Phase Ib A preliminary design of 2 cohorts is planned for this phase, with 3-6 participants to be enrolled in each cohort. A total of 6-12 participants with advanced prostate cancer are planned to be enrolled in this phase. The study will be conducted at multiple investigational sites.
Phase II A preliminary design of 5 cohorts is planned for this phase. Cohorts 1, 2, and 3 are preset with 2 dose groups each, and each dose group plans to enroll 20-30 participants. Cohort 4 plans to enroll 20-50 participants. Cohort 5 will be adjusted based on results from prior study phases. A total of 140-230 participants with advanced prostate cancer are planned to be enrolled in this phase. The study will be conducted at multiple investigational sites.
Signed written informed consent prior to initiation of any study activity/procedure;
Male, ≥18 years of age;
Expected survival ≥ 3 months;
ECOG performance status score of 0-1;
Histologically or cytologically confirmed prostate adenocarcinoma of a single pathological type, excluding neuroendocrine carcinoma or small cell carcinoma;
Bone metastatic lesions confirmed by bone scan, or soft tissue metastatic lesions confirmed by CT/MRI, with at least one evaluable lesion according to RECIST 1.1 and PCWG3 criteria. *Note:* Isolated regional lymph node metastasis alone does not qualify for study participation;
Continuous luteinizing hormone-releasing hormone agonist (LHRHa) or antagonist therapy (medical castration), or prior bilateral orchiectomy (surgical castration); participants who have not undergone bilateral orchiectomy must plan to maintain effective LHRHa therapy throughout the entire study period;
Castrate level of testosterone at screening (≤50 ng/dL or 1.7 nmol/L);
Disease progression at screening, defined as meeting one or more of the following three criteria while receiving castration therapy: ① PSA progression, defined as PSA >1 ng/mL with at least 2 consecutive PSA elevations separated by ≥1 week; ② Disease progression per RECIST 1.1; ③ Bone disease progression per PCWG3 criteria, defined as ≥2 new lesions identified on bone scan;
Prior antitumor therapy meets the following requirements:
Phase Ib:
Phase II:
Participant laboratory values meet the following requirements:
Hepatic function assessment:
Renal function assessment:**
Hematology assessment:**
Coagulation assessment:
Must agree to use adequate contraception from study initiation through at least 6 months after the last dose of study drug, and must refrain from sperm donation;
Able to comply with all study procedures as judged by the investigator.
Exclusion Criteria:
Participants meeting any of the following criteria will not be eligible for enrollment in this study:
Prior antitumor therapy meets the following conditions:
Phase Ib:
Phase II:
Prior treatment with agents similar to or targeting the same pathway as the study drug (including but not limited to tazemetostat, EZH1/2 inhibitors, and EED inhibitors);
Received chemotherapy, immunotherapy, definitive radiotherapy, targeted therapy, anti-tumor traditional Chinese medicine, or other anti-tumor therapies within 4 weeks or 5 half-lives (whichever is shorter) prior to the first dose; palliative radiotherapy within 2 weeks prior to the first dose;
Planned receipt of any other anti-tumor therapy during the study period;
Received any other investigational product not yet approved in the study region within 28 days prior to the first dose of this study (i.e., last dose of investigational product within 28 days of the first study drug dose);
Presence of central nervous system (CNS) metastases; history of or concurrent CNS conditions including but not limited to epilepsy, paralysis, stroke, severe brain injury, Alzheimer's disease, Parkinson's disease, cerebellar disease, organic brain syndrome, psychosis, spinal cord compression, or cauda equina syndrome (with the exception of stroke that was adequately treated and stable for ≥12 months prior to first dose, or asymptomatic/untreated lacunar infarction);
Severe bone damage due to tumor bone metastases as judged by the investigator, including poorly controlled severe bone pain, pathological fractures at critical sites occurring within the last 6 months or expected in the near future, and spinal cord compression;
History of other malignancy within 3 years prior to enrollment that does not meet clinical cure criteria. Exceptions: basal cell carcinoma or squamous cell carcinoma of the skin that has been locally treated and cured, superficial bladder cancer, ductal carcinoma in situ of the breast, and papillary thyroid carcinoma;
Poorly controlled bladder outlet obstruction or urinary incontinence as judged by the investigator;
Impaired cardiac function or clinically significant cardiac disease, including any of the following:
