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History of Changes for Study: NCT04221542
Study of AMG 509 in Subjects With Metastatic Castration-Resistant Prostate Cancer
Latest version (submitted May 10, 2024) on ClinicalTrials.gov
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Study Record Versions
Version A B Submitted Date Changes
1 January 6, 2020 None (earliest Version on record)
2 February 6, 2020 Recruitment Status, Study Status, Contacts/Locations and Outcome Measures
3 March 13, 2020 Study Status and Contacts/Locations
4 April 27, 2020 Recruitment Status, Study Status and Contacts/Locations
5 May 14, 2020 Recruitment Status, Study Status and Contacts/Locations
6 June 12, 2020 Study Status and Contacts/Locations
7 July 24, 2020 Study Status and Contacts/Locations
8 August 7, 2020 Study Status
9 August 21, 2020 Contacts/Locations and Study Status
10 September 4, 2020 Study Status and Contacts/Locations
11 September 9, 2020 Contacts/Locations and Study Status
12 September 18, 2020 Contacts/Locations and Study Status
13 December 3, 2020 Contacts/Locations, Arms and Interventions, Study Status and Outcome Measures
14 December 14, 2020 Contacts/Locations and Study Status
15 January 18, 2021 Study Status and Contacts/Locations
16 March 1, 2021 Study Status, Arms and Interventions, Contacts/Locations and Study Design
17 March 26, 2021 Contacts/Locations and Study Status
18 June 2, 2021 Contacts/Locations, Study Status and Arms and Interventions
19 June 30, 2021 Contacts/Locations and Study Status
20 July 7, 2021 Study Status and Contacts/Locations
21 August 4, 2021 Study Status and Contacts/Locations
22 September 1, 2021 Contacts/Locations and Study Status
23 December 2, 2021 Study Status and Contacts/Locations
24 January 10, 2022 Arms and Interventions, Study Status, Eligibility, Outcome Measures and Study Design
25 March 17, 2022 Study Status and Contacts/Locations
26 July 14, 2022 Arms and Interventions, Study Status, Eligibility, Outcome Measures and Study Design
27 September 14, 2022 Study Status and Contacts/Locations
28 October 19, 2022 Study Status and Contacts/Locations
29 November 18, 2022 Study Status and Contacts/Locations
30 December 7, 2022 Study Status and Contacts/Locations
31 December 21, 2022 Study Status and Contacts/Locations
32 February 21, 2023 Arms and Interventions, Study Status, Outcome Measures, Study Identification, Eligibility, Study Design and Study Description
33 March 22, 2023 Study Status and Contacts/Locations
34 April 5, 2023 Study Status and Contacts/Locations
35 April 12, 2023 Contacts/Locations and Study Status
36 April 19, 2023 Contacts/Locations and Study Status
37 June 14, 2023 Study Status and Contacts/Locations
38 July 26, 2023 Study Status and Contacts/Locations
39 August 9, 2023 Study Status and Contacts/Locations
40 August 23, 2023 Contacts/Locations and Study Status
41 August 30, 2023 Contacts/Locations and Study Status
42 September 6, 2023 Study Status and Contacts/Locations
43 October 10, 2023 Arms and Interventions, Study Status, Contacts/Locations, Eligibility, Study Design and Study Identification
44 November 1, 2023 Study Status and Contacts/Locations
45 November 8, 2023 Contacts/Locations and Study Status
46 December 14, 2023 Study Status and Contacts/Locations
47 January 17, 2024 Study Status and Contacts/Locations
48 February 12, 2024 Study Status, Contacts/Locations, Eligibility, Arms and Interventions and Study Design
49 February 15, 2024 References and Study Status
50 March 20, 2024 Study Status, References and Contacts/Locations
51 April 10, 2024 Contacts/Locations and Study Status
52 April 17, 2024 Contacts/Locations and Study Status
53 April 24, 2024 Study Status and Contacts/Locations
54 May 10, 2024 References and Study Status
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Study NCT04221542
Submitted Date:  January 6, 2020 (v1)

