Trial Outcomes & Findings for Pilot Study of PLX3397 in Patients With Advanced Castration-Resistant Prostate Cancer (CRPC) (NCT NCT01499043)

NCT ID: NCT01499043

Last Updated: 2020-03-04

Results Overview

Effects of PLX3397 on CTC number in men with radiographically progressive CRPC and high CTC counts (≥10 CTCs/7.5 mL of blood using CellSearch Assay) CTC counts were to be evaluated at the following time points: Screening, Baseline, every 4 weeks after treatment initiation, and at Safety Follow-up. Radiographic tumor evaluation were to be performed every 8 weeks. Progression at the first reassessment required a confirmatory scan at a minimum of 6 weeks later, and treatment with study medication was to continue until the progression had been confirmed.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

6 participants

Primary outcome timeframe

See measure description for time frame.

Results posted on

2020-03-04

Participant Flow

A total of 6 participants received study drug at 2 clinic sites.

A total of 20 participants were planned to be enrolled at approximately 2 to 4 clinic sites.

Participant milestones

Participant milestones
Measure
PLX3397
Participants who received a daily oral dose of PLX3397 for 28 day cycles and continued on therapy until disease progression or toxicity.
Overall Study
STARTED
6
Overall Study
COMPLETED
0
Overall Study
NOT COMPLETED
6

Reasons for withdrawal

Reasons for withdrawal
Measure
PLX3397
Participants who received a daily oral dose of PLX3397 for 28 day cycles and continued on therapy until disease progression or toxicity.
Overall Study
Progressive disease (radiographic)
2
Overall Study
Progressive disease (clinical)
1
Overall Study
Withdrawal by Subject
2
Overall Study
Adverse Event
1

Baseline Characteristics

Pilot Study of PLX3397 in Patients With Advanced Castration-Resistant Prostate Cancer (CRPC)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
PLX3397
n=6 Participants
Participants who received a daily oral dose of PLX3397 for 28 day cycles and continued on therapy until disease progression or toxicity.
Age, Continuous
71.0 years
STANDARD_DEVIATION 7.24 • n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
Race (NIH/OMB)
White
4 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
6 participants
n=5 Participants

PRIMARY outcome

Timeframe: See measure description for time frame.

Population: The study was discontinued and the primary outcome measure was not evaluated. Consequently, no efficacy was evaluated and only safety results are reported. Raw data collected but no efficacy analysis was performed/reported.

Effects of PLX3397 on CTC number in men with radiographically progressive CRPC and high CTC counts (≥10 CTCs/7.5 mL of blood using CellSearch Assay) CTC counts were to be evaluated at the following time points: Screening, Baseline, every 4 weeks after treatment initiation, and at Safety Follow-up. Radiographic tumor evaluation were to be performed every 8 weeks. Progression at the first reassessment required a confirmatory scan at a minimum of 6 weeks later, and treatment with study medication was to continue until the progression had been confirmed.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Assessed from first dose through at least 4 weeks after the last dose.

Population: Adverse events were assessed in the Safety Population.

Outcome measures

Outcome measures
Measure
PLX3397
n=6 Participants
Participants who received a daily oral dose of PLX3397 for 28 day cycles and continued on therapy until disease progression or toxicity.
NCI CTCAE Grade 2
Participants who received PLX3397 and experienced a Grade 2 treatment-emergent adverse event.
NCI CTCAE Grade 3
Participants who received PLX3397 and experienced a Grade 3 treatment-emergent adverse event.
NCI CTCAE Grade 4
Participants who received PLX3397 and experienced a Grade 4 treatment-emergent adverse event.
NCI CTCAE Grade 5
Participants who received PLX3397 and experienced a Grade 5 treatment-emergent adverse event.
Number of Participants Reporting Treatment-Related Adverse Events by System Organ Class and Preferred Term
Pain in extremity
1 Participants
Number of Participants Reporting Treatment-Related Adverse Events by System Organ Class and Preferred Term
Dyspnoea
1 Participants
Number of Participants Reporting Treatment-Related Adverse Events by System Organ Class and Preferred Term
Anaemia
1 Participants
Number of Participants Reporting Treatment-Related Adverse Events by System Organ Class and Preferred Term
Thrombocytopenia
1 Participants
Number of Participants Reporting Treatment-Related Adverse Events by System Organ Class and Preferred Term
Constipation
2 Participants
Number of Participants Reporting Treatment-Related Adverse Events by System Organ Class and Preferred Term
Diarrhoea
2 Participants
Number of Participants Reporting Treatment-Related Adverse Events by System Organ Class and Preferred Term
Nausea
4 Participants
Number of Participants Reporting Treatment-Related Adverse Events by System Organ Class and Preferred Term
Fatigue
3 Participants
Number of Participants Reporting Treatment-Related Adverse Events by System Organ Class and Preferred Term
Mucosal inflammation
1 Participants
Number of Participants Reporting Treatment-Related Adverse Events by System Organ Class and Preferred Term
Alanine aminotransferase increased
1 Participants
Number of Participants Reporting Treatment-Related Adverse Events by System Organ Class and Preferred Term
Aspartate aminotransferase increased
1 Participants
Number of Participants Reporting Treatment-Related Adverse Events by System Organ Class and Preferred Term
Blood creatinine phosphokinase increased
1 Participants
Number of Participants Reporting Treatment-Related Adverse Events by System Organ Class and Preferred Term
Blood glucose increased
1 Participants
Number of Participants Reporting Treatment-Related Adverse Events by System Organ Class and Preferred Term
Blood sodium increased
1 Participants
Number of Participants Reporting Treatment-Related Adverse Events by System Organ Class and Preferred Term
Lipase increased
1 Participants
Number of Participants Reporting Treatment-Related Adverse Events by System Organ Class and Preferred Term
Decreased appetite
3 Participants

SECONDARY outcome

Timeframe: Assessed from first dose through at least 4 weeks after the last dose.

Population: Adverse events were assessed in the Safety Population.

Adverse events (AEs) were assessed using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 4.0, where 1=mild, 2=moderate, 3=severe, 4=life-threatening, and 5=death related to AE.

Outcome measures

Outcome measures
Measure
PLX3397
n=6 Participants
Participants who received a daily oral dose of PLX3397 for 28 day cycles and continued on therapy until disease progression or toxicity.
NCI CTCAE Grade 2
n=6 Participants
Participants who received PLX3397 and experienced a Grade 2 treatment-emergent adverse event.
NCI CTCAE Grade 3
n=6 Participants
Participants who received PLX3397 and experienced a Grade 3 treatment-emergent adverse event.
NCI CTCAE Grade 4
n=6 Participants
Participants who received PLX3397 and experienced a Grade 4 treatment-emergent adverse event.
NCI CTCAE Grade 5
n=6 Participants
Participants who received PLX3397 and experienced a Grade 5 treatment-emergent adverse event.
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
Anaemia
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
Oedema peripheral
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
Thrombocytopenia
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
Constipation
2 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
Diarrhoea
2 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
Nausea
4 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
Fatigue
1 Participants
2 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
Mucosal inflammation
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
Pyrexia
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
Oedema
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
Pain
2 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
Influenza
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
Pneumonia
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
Fall
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
ALT increased
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
AST increased
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
Blood CPK increased
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
Lipase increased
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
Blood glucose increased
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
Blood sodium increased
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
Decreased appetite
3 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
Musculoskeletal pain
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
Pain in extremity
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
Peripheral sensory neuropathy
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
Spinal cord disorder
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
Nocturia
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
Urinary retention
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
Pollakiuria
2 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-Emergent Adverse Events by Worst Severity Grade
Dyspnoea
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants

Adverse Events

PLX3397

Serious events: 2 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
PLX3397
n=6 participants at risk
Participants who received a daily oral dose of PLX3397 for 28 day cycles and continued on therapy until disease progression or toxicity.
Infections and infestations
Influenza
16.7%
1/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
Infections and infestations
Pneumonia
16.7%
1/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
Injury, poisoning and procedural complications
Fall
16.7%
1/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
Musculoskeletal and connective tissue disorders
Pain in extremity
16.7%
1/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
Renal and urinary disorders
Urinary retention
16.7%
1/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.

Other adverse events

Other adverse events
Measure
PLX3397
n=6 participants at risk
Participants who received a daily oral dose of PLX3397 for 28 day cycles and continued on therapy until disease progression or toxicity.
Blood and lymphatic system disorders
Anaemia
16.7%
1/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
Blood and lymphatic system disorders
Thrombocytopenia
16.7%
1/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
Gastrointestinal disorders
Constipation
33.3%
2/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
Gastrointestinal disorders
Diarrhoea
33.3%
2/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
Gastrointestinal disorders
Nausea
66.7%
4/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
General disorders
Fatigue
50.0%
3/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
General disorders
Mucosal inflammation
16.7%
1/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
General disorders
Oedema
16.7%
1/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
General disorders
Oedema peripheral
16.7%
1/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
General disorders
Pain
33.3%
2/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
General disorders
Pyrexia
16.7%
1/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
Infections and infestations
Influenza
16.7%
1/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
Infections and infestations
Pneumonia
16.7%
1/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
Injury, poisoning and procedural complications
Fall
16.7%
1/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
Investigations
Alanine aminotransferase increased
16.7%
1/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
Investigations
Aspartate aminotransferase increased
16.7%
1/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
Investigations
Blood creatinine phosphokinase increased
16.7%
1/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
Investigations
Blood glucose increased
16.7%
1/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
Investigations
Blood sodium increased
16.7%
1/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
Investigations
Lipase increased
16.7%
1/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
Metabolism and nutrition disorders
Decreased appetite
50.0%
3/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
16.7%
1/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
Musculoskeletal and connective tissue disorders
Pain in extremity
16.7%
1/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
Nervous system disorders
Peripheral sensory neuropathy
16.7%
1/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
Nervous system disorders
Spinal cord disorder
16.7%
1/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
Renal and urinary disorders
Nocturia
16.7%
1/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
Renal and urinary disorders
Pollakiuria
33.3%
2/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
Renal and urinary disorders
Urinary retention
16.7%
1/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
16.7%
1/6 • Adverse events were collected from after first dose to 28 days after last dose.
Adverse events that emerge (or worsen) from after the first dose of study drug and within 28 days after last dose.

Additional Information

Medical Director

Daiichi Sankyo Inc.

Phone: 908-992-6400

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place