About this trial
This is an open-label,prospective,single-arm,phase 2 trial aims to evaluate the efficacy and safety of disitamab vedotin combined with abiraterone in patients with metastatic castration-resistant prostate cancer.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients are able to understand and voluntarily sign the informed consent form (ICF); judged by the investigator to be capable of complying with the protocol.
Male patients of ≥18 years or older at the time of ICF signature.
Patients with ECOG performance status 0-1.
Patients with an expected survival of 3months or more.
Disqualifiers
Patients who are known hypersensitivity to any component of disitamab vedotin or abiraterone.
Patients with other malignancies within 3 years before screening, except early-stage malignancies considered clinically cured (carcinoma in situ or stage I tumors), e.g., basal-cell or squamous-cell skin carcinoma or superficial bladder cancer.
Patients with central nervous system (CNS) metastases and/or carcinomatous meningitis. Patients with treated brain metastases may enroll if lesions have been stable for ≥1 month, there is no evidence of new or enlarging CNS disease, and systemic corticosteroids have been discontinued ≥3 days before the first study dose.
Patients who are clinically significant pericardial effusion, or pleural/peritoneal/pelvic effusions that are poorly controlled or require drainage within 2 weeks before the first dose.
Trial design
Single group
Treatments tested in this trial
Disitamab Vedotin (RC48)
DrugDisitamab Vedotin 2mg/kg is administered intravenously once every 2 weeks (1 cycle)
Abiraterone + prednisone
DrugAbiraterone 1000mg is administered orally once a day,and prednisone 5mg is administered orally twice a day.
Treatment groups
Trial outcomes
Primary outcomes
PSA 50
Proportion of patients with a ≥50 % prostate-specific antigen (PSA) reduction from baseline at Week 12, confirmed by a repeat assessment at least 3 weeks later.
Secondary outcomes
PSA 30
Proportion of patients with a ≥30 % prostate-specific antigen (PSA) reduction from baseline at Week 12, confirmed by a repeat assessment at least 3 weeks later.
PSA 90
Proportion of patients with a ≥90 % prostate-specific antigen (PSA) reduction from baseline at Week 12, confirmed by a repeat assessment at least 3 weeks later.
Radiographic Progression-Free Survival(rPFS)
Time from the first day of study drug administration to the earlier of radiographic progression or death from any cause.
Sponsors and contacts
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The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
Lead sponsor
Nanjing University
Collaborator