Advanced Solid TumorsPhase 2NCT02266745
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
A Phase 2 study testing PT-112 Injection in people with Advanced Solid Tumors and CRPC, run by Promontory Therapeutics Inc. at 25 sites in 2 countries.
Trial 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… Read more about this study
- Who is it for?
- Ages 18 years and older, men only
- Conditions the study is for
- Advanced Solid Tumors, CRPC, mCRPC
- What is being tested?
- PT-112 Injection
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 109 participants
- Where
- 25 sitesin 2 countries
- Study dates
- Jul 2014to 1 Apr 2025
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Men only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 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.
Who cannot join
- 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.
Trial locations and contacts
25 sites in 2 countries.
25 sites in 2 countries
United States17 sites
Albuquerque
Albuquerque, New Mexico, 87190
Colorado
Aurora, Colorado, 80045
Boston
Boston, Massachusetts, 02215
Brooklyn
Brooklyn, New York, 11215
Duarte
Duarte, California, 91010
Durham
Durham, North Carolina, 27705
University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
Indianapolis
Indianapolis, Indiana, 46202
Jacksonville
Jacksonville, Florida, 32224
Minneapolis
Minneapolis, Minnesota, 55426
New York
New York, New York, 10065
Omaha
Omaha, Nebraska, 68130
Orlando
Orlando, Florida, 32806
Arizona
Phoenix, Arizona, 85054
Rochester
Rochester, Minnesota, 55905
Seattle
Seattle, Washington, 19024
Tucson
Tucson, Arizona, 85719
France8 sites
Besançon
Besançon
Bordeaux
Bordeaux
Caen
Caen
Clermont-Ferrand
Clermont-Ferrand
Marseille
Marseille
Nice
Nice
Paris
Paris
Rennes
Rennes
About this study
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
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).
Read the 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.
- Conditions
- Advanced Solid Tumors, CRPC, mCRPC, Metastatic Castrate-resistant Prostate Cancer, PT-112, Prostatic Neoplasms
- Being tested
- PT-112 Injection
- Keywords
- PT-112
- Medical subject headings
- Prostatic Neoplasms, Genital Neoplasms, Male, Urogenital Neoplasms, Neoplasms by Site
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PT-112 InjectionDrug
Also called PT-112
| Study group | Role | What they receive |
|---|---|---|
| Arm 1: PT-112 injection | Experimental | Arm 1: PT-112 Injection, administered by intravenous infusion, biweekly 360 mg/m2 Receives: Drug: PT-112 Injection |
| Arm 2: PT-112 injection | Experimental | Arm 2: PT-112 Injection, administered by intravenous infusion, biweekly 250 mg/m2 Receives: Drug: PT-112 Injection |
| Arm 3: PT-112 injection | Experimental | Arm 3: PT-112 Injection, administered by intravenous infusion, 360 mg/m2 for two doses, 250 mg/m2 for subsequent doses Receives: Drug: PT-112 Injection |
What is being measured
The primary outcome is the main question the study is designed to answer.
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
Measured: 28-day cycle
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
Measured: 28-day cycle
Secondary outcomes (10)
Disease Control Rate by disease manifestation, evaluated using PCWG3-modified RECIST criteria
Cohort D only
Measured: up to 24 months
Objective Response Rate (ORR) in patients with RECIST-measurable disease, evaluated using PCWG3-modified RECIST criteria
Cohort D only
Measured: up to 24 months
Median duration of response (DOR) as defined by PCWG3-modified RECIST criteria
Cohort D only
Measured: up to 24 months
Percentage of patients achieving PSA50 as defined by PCWG3 criteria
Cohort D only
Measured: up to 24 months
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
Measured: up to 24 months
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
Measured: up to 24 months
Median radiographic progression free survival (rPFS) by PCWG3 criteria
Cohort D only
Measured: up to 24 months
Median overall survival (OS)
Cohort D only
Measured: up to 24 months
Time to PSA progression by PCWG3 criteria
Cohort D only
Measured: up to 24 months
Change in disease related pain based on ACS Daily Pain Diary assessment
Cohort D only
Measured: up to 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Oct 2014 (estimated)
- Study startJul 2014
- Primary completion1 Aug 2024 (estimated)
- Study completion1 Apr 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Advanced Solid TumorsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Single group
- Model description
- Subjects enrolled in Cohort D Part 2 will be randomized.
