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NCT Number: NCT01685268

A Study of HSP90 Inhibitor AT13387 Alone or in Combination With Abiraterone Acetate

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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Key information

Age range

18 year and older

Sex eligibility

Male

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Centre hospitalier de l'Universite de Montreal (CHUM), Montreal, Quebec, Canada

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion:

  • Must have prostate cancer
  • Have received prior castration by orchiectomy and/or hormone therapy
  • Males >18 years of age
  • Normal activity level for self care
  • Have been receiving abiraterone therapy with a steroid for ≥1 month
  • Have disease progression on abiraterone as defined by either PSA progression, radiographic or bone progression
  • Have adequate bone marrow, liver and kidney function
  • Must be willing to provide pre-existing tumor samples, if this material exists. If pre-existing samples are not available, a sample must be obtained during screening
  • Must be willing and able to provide written informed consent and comply with the protocol and study procedures

Exclusion:

  • Prior anti-cancer treatment with any Heat Shock Protein 90 (HSP90) inhibitor or histone deacetylase (HDAC) inhibitor compound
  • Have received chemotherapy within 4 weeks prior to receiving study drug
  • Prior prostate surgery or radiotherapy within 4 weeks from the first dose of study drug
  • Hypersensitivity to AT13387 or other components of the drug product
  • Treatment with any investigational drug within 4 weeks prior to the first dose of study drug
  • Severe systemic diseases or active uncontrolled infections
  • Presence of a life-threatening illness, medical condition, organ system dysfunction, or other factors
  • Abnormal heart function
  • Other cancer except for adequately treated basal cell or squamous cell carcinoma of the skin, or superficial bladder cancer, or other cancer from which the subject has been disease-free for at least 3 years;
  • No known brain or CNS involvement
  • Unable to receive corticosteroids or history of pituitary or adrenal dysfunction
  • Known history of human immunodeficiency virus (HIV) or seropositive test for hepatitis C virus or hepatitis B virus

Treatment and study plan

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.

Other names: onalespib

Abiraterone Acetate

Drug

1000 mg PO daily.

Prednisone

Drug

5 mg PO twice daily.

Other names: prednisolone

Primary outcomes

  1. 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.

    Time frame: 12 months

    • Number of patients with adverse events
    • Change in prostate specific antigen measurement and circulating tumor cell count every 4 weeks
    • Change in tumor measurements by RECIST 1.1 every 12 weeks
  2. 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.

    Time frame: 12 months

    • Change in prostate specific antigen measurement and circulating tumor cell count every 4 weeks
    • Change in tumor measurements by RECIST 1.1 every 12 weeks

Secondary outcomes

  1. Pharmacokinetics of combination treatment of AT13387 and abiraterone.

    Time frame: 24 months

    • Area under the plasma concentration versus time curve (AUC) of AT13387 and abiraterone alone and in combination by Week 4
    • Maximum concentration (Cmax) of AT13387 and abiraterone alone and in combination by Week 4
  2. Pharmacodynamics of combination treatment of AT13387 and abiraterone.

    Time frame: 24 months

    CTC enumeration and characterization every 4 weeks.

  3. Progression free survival

    Time frame: 24 months

    Assessment of progression free survival as measured by weeks

  4. Overall survival

    Time frame: 24 months

    Overall survival as measured in weeks

Sponsors and collaborators

Lead sponsor

Astex Pharmaceuticals, Inc.

Industry

Registry information

Official study title

A Study of HSP90 Inhibitor AT13387 Alone or in Combination With Abiraterone Acetate in the Treatment of Castration-Resistant Prostate Cancer (CRPC) no Longer Responding to Abiraterone

Important dates

Study start
2012
Primary completion
2014
Study completion
2014
First posted
Sep 14, 2012
Registry last updated
Aug 2, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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