About this trial
The purpose of this study is to establish the safety and preliminary antitumor activity of ORIC-944 as a single agent and in combinations with ARPIs in patients with metastatic prostate cancer.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients with metastatic prostate cancer
Must have undergone bilateral orchiectomy or be willing to continue GnRH analogue or antagonist to maintain castrate levels of testosterone
Cohorts A and B: received only one 1 prior line of abiraterone in any setting
Evidence of progressive disease by PCWG3 criteria for study entry
Disqualifiers
History or presence of CNS metastases, unless previously treated and stable
History of class III or IV congestive heart failure or severe non-ischemic cardiomyopathy, unstable or poorly controlled angina, myocardial infarction, or ventricular arrhythmia within the previous 6 months
Known, symptomatic human immunodeficiency virus (HIV) infection
Active symptomatic Hepatitis B or C infection; patients with well controlled disease are eligible
Trial design
Sequential
Treatments tested in this trial
ORIC-944
DrugOral, once daily, continuous
Abiraterone acetate (Zytiga®) 250 mg or 500 mg tablets
DrugOral, 1000 mg once daily, continuous
Apalutamide (Erleada™) 60 mg or 240 mg tablets
DrugOral, 240 mg once daily, continuous
Darolutamide (Nubeqa®) 300 mg tablets
DrugOral, 600 mg twice daily, continuous
Enzalutamide (Xtandi®) 40 mg capsules or 40 mg and 80 mg tablets
DrugOral, 160 mg once daily, continuous
Treatment groups
Trial outcomes
Primary outcomes
Recommended Phase 2 Dose (RP2D)
RP2D as determined by interval 3+3 dose escalation design
Maximum plasma concentration (Cmax)
PK of ORIC-944 single agent and in combination with an ARPI
Time to maximum observed concentration (Tmax)
PK of ORIC-944 single agent and in combination with an ARPI
Area under the curve (AUC)
PK of ORIC-944 single agent and in combination with an ARPI
Secondary outcomes
Clinical benefit rate (CBR)
Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Objective response rate (ORR)
Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Duration of response (DOR)
Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Progression-free survival (PFS)
Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Sponsors and contacts
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