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Prostate Cancer MetastaticPhase 1/2NCT03843918

A Study on the Safety and Efficacy of LAE001 in the Treatment of Metastatic Prostate Cancer

A Phase 1/2 study testing LAE001 in people with Prostate Cancer Metastatic, run by Laekna Limited at 2 sites in China.

Terminated

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

Official record
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Trial summary

This study is a multicenter phase I/II study of the treatment of patients with metastatic prostate cancer. The objective of Phase I part is to study the safety and tolerability of LAE001 monotherapy in patients with metastatic castration-resistant prostate cancer, and determine the maximum tolerated dose (MTD) as well… Read more about this study

Who is it for?
Ages 18 years and older, men only
Conditions the study is for
Prostate Cancer Metastatic
What is being tested?
LAE001
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
33 participants
Where
2 sitesChina
Study dates
5 Apr 2019to 9 Oct 2023
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

  • Understands the trial procedures and content, and voluntarily signs the written informed consent form.
  • Male ≥ 18 years old.
  • Prostate adenocarcinoma as confirmed by histology or cytology, excluding neuroendocrine differentiation, signet ring cell carcinoma, and small cell carcinoma.
  • Evidence (such as bone scan or CT/MRI findings) of distant metastatic disease.
  • Phase I: According to the definition by PCWG3, disease progression after androgen deprivation therapy is as follows:
  • Disease progression, as defined by PCWG3, is the satisfaction of any of the following: According to elevations in PSA levels, there should be two consecutive elevations in PSA at least one week apart (if the third detected value is greater than the second detected value, the disease is determined to have progressed; if the third detected value is smaller than the second detected value, a fourth test is required to determine whether the PSA value is greater than the second detected value, and the interval between each test shall be at least one week), and the minimum value shall be equal to or greater than 1.0 ng/mL; PSA levels can be ignored for disease progression as assessed according to RECIST 1.1; progression of bone disease as defined by PCWG3, that is, the discovery of two or more new lesions via bone scan.
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  • ECOG score of 0-1.
  • Dose-escalation phase: Patients with metastatic castration-resistant prostate cancer who have not received chemotherapy or who have received chemotherapy (chemotherapy failure or intolerance), with preferential enrollment of patients who had failed chemotherapy.
  • Phase II: Patients with metastatic castration-resistant prostate cancer • ECOG score of 0-1.
  • Allow other previous treatment for mCRPC: Up to 1 cycle of palliative radiotherapy or surgical intervention to control the appearance of prostate cancer. Radiotherapy for the purpose of healing is not allowed. Radiation therapy must be completed at least 2 weeks before the first dose..
  • The subject underwent orchiectomy, or LHRH agonist or antagonist therapy before enrollment, and the therapy will be maintained throughout the entire study. The patient was at castration level during screening, i.e., his testosterone level was < 50 ng/dL or 1.7 nmol/L.
  • Adequate hematopoietic function:
  • o White blood cell count, WBC ≥ 3,000/μL
  • Absolute neutrophil count, ANC ≥ 1,500/μL
  • Platelet count ≥ 100,000/μL
  • Hemoglobin ≥ 9 g/dL
  • Total serum bilirubin ≤ 1.5*ULN (total bilirubin ≤ 3*ULN, and direct bilirubin ≤ 1.5*ULN for patients known to have Gilbert syndrome).
  • AST (aspartate transaminase) and ALT (alanine transaminase) ≤ 2.5*ULN, and AST and ALT ≤ 5*ULN for patients with liver metastasis.
  • Serum creatinine ≤ 1.5*ULN.
  • Fasting plasma glucose ≤ 120 mg/dL or ≤ 6.7 mmol/L.(Appropriate treatment including insulin is accepted)
  • Normal levels of potassium, calcium and magnesium.

Who cannot join

  • Patients who had been treated with abiraterone acetate or enzalutamide.
  • Phase I: Patients who received anti-tumor therapy such as chemotherapy, radiotherapy, targeted therapy, and endocrine therapy with androgen receptor inhibitors within four weeks prior to the first dose (the time from the last treatment with nitrosourea or mitomycin chemotherapeutic agents is < 6 weeks, and the time from the last dose of bicalutamide or nilutamide is < 6 weeks).
  • Phase II: Patients who received any chemotherapy, radiotherapy or surgery for metastatic prostate cancer before randomization. Exceptions: ADT therapy (LHRH agonist or orchiectomy) before Day 1 of Cycle 1. Or >4 weeks since last use of bicalutamide or other generation antiandrogen receptor antagonist (please confirm with sponsor). Subjects may receive a course of palliative radiotherapy or surgery to treat symptoms caused by metastatic disease (e.g. spinal cord compression or obstruction), provided that it is administered at least 28 days prior to Day 1 of Cycle 1. All adverse events associated with such treatment must be alleviated to Grade 1 by Day 1 of Cycle 1.
  • Patients who underwent major surgery (major surgery refers to Grade 3 and Grade 4 surgery as defined in the "Administrative Measures for Clinical Application of Medical Technologies" promulgated on May 01, 2009) within 28 days before the study treatment, or who have not fully recovered from surgery (the investigator determines that the patient's participation in the clinical trial would pose a risk).
  • Patients with known severe cardiovascular diseases, including: myocardial infarction or thrombotic events in the past six months; unstable angina; heart failure of Class III or IV according to the criteria of the New York Heart Association (NYHA); QTc interval (QTcF) > 450 ms during the screening visit; G3 hypertension that cannot be controlled even with standard treatment, systolic blood pressure >160 mmHg or diastolic blood pressure>100 mmHg).
  • Patient who have not yet recovered from the toxicity of the former treatment regimen before drug administration on Day 1 of Cycle 1, and still have toxic reactions (excluding hair loss) above Grade 1 according to the grading scale of version 5.0 of the Common Terminology Criteria for Adverse Events (CTCAE).
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  • Patients with clinically obvious gastrointestinal abnormalities that may affect the intake, transportation or absorption of drugs (such as patients who are unable to swallow, have chronic diarrhea or intestinal obstruction, or who had undergone total gastrectomy).
  • Patients with visceral metastasis involving the adrenal glands and central nervous system.
  • Patients with evidence of myelosuppression, and hydronephrosis in both kidneys as well as bladder neck obstruction that affects kidney function
  • Type I diabetes and type II diabetes that cannot be controlled by medication
  • Patients with a history of severe central nervous system diseases, including epilepsy.
  • Patients who had other malignant tumors (except for basal or squamous cell carcinoma) in addition to prostate cancer in the past five years, which are currently clinically significant and require intervention.
  • Patients who received 5α-reductase inhibitors (finasteride, dutasteride), estrogen, cyproterone and other drugs for treatment within four weeks before the first dose, and whose period of drug discontinuation has not exceeded five half-lives of the corresponding drugs; the drugs must have been discontinued for more than two weeks if the half-life is unknown.
  • Male patients whose sexual partners are women of childbearing age, where the patient and / or his sexual partner do not agree to use highly effective contraceptive measures (i.e. contraceptives with a low failure rate (less than or equivalent to 1% per year) when used consistently and correctly), and continued use of such measures until four weeks after drug discontinuation.
  • Patients who require systemic steroids or who had received systemic steroids (more than or equivalent to 10 mg of prednisone per day) 30 days before enrollment; topical, inhaled, ophthalmic or intra-articular medications are acceptable.
  • Patients who need to take diuretics (non-potassium-sparing).
  • Patients known to have pituitary or adrenal insufficiency.
  • Patients with known congenital or acquired immunodeficiency, active tuberculosis, etc.
  • Patients with active infection(s) that require systemic treatment within 10 days prior to signing the informed consent form.
  • Chronic hepatitis B carriers with untreated chronic active hepatitis B or with HBV DNA ≥ 1000 copies/mL (or ≥ 200 IU/mL), or patients with active hepatitis C.
  • 21 The patient is currently receiving the following drugs and cannot discontinue the drugs at least one week before starting the study drug: Spironolactone Substrates of CYP1A2, CYP2E1 or CYP2C19, with a narrow therapeutic index Strong inhibitor or strong inducer of CYP1A2 Strong inhibitor of BSEP Grapefruit juice, and herbs such as St. John's wort, kava, ephedra, ginkgo biloba leaves, dehydroepiandrosterone, yohimbine, saw palmetto, and ginseng.
  • 22. The patient is currently receiving a moderate or strong inhibitor or isoenzyme inducer of CYP3A. Patients taking strong inducers need to discontinue the drug for at least one week, and patients taking strong inhibitors need to at least discontinue the drug before receiving the study treatment.
  • 23. Patients with other physical, psychological or social problems, including drug abuse, or who are deemed by the investigator to be unsuitable for participation in this study.

Trial locations and contacts

2 sites in 1 country.

China2 sites
  • ZheJiang Cancer Hospital

    Hangzhou, Zhejiang

  • Fudan Cancer Hospital

    Shanghai, Shanghai Municipality

Other trials in China

About this study

Official title: A Phase I/II Study on the Safety and Efficacy of LAE001 in the Treatment of Metastatic Prostate Cancer

This study is a multicenter phase I/II study of the treatment of patients with metastatic prostate cancer. The objective of Phase I part is to study the safety and tolerability of LAE001 monotherapy in patients with metastatic castration-resistant prostate cancer, and determine the maximum tolerated dose (MTD) as well as the recommended phase II dose (RP2D) of the drug, the Phase II part is to assess the efficacy of LAE001 based on PSA in the treatment of patients with metastatic castration-resistant prostate cancer.

Read the detailed description

Phase I study of this study is a dose-escalating study with enrollment of patients with metastatic castration-resistant prostate cancer who have never received chemotherapy or who have received chemotherapy (chemotherapy failure or intolerance), and preferential enrollment of patients who had failed chemotherapy. The phase II study is a single arm, multicenter study based on ADT, and only patients with metastatic castration-resistant prostate cancer will be enrolled.

According to the results of a completed phase I dose-escalation trial and preclinical data on the drug, the initial dose proposed for this study is 50 mg BID, and one cycle will be 28 days. The escalated doses are 100 mg BID and 125 mg BID, two dose groups. If two or more cases of DLT occur for 100 mg BID, the dose may be reduced to 75 mg BID for investigation. If DLT occurs in two or more out of six patients for a certain dose group, the group with the dose preceding the testing dose will be determined to be the MTD dose group.

RP2D will be determined based on a comprehensive analysis of the safety, pharmacokinetic, pharmacodynamic and efficacy data of dose escalation. Where the MTD is determined, MTD is usually taken as the RP2D, or a dose lower than MTD is selected as the RP2D based on the combined data. If it is determined from the safety data that the dose can still be further increased, but the pharmacokinetic data indicate that the plasma concentration of LAE001 has reached steady-state saturation, the lowest dose that reaches steady-state saturation will be taken as the RP2D. According to the above principles, if the overall incidence of DLT at the dose is < 1/3, this testing dose will be determined as the RP2D. Six patients will be further enrolled and treated at the RP2D dose for sufficient pharmacokinetic data.

Phase II study is designed as a signle arm, multicenter trial on top of ADT therapy. Its primary objective is to assess the efficacy and safety of LAE001 in patients with metastatic castration-resistant prostate cancer. About 40 patients will be enrolled and assigned to the LAE001 treatment group on top of basic ADT therapy. Participant will be treated until the occurrence of disease progression (clinical evidence required), intolerance, judgement by the investigator that the patient is unsuitable to continue receiving treatment, death, or withdrawal of informed consent.

Being tested
LAE001
Keywords
Prostate Cancer
Medical subject headings
Prostatic Neoplasms

What participants receive

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

  • LAE001Drug

    Also called CFG920

    LAE001 BID will be orally administered until the subjects develop disease progression, intolerable adverse events, or trial withdrawal decided by the investigator/subject. The LAE001 dose adopted for the phase II study will be based on the RP2D determined in the phase I study.

