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A 2-part, Phase 1-2, open-label, parallel group, randomized study in patients with Castration-Resistant Prostate Cancer (CRPC) who are no longer responding to treatment with abiraterone and steroids. In Part A (Phase 1), patients will continue to receive the same doses of abiraterone and steroids they were receiving prior to study entry and will be randomized to receive 1 of 2 different treatment regimens of AT13387 in combination with abiraterone. Once the best regimen is established in Part A, based on safety and antitumor activity, patients will be randomized to the selected treatment regimen and dose of AT13387 in combination with abiraterone or AT13387 alone in Part B (Phase 2).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part A, Regimen 1 | Experimental | AT13387 given as a 1-hr IV infusion at a starting dose of 220 mg/m2 once weekly for 3 weeks in a 4-week cycle, in combination with abiraterone acetate 1000 mg by mouth (PO) daily (QD) and prednisone or prednisolone 5 mg PO twice daily. |
|
| Part A, Regimen 2 | Experimental | At13387 administered as a 1-hr IV infusion at a starting dose of 120 mg/m2 on Day 1 and Day 2 weekly for 3 weeks in a 4-week cycle, in combination with abiraterone acetate 1000 mg by mouth (PO) daily (QD) and prednisone or prednisolone 5 mg PO twice daily. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AT13387 | Drug | Regimen 1: AT13387, given as 1-hr intravenous infusion at starting dose of 220 mg/m2 once weekly for 3 weeks in a 4-week cycle. Regimen 2: AT13387, given as 1-hr IV infusion at starting dose of 120 mg/m2 on Day 1 and Day 2 weekly for 3 weeks in a 4-week cycle. |
| Measure | Description | Time Frame |
|---|---|---|
| Part A: Safety and tolerability of the combination of AT13387 and abiraterone and to select the most promising treatment regimen in CRPC patients who are no longer responding to treatment with abiraterone alone. |
| 12 months |
| Part B: Compare the antitumor activity (response rate per the Prostate Cancer Working Group 2 [PCWG2]) between single-agent AT13387 and combination of AT13387 plus abiraterone in patients who are no longer responding to treatment with abiraterone alone. |
| 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics of combination treatment of AT13387 and abiraterone. |
| 24 months |
| Pharmacodynamics of combination treatment of AT13387 and abiraterone. |
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Exclusion:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of California, Los Angeles Institute of Urologic Oncology | Los Angeles | California | 90024 | United States | ||
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|
| abiraterone acetate | Drug | 1000 mg PO daily. |
|
| Prednisone | Drug | 5 mg PO twice daily. |
|
|
CTC enumeration and characterization every 4 weeks. |
| 24 months |
| Progression free survival | Assessment of progression free survival as measured by weeks | 24 months |
| Overall survival | Overall survival as measured in weeks | 24 months |
| Stanford Cancer Center |
| Stanford |
| California |
| 94305 |
| United States |
| Holy Cross Hospital | Fort Lauderdale | Florida | 33308 | United States |
| Florida Cancer Specialists-Fort Myers | Fort Myers | Florida | 33916 | United States |
| Lakeland Regional Cancer Center | Lakeland | Florida | 33805 | United States |
| Southern Illinois University School of Medicine | Springfield | Illinois | 62702 | United States |
| University of Maryland, Greenebaum Cancer Center | Baltimore | Maryland | 21201 | United States |
| Center for Cancer & Blood Disorders | Bethesda | Maryland | 20817 | United States |
| Washington University School of Medicine | St Louis | Missouri | 63110 | United States |
| University of Nebraska Medical Center | Omaha | Nebraska | 68198 | United States |
| Comprehensive Cancer Centers of Nevada | Las Vegas | Nevada | 89169 | United States |
| Roswell Park Cancer Institute | Buffalo | New York | 14263 | United States |
| Clinical Research Alliance, Inc. | Lake Success | New York | 11042 | United States |
| Columbia University Medical Center | New York | New York | 10032 | United States |
| Memorial Sloan Kettering Cancer Center | New York | New York | 10065 | United States |
| SUNY Upstate Medical University | Syracuse | New York | 13210 | United States |
| Cleveland Clinic | Cleveland | Ohio | 44195 | United States |
| University of Pittsburgh Medical Center | Pittsburgh | Pennsylvania | 15232 | United States |
| The West Clinic | Memphis | Tennessee | 38120 | United States |
| Northwest Medical Specialists, PLLC | Tacoma | Washington | 98405 | United States |
| Centre hospitalier de l'Universite de Montreal (CHUM) | Montreal | Quebec | H2L 4MI | Canada |
| Centro Integral Oncologico Clara Campal | Madrid | 28050 | Spain |
| Brighton & Sussex University Hospitals NHS Trust | Brighton | BN2 5BE | United Kingdom |
| Cambridge University Hospitals NHS Foundation Trust | Cambridge | CB2 0QQ | United Kingdom |
| Velindre Cancer Center | Cardiff | CF14 2TL | United Kingdom |
| University of Surrey | Guildford | GU2 7XP | United Kingdom |
| Charing Cross Hospital | London | W6 8RF | United Kingdom |
| Royal Marsden Foundation Trust Instute of Cancer Researrch | London | United Kingdom |
| The Christie Hospital NHS Trust | Manchester | M20 4BX | United Kingdom |
| Clatterbridge Cancer Centre NHS Foundation Trust | Metropolitan Borough of Wirral | CH63 4JY | United Kingdom |
| Nottingham University Hospitals | Nottingham | NG5 1PB | United Kingdom |
| University Hospital Southampton | Southampton | S016 6YD | United Kingdom |
| ID | Term |
|---|---|
| D011471 | Prostatic Neoplasms |
| ID | Term |
|---|---|
| D005834 | Genital Neoplasms, Male |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D005832 | Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D011469 | Prostatic Diseases |
| D052801 | Male Urogenital Diseases |
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| ID | Term |
|---|---|
| C552103 | (2,4-dihydroxy-5-isopropylphenyl)-(5-(4-methylpiperazin-1-ylmethyl)-1,3-dihydroisoindol-2-yl)methanone |
| D000069501 | Abiraterone Acetate |
| D011241 | Prednisone |
| D011239 | Prednisolone |
| ID | Term |
|---|---|
| D000736 | Androstenes |
| D000731 | Androstanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D011244 | Pregnadienediols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D011246 | Pregnadienetriols |
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