Open-label Study Comparing AAA817 Versus Standard of Care in the Treatment of Previously Treated PSMA-positive mCRPC Adults Who Have Disease Progressed on or After [177Lu]Lu-PSMA Targeted Therapy
Investigators choice of SoC: The control treatment in Phase III is investigator's choice of SoC
AAA817: The investigational treatment is AAA817
AAA817: The investigational treatment is AAA817
AAA817: Investigational treatment is the Dose B of AAA817
Study summary
This is a Phase II/III study. Patient population is adult participants with PSMA-positive mCRPC who had treatments with androgen receptor pathway inhibitor (ARPI) and taxane-based chemotherapy and progressed on or after \[177Lu\]Lu-PSMA targeted therapy.
Treatment of interest: the investigational treatment is AAA817 regardless of subsequent anti-neoplastic treatment. The control treatment is investigator's choice of Standard of Care, regardless of subsequent anti-neoplastic treatment
Eligibility
Sex
MALE
Min age
18 Years
Max age
100 Years
Healthy volunteers
No
Inclusion Criteria: ∙
* adults ≥ 18 years of age.
* ECOG performance status of 0 to 2.
* histopathological and/or cytological confirmation of adenocarcinoma of the prostate.
* PSMA-positive disease as assessed by PSMA PET/CT scan using an approved PSMA imaging agent as protocol instructed,
* castrate level of serum/plasma testosterone (\< 50 ng/dL or \< 1.7 nmol/L).
* Prior treatments with an androgen receptor pathway inhibitor (ARPI) and taxane-based chemotherapy, and progressed on or after \[177Lu\]Lu-PSMA targeted therapy.
* ≥ 1 metastatic lesion that is present on screening/baseline CT, MRI, or bone scan imaging obtained ≤ 28 days prior to randomization
* eGFR as requested by the sponsor
Exclusion Criteria:
* Any investigational agents within 28 days prior to the day of randomization.
* Any 225Ac-based investigational compound used prior to the day of randomization.
* Participants with a history of CNS metastases who are neurologically unstable, symptomatic, or receiving corticosteroids for the purpose of maintaining neurologic integrity.
* Concurrent acute kidney injury (renal failure developed between 48 hours to 7 days) or chronic kidney disease (at least 3 months of ongoing renal injury)
* Baseline xerostomia ≥ Grade 2 by CTCAE v.5
* History of uncontrolled hypertension, myocardial infarction (MI), angina pectoris, or coronary artery bypass graft (CABG) within 6 months prior to ICF signature and/or clinically active significant cardiac disease
* History of lymphoproliferative disease or any known malignancy or history of malignancy of any organ system within the past 5 years (except for basal cell carcinoma or actinic keratosis that have been treated with no evidence of recurrence in the past 3 months, non-invasive malignant colon polyps that have been removed).
Other protocol-defined inclusion/exclusion criteria may apply.
Primary outcome measure(s)
Biochemical response rate (Phase II) — from date of randomization up to approximately 24 months Biochemical response rate as defined as the percentage of participants who achieved a ≥ 50% decrease from baseline that is confirmed by a second measurement
Adverse Events (AEs) and Serious Adverse Events (SAEs), and deaths - Phase II — from day of randomization to 30 days after End of Treatment or (last AAA817 dose date + 55 days, last dose date of SoC + 30 days), whichever is later Safety defined as the type, incidence and severity of AEs and SAEs, and deaths
Tolerability of the proposed dose of AAA817- Phase II — From on-treatment period which start from the first dose of study treatment until 30 days post-last dose date for SoC and 55 days post last-dose for AAA817 Percentage of participants who experienced Dose interruptions, reductions, discontinuation, dose intensity and duration of exposure
Radiographic progression-free survival (rPFS)- Phase III — from date of randomization up to approximately 24 months Percentage of participants who are alive without radiographic progression or who are lost to follow-up at the time of analysis
Overall survival (OS)- Phase III — from date of randomization up to approximately 24 months Percentage of participants who are alive or who are lost to follow-up at the time of analysis
Trial sites (81)
Facility
City
Region
Status
VA Greater LA Healthcare System
Los Angeles
California
Recruiting
VA Palo Alto Health Care System
Palo Alto
California
Recruiting
Stanford University Medical Center
Palo Alto
California
Recruiting
Sansum Clinic
Santa Barbara
California
Recruiting
Saint Johns Cancer Institute
Santa Monica
California
Recruiting
Hartford Hospital
Hartford
Connecticut
Recruiting
AdventHealth
Orlando
Florida
Recruiting
University Cancer and Blood Center LLC
Athens
Georgia
Recruiting
Emory University
Atlanta
Georgia
Recruiting
Indiana University
Indianapolis
Indiana
Recruiting
University of Kansas Hospital
Kansas City
Kansas
Recruiting
East Jefferson Hospital
Metairie
Louisiana
Recruiting
Dana Farber Cancer Institute
Boston
Massachusetts
Recruiting
Beth Israel Deaconess Medical Center
Boston
Massachusetts
Recruiting
WA Uni School Of Med
St Louis
Missouri
Recruiting
Nebraska Cancer Specialists
Omaha
Nebraska
Recruiting
New Jersey Urology LLC
Voorhees Township
New Jersey
Recruiting
Associated Med Professionals of NY
Syracuse
New York
Recruiting
Montefiore Medical Center
The Bronx
New York
Recruiting
Central Ohio Urology Group
Gahanna
Ohio
Recruiting
Fox Chase Cancer Center
Philadelphia
Pennsylvania
Recruiting
Carolina Urologic Research Center
Myrtle Beach
South Carolina
Recruiting
Texas Oncology
Dallas
Texas
Recruiting
Urology San Antonio
San Antonio
Texas
Recruiting
Utah Intermountain Medical Center
Murray
Utah
Recruiting
Fred Hutchinson Cancer Research Center
Seattle
Washington
Recruiting
Medical College Of Wisconsin
Milwaukee
Wisconsin
Recruiting
Novartis Investigative Site
Darlinghurst
New South Wales
Recruiting
Novartis Investigative Site
Herston
Queensland
Recruiting
Novartis Investigative Site
Melbourne
Victoria
Recruiting
Novartis Investigative Site
São Paulo
São Paulo
Recruiting
Novartis Investigative Site
São Paulo
São Paulo
Recruiting
Novartis Investigative Site
Fuzhou
Fujian
Recruiting
Novartis Investigative Site
Wuhan
Hubei
Recruiting
Novartis Investigative Site
Wuhan
Hubei
Recruiting
Novartis Investigative Site
Nanjing
Jiangsu
Recruiting
Novartis Investigative Site
Nanjing
Jiangsu
Recruiting
Novartis Investigative Site
Shenyang
Liaoning
Recruiting
Novartis Investigative Site
Xian
Shanxi
Recruiting
Novartis Investigative Site
Xian
Shanxi
Recruiting
+ 41 more sites — see the full list on the official registry below.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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