Safety and Anti-Tumor Study of Oral EPI-506 for Patients With Metastatic Castration-Resistant Prostate Cancer



Status:Terminated
Conditions:Prostate Cancer, Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - Any
Updated:4/17/2018
Start Date:October 2015
End Date:December 2017

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A Phase 1/2 Open-Label Study to Assess the Safety, Pharmacokinetics, and Anti-Tumor Activity of Oral EPI-506 in Patients With Metastatic Castration-Resistant Prostate Cancer

The study will consist of 2 parts: Part I (Dose Escalation) and Part II (Dose Expansion). In
Part I, patients will participate in single, multiple, and long-term dosing periods using
EPI-506 to determine safety, pharmacokinetics, the maximum tolerated dose, and preliminary
indications of anti-tumor activity. Part I is an open-label, adaptive 3 + 3 design,
dose-escalation study. Approximately six dose levels of EPI-506 will be studied, beginning at
80 mg/day. Enrolled patients may be allowed to escalate to a subsequent dose cohort after
their initial twelve weeks. Additional patients may be enrolled at any safe dose level prior
to or concurrent with enrolling patients in Part II.

In Part II, 3 patient populations; post-abiraterone metastatic castration-resistant prostate
cancer (mCRPC) but enzalutamide-naïve, post-enzalutamide mCRPC but abiraterone-naïve, and
post-abiraterone and enzalutamide mCRPC will be studied at the recommended Phase 2 dose
(RP2D) determined in Part I over 12 weeks of daily dosing. Approximately 120 patients (40 in
each cohort) will be enrolled.


Inclusion Criteria:

- Adenocarcinoma of the Prostate

- Metastatic Disease with at least one lesion on bone scan and/or soft tissue on CT/MRI

- Demonstrated progression on abiraterone and/or enzalutamide

- Demonstrated PSA progression within 12 weeks of study participation

- Castrate testosterone levels at screening with continued Luteinizing hormone-releasing
hormone (LHRH) therapy

- Eastern Cooperative Oncology Group (ECOG) score between 0-1

- Asymptomatic or mildly symptomatic

Exclusion Criteria:

- Candidates for cytotoxic chemotherapy

- Received more than one line of chemotherapy

- Received more than one treatment course of enzalutamide or abiraterone

- Inadequate washout of prohibited hormonally active agents or other prior treatments
for prostate cancer (PCa)

- Known intra-cerebral disease or brain mets

- Spinal cord compression within 6 months

- Prior treatment with investigative androgen receptor (AR) agents
We found this trial at
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Detroit, Michigan 48201
Principal Investigator: Ulka Vaishampayan, MD
Phone: 313-576-9806
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825 Eastlake Ave E
Seattle, Washington 98109
(206) 288-7222
Seattle Cancer Care Alliance Seattle Cancer Care Alliance (SCCA) is a cancer treatment center that...
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1500 E Medical Center Dr
Ann Arbor, Michigan 48109
(734) 936-4000
Principal Investigator: David C. Smith, MD
Phone: 800-865-1125
University of Michigan Health System The University of Michigan is home to one of the...
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Scottsdale, Arizona 85258
Principal Investigator: Michael S. Gordon, MD
Phone: 480-323-1339
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Vancouver, British Columbia
Principal Investigator: Kim N. Chi, MD
Phone: 604-877-6000
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