NCT04844749

Brief Summary

To demonstrate the efficacy of VERU-111 (Sabizabulin) in the treatment of metastatic castration-resistant prostate cancer in patients who have failed prior treatment with at least one androgen receptor targeting agent as measured by radiographic progression-free survival.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
105

participants targeted

Target at P25-P50 for phase_3

Timeline
Completed

Started Jun 2021

Geographic Reach
1 country

40 active sites

Status
terminated

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

April 9, 2021

Completed
5 days until next milestone

First Posted

Study publicly available on registry

April 14, 2021

Completed
2 months until next milestone

Study Start

First participant enrolled

June 24, 2021

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 4, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 4, 2023

Completed
Last Updated

February 5, 2024

Status Verified

February 1, 2024

Enrollment Period

1.9 years

First QC Date

April 9, 2021

Last Update Submit

February 2, 2024

Conditions

Outcome Measures

Primary Outcomes (1)

  • Efficacy of VERU-111 in the treatment of metastatic castration-resistant prostate cancer in patients who have failed prior treatment with at least one androgen receptor targeting agent

    Radiographic progression-free survival (rPFS) centrally read, which is death or tumor progression as defined by RECIST 1.1 (soft tissue) and PCWG3 (bone).

    360 days

Secondary Outcomes (1)

  • Overall Survival

    360 days

Study Arms (2)

Either VERU-111 32mg or 26mg dose will be supplied as capsules 1 orally once a day

EXPERIMENTAL

32mg of VERU-111 26mg of VERU-11

Drug: VERU-111

Active control alternative androgen receptor targeting agent

ACTIVE COMPARATOR

The alternative androgen receptor targeting agent will be administered according to the dosing instructions in the current product prescribing information.

Drug: Enzalutamide, Abiraterone

Interventions

Based on the safety and antitumor activity of VERU-111 in the Phase 1b/2 clinical study, VERU-111 is initiating this Phase 3 clinical study of VERU-111 for the treatment of metastatic castration resistant prostate cancer in patients who have failed prior treatment with at least one androgen receptor targeting agent

Also known as: Sabizabulin
Either VERU-111 32mg or 26mg dose will be supplied as capsules 1 orally once a day

Enzalutamide and abiraterone were chosen as active comparators are both are FDA approved for the treatment of metastatic castration resistant prostate cancer

Also known as: XTANDI, Zytiga
Active control alternative androgen receptor targeting agent

Eligibility Criteria

Age18 Years - 100 Years
Sexmale(Gender-based eligibility)
Gender Eligibility DetailsMale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Provide informed consent.
  • Be able to communicate effectively with the study personnel.
  • Aged ≥18 years.
  • Histological or cytologic proof of adenocarcinoma of the prostate not including the diagnosis of small cell carcinoma of the prostate of neuroendocrine pathology.
  • Radiographic evidence of metastatic disease at baseline by CT scan, or MRI and bone scan, with confirmation of measurable disease by RECIST 1.1 and/or identifiable discrete bone metastases by PCWG3.
  • Known castration resistant prostate cancer, defined according to PCWG3 criteria.
  • Have received at least one androgen receptor targeting agent (e.g. abiraterone, enzalutamide, darolutamide, or apalutamide).
  • Subjects who have metastatic castration resistant prostate cancer that have maintained or have previously been treated with ADT (while on-study, patients must receive continuous ADT. Either chemical or surgical castration by bilateral orchiectomy is acceptable) and have failed prior treatment with at least one androgen receptor targeting agent (e.g. abiraterone, enzalutamide, darolutamide, or apalutamide) defined as:
  • Serum PSA progression of two consecutive increases in PSA over a previous reference value within 6 months of first study treatment, each measurement at least 2 weeks apart. Or
  • Documented bone lesions by the appearance of two or more new lesions on bone scintigraphy or bi-dimensionally-measurable soft tissue metastatic lesion assessed by CT or MRI.
  • Treatment with an alternative androgen receptor targeting agent is a reasonable next line of therapy.
  • Absolute PSA ≥2.0 ng/ml at screening.
  • ECOG performance status \<2.
  • Participants must have normal organ and bone marrow function measured within 30 days prior to administration of study treatment as defined below:
  • Hemoglobin ≥9.0 g/dL with no blood transfusion in the past 30 days
  • +12 more criteria

You may not qualify if:

  • Known hypersensitivity or allergy to colchicine.
  • Histologic identification of small cell carcinoma of the prostate or neuroendocrine pathology in either biopsy or prostatectomy tissue.
  • A bone scan with evidence of superscan or superscan phenomenon, defined as:
  • Uptake throughout the axial skeleton and proximal appendicular skeleton, often somewhat heterogeneous, or,
  • Symmetrically intense and diffuse radiotracer uptake in the skeleton with absent or diminished visualization of the genitourinary system and soft tissues, or,
  • Defined in the bone scan report as a superscan or superscan phenomenon. NOTE: Medical Monitor should be consulted prior to screening of a patient if a superscan or superscan phenomenon is suspected or possible, but undetermined by any of the above definitions.
  • Has received external-beam radiotherapy within the last 2 weeks prior to start of study treatment.
  • Patients with a QT interval corrected by Fridericia's formula of \>480 ms.
  • Patients receiving full dose warfarin therapy are not eligible for study.
  • Patients with prior history of a thromboembolic event within the last 6 months.
  • Participation in another clinical study with an investigational product during the last 6 months prior to randomization into this study.
  • Any treatment modalities involving major surgery within 4weeks prior to the start of study treatment.
  • Patients are excluded if they have known brain metastases or leptomeningeal metastases.
  • Patients should be excluded if they have a positive test for hepatitis B virus surface antigen (HBV sAg) or hepatitis C virus ribonucleic acid (HCV antibody) indicating acute or chronic infection.
  • Has imminent or established spinal cord compression based on clinical findings and/or MRI.
  • +5 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (40)

Alaska Oncology and Hematology, LLC.

Anchorage, Alaska, 99508, United States

Location

Urology Associates of Southern Arizona

Tucson, Arizona, 85715, United States

Location

Arizona Urology Specialists

Tucson, Arizona, 85745, United States

Location

Tower Urology

Los Angeles, California, 90048, United States

Location

University of California, Irvine

Orange, California, 92868, United States

Location

West Coaster Center Urology

Oxnard, California, 93036, United States

Location

San Bernardino Urological Associates

San Bernardino, California, 92506, United States

Location

Genesis Resaerch, LLC

San Diego, California, 92123, United States

Location

Genesis Healthcare Partners - Genesis Research Greater Los Angeles

Sherman Oaks, California, 91411, United States

Location

Alicia Buenrostro

Torrance, California, 90505, United States

Location

Colorado Urology

Golden, Colorado, 80401, United States

Location

Universal Axon Clinical Research

Doral, Florida, 33166, United States

Location

Demirra Hudge

Miami Beach, Florida, 33140, United States

Location

Florida Urology Partners, LLC

Riverview, Florida, 33578, United States

Location

Georgia Urology

Atlanta, Georgia, 30309, United States

Location

Comprehensive Urologic Care

Lake Barrington, Illinois, 60010, United States

Location

First Urology, PSC

Jeffersonville, Indiana, 47130, United States

Location

MidAmerica Cancer Care

Merriam, Kansas, 66204, United States

Location

Chesapeake Urology Research Associates

Baltimore, Maryland, 21204, United States

Location

Michigan Institute of Urology

Troy, Michigan, 48084, United States

Location

GU Research Network, LLC

Omaha, Nebraska, 68130, United States

Location

Inpsira Medical Center Mullica Hill

Mullica Hill, New Jersey, 08062, United States

Location

Ascension - Our Lady of Lourdes Memorial Hospital

Binghamton, New York, 13905, United States

Location

Premier Medical Group of the Hudson Valley

Poughkeepsie, New York, 12603, United States

Location

Associated Medical Professionals of NY, PLCC

Syracuse, New York, 13210, United States

Location

Associated Urologists of North Carolina

Raleigh, North Carolina, 27612, United States

Location

Cleveland Clinic

Cleveland, Ohio, 44195, United States

Location

Clinical Research Solutions - Cleveland

Middleburg Heights, Ohio, 44130, United States

Location

Oregon Urology Institute

Springfield, Oregon, 97477, United States

Location

Centers for Advanced Urology, LLP MidLantic Urology

Bala-Cynwyd, Pennsylvania, 19004, United States

Location

Carolina Urologic Research Center

Myrtle Beach, South Carolina, 29572, United States

Location

Lexington Medical Center/ Lexington Oncology

West Columbia, South Carolina, 29169, United States

Location

Urology Associates - Nashville

Nashville, Tennessee, 37209, United States

Location

Houston Metro Urology

Houston, Texas, 77027, United States

Location

Urology San Antonio P.A.

San Antonio, Texas, 78258, United States

Location

University of Virginia Health System

Charlottesville, Virginia, 22908, United States

Location

Virginia Urology

Richmond, Virginia, 23230, United States

Location

Urology of Virginia, PLLC

Virginia Beach, Virginia, 23462, United States

Location

Spokane Urology P.S.

Spokane, Washington, 99202, United States

Location

Cancer Care Northwest

Spokane Valley, Washington, 99216, United States

Location

MeSH Terms

Conditions

Prostatic Neoplasms, Castration-Resistant

Interventions

sabizabulinenzalutamideabirateroneAbiraterone Acetate

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

AndrostenesAndrostanesSteroidsFused-Ring CompoundsPolycyclic Compounds

Study Officials

  • Barnette

    Veru Inc.

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
Central reader for scans will be blinded
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: This randomized, open-label, active-control clinical study consists of two treatment arms:VERU-111 (Sabizabulin) treated group, and Control treated group. Subjects will be randomized in a 2:1 fashion.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 9, 2021

First Posted

April 14, 2021

Study Start

June 24, 2021

Primary Completion

May 4, 2023

Study Completion

May 4, 2023

Last Updated

February 5, 2024

Record last verified: 2024-02

Data Sharing

IPD Sharing
Will not share

Locations