Active systemic severe infection: a washout period of at least 2 weeks is required after completion of antifungal therapy (whether intravenous or oral); at least 1 week washout after completion of other intravenous anti-infective therapy; other oral anti-infective therapy must meet discontinuation criteria and be stopped prior to the first study dose;
History of tuberculosis infection within 1 year prior to enrollment, or history of active tuberculosis infection more than 1 year ago without adequate anti-tuberculosis treatment;
Known hypersensitivity to the study drug or its active ingredients or excipients;
Use of known moderate or strong CYP3A inducers or inhibitors within 14 days prior to the first dose (see Appendix 20.5);
Active autoimmune and inflammatory diseases, such as systemic lupus erythematosus, psoriasis requiring systemic therapy, rheumatoid arthritis, inflammatory bowel disease, and Hashimoto's thyroiditis; with the exception of Type 1 diabetes mellitus, hypothyroidism controlled solely by replacement therapy, hyperthyroidism stable on medication, and skin conditions not requiring systemic therapy (e.g., vitiligo, localized psoriasis);
History of interstitial lung disease (ILD), drug-induced ILD, radiation pneumonitis requiring steroid therapy, or any evidence of clinically active ILD;
Known gastrointestinal (GI) function impairment or GI conditions that may significantly affect the absorption or metabolism of oral medications; abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 6 months prior to the first dose;
Human immunodeficiency virus (HIV) positive, or syphilis (Anti-TP) positive (not excluded if non-treponemal syphilis test is negative and the investigator determines syphilis has been cured);
Known acute or chronic active hepatitis B (HBsAg positive or HBcAb positive with HBV DNA ≥ 200 IU/mL or ≥ 10³ copies/mL), or acute or chronic active hepatitis C (HCV antibody positive with HCV RNA positive);
Toxicities from prior anti-tumor therapy that have not resolved (not recovered to ≤ Grade 1 per NCI-CTCAE Version 6.0). Exceptions include other toxicities that the investigator deems do not affect participant safety assessment (e.g., alopecia);
Symptomatic pleural effusion, ascites, or pericardial effusion that is poorly controlled despite repeated treatment;
Prior allogeneic tissue or solid organ transplantation;
Major surgery within 4 weeks prior to dosing, or planned major surgery during the study period (excluding procedures such as puncture or lymph node biopsy);
Received live virus vaccine (including live attenuated vaccine) within 28 days prior to dosing; inactivated vaccines are allowed;
Baseline bone scan showing a "superscan" pattern that precludes assessment of new bone metastases;
Any other condition that, in the investigator's judgment, makes the participant unsuitable for enrollment.
junjie.zhang@evopointbio.com
Participants with metastatic castration-resistant prostate cancer (mCRPC) who have previously failed novel hormonal therapy other than abiraterone acetate will be enrolled.
Participants with mCRPC who have failed at least one prior line of novel hormonal therapy will be enrolled.
Participants with metastatic castration-resistant prostate cancer (mCRPC) who have failed prior novel hormonal therapy other than abiraterone acetate will be enrolled.
Participants with mCRPC who have failed at least one prior line of novel hormonal therapy are eligible for enrollment.
Participants with mCRPC who have failed at least one prior line of novel hormonal therapy will be enrolled.
Participants with mCSPC will be enrolled and will receive XNW5004 in combination with enzalutamide.
Participants with advanced prostate cancer will be enrolled and will receive XNW5004 in combination with other anti-tumor therapies. The subsequent development plan for this cohort will be determined based on results from prior study phases.
Study of XNW5004 Tablet in Combination With Enzalutamide in Subjects With Metastatic Castration-Resistant Prostate Cancer
A Study Evaluating the Safety, Pharmacokinetics, and Preliminary Efficacy of Orally Administered SM08502 Combined With Hormonal Therapy or Chemotherapy in Subjects With Advanced Solid Tumors
A Study of HRS-5041 Tablets Combined With Antitumor Therapy in Subjects With Advanced Prostate Cancer
Study of AMG 509 in Participants With Metastatic Castration-Resistant Prostate Cancer
Dose Escalation and Dose Expansion Study of GSK525762 in Combination With Androgen Deprivation Therapy in Participants With Castrate-resistant Prostate Cancer
Enzalutamide/Leuprolide +/- Abiraterone/Pred in Prostate
A Study of GSK5458514 Administered Alone or In Combination With Other Anti-Cancer Agents in Participants With Prostate Cancer
A Clinical Study of QLC5508 and/or QLH12016 in Combination With Other Anti-tumor Therapies in Subjects With Advanced Prostate Cancer