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Completed

NCT Number: NCT05848011

A Study of Lorigerlimab With Docetaxel or Docetaxel Alone in Participants With Metastatic Castration-Resistant Prostate Cancer

The purpose of this study is to determine whether the amount of time before disease progression can be prolonged in participants with metastatic castration-resistant prostate cancer (MCRPC) who receive lorigerlimab in addition to the standard of care (SOC) of docetaxel and prednisone. About 150 participants with mCRPC will be enrolled. Participants will be randomized in a 2:1 ratio to receive lorigerlimab with docetaxel and prednisone (experimental arm) or docetaxel and prednisone alone (standard-of-care arm).

Lorigerlimab+docetaxel or docetaxel will be administered intravenously (IV) in clinic on Day 1 of each 3-week cycle. Prednisone will be administered orally twice daily. Lorigerlimab will be administered for up to 35 cycles. Docetaxel and prednisone will be administered up to 10 cycles until treatment discontinuation criteria are met. Participants will undergo regular testing for signs of disease progression using computed tomography (CT) scans, magnetic resonance imaging (MRI) and prostate-specific antigen (PSA) blood tests. Participants will be asked to complete questionnaires about their health and well-being. Routine examinations and blood tests will be performed and evaluated by the study doctor.

Participants who have disease progression standard-of-care arm have the option of continuing on the study to receive lorigerlimab monotherapy.

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Key information

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Metastatic castration-resistant adenocarcinoma of the prostate without evidence of neuroendocrine differentiation, signet cell, or small cell features.
  • Participants must have ≥ 1 metastatic (measurable or non-measurable per PCWG3) lesion.
  • Participant has prostate cancer progression at study entry based on PCWG3 criteria.
  • Participant shows evidence of disease progression after receiving at least 1 prior androgen receptor axis-targeted therapy (ARAT) regimen (e.g., abiraterone, enzalutamide, apalutamide, or darolutamide).
  • Patients with known history of documented breast cancer gene (BRCA) mutation (germline or somatic) must have received an approved poly ADP ribose polymerase (PARP) inhibitor regimen.
  • Participants must have adequate performance status, life expectancy and laboratory values.

Exclusion criteria

  • Any condition preventing participant's ability to receive, tolerate, or comply with the planned treatment or study procedures.
  • Received prior chemotherapy for mCRPC or checkpoint inhibitors for prostate cancer.
  • Current active or chronic infections.
  • Any clinically significant heart, lung, or gastrointestinal disorders.
  • Allergy to any of the study treatments or components of the study treatments.

Treatment and study plan

lorigerlimab

Biological

Lorigerlimab is a DART® molecule that binds PD-1 and CTLA-4

Other names: MGD019

docetaxel

Drug

Docetaxel Injection is a cytotoxic anticancer drug approved to treat prostate cancer

Other names: Taxotere®

Prednisone

Drug

A corticosteroid drug approved for use with docetaxel in the treatment of prostate cancer

Primary outcomes

  1. Median radiographic progression free survival (rPFS) determined by investigator review.

    Time frame: Every 9 weeks for the first year, followed by every 12 weeks for up to 3 more years

    The rPFS is defined as the time from the date of randomization to the date of first documented PD per Prostate Cancer Working Group 3 (PCWG3) criteria or death from any cause, whichever occurs first.

Secondary outcomes

  1. Objective response rate (ORR) per PCWG3 criteria

    Time frame: Every 9 weeks for the first year, followed by every 12 weeks for up to 3 more years

    ORR is defined as the number of participants who have a best overall response of confirmed complete response (CR) or partial response (PR) without prior confirmed bone progression

  2. Duration of response (DoR)

    Time frame: Every 9 weeks for the first year, then every 12 weeks for up to 4 years

    DoR is the time from the date of initial tumor response (CR or PR) to the date of first disease progression or death from any cause, whichever occurs first.

  3. Time to response (TTR)

    Time frame: Every 9 weeks for the first year, followed by every 12 weeks for up to 3 more years

    TTR is defined as the time from the start of treatment to the first objective response (CR or PR).

  4. PSA50 response rate

    Time frame: Every 3 weeks up to 2 years, followed by every 12 weeks for up to 2 more years

    PSA50 response is defined as a ≥ 50% decline in PSA from baseline with confirmation at least 3 weeks after the first documented reduction in PSA of ≥ 50%.

