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A Study Evaluating the Safety, Pharmacokinetics, and Clinical Effects of Intravenously Administered PT-112 Injection in Subjects With Advanced Solid Tumors and Subsequent Dose Expansion Cohorts

Primary Purpose

Advanced Solid Tumors, CRPC, mCRPC

Status
Recruiting
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
PT-112 Injection
Sponsored by
Promontory Therapeutics Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Solid Tumors focused on measuring PT-112

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)MaleDoes not accept healthy volunteers

Key Inclusion Criteria:

  • Pathologically confirmed advanced solid tumor for which standard therapy proven to provide clinical benefit does not exist or is no longer effective.
  • Eastern Collaborative Oncology Group (ECOG) Performance Status of 0-1.
  • Progressive disease, either measurable on physical examination or imaging by Response Evaluation Criteria in Solid Tumors (RECIST v1.1) or PCWG3 or by informative tumor marker(s).
  • Adequate organ function based on laboratory values.
  • If there is a known history of brain metastases, either treated or untreated, the disease must be stable.
  • Willing and able to provide written Informed Consent and comply with the requirements of the study.

Key Exclusion Criteria:

  • Any cytotoxic chemotherapy within 21 days prior to initiation of study drug.
  • Any immunomodulatory drug therapy, anti-neoplastic hormonal therapy, immunosuppressive therapy, corticosteroids, or growth factor treatment within 14 days prior to initiation of study drug.
  • Presence of an acute or chronic toxicity of prior chemotherapy, that has not resolved to ≤Grade 1, as determined by CTCAE v 4.0.
  • Receipt of more than 3 prior regimens of cytotoxic chemotherapy for metastatic disease.
  • Bone marrow reserve which is not adequate for participation in this trial.
  • Radiotherapy within 28 days prior to baseline.
  • Fraction of radiotherapy to >25 % of bone marrow.
  • Major surgery within 28 days prior to initiation of study drug.
  • Active bacterial, viral, or fungal infection requiring systemic therapy.
  • Known human immunodeficiency virus or acquired immunodeficiency syndrome related illness.
  • Clinically significant hearing impairment, as judged by the Principal Investigator.
  • Uncontrolled cardiovascular abnormalities.
  • Previous malignancy, except for non-squamous-cell carcinoma of skin or carcinoma in-situ of the uterine cervix, unless the tumor was treated with curative intent more than 2 years prior to study entry.

Sites / Locations

  • ArizonaRecruiting
  • TucsonRecruiting
  • DuarteRecruiting
  • Colorado
  • JacksonvilleRecruiting
  • OrlandoRecruiting
  • IndianapolisRecruiting
  • Boston
  • MinneapolisRecruiting
  • RochesterRecruiting
  • OmahaRecruiting
  • AlbuquerqueRecruiting
  • BrooklynRecruiting
  • New YorkRecruiting
  • DurhamRecruiting
  • University of Texas MD Anderson Cancer CenterRecruiting
  • SeattleRecruiting
  • Besançon
  • BordeauxRecruiting
  • Caen
  • Clermont-Ferrand
  • Marseille
  • NiceRecruiting
  • ParisRecruiting
  • Rennes

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Arm 1: PT-112 injection

Arm 2: PT-112 injection

Arm 3: PT-112 injection

Arm Description

Arm 1: PT-112 Injection, administered by intravenous infusion, biweekly 360 mg/m2

Arm 2: PT-112 Injection, administered by intravenous infusion, biweekly 250 mg/m2

Arm 3: PT-112 Injection, administered by intravenous infusion, 360 mg/m2 for two doses, 250 mg/m2 for subsequent doses

Outcomes

Primary Outcome Measures

Initial design: Comparison of two dose levels, administered on Days 1 and 15 of each 28-day cycle:
[ ] Define the recommended dose level for PT-112 for pivotal studies based on the risk/benefit ratio across Arms 1, 2 and 3. Cohort D only
Modified design: Define the recommended dose and schedule for PT-112 for pivotal studies
Define the recommended dose and schedule for PT-112 for pivotal studies. Cohort D only

Secondary Outcome Measures

Disease Control Rate by disease manifestation, evaluated using PCWG3-modified RECIST criteria
Cohort D only
Objective Response Rate (ORR) in patients with RECIST-measurable disease, evaluated using PCWG3-modified RECIST criteria
Cohort D only
Median duration of response (DOR) as defined by PCWG3-modified RECIST criteria
Cohort D only
Percentage of patients achieving PSA50 as defined by PCWG3 criteria
Cohort D only
Percentage of patients who are CTC nonzero at baseline and with 0 CTCs/mL in one or more post-baseline samples (i.e., CTC0)
Cohort D only
Percentage of patients who have ≥ 3 CTCs at baseline and ≤ 3 CTCs in one or more post-baseline samples (i.e., CTC conversion)
Cohort D only
Median radiographic progression free survival (rPFS) by PCWG3 criteria
Cohort D only
Median overall survival (OS)
Cohort D only
Time to PSA progression by PCWG3 criteria
Cohort D only
Change in disease related pain based on ACS Daily Pain Diary assessment
Cohort D only

