A Study of Mevrometostat With Enzalutamide in People With Prostate Cancer Who Have Previously Received Androgen Receptor Pathway Inhibitor Therapy

Trial statusNot yet recruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexMale
Age18+
SponsorProstate Cancer Clinical Trials Consortium

About this trial

The purpose of this study is to find out whether mevrometostat in combination with enzalutamide delays cancer progression in people with metastatic castration-resistant prostate cancer (mCRPC) who have previously received enzalutamide, darolutamide, or apalutamide in the metastatic castration-sensitive prostate cancer (mCSPC) or non-metastatic castration-resistant prostate cancer (nmCRPC) setting but have not previously progressed on abiraterone.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Willing and able to provide written informed consent

Age 18 years or older

Diagnosis of prostate cancer (adenocarcinoma) confirmed by tissue sample, without neuroendocrine or small cell features

Currently taking or recently treated with enzalutamide, darolutamide, or apalutamide (within 30 days of screening) and willing to switch to or restart enzalutamide for this study

Disqualifiers

History of myelodysplastic syndrome, acute myeloid leukemia, or other prior cancer (exceptions: non-melanoma skin cancer, carcinoma in situ, cancers more than 3 years ago with no recurrence, or early-stage cancers with low risk of recurrence)

Any medical or psychiatric condition, including active infection or recent suicidal ideation, that may make study participation unsafe

History of seizure or conditions that may increase seizure risk (e.g., prior stroke, significant brain trauma), or loss of consciousness or transient ischemic attack within 12 months

Untreated brain metastases, spinal cord compression, or clinically significant epidural disease

Trial design

Design model

Single group

Treatments tested in this trial

  • Mevrometostat

    Drug

    875 mg oral tablet, taken twice daily with food

  • Enzalutamide

    Drug

    160 mg oral capsule, taken once daily

Treatment groups

60 Participants
are divided into 1 treatment group
Group A: Mevrometostat + EnzalutamideExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Radiographic progression free survival (rPFS)

rPFS by RECIST v1.1 and PCWG3 defined as time from start of study treatment to the earlier of first documentation of objective progressive disease by RECIST v1.1 or PCWG3 or death due to any cause.

Time frame
From treatment initiation until documented disease progression, death, lost to follow-up, withdrawal, administrative censoring at the time of final analysis, whichever comes first, assessed up to 24 months.

Secondary outcomes

1

Overall Survival (OS)

Overall survival as determined by survival status during study participation. OS is defined as the time from the start of study treatment to the date of death due to any cause.

Time frame
From start of study treatment until death from any cause, assessed up to 24 months.
2

Proportion of Participants Achieving 50% Decline in PSA (PSA50 Response)

Proportion of participants with detectable PSA values at baseline with a 50% decline in PSA confirmed by a subsequent PSA value obtained ≥3 weeks later.

Time frame
From initiation of study treatment through study completion, assessed up to 24 months.
3

Time to PSA Progression as Defined by PCWG3

Time from first dose of mevrometostat to the date of a ≥25% increase in PSA over nadir with an absolute increase of ≥2 ng/mL, confirmed by a second consecutive PSA value at ≥3 weeks later.

Time frame
From start of study treatment until documented PSA progression, assessed up to 24 months.
4

Number of Participants with Treatment-Related Adverse Events as Assessed by CTCAE v5.0

Incidence of adverse events characterized by type, severity according to CTCAE version 5.0, timing, seriousness, and relationship to study treatment.

Time frame
From start of study treatment through 28 days after last dose of study drug, assessed up to 24 months.

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Prostate Cancer Clinical Trials Consortium

Lead sponsor

Pfizer

Collaborator

Dana-Farber Cancer Institute

Collaborator

Fred Hutchinson Cancer Center

Collaborator

This trial is not recruiting at the moment. You can still explore other options: