AMG 102 in Combination With Mitoxantrone and Prednisone in Subjects With Previously Treated Castrate Resistant Prostate Cancer

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Amgen
ClinicalTrials.gov Identifier:
NCT00770848
First received: October 9, 2008
Last updated: February 6, 2014
Last verified: February 2014
  Purpose

The primary objectives of this study are the following:

Phase 1b: To identify a safe dose level of AMG 102, up to 15 mg/kg Q3W, to combine with mitoxantrone and prednisone (MP) Phase 2: To estimate with adequate precision the effect of the addition of AMG 102 to MP, compared with placebo plus MP, as assessed by the hazard ratio (HR) for overall survival (OS) of previously treated subjects with castrate-resistant prostate cancer (CRPC)


Condition Intervention Phase
Cancer
Castrate-Resistant Prostate Cancer
Mestastatic Prostate Cancer
Prostate Cancer
Drug: AMG 102
Drug: Mitoxantrone
Drug: Placebo
Drug: Prednisone
Phase 1
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Investigator)
Primary Purpose: Treatment
Official Title: A Phase 1b/2 Study to Assess the Safety and Efficacy of AMG 102 in Combination With Mitoxantrone and Prednisone in Subjects With Previously Treated Castrate Resistant Prostate Cancer

Resource links provided by NLM:


Further study details as provided by Amgen:

Primary Outcome Measures:
  • Phase 1b - Incidence of adverse events defined by dose-limiting toxicities [ Time Frame: 21 days after the 6th subjects has recieved 1st cycle of AMG 102 in combination with MP ] [ Designated as safety issue: Yes ]
  • Phase 2 - Overall survival [ Time Frame: Entire Study ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Phase 1b - Incidence of adverse events, abnormal laboratory values not defined as dose limiting toxicities [ Time Frame: Treatment Period ] [ Designated as safety issue: Yes ]
  • Phase 1b - Incidence of anti-AMG 102 antibody formation [ Time Frame: Entire Study ] [ Designated as safety issue: Yes ]
  • Phase 1b - Cmax and Cmin of AMG 102 concentration [ Time Frame: Treatment Period ] [ Designated as safety issue: Yes ]
  • Phase 2 - Progression-free survival [ Time Frame: Entire Study ] [ Designated as safety issue: No ]
  • Phase 2 - Maximum percentage reduction in PSA level [ Time Frame: Entire Study ] [ Designated as safety issue: No ]
  • Phase 2 - PSA response rate (≥50% reduction in PSA values from baseline) [ Time Frame: Entire Study ] [ Designated as safety issue: No ]
  • Phase 2 - Objective response rate (CR and PR per RECIST with modifications) [ Time Frame: Entire Study ] [ Designated as safety issue: No ]
  • Phase 2 - Patient Report Outcome including pain-specific measures [ Time Frame: Treatment Period ] [ Designated as safety issue: No ]
  • Phase 2 - Incidence of adverse events and significant laboratory value changes from baseline [ Time Frame: Treatment Period ] [ Designated as safety issue: Yes ]
  • Phase 2 - Incidence of anti-AMG 102 antibody formation [ Time Frame: Entire Study ] [ Designated as safety issue: Yes ]
  • Phase 2 - Cmax and Cmin of AMG 102; Cmax and AUC for Mitoxantrone [ Time Frame: Treatment Period ] [ Designated as safety issue: Yes ]
  • Phase 2 - Percentage change in PSA levels from baseline to 12 weeks (or earlier for those who discontinue therapy) [ Time Frame: Treatment Period ] [ Designated as safety issue: No ]

Enrollment: 162
Study Start Date: November 2008
Study Completion Date: April 2012
Primary Completion Date: January 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Phase 1b - AMG 102
Phase 1b is an open-label study with AMG 102 at 15mg/kg de-escalating to 7.5mg/kg and 5mg/kg if needed, will be administered by IV Q3W in combination with MP.
Drug: AMG 102
Investigational product to be given at 15mg/kg, 7.5mg/kg, or 5mg/kg depending on assignment, will be administered by IV Q3W.
Other Name: Rilotumumab
Drug: Mitoxantrone
Administered Q3W for a maximum of 12 cyles
Drug: Prednisone
5 mg orally BID
Experimental: Phase 2 Arm A - AMG 102 + MP
AMG 102 safe dose level in phase 1b in combination with MP, will be administered by IV Q3W.
Drug: AMG 102
Investigational product to be given at safe dose from phase 1b, will be administered by IV Q3W.
Other Name: Rilotumumab
Drug: Mitoxantrone
Administered Q3W for a maximum of 12 cyles
Drug: Prednisone
5 mg orally BID
Placebo Comparator: Phase 2 Arm C- PLACEBO
Placebo in combination with MP, will be administered by IV Q3W.
Drug: Mitoxantrone
Administered Q3W for a maximum of 12 cyles
Drug: Placebo
Placebo
Drug: Prednisone
5 mg orally BID
Experimental: Phase 2 Arm B - AMG 102 + MP
Safe dose level in phase 1b of AMG 102 + MP will be administered by Q3W
Drug: AMG 102
Investigational product to be given at safe dose from phase 1b, will be administered by IV Q3W.
Other Name: Rilotumumab
Drug: Mitoxantrone
Administered Q3W for a maximum of 12 cyles
Drug: Prednisone
5 mg orally BID

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Pathologically confirmed adenocarcinoma of the prostate
  • Radiographic evidence of metastatic disease
  • Progressive disease meeting at least one of the following criteria:

    1. a sequence of at least 2 rising PSA values measured at a minimum of 1 week apart with a 2 ng/mL minimum starting value, or
    2. progression according to RECIST criteria for measurable lesions, or
    3. appearance of 2 or more new lesions on bone scan.
  • History of prior taxane-based chemotherapy for metastatic prostate cancer
  • For patients without a history of surgical castration, continued GnRH analog administration is required
  • ECOG Performance status of 0 or 1
  • Life expectancy ≥ 3 months

Exclusion Criteria:

  • Treatment with external beam radiotherapy ≤ 14 days before enrollment or radiopharmaceutical ≤8 weeks
  • ≤ 4 weeks since receipt of most recent prior chemotherapy, non-GnRH analog hormonal therapy (except for continuing corticosteroids) or other systemic therapy to treat prostate cancer and <6 weeks since receipt of prior bevacizumab.
  • Known CNS metastases (epidural disease is allowed if it has been treated and there is no progression in the treated area).
  • Significant cardiovascular disease
  • LVEF < 50% by MUGA or ECHO
  • Treatment of infection with systemic anti-infectives within 7 days before enrollment (with the exception of uncomplicated urinary tract infection)
  • Concurrent or prior (within 7 days of enrollment) anticoagulation therapy, except that use of low dose coumarin-type anticoagulants or heparins for prophylaxis against central venous catheter thrombosis is allowed
  • Major surgical procedure ≤30 days before enrollment or not yet recovered from prior major surgery
  • Presence of peripheral edema > Grade 2
  • Known positive test for HIV, hepatitis C, chronic or active hepatitis B
  • Serious or non-healing wound
  • Unable to begin protocol specified treatment within 7 days after enrollment
  • Other investigational procedures are excluded.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00770848

Sponsors and Collaborators
Amgen
Investigators
Study Director: MD Amgen
  More Information

Additional Information:
No publications provided

Responsible Party: Amgen
ClinicalTrials.gov Identifier: NCT00770848     History of Changes
Other Study ID Numbers: 20070611
Study First Received: October 9, 2008
Last Updated: February 6, 2014
Health Authority: Euorpean Union: Ethics Committee
United States: Food and Drug Administration
United States: Institutional Review Board
United States: Western Institutional Review Board
Canada: Health Canada
Australia: National Health and Medical Research Council
Belgium: Federal Agency for Medicinal Products and Health Products
Czech Republic: State Institute for Drug Control
Finland: Finnish Medicines Agency
France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis)
Sweden: Medical Products Agency
Netherlands: Ministry of Health, Welfare and Sport

Keywords provided by Amgen:
CRPC

Additional relevant MeSH terms:
Prostatic Neoplasms
Genital Diseases, Male
Genital Neoplasms, Male
Neoplasms
Neoplasms by Site
Prostatic Diseases
Urogenital Neoplasms
Mitoxantrone
Prednisone
Analgesics
Anti-Inflammatory Agents
Antineoplastic Agents
Antineoplastic Agents, Hormonal
Central Nervous System Agents
Enzyme Inhibitors
Glucocorticoids
Hormones
Hormones, Hormone Substitutes, and Hormone Antagonists
Molecular Mechanisms of Pharmacological Action
Peripheral Nervous System Agents
Pharmacologic Actions
Physiological Effects of Drugs
Sensory System Agents
Therapeutic Uses
Topoisomerase II Inhibitors
Topoisomerase Inhibitors

ClinicalTrials.gov processed this record on October 22, 2014