Clinical trial • Phase III • Oncology

REZVILUTAMIDE for Metastatic hormone-sensitive prostate cancer

Phase III trial of REZVILUTAMIDE for Metastatic hormone-sensitive prostate cancer.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Metastatic hormone-sensitive prostate cancer
Trial Stage
Phase III
Drug Modality
Small molecule|Peptide/protein/enzyme

Key dates

Initial CTIS Submission Date
01-10-2024
First CTIS Authorization Date
26-11-2024

Trial design

Randomised, open-label, casodex (bicalutamide) — casodex 50 mg film-coated tablets (bicalutamide); max daily dose 50 mg; oral; used as comparator in combination with adt.-controlled Phase III trial across 8 sites in Poland, Czechia, Bulgaria.

Randomised
Yes
Open Label
Yes
Comparator
Casodex (bicalutamide) — Casodex 50 mg film-coated tablets (bicalutamide); max daily dose 50 mg; oral; used as comparator in combination with ADT.
Target Sample Size
591

Eligibility

Recruits 591 No vulnerable population selected. Participants are adult males (Age ≥ 18). Informed consent is obtained via subject information and informed consent forms (multiple ICF documents provided for country-specific use)..

Vulnerable Population
No vulnerable population selected. Participants are adult males (Age ≥ 18). Informed consent is obtained via subject information and informed consent forms (multiple ICF documents provided for country-specific use).

Inclusion criteria

  • {"criterion_text":"- Age ≥ 18 years, male\n- Performance status ECOG Scores 0-1;\n- Histologically or cytologically confirmed adenocarcinoma of the prostate, and no neuroendocrine differentiation or small cell characteristics indicated;\n- High tumor load, i.e., the radiological examination meets at least one of the following conditions: 1) ≧4 bone metastatic foci in Tc-99m bone scanning (at least one focus not located in pelvis or spine); 2) visceral metastasis shown on CT/MRI (not including lymph nodes);\n- Plan to receive or maintain ADT during the study, i.e., to receive luteinizing hormone releasing hormone analogue (LHRHA) for continuous treatment (medical castration) or previous bilateral orchidectomy (surgical castration);"}

Exclusion criteria

  • {"criterion_text":"- Previous ADT, chemotherapy, surgery, external irradiation, brachytherapy, radiopharmaceuticals or experimental local treatment (including radiofrequency ablation, cryotherapy, high intensity focused ultrasound, etc.), with some exceptions.\n- Previous use or plan to use the 2nd generation androgen receptor antagonist (e.g., enzalutamide, ARN-509, ODM-201), ketoconazole, Abiraterone Acetate or other drugs under development inhibiting androgen synthesis (e.g., TAK-700) during study treatment for treatment of prostate cancer.\n- The subjects have received the following therapies within 4 weeks prior to C1D1:  5α-reductase inhibitor (e.g., Finasteride, dutasteride, etc.);  Estrogen, progesterone, androgen, steroid systemic therapy (except the temporary use for anti-allergic purpose);  Plant medicine with known anti-prostate cancer or PSA-lowering effect (e.g., Saw Palmetto);  Study treatment in other clinical trials.\n- Presence of tumor lesion in central nervous system through radiologically confirmed diagnosis.\n- Plan to receive any other antitumor therapies during this trial."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- rPFS,OS","definition_or_measurement_approach":"rPFS = radiological progression-free survival (radiologically confirmed progression); OS = overall survival (overall survival as stated in main objective)."}

Secondary endpoints

  • {"endpoint_text":"- Time to PSA progression.\n- Time to the next bone related event (including fracture, spinal compression, radiotherapy or surgery for bones).\n- Time to the start of the next anti-prostate cancer treatment.\n- ORR\n- Safety endpoint.","definition_or_measurement_approach":"Time to PSA progression: time until PSA-defined progression. Time to next bone related event: time until events such as fracture, spinal compression, radiotherapy or surgery for bones. Time to start of next anti-prostate cancer treatment: time until initiation of next systemic anti-prostate cancer therapy. ORR: objective response rate. Safety endpoint: assessment of safety/tolerability as reported."}

