About this trial
Substudy 01A is part of a larger research study that is testing experimental treatments for metastatic castration-resistant prostate cancer (mCRPC). The larger study is the umbrella study (U01).
The goal of substudy 01A is to evaluate the safety and efficacy of opevesostat-based treatment combinations, or as a single agent, in participants with mCRPC.
This substudy will have two phases: a safety lead-in phase and an efficacy phase. The safety lead-in phase will be used to evaluate the safety and tolerability, and to establish a recommended Phase 2 dose (RP2D) for the opevesostat-based treatment combinations. There will be no hypothesis testing in this study.
Eligibility criteria
Qualifiers
Histologically or cytologically confirmed diagnosis of adenocarcinoma of the prostate without small cell histology.
Prostate cancer progression and received androgen deprivation therapy (ADT) or post bilateral orchiectomy within 6 months before screening.
Evidence of disease progression from either, >4 weeks from last flutamide treatment, or >6 weeks from last bicalutamide or nilutamide treatment, if receiving first generation anti-androgen therapy as last treatment therapy.
Current evidence of metastatic disease.
Disqualifiers
History of pituitary dysfunction.
Poorly controlled diabetes mellitus.
Active or unstable cardio/cerebro-vascular disease, including thromboembolic events and history of stroke or transient ischemic attack within 6 months before the first dose of study intervention, history of myocardial infarction within 6 months before the first dose of study intervention, New York Heart Association Class III or IV cardiac disease or congestive heart failure, coronary heart disease that is symptomatic, or unstable angina
History or family history of long corrected QT interval (QTc) syndrome.
Trial design
Treatments tested in this trial
- Opevesostat
- Olaparib
- Docetaxel
- Cabazitaxel
- Fludrocortisone acetate
- Dexamethasone
- Prednisone
Treatment groups
Sponsors and collaborators
Merck Sharp & Dohme LLC
Lead sponsor
Orion Corporation, Orion Pharma
Collaborator