Purpose

Assessment of the safety and efficacy of HLD-0915 as monotherapy in patients with metastatic castration resistant prostate cancer (mCRPC) that have progressed on prior systemic therapies, once a recommended dose for expansion (RDE) has been determined in Phase 1 of the trial.

Conditions

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
Male
Accepts Healthy Volunteers
No

Inclusion Criteria

All patients must meet the following criteria to be eligible for Phase 1 study participation: 1. Males of age 18 years at the time of signing the informed consent form (ICF). 2. Able to understand and voluntarily sign an informed consent document prior to any study-related assessments/procedures. 3. Patients must have histological, pathological, and/or cytological confirmation of adenocarcinoma of the prostate. 4. Patients must have prior orchiectomy and/or ongoing androgen-deprivation therapy and a castrate level of serum testosterone. 5. Patients must have progressed on prior line(s) of therapy. 6. Patients must have progressive mCRPC defined as having demonstrated PSA progression on the prior regimen. PSA progression may have occurred with or without accompanying radiographic progression. 7. Eastern Cooperative Oncology Group (ECOG) performance status 0-1. 8. Life expectancy of at least 3 months. 9. Adequate hematological, renal, and hepatic function. 10. Able to swallow an oral medication. 11. Willing and able to adhere to the study visit schedule and other protocol requirements. 12. Patients on a stable bisphosphonate or denosumab regimen for 30 days prior to enrollment are eligible.

Exclusion Criteria

Patients with any of the following will be excluded from participation in Phase 1 of the study: 1. Has experienced a recent major bleed or has a known bleeding disorder. 2. Tumors exhibiting neuroendocrine or small cell carcinoma component by histopathology. 3. Receiving continuous corticosteroids at prednisone-equivalent dose of >10 mg/day. 4. Has received systemic anti-cancer therapy (cytotoxic chemotherapy, biologic agent, checkpoint inhibitors, or radiation therapy) or investigational drugs within 2 weeks prior to first dose of study drug with certain exceptions requiring longer washout periods. 5. History of myocardial infarction or unstable angina within 6 months prior to enrollment, or clinically significant cardiac disease. 6. Known clinically significant active or chronic infection. 7. Acute or chronic uncontrolled renal disease, pancreatitis, or liver disease.

Study Design

Phase
Phase 1/Phase 2
Study Type
Interventional
Allocation
N/A
Intervention Model
Sequential Assignment
Intervention Model Description
Phase 1 dose escalation will employ the BF-BOIN design (to find the Maximum Tolerated Dose (MTD)/ Recommended Dose for Expansion (RDE). BF-BOIN enables backfilling patients to doses that are cleared for safety during the dose escalation, thereby generating additional data on safety, tolerability, and preliminary activity on doses below the MTD. This facilitates the identification of the RDE(s). The BF-BOIN consists of two interrelated components: dose escalation and backfill.
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
HLD-0915
Oral HLD-0915 administered as a single agent on a 21-day treatment cycle.
  • Drug: HLD-0915
    A treatment cycle consists of 21 days. Treatment may continue until disease progression or study discontinuation (withdrawal of consent, intercurrent illness, unacceptable adverse event or any other changes unacceptable for further treatment, etc.)

Recruiting Locations

Massachusetts General Hospital
Boston 4930956, Massachusetts 6254926 02114

More Details

Status
Recruiting
Sponsor
Halda Therapeutics OpCo, Inc.

Study Contact

Medical Monitor
475-273-6214
ProstateClinicalTrial@haldathera.com

Detailed Description

This is a Phase 1/2, open-label study of the safety, tolerability, pharmacokinetics (PK), pharmacodynamics, and anti-tumor activity of oral single-agent HLD-0915. Patients on the study must continue androgen deprivation therapy (ADT) unless surgically castrated, The study will include an initial Phase 1 portion to determine the maximum tolerated dose (MTD) and/or recommended dose(s) for expansion (RDEs) of HLD-0915 as monotherapy and Phase 2 expansion cohorts to further evaluate the efficacy and safety of HLD-0915. Phase 1 of this study is an open-label, dose-escalation and cohort expansion study in patients with mCRPC that have progressed after prior systemic therapies. Patients will be enrolled in monotherapy dose-escalation cohorts using a Bayesian optimal interval with backfill (BF-BOIN) design. Patients are treated in cohort size of 3 with the enrollment staggered between cohorts. Phase 2 of this study will evaluate the anti-tumor activity of HLD-0915 administered at the RDEs in patients with mCRPC. Phase 2 study design and patient population will be based on the outcomes of Phase 1 of the trial.

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.