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Metastatic Castration-resistant Prostate CancerPhase 1/2NCT04556617

PLX2853 in Combination With Abiraterone Acetate and Prednisone and in Combination With Olaparib in Subjects With Metastatic Castration-Resistant Prostate Cancer (mCRPC)

A Phase 1/2 study testing PLX2853 20 mg, Olaparib and Abiraterone acetate in people with Metastatic Castration-resistant Prostate Cancer, run by Opna Bio LLC at 8 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 purpose of this research study is to evaluate safety, pharmacokinetics, pharmacodynamics and preliminary efficacy of the investigational drug PLX2853 in subjects with Metastatic Castration-Resistant Prostate Cancer (mCRPC) Read more about this study

Who is it for?
Ages 18 years and older, men only
What is being tested?
PLX2853 20 mg, Olaparib and Abiraterone acetate
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
19 participants
Where
8 sitesin 2 countries
Study dates
21 Sep 2020to 24 May 2022
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

  • Age ≥18 years at the time of signing informed consent.
  • Histologically confirmed adenocarcinoma of the prostate with tumor tissue available for molecular analyses.
  • Eastern Cooperative Oncology Group Performance Status 0 to 1.
  • Adequate organ function as demonstrated following laboratory values.
  • Fertile male subjects with female sexual partners must agree to use a highly effective method of birth control during the study and for 90 days after the last dose of study drug.
  • Except as specified above for organ function, all drug-related toxicity from previous cancer therapy (including ongoing Abiraterone Acetate + Prednisone therapy if applicable) must be resolved (to Grade ≤1 or baseline per National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0) prior to study treatment administration (Grade 2: alopecia, hot flashes, decreased libido, or neuropathy is allowed).
  • Willingness and ability to provide written informed consent prior to any study-related procedures and to comply with all study requirements.

Who cannot join

  • Prior exposure to a bromodomain inhibitor.
  • History of autoimmune hemolytic anemia or autoimmune thrombocytopenia.
  • Clinically significant cardiac disease.
  • Inability to take oral medication or significant nausea and vomiting, malabsorption, or significant small bowel resection that, in the opinion of the Investigator, would preclude adequate absorption.
  • Active known second malignancy with the exception of any of the following:
  • Adequately treated basal cell carcinoma or squamous cell carcinoma of the skin.
Show all 11Show fewer
  • Adequately treated Stage I cancer from which the subject is currently in remission and has been in remission for ≥2 years.
  • Any other cancer from which the subject has been disease-free for ≥3 years.
  • Subject is participating in any other therapeutic clinical study (observational or registry studies are allowed).
  • Presence of any other medical, psychological, familial, sociological, or geographic condition potentially hampering compliance with the study protocol or would interfere with the study endpoints or the subject's ability to participate in the study in the judgment of the Investigator.
  • Receipt of any anti-cancer therapy prior to Cycle 1 Day 1 with less than protocol defined wash-out with the exception of Abiraterone Acetate (for subjects enrolling into Abiraterone Acetate Combination) and GnRH therapy.

Trial locations and contacts

8 sites in 2 countries.

8 sites in 2 countries

United States7 sites
  • University of Chicago

    Chicago, Illinois, 60637

  • Karmanos Cancer Institute

    Detroit, Michigan, 48201

  • Virginia Cancer Specialist

    Fairfax, Virginia, 22031

  • University of Wisconsin

    Madison, Wisconsin, 53792

  • Carolina Urologic Research Center

    Myrtle Beach, South Carolina, 29572

  • Tennessee Oncology/ Sarah Cannon

    Nashville, Tennessee, 37203

  • Columbia University Medical Center

    New York, New York, 10032

Other trials in United States

United Kingdom1 site
  • Sarah Cannon Research Institute

    London, W1G 6AD

Other trials in United Kingdom

About this study

Official title: A Multicenter, Open-Label, Parallel, Phase 1b/2a Study of PLX2853 in Combination With Abiraterone Acetate and Prednisone and Phase 1b/2a Study of PLX2853 in Combination With Olaparib in Subjects With Metastatic Castration-Resistant Prostate Cancer (mCRPC)

