Description: Tablets to be taken orally
Arm group label: Opevesostat

Other name: Dexamethasone acetate

Intervention type: Drug
Intervention name: Fludrocortisone
Description: Tablets to be taken orally.
Arm group label: Opevesostat

Other name: Fludrocortisone acetate

Intervention type: Drug
Intervention name: Hydrocortisone
Description: Tablet to be taken orally as a rescue medication.
Arm group label: Opevesostat

Other name: Hydrocortisone acetate

Summary: The primary objectives of this study are to evaluate the safety and tolerability of opevesostat in the treatment of male Chinese participants with metastatic castration-resistant prostate cancer (mCRPC) and to characterize the pharmacokinetic profile of opevesostat. There are no formal hypotheses to be tested in this study.

Criteria for eligibility:
Criteria:
The main inclusion and exclusion criteria include but are not limited to the following: Inclusion Criteria: - Has histologically or cytologically confirmed adenocarcinoma of the prostate without small cell histology. - Has prostate cancer while receiving androgen deprivation therapy (ADT), or post-bilateral orchiectomy, within 6 months before screening. - Has evidence of progression >4 weeks since last flutamide treatment or >6 weeks since last bicalutamide or nilutamide treatment. - Has evidence of metastatic disease documented by either bone lesions on bone scan and/or soft tissue shown by CT/MRI. - Has disease that progressed during or after treatment with at least 1 line of next-generation hormonal agents (NHAs) for hormone-sensitive prostate cancer (HSPC) or castration-resistant prostate cancer (CRPC) for at least 8 weeks (at least 14 weeks for participants with bone progression). - Has received at least 1 line of taxane-based chemotherapy for HSPC or CRPC and have had progressed disease during or on treatment, or refused or ineligible to receive chemotherapy. - Has a life expectancy of >3 months. Exclusion Criteria: - Has history of a second malignancy, unless potentially curative treatment has been completed with no evidence of malignancy for 3 years. - Has presence of gastrointestinal condition, e.g. malabsorption, that might affect the adsorption of study intervention. - Has a history of pituitary dysfunction. - Has poorly controlled diabetes mellitus. - Has active or unstable cardio/cerebro-vascular disease, including thromboembolic events. - Has undergone major surgery, including local prostate intervention (except prostate biopsy), within 4 weeks of the date of allocation. - Has received an anticancer monoclonal antibody (mAb) within 4 weeks of allocation, or has not recovered from adverse events (AEs) due to mAbs administered more than 4 weeks before the date of allocation. - Received prior systemic anticancer therapy including investigational agents within 4 weeks before the date of allocation. - Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any form of immunosuppressive therapy within 7 days prior to the start of study intervention. - Has a known active central nervous system (CNS) metastases and/or carcinomatous meningitis. - Has an active autoimmune disease that has required systemic treatment in the past 2 years. - Has a history of or current human immunodeficiency virus (HIV) infection. - Has a concurrent Hepatitis B or Hepatitis C virus infection. - Has a history of allogenic tissue or solid organ transplant.

Gender: Male

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Peking University First Hospital-Urology ( Site 0001)

Address:
City: Beijing
Zip: 100034
Country: China

Facility:
Name: Sun Yat-sen University Cancer Center-Neurosurgery department ( Site 0003)

Address:
City: Guangzhou
Zip: 510700
Country: China

Facility:
Name: Tongji Hospital Tongji Medical,Science & Technology ( Site 0002)

Address:
City: Wuhan
Zip: 430000
Country: China

Start date: January 30, 2024

Completion date: March 14, 2027

Lead sponsor:
Agency: Merck Sharp & Dohme LLC
Agency class: Industry

Collaborator:
Agency: Orion Corporation, Orion Pharma
Agency class: Industry

Source: Merck Sharp & Dohme LLC

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06136598
http://www.merckclinicaltrials.com

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