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Safety, Pharmacokinetics, and Preliminary Efficacy of VIR-5500 (AMX-500) in Prostate Cancer

NCT05997615 · Vir Biotechnology, Inc.
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Official title
A Phase 1, First-in-Human Study of the Safety, Pharmacokinetics, and Preliminary Efficacy of VIR-5500 (AMX-500) in Participants With Prostate Cancer
About this study
Duration of the study up to approximately 48 months.
Eligibility criteria
Inclusion Criteria: Applicable to Parts 1 and 2 * Have metastatic disease, defined by ≥ 1 metastatic lesion that is present on baseline computed tomography (CT), magnetic resonance imaging (MRI), or bone scan imaging * Have documented progressive mCRPC based on ≥ 1 of the criteria (per PCWG3) * Have been treated with ≥ 1 second-generation androgen-signaling inhibitor, including abiraterone, apalutamide, darolutamide, and/or enzalutamide * Have been treated with ≥ 1 prior taxane regimens (e.g., docetaxel, cabazitaxel) * Are deemed unsuitable for standard of care Applicable to Part 2 Cohort 1 • Must have received standard-of-care radioligand-based therapies, including PSMA-targeted radiopharmaceutical therapy, such as 177Lu-PSMA-617 Applicable to Part 3a and Part 4a * Have metastatic CRPC, defined by ≥ 1 metastatic lesion that is present on baseline CT, MRI, or bone scan imaging that has documented progressive disease (PD) based on ≥ 1 of the following criteria (per PCWG3) * Have metastatic HSPC, defined by at least 1 and no more than 5 metastatic lesions with no visceral involvement that are present on baseline CT, MRI, or bone scan imaging * Have biochemical recurrent prostate cancer Exclusion Criteria: * Presence of dominant histopathological features representative of sarcomatoid, spindle cell, or neuroendocrine small cell components * Has acute or chronic infections * Has a concomitant medical or inflammatory condition that may increase the risk of toxicity to VIR-5500, per the Investigator * Has lesions in proximity of vital organs * Has known active CNS metastases and/or carcinomatous meningitis The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Study design
Enrollment target: 390 participants
Allocation: non_randomized
Masking: none
Age groups: adult, older_adult
Timeline
Starts: 2023-08-10
Estimated completion: 2027-09-29
Last updated: 2026-02-24
Interventions
Drug: VIR-5500Combination Product: EnzalutamideCombination Product: Darolutamide
Primary outcomes
  • Part 1 and 3a: Number of participants with treatment-emergent Adverse Events (AEs) (from the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months)
  • Part 1 and 3a: Incidence of Dose Limiting Toxicities (DLTs) (from the Cycle 1(each cycle is 21 days), Day 1 up to Day 21)
  • Part 2 and 4a: Prostate-Specific Antigen (PSA) response rate (from the Cycle 1(each cycle is 21 days), Day 1 up to approximately 48 months)
Sponsor
Vir Biotechnology, Inc. · industry
Contacts & investigators
ContactStudy Inquiry · contact · clinicaltrials@vir.bio · 415-654-5281
All locations (9)
Investigational Site Number: 400Recruiting
Seattle, Washington, United States
Investigational Site Number: 100Recruiting
Melbourne, Australia
Investigational Site Number: 101Recruiting
Sydney, Australia
Investigational Site Number: 251Withdrawn
Barcelona, Spain
Investigational Site Number: 250Recruiting
Barcelona, Spain
Investigational Site Number: 254Recruiting
Madrid, Spain
Investigational Site Number: 252Recruiting
Madrid, Spain
Investigational Site Number: 253Recruiting
Pamplona, Spain
Investigational Site Number: 300Recruiting
London, United Kingdom