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Clinical Study on the Efficacy and Safety of RC48-ADC in the Treatment of Metastatic Castration Resistant Prostate Cancer (mCRPC)

Primary Purpose

Metastatic Castration-resistant Prostate Cancer

Status
Not yet recruiting
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Disitamab Vedotin(RC48-ADC)
Sponsored by
Peking University Cancer Hospital & Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Metastatic Castration-resistant Prostate Cancer focused on measuring RC48-ADC, metastasis Castration Resistant Prostate Cancer, HER2

Eligibility Criteria

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

Inclusion Criteria: 1) Prostate cancer confirmed by histology; 2) ≥ 18 years old; 3) The presence of metastatic lesions confirmed by bone scan and/or CT/MRI and/or PET-CT; 4) ECOG score 0-2; 5) Continuously maintain ADT treatment and maintain testosterone levels ≤ 50ng/dL; The progression of prostate cancer recorded within 6 months prior to screening; 6) Having received at least one NHT in the past before progressing; 7) HER2 IHC 1+, 2+, or 3+; 8) Inability to or refusal docetaxel chemotherapy; 9) Voluntarily join the study; 10) Expected survival time ≥ 6 months; 11) Normal function of main organs; Exclusion Criteria: 1)Have a history of malignant tumors other than prostate cancer; 2)Previously received allogeneic stem cell or parenchymal organ transplantation; 3) Previously or currently suffering from congenital or acquired immunodeficiency diseases; 4) The patient have a history of allergy to RC48 or paclitaxel, or a history of Hypersensitivity to chimeric or humanized antibodies or fusion proteins, or allergy to excipients of the study drug; 5) Other significant clinical and laboratory abnormalities that affect safety evaluation; 6) Those who are unwilling or unable to take effective contraceptive measures; 7) Subjects with active brain metastasis;

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Disitamab Vedotin(RC48-ADC)

    Arm Description

    Disitamab Vedotin(RC48-ADC) :2.0mg/kg,Q2W

    Outcomes

    Primary Outcome Measures

    PSA response rate
    The proportion of subjects receiving at least one cycle of treatment with the study drug who had at least a 50% reduction in PSA from baseline and maintained it for more than 21 days (PSA50).

    Secondary Outcome Measures

    ORR,Objective Response Rate
    The proportion of patients who achieved patial response and complete reponse.
    Overall survival (OS)
    median OS or OS rate
    Progression free survival
    median PFS or PFS rate

    Full Information

    First Posted
    July 13, 2023
    Last Updated
    July 13, 2023
    Sponsor
    Peking University Cancer Hospital & Institute
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05955209
    Brief Title
    Clinical Study on the Efficacy and Safety of RC48-ADC in the Treatment of Metastatic Castration Resistant Prostate Cancer (mCRPC)
    Official Title
    An Open, Single Arm, Single Center Phase II Clinical Study Evaluating the Efficacy and Safety of RC48-ADC in the Treatment of Metastatic Castration Resistant Prostate Cancer (mCRPC) Progression After Novel Endocrine Therapy
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    August 1, 2023 (Anticipated)
    Primary Completion Date
    August 1, 2024 (Anticipated)
    Study Completion Date
    August 1, 2025 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Peking University Cancer Hospital & Institute

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    This is a single-arm, open, single-center clinical study to evaluate the efficacy and safety of RC48-ADC in patients with mCRPC who have progressed after NHT. A total of 40 patients with mCRPC with immunohistochemically confirmed HER2 expression who had progressed after treatment with at least one novel endocrine therapy will be included in this study.
    Detailed Description
    This is a single-arm, open, single-center clinical study to evaluate the efficacy and safety of RC48-ADC in patients with mCRPC who have progressed after NHT. A total of 40 patients with mCRPC with immunohistochemically confirmed HER2 expression who had progressed after treatment with at least one novel endocrine therapy will be included in this study. Participants will receive RC48-ADC intravenous injection (2.0 mg/kg, Q2W) until disease progression or death. During the treatment, participants will evaluate every 4 weeks, including PSA testing every 4 weeks and tumor evaluation according to PCWG3 standards every 8 weeks. If the patient develops disease progression, the treatment will be discontinued and survival follow-up will be conducted every 8 weeks.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Metastatic Castration-resistant Prostate Cancer
    Keywords
    RC48-ADC, metastasis Castration Resistant Prostate Cancer, HER2

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    40 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Disitamab Vedotin(RC48-ADC)
    Arm Type
    Experimental
    Arm Description
    Disitamab Vedotin(RC48-ADC) :2.0mg/kg,Q2W
    Intervention Type
    Drug
    Intervention Name(s)
    Disitamab Vedotin(RC48-ADC)
    Other Intervention Name(s)
    RC48
    Intervention Description
    Participants will receive RC48-ADC intravenous injection (2.0 mg/kg, Q2W) until disease progression or death.
    Primary Outcome Measure Information:
    Title
    PSA response rate
    Description
    The proportion of subjects receiving at least one cycle of treatment with the study drug who had at least a 50% reduction in PSA from baseline and maintained it for more than 21 days (PSA50).
    Time Frame
    24 months
    Secondary Outcome Measure Information:
    Title
    ORR,Objective Response Rate
    Description
    The proportion of patients who achieved patial response and complete reponse.
    Time Frame
    24 months
    Title
    Overall survival (OS)
    Description
    median OS or OS rate
    Time Frame
    From the first dose to death from any cause,up to two years.
    Title
    Progression free survival
    Description
    median PFS or PFS rate
    Time Frame
    From the first dose to the first documentation of disease progression or death, up to two years.

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: 1) Prostate cancer confirmed by histology; 2) ≥ 18 years old; 3) The presence of metastatic lesions confirmed by bone scan and/or CT/MRI and/or PET-CT; 4) ECOG score 0-2; 5) Continuously maintain ADT treatment and maintain testosterone levels ≤ 50ng/dL; The progression of prostate cancer recorded within 6 months prior to screening; 6) Having received at least one NHT in the past before progressing; 7) HER2 IHC 1+, 2+, or 3+; 8) Inability to or refusal docetaxel chemotherapy; 9) Voluntarily join the study; 10) Expected survival time ≥ 6 months; 11) Normal function of main organs; Exclusion Criteria: 1)Have a history of malignant tumors other than prostate cancer; 2)Previously received allogeneic stem cell or parenchymal organ transplantation; 3) Previously or currently suffering from congenital or acquired immunodeficiency diseases; 4) The patient have a history of allergy to RC48 or paclitaxel, or a history of Hypersensitivity to chimeric or humanized antibodies or fusion proteins, or allergy to excipients of the study drug; 5) Other significant clinical and laboratory abnormalities that affect safety evaluation; 6) Those who are unwilling or unable to take effective contraceptive measures; 7) Subjects with active brain metastasis;
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Yudong Cao, Doctor
    Phone
    15110101301
    Email
    ydcao@bjmu.edu.cn
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Shuo Wang, Doctor
    Organizational Affiliation
    Peking University Cancer Hospital & Institute
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
    IPD Sharing Plan Description
    Article publication
    IPD Sharing Time Frame
    Determine after article publication
    IPD Sharing Access Criteria
    Determine after article publication

    Learn more about this trial

    Clinical Study on the Efficacy and Safety of RC48-ADC in the Treatment of Metastatic Castration Resistant Prostate Cancer (mCRPC)

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