- Masking
- None (open label)
- Enrolment
- 109 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Promontory Therapeutics Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Daniel D. Karp, MD, Principal investigator, M.D. Anderson Cancer Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02266745
- Sponsor's protocol ID
- PT-112-101
- Status last verified
- Apr 2024
- First submitted
- 13 Oct 2014
- Last updated
- 5 Apr 2024
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
Publications
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.
PubMed 35747193
Study at a glance
From the registry record, last updated by the sponsor on 5 Apr 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT02266745
- Acronym / sponsor ID
- PT-112-101
- Conditions
- Advanced Solid Tumors, CRPC, mCRPC, Metastatic Castrate-resistant Prostate Cancer, PT-112, Prostatic Neoplasms
- Keywords
- PT-112
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 109 participants (estimated)
- Lead sponsor
- Promontory Therapeutics Inc.Industry (pharma, biotech, devices)
- Study start
- Jul 2014
- Primary completion
- 1 Aug 2024 (estimated)
- Study completion
- 1 Apr 2025 (estimated)
- First posted
- 17 Oct 2014 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 3
- Model description
- Subjects enrolled in Cohort D Part 2 will be randomized.
| Arm | Type | Receives |
|---|---|---|
| Arm 1: PT-112 injection | Experimental | Drug: PT-112 InjectionArm 1: PT-112 Injection, administered by intravenous infusion, biweekly 360 mg/m2 |
| Arm 2: PT-112 injection | Experimental | Drug: PT-112 InjectionArm 2: PT-112 Injection, administered by intravenous infusion, biweekly 250 mg/m2 |
| Arm 3: PT-112 injection | Experimental | Drug: PT-112 InjectionArm 3: PT-112 Injection, administered by intravenous infusion, 360 mg/m2 for two doses, 250 mg/m2 for subsequent doses |
Who may qualify
- Ages
- 18 years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- 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.
Key exclusion criteria (6 listed)
- 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.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PT-112 InjectionAlso: PT-112 | Drug | Arm 1: PT-112 injection, Arm 2: PT-112 injection, Arm 3: PT-112 injection |
Primary outcome
Initial design: Comparison of two dose levels, administered on Days 1 and 15 of each 28-day cycle:
Time frame: 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
Time frame: 28-day cycle
Define the recommended dose and schedule for PT-112 for pivotal studies. Cohort D only
10 secondary outcomes
Disease Control Rate by disease manifestation, evaluated using PCWG3-modified RECIST criteria
Time frame: up to 24 months
Objective Response Rate (ORR) in patients with RECIST-measurable disease, evaluated using PCWG3-modified RECIST criteria
Time frame: up to 24 months
Median duration of response (DOR) as defined by PCWG3-modified RECIST criteria
Time frame: up to 24 months
Percentage of patients achieving PSA50 as defined by PCWG3 criteria
Time frame: up to 24 months
Percentage of patients who are CTC nonzero at baseline and with 0 CTCs/mL in one or more post-baseline samples (i.e., CTC0)
Time frame: up to 24 months
Percentage of patients who have ≥ 3 CTCs at baseline and ≤ 3 CTCs in one or more post-baseline samples (i.e., CTC conversion)
Time frame: up to 24 months
Median radiographic progression free survival (rPFS) by PCWG3 criteria
Time frame: up to 24 months
Median overall survival (OS)
Time frame: up to 24 months
Time to PSA progression by PCWG3 criteria
Time frame: up to 24 months
Change in disease related pain based on ACS Daily Pain Diary assessment
Time frame: up to 24 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Apr 2024.
- Derived from this study: PubMed 35747193Karp 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.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Daniel D. Karp, MD principal investigator
M.D. Anderson Cancer Center
25 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing PT-112 Injection in people with Advanced Solid Tumors and CRPC, run by Promontory Therapeutics Inc. at 25 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 5 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 25 sites in United States, France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Initial design: Comparison of two dose levels, administered on Days 1 and 15 of each 28-day cycle: (time frame: 28-day cycle). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02266745, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Apr 2024.