Open or close this module Study Identification
Unique Protocol ID: 20180146
Brief Title: Study of AMG 509 in Subjects With Metastatic Castration-Resistant Prostate Cancer
Official Title: A Phase 1 Study Evaluating the Safety, Tolerability, Pharmacokinetics, and Efficacy of AMG 509 in Subjects With Metastatic Castration-Resistant Prostate Cancer
Secondary IDs:
Open or close this module Study Status
Record Verification: January 2020
Overall Status: Not yet recruiting
Study Start: January 10, 2020
Primary Completion: December 9, 2022 [Anticipated]
Study Completion: December 9, 2022 [Anticipated]
First Submitted: December 16, 2019
First Submitted that
Met QC Criteria:
January 6, 2020
First Posted: January 9, 2020 [Actual]
Last Update Submitted that
Met QC Criteria:
January 6, 2020
Last Update Posted: January 9, 2020 [Actual]
Open or close this module Sponsor/Collaborators
Sponsor: Amgen
Responsible Party: Sponsor
Collaborators:
Open or close this module Oversight
U.S. FDA-regulated Drug: Yes
U.S. FDA-regulated Device: No
Data Monitoring: No
Open or close this module Study Description
Brief Summary: Evaluate the safety and tolerability of AMG 509 in adult subjects and determine the maximum tolerated dose (MTD) or recommended phase 2 dose (RP2D).
Detailed Description:
Open or close this module Conditions
Conditions: Prostate Cancer
Keywords: AMG 509
mCRPC
Metastatic Castration-resistant Prostate Cancer
Prostate cancer
PSMA
STEAP1
STEAP1 targeted therapy
Solid tumor
Immunotherapy
Immuno-oncology
Immunooncology
Bispecific T-Cell engager®
BiTE®
XmAb®
Open or close this module Study Design
Study Type: Interventional
Primary Purpose: Treatment
Study Phase: Phase 1
Interventional Study Model: Sequential Assignment
Number of Arms: 2
Masking: None (Open Label)
Allocation: Non-Randomized
Enrollment: 70 [Anticipated]
Open or close this module Arms and Interventions
Arms Assigned Interventions
Experimental: Dose exploration phase

The dose exploration phase of the study will estimate the MTD of AMG 509 using a Bayesian logistic regression model (BLRM; Neuenschwander et al, 2008).

Recommended phase 2 dose (RP2D) may be identified based on emerging safety, efficacy, PK, and PD data prior to reaching an MTD. Alternative dosing schedule(s) (including a second step dose) may be explored based on emerging safety and PK data.

Drug: AMG 509
AMG 509 administered as a short-term IV infusion in subjects with Metastatic Castration-Resistant Prostate Cancer (mCRPC).
Drug: Dexamethasone
Dexamethasone (or equivalent corticosteroids) will be administered prior to dosing during cycle 1
Experimental: Dose expansion phase
A dose expansion phase will be conducted to confirm safety, PK, and PD at the MTD or RP2D and to obtain further safety and efficacy data and correlative biomarker analysis.
Drug: AMG 509
AMG 509 administered as a short-term IV infusion in subjects with Metastatic Castration-Resistant Prostate Cancer (mCRPC).
Drug: Dexamethasone
Dexamethasone (or equivalent corticosteroids) will be administered prior to dosing during cycle 1
Open or close this module Outcome Measures
Primary Outcome Measures:
1. Incidence of treatment-emergent adverse events
[ Time Frame: 3 years ]

2. Incidence of treatment-related adverse events
[ Time Frame: 3 years ]

3. Dose limiting toxicities (DLTs)
[ Time Frame: 3 years ]

4. Number of participants with changes in vital signs
[ Time Frame: 3 years ]

5. Number of participants with changes in the electrocardiogram (ECG) records.
[ Time Frame: 3 years ]

6. Number of participants with changes in the clinical laboratory tests results.
[ Time Frame: 3 years ]

Secondary Outcome Measures:
1. Maximum serum concentration (Cmax) for AMG 509
[ Time Frame: 3 years ]

