Safety and Pharmacokinetics of ODM-208 in Patients With Metastatic Castration-resistant Prostate Cancer

NCT ID: NCT03436485

Last Updated: 2025-07-22

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

PHASE1/PHASE2

Total Enrollment

204 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-03-19

Study Completion Date

2026-07-31

Brief Summary

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The purpose of this first-in-man study is to evaluate safety and tolerability of ODM-208 in patients with metastatic castration-resistant prostate cancer.

Detailed Description

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Safety and tolerability profile of ODM-208 will be explored

Conditions

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Prostate Cancer Metastatic

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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ODM-208 Part 1 Dose escalation

Group Type EXPERIMENTAL

ODM-208

Intervention Type DRUG

co-administered with glucocorticoid and fludrocortisone, orally daily

ODM-208 Part 2 Dose expansion

Group Type EXPERIMENTAL

ODM-208

Intervention Type DRUG

co-administered with glucocorticoid and fludrocortisone, orally daily

ODM-208 Part 2 Drug drug interaction

Group Type EXPERIMENTAL

ODM-208

Intervention Type DRUG

co-administered with glucocorticoid and fludrocortisone, orally daily

Midazolam

Intervention Type DRUG

orally

Interventions

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ODM-208

co-administered with glucocorticoid and fludrocortisone, orally daily

Intervention Type DRUG

Midazolam

orally

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Written informed consent (IC) obtained.
* Male aged ≥ 18 years.
* Histologically confirmed adenocarcinoma of the prostate.
* Castration resistant prostate cancer with serum testosterone \< 50 ng/dl.
* Metastatic disease.
* Ongoing androgen deprivation therapy with GnRH analogue or antagonist, or have had bilateral orchiectomy.
* Received at least one prior line of novel hormonal androgen receptor (AR) targeted therapy (e.g. abiraterone, enzalutamide).
* ECOG performance status 0-1.
* Adequate marrow, liver and kidney function.
* Able to swallow study treatment.
* Part 1: Treatment with at least 1 line of chemotherapy or ineligibility for chemotherapy. Part 2: Treatment with at least 1 line of taxane-based chemotherapy in castration-sensitive prostate cancer (CSPC) or in CRPC.

Exclusion Criteria

* History of pituitary or adrenal dysfunction.
* Known brain metastases or active leptomeningeal disease.
* Active infection or other medical condition that would make corticosteroid contraindicated.
* Poorly controlled diabetes.
* Hypotension or uncontrolled hypertension.
* Clinically significantly abnormal serum potassium or sodium level.
* Active or unstable cardio/cerebro-vascular disease including thromboembolic events.
* Prolonged QTcF interval.
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Orion Corporation, Orion Pharma

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Karim Fizazi

Role: PRINCIPAL_INVESTIGATOR

Gustave Roussy, Cancer Campus, Grand Paris

Locations

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University of Maryland Marlene and Stewart Greenebaum Cancer Center

Baltimore, Maryland, United States

Site Status

Masonic Cancer Center, University of Minnesota

Minneapolis, Minnesota, United States

Site Status

Nebraska Cancer Specialists

Omaha, Nebraska, United States

Site Status

University at Buffalo, Kaleida Health Great Lakes Cancer Care Collaborative

Buffalo, New York, United States

Site Status

Helsinki University Central Hospital

Helsinki, , Finland

Site Status

Tampere University Hospital

Tampere, , Finland

Site Status

Institute Bergonié

Bordeaux, , France

Site Status

Centre Léon Bérard

Lyon, , France

Site Status

Institute Paoli-Calmettes

Marseille, , France

Site Status

Institut de cancérologie Strasbourg Europe

Strasbourg, , France

Site Status

Hopital Foch

Suresnes, , France

Site Status

Institut Gustave Roussy

Villejuif, , France

Site Status

The Rutherford Cancer Centre, North East

Bedlington, , United Kingdom

Site Status

Velindre Cancer Centre

Cardiff, , United Kingdom

Site Status

The Beatson West of Scotland Cancer Centre

Glasgow, , United Kingdom

Site Status

The Rutherford Cancer Centre, North West

Liverpool, , United Kingdom

Site Status

Royal Marsden Hospital

London, , United Kingdom

Site Status

Charing Cross Hospital

London, , United Kingdom

Site Status

The Christie NHS Foundation Trust

Manchester, , United Kingdom

Site Status

Royal Preston Hospital

Preston, , United Kingdom

Site Status

Countries

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United States Finland France United Kingdom

References

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Fizazi K, Bernard-Tessier A, Roubaud G, Utriainen T, Barthelemy P, Flechon A, van der Voet J, Gravis G, Ratta R, Jones R, Parikh O, Tanner M, Antonarakis ES, Baldini C, Peters N, Garratt C, Ikonen T, Pohjanjousi P, Joensuu H, Cook N. Targeted Inhibition of CYP11A1 in Castration-Resistant Prostate Cancer. NEJM Evid. 2024 Jan;3(1):EVIDoa2300171. doi: 10.1056/EVIDoa2300171. Epub 2023 Dec 26.

Reference Type DERIVED
PMID: 38320513 (View on PubMed)

Other Identifiers

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3124001

Identifier Type: -

Identifier Source: org_study_id

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