Study of TGF-β Receptor Inhibitor Galunisertib (LY2157299) and Enzalutamide in Metastatic Castration-resistant Prostate Cancer

NCT ID: NCT02452008

Last Updated: 2025-12-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-05-03

Study Completion Date

2026-12-31

Brief Summary

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The primary objective of this study is to compare the progression free survival (PFS) of patients with metastatic castration-resistant prostate cancer treated with enzalutamide in combination with LY2157299 (Arm 1) versus enzalutamide alone (Arm 2).

Detailed Description

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Conditions

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Prostate Cancer

Keywords

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metastatic castration-resistant prostate cancer enzalutamide LY2157299 TGF-β receptor inhibitor

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm 1: Enzalutamide with LY2157299

Group Type EXPERIMENTAL

Enzalutamide

Intervention Type DRUG

160mg of enzalutamide is administered orally once a day on days 1-28 of each cycle.

LY2157299

Intervention Type DRUG

150 mg of LY2157299 is administered orally twice a day on days 1-14 of each cycle.

Arm 2: Enzalutamide alone

Group Type EXPERIMENTAL

Enzalutamide

Intervention Type DRUG

160mg of enzalutamide is administered orally once a day on days 1-28 of each cycle.

Interventions

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Enzalutamide

160mg of enzalutamide is administered orally once a day on days 1-28 of each cycle.

Intervention Type DRUG

LY2157299

150 mg of LY2157299 is administered orally twice a day on days 1-14 of each cycle.

Intervention Type DRUG

Other Intervention Names

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XTANDI TGF-β receptor inhibitor

Eligibility Criteria

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Inclusion Criteria

* Have metastatic castration-resistant prostate cancer
* Must have had prior abiraterone treatment
* Life expectancy of greater than 3 months
* Eastern Cooperative Oncology Group (ECOG) performance status 0 or 2
* Age ≥18 years
* Have measurable disease
* Patients acceptance to have a tumor biopsy of an accessible lesion at baseline and on treatment if the lesion can be biopsied with acceptable clinical risk (as judged by the investigator).
* Ability to take oral medication
* Patients must have adequate organ and marrow function defined by study-specified laboratory tests
* Must use acceptable form of birth control while on study
* Ability to understand and willingness to sign a written informed consent document

Exclusion Criteria

* Known history or evidence of brain metastases
* Prior chemotherapy for metastatic disease in castration-resistant prostate cancer
* Had surgery within 4 weeks prior to the first dose of study drug
* Had radiation, biological, or other investigational cancer therapy within 2 weeks prior to the first dose of study drug
* Had second-line hormonal therapy within 2 weeks prior to the first dose of study drug
* Systemic steroids within 1 weeks prior to the first dose of study drug
* Had prior enzalutamide, ARN-509, or galeterone therapy
* Have moderate or severe cardiovascular disease
* Have a history of a seizure
* Have uncontrolled intercurrent illness, including but not limited to ongoing or active infection, systematic congestive heart failure, unstable angina pectoris, cardiac arrhythmia or psychiatric condition that would limit compliance with study requirements
* Have a history of any autoimmune disease:inflammatory bowel disease, (including ulcerative colitis and Crohn's Disease), rheumatoid arthritis, systemic progressive sclerosis (scleroderma), systemic lupus erythmatosus (SLE) autoimmune vasculitis (e.g., Wegener's Granulomatosis), central nervous system (CNS) or motor neuropathy considered to be of autoimmune origin (e.g., Guillian-Barre Syndrome, Myasthenia Gravis, Multiple Sclerosis)
* Have known history of infection with HIV, hepatitis B, or hepatitis C
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Eli Lilly and Company

INDUSTRY

Sponsor Role collaborator

National Capital Foundation

UNKNOWN

Sponsor Role collaborator

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Channing Paller, MD

Role: PRINCIPAL_INVESTIGATOR

Johns Hopkins University

Locations

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Sibley Memorial Hospital

Washington D.C., District of Columbia, United States

Site Status

Northwestern University

Chicago, Illinois, United States

Site Status

University of Chicago

Chicago, Illinois, United States

Site Status

Johns Hopkins University

Baltimore, Maryland, United States

Site Status

Countries

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United States

References

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Rodriguez Y, Unno K, Truica MI, Chalmers ZR, Yoo YA, Vatapalli R, Sagar V, Yu J, Lysy B, Hussain M, Han H, Abdulkadir SA. A Genome-Wide CRISPR Activation Screen Identifies PRRX2 as a Regulator of Enzalutamide Resistance in Prostate Cancer. Cancer Res. 2022 Jun 6;82(11):2110-2123. doi: 10.1158/0008-5472.CAN-21-3565.

Reference Type DERIVED
PMID: 35405009 (View on PubMed)

Other Identifiers

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IRB00065746

Identifier Type: OTHER

Identifier Source: secondary_id

J1557

Identifier Type: -

Identifier Source: org_study_id