lorigerlimab
BiologicalLorigerlimab is a DART® molecule that binds PD-1 and CTLA-4
Other names: MGD019
NCT Number: NCT05848011
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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Notify Me18 year and older
Male
Interventional
Phase 2
Concord Repatriation General Hospital, Concord, Australia
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
Lorigerlimab is a DART® molecule that binds PD-1 and CTLA-4
Other names: MGD019
Docetaxel Injection is a cytotoxic anticancer drug approved to treat prostate cancer
Other names: Taxotere®
A corticosteroid drug approved for use with docetaxel in the treatment of prostate cancer
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.
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
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.
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).
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%.
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%.
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.
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.
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.
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.
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.
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.
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.
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.
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
Time frame: Every 21-day cycle throughout the study, for an average of 1 year.
The highest measured concentration of lorigerlimab in the bloodstream.
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
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
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
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.
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%
Time frame: Throughout the study, up to 2 years
MacroGenics
Industry
A Phase 2, Randomized, Open-Label, Study of Lorigerlimab With Docetaxel or Docetaxel Alone in Participants With Metastatic Castration-Resistant Prostate Cancer
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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