About this trial
The purpose of this study is to determine how well the study drug XL092 is helping to treat a participant's cancer after 16 weeks of treatment. Researchers will also look at how safe the XL092 is and how well the XL092 is working. XL092 is an oral tablet that will be taken once a day. Participants will return to clinic for regular visits for checkups and tests.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Participant aged ≥ 18 years
Radiographic evidence of metatstatic disease
Progression on or after prior treatment with 177Lu-PSMA-617 as determined by clinical investigator
ECOG Performance Status ≤ 2.
Disqualifiers
Prior treatment with XL092
Receipt of any type of small molecule kinase inhibitor, cytotoxic, biologic or other systemic anticancer therapy (including investigational) within 2 weeks or at least 5 half-lives, whichever shorter before first dose of study treatment.
Radiation therapy for bone metastasis or any other radiation therapy within 2 weeks before first dose of study treatment. Subjects with clinically relevant ongoing complications from prior radiation therapy are not eligible.
Known brain metastases or cranial epidural disease unless adequately treated with radiotherapy and/or surgery (including radiosurgery) and stable for at least 4 weeks before first dose of study treatment.
Trial design
Single group
Treatments tested in this trial
XL092
DrugXL092 will be supplied as a tablet that will be taken at home once a day. XL092 tablets should not be crushed or chewed. Participants should drink a minimum of 8 ounces of water with each dose of XL092. Participants will be given enough XL092 to take at home for a full cycle.
Treatment groups
Trial outcomes
Primary outcomes
Proportion of participants with non-progressive disease after 16 weeks of treatment with XL092 as assessed by Prostate Cancer Working Group 3 (PCWG3)-modified RECIST v1.1
To evaluate the disease control rate at 16 weeks in metastatic castrate-resistant prostate cancer (mCRPC) patients treated with XL092 after progression on 177Lu-PSMA-617
Secondary outcomes
Frequency of adverse events (AEs) and serious adverse events (SAEs) characterized by type.
To evaluate the safety and tolerability of XL092 in the study population.
Frequency of adverse events (AEs) and serious adverse events (SAEs) characterized by severity (as defined by the NIH CTCAE, version 5.0).
To evaluate the safety and tolerability of XL092 in the study population.
Frequency of adverse events (AEs) and serious adverse events (SAEs) characterized by seriousness.
To evaluate the safety and tolerability of XL092 in the study population.
Frequency of adverse events (AEs) and serious adverse events (SAEs) characterized by duration.
To evaluate the safety and tolerability of XL092 in the study population.
Sponsors and contacts
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University of Utah
Lead sponsor
Exelixis
Collaborator