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A Phase 1/2 Study of EPI-7386 in Combination with Enzalutamide Compared with Enzalutamide Alone in Subjects with Metastatic Castration-Resistant Prostate Cancer
This is a Phase 1/2 study of EPI-7386 orally administered in combination with enzalutamide in subjects with mCRPC. Phase 1 of the study will be a single-arm dose escalation study of EPI-7386 in combination with a fixed dose of enzalutamide. This portion of the study will primarily evaluate the safety and tolerability of the drug combination and establish the RP2CDs for EPI-7386 and enzalutamide when dosed in combination. In addition, blood sampling will be conducted for PK evaluation to assess the potential DDI between the two drugs. Once the RP2CD for each drug has been established, Phase 2 of the study will commence. Phase 2 is a two-arm, randomized (2:1), open-label study. Approximately 120 subjects will be randomized 2:1 to: * Group 1: EPI-7386 at the RP2CD + enzalutamide(depending on the results of the Phase 1) (n=80) * Group 2: Enzalutamide single agent (n=40) The planned dose of enzalutamide and EPI-7386 for the combination arm will be those determined in the Phase 1 of this study based on safety and exposure data. Subjects may remain on study treatment as long as they are tolerating treatment without disease progression based on RECIST v1.1 and/or PCWG3.
Age
18 - No limit years
Sex
MALE
Healthy Volunteers
No
Arizona Urology
Tucson, Arizona, United States
Hematology Oncology Associates of the Treasure Coast
Port Saint Lucie, Florida, United States
Moffitt Cancer Center
Tampa, Florida, United States
Chesapeake Urology Associates
Baltimore, Maryland, United States
Johns Hopkins University
Baltimore, Maryland, United States
Washington University Siteman Cancer Center
St Louis, Missouri, United States
Urology Cancer Center
Omaha, Nebraska, United States
Great Lakes Cancer Center
Buffalo, New York, United States
Roswell Park Comprehensive Cancer Center
Buffalo, New York, United States
Memorial Sloan Kettering Cancer Center
New York, New York, United States
Start Date
December 21, 2021
Primary Completion Date
October 31, 2024
Completion Date
January 14, 2025
Last Updated
February 28, 2025
77
ACTUAL participants
Enzalutamide
DRUG
EPI-7386 with Enzalutamide
DRUG
Lead Sponsor
ESSA Pharmaceuticals
NCT04550494
NCT05691465
Data Source & Attribution
This clinical trial information is sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.
Modifications: This data has been reformatted for display purposes. Eligibility criteria have been parsed into inclusion/exclusion sections. Location data has been geocoded to enable distance-based search. For the authoritative and most current information, please visit ClinicalTrials.gov.
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