Recruitment

Planned Sample Size
591
Recruitment Window Months
88
Consent Approach
Informed consent obtained from adult participants (male, ≥18) via subject information sheets and informed consent forms. Multiple ICF documents are provided, including country-specific ICFs and language versions (examples: Poland - Polish ICFs; Czechia - Czech ICFs; Bulgaria - Bulgarian ICFs; English versions also available). A Pregnant Partner ICF and partner-specific forms are present for partner-related information where applicable.

Geography

Total Number Of Sites
8
Total Number Of Participants
63

Poland

Latest Decision Or Authorization Date
09-12-2024
Number Of Sites
1
Number Of Participants
11

Sites

Site Name
Provita Centrum Medyczne Sp. z o.o.
Department Name
Department of Medical Oncology
Contact Person Name
Jacek Fijuth
Contact Person Email
jacek.fijuth@umed.lodz.pl

Czechia

Latest Decision Or Authorization Date
26-11-2024
Number Of Sites
3
Number Of Participants
23

Sites

Site Name
Nemocnice Na Homolce
Department Name
Department of Clinical Oncology
Contact Person Name
Martin Safanda
Contact Person Email
martin.safanda@homolka.cz
Site Name
University Hospital Olomouc
Department Name
Department of Clinical Oncology
Contact Person Name
Bohuslav Melichar
Contact Person Email
bohuslav.melichar@fnol.cz
Site Name
Fakultni Nemocnice U Sv Anny V Brne
Department Name
Department of Medical Oncology
Contact Person Name
Jana Katolická
Contact Person Email
sekr.ocho@fnusa.cz

Bulgaria

Latest Decision Or Authorization Date
03-12-2024
Number Of Sites
4
Number Of Participants
29

Sites

Site Name
Complex Oncological Center Plovdiv EOOD
Department Name
Medical Oncology and Gastroenterology Oncology
Contact Person Name
Antoaneta Tomova
Contact Person Email
dr.tomova@gmail.com
Site Name
Acibadem City Clinic Diagnostic And Consultation Center Tokuda EAD
Department Name
Department of Medical Oncology
Contact Person Name
Jhelyazko Arabadzhiev
Contact Person Email
jarabadjiev@gmail.com
Site Name
Muliprofile Hospital For Active Treatment Central Onco Hospital OOD
Department Name
Department of Medical Oncology
Contact Person Name
Nicolay Shopov
Contact Person Email
coh.drshopov@gmail.com
Site Name
Multiprofile Hospital For Active Treatment Dr. Tota Venkova AD
Department Name
Department of Medical Oncology
Contact Person Name
Bonka Popova
Contact Person Email
dr.bonka.popova@gmail.com

Sponsor

Primary sponsor

Full Name
Jiangsu Hengrui Pharmaceuticals Co. Ltd.
Organisation Type
Pharmaceutical company
Country Of Registered Address
China

Investigational products

Investigational Product Name
SHR3680 (Rezvilutamide)
Active Substance
REZVILUTAMIDE
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Investigational (no marketing authorisation listed)
Maximum Dose
240 mg (max daily dose amount)
Investigational Product Name
Zoladex 10,8 mg (Goserelin)
Active Substance
GOSERELIN
Modality
Peptide/protein/enzyme
Routes Of Administration
INJECTION (implant)
Route
INJECTION
Authorisation Status
Authorised (marketing authorisation present)
Starting Dose
10.8 mg (implant)
Maximum Dose
10.8 mg
Investigational Product Name
Casodex 50 mg (Bicalutamide)
Active Substance
BICALUTAMIDE
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Authorised (marketing authorisation present)
Starting Dose
50 mg
Maximum Dose
50 mg (max daily dose amount)
Combination Treatment
Yes

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