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Trial Title: A Study to Evaluate the Safety, Pharmacokinetics, Pharmacodynamics, and Antitumor Activity of INV-9956 in Adult Patients With Advanced Metastatic Castration Resistant Prostate Cancer

NCT ID: NCT06609005

Condition: Advanced Metastatic Castration Resistant Prostate Cancer

Conditions: Official terms:
Prostatic Neoplasms

Conditions: Keywords:
mCRPC
Prostate Cancer

Study type: Interventional

Study phase: Phase 1

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Sequential Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: INV-9956
Description: INV-9956 is co-administered with dexamethasone and fludrocortisone acetate
Arm group label: Stage 1 INV-9956 Dose escalation Dose level 1
Arm group label: Stage 1 INV-9956 Dose escalation Dose level 2
Arm group label: Stage 1 INV-9956 Dose escalation Dose level 3
Arm group label: Stage 2 INV-9956 Dose expansion - Dose Level 1
Arm group label: Stage 2 INV-9956 Dose expansion - Dose Level 2
Arm group label: Stage 3 INV-9956 Dose escalation beyond the optimal dose - Dose level 4
Arm group label: Stage 3 INV-9956 Dose escalation beyond the optimal dose - Dose level 5
Arm group label: Stage 3 INV-9956 Dose escalation beyond the optimal dose - Dose level 6

Summary: This is a Phase 1a, first-in-human, open-label dose-escalation study to determine the RDR and/or MTD, and to assess the DLT of INV-9956. The safety, tolerability, PK/PD, and preliminary antitumor activity of INV-9956 will be assessed in adult patients with advanced mCRPC.

Detailed description: This is a Phase 1a, first-in-human, open-label dose-escalation study to determine the RDR and/or MTD, and to assess the DLT of INV-9956. The safety, tolerability, PK/PD, and preliminary antitumor activity of INV-9956 will be assessed in adult patients with advanced mCRPC. The study will be conducted in 3 stages: Stage 1: dose escalation; Stage 2: dose expansion; Stage 3 (optional): Dose escalation beyond the optimal dose. The total number of patients enrolled will depend upon the number of dose-escalation cohorts and the number of doses evaluated in Stage 2. The investigational drug will be co-administered with dexamethasone and fludrocortisone acetate as corticosteroid replacement therapy.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Written informed consent obtained. 2. Male aged ≥ 18 years. 3. Histologically confirmed adenocarcinoma of the prostate. 4. Castration resistant prostate cancer with serum testosterone < 50 ng/dL. 5. Metastatic disease. 6. Ongoing androgen deprivation therapy with GnRH analogue or antagonist, or have had bilateral orchiectomy. 7. Received at least one prior line of taxane-based chemotherapy and at least one line of hormonal AR targeted therapy (eg, abiraterone, enzalutamide). Patients who have refused or were intolerant to taxane-based chemotherapy may be enrolled. 8. ECOG performance status 0-1. 9. Adequate marrow, liver and kidney function. 10. INR ≤1.5. 11. Able to swallow study treatment. 12. Has a life expectancy of >3 months. Exclusion Criteria: 1. Have a medical condition such as Crohn's disease or have undergone significant surgery to the gastrointestinal tract that could impair absorption or that could result in short bowel syndrome with diarrhea due to malabsorption. 2. History of pituitary or adrenal dysfunction. 3. Poorly controlled diabetes mellitus. 4. Clinically significant abnormality in serum potassium and sodium. 5. Have a serious nonmalignant disease (eg, hydronephrosis, liver failure, or other conditions) that could compromise protocol objectives in the opinion of the Investigator and/or the Sponsor. 6. Active or unstable cardio-/cerebro-vascular disease, including thromboembolic events. 7. History of congestive heart failure; cardiac disease, myocardial infarction within 6 months prior to enrollment. 8. Prolonged QTcF interval. 9. Active infection or other medical condition that would make corticosteroid contraindicated.

Gender: Male

Gender based: Yes

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Honor Health

Address:
City: Scottsdale
Zip: 85258
Country: United States

Status: Not yet recruiting

Contact:
Last name: Andrea House

Phone ext: 480-323-1791
Email: clinicaltrials@honorhealth.com

Investigator:
Last name: Michael Gordon, MD
Email: Principal Investigator

Facility:
Name: Hoag Family Cancer Institute

Address:
City: Newport Beach
Zip: 92663
Country: United States

Status: Not yet recruiting

Contact:
Last name: Patrice Jones

Phone: 949-764-5501
Email: clinicaltrials.@hoag.org

Investigator:
Last name: David Benjamin, MD
Email: Principal Investigator

Facility:
Name: UT Health

Address:
City: San Antonio
Zip: 78229
Country: United States

Status: Not yet recruiting

Contact:
Last name: Epp Goodwin

Phone: 210-450-5798
Email: goodwine@uthscsa.edu

Investigator:
Last name: John Sarantopoulos, MD
Email: Principal Investigator

Facility:
Name: NEXT Oncology

Address:
City: Fairfax
Zip: 22031
Country: United States

Status: Recruiting

Contact:
Last name: Blake Patterson

Phone: 703-783-4505
Email: bpatterson@nextoncology.com

Investigator:
Last name: Mohamed Salkeni, MD
Email: Principal Investigator

Start date: October 17, 2024

Completion date: March 17, 2027

Lead sponsor:
Agency: Shenzhen Ionova Life Sciences Co., Ltd.
Agency class: Industry

Source: Shenzhen Ionova Life Sciences Co., Ltd.

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06609005

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