Full Information

First Posted
October 13, 2014
Last Updated
August 10, 2023
Sponsor
Promontory Therapeutics Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02266745
Brief Title
A Study Evaluating the Safety, Pharmacokinetics, and Clinical Effects of Intravenously Administered PT-112 Injection in Subjects With Advanced Solid Tumors and Subsequent Dose Expansion Cohorts
Official Title
A Phase 1, Open-Label, Dose-Escalation Study Evaluating the Safety, Pharmacokinetics, and Clinical Effects of Intravenously Administered PT-112 Injection in Subjects With Advanced Solid Tumors and Subsequent Dose Expansion Cohorts
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
July 2014 (undefined)
Primary Completion Date
August 1, 2024 (Anticipated)
Study Completion Date
April 1, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Promontory Therapeutics Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a Phase 1/2, open-label, multi-center, non-randomized, dose-escalation study to be conducted in two parts: the Dose Escalation Phase and the Dose Expansion Phase. The Dose Escalation Phase will determine the Maximum Tolerated Dose (MTD) and recommended Phase 2 dose(s) (RP2D) of PT-112 Injection and evaluate its safety and tolerability, and PK (pharmacokinetics). The Dose Escalation Phase is complete and no longer enrolling. The Dose Expansion Phase has two cohorts: one cohort for the study of PT-112 in patients with thymoma and thymic carcinoma (Cohort A), and one cohort for the study of PT-112 in metastatic castrate-resistant prostate cancer (mCRPC) (Cohort D).
Detailed Description
This is a Phase 1/2, open-label, multi-center, non-randomized, dose-escalation study to be conducted in two parts: the Dose Escalation Phase, and the Dose Expansion Phase The Dose Escalation Phase and the Dose Expansion Thymoma Cohort are complete and no longer enrolling. The Dose Expansion Phase of the study of PT-112 in metastatic castrate-resistant prostate cancer (mCRPC) is open and enrolling.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Solid Tumors, CRPC, mCRPC, Metastatic Castrate-resistant Prostate Cancer, PT-112, Prostatic Neoplasms, Genital Neoplasms, Male, Urogenital Neoplasms, Neoplasms by Site
Keywords
PT-112

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Model Description
Subjects enrolled in Cohort D Part 2 will be randomized.
Masking
None (Open Label)
Allocation
Randomized
Enrollment
180 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Arm 1: PT-112 injection
Arm Type
Experimental
Arm Description
Arm 1: PT-112 Injection, administered by intravenous infusion, biweekly 360 mg/m2
Arm Title
Arm 2: PT-112 injection
Arm Type
Experimental
Arm Description
Arm 2: PT-112 Injection, administered by intravenous infusion, biweekly 250 mg/m2
Arm Title
Arm 3: PT-112 injection
Arm Type
Experimental
Arm Description
Arm 3: PT-112 Injection, administered by intravenous infusion, 360 mg/m2 for two doses, 250 mg/m2 for subsequent doses
Intervention Type
Drug
Intervention Name(s)
PT-112 Injection
Other Intervention Name(s)
PT-112
Primary Outcome Measure Information:
Title
Initial design: Comparison of two dose levels, administered on Days 1 and 15 of each 28-day cycle:
Description
[ ] Define the recommended dose level for PT-112 for pivotal studies based on the risk/benefit ratio across Arms 1, 2 and 3. Cohort D only
Time Frame
28-day cycle
Title
Modified design: Define the recommended dose and schedule for PT-112 for pivotal studies
Description
Define the recommended dose and schedule for PT-112 for pivotal studies. Cohort D only
Time Frame
28-day cycle
Secondary Outcome Measure Information:
Title
Disease Control Rate by disease manifestation, evaluated using PCWG3-modified RECIST criteria
Description
Cohort D only
Time Frame
up to 24 months
Title
Objective Response Rate (ORR) in patients with RECIST-measurable disease, evaluated using PCWG3-modified RECIST criteria
Description
Cohort D only
Time Frame
up to 24 months
Title
Median duration of response (DOR) as defined by PCWG3-modified RECIST criteria
Description
Cohort D only
Time Frame
up to 24 months
Title
Percentage of patients achieving PSA50 as defined by PCWG3 criteria
Description
Cohort D only
Time Frame
up to 24 months
Title
Percentage of patients who are CTC nonzero at baseline and with 0 CTCs/mL in one or more post-baseline samples (i.e., CTC0)
Description
Cohort D only
Time Frame
up to 24 months
Title
Percentage of patients who have ≥ 3 CTCs at baseline and ≤ 3 CTCs in one or more post-baseline samples (i.e., CTC conversion)
Description
Cohort D only
Time Frame
up to 24 months
Title
Median radiographic progression free survival (rPFS) by PCWG3 criteria
Description
Cohort D only
Time Frame
up to 24 months
Title
Median overall survival (OS)
Description
Cohort D only
Time Frame
up to 24 months
Title
Time to PSA progression by PCWG3 criteria
Description
Cohort D only
Time Frame
up to 24 months
Title
Change in disease related pain based on ACS Daily Pain Diary assessment
Description
Cohort D only
Time Frame
up to 24 months