To characterize the pharmacokinetics (PK) of AMG 509
2. Minimum serum concentration (Cmin) for AMG 509
[ Time Frame: 3 years ]

To characterize the pharmacokinetics (PK) of AMG 509
3. Area under the concentration-time curve (AUC) over the dosing interval for AMG 509
[ Time Frame: 3 years ]

To characterize the pharmacokinetics (PK) of AMG 509
4. Accumulation following multiple dosing for AMG 509
[ Time Frame: 3 years ]

To characterize the pharmacokinetics (PK) of AMG 509
5. Objective response (OR) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 with Prostate Cancer Working Group 3 (PCWG3) modifications
[ Time Frame: 3 years ]

To evaluate preliminary anti-tumor activity of AMG 509
6. Prostate specific antigen (PSA) response
[ Time Frame: 3 years ]

To evaluate preliminary anti-tumor activity of AMG 509
7. Duration of response (DOR) (radiographic and PSA)
[ Time Frame: 3 years ]

To evaluate preliminary anti-tumor activity of AMG 509
8. Time to progression (radiographic and PSA)
[ Time Frame: 3 years ]

To evaluate preliminary anti-tumor activity of AMG 509
9. Progression-free survival (PFS) (radiographic and PSA)
[ Time Frame: 3 years ]

To evaluate preliminary anti-tumor activity of AMG 509
10. 1, 2, and 3-year overall survival (OS)
[ Time Frame: Year 1, 2, and 3 ]

To evaluate preliminary anti-tumor activity of AMG 509
11. Circulating tumor cells response (CTC0)
[ Time Frame: 3 years ]

To evaluate preliminary anti-tumor activity of AMG 509
12. Rate of circulating tumor cells CTC conversion
[ Time Frame: 3 years ]

To evaluate preliminary anti-tumor activity of AMG 509
13. time to symptomatic skeletal events.
[ Time Frame: 3 years ]

To evaluate preliminary anti-tumor activity of AMG 509. Measure of disease burden based on PCWG3-recommended endpoints.
14. alkaline phosphatase (total, bone)
[ Time Frame: 3 years ]

To evaluate preliminary anti-tumor activity of AMG 509. Measure of disease burden based on PCWG3-recommended endpoints.
15. lactate dehydrogenase (LDH)
[ Time Frame: 3 years ]

To evaluate preliminary anti-tumor activity of AMG 509. Measure of disease burden based on PCWG3-recommended endpoints.
16. hemoglobin
[ Time Frame: 3 years ]

To evaluate preliminary anti-tumor activity of AMG 509. Measure of disease burden based on PCWG3-recommended endpoints.
17. urine N-telopeptide
[ Time Frame: 3 years ]

To evaluate preliminary anti-tumor activity of AMG 509. Measure of disease burden based on PCWG3-recommended endpoints.
18. neutrophil-tolymphocyteratio
[ Time Frame: 3 years ]

To evaluate preliminary anti-tumor activity of AMG 509. Measure of disease burden based on PCWG3-recommended endpoints.
Open or close this module Eligibility
Minimum Age: 18 Years
Maximum Age:
Sex: Male
Gender Based:
Accepts Healthy Volunteers: No
Criteria:

Inclusion Criteria:

  • Subject has provided informed consent/assent prior to initiation of any study specific activities/procedures.
  • Age is greater than or equal to 18 years
  • Subjects with histologically or cytologically confirmed mCRPC who are refractory to a novel antiandrogen therapy (eg, abiraterone and/or enzalutamide)) and have failed at least 1 (but not more than 2) taxane regimens (or who are deemed medically unsuitable to be treated with a taxane regimen or have actively refused treatment with a taxane regimen).
  • Dose escalation: novel antiandrogen therapy must have been given for treatment of metastatic disease
  • Dose expansion: progression on novel antiandrogen therapy may have occurred in the non-metastatic or metastatic setting
  • Subjects must have undergone bilateral orchiectomy or be on continuous ADT with a gonadotropin releasing hormone (GnRH) agonist or antagonist
  • Total serum testosterone is less than or equal to 50 ng/dL or 1.7 nmol/L
  • Evidence of progressive disease, defined as 1 or more PCWG3 criteria:
  • PSA level is greater than or equal to 1 ng/mL that has increased on at least 2 successive occasions at least 1 week apart
  • nodal or visceral progression as defined by RECIST 1.1 with PCGW3 modifications
  • appearance of 2 or more new lesions in bone scan
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
  • Life expectancy greater than or equal to 3 months
  • Adequate organ function, defined as follows:

Hematological function:

  • absolute neutrophil count is greater than or equal to 1 x 109/L (without growth factor support within 7 days from screening assessment)
  • platelet count is greater than or equal to 75 x 109/L (without platelet transfusion within 7 days from screening assessment)
  • hemoglobin is greater than or equal to 9 g/dL (90 g/L) (without blood transfusion within 7 days from screening assessment)

Renal function:

  • estimated glomerular filtration rate based on MDRD (Modification of Diet in Renal Disease) calculation is greater than or equal to 30 ml/min/1.73 m2

Hepatic function:

  • aspartate aminotransferase (AST) and alanine aminotransferase (ALT) is less than 3 x ULN (or less than 5 x ULN for subjects with liver involvement)
  • total bilirubin (TBL) is less than 1.5 x ULN (or is less than 2 x ULN for subjects with liver metastases)

Cardiac function:

  • left ventricular ejection fraction is greater than 50% (2-D transthoracic echocardiogram [ECHO] is the preferred method of evaluation; multi gated acquisition scan is acceptable if ECHO is not available)
  • baseline ECG QTcF is less than 470 msec

Exclusion Criteria:

Disease Related

  • Pathological finding consistent with pure small cell, neuroendocrine carcinoma of the prostate or any other histology different from adenocarcinoma
  • Radiation therapy within 4 weeks of first dose (or local or focal radiotherapy within 2 weeks of first dose)
  • Untreated central nervous system (CNS) metastases or leptomeningeal disease. Patients with a history of treated CNS metastases are eligible if there is radiographic evidence of improvement upon the completion of CNS-directed therapy and no evidence of interim progression between the completion of CNS directed therapy and the screening radiographic study.

Other Medical Conditions

  • Prior major surgery within 4 weeks of first dose
  • Confirmed history or current autoimmune disease or other diseases resulting in permanent immunosuppression or requiring permanent immunosuppressive therapy
  • Presence of fungal, bacterial, viral, or other infection requiring IV antimicrobials for management within 7 days of dosing NOTE: Simple urinary tract infections and uncomplicated bacterial pharyngitis are permitted if responding to active treatment and after consultation with sponsor. Screening for chronic infectious conditions is not required
  • Positive test for human immunodeficiency virus (HIV)
  • Exclusion of hepatitis infection based on the following results and/or criteria:
  • Positive for hepatitis B surface antigen (HBsAg) (indicative of chronic hepatitis B or recent acute hepatitis B).
  • Negative HBsAg and positive for hepatitis B core antibody: Hepatitis B virus DNA by polymerase chain reaction (PCR) is necessary. Detectable hepatitis B virus DNA suggests occult hepatitis B.
  • Positive Hepatitis C virus antibody (HCVAb): hepatitis C virus RNA by PCR is necessary. Detectable hepatitis C virus RNA suggests chronic hepatitis C.
  • History of arterial or venous thrombosis (eg, stroke, transient ischemic attack, pulmonary embolism, or deep vein thrombosis) within 12 months of first dose of AMG 509
  • Myocardial infarction and/or symptomatic congestive heart failure (New York Heart Association > class II) within 12 months of first dose of AMG 509
  • Unresolved toxicities from prior anti-tumor therapy not having resolved to Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 grade 1, with the exception of alopecia or toxicities that are stable and well-controlled AND there is agreement to allow by both the investigator and sponsor
  • History of other malignancy within the past 2 years, with the following exception(s):
  • malignancy treated with curative intent and with no known active disease present for greater than or equal to 1 years before enrollment and felt to be at low risk for recurrence by the treating physician
  • adequately treated non-melanoma skin cancer or lentigo maligna without evidence of disease
  • adequately treated urothelial papillary noninvasive carcinoma or carcinoma in situ
  • History or evidence of inflammatory bowel disease (ulcerative colitis or Crohn disease) or any other gastrointestinal disorder causing chronic nausea, vomiting, or diarrhea (defined as greater than or equal to 2 CTCAE grade 2)
  • Evidence of interstitial lung disease or active, non-infectious pneumonitis, or uncontrolled asthma Prior/Concomitant Therapy
  • Prior STEAP1-targeted therapy
  • Any anticancer therapy or immunotherapy within 4 weeks of start of first dose, not including LHRH/GnRH analogue (agonist/antagonist). Subjects on a stable bisphosphonate or denosumab regimen for greater or equal than 30 days prior to enrollment are eligible.
  • Requirement for chronic systemic corticosteroid therapy (prednisone dose greater than 10 mg per day or equivalent) or any other immunosuppressive therapies (including anti TNF-alpha therapies) unless stopped (with adequate tapering) within 7 days prior to dosing Prior/Concurrent Clinical Study Experience
  • Currently receiving treatment in another investigational device or drug study, or less than 4 weeks since ending treatment on another investigational device or drug study(ies). Other investigational procedures while participating in this study are excluded.

