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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