ASpiRE: A Proof-of-mechanism and Proof-of-concept Clinical Trial Evaluating the Safety, Tolerability, Biological and Anti-tumour Activity of Apalutamide With Dual CXCR1 and CXCR2 Blockade by SX-682 for Men Suffering From Metastatic Castration-resistant Prostate Cancer (mCRPC)

Status: Recruiting
Location: See all (4) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

ASpiRE will investigate the effect of the drug SX-682 in combination with Apalutamide in men suffering from metastatic castration-resistant prostate cancer (mCRPC).

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

• Written informed consent and be capable of cooperating with treatment.

• Age ≥ 18 years.

• Histologically or biochemically confirmed adenocarcinoma of the prostate and with tumour tissue accessible for research analysis for this trial. Patients who have no histological diagnosis must be willing to undergo a biopsy to prove prostate adenocarcinoma.

• Patients recruited to phase 1 dose escalation cohorts must have biopsiable disease and consent to mandatory pre- and post-treatment biopsies (baseline and on Cycle 2 Day 1).

• Metastatic castration-resistant prostate cancer.

• All patients must have documented resistance to 1 prior next generation antiandrogen therapy (NAAT) defined as:

• For phase 1 and phase 2 Cohorts:

• Patients who have progressed after either enzalutamide, Apalutamide or darolutamide (having received a minimum of 12-weeks of enzalutamide, Apalutamide or darolutamide) will enter phase 1 or phase 2 cohorts directly. Patients that have previously received abiraterone but not an AR antagonist should receive a lead-in with Apalutamide on trial and receive the combination on progression through the lead-in.

• Documented prostate cancer progression as assessed by the investigator with RECIST v1.1 and PCWG3 criteria (Section 3.5) with at least two 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.

• PSA ≥ 10ng/ml.

• Received prior castration by orchiectomy and/or ongoing luteinizing hormone releasing hormone agonist treatment.

⁃ Ongoing androgen deprivation with serum testosterone \< 50 ng/dL (\< 1.7 nM).

⁃ Eastern Cooperative Oncology Group (ECOG) Performance Status of ≤2.

⁃ Documented willingness to use an effective means of contraception while participating in the study and for 6 months post last treatment dose.

⁃ Able to swallow the study drug.

⁃ All efforts should be made to discontinue steroid usage but up-to 5mg BD prednisolone (or equivalent) will be allowed.

⁃ Haematological and biochemical indices within the ranges shown below. These measurements must be performed within one week (Day -7 to Day 1) before the patient goes on trial.

• Haemoglobin (Hb) ≥ 9.0 g/dL Absolute neutrophil count ≥ 1.5 x 109/L Platelet count ≥ 100 x 109/L WBC ≥ 3.0 x 109/L Calculated creatinine clearance ≥ 50 mL/min (uncorrected value) Serum bilirubin ≤ 1.5 x upper limit of normal (ULN) unless documented Gilbert's disease., in which case ≤ 3 x ULN is permissible Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 2.5 x (ULN) unless raised due to known metastatic liver disease in which case ≤ 5 x ULN is permissible

Locations
Other Locations
Switzerland
Oncology Institute of Southern Switzerland
NOT_YET_RECRUITING
Bellinzona
United Kingdom
Belfast Health and Social Care Trust
NOT_YET_RECRUITING
Belfast
Cambridge University Hospitals NHS Foundation Trust
NOT_YET_RECRUITING
Cambridge
The Royal Marsden NHS Foundation Trust - Drug Development Unit
RECRUITING
Sutton
Contact Information
Primary
Aasia Hussain, PhD
ASPIRE@icr.ac.uk
02034376301
Backup
Bindumalini Rao Baikady, PhD
ASPIRE@icr.ac.uk
02034376033
Time Frame
Start Date: 2025-04-28
Estimated Completion Date: 2029-10
Participants
Target number of participants: 78
Treatments
Experimental: Phase I: Dose Escalation
Phase I will identify a biologically active and tolerable (safe) dose range of SX-682 in combination with Apalutamide in patients with metastatic castrate-resistant prostate cancer (mCRPC).
Experimental: Phase II: Dose Expansion
Phase I will investigate the anti-tumour activity of tolerable doses of SX-682 in combination with Apalutamide in patients with metastatic castrate-resistant prostate cancer (mCRPC). Patients will be treated at dose levels deemed to be tolerable and biologically active, based on safety and efficacy data from Dose Escalation.
Related Therapeutic Areas
Sponsors
Collaborators: Institute of Oncology Research (IOR), Syntrix Biosystems, Inc., Janssen Pharmaceutica N.V., Belgium, Cambridge University Hospitals NHS Foundation Trust, Prostate Cancer UK, Belfast Health and Social Care Trust, Royal Marsden NHS Foundation Trust, Oncology Institute of Southern Switzerland
Leads: Institute of Cancer Research, United Kingdom

This content was sourced from clinicaltrials.gov