Other Exclusions

  • Male subjects with a female partner of childbearing potential who are unwilling to practice sexual abstinence (refrain from heterosexual intercourse) or use contraception during treatment and for an additional 6 months after the last dose of AMG 509. Refer to Section 12.5 for additional contraceptive information.
  • Subject has known sensitivity to any components of AMG 509 to be administered during dosing.
  • Subject likely to not be available to complete all protocol-required study visits or procedures, and/or to comply with all required study procedures (eg, Clinical Outcome Assessments) to the best of the subject and investigator's knowledge.
  • History or evidence of any other clinically significant disorder, condition or disease (with the exception of those outlined above) that, in the opinion of the investigator or Amgen physician, if consulted, would pose a risk to subject safety or interfere with the study evaluation, procedures or completion.
Open or close this module Contacts/Locations
Central Contact Person: Amgen Call Center
Telephone: 866-572-6436
Email: medinfo@amgen.com
Study Officials: MD
Study Director
Amgen
Locations:
Open or close this module IPDSharing
Plan to Share IPD: Yes
De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request
Supporting Information:
Study Protocol
Statistical Analysis Plan (SAP)
Informed Consent Form (ICF)
Clinical Study Report (CSR)
Time Frame:
Data sharing requests relating to this study will be considered beginning 18 months after the study has ended and either 1) the product and indication have been granted marketing authorization in both the US and Europe or 2) clinical development for the product and/or indication discontinues and the data will not be submitted to regulatory authorities. There is no end date for eligibility to submit a data sharing request for this study.
Access Criteria:
Qualified researchers may submit a request containing the research objectives, the Amgen product(s) and Amgen study/studies in scope, endpoints/outcomes of interest, statistical analysis plan, data requirements, publication plan, and qualifications of the researcher(s). In general, Amgen does not grant external requests for individual patient data for the purpose of re-evaluating safety and efficacy issues already addressed in the product labelling. Requests are reviewed by a committee of internal advisors. If not approved, a Data Sharing Independent Review Panel will arbitrate and make the final decision. Upon approval, information necessary to address the research question will be provided under the terms of a data sharing agreement. This may include anonymized individual patient data and/or available supporting documents, containing fragments of analysis code where provided in analysis specifications. Further details are available at the URL below.
URL: http://www.amgen.com/datasharing
Open or close this module References
Citations:
Links: Description: AmgenTrials clinical trials website
Available IPD/Information:

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