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Prostatic NeoplasmsPhase 1/2NCT02606123

Safety and Anti-Tumor Study of Oral EPI-506 for Patients With Metastatic Castration-Resistant Prostate Cancer

A Phase 1/2 study testing EPI-506 in people with Prostatic Neoplasms and Genital Neoplasms, Male, run by ESSA Pharmaceuticals at 5 sites in 2 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The study will consist of 2 parts: Part I (Dose Escalation) and Part II (Dose Expansion). In Part I, patients will participate in single, multiple, and long-term dosing periods using EPI-506 to determine safety, pharmacokinetics, the maximum tolerated dose, and preliminary indications of anti-tumor activity. Read more about this study

Who is it for?
Ages 18 years and older, men only
What is being tested?
EPI-506
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
28 participants
Where
5 sitesin 2 countries
Study dates
Oct 2015to Dec 2017
Phase
Phase 1/2
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

  • Adenocarcinoma of the Prostate
  • Metastatic Disease with at least one lesion on bone scan and/or soft tissue on CT/MRI
  • Demonstrated progression on abiraterone and/or enzalutamide
  • Demonstrated PSA progression within 12 weeks of study participation
  • Castrate testosterone levels at screening with continued Luteinizing hormone-releasing hormone (LHRH) therapy
  • Eastern Cooperative Oncology Group (ECOG) score between 0-1
  • Asymptomatic or mildly symptomatic

Who cannot join

  • Candidates for cytotoxic chemotherapy
  • Received more than one line of chemotherapy
  • Received more than one treatment course of enzalutamide or abiraterone
  • Inadequate washout of prohibited hormonally active agents or other prior treatments for prostate cancer (PCa)
  • Known intra-cerebral disease or brain mets
  • Spinal cord compression within 6 months
  • Prior treatment with investigative androgen receptor (AR) agents

Trial locations and contacts

5 sites in 2 countries.

5 sites in 2 countries

United States4 sites
  • University of Michigan Health System

    Ann Arbor, Michigan, 48109

  • Karmanos Cancer Institute

    Detroit, Michigan, 48201

  • Scottsdale Healthcare Hospitals DBA HonorHealth

    Scottsdale, Arizona, 85258

  • Seattle Cancer Care Alliance

    Seattle, Washington, 98109

Other trials in United States

Canada1 site
  • British Columbia Cancer Agency - Vancouver Centre

    Vancouver, British Columbia, V5Z 4E6

Other trials in Canada

About this study

Official title: A Phase 1/2 Open-Label Study to Assess the Safety, Pharmacokinetics, and Anti-Tumor Activity of Oral EPI-506 in Patients With Metastatic Castration-Resistant Prostate Cancer

The study will consist of 2 parts: Part I (Dose Escalation) and Part II (Dose Expansion). In Part I, patients will participate in single, multiple, and long-term dosing periods using EPI-506 to determine safety, pharmacokinetics, the maximum tolerated dose, and preliminary indications of anti-tumor activity. Part I is an open-label, adaptive 3 + 3 design, dose-escalation study. Approximately six dose levels of EPI-506 will be studied, beginning at 80 mg/day. Enrolled patients may be allowed to escalate to a subsequent dose cohort after their initial twelve weeks. Additional patients may be enrolled at any safe dose level prior to or concurrent with enrolling patients in Part II.

In Part II, 3 patient populations; post-abiraterone metastatic castration-resistant prostate cancer (mCRPC) but enzalutamide-naïve, post-enzalutamide mCRPC but abiraterone-naïve, and post-abiraterone and enzalutamide mCRPC will be studied at the recommended Phase 2 dose (RP2D) determined in Part I over 12 weeks of daily dosing. Approximately 120 patients (40 in each cohort) will be enrolled.

Being tested
EPI-506
Keywords
Prostate Cancer, Metastatic castration-resistant prostate cancer
Medical subject headings
Prostatic Neoplasms, Genital Neoplasms, Male, Genital Diseases, Male, Prostatic Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • EPI-506Drug

    Patients will receive EPI-506 as an oral softgel capsule.

    Part 1:

    Approximately six dose levels of EPI-506 will be studied, beginning at 80 mg/day. During the Single-Dose Period, patients will first receive a dose of EPI-506 in the fasted state followed by 2 days of washout, and then patients will receive a second dose of EPI-506 in the fed state followed by 2 days of washout. Patients will then enter the Multiple Dosing and Long-term Dosing Period where they will receive once or twice daily dosing in a fed or fasted state until they meet discontinuation criteria.

    Part 2:

    The dose in Part 2 will be determined in Part 1 of the study. Patients will receive the Part 2 dose daily until they meet discontinuation criteria.

Study groups in NCT02606123
Study groupRoleWhat they receive
EPI-506ExperimentalPart I: Ascending doses of EPI-506 administered orally to define the maximum tolerated dose.
Receives: Drug: EPI-506

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Part I: Safety and tolerability assessed by vital signs, laboratory measurements, and frequency and severity of treatment-related adverse events

    Measured: 12 weeks

  2. Part II: Prostate-specific antigen (PSA) response rate

    Measured: 12 weeks

Secondary outcomes (41)
  1. Part I: Define the maximum tolerated dose (MTD) and the recommended Phase 2 dose (RP2D)

    Measured: 9 months

  2. Part I: Pharmacokinetics (PK) profile of EPI-506

    Assessed by plasma area under the plasma concentration-time curve (AUC)

    Measured: Pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, 24h, and 48h after dose; Day 8 at pre-dose, and at 15min, 30min 1h, 2h, 4h, 6h, 8h, 12h, 24h after dose.

  3. Part I: Pharmacokinetics (PK) profile of EPI-506

    Assessed by maximum concentration (Cmax)

    Measured: Pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, 24h, and 48h after dose; Day 8 at pre-dose, and at 15min, 30min 1h, 2h, 4h, 6h, 8h, 12h, 24h after dose.

  4. Part I: Pharmacokinetics (PK) profile of EPI-506

    Assessed by observed pre-dose plasma concentration during multiple dosing (Ctrough)

    Measured: Pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, 24h, and 48h after dose; Day 8 at pre-dose, and at 15min, 30min 1h, 2h, 4h, 6h, 8h, 12h, 24h after dose.

  5. Part I: Pharmacokinetics (PK) profile of EPI-506

    Assessed by time to reach Cmax (tmax)

    Measured: Pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, 24h, and 48h after dose; Day 8 at pre-dose, and at 15min, 30min 1h, 2h, 4h, 6h, 8h, 12h, 24h after dose.

  6. Part I: Pharmacokinetics (PK) profile of EPI-506

    Assessed by apparent terminal elimination half-life (t1/2)

    Measured: Pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, 24h, and 48h after dose; Day 8 at pre-dose, and at 15min, 30min 1h, 2h, 4h, 6h, 8h, 12h, 24h after dose.

  7. Part I: Pharmacokinetics (PK) profile of EPI-506

    Assessed by apparent volume of distribution during the terminal phase after extravascular administration (Vz/F)

    Measured: Pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, 24h, and 48h after dose; Day 8 at pre-dose, and at 15min, 30min 1h, 2h, 4h, 6h, 8h, 12h, 24h after dose.

  8. Part I: Pharmacokinetics (PK) profile of EPI-506

    Assessed by apparent clearance after extravascular administration (CL/F)

    Measured: Pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, 24h, and 48h after dose; Day 8 at pre-dose, and at 15min, 30min 1h, 2h, 4h, 6h, 8h, 12h, 24h after dose.

  9. Part I: Pharmacokinetics (PK) profile of EPI-002

    Assessed by AUC

    Measured: Pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, 24h, and 48h after dose; Day 8 at pre-dose, and at 15min, 30min 1h, 2h, 4h, 6h, 8h, 12h, 24h after dose.

  10. Part I: Pharmacokinetics (PK) profile of EPI-002

    Assessed by Cmax

    Measured: Pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, 24h, and 48h after dose; Day 8 at pre-dose, and at 15min, 30min 1h, 2h, 4h, 6h, 8h, 12h, 24h after dose.

  11. Part I: Pharmacokinetics (PK) profile of EPI-002

    Assessed by Ctrough

    Measured: Pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, 24h, and 48h after dose; Day 8 at pre-dose, and at 15min, 30min 1h, 2h, 4h, 6h, 8h, 12h, 24h after dose.

  12. Part I: Pharmacokinetics (PK) profile of EPI-002

    Assessed by tmax

    Measured: Pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, 24h, and 48h after dose; Day 8 at pre-dose, and at 15min, 30min 1h, 2h, 4h, 6h, 8h, 12h, 24h after dose.

  13. Part I: Pharmacokinetics (PK) profile of EPI-002

    Assessed by t1/2

    Measured: Pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, 24h, and 48h after dose; Day 8 at pre-dose, and at 15min, 30min 1h, 2h, 4h, 6h, 8h, 12h, 24h after dose.

  14. Part I: Pharmacokinetics (PK) profile of EPI-002

    Assessed by Vz/F

    Measured: Pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, 24h, and 48h after dose; Day 8 at pre-dose, and at 15min, 30min 1h, 2h, 4h, 6h, 8h, 12h, 24h after dose.

  15. Part I: Pharmacokinetics (PK) profile of EPI-002

    Assessed by CL/F

    Measured: Pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, 24h, and 48h after dose; Day 8 at pre-dose, and at 15min, 30min 1h, 2h, 4h, 6h, 8h, 12h, 24h after dose.

  16. Part I: Food effect on PK

    Following a single-dose of EPI-506 on Days 1 and 4 assessed by AUC

    Measured: 6 days

  17. Part I: Food effect on PK

    Following a single-dose of EPI-506 on Days 1 and 4 assessed by Cmax

    Measured: 6 days

  18. Part I: Food effect on PK

    Following a single-dose of EPI-506 on Days 1 and 4 assessed by Ctrough

    Measured: 6 days

  19. Part I: Food effect on PK

    Following a single-dose of EPI-506 on Days 1 and 4 assessed by tmax

    Measured: 6 days

  20. Part I: Food effect on PK

    Following a single-dose of EPI-506 on Days 1 and 4 assessed by t1/2

    Measured: 6 days

  21. Part I: Food effect on PK

    Following a single-dose of EPI-506 on Days 1 and 4 assessed by Vz/F

    Measured: 6 days

  22. Part I: Food effect on PK

    Following a single-dose of EPI-506 on Days 1 and 4 assessed by CL/F

    Measured: 6 days

  23. Part I: PSA

    Evaluated as a Pharmacodynamic (PD) marker of response

    Measured: Baseline to Week 12

  24. Part II: Safety and tolerability assessed by vital signs, laboratory measurements, and frequency and severity of treatment-related adverse events

    Measured: 12 months

  25. Part II: To evaluate the PK of EPI-506

    Assessed by AUC

    Measured: Day 8 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, and 24h after dose; Week 12 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, and 8h after dose.

  26. Part II: To evaluate the PK of EPI-506

    Assessed by Cmax

    Measured: Day 8 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, and 24h after dose; Week 12 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, and 8h after dose.

  27. Part II: To evaluate the PK of EPI-506

    Assessed by Ctrough

    Measured: Day 8 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, and 24h after dose; Week 12 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, and 8h after dose.

  28. Part II: To evaluate the PK of EPI-506

    Assessed by tmax

    Measured: Day 8 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, and 24h after dose; Week 12 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, and 8h after dose.

  29. Part II: To evaluate the PK of EPI-506

    Assessed by t1/2

    Measured: Day 8 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, and 24h after dose; Week 12 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, and 8h after dose.

  30. Part II: To evaluate the PK of EPI-506

    Assessed by Vz/F

    Measured: Day 8 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, and 24h after dose; Week 12 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, and 8h after dose.

  31. Part II: To evaluate the PK of EPI-506

    Assessed by CL/F

    Measured: Day 8 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, and 24h after dose; Week 12 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, and 8h after dose.

  32. Part II: To evaluate the PK of EPI-002

    Assessed by AUC

    Measured: Day 8 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, and 24h after dose; Week 12 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, and 8h after dose.

  33. Part II: To evaluate the PK of EPI-002

    Assessed by Cmax

    Measured: Day 8 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, and 24h after dose; Week 12 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, and 8h after dose.

  34. Part II: To evaluate the PK of EPI-002

    Assessed by Ctrough

    Measured: Day 8 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, and 24h after dose; Week 12 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, and 8h after dose.

  35. Part II: To evaluate the PK of EPI-002

    Assessed by tmax

    Measured: Day 8 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, and 24h after dose; Week 12 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, and 8h after dose.

  36. Part II: To evaluate the PK of EPI-002

    Assessed by t1/2

    Measured: Day 8 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, and 24h after dose; Week 12 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, and 8h after dose.

  37. Part II: To evaluate the PK of EPI-002

    Assessed by Vz/F

    Measured: Day 8 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, and 24h after dose; Week 12 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, and 8h after dose.

  38. Part II: To evaluate the PK of EPI-002

    Assessed by CL/F

    Measured: Day 8 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, 8h, 12h, and 24h after dose; Week 12 at pre-dose, and at 15min, 30min, 1h, 2h, 4h, 6h, and 8h after dose.

  39. Part II: Time to PSA progression

    Measured: 12 months

  40. Part II: Radiographic progression

    Radiographic progression evaluated per modified Response Evaluation Criteria in Solid Tumors (mRECIST) v1.1

    Measured: 12 weeks

  41. Part II: Objective response

    Radiographic progression evaluation per mRECIST v1.1 in patients with measurable soft tissue disease at baseline

    Measured: 12 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Nov 2015 (estimated)
  2. Study startOct 2015
  3. Primary completionDec 2017
  4. Study completionDec 2017

Why it stopped: At end of Phase 1 excessive high pill burden (18 capsules/day)

Resources

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 1/2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
28 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02606123
Sponsor's protocol ID
EPI-506-CS-0001
Status last verified
Feb 2018
First submitted
22 Oct 2015
Last updated
1 Mar 2018
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing EPI-506 in people with Prostatic Neoplasms and Genital Neoplasms, Male, run by ESSA Pharmaceuticals at 5 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 7 inclusion and 7 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: stopped early, as of the sponsor's last update on 1 Mar 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in United States, Canada. 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 combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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?

The study was stopped early (reason given: At end of Phase 1 excessive high pill burden (18 capsules/day)). 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?

Part I: Safety and tolerability assessed by vital signs, laboratory measurements, and frequency and severity of treatment-related adverse events (time frame: 12 weeks). 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?
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 1 Mar 2018.

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