Neoplasms

Urinary Tract, Sexual Organs, and Pregnancy Conditions

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Prostatic Neoplasms

Genital Neoplasms, Male

Urogenital Neoplasms

Genital Diseases

Genital Diseases, Male

Urogenital Diseases

Prostatic Diseases

Male Urogenital Diseases

OGX-011

Dr. Kim Chi

The purpose of this trial is to assess the effects of combined therapy with androgen ablation and OGX-011 (an antisense to clusterin) given prior to radical prostatectomy on pathologic complete response rates in men with localized prostate cancer and high risk features.

Clusterin as an anti-apoptotic cytoprotective chaperone protein upregulated in an adaptive cell survival manner that confers resistance to various cell death triggers, including hormone-, radiation-, and chemotherapy. In pre-clinical models, inhibition of clusterin expression using the second generation antisense OGX-011 can enhance cell death following treatment with androgen ablation, radiotherapy, and chemotherapy. In phase I clinical trials, OGX-011 has been well tolerated and a biologically effective dose has been identified in humans.

Study Design

This is an open-label, non-blinded, phase II clinical, tissue pharmacokinetic and pharmacodynamic study of weekly OGX-011 and neoadjuvant hormone therapy prior to radical prostatectomy in patients with localized prostate carcinoma and high-risk features.

Study Objectives

Primary Objectives

* To assess the effects of combined neoadjuvant hormone therapy (NHT) and OGX-011 prior to radical prostatectomy on pathologic complete response rates in men with high risk localized prostate cancer.

Secondary Objectives

* To quantify changes in clusterin expression in residual prostate cancer after treatment with NHT and OGX-011.
* To measure levels of full length OGX-011 in prostate tissues after 3 months of NHT.
* To assess the safety and tolerability toxicity of 3 months of OGX-011 and NHT prior to radical prostatectomy.
* To measure evidence of OGX-011's effect on clusterin expression in patient peripheral blood mononuclear cells (PBMNC).
* To measure evidence of OGX-011's effect on patient clusterin serum levels.
* To assess the effects of combined NHT and OGX-011 on time to PSA nadir.
* To determine PSA recurrence rates after combined NHT and OGX-011.

Key Eligibility Criteria

1. Histologically confirmed adenocarcinoma of the prostate, previously untreated
2. Potential candidate for radical prostatectomy
3. Any one of the following criteria (minimum of 2 positive biopsies):

   * Clinical stage T3
   * Serum PSA \> 10 ng/ml
   * Gleason score 7-10
   * Gleason score 6 and \> 3 positive biopsies
4. ECOG performance status 0-1
5. WBC ≥ 3.0 x 10\^9/L
6. Hemoglobin ≥ 100 g/L
7. Platelets ≥ 100 x 10\^9/L
8. PTT, INR, AST, ALT, creatinine, total bilirubin within normal limits

Treatment Plan

Approximately 45 newly diagnosed, previously untreated patients with clinically localized, high-risk prostate carcinoma will be entered into this trial. These patients will receive neoadjuvant hormone therapy (buserelin 9.9 mg subcutaneously x 1 injection with flutamide 250 mg orally T.I.D. for the first 4 weeks only) for 12 weeks in combination with OGX-011 (a 2'MOE phosphorothioate clusterin antisense oligonucleotide) weekly on a 4 week cycle for 3 courses. For week one, cycle one only, OGX-011 will be given on Days 1, 3 and 5. OGX-011 is given at a dose of 640 mg by intravenous infusion over 2 hours. Radical prostatectomy will take place within 14 days of the last dose of OGX-011.

Study of OGX-011 Given Prior to Radical Prostatectomy in Patients With Localized Prostate Cancer

A Phase II Study of OGX-011 Given Prior to Radical Prostatectomy in Patients With Localized Prostate Cancer

United States Department of Defense

University of British Columbia

Symptoms and General Pathology

Neoplasm Metastasis

Neoplastic Cells, Circulating

Neoplastic Processes

Single-arm study of AB-16B5 given as a 60-minute intravenous weekly infusion. One cycle of treatment will consist of 21 days. The dose levels that will be assessed are 1.5, 3.0, 6.0, 9.0 and 12 mg/kg.

AB-16B5

This is a Phase 1 clinical study to investigate the safety, pharmacokinetics and pharmacodynamics of AB-16B5 in patients with an advanced solid malignancy. AB-16B5 is a humanized monoclonal antibody that inhibits the activity of the secreted form of clusterin (sCLU), a potent inducer of the epithelial-to-mesenchymal transition (EMT). Eligible subjects will have a disease that has been refractory to prior therapy and is unlikely to benefit from known therapies.

Phase I Dose Escalation Study of AB-16B5 in Subjects With an Advanced Solid Malignancy

A Phase I Dose-Escalation Study to Evaluate the Safety, Tolerability and Pharmacokinetics of AB-16B5 in Subjects With an Advanced Solid Malignancy

Alethia Biotherapeutics

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Study of OGX-011 Given Prior to Radical Prostatectomy in Patients With Localized Prostate Cancer	NCT00138918	Prostate Cancer	OGX-011	18 Years -	University of British Columbia
Phase I Dose Escalation Study of AB-16B5 in Subjects With an Advanced Solid Malignancy	NCT02412462	Solid Tumor Metastatic Canc...	AB-16B5	18 Years -	Alethia Biotherapeutics

Spots Global Cancer Trial Database for clusterin

Every month we try and update this database with for clusterin cancer trials from around the world to help patients and their families find trials that might be right for them.
We offer this 100% free of charge and do not endorse any of the trials listed here, we hope it helps you or a loved one.

Spots Global Cancer Trial Database for clusterin

Every month we try and update this database with for clusterin cancer trials from around the world to help patients and their families find trials that might be right for them. We offer this 100% free of charge and do not endorse any of the trials listed here, we hope it helps you or a loved one.

Every month we try and update this database with for clusterin cancer trials from around the world to help patients and their families find trials that might be right for them.
We offer this 100% free of charge and do not endorse any of the trials listed here, we hope it helps you or a loved one.