Study groups in NCT03843918
Study groupRoleWhat they receive
LAE001+ADTExperimentalLAE001+ADT
Receives: Drug: LAE001

What is being measured

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

  1. Incidence of DLT (Phase I)

    To study the incidence of DLT in the first cycle of administration

    Measured: up to 28 days

  2. Number of Participants With Adverse Events as a Measure of Safety and Tolerability

    To describe the incidence and severity of adverse events as assessed by CTCAE Version 5.0

    Measured: through phase I part of study completion, an approximate average of 7 months

Secondary outcomes (18)
  1. 12-week PSA response rate

    12-week PSA response rate Two consecutive measurements taken three to four weeks apart)

    Measured: 12 weeks after randomization

  2. Overall response rate (ORR)

    Overall response rate (ORR) based on RECIST v1.1

    Measured: through study completion, an approximate average of 7 months

  3. Pharmacokinetic: Cmax

    Collect plasma concentration of LAE001 at various time points and calculate Peak Plasma Concentration (Cmax)

    Measured: through phase I part of study completion, an approximate average of 7 months

  4. Changes in Testosterone Levels

    Observe changes in testosterone levels

    Measured: through phase I part of study completion, an approximate average of 7 months

  5. Radiographic progression-free survival (rPFS) (Phase II)

    Time from randomization to radiographic (as defined by Recist 1.1) progression or disease-induced death

    Measured: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, approximately up to 35 months

  6. PSA progression-free survival (Phase II)

    Time from start of treatment to PSA progression

    Measured: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, approximately up to 35 months

  7. Overall response rate (ORR) (Phase II)

    Overall response rate (ORR) based on RECIST v1.1

    Measured: through phase II part of study completion, approximately up to 35 months

  8. 12-month FFS rate (Phase II)

    The rate of radiographic, clinical or PSA (as defined by PCWG3) progression or disease-induced death after 12 months treatment

    Measured: 12 months after randomization

  9. Time to symptomatic skeletal event (SSE) (Phase II)

    Time to symptomatic skeletal event

    Measured: Time from the date of randomization to the date of documented symptomatic skeletal event,approximately up to 35 months

  10. Number of participants with adverse events as assessed by CTCAE v5.0

    To describe the incidence and severity of adverse events as assessed by CTCAE Version 5.0

    Measured: through phase II part of study completion, approximately up to 35 months

  11. Pharmacokinetic: Tmax

    Collect plasma concentration of LAE001 at various time points and calculate Time to Peak Plasma Concentration (Tmax)

    Measured: through Phase I part of study completion, an approximate average of 7 months

  12. Pharmacokinetic: T 1/2

    Collect plasma concentration of LAE001 at various time points and calculate half life

    Measured: through Phase I part of study completion, an approximate average of 7 months

  13. Pharmacokinetic: AUC0 - ∞

    Collect plasma concentration of LAE001 at various time points and calculate Area under the plasma concentration versus time curve (AUC)

    Measured: through Phase I part of study completion, an approximate average of 7 months

  14. Pharmacokinetic: CL

    Collect plasma concentration of LAE001 at various time points and calculate plasma clearance (CL)

    Measured: through Phase I part of study completion, an approximate average of 7 months

  15. Pharmacokinetic: Vd

    Collect plasma concentration of LAE001 at various time points and calculate volume of distribution

    Measured: through Phase I part of study completion, an approximate average of 7 months

  16. Changes in aldosterone levels

    Observe changes in aldosterone levels

    Measured: through phase I part of study completion, an approximate average of 7 months

  17. Changes in cortisol levels

    Observe changes in cortisol levels

    Measured: through phase I part of study completion, an approximate average of 7 months

  18. Changes in ACTH levels

    Observe changes in ACTH levels

    Measured: through phase I part of study completion, an approximate average of 7 months

Timeline

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

  1. First posted18 Feb 2019
  2. Study start5 Apr 2019
  3. Primary completion9 Oct 2023
  4. Study completion9 Oct 2023

Why it stopped: This is phase I/II study, phase I study completed, phase II study started and enrolled 1 patient. Company strategy consideration to terminated phase 2 study finally.

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
Sequential
Model description
Phase I: 3+3 design for dose escalation Phase II: designed as a single arm, multicenter trial
Masking
None (open label)
Enrolment
33 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03843918
Sponsor's protocol ID
LAE001CN2101
Status last verified
Oct 2024
First submitted
29 Jan 2019
Last updated
10 Sep 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing LAE001 in people with Prostate Cancer Metastatic, run by Laekna Limited at 2 sites in China.

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 21 inclusion and 23 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 10 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites 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 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: This is phase I/II study, phase I study completed, phase II study started and enrolled 1 patient. Company strategy consideration to terminated phase 2 study finally.). 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?

Incidence of DLT (Phase I) (time frame: up to 28 days). 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 10 Sep 2025.

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