Teverelix Evaluated in Advanced Prostate Cancer

NCT04693507 | Completed Phase 2 Results

• 1 other identifier: ANT-1111-02
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 4

Brief Summary

The purpose of this study is to assess the safety and efficacy of teverelix TFA in the treatment of advanced prostate cancer

Conditions

Prostatic Adenoma

Outcome Measures

Primary Outcomes (1)

• Testosterone (T) Levels (Castrate) at Week 4

  Proportion of participants achieving castration level with serum T \<0.5 ng/mL at Day 28.

  4 weeks

Secondary Outcomes (34)

• Testosterone (T) Levels (0.2 ng/mL) at Week 4

  4 weeks

• Testosterone (T) Levels (Castrate) at Week 6

  6 weeks

• Testosterone (T) Levels (0.2 ng/mL) at Week 6

  6 weeks

• Testosterone Levels (Castrate) at Week 24

  24 weeks

• Testosterone Levels (0.2 ng/mL) at Week 24

  24 weeks

Study Arms (2)

Teverelix TFA 120 mg 6-weekly

EXPERIMENTAL

Participants receive teverelix TFA loading dose on Day 0 (120 mg SC + 120 mg IM) and teverelix TFA maintenance doses of 120 mg SC at week 6 and 6-weekly thereafter up to week 24

Drug: teverelix TFA 120 mg

Teverelix TFA 180 mg 6-weekly

EXPERIMENTAL

Participants receive teverelix TFA loading dose on Day 0 (180 mg SC + 180 mg IM) and teverelix TFA maintenance doses of 180 mg SC at week 6 and 6-weekly thereafter up to week 24

Drug: teverelix TFA 180 mg

Interventions

teverelix TFA 120 mg DRUG

Teverelix TFA 240 mg Day 0 and 120 mg every 6 weeks from week 6 to week 24

Teverelix TFA 120 mg 6-weekly

teverelix TFA 180 mg DRUG

Teverelix TFA 360 mg Day 0 and 180 mg every 6 weeks from week 6 to week 24

Teverelix TFA 180 mg 6-weekly

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: male
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Is male, aged ≤80 years (≥18 years) at the beginning of the treatment period (Day 0)
• Has histologically proven advanced adenocarcinoma of the prostate (metastatic or non metastatic hormone-sensitive non curative), suitable for ADT
• Is treatment naïve for any of the following: a. GnRH analogues b. Androgen receptor antagonists, or c. Androgen synthesis inhibitors (e.g. abiraterone)
• Agrees to practice contraception during the entire study treatment period and for 3 months after the last dose of IMP is administered: a. Either by using double barrier contraception, b. or, is truly sexually abstinent, when this is in line with the preferred and usual lifestyle of the participant
• Has provided written (personally signed and dated) informed consent before completing any study-related procedure, which means any assessment or evaluation that would not have formed a part of his normal medical care

You may not qualify if:

• Has abnormal screening and/or baseline laboratory values that suggest a clinically significant underlying disease, or the following laboratory values: a. Liver function test (aspartate aminotransferase \[ASAT/SGOT\], alanine aminotransferase \[ALAT/SGPT\]), or total bilirubin exceeding twice the upper limit of the normal (ULN) range b. Creatinine twice the ULN range c. Uncontrolled diabetes (HbA1c \>7.5%) or previously undiagnosed diabetes mellitus with HbA1c \>6.5%
• Has any contraindication to the use of teverelix TFA
• Has life expectancy of less than 1 year
• Has T levels \<2.0 ng/mL at screening
• Has a medical history of bilateral orchidectomy
• Using any of the following prohibited treatments: a. Within 25 weeks prior to screening: dutasteride b. Within 12 weeks prior to screening: finasteride c. Current use of any of the following: i. Anti-androgen therapy, including T replacement therapy and 5α-reductase inhibitor treatment etc. ii. GnRH analogues, androgen receptor antagonists iii. Androgen synthesis inhibitors (e.g. abiraterone) iv. Any other medication or herbal product that may affect hormone levels and might, therefore, confound interpretation of the study results (e.g. St. John's wort)
• Has neurological disease, psychiatric disease, drug or alcohol abuse, which could interfere with the participant's proper compliance
• Has a history of myocardial infarction, unstable symptomatic ischaemic heart disease, any ongoing cardiac arrhythmias of grade \>2 (chronic stable atrial fibrillation on stable anticoagulant therapy is allowed), thromboembolic events (e.g. deep vein thrombosis, pulmonary embolism, or symptomatic cerebrovascular events), or any other significant cardiac condition (e.g. pericardial effusion, restrictive cardiomyopathy) within 6 months before screening
• Has congenital long QT syndrome or ECG abnormalities at screening of: a. Q-wave infarction, unless identified ≥6 months before screening b. Fridericia corrected QT interval (QTcF interval) \>480 msec. If QTcF is prolonged in a participant with a pacemaker, the participant may be enrolled in the study upon discussion with the project clinician c. If the QTcF interval is 450-480 msec, inclusive, in a participant with current use of medications with known effects on QT interval, the participant may be enrolled in the study following discussion with the Medical Lead
• Has known or suspected severe renal impairment
• Has a medical history of diagnosis of, or treatment for, another malignancy within 2 years before the first dose of IMP, or previous diagnosis of another malignancy with evidence of residual disease. Participants with nonmelanoma skin cancer or carcinoma in situ of any type are not excluded if they have undergone complete resection
• Is currently using Class IA (e.g. quinidine, procainamide) or Class III (e.g. amiodarone, sotalol) antiarrhythmic medications
• Has uncontrolled hypertension despite appropriate medical therapy (sitting BP of \>180 millimetres of mercury \[mmHg\] systolic and \>95 mmHg diastolic at 2 separate measurements taken no more than 60 minutes apart during the screening visit). Participants with isolated systolic BP measurements \>180 mmHg may be rescreened. Participants with isolated systolic BP measurements 141 to 180 mmHg or isolated diastolic BP measurements ≥95 mmHg, although eligible, should be referred for further management of hypertension if indicated
• Has known, previously diagnosed human immunodeficiency virus (HIV) infection, active chronic hepatitis B or C, life-threatening illness unrelated to prostate cancer, or any serious medical condition that could, in the investigator's opinion, potentially interfere with participation in this study. Specific screening for chronic viral illness is at the discretion of the site and/or local Institutional Review Board (IRB)
• Has been exposed to another investigational drug within the 3 months prior to screening

Sponsors & Collaborators

• Antev Ltd.: lead

Study Sites (4)

Hospital of Lithuanian University of Health Sciences Kaunas Clinics

Kaunas, LT-50161, Lithuania

Location

Klaipeda University Hospital

Klaipėda, LT-92288, Lithuania

Location

National Cancer Institute

Vilnius, LT-08660, Lithuania

Location

Vilnius University Hospital Santaros Clinic

Vilnius, LT-08661, Lithuania

Location

MeSH Terms

Conditions

Prostatic Hyperplasia

Condition Hierarchy (Ancestors)

Prostatic Diseases; Genital Diseases, Male; Genital Diseases; Urogenital Diseases; Male Urogenital Diseases

Results Point of Contact

• Title: Carol MacLean
• Organization: Antev Ltd

cmaclean@antev.co.uk

+447525177617

Study Officials

• Albertas Ulys, MD

  National Cancer Institute, Vilnius, Lithuania

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restriction Type: LTE60
• Restrictive Agreement: Yes

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Model Details: Adaptive design - enrollment will open in Group 1 (6-weekly dosing regimen). Only if Group 1 dosing regimen is unsuccessful will enrollment open in Group 2 (4-weekly dosing regimen)

Study Record Dates

• First Submitted: December 29, 2020
• First Posted: January 5, 2021
• Study Start: March 4, 2021
• Primary Completion: December 5, 2022
• Study Completion: February 6, 2023
• Last Updated: July 23, 2024
• Results First Posted: July 23, 2024

Record last verified: 2024-01

Data Sharing

• IPD Sharing: Will not share

Locations

LI (4)