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Male >/= 18 years of age Histologically or cytologically confirmed adenocarcinoma of the prostate. Document current evidence of metastatic castration-resistant prostate cancer (mCRPC), where metastatic status is defined as having documented metastatic lesion(s) on either bone scan or CT/MRI scan. Patients who have received at least three prior intended life-prolonging therapies for metastatic disease. Eastern Collaborative Oncology Group (ECOG) Performance Status of 0-1. Progressive disease, either measurable on physical examination or imaging by Response Evaluation Criteria in Solid Tumors (RECIST v1.1) or PCWG3 or by informative tumor marker(s). Adequate organ function based on laboratory values. If there is a known history of brain metastases, either treated or untreated, the disease must be stable. Key Exclusion Criteria: Any cytotoxic chemotherapy within 21 days prior to initiation of study drug. Any immunomodulatory drug therapy, anti-neoplastic hormonal therapy, immunosuppressive therapy, corticosteroids, or growth factor treatment within 14 days prior to initiation of study drug. Bone marrow reserve which is not adequate for participation in this trial. Radiotherapy within 14 days prior to baseline. Fraction of radiotherapy to >25 % of active bone marrow. Major surgery within 28 days prior to initiation of study drug.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Promontory Therapeutics
Email
clinops@promontorytx.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Daniel D. Karp, MD
Organizational Affiliation
M.D. Anderson Cancer Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Arizona
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85054
Country
United States
Individual Site Status
Recruiting
Facility Name
Tucson
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85719
Country
United States
Individual Site Status
Recruiting
Facility Name
Duarte
City
Duarte
State/Province
California
ZIP/Postal Code
91010
Country
United States
Individual Site Status
Recruiting
Facility Name
Colorado
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
Jacksonville
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32224
Country
United States
Individual Site Status
Recruiting
Facility Name
Orlando
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Individual Site Status
Recruiting
Facility Name
Indianapolis
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
Individual Site Status
Recruiting
Facility Name
Boston
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
Minneapolis
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55426
Country
United States
Individual Site Status
Recruiting
Facility Name
Rochester
City
Rochester
State/Province
Minnesota
ZIP/Postal Code
55905
Country
United States
Individual Site Status
Recruiting
Facility Name
Omaha
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68130
Country
United States
Individual Site Status
Recruiting
Facility Name
Albuquerque
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87190
Country
United States
Individual Site Status
Recruiting
Facility Name
Brooklyn
City
Brooklyn
State/Province
New York
ZIP/Postal Code
11215
Country
United States
Individual Site Status
Recruiting
Facility Name
New York
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Individual Site Status
Recruiting
Facility Name
Durham
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27705
Country
United States
Individual Site Status
Recruiting
Facility Name
University of Texas MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Daniel D. Karp, MD
Facility Name
Seattle
City
Seattle
State/Province
Washington
ZIP/Postal Code
19024
Country
United States
Individual Site Status
Recruiting
Facility Name
Besançon
City
Besançon
Country
France
Individual Site Status
Not yet recruiting
Facility Name
Bordeaux
City
Bordeaux
Country
France
Individual Site Status
Recruiting
Facility Name
Caen
City
Caen
Country
France
Individual Site Status
Not yet recruiting
Facility Name
Clermont-Ferrand
City
Clermont-Ferrand
Country
France
Individual Site Status
Not yet recruiting
Facility Name
Marseille
City
Marseille
Country
France
Individual Site Status
Not yet recruiting
Facility Name
Nice
City
Nice
Country
France
Individual Site Status
Recruiting
Facility Name
Paris
City
Paris
Country
France
Individual Site Status
Recruiting
Facility Name
Rennes
City
Rennes
Country
France
Individual Site Status
Not yet recruiting

12. IPD Sharing Statement

Citations:
PubMed Identifier
35747193
Citation
Karp DD, Camidge DR, Infante JR, Ames TD, Price MR, Jimeno J, Bryce AH. Phase I study of PT-112, a novel pyrophosphate-platinum immunogenic cell death inducer, in advanced solid tumours. EClinicalMedicine. 2022 May 27;49:101430. doi: 10.1016/j.eclinm.2022.101430. eCollection 2022 Jul.
Results Reference
derived

Learn more about this trial

A Study Evaluating the Safety, Pharmacokinetics, and Clinical Effects of Intravenously Administered PT-112 Injection in Subjects With Advanced Solid Tumors and Subsequent Dose Expansion Cohorts

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