A Study of Cetrelimab (JNJ-63723283), a Programmed Cell Death Receptor-1 (PD-1) Inhibitor, Administered in Combination With Apalutamide in Participants With Metastatic Castration-Resistant Prostate Cancer
An Open-label, Multicenter, Phase 1b Study of JNJ-63723283, a PD-1 Inhibitor, Administered in Combination With Apalutamide in Subjects With Metastatic Castration-Resistant Prostate Cancer
3 other identifiers
interventional
33
7 countries
34
Brief Summary
The purpose of this study is to evaluate the safety of the combination of cetrelimab, with apalutamide and to define a population of participants with metastatic castration-resistant prostate cancer (mCRPC) who respond to treatment with the combination of cetrelimab and apalutamide.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1
Started Jun 2018
Typical duration for phase_1
34 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 30, 2018
CompletedFirst Posted
Study publicly available on registry
June 11, 2018
CompletedStudy Start
First participant enrolled
June 28, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 11, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
November 11, 2021
CompletedFebruary 25, 2022
February 1, 2022
3.4 years
May 30, 2018
February 24, 2022
Conditions
Outcome Measures
Primary Outcomes (3)
Number of Participants With Adverse Events (AEs)
An AE is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product.
Approximately 2 years
Number of Participants with AEs by Severity
Severity of AEs will be assessed using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE). Any AE not listed in the NCI CTCAE will be graded according to the investigator clinical judgment by using the standard grades as follows: Grade 1 Mild: Awareness of symptoms that are easily tolerated, causing minimal discomfort and not interfering with everyday activities; Grade 2 Moderate: Sufficient discomfort is present to cause interference with normal activity; Grade 3 Severe: Extreme distress, causing significant impairment of functioning or incapacitation. Prevents normal everyday activities; Grade 4: Life-threatening or disabling AE; Grade 5: Death related to the AE.
Approximately 2 years
Percentage of Participants with Prostate-Specific Antigen (PSA) Response at Week 12
Percentage of participants with baseline in PSA level response (greater than or equal to \[\>=\]50 percent \[%\] decrease from baseline in PSA) will be reported at Week 12.
Week 12
Secondary Outcomes (2)
Maximal PSA Decline
Approximately 2 years
Percentage of Participants with Circulating Tumor Cell (CTC) Response
Approximately 2 years
Study Arms (5)
Cohort 1
EXPERIMENTALBiomarker-negative or biomarker-unknown participants with adenocarcinoma (and not treatment-emergent small-cell neuroendocrine prostate cancer \[t-SCNC\]) who progressed on abiraterone acetate plus prednisone/prednisolone (AA-P) will be enrolled in this cohort. Participants will receive cetrelimab 480 milligram (mg) plus apalutamide 240 mg daily starting Cycle 1 (each cycle of 28 days).
Cohort 2
EXPERIMENTALBiomarker-negative or biomarker-unknown participants with adenocarcinoma (and not t-SCNC) who progressed on apalutamide, darolutamide, or enzalutamide will be enrolled in this cohort. Participants will receive cetrelimab 480 mg plus apalutamide 240 mg daily starting Cycle 1.
Cohort 3
EXPERIMENTALBiomarker-positive participants who progressed on AA-P will be enrolled in this cohort. Participants will receive cetrelimab 480 mg plus apalutamide 240 mg daily starting Cycle 1 (each cycle of 28 days).
Cohort 4
EXPERIMENTALBiomarker-positive participants who progressed on apalutamide, darolutamide, or enzalutamide will be enrolled in this cohort. Participants will receive cetrelimab 480 mg plus apalutamide 240 mg daily starting Cycle 1 (each cycle of 28 days).
Cohort 5
EXPERIMENTALBiomarker-negative participants with t-SCNC who progressed on treatment with AA-P, apalutamide, darolutamide, or enzalutamide will be enrolled in this cohort. Participants will receive cetrelimab 480 mg plus apalutamide 240 mg daily starting Cycle 1 (each cycle of 28 days).
Interventions
Cetrelimab 480 mg will be administered intravenously (IV) on Cycle 1 Day 1, then every 4 weeks thereafter (Q4W).
Apalutamide 240 mg (4\*60 mg) tablets per day will be administered orally.
Eligibility Criteria
You may qualify if:
- Pathologically confirmed adenocarcinoma of the prostate. Treatment-emergent small-cell neuroendocrine prostate cancer (t-SCNC) on screening biopsy may be eligible for cohort 5
- Metastatic disease as documented by technetium-99m (99mTc) bone scan or metastatic lesions by computed tomography (CT) or magnetic resonance imaging (MRI) scans (visceral or lymph node disease). CT-portion of positron emission tomography (PET)/CT scan may be used for eligibility. If lymph node metastasis is the only evidence of metastatic disease, it must be greater than (\>=) 1.0 centimeter (cm) in the short axis and above the level of the iliac bifurcation
- Progressed while on therapy with abiraterone acetate plus prednisone/prednisolone (AA-P), enzalutamide, darolutamide, or apalutamide for mCRPC. No washout is required and no additional therapy may have been administered between discontinuation of AR-targeted the agent and study treatment. Participants will be assigned to cohorts based on the results of the biomarker panel. Cohort 1: Biomarker-negative or biomarker-unknown participants with adenocarcinoma (and not t-SCNC) who progressed on abiraterone acetate plus prednisone/prednisolone (AA-P); Cohort 2: Biomarker-negative or biomarker-unknown participants with adenocarcinoma (and not t-SCNC) who progressed on apalutamide, darolutamide, or enzalutamide; Cohort 3: Biomarker-positive participants who progressed on AA-P; Cohort 4: Biomarker-positive participants who progressed on apalutamide, darolutamide, or enzalutamide; Cohort 5: Biomarker-negative participants with t-SCNC who progressed on treatment with AA-P, apalutamide, darolutamide, or enzalutamide
- Surgical or medical castration, with testosterone levels of less than (\<)50 nanogram per deciliter (ng/dL). If the participant is being treated with gonadotropin-releasing hormone (GnRH) analogs (participant who has not undergone bilateral orchiectomy), this therapy must have been initiated at least 4 weeks prior to first dose of study drug and must be continued throughout the study
- Eastern Cooperative Oncology Group Performance Status (ECOG) prostate-specific (PS) grade of 0 or 1
You may not qualify if:
- Initial diagnosis of primary prostatic neuroendocrine or small cell carcinoma
- Brain metastases
- Prior treatment with an anti-programmed cell death receptor-1 (PD-1), anti-programmed cell death ligand 1 (PD-L1), or anti-cytotoxic T-lymphocyte antigen 4 (CTLA-4) antibody
- Prior chemotherapy, except for docetaxel for hormone-sensitive prostate cancer (HSPC)
- Prior therapy with poly adenosine diphosphate (ADP)-ribose polymerase (PARP) inhibitors
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (34)
University of California San Francisco (UCSF) - Prostate Cancer Center
San Francisco, California, 94158-2350, United States
Regional Urology LLC
Shreveport, Louisiana, 71106, United States
University of Michigan Health System
Ann Arbor, Michigan, 48109-5000, United States
Washington University
Bay Saint Louis, Mississippi, 63110, United States
New York University Langone Medical Center
New York, New York, 10016, United States
Icahn School of Medicine at Mount Sinai - The Derald H. Ruttenberg
New York, New York, 10029-6542, United States
Levine Cancer Institute, Carolinas HealthCare System
Charlotte, North Carolina, 28204, United States
Centers for Advanced Urology, LLC; d/b/a MidLantic Urology
Bala-Cynwyd, Pennsylvania, 19004, United States
Thomas Jefferson University
Philadelphia, Pennsylvania, 19107, United States
University of Texas, MD Anderson Cancer Center
Houston, Texas, 77030, United States
Virginia Oncology Associates
Norfolk, Virginia, 23502, United States
Grand Hôpital de Charleroi, site Notre Dame
Charleroi, 6000, Belgium
AZ Maria Middelares
Ghent, 9000, Belgium
Cross Cancer Institute
Edmonton, Alberta, T6G 1Z2, Canada
University of Toronto
Toronto, Ontario, M5G 2M9, Canada
Centre de Recherche du CHUM
Montreal, Quebec, H2X 0A9, Canada
Istituto Europeo di Oncologia Servizio Radioterapia
Milan, 20141, Italy
NKI-AVL, Amsterdam
Amsterdam, 1066 CX, Netherlands
UMC Radboud
Nijmegen, 6525AG, Netherlands
Sint Franciscus Gasthuis
Rotterdam, 3045 PM, Netherlands
Moscow City Clinical Hospital # 62
Moscow, 125130, Russia
Hertzen Oncology Research Institute
Moscow, 125284, Russia
Clinical Oncology Dispensary
Omsk, 644013, Russia
Non-State Healthcare Institution 'Road Clinical Hospital of Russian Railways'
Saint Petersburg, 195271, Russia
Russian Scientific Center of Radiology and Surgical Technologies
Saint Petersburg, 197758, Russia
Hosp. Univ. Vall D Hebron
Barcelona, 8035, Spain
Hosp. Gral. Univ. Gregorio Marañon
Madrid, 28009, Spain
Hosp. Univ. Ramon Y Cajal
Madrid, 28034, Spain
Hosp. Univ. Fund. Jimenez Diaz
Madrid, 28040, Spain
Hosp. Univ. Hm Sanchinarro
Madrid, 28050, Spain
Hosp. Virgen de La Victoria
Málaga, 29010, Spain
Hosp. Quiron Madrid Pozuelo
Pozuelo de Alarcón, 28223, Spain
Hosp. Univ. Marques de Valdecilla
Santander, 39008, Spain
Instituto Valenciano de Oncologia
Valencia, 46009, Spain
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Janssen Research & Development, LLC Clinical Trial
Janssen Research & Development, LLC
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 30, 2018
First Posted
June 11, 2018
Study Start
June 28, 2018
Primary Completion
November 11, 2021
Study Completion
November 11, 2021
Last Updated
February 25, 2022
Record last verified: 2022-02