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Metastatic Castration Resistant Prostate CancerPhase 1NCT03774056

A Study Evaluating Tolerability, Pharmacokinetics, and Preliminary Efficacy of HC-1119 in Patients.

A Phase 1 study testing HC-1119 in people with Metastatic Castration Resistant Prostate Cancer, run by Hinova Pharmaceuticals Inc. at 1 site in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a phase I study evaluating tolerability, pharmacokinetics, and preliminary efficacy of HC-1119 in patients with metastatic castration-resistant prostate cancer. The study objective is to study the tolerability, safety, and dose-limiting toxicities (DLT) of HC-1119 in patients with mCRPC. Read more about this study

Who is it for?
Ages 18 years and older, men only
What is being tested?
HC-1119
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
43 participants
Where
1 siteChina
Study dates
10 Feb 2017to 28 Aug 2019
Phase
Phase 1
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

Inclusion Criteria (those who meet all of the following are eligible):

  1. Voluntarily participated in the study, with understanding of relevant study procedures and signed informed consent form;
  2. Male , ≥18 years old;
  3. With histologically or cytologically confirmed prostate cancer, without neuroendocrine carcinoma or ductal adenocarcinoma;
  4. With evidence of metastatic disease (such as bone scan and CT/MRI results);
  5. Patients with relapsed, refractory, or progressive disease despite castration (surgery or chemical) or combined androgen deprivation therapy (Progressive disease is defined as 1 or more of the following 3 criteria: Serum PSA progression: A minimum of 3 rising PSA values with an interval of at least 1 week between determinations, resulting in a final value higher than 50% of the minimum, with a starting PSA value > 2 ng/ml; Soft tissue disease progression as defined by RECIST 1.1; Bone disease progression defined by PCWG2 with 2 or more new metastatic lesions on bone scan);
  6. Castrate levels of testosterone (< 50 ng/dl) at screening;
  7. Bilateral orchiectomy or ongoing androgen deprivation therapy with effective GnRH analogues;
  8. Estimated life expectancy > 6 months;
  9. ECOG performance status ≤ 1;
  10. Laboratory tests must meet the following criteria:
  11. Routine Blood Test: hemoglobin (Hb) ≥ 90 g/L (no blood transfusion within the last 14 days); absolute neutrophil count (ANC) ≥ 1.5 x 109/L; platelet count (PLT) ≥ 80 x 109/L;
  12. Blood Biochemistry: creatinine (Cr) ≤ 2 x upper limit of normal (ULN), or Cr > 2 x ULN but the calculated CrCl ≥ 60 mL/min; bilirubin (BIL) ≤ 2 x ULN; alanine aminotransferase (ALT), aspartate aminotransferase (AST) ≤ 2.5 x ULN (or ≤ 5.0 x ULN for patients with liver metastases);
  13. Coagulation: INR < 1.5.

Exclusion Criteria (those who meet any one of the following are ineligible):

  1. Ongoing toxicity ( ≥ Grade 2 toxicity) from previous treatments;
  2. Clinically significant GI dysfunction which may affect the intake, transport, or absorption of drug (such as inability to swallow, chronic diarrhea, and bowel obstruction, etc.), or patients with complete gastrectomy;
  3. History of allergies, or known hypersensitivity to components of the investigational drug;
  4. Brain metastases;
  5. Other malignancies within the last 5 years (except for curatively treated non-melanoma skin cancer);
  6. History of organ transplants
  7. HIV seropositive;
  8. Past medical history of seizures or serious CNS diseases;
  9. History of unexplained coma;
  10. Family history of seizures;
  11. History of traumatic brain injury;
  12. History of medication or drug abuse;
  13. Patients with severe cardiovascular diseases, including those with myocardial infarction, arterial thrombosis, unstable angina, or clinical symptomatic heart failure within the past 6 months;
  14. Uncontrolled hypertension (systolic ≥ 160 mmHg or diastolic ≥ 100 mmHg). Patients with a history of hypertension is eligible if his blood pressure is controlled with antihypertensives;
  15. Medications that lower the seizure threshold must be used during the study;
  16. Treatment with 5α-reductase inhibitors (finasteride, dutasteride), estrogen, or cyproterone within the past 4 weeks;
  17. Treatment with ketoconazole within the past 4 weeks;
  18. Previously treated with investigational or approved medications that inhibit testosterone synthesis (such as abiraterone acetate, TAK-683, and TAK-448) or target testosterone receptors (such as enzalutamide, SHR3680, proxalutamide, and ARN509);
  19. Participated in other clinical trials within 1 month prior to enrollment;
  20. Subjects is determined by the investigator to be unsuitable for this study.