  5. PSA90 response rate

    Time frame: Every 3 weeks up to 2 years, followed by every 12 weeks for up to 2 more years

    PSA90 response is defined as a ≥ 90% decline in PSA from baseline with confirmation at least 3 weeks after the first documented reduction in PSA of ≥ 90%.

  6. Time to PSA progression

    Time frame: Every 9 weeks for the first year, followed by every 12 weeks for up to 2 more years

    Time to PSA progression is defined as the time from the date of randomization to the first documented PSA progression.

  7. Duration of PSA response

    Time frame: Every 3 weeks up to 2 years, followed by every 23 weeks for up to 2 more years.

    Duration of PSA response is defined as the time from the date of first PSA response to the earliest date of PSA progression.

  8. Overall survival (OS)

    Time frame: Throughout the study up to 4 years

    OS is defined as the time from the date of randomization to the date of death from any cause.

  9. Time to First Symptomatic Skeletal Event (SSE)

    Time frame: Throughout the study up to 4 years

    Time to first SSE is defined as the time from the date of randomization to the first occurrence of SSE from any cause.

  10. Time to pain progression using the BPI-sf questionnaire

    Time frame: Every 9 weeks for the first year, followed by every 12 weeks for up to 2 more years

    Time to pain progression is defined as the time interval from randomization to the first date a participant experiences pain progression. Higher scores indicate more severe pain.

  11. Pain severity using the Brief Pain Index - short form (BPI-sf) questionnaire

    Time frame: Every 3 weeks up to 2 years

    The BPI-sf pain severity score consists of 4 items that assess pain at its worst, least, average, and current pain intensity. The pain severity score is the average of the 4 item scores. Higher scores indicate more severe pain.

  12. Pain interference using the BPI-sf questionnaire

    Time frame: Every 3 weeks up to 2 years

    The BPI-sf pain interference score includes 7 items: general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. The pain interference score is the average of the 7 interference items. Higher scores indicate more interference from pain in daily life.

  13. Functional Assessment of Cancer Therapy-Prostate (FACT-P) questionnaire

    Time frame: Every 3 weeks up to 2 years

    The FACT-P consists of 27 items from the Functional Assessment of Cancer Therapy-General (FACT-G) that measure physical, social/family, emotional, and functional well-being and 12 items that compose the Prostate Cancer Subscale (PCS). Higher scores indicate greater impact of prostate cancer on daily life.

  14. Description of types of adverse events (AEs) between treatment groups.

    Time frame: Throughout treatment up to 27 months

    Number of participants with adverse events (AEs), serious adverse events (SAEs), and AEs leading to study treatment discontinuation

  15. Lorigerlimab maximum concentration or concentration at the end of infusion (Cmax)

    Time frame: Every 21-day cycle throughout the study, for an average of 1 year.

    The highest measured concentration of lorigerlimab in the bloodstream.

  16. Lorigerlimab area under the concentration time curve (AUC)

    Time frame: Every 21-day cycle throughout the study, for an average of 1 year.

    AUC is the total amount of lorigerlimab in bloodstream after drug administration

  17. Trough drug concentration (Ctrough or Cmin)

    Time frame: Every 21-day cycle throughout the study, for an average of 1 year.

    Trough concentration is the concentration measured before a subsequent dose of lorigerlimab

  18. Clearance (CL)

    Time frame: Every 21-day cycle throughout the study, for an average of 1 year.

    Drug clearance is the amount of drug removed from the bloodstream by the body per unit of time

  19. Volume of distribution (Vz)

    Time frame: Every 21-day cycle throughout the study, for an average of 1 year.

    The volume of distribution is related to how much drug is distributed to body tissues, or remains in the bloodstream.

  20. Terminal half-life

    Time frame: Every 21-day cycle throughout the study, for an average of 1 year.

    Terminal elimination half-life is the time it takes for the concentration of the drug in plasma or serum to be reduced by 50%

  21. Number of participants who develop anti-drug antibodies

    Time frame: Throughout the study, up to 2 years

Sponsors and collaborators

Lead sponsor

MacroGenics

Industry

Registry information

Official study title

A Phase 2, Randomized, Open-Label, Study of Lorigerlimab With Docetaxel or Docetaxel Alone in Participants With Metastatic Castration-Resistant Prostate Cancer

Important dates

Study start
2023
Primary completion
2026
Study completion
2026
First posted
May 8, 2023
Registry last updated
May 22, 2026

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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