The purpose of this research study is to evaluate safety, pharmacokinetics, pharmacodynamics and preliminary efficacy of the investigational drug PLX2853 in subjects with Metastatic Castration-Resistant Prostate Cancer (mCRPC)

Being tested
PLX2853 20 mg, Olaparib, Abiraterone acetate, Prednisone, PLX2853 40 mg
Keywords
PLX2853, Metastatic Castration-resistant Prostate Cancer, Olaparib, Abiraterone Acetate, Adenocarcinoma, Prostate Cancer
Medical subject headings
Adenocarcinoma, Prostatic Neoplasms

What participants receive

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

  • PLX2853 20 mgDrug

    PLX2853 tablets

  • OlaparibDrug

    Olaparib tablets

  • Abiraterone acetateDrug

    Abiraterone acetate tablets

  • PrednisoneDrug

    Prednisone (or equivalent) tablets

  • PLX2853 40 mgDrug

    PLX2853 tablets

  • PLX2853 80 mgDrug

    PLX2853 tablets

Study groups in NCT04556617
Study groupRoleWhat they receive
Phase 1b PLX2853 (20 mg) + OlaparibExperimentalPhase 1b dose escalation
Receives: Drug: PLX2853 20 mg; Drug: Olaparib
Phase 1b PLX2853 (40 mg) + Abiraterone Acetate + PrednisoneExperimentalPhase 1b dose escalation
Receives: Drug: Abiraterone acetate; Drug: Prednisone; Drug: PLX2853 40 mg
Phase 1b PLX2853 (80 mg) + Abiraterone Acetate + PrednisoneExperimentalPhase 1b dose escalation
Receives: Drug: Abiraterone acetate; Drug: Prednisone; Drug: PLX2853 80 mg
Phase 2a PLX2853 (80 mg) + Abiraterone Acetate + PrednisoneExperimentalPhase 2a dose expansion
Receives: Drug: Abiraterone acetate; Drug: Prednisone; Drug: PLX2853 80 mg
Phase 1b PLX2853 (40 mg) + OlaparibExperimentalPhase 1b dose escalation
Receives: Drug: Olaparib; Drug: PLX2853 40 mg

What is being measured

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

  1. Number of Participants With Dose-Limiting Toxicities

    Dose limiting toxicity defined as clinically significant adverse events or laboratory abnormalities occurring during first cycle of study drug administration that are possibly related to study drug and that meet specific criteria defined in the protocol

    Measured: From time of first dose of PLX2853 and combination agent(s) through completion of Cycle 1 (21 days)

  2. Phase 1b (Both Arms): Incidence of TEAEs That Are Related to Treatment

    Treatment-emergent adverse events are those reported after study drug has been administered.

    Measured: From time of first dose of PLX2853 and combination agent(s) until 30 days from end of treatment (an average of 103 days)

  3. Determination of Maximum Tolerated Dose

    To be evaluated in both PLX2853 + AA + pred and PLX2853 + olap group; If DLTs observed in 2 or more subjects the dose will be considered intolerable and MTD will have been reached.

    Measured: From time of first dose of PLX2853 and combination agent(s) through completion of Cycle 1 (21 days)

Timeline

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

  1. First posted21 Sep 2020
  2. Study start21 Sep 2020
  3. Primary completion24 May 2022
  4. Study completion24 May 2022

Why it stopped: study terminated due to business realignment

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
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
19 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04556617
Sponsor's protocol ID
PLX124-04
Status last verified
Apr 2025
First submitted
14 Sep 2020
Last updated
8 Apr 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing PLX2853 20 mg, Olaparib and Abiraterone acetate in people with Metastatic Castration-resistant Prostate Cancer, run by Opna Bio LLC at 8 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 11 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 8 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in United States, United Kingdom. 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?

Yes. Results are posted in the registry (first posted 8 Apr 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Number of Participants With Dose-Limiting Toxicities (time frame: From time of first dose of PLX2853 and combination agent(s) through completion of Cycle 1 (21 days)). The study lists 3 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 8 Apr 2025.

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