MDPK67b in Patients With Prostate Cancer
Open-label Phase Ib Study of Preoperative Treatment With the KLK Inhibitor MDPK67b in Patients With Untreated Prostate Cancer
1 other identifier
interventional
15
1 country
1
Brief Summary
Administration of MDPK67b to assess its Tolerability and Safety profile in prostate cancer patients, and to assess histo-pathological and molecular changes in prostate tumor tissue samples.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_1 prostate-cancer
Started Aug 2021
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 9, 2021
CompletedFirst Submitted
Initial submission to the registry
July 7, 2022
CompletedFirst Posted
Study publicly available on registry
October 14, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
June 30, 2024
CompletedNovember 7, 2023
November 1, 2023
2.9 years
July 7, 2022
November 6, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (44)
Tolerability and Safety
Number of subjects with changes in blood pressure
Day 1
Tolerability and Safety
Number of subjects with changes in blood pressure
Day 8
Tolerability and Safety
Number of subjects with changes in blood pressure
Day 15
Tolerability and Safety
Number of subjects with changes in blood pressure
Day 20-25
Tolerability and Safety
Body temperature
Day 1
Tolerability and Safety
Number of subjects with changes in body temperature
Day 8
Tolerability and Safety
Number of subjects with changes in body temperature
Day 15
Tolerability and Safety
Number of subjects with changes in body temperature
Day 20-25
Tolerability and Safety
Number of subjects with changes in respiration rate
Day 1
Tolerability and Safety
Number of subjects with changes in respiration rate
Day 8
Tolerability and Safety
Number of subjects with changes in respiration rate
Day 15
Tolerability and Safety
Number of subjects with changes in respiration rate
Day 20-25
Tolerability and Safety
Number of subjects with changes in weight
Day 1
Tolerability and Safety
Number of subjects with changes in weight
Day 8
Tolerability and Safety
Number of subjects with changes in weight
Day 15
Tolerability and Safety
Number of subjects with changes in weight
Day 20-25
Tolerability and Safety
Number of subjects with changes in QTc on ECG
Day 1
Tolerability and Safety
Number of subjects with changes in QTc on ECG
Day 8
Tolerability and Safety
Number of subjects with changes in QTc on ECG
Day 15
Tolerability and Safety
Number of subjects with changes in QTc on ECG
Day 20-25
Tolerability and Safety
Number of subjects with changes in heart rate on ECG
Day 1
Tolerability and Safety
Number of subjects with changes in heart rate on ECG
Day 8
Tolerability and Safety
Number of subjects with changes in heart rate on ECG
Day 15
Tolerability and Safety
Number of subjects with changes in heart rate on ECG
Day 20-25
Tolerability and Safety
Number of subjects with changes in hematology safety parameters: haemoglobin, haematocrit, RBC, MCH, MCV, WBC differential count (absolute and relative count), platelet count, INR, aPTT, Thrombin time and fibrinogen
Day 8
Tolerability and Safety
Number of subjects with changes in hematology safety parameters: haemoglobin, haematocrit, RBC, MCH, MCV, WBC differential count (absolute and relative count), platelet count, INR, aPTT, Thrombin time and fibrinogen
Day 15
Tolerability and Safety
Number of subjects with changes in hematology safety parameters: haemoglobin, haematocrit, RBC, MCH, MCV, WBC differential count (absolute and relative count), platelet count, INR, aPTT, Thrombin time and fibrinogen
Day 20-25
Tolerability and Safety
Number of subjects with changes in blood chemistry safety parameters: fasting glucose, total protein, creatinine, urea, sodium, potassium, calcium, uric acid, AST, ALT, CPK, AlkP, LDH, total bilirubin, PSA
Day 8
Tolerability and Safety
Number of subjects with changes in blood chemistry safety parameters: fasting glucose, total protein, creatinine, urea, sodium, potassium, calcium, uric acid, AST, ALT, CPK, AlkP, LDH, total bilirubin, PSA
Day 15
Tolerability and Safety
Number of subjects with changes in blood chemistry safety parameters: fasting glucose, total protein, creatinine, urea, sodium, potassium, calcium, uric acid, AST, ALT, CPK, AlkP, LDH, total bilirubin, PSA
Day 20-25
Tolerability and Safety
Number of subjects with changes in urine safety parameters: pH, ketones, protein, glucose, blood, leukocytes, urobilinogen, bilirubin
Day 8
Tolerability and Safety
Number of subjects with changes in urine safety parameters: pH, ketones, protein, glucose, blood, leukocytes, urobilinogen, bilirubin
Day 15
Tolerability and Safety
Number of subjects with changes in urine safety parameters: pH, ketones, protein, glucose, blood, leukocytes, urobilinogen, bilirubin
Day 20-25
Tolerability and Safety
Number of subjects with changes in physical examination
Day 1
Tolerability and Safety
Number of subjects with changes in physical examination
Day 8
Tolerability and Safety
Number of subjects with changes in physical examination
Day 15
Tolerability and Safety
Number of subjects with changes in physical examination
Day 20-25
Tolerability and Safety
Adverse events
Day 1
Tolerability and Safety
Adverse events
Day 8
Tolerability and Safety
Adverse events
Day 15
Tolerability and Safety
Adverse events
Day 20-25
Tolerability and Safety
Local tolerance using the 5-point Draize scale (0: no irritation to 5: Frank vein thrombosis in addition to grade 4 signs and symptoms)
Day 1
Tolerability and Safety
Local tolerance using the 5-point Draize scale (0: no irritation to 5: Frank vein thrombosis in addition to grade 4 signs and symptoms)
Day 8
Tolerability and Safety
Local tolerance using the 5-point Draize scale (0: no irritation to 5: Frank vein thrombosis in addition to grade 4 signs and symptoms)
Day 15
Secondary Outcomes (10)
Histo-pathological and molecular changes in prostate tumor tissue samples
Screening (Diagnostic biopsy)
Histo-pathological and molecular changes in prostate tumor tissue samples
Day 16/17 (Radical prostatectomy sample)
Histo-pathological and molecular changes in prostate tumor tissue samples
Screening (Diagnostic biopsy)
Histo-pathological and molecular changes in prostate tumor tissue samples
Day 16/17 (Radical prostatectomy sample)
Histo-pathological and molecular changes in prostate tumor tissue samples
Screening (Diagnostic biopsy)
- +5 more secondary outcomes
Study Arms (1)
Dose
EXPERIMENTALFive patients will be included into the 24 mg dose level. In case of dose limiting toxicity (DLT) in at least one patient, 5 additional patients will be enrolled in the 24 mg dose level. If the treatment is well tolerated, i.e. no DLT is encountered, the dose of MDPK67b is escalated to 48 mg on a second cohort of 5 patients. In case of DLT in at least one patient at the 48 mg dose level, the 24 mg dose level of MDPK67b is expanded from 5 to 10 patients, or declared the maximum tolerated dose (MTD) if already expanded to 10 patients.
Interventions
Eligibility Criteria
You may not qualify if:
- Patients who still meet all the eligibility criteria checked at screening visit.
- Patients who have untreated PCa with a Gleason score of 7 (preferably) or higher, with local disease or with metastatic disease (if metastatic, no visceral metastases, no more than five bone or lymph node metastases), and are scheduled to undergo RPE about 3 weeks later.
- Patients with an expected minimal survival time of 12 months.
- Absolute neutrophil count ≥ 1.5 × 109/L.
- Platelets ≥ 100 × 109/L.
- Hemoglobin ≥ 9 g/dL.
- Total bilirubin ≤ 1.5 × ULN, unless the patient has known Gilbert's syndrome.
- Aspartate amino transferase (AST) and alanine amino transferase (ALT) ≤ 2.5 × ULN or ≤ 5 × ULN in presence of liver metastasis.
- Serum creatinine ≤ 2.0 × ULN, or GFR ≥ 30 mL/min by Cockcroft-Gault.
- INR \<1.5, aPTT \< 60 s
- Patients with an ECOG performance status ≤ 1.
- Patients who agree to refrain to donate sperm for the duration of the study.
- Patients who signed a written treatment phase ICF.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Med Discovery SAlead
- Camara and Partners Sàrlcollaborator
- Soladiscollaborator
Study Sites (1)
Klinik für Urologie, UniversitätSpital Zürich (USZ)
Zurich, 8091, Switzerland
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Daniel Eberli, Prof.
Klinik für Urologie, UniversitätSpital Zürich (USZ)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 7, 2022
First Posted
October 14, 2022
Study Start
August 9, 2021
Primary Completion
June 30, 2024
Study Completion
June 30, 2024
Last Updated
November 7, 2023
Record last verified: 2023-11
Data Sharing
- IPD Sharing
- Will not share