Trial locations and contacts

1 site in 1 country.

China1 site
  • Hinova Pharmaceuticals Inc.

    Chengdu, Sichuan, 610041

Other trials in China

About this study

Official title: A Phase I Study Evaluating Tolerability, Pharmacokinetics, and Preliminary Efficacy of HC-1119 in Patients With Metastatic Castration-Resistant Prostate Cancer.

This is a phase I study evaluating tolerability, pharmacokinetics, and preliminary efficacy of HC-1119 in patients with metastatic castration-resistant prostate cancer. The study objective is to study the tolerability, safety, and dose-limiting toxicities (DLT) of HC-1119 in patients with mCRPC.

Being tested
HC-1119

What participants receive

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

  • HC-1119Drug

    oral

Study groups in NCT03774056
Study groupRoleWhat they receive
dose groupExperimentalDrug name L:HC-1119 Dosage: 40 mg, 80 mg, 160 mg, and 200 mg
Receives: Drug: HC-1119

What is being measured

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

  1. Dose-limiting toxicities(DLT)

    Safety measures

    Measured: From the first dose of the study to the 12th week after dose

  2. Number of patients with adverse events

    Safety measures

    Measured: From the first dose of the study to the 12th week after dose

Secondary outcomes (5)
  1. Maximum drug concentration(Cmax)

    Single-dose and repeated-dose

    Measured: From the first dose of the study to the 12th week after dose

  2. Time of maximum drug concentration(Tmax)

    Single-dose and repeated-dose

    Measured: From the first dose of the study to the 12th week after dose

  3. Area under curve from time 0 to 24h (AUC0-24h)

    Single-dose and repeated-dose

    Measured: From the first dose of the study to the 12th week after dose

  4. Maximal PSA Response Rate

    Percentage of patients with > 50% decrease in PSA levels from baseline during the 12-week treatment period

    Measured: From the first dose of the study to the 12th week after dose

  5. Response rate of prostate specific antigen (PSA)

    Percentage of patients with > 50% decrease in PSA levels from baseline at weeks 6, 8, 10, and 12.

    Measured: From the first dose of the study to the 12th week after dose

Timeline

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

  1. First posted12 Dec 2018
  2. Study start10 Feb 2017
  3. Primary completion26 Sep 2018
  4. Study completion28 Aug 2019

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
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Sequential
Masking
None (open label)
Enrolment
43 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03774056
Sponsor's protocol ID
HC-1119-01
Status last verified
Oct 2020
First submitted
11 Dec 2018
Last updated
3 Nov 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Li X, Cheng K, Li X, Zhou Y, Liu J, Zeng H, Chen Y, Liu X, Zhang Y, Wang Y, Bi F, Zheng L. Phase I clinical trial of HC-1119: A deuterated form of enzalutamide. Int J Cancer. 2021 Oct 1;149(7):1473-1482. doi: 10.1002/ijc.33706. Epub 2021 Jul 7.

    PubMed 34109624

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing HC-1119 in people with Metastatic Castration Resistant Prostate Cancer, run by Hinova Pharmaceuticals Inc. at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

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: finished, as of the sponsor's last update on 3 Nov 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. 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 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.

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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Dose-limiting toxicities(DLT) (time frame: From the first dose of the study to the 12th week after dose). 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 NCT03774056, 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 3 Nov 2020.

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