NCT03551782

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

93
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
33

participants targeted

Target at P50-P75 for phase_1

Timeline
Completed

Started Jun 2018

Typical duration for phase_1

Geographic Reach
7 countries

34 active sites

Status
completed

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

Completed
12 days until next milestone

First Posted

Study publicly available on registry

June 11, 2018

Completed
17 days until next milestone

Study Start

First participant enrolled

June 28, 2018

Completed
3.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 11, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 11, 2021

Completed
Last Updated

February 25, 2022

Status Verified

February 1, 2022

Enrollment Period

3.4 years

First QC Date

May 30, 2018

Last Update Submit

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

EXPERIMENTAL

Biomarker-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).

Drug: Cetrelimab 480 mgDrug: Apalutamide 240 mg

Cohort 2

EXPERIMENTAL

Biomarker-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.

Drug: Cetrelimab 480 mgDrug: Apalutamide 240 mg

Cohort 3

EXPERIMENTAL

Biomarker-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).

Drug: Cetrelimab 480 mgDrug: Apalutamide 240 mg

Cohort 4

EXPERIMENTAL

Biomarker-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).

Drug: Cetrelimab 480 mgDrug: Apalutamide 240 mg

Cohort 5

EXPERIMENTAL

Biomarker-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).

Drug: Cetrelimab 480 mgDrug: Apalutamide 240 mg

Interventions

Cetrelimab 480 mg will be administered intravenously (IV) on Cycle 1 Day 1, then every 4 weeks thereafter (Q4W).

Also known as: JNJ-63723283
Cohort 1Cohort 2Cohort 3Cohort 4Cohort 5

Apalutamide 240 mg (4\*60 mg) tablets per day will be administered orally.

Also known as: JNJ-56021927
Cohort 1Cohort 2Cohort 3Cohort 4Cohort 5

Eligibility Criteria

Age18 Years+
Sexmale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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

Location

Regional Urology LLC

Shreveport, Louisiana, 71106, United States

Location

University of Michigan Health System

Ann Arbor, Michigan, 48109-5000, United States

Location

Washington University

Bay Saint Louis, Mississippi, 63110, United States

Location

New York University Langone Medical Center

New York, New York, 10016, United States

Location

Icahn School of Medicine at Mount Sinai - The Derald H. Ruttenberg

New York, New York, 10029-6542, United States

Location

Levine Cancer Institute, Carolinas HealthCare System

Charlotte, North Carolina, 28204, United States

Location

Centers for Advanced Urology, LLC; d/b/a MidLantic Urology

Bala-Cynwyd, Pennsylvania, 19004, United States

Location

Thomas Jefferson University

Philadelphia, Pennsylvania, 19107, United States

Location

University of Texas, MD Anderson Cancer Center

Houston, Texas, 77030, United States

Location

Virginia Oncology Associates

Norfolk, Virginia, 23502, United States

Location

Grand Hôpital de Charleroi, site Notre Dame

Charleroi, 6000, Belgium

Location

AZ Maria Middelares

Ghent, 9000, Belgium

Location

Cross Cancer Institute

Edmonton, Alberta, T6G 1Z2, Canada

Location

University of Toronto

Toronto, Ontario, M5G 2M9, Canada

Location

Centre de Recherche du CHUM

Montreal, Quebec, H2X 0A9, Canada

Location

Istituto Europeo di Oncologia Servizio Radioterapia

Milan, 20141, Italy

Location

NKI-AVL, Amsterdam

Amsterdam, 1066 CX, Netherlands

Location

UMC Radboud

Nijmegen, 6525AG, Netherlands

Location

Sint Franciscus Gasthuis

Rotterdam, 3045 PM, Netherlands

Location

Moscow City Clinical Hospital # 62

Moscow, 125130, Russia

Location

Hertzen Oncology Research Institute

Moscow, 125284, Russia

Location

Clinical Oncology Dispensary

Omsk, 644013, Russia

Location

Non-State Healthcare Institution 'Road Clinical Hospital of Russian Railways'

Saint Petersburg, 195271, Russia

Location

Russian Scientific Center of Radiology and Surgical Technologies

Saint Petersburg, 197758, Russia

Location

Hosp. Univ. Vall D Hebron

Barcelona, 8035, Spain

Location

Hosp. Gral. Univ. Gregorio Marañon

Madrid, 28009, Spain

Location

Hosp. Univ. Ramon Y Cajal

Madrid, 28034, Spain

Location

Hosp. Univ. Fund. Jimenez Diaz

Madrid, 28040, Spain

Location

Hosp. Univ. Hm Sanchinarro

Madrid, 28050, Spain

Location

Hosp. Virgen de La Victoria

Málaga, 29010, Spain

Location

Hosp. Quiron Madrid Pozuelo

Pozuelo de Alarcón, 28223, Spain

Location

Hosp. Univ. Marques de Valdecilla

Santander, 39008, Spain

Location

Instituto Valenciano de Oncologia

Valencia, 46009, Spain

Location

MeSH Terms

Conditions

Prostatic Neoplasms, Castration-Resistant

Interventions

apalutamide

Condition Hierarchy (Ancestors)

Prostatic NeoplasmsGenital Neoplasms, MaleUrogenital NeoplasmsNeoplasms by SiteNeoplasmsGenital Diseases, MaleGenital DiseasesUrogenital DiseasesProstatic DiseasesMale Urogenital Diseases

Study Officials

  • Janssen Research & Development, LLC Clinical Trial

    Janssen Research & Development, LLC

    STUDY DIRECTOR

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

Locations