Dalpiciclib Isethionate Tablets Combined With Abiraterone Acetate Tablets (I) and Prednisone Tablets (AA-P) Versus Placebo Combined With AA-P in Treatment of High-volume, Metastatic, Hormone-sensitive Prostate Cancer (mHSPC)

Phase
Recruitment status
Not yet recruiting
Participants
Lead sponsor
Jiangsu HengRui Medicine Co., Ltd.
Start date

Summary
This study was to evaluate the safety and efficacy of dalcilide tablets in combination with AA-P in the treatment of subjects with high tumor burden mHSPC and to determine the second stage starting dose and progression-free survival(rPFS) based on BICR assessment
Short title
Dalpiciclib Isethionate Tablets Combined With Abiraterone Acetate Tablets (I) and Prednisone Tablets (AA-P) Versus Placebo Combined With AA-P in Treatment of High-volume, Metastatic, Hormone-sensitive Prostate Cancer (mHSPC)
Official title
A Multicenter, Randomized, Double-blind Phase Ib/III Clinical Study of Dalpiciclib Isethionate Tablets Combined With Abiraterone Acetate Tablets (I) and Prednisone Tablets (AA-P) Versus Placebo Combined With AA-P in Treatment of High-volume, Metastatic, Hormone-sensitive Prostate Cancer (mHSPC).

Control arm
Registry reports results
Listing at source
Recruitment status
Not yet recruiting
Phase
Study type
Interventional

Completion date
First posted
Registry last updated
Primary completion date
Start date

Participants
Participant count basis
Planned participants
Protocol amendments

Registry sponsor category
Lead sponsor
Jiangsu HengRui Medicine Co., Ltd.
Source registry
ClinicalTrials.gov

Registry ID
ClinicalTrials.gov ID
Registry record
Open registry record

Allocation
Randomised
Model
Parallel groups
Purpose
Treatment
Masking
Quadruple masking
Masked roles
Participants, Care providers, Investigators, Outcome assessors
Sources for study design

  1. Adverse event (AE) incidence

    Timeframe: approximately 63 months

  1. PK: Steady-state trough concentrations of Dalsili and Abiraterone (Cmin, ss)

    Timeframe: approximately 6 months

  2. rPFS

    Timeframe: approximately 63 months

    Time from randomisation to radiologically confirmed progressive disease or death due to any cause

  3. PSA response rate

    Timeframe: approximately 63 months

    In patients who had not started androgen deprivation prior to randomization, the proportion of patients whose PSA levels were ≥ 90% lower than baseline by the end of the study treatment week

  4. ORR

    Timeframe: approximately 63 months

    Objective response rate+ The proportion of participants evaluated according to RECIST v1.1 and PCWG3 criteria that achieved predetermined tumor volume reduction and maintained the minimum duration was the sum of the proportion of complete and partial responses

  5. Time to PSA progression

    Timeframe: approximately 63 months

    Time from randomisation to the first time of PSA progression

Sources for outcomes

Sex
Male
Age groups
Adults, Older adults
Minimum age
18 Years
Healthy volunteers
No

  1. Age of ≥ 18 years old,male
  2. ECOG PS score of 0 or 1;
  3. Prostate adenocarcinoma confirmed by histological。
  4. ADT no more than 3 months prior to randomization (when docetaxel is not used) with no radiographic or PSA progression
  5. Receiving or maintaining androgen deprivation therapy (ADT) during the planned study period, i.e. continuous treatment with luteinizing hormone-releasing hormone analogues (LHRHA) (drug castration) or prior bilateral orchiectomy (surgical castration)
  6. Voluntarily participate in this clinical trial, understand the study procedure and have signed informed consent

  1. Previous ADT, chemotherapy, surgery, external radiation exposure, brachytherapy, radiopharmaceuticals, or experimental topical treatments (eg, radiofrequency ablation, cryoponic, high-energy focused ultrasound) for prostate cancer
  2. Previous use of CDK4/6 inhibitors (such as piperaciclib, rebocillib and abeceptil), second-generation androgen receptor antagonists (such as enzalutamide, apatamide, darotamide, revilumide and proclomide, etc.), ketoconazole, abiraterone acetate or other investigational drugs that inhibit androgen synthesis (such as TAK-700), other anti-tumor biological therapy, targeted therapy or tumor immunotherapy
  3. Confirmed by imaging, there are brain tumor foci
  4. History of severe lung disease such as interstitial pneumonia
  5. Plan to receive any other antitumor therapy during this trial
  6. Inability to swallow, chronic diarrhea and intestinal obstruction, or other factors that affect drug taking and absorption
Sources for eligibility

Related records

Drugs (3)

Lead sponsors (1)

Conditions (1)

Targets (2)