PROMIZE: A Phase I/II Trial to Assess the Safety, Tolerability and Preliminary Anti-tumour Activity of Oral Combination Antibiotic Therapy to Modulate the Microbiome in Combination With Enzalutamide With Metastatic Castration Resistant Prostate Cancer (mCRPC).

Status: Recruiting
Location: See all (2) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

PROMIZE is an open-label, multi-centre, single-arm, Phase I/II clinical trial, evaluating the safety, tolerability and anti-tumuor efficacy of an antibiotic combination and enzalutamide in patients with metastatic castration-resistant prostate cancer (mCRPC).

Eligibility
Participation Requirements
Sex: Male
Minimum Age: 18
Healthy Volunteers: f
View:

• Histologically or cytologically proven metastatic castration-resistant prostate cancer or adenocarcinoma refractory to conventional treatment, or for which no conventional therapy exists or is declined by the patient.

• Documented prostate cancer progression as assessed by the investigator with RECIST (v1.1) and PCWG3 criteria with at least one of the following criteria:

∙ Progression of soft tissue/visceral disease by RECIST (v1.1) and/or,

‣ Progression of bone disease by PCWG3 bone scan criteria and/or,

‣ Progression of PSA by PCWG3 PSA criteria and/or

‣ Clinical progression with worsening pain and need for palliative radiotherapy for bone metastases.

• Phase I: Patients that have progressed after at least 12 weeks of treatment with a NAAT within the previous 6 months Phase II: Patients that have progressed after at least 12 weeks of treatment with a NAAT within the previous 6 months (for combination treatment) or more than 6 months prior to trial entry (for enzalutamide alone resistance run-in).

• Previously progressed on at least one line of taxane chemotherapy (or not fit or not willing to receive a taxane).

• Ongoing androgen deprivation maintaining serum testosterone of less than 50 ng/dL (less than 2.0 nM) is mandatory.

• Life expectancy of at least 12-weeks.

• Able to swallow tablets.

• Archival tumour tissue must be available for analyses.

• Willing to have pre- and post-treatment biopsies if biopsy is feasible.

⁃ World Health Organisation (WHO) performance status of 0-2 (Appendix 1).

⁃ Haematological and biochemical indices within the ranges shown below. These measurements must be performed within one week (Day -7 to Day 1) prior to the patient's first dose of IMP.

⁃ Haemoglobin (Hb): ≥ 9.0 g/dL

⁃ Absolute neutrophil count: ≥ 1.5 x 109/L

⁃ Platelet count: ≥ 75 x 109/L

⁃ Serum bilirubin: ≤ 1.5 x upper limit of normal (ULN)

⁃ Alanine aminotransferase (ALT): ≤ 2.5 x (ULN) unless raised due to tumour in which case up to 5 x ULN is permissible

⁃ Aspartate aminotransferase (AST): ≤ 2.5 x (ULN) unless raised due to tumour in which case up to 5 x ULN is permissible

⁃ Serum creatinine / calculated creatinine clearance: ≤ 1.5 x upper limit of normal (ULN) / GFR ≥ 50 mL/min (uncorrected value)

⁃ Serum albumin: \>25 g/L

⁃ 18 years or over

⁃ Written (signed and dated) informed consent and be capable of co-operating with treatment and follow-up

⁃ Willing and able to comply with the study requirement including the collection of blood, fresh tumour biopsy, urine, rectal swab and stool samples.

Locations
Other Locations
Switzerland
Oncolgy Institute of Southern Switzerland (IOSI)
RECRUITING
Bellinzona
United Kingdom
The Royal Marsden NHS Foundation Trust
ACTIVE_NOT_RECRUITING
Sutton
Contact Information
Primary
PROMIZE Team
PROMIZE@icr.ac.uk
02087224497
Backup
Bindu Rao Baikady, PhD
bindu.baikady@icr.ac.uk
+442034376033
Time Frame
Start Date: 2023-11-02
Estimated Completion Date: 2027-06-30
Participants
Target number of participants: 39
Treatments
Experimental: mCRPC patients dose with a combination of enzalutamide and antibiotics
Phase I:~The evaluation of the safety and tolerability of the combinations of amoxicillin plus metronidazole, and ciprofloxacin plus vancomycin with enzalutamide.~Phase II:~Determination of the anti-tumour activity of the combinations of amoxicillin plus metronidazole, and ciprofloxacin plus vancomycin with enzalutamide.
Related Therapeutic Areas
Sponsors
Collaborators: Prostate Cancer Foundation
Leads: Institute of Cancer Research, United Kingdom

This content was sourced from